ID
212
Beskrivning
Form from HIS OpenVistA
Nyckelord
Versioner (3)
- 2012-02-25 2012-02-25 -
- 2014-08-09 2014-08-09 - Martin Dugas
- 2015-06-25 2015-06-25 - Martin Dugas
Uppladdad den
25 februari 2012
DOI
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Licens
Creative Commons BY-NC 3.0 Legacy
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HIS NUTRITION SCREENING CONSULT RESULTS MAIN
HIS
- StudyEvent: HIS
Beskrivning
COMMENTS
Beskrivning
Patient triggered for problem swallowing difficulty
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- C0392678
- SNOMED CT 2011_0131
- 399122003
- MedDRA 14.1
- 10042647
- LOINC Version 232
- MTHU020878
Beskrivning
Patient states no problems with swallowing difficulty
Datatyp
boolean
Beskrivning
Swallow difficulty due to sore throat. Nursing Notified.
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- C0242429
- SNOMED CT 2011_0131
- 267102003
- MedDRA 14.1
- 10041367
- ICD-10-CM Version 2010
- R07.0
- ICD-9-CM Version 2011
- 784.1
- CTCAE 1105E
- E13575
Beskrivning
Patient needs diet consistency change to diet.
Datatyp
boolean
Beskrivning
Patient needs special foods of appropriate consistency.
Datatyp
boolean
Beskrivning
other
Datatyp
string
Beskrivning
Patient triggered for poor po intake > 5 days.
Datatyp
boolean
Beskrivning
Patient requests oral supplements of
Datatyp
string
Beskrivning
Patient states no problems with po intake.
Datatyp
boolean
Beskrivning
Patient states po intake improved>50% at all meals.
Datatyp
boolean
Beskrivning
Patient states no appetite.
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- C0232462
- SNOMED CT 2011_0131
- 64379006
- MedDRA 14.1
- 10061428
Beskrivning
Patient states unable to eat certain foods:
Datatyp
string
Beskrivning
Patient started on nutrition support
Datatyp
boolean
Beskrivning
other
Datatyp
string
Beskrivning
Patient triggered for unintentional weight loss of 10 pounds or more in 3 months.
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- C0936227
- SNOMED CT 2011_0131
- 267024001
- MedDRA 14.1
- 10000159
- ICD-10-CM Version 2010
- R63.4
Beskrivning
Patient states no weight loss.
Datatyp
boolean
Beskrivning
Patient was on a diet, weight loss was intentional.
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- C0012155
- SNOMED CT 2011_0131
- 41829006
Beskrivning
Patient states weight loss due to increased activity.
Datatyp
boolean
Beskrivning
other
Datatyp
string
Beskrivning
Patient triggered for food allergies
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- C0016470
- SNOMED CT 2011_0131
- 414285001
- MedDRA 14.1
- 10016946
Beskrivning
Patient states they have no food allergies/intolerances.
Datatyp
boolean
Beskrivning
Patient has no food intolerances to
Datatyp
string
Beskrivning
All food allergies/intolerances were identified.
Datatyp
boolean
Beskrivning
other
Datatyp
string
Beskrivning
Patient triggered for being pregnant and less than 16 years old of age.
Datatyp
boolean
Beskrivning
Patient is greater than 16 years old of age.
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- C0001779
- SNOMED CT 2011_0131
- 397669002
Beskrivning
Patient is not pregnant.
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- C0232973
- SNOMED CT 2011_0131
- 60001007
Beskrivning
other
Datatyp
string
Beskrivning
Patient triggered for being pregnant and on special diet.
Datatyp
boolean
Beskrivning
Patient is not pregnant.
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- C0232973
- SNOMED CT 2011_0131
- 60001007
Beskrivning
Patient is not on a special diet.
Datatyp
boolean
Beskrivning
Patient is on diet for
Datatyp
string
Alias
- UMLS CUI 2011AA
- C0012155
- SNOMED CT 2011_0131
- 41829006
Beskrivning
Patient understands special diet, does not need additional information.
Datatyp
boolean
Beskrivning
Patient does not understand special diet.
Datatyp
boolean
Beskrivning
Patient triggered for being below 10th percentile of Pediatric Growth Charts.
Datatyp
boolean
Beskrivning
Patient is at 50th percentile or greater on growth charts.
Datatyp
boolean
Beskrivning
Patient is between 25th and 50th percentile on growth charts.
Datatyp
boolean
Beskrivning
Patient seen due to extended length of stay in hospital.
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- C0023303
Beskrivning
other
Datatyp
string
Beskrivning
GOALS
Beskrivning
Patient to resume po intake (if currently NPO).
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- C1512806
Beskrivning
Patient to transition to solid foods (if on CL or FL diet).
Datatyp
boolean
Beskrivning
Patient to be provided foods of appropriate consistency to decrease swallowing difficulty.
Datatyp
boolean
Beskrivning
Patient to continue po intake>75% at meals/snacks.
Datatyp
boolean
Beskrivning
PO intake to be greater than 50% at all meals/snacks.
Datatyp
boolean
Beskrivning
Weight gain of 1-2 lbs per week.
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- C0043094
- SNOMED CT 2011_0131
- 262286000
- MedDRA 14.1
- 10047899
- LOINC Version 232
- MTHU020882
- CTCAE 1105E
- E12224
Beskrivning
Patient will not receive foods that they have indicated as being allergic or intolerate to.
Datatyp
boolean
Beskrivning
Patient to understand diet currently ordered by physician.
Datatyp
boolean
Beskrivning
Patient to be seen by dietician due to:
Datatyp
string
Beskrivning
other
Datatyp
string
Beskrivning
LEVEL OF CARE
Beskrivning
PLAN
Beskrivning
Continue with diet as currently ordered.
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- C0012155
- SNOMED CT 2011_0131
- 41829006
Beskrivning
Advance diet as tolerated.
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- C0012155
- SNOMED CT 2011_0131
- 41829006
Beskrivning
Explain menu process. Encourage continued good intake > 50%.
Datatyp
boolean
Beskrivning
Encourage patient to mark menu selections.
Datatyp
boolean
Beskrivning
Obtain food preferences. Place in computer and notify kitchen.
Datatyp
boolean
Beskrivning
Discuss adding oral supplement with nursing or dietician.
Datatyp
boolean
Beskrivning
Provide snacks to increase po intake.
Datatyp
boolean
Beskrivning
Notify diet office of food allergens or intolerances via computer.
Datatyp
boolean
Beskrivning
Provided educational handout on diet. Give RD contact information for further questions.
Datatyp
boolean
Beskrivning
Inform dietician of need for extensive diet education on diet.
Datatyp
boolean
Beskrivning
Follow patient per protocol.
Datatyp
boolean
Beskrivning
Refer to dietician.
Datatyp
boolean
Alias
- UMLS CUI 2011AA
- C0237083
- SNOMED CT 2011_0131
- 159033005
Beskrivning
other
Datatyp
string
Similar models
HIS
- StudyEvent: HIS
397669002 (SNOMED CT 2011_0131)
107647005 (SNOMED CT 2011_0131)
10047890 (MedDRA 14.1)
LP18015-5 (LOINC Version 232)
41829006 (SNOMED CT 2011_0131)
399122003 (SNOMED CT 2011_0131)
10042647 (MedDRA 14.1)
MTHU020878 (LOINC Version 232)
267102003 (SNOMED CT 2011_0131)
10041367 (MedDRA 14.1)
R07.0 (ICD-10-CM Version 2010)
784.1 (ICD-9-CM Version 2011)
E13575 (CTCAE 1105E)
64379006 (SNOMED CT 2011_0131)
10061428 (MedDRA 14.1)
267024001 (SNOMED CT 2011_0131)
10000159 (MedDRA 14.1)
R63.4 (ICD-10-CM Version 2010)
41829006 (SNOMED CT 2011_0131)
414285001 (SNOMED CT 2011_0131)
10016946 (MedDRA 14.1)
397669002 (SNOMED CT 2011_0131)
60001007 (SNOMED CT 2011_0131)
60001007 (SNOMED CT 2011_0131)
41829006 (SNOMED CT 2011_0131)
262286000 (SNOMED CT 2011_0131)
10047899 (MedDRA 14.1)
MTHU020882 (LOINC Version 232)
E12224 (CTCAE 1105E)
41829006 (SNOMED CT 2011_0131)
41829006 (SNOMED CT 2011_0131)
159033005 (SNOMED CT 2011_0131)