ID

18694

Description

Freigabe zur Verarbeitung durch Frau Prof. Rössig, Quellenangabe: "Pädiatrische Hämatologie und Onkologie, UKM" Klinik für Kinder- und Jugendmedizin, Universitätsklinikum Münster Released for adaption by Frau Prof. Rössig Source:Pediatric Hematology und Oncology, University hospital Münster

Keywords

Versions (1)
  1. 11/16/16 11/16/16 -
Uploaded on

November 16, 2016

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Creative Commons BY-NC 3.0
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Medical prescription and protocol Sedation and Analgesia Pediatric Hematology and Oncology UK Muenster

German English

Medical prescription and protocol Sedation and Analgesia Pediatric Hematology and Oncology UK Muenster

1 forms  
Patienteninformationen
Description

Patienteninformationen

Alias
UMLS CUI-1
C1955348
Name
Description

last name

Data type

text

Alias
UMLS CUI [1]
C1301584
Vorname
Description

first name

Data type

text

Alias
UMLS CUI [1]
C1443235
Datum Protokollerstellung
Description

date of recording

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0442711
Allergien
Description

hypersensitivities

Data type

text

Alias
UMLS CUI [1]
C0020517
aktuelles Gewicht
Description

body weight

Data type

integer

Measurement units
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Geplante Untersuchung/Eingriff:
Description

planned procedure

Data type

text

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C1301732
Nahrungskarenz
Description

fasting

Data type

text

Alias
UMLS CUI [1]
C0015663
ab (Uhrzeit)
Description

fasting since

Data type

time

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0015663
Klare Flüssigkeit erlaubt bis 2 h vor Sedierungs-Beginn:
Description

liquids allowed 2h before beginning

Data type

boolean

Alias
UMLS CUI [1]
C0302908
Verordnung
Description

Verordnung

Alias
UMLS CUI-1
C0033080
Medikament
Description

pharmaceutical preparation

Data type

text

Alias
UMLS CUI [1]
C0013227
Dosis
Description

dose

Data type

text

Alias
UMLS CUI [1]
C3174092
Applikationsart
Description

type of application

Data type

text

Alias
UMLS CUI [1,1]
C0185125
UMLS CUI [1,2]
C0449851
Unterschrift (Verordner)
Description

signature

Data type

text

Alias
UMLS CUI [1]
C1519316
Zeitpunkt der Gabe
Description

time of application

Data type

datetime

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0185125
Unterschrift (Ausführender)
Description

signature operating physician

Data type

text

Alias
UMLS CUI [1]
C1519316
Bei Bedarf zusätzlich Gabe von:
Description

Bei Bedarf zusätzlich Gabe von:

Alias
UMLS CUI-1
C0033080
UMLS CUI-2
C3494715
Medikament
Description

pharmaceutical preparation

Data type

text

Alias
UMLS CUI [1]
C0013227
Dosis
Description

dose

Data type

text

Alias
UMLS CUI [1]
C3174092
Applikationsart
Description

type of application

Data type

text

Alias
UMLS CUI [1,1]
C0185125
UMLS CUI [1,2]
C0449851
Unterschrift (Verordner)
Description

signature

Data type

text

Alias
UMLS CUI [1]
C1519316
Zeitpunkt der Gabe
Description

time of application

Data type

datetime

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0185125
Überwachung
Description

Überwachung

Alias
UMLS CUI-1
C0700325
Überwachung durch:
Description

Monitoring by

Data type

text

Alias
UMLS CUI [1]
C0700325
Begleitung durch
Description

accompanied by

Data type

text

Alias
UMLS CUI [1]
C2079578
Monitoring
Description

Monitoring

Data type

text

Alias
UMLS CUI [1]
C0150369
Beginn des Eingriffs
Description

Start of procedure

Data type

datetime

Alias
UMLS CUI [1]
C3897500
Ende des Eingriffs
Description

End of procedure

Data type

datetime

Alias
UMLS CUI [1]
C3899266
Protokoll
Description

Protokoll

Alias
UMLS CUI-1
C0008971
Zeit
Description

time

Data type

time

Alias
UMLS CUI [1]
C0040223
Blutdruck (syst./diast.)
Description

Blood Pressure

Data type

text

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C0005823
mmHg
Herzfrequenz (Anzahl/Min.)
Description

heart rate

Data type

integer

Measurement units
  • /Min.
Alias
UMLS CUI [1]
C0018810
/Min.
Atmung (Anzahl/Min.)
Description

respiratory rate

Data type

integer

Measurement units
  • /Min.
Alias
UMLS CUI [1]
C0231832
/Min.
SaO2
Description

SaO2

Data type

integer

Measurement units
  • %
Alias
UMLS CUI [1]
C0523807
%
Beurteilung der Sedierungstiefe
Description

assessment depth of sedation

Data type

text

Alias
UMLS CUI [1,1]
C1261322
UMLS CUI [1,2]
C0235195
Skala (1-5)
Description

Skala: 1 = wach 2 = agitiert 3 = schläft oberflächlich 4 = schläft tief 5 = zu tiefe Sedierung (bitte Kommentar)

Data type

integer

Alias
UMLS CUI [1,1]
C1261322
UMLS CUI [1,2]
C0235195
Kriterien der Entlassung aus der Überwachung
Description

Kriterien der Entlassung aus der Überwachung

Alias
UMLS CUI-1
C0243161
UMLS CUI-2
C0030685
Kreislauf und Atmung stabil:
Description

cardiovascular system stable

Data type

boolean

Alias
UMLS CUI [1,1]
C1282982
UMLS CUI [1,2]
C0007226
Leicht erweckbar, Schutzreflexe intakt:
Description

light sleep, defensive reflexes

Data type

boolean

Alias
UMLS CUI [1]
C0278182
UMLS CUI [2]
C0522225
Antwortet angemessen auf Ansprache:
Description

appropriate response to speech

Data type

boolean

Alias
UMLS CUI [1]
C3846697
angemessene Hydrierung
Description

hydration

Data type

boolean

Alias
UMLS CUI [1]
C1321013
versteht und befolgt Anweisungen:
Description

understands and follows instructions

Data type

boolean

Alias
UMLS CUI [1,1]
C1321605
UMLS CUI [1,2]
C1442085
kann ohne Hilfe sitzen oder gehen: (den Fähigkeiten entsprechend)
Description

sitting and walking without help is possible

Data type

boolean

Alias
UMLS CUI [1]
C0578715
UMLS CUI [2]
C0429987
Ende der Überwachung
Description

End of observation period

Data type

datetime

Alias
UMLS CUI [1]
C2826251
Trinken ab (Uhrzeit)
Description

fluid intake since

Data type

datetime

Measurement units
  • Uhrzeit
Alias
UMLS CUI [1,1]
C0429791
UMLS CUI [1,2]
C3897500
Uhrzeit
Analgesie/Sedierung war erfolgreich:
Description

analgesia/sedation successfull

Data type

boolean

Alias
UMLS CUI [1,1]
C0002766
UMLS CUI [1,2]
C0205410
UMLS CUI [2,1]
C0235195
UMLS CUI [2,2]
C0205410
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Similar models

Medical prescription and protocol Sedation and Analgesia Pediatric Hematology and Oncology UK Muenster

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patienteninformationen
C1955348 (UMLS CUI-1)
last name
Item
Name
text
C1301584 (UMLS CUI [1])
first name
Item
Vorname
text
C1443235 (UMLS CUI [1])
date of recording
Item
Datum Protokollerstellung
date
C0011008 (UMLS CUI [1,1])
C0442711 (UMLS CUI [1,2])
hypersensitivities
Item
Allergien
text
C0020517 (UMLS CUI [1])
body weight
Item
aktuelles Gewicht
integer
C0005910 (UMLS CUI [1])
planned procedure
Item
Geplante Untersuchung/Eingriff:
text
C0087111 (UMLS CUI [1,1])
C1301732 (UMLS CUI [1,2])
fasting
Item
Nahrungskarenz
text
C0015663 (UMLS CUI [1])
fasting since
Item
ab (Uhrzeit)
time
C0011008 (UMLS CUI [1,1])
C0015663 (UMLS CUI [1,2])
liquids allowed 2h before beginning
Item
Klare Flüssigkeit erlaubt bis 2 h vor Sedierungs-Beginn:
boolean
C0302908 (UMLS CUI [1])
Item Group
Verordnung
C0033080 (UMLS CUI-1)
pharmaceutical preparation
Item
Medikament
text
C0013227 (UMLS CUI [1])
dose
Item
Dosis
text
C3174092 (UMLS CUI [1])
type of application
Item
Applikationsart
text
C0185125 (UMLS CUI [1,1])
C0449851 (UMLS CUI [1,2])
signature
Item
Unterschrift (Verordner)
text
C1519316 (UMLS CUI [1])
time of application
Item
Zeitpunkt der Gabe
datetime
C0011008 (UMLS CUI [1,1])
C0185125 (UMLS CUI [1,2])
signature operating physician
Item
Unterschrift (Ausführender)
text
C1519316 (UMLS CUI [1])
Item Group
Bei Bedarf zusätzlich Gabe von:
C0033080 (UMLS CUI-1)
C3494715 (UMLS CUI-2)
pharmaceutical preparation
Item
Medikament
text
C0013227 (UMLS CUI [1])
dose
Item
Dosis
text
C3174092 (UMLS CUI [1])
type of application
Item
Applikationsart
text
C0185125 (UMLS CUI [1,1])
C0449851 (UMLS CUI [1,2])
signature
Item
Unterschrift (Verordner)
text
C1519316 (UMLS CUI [1])
time of application
Item
Zeitpunkt der Gabe
datetime
C0011008 (UMLS CUI [1,1])
C0185125 (UMLS CUI [1,2])
Item Group
Überwachung
C0700325 (UMLS CUI-1)
Monitoring by
Item
Überwachung durch:
text
C0700325 (UMLS CUI [1])
accompanied by
Item
Begleitung durch
text
C2079578 (UMLS CUI [1])
Monitoring
Item
Monitoring
text
C0150369 (UMLS CUI [1])
Start of procedure
Item
Beginn des Eingriffs
datetime
C3897500 (UMLS CUI [1])
End of procedure
Item
Ende des Eingriffs
datetime
C3899266 (UMLS CUI [1])
Item Group
Protokoll
C0008971 (UMLS CUI-1)
time
Item
Zeit
time
C0040223 (UMLS CUI [1])
Blood Pressure
Item
Blutdruck (syst./diast.)
text
C0005823 (UMLS CUI [1])
heart rate
Item
Herzfrequenz (Anzahl/Min.)
integer
C0018810 (UMLS CUI [1])
respiratory rate
Item
Atmung (Anzahl/Min.)
integer
C0231832 (UMLS CUI [1])
SaO2
Item
SaO2
integer
C0523807 (UMLS CUI [1])
assessment depth of sedation
Item
Beurteilung der Sedierungstiefe
text
C1261322 (UMLS CUI [1,1])
C0235195 (UMLS CUI [1,2])
assessment scale depth of sedation
Item
Skala (1-5)
integer
C1261322 (UMLS CUI [1,1])
C0235195 (UMLS CUI [1,2])
Item Group
Kriterien der Entlassung aus der Überwachung
C0243161 (UMLS CUI-1)
C0030685 (UMLS CUI-2)
cardiovascular system stable
Item
Kreislauf und Atmung stabil:
boolean
C1282982 (UMLS CUI [1,1])
C0007226 (UMLS CUI [1,2])
light sleep, defensive reflexes
Item
Leicht erweckbar, Schutzreflexe intakt:
boolean
C0278182 (UMLS CUI [1])
C0522225 (UMLS CUI [2])
appropriate response to speech
Item
Antwortet angemessen auf Ansprache:
boolean
C3846697 (UMLS CUI [1])
hydration
Item
angemessene Hydrierung
boolean
C1321013 (UMLS CUI [1])
understands and follows instructions
Item
versteht und befolgt Anweisungen:
boolean
C1321605 (UMLS CUI [1,1])
C1442085 (UMLS CUI [1,2])
sitting and walking without help is possible
Item
kann ohne Hilfe sitzen oder gehen: (den Fähigkeiten entsprechend)
boolean
C0578715 (UMLS CUI [1])
C0429987 (UMLS CUI [2])
End of observation period
Item
Ende der Überwachung
datetime
C2826251 (UMLS CUI [1])
fluid intake since
Item
Trinken ab (Uhrzeit)
datetime
C0429791 (UMLS CUI [1,1])
C3897500 (UMLS CUI [1,2])
analgesia/sedation successfull
Item
Analgesie/Sedierung war erfolgreich:
boolean
C0002766 (UMLS CUI [1,1])
C0205410 (UMLS CUI [1,2])
C0235195 (UMLS CUI [2,1])
C0205410 (UMLS CUI [2,2])
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