ID

19118

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

December 6, 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

Alias
UMLS CUI-1
C1508263
Name
Description

Name of patient

Data type

text

Alias
UMLS CUI [1]
C0421448
geb.
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Fall-Nr.
Description

Case number

Data type

text

Alias
UMLS CUI [1,1]
C1698493
UMLS CUI [1,2]
C0600091
Bemerkungen
Description

Comments

Data type

text

Alias
UMLS CUI [1]
C0947611
Dialysebehandlung
Description

Dialysis treatment

Data type

text

Alias
UMLS CUI [1]
C0011946
Datum
Description

Date of dialysis treatment

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0011946
CAVE
Description

CAVE

Data type

text

Alias
UMLS CUI [1]
C0871599
Gerät
Description

Dialysis machine

Data type

text

Alias
UMLS CUI [1]
C3489407
Filter
Description

Dialysator

Data type

text

Alias
UMLS CUI [1]
C0491067
Monitoring
Description

Monitoring

Alias
UMLS CUI-1
C0150369
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
Alias
UMLS CUI [1]
C0232117
bpm
Sättigung
Description

Saturation

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0522533
%
O2 nasal
Description

Administration of oxygen

Data type

float

Measurement units
  • l/min
Alias
UMLS CUI [1,1]
C0184633
UMLS CUI [1,2]
C1522019
l/min
Monitoring erforderlich
Description

Monitoring necessary

Data type

boolean

Alias
UMLS CUI [1,1]
C1283169
UMLS CUI [1,2]
C0686904
Gewicht vor HD
Description

Weight before HD

Data type

text

Alias
UMLS CUI [1,1]
C0011946
UMLS CUI [1,2]
C0005910
UMLS CUI [1,3]
C0332152
Gewicht nach HD
Description

Weight after HD

Data type

text

Alias
UMLS CUI [1,1]
C0011946
UMLS CUI [1,2]
C0005910
UMLS CUI [1,3]
C1883708
TG
Description

TG

Data type

text

Perfusoren/Medikamente
Description

Syringe pumps/medication

Data type

text

Alias
UMLS CUI [1]
C0150270
Parameter
Description

Parameter

Alias
UMLS CUI-1
C0549193
Zeit
Description

Time

Data type

time

Alias
UMLS CUI [1]
C0040223
Leitfähigkeit
Description

Conductivity

Data type

text

Alias
UMLS CUI [1]
C0013777
Dialysatfluss
Description

Dialysate flow

Data type

text

Alias
UMLS CUI [1,1]
C0011946
UMLS CUI [1,2]
C0806140
Blutfluss eff
Description

Effektiver Blutfluss

Data type

integer

Measurement units
  • ml
Alias
UMLS CUI [1]
C0232338
ml
ART Druck
Description

Arterieller Druck

Data type

text

Alias
UMLS CUI [1]
C0232108
VEN Druck
Description

Venöser Druck

Data type

text

Alias
UMLS CUI [1]
C0042486
TMP
Description

Transmembrandruck

Data type

text

Alias
UMLS CUI [1]
C0020309
HDF-Fluss
Description

HDF=Hämodiafiltration

Data type

integer

Measurement units
  • ml/h
Alias
UMLS CUI [1,1]
C0019014
UMLS CUI [1,2]
C0806140
ml/h
UF
Description

Ultrafiltration

Data type

integer

Measurement units
  • ml/h
Alias
UMLS CUI [1]
C0811696
ml/h
Zugang
Description

Vascular access

Data type

text

Alias
UMLS CUI [1]
C0184269
Zugang: Vene
Description

Vascular access: vein

Data type

text

Alias
UMLS CUI [1,1]
C0184269
UMLS CUI [1,2]
C0042449
Antikoagulation
Description

Anticoagulation

Data type

text

Alias
UMLS CUI [1]
C0449867
UF Soll
Description

Sollwert Ultrafiltration

Data type

text

Alias
UMLS CUI [1,1]
C0041612
UMLS CUI [1,2]
C1264625
UF Ist
Description

Istwert Ultrafiltration

Data type

text

Alias
UMLS CUI [1,1]
C0041612
UMLS CUI [1,2]
C1522609
Konzentrat
Description

Konzentrat

K+
Description

Kaliumgehalt

Data type

float

Measurement units
  • mmol/l
Alias
UMLS CUI [1]
C0202194
mmol/l
Na+
Description

Natriumgehalt

Data type

float

Measurement units
  • mmol/l
Alias
UMLS CUI [1]
C0337443
mmol/l
Ca++
Description

Kalziumgehalt, ionisiert

Data type

float

Measurement units
  • mmol/l
Alias
UMLS CUI [1]
C0201925
mmol/l
HCO3
Description

Hydrogencarbonatgehalt

Data type

float

Measurement units
  • mmol/l
Alias
UMLS CUI [1]
C0202059
mmol/l
Medikation
Description

Medikation

Alias
UMLS CUI-1
C0013227
Montag
Description

Medikamenteneinnahme Montag

Data type

boolean

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0585024
Dienstag
Description

Medikamenteneinnahme Dienstag

Data type

boolean

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0585026
Mittwoch
Description

Medikamenteneinnahme Mittwoch

Data type

boolean

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0585027
Donnerstag
Description

Medikamenteneinnahme Donnerstag

Data type

boolean

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0585028
Freitag
Description

Medikamenteneinnahme Freitag

Data type

boolean

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0585029
Samstag
Description

Medikamenteneinnahme Samstag

Data type

boolean

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0585030
Heute erhalten
Description

Medikamenteneinnahme heute

Data type

boolean

Alias
UMLS CUI [1,1]
C0310367
UMLS CUI [1,2]
C0013227
Medikament
Description

Description of medication

Data type

text

Alias
UMLS CUI [1]
C0013227
Checkliste
Description

Checkliste

Alias
UMLS CUI-1
C1707357
Blutschl. Syst. luftfrei gefüllt
Description

Blutschlauchsystem luftfrei gefüllt

Data type

boolean

Temperatur
Description

Temperature

Data type

boolean

Alias
UMLS CUI [1]
C0039476
Luftfalle, Quetschventil
Description

Bubble trap, pinch valve

Data type

boolean

Antikoagulation Perf. Eingesch.
Description

Anticoagulation syringe pump

Data type

boolean

Notizen
Description

Notizen

Alias
UMLS CUI-1
C0947611
Notizen (Pflegekraft)
Description

Comments (nurse)

Data type

text

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C0028661
Notizen (Arzt)
Description

Comments (physician)

Data type

text

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C0031831
Empfehlung
Description

Recommendation

Data type

text

Alias
UMLS CUI [1]
C0034866

Similar models

Dialyseprotokoll MEDD MS University Hospital Muenster (UKM)

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Allgemeine Information
C1508263 (UMLS CUI-1)
Name of patient
Item
Name
text
C0421448 (UMLS CUI [1])
Date of birth
Item
geb.
date
C0421451 (UMLS CUI [1])
Case number
Item
Fall-Nr.
text
C1698493 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Comments
Item
Bemerkungen
text
C0947611 (UMLS CUI [1])
Item
Dialysebehandlung
text
C0011946 (UMLS CUI [1])
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
C0011008 (UMLS CUI [1,1])
C0011946 (UMLS CUI [1,2])
CAVE
Item
CAVE
text
C0871599 (UMLS CUI [1])
Item
Gerät
text
C3489407 (UMLS CUI [1])
Code List
Gerät
CL Item
5008 (5008)
CL Item
Haemo (Haemo)
CL Item
ComTec (ComTec)
CL Item
Genius (Genius)
Item
Filter
text
C0491067 (UMLS CUI [1])
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
C0150369 (UMLS CUI-1)
Time
Item
Zeit
time
C0040223 (UMLS CUI [1])
Blood Pressure
Item
Blutdruck
integer
C0005823 (UMLS CUI [1])
Pulse
Item
Puls
integer
C0232117 (UMLS CUI [1])
Saturation
Item
Sättigung
float
C0522533 (UMLS CUI [1])
Administration of oxygen
Item
O2 nasal
float
C0184633 (UMLS CUI [1,1])
C1522019 (UMLS CUI [1,2])
Monitoring necessary
Item
Monitoring erforderlich
boolean
C1283169 (UMLS CUI [1,1])
C0686904 (UMLS CUI [1,2])
Weight before HD
Item
Gewicht vor HD
text
C0011946 (UMLS CUI [1,1])
C0005910 (UMLS CUI [1,2])
C0332152 (UMLS CUI [1,3])
Weight after HD
Item
Gewicht nach HD
text
C0011946 (UMLS CUI [1,1])
C0005910 (UMLS CUI [1,2])
C1883708 (UMLS CUI [1,3])
TG
Item
TG
text
Syringe pumps/medication
Item
Perfusoren/Medikamente
text
C0150270 (UMLS CUI [1])
Item Group
Parameter
C0549193 (UMLS CUI-1)
Time
Item
Zeit
time
C0040223 (UMLS CUI [1])
Conductivity
Item
Leitfähigkeit
text
C0013777 (UMLS CUI [1])
Item
Dialysatfluss
text
C0011946 (UMLS CUI [1,1])
C0806140 (UMLS CUI [1,2])
Code List
Dialysatfluss
CL Item
500 (500)
CL Item
autflow (autflow)
Actual blood flow
Item
Blutfluss eff
integer
C0232338 (UMLS CUI [1])
Arterial pressure
Item
ART Druck
text
C0232108 (UMLS CUI [1])
Venous pressure
Item
VEN Druck
text
C0042486 (UMLS CUI [1])
Transmembrane pressure
Item
TMP
text
C0020309 (UMLS CUI [1])
HDF flow
Item
HDF-Fluss
integer
C0019014 (UMLS CUI [1,1])
C0806140 (UMLS CUI [1,2])
Ultrafiltration
Item
UF
integer
C0811696 (UMLS CUI [1])
Item
Zugang
text
C0184269 (UMLS CUI [1])
Code List
Zugang
CL Item
Tenckhoff (Tenckhoff)
CL Item
Shaldon (Shaldon)
CL Item
Shunt (Shunt)
CL Item
Vorhofkatheter (Vorhofkatheter)
Item
Zugang: Vene
text
C0184269 (UMLS CUI [1,1])
C0042449 (UMLS CUI [1,2])
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
C0449867 (UMLS CUI [1])
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
C0041612 (UMLS CUI [1,1])
C1264625 (UMLS CUI [1,2])
Ultrafiltration, acutal value
Item
UF Ist
text
C0041612 (UMLS CUI [1,1])
C1522609 (UMLS CUI [1,2])
Item Group
Konzentrat
Potassium
Item
K+
float
C0202194 (UMLS CUI [1])
Sodium
Item
Na+
float
C0337443 (UMLS CUI [1])
Ionised calcium
Item
Ca++
float
C0201925 (UMLS CUI [1])
Hydrogen carbonate
Item
HCO3
float
C0202059 (UMLS CUI [1])
Item Group
Medikation
C0013227 (UMLS CUI-1)
Intake of medication on Monday
Item
Montag
boolean
C0013227 (UMLS CUI [1,1])
C0585024 (UMLS CUI [1,2])
Intake of medication on Tuesday
Item
Dienstag
boolean
C0013227 (UMLS CUI [1,1])
C0585026 (UMLS CUI [1,2])
Intake of medication on Wednesday
Item
Mittwoch
boolean
C0013227 (UMLS CUI [1,1])
C0585027 (UMLS CUI [1,2])
Intake of medication on Thursday
Item
Donnerstag
boolean
C0013227 (UMLS CUI [1,1])
C0585028 (UMLS CUI [1,2])
Intake of medication on Friday
Item
Freitag
boolean
C0013227 (UMLS CUI [1,1])
C0585029 (UMLS CUI [1,2])
Intake of medication on Saturday
Item
Samstag
boolean
C0013227 (UMLS CUI [1,1])
C0585030 (UMLS CUI [1,2])
Intake of medication today
Item
Heute erhalten
boolean
C0310367 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
Item
Medikament
text
C0013227 (UMLS CUI [1])
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
C1707357 (UMLS CUI-1)
Airless bloodline system
Item
Blutschl. Syst. luftfrei gefüllt
boolean
Temperature
Item
Temperatur
boolean
C0039476 (UMLS CUI [1])
Bubble trap, pinch valve
Item
Luftfalle, Quetschventil
boolean
Anticoagulation syringe pump
Item
Antikoagulation Perf. Eingesch.
boolean
Item Group
Notizen
C0947611 (UMLS CUI-1)
Comments (nurse)
Item
Notizen (Pflegekraft)
text
C0947611 (UMLS CUI [1,1])
C0028661 (UMLS CUI [1,2])
Comments (physician)
Item
Notizen (Arzt)
text
C0947611 (UMLS CUI [1,1])
C0031831 (UMLS CUI [1,2])
Recommendation
Item
Empfehlung
text
C0034866 (UMLS CUI [1])

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