ID

17942

Description

Hospital Routine Documentation Form at the University Hospital Muenster. Original Form name: Dialyseprotokoll MEDD MS

Keywords

  1. 9/19/16 9/19/16 -
  2. 10/11/16 10/11/16 -
  3. 12/6/16 12/6/16 -
Uploaded on

October 11, 2016

DOI

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License

Creative Commons BY-NC 3.0

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Dialyseprotokoll MEDD MS University Hospital Muenster (UKM)

Dialyseprotokoll MEDD MS University Hospital Muenster (UKM)

Allgemeine Information
Description

Allgemeine Information

Name
Description

Name of patient

Data type

text

geb.
Description

Date of birth

Data type

date

Fall-Nr.
Description

Case number

Data type

text

Bemerkungen
Description

Comments

Data type

text

Alias
UMLS CUI [1]
C0947611
Dialysebehandlung
Description

Dialysis treatment

Data type

text

Datum
Description

Date of dialysis treatment

Data type

date

CAVE
Description

CAVE

Data type

text

Gerät
Description

Dialysis machine

Data type

text

Filter
Description

Dialysator

Data type

text

Monitoring
Description

Monitoring

Zeit
Description

Time

Data type

time

Alias
UMLS CUI [1]
C0040223
Blutdruck
Description

Blood Pressure

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C0005823
mmHg
Puls
Description

Pulse

Data type

integer

Measurement units
  • bpm
bpm
Sättigung
Description

Saturation

Data type

float

Measurement units
  • %
%
O2 nasal
Description

Administration of oxygen

Data type

float

Measurement units
  • l/min
l/min
Monitoring erforderlich
Description

Monitoring necessary

Data type

boolean

Gewicht vor HD
Description

Weight before HD

Data type

text

Gewicht nach HD
Description

Weight after HD

Data type

text

TG
Description

TG

Data type

text

Perfusoren/Medikamente
Description

Syringe pumps/medication

Data type

text

Parameter
Description

Parameter

Zeit
Description

Time

Data type

time

Alias
UMLS CUI [1]
C0040223
Leitfähigkeit
Description

Conductivity

Data type

text

Dialysatfluss
Description

Dialysate flow

Data type

text

Blutfluss eff
Description

Effektiver Blutfluss

Data type

integer

Measurement units
  • ml
ml
ART Druck
Description

Arterieller Druck

Data type

text

VEN Druck
Description

Venöser Druck

Data type

text

TMP
Description

Transmembrandruck

Data type

text

HDF-Fluss
Description

HDF=Hämodiafiltration

Data type

integer

Measurement units
  • ml/h
ml/h
UF
Description

Ultrafiltration

Data type

integer

Measurement units
  • ml/h
ml/h
Zugang
Description

Vascular access

Data type

text

Zugang: Vene
Description

Vascular access: vein

Data type

text

Antikoagulation
Description

Anticoagulation

Data type

text

UF Soll
Description

Sollwert Ultrafiltration

Data type

text

UF Ist
Description

Istwert Ultrafiltration

Data type

text

Konzentrat
Description

Konzentrat

K+
Description

Kaliumgehalt

Data type

float

Measurement units
  • mmol/l
mmol/l
Na+
Description

Natriumgehalt

Data type

float

Measurement units
  • mmol/l
mmol/l
Ca++
Description

Kalziumgehalt, ionisiert

Data type

float

Measurement units
  • mmol/l
mmol/l
HCO3
Description

Hydrogencarbonatgehalt

Data type

float

Measurement units
  • mmol/l
mmol/l
Medikation
Description

Medikation

Montag
Description

Medikamenteneinnahme Montag

Data type

boolean

Dienstag
Description

Medikamenteneinnahme Dienstag

Data type

boolean

Mittwoch
Description

Medikamenteneinnahme Mittwoch

Data type

boolean

Donnerstag
Description

Medikamenteneinnahme Donnerstag

Data type

boolean

Freitag
Description

Medikamenteneinnahme Freitag

Data type

boolean

Samstag
Description

Medikamenteneinnahme Samstag

Data type

boolean

Heute erhalten
Description

Medikamenteneinnahme heute

Data type

boolean

Medikament
Description

Description of medication

Data type

text

Checkliste
Description

Checkliste

Blutschl. Syst. luftfrei gefüllt
Description

Blutschlauchsystem luftfrei gefüllt

Data type

boolean

Temperatur
Description

Temperature

Data type

boolean

Luftfalle, Quetschventil
Description

Bubble trap, pinch valve

Data type

boolean

Antikoagulation Perf. Eingesch.
Description

Anticoagulation syringe pump

Data type

boolean

Notizen
Description

Notizen

Notizen (Pflegekraft)
Description

Comments (nurse)

Data type

text

Notizen (Arzt)
Description

Comments (physician)

Data type

text

Empfehlung
Description

Recommendation

Data type

text

Similar models

Dialyseprotokoll MEDD MS University Hospital Muenster (UKM)

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Allgemeine Information
Name of patient
Item
Name
text
Date of birth
Item
geb.
date
Case number
Item
Fall-Nr.
text
Comments
Item
Bemerkungen
text
C0947611 (UMLS CUI [1])
Item
Dialysebehandlung
text
Code List
Dialysebehandlung
CL Item
HD (HD)
CL Item
HDF (HDF)
CL Item
UF (UF)
CL Item
MPS/TPE (MPS/TPE)
CL Item
HCO (HCO)
CL Item
MARS (MARS)
CL Item
PD (PD)
CL Item
IA (IA)
CL Item
LDL Dali (LDL Dali)
CL Item
LDL Monet (LDL Monet)
CL Item
HD Intensivstation (HD Intensivstation)
CL Item
HD-long Intensivstation (HD-long Intensivstation)
CL Item
SCUF Intensivstation (SCUF Intensivstation)
CL Item
SLEDD Intensivstation (SLEDD Intensivstation)
Date of dialysis treatment
Item
Datum
date
CAVE
Item
CAVE
text
Item
Gerät
text
Code List
Gerät
CL Item
5008 (5008)
CL Item
Haemo (Haemo)
CL Item
ComTec (ComTec)
CL Item
Genius (Genius)
Item
Filter
text
Code List
Filter
CL Item
FX600 (FX600)
CL Item
FX60 (FX60)
CL Item
MPS05 (MPS05)
CL Item
Evodial (Evodial)
CL Item
FX8 (FX8)
CL Item
HCO (HCO)
CL Item
Nephral (Nephral)
Item Group
Monitoring
Time
Item
Zeit
time
C0040223 (UMLS CUI [1])
Blood Pressure
Item
Blutdruck
integer
C0005823 (UMLS CUI [1])
Pulse
Item
Puls
integer
Saturation
Item
Sättigung
float
Administration of oxygen
Item
O2 nasal
float
Monitoring necessary
Item
Monitoring erforderlich
boolean
Weight before HD
Item
Gewicht vor HD
text
Weight after HD
Item
Gewicht nach HD
text
TG
Item
TG
text
Syringe pumps/medication
Item
Perfusoren/Medikamente
text
Item Group
Parameter
Time
Item
Zeit
time
C0040223 (UMLS CUI [1])
Conductivity
Item
Leitfähigkeit
text
Item
Dialysatfluss
text
Code List
Dialysatfluss
CL Item
500 (500)
CL Item
autflow (autflow)
Actual blood flow
Item
Blutfluss eff
integer
Arterial pressure
Item
ART Druck
text
Venous pressure
Item
VEN Druck
text
Transmembrane pressure
Item
TMP
text
HDF flow
Item
HDF-Fluss
integer
Ultrafiltration
Item
UF
integer
Item
Zugang
text
Code List
Zugang
CL Item
Tenckhoff (Tenckhoff)
CL Item
Shaldon (Shaldon)
CL Item
Shunt (Shunt)
CL Item
Vorhofkatheter (Vorhofkatheter)
Item
Zugang: Vene
text
Code List
Zugang: Vene
CL Item
Vena jugolaris interna (Vena jugolaris interna)
CL Item
Vena femoralis (Vena femoralis)
CL Item
Vena subclavia (Vena subclavia)
Item
Antikoagulation
text
Code List
Antikoagulation
CL Item
Heparin (Heparin)
CL Item
Argatroban (Argatroban)
CL Item
Citrat (Citrat)
CL Item
Sonstige (Sonstige)
CL Item
Keine (Keine)
Ultrafiltration, nominal value
Item
UF Soll
text
Ultrafiltration, acutal value
Item
UF Ist
text
Item Group
Konzentrat
Potassium level
Item
K+
float
Sodium level
Item
Na+
float
Ionised calcium level
Item
Ca++
float
Hydrogen carbonate level
Item
HCO3
float
Item Group
Medikation
Intake of medication on Monday
Item
Montag
boolean
Intake of medication on Tuesday
Item
Dienstag
boolean
Intake of medication on Wednesday
Item
Mittwoch
boolean
Intake of medication on Thursday
Item
Donnerstag
boolean
Intake of medication on Friday
Item
Freitag
boolean
Intake of medication on Saturday
Item
Samstag
boolean
Intake of medication today
Item
Heute erhalten
boolean
Item
Medikament
text
Code List
Medikament
CL Item
Erythropoetin 1000 IE (Erythropoetin 1000 IE)
CL Item
Erythropoetin 2000 IE (Erythropoetin 2000 IE)
CL Item
Erythropoetin 3000 IE (Erythropoetin 3000 IE)
CL Item
Erythropoetin 4000 IE (Erythropoetin 4000 IE)
CL Item
Erythropoetin 5000 IE (Erythropoetin 5000 IE)
CL Item
Erythropoetin 6000 IE (Erythropoetin 6000 IE)
CL Item
Ferrlecit 40 mg (Ferrlecit 40 mg)
CL Item
Ferrlecit 62,5 mg (Ferrlecit 62,5 mg)
CL Item
Aranesp 30 µg (Aranesp 30 µg)
CL Item
Aranesp 40 µg (Aranesp 40 µg)
CL Item
Aranesp 60 µg (Aranesp 60 µg)
Item Group
Checkliste
Airless bloodline system
Item
Blutschl. Syst. luftfrei gefüllt
boolean
Temperature
Item
Temperatur
boolean
Bubble trap, pinch valve
Item
Luftfalle, Quetschventil
boolean
Anticoagulation syringe pump
Item
Antikoagulation Perf. Eingesch.
boolean
Item Group
Notizen
Comments (nurse)
Item
Notizen (Pflegekraft)
text
Comments (physician)
Item
Notizen (Arzt)
text
Recommendation
Item
Empfehlung
text

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