ID

20138

Description

Routine documentation form converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by Univ.-Prof. Dr. med. Volker Arolt

Keywords

  1. 1/22/17 1/22/17 -
  2. 2/8/17 2/8/17 -
  3. 2/8/17 2/8/17 -
Uploaded on

February 8, 2017

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License

Creative Commons BY-NC 3.0

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Routine documentation Psychiatry UKM

Routine documentation

  1. StudyEvent: ODM
    1. Routine documentation
Basic information
Description

Basic information

Permission to go out
Description

Permission to go out

Data type

integer

Alias
UMLS CUI [1]
C0521104
Belastungserprobung
Description

Stress Test

Data type

integer

Alias
UMLS CUI [1]
C3494508
Diet type
Description

Diet type

Data type

integer

Alias
UMLS CUI [1]
C1550392
Weight
Description

Weight

Data type

integer

Alias
UMLS CUI [1]
C0005910
Height
Description

Height

Data type

integer

Alias
UMLS CUI [1]
C0005890
Digestion
Description

Digestion

Data type

integer

Alias
UMLS CUI [1]
C0012238
Patient demographics
Description

Patient demographics

Patient name
Description

Patient name

Data type

integer

Alias
UMLS CUI [1]
C1299487
Patient date of birth
Description

Patient date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Patient address
Description

Patient address

Data type

integer

Alias
UMLS CUI [1]
C0421449
Admission date
Description

Admission date

Data type

date

Alias
UMLS CUI [1]
C1302393
Ward
Description

Ward

Data type

integer

Alias
UMLS CUI [1]
C1305702
Allergies
Description

Allergies

Data type

integer

Alias
UMLS CUI [1]
C0020517
Legal Status
Description

Legal Status

Data type

integer

Alias
UMLS CUI [1]
C0242365
Vital signs
Description

Vital signs

Alias
UMLS CUI-1
C0518766
Heart rate
Description

Heart rate

Data type

integer

Alias
UMLS CUI [1]
C0018810
Respiration
Description

Respiration

Data type

integer

Alias
UMLS CUI [1]
C0035203
Temperature
Description

Temperature

Data type

integer

Alias
UMLS CUI [1]
C0039476
Pulse
Description

Pulse

Data type

integer

Alias
UMLS CUI [1]
C0232117
Administration of medication
Description

Administration of medication

Injectable sustained-release medication
Description

Injectable sustained-release medication

Data type

integer

Alias
UMLS CUI [1]
C2348623
Medication
Description

Medication

Data type

integer

Alias
UMLS CUI [1]
C0013227
PRN drugs
Description

PRN drugs

Data type

integer

Alias
UMLS CUI [1]
C3166225
Additional protocols
Description

Additional protocols

Vital signs
Description

Vital signs

Data type

integer

Alias
UMLS CUI [1]
C0518766
Intake
Description

Intake

Data type

integer

Alias
UMLS CUI [1]
C1512806
Blood sugar
Description

Blood sugar

Data type

integer

Alias
UMLS CUI [1]
C0392201
Fixation
Description

Fixation

Data type

integer

Alias
UMLS CUI [1]
C0185023
Pain scale
Description

Pain scale

Data type

integer

Alias
UMLS CUI [1]
C1504479
Physician order
Description

Physician order

Data type

integer

Alias
UMLS CUI [1]
C1546491
Social work
Description

Social work

Data type

integer

Alias
UMLS CUI [1]
C0037441

Similar models

Routine documentation

  1. StudyEvent: ODM
    1. Routine documentation
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Basic information
Permission to go out
Item
Permission to go out
integer
C0521104 (UMLS CUI [1])
Stress Test
Item
Belastungserprobung
integer
C3494508 (UMLS CUI [1])
Diet type
Item
Diet type
integer
C1550392 (UMLS CUI [1])
Weight
Item
Weight
integer
C0005910 (UMLS CUI [1])
Height
Item
Height
integer
C0005890 (UMLS CUI [1])
Digestion
Item
Digestion
integer
C0012238 (UMLS CUI [1])
Item Group
Patient demographics
Patient name
Item
Patient name
integer
C1299487 (UMLS CUI [1])
Patient date of birth
Item
Patient date of birth
date
C0421451 (UMLS CUI [1])
Patient address
Item
Patient address
integer
C0421449 (UMLS CUI [1])
Admission date
Item
Admission date
date
C1302393 (UMLS CUI [1])
Ward
Item
Ward
integer
C1305702 (UMLS CUI [1])
Allergies
Item
Allergies
integer
C0020517 (UMLS CUI [1])
Legal Status
Item
Legal Status
integer
C0242365 (UMLS CUI [1])
Item Group
Vital signs
C0518766 (UMLS CUI-1)
Heart rate
Item
Heart rate
integer
C0018810 (UMLS CUI [1])
Respiration
Item
Respiration
integer
C0035203 (UMLS CUI [1])
Temperature
Item
Temperature
integer
C0039476 (UMLS CUI [1])
Pulse
Item
Pulse
integer
C0232117 (UMLS CUI [1])
Item Group
Administration of medication
Injectable sustained-release medication
Item
Injectable sustained-release medication
integer
C2348623 (UMLS CUI [1])
Medication
Item
Medication
integer
C0013227 (UMLS CUI [1])
PRN drugs
Item
PRN drugs
integer
C3166225 (UMLS CUI [1])
Item Group
Additional protocols
Vital signs
Item
Vital signs
integer
C0518766 (UMLS CUI [1])
Intake
Item
Intake
integer
C1512806 (UMLS CUI [1])
Blood sugar
Item
Blood sugar
integer
C0392201 (UMLS CUI [1])
Fixation
Item
Fixation
integer
C0185023 (UMLS CUI [1])
Item
Pain scale
integer
C1504479 (UMLS CUI [1])
Code List
Pain scale
CL Item
stress-induced pain (1)
CL Item
pain at rest (2)
C0234253 (UMLS CUI-1)
Physician order
Item
Physician order
integer
C1546491 (UMLS CUI [1])
Social work
Item
Social work
integer
C0037441 (UMLS CUI [1])

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