ID

22454

Description

Form from HIS OpenVistA

Mots-clés

Versions (2)
  1. 14/02/2012 14/02/2012 -
  2. 04/06/2017 04/06/2017 - Martin Dugas
Téléchargé le

4 juin 2017

DOI

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Licence

Creative Commons BY-NC 3.0
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DISCHARGE NOTE BRIEF ORIGINAL

Allemand Anglais

HIS

1 Formulaires  
  1. StudyEvent: HIS
    1. HIS
patient discharge
Description

patient discharge

Alias
UMLS CUI-1
C0030685
PATIENT PHONE
Description

patient phone number

Type de données

text

Alias
UMLS CUI [1]
C2051428
PERSON/PHONE NUMBER TO CONTACT IN CASE OF EMERGENCY
Description

emergency contact

Type de données

text

Alias
UMLS CUI [1]
C1552023
Primary NEXT OF KIN information
Description

next of kin

Type de données

text

Alias
UMLS CUI [1]
C0421492
DISCHARGE STATUS (stable, improved, unchanged)
Description

DISCHARGE STATUS

Type de données

integer

Alias
SNOMED CT 2011_0131
309039003
LOINC Version 232
MTHU031549
UMLS CUI [1]
C0586514
Discharge comment
Description

Discharge note

Type de données

text

Alias
UMLS CUI [1]
C0552421
Discharge Medication
Description

Discharge Medication

Alias
UMLS CUI-1
C0489553
None
Description

None

Type de données

boolean

Alias
UMLS CUI [1]
C0549184
Darvocet N-100mg
Description

Darvocet

Type de données

boolean

Alias
UMLS CUI [1]
C0112371
Tylenol #3
Description

Tylenol

Type de données

boolean

Alias
UMLS CUI [1]
C0699142
Lortab 5/500mg
Description

Lortab

Type de données

integer

Alias
UMLS CUI [1]
C0553262
Number of tabs PO
Description

Number of tabs PO

Type de données

integer

Alias
UMLS CUI [1,1]
C1705223
UMLS CUI [1,2]
C1705566
Hours PRN Pain
Description

Hours PRN Pain

Type de données

integer

Unités de mesure
  • h
Alias
UMLS CUI [1]
C0508321
h
Discharge Medications
Description

Discharge Medications

Type de données

text

Alias
LOINC Version 232
LP72754-2
UMLS CUI [1]
C0489553
Diet
Description

Diet

Alias
UMLS CUI-1
C0012155
DISCHARGE DIET
Description

Regular diet

Type de données

boolean

Alias
LOINC Version 232
LP74004-0
UMLS CUI [1]
C0012155
Cardiac
Description

Cardiac diet

Type de données

boolean

Alias
UMLS CUI [1]
C0301594
Clear Liquid
Description

Clear liquid diet

Type de données

boolean

Alias
UMLS CUI [1]
C2184084
Diabetic
Description

Diabetic diet

Type de données

boolean

Alias
UMLS CUI [1]
C0011878
Renal
Description

Renal diet

Type de données

boolean

Alias
UMLS CUI [1]
C0457987
Advance as tolerated
Description

Advance diet as tolerated

Type de données

boolean

Alias
UMLS CUI [1]
C0547819
Activity
Description

Activity

Alias
UMLS CUI-1
C0026606
As tolerated
Description

activity as tolerated

Type de données

boolean

Alias
UMLS CUI [1]
C3694142
Ad lib
Description

activity as much as desired

Type de données

boolean

Alias
UMLS CUI [1,1]
C0026606
UMLS CUI [1,2]
C1879743
As much as possible
Description

activity as much as possible

Type de données

boolean

Alias
UMLS CUI [1,1]
C0026606
UMLS CUI [1,2]
C3831464
Avoid lifting over 10 lbs
Description

Avoid lifting heavy objects

Type de données

boolean

Alias
UMLS CUI [1]
C0509206
Limited
Description

Limited activity

Type de données

boolean

Alias
UMLS CUI [1,1]
C0026606
UMLS CUI [1,2]
C0439801
Restricted
Description

Restrict physical activity

Type de données

boolean

Alias
UMLS CUI [1]
C0515591
Körperliche Aktivität
Description

Physical Activity

Type de données

text

Alias
SNOMED CT 2011_0131
68130003
LOINC Version 232
MTHU017278
UMLS CUI [1]
C0026606
DISCHARGE notes
Description

DISCHARGE notes

Alias
UMLS CUI-1
C0552421
DISCHARGE INSTRUCTIONS
Description

DISCHARGE INSTRUCTIONS

Type de données

text

Alias
LOINC Version 232
LP72753-4
UMLS CUI [1]
C0552421
Return to office (physician, nurse, none)
Description

follow-up

Type de données

integer

Alias
UMLS CUI [1]
C1522577
appointment
Description

appointment date

Type de données

date

Alias
UMLS CUI [1]
C0585085
Retour au début de la page

Similar models

HIS

1 Formulaires
  1. StudyEvent: HIS
    1. HIS
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
C0030685 (UMLS CUI-1)
patient phone number
Item
PATIENT PHONE
text
C2051428 (UMLS CUI [1])
emergency contact
Item
PERSON/PHONE NUMBER TO CONTACT IN CASE OF EMERGENCY
text
C1552023 (UMLS CUI [1])
next of kin
Item
Primary NEXT OF KIN information
text
C0421492 (UMLS CUI [1])
Item
DISCHARGE STATUS (stable, improved, unchanged)
integer
309039003 (SNOMED CT 2011_0131)
MTHU031549 (LOINC Version 232)
C0586514 (UMLS CUI [1])
DISCHARGE STATUS
Code List
DISCHARGE STATUS (stable, improved, unchanged)
CL Item
 (1)
C0205360 (UMLS CUI-1)
CL Item
 (2)
C0184511 (UMLS CUI-1)
CL Item
 (3)
C0442739 (UMLS CUI-1)
Discharge note
Item
Discharge comment
text
C0552421 (UMLS CUI [1])
Item Group
C0489553 (UMLS CUI-1)
None
Item
None
boolean
C0549184 (UMLS CUI [1])
Darvocet
Item
Darvocet N-100mg
boolean
C0112371 (UMLS CUI [1])
Tylenol
Item
Tylenol #3
boolean
C0699142 (UMLS CUI [1])
Item
Lortab 5/500mg
integer
C0553262 (UMLS CUI [1])
Lortab
Code List
Lortab 5/500mg
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
Number of tabs PO
Item
Number of tabs PO
integer
C1705223 (UMLS CUI [1,1])
C1705566 (UMLS CUI [1,2])
Hours PRN Pain
Item
Hours PRN Pain
integer
C0508321 (UMLS CUI [1])
Discharge Medications
Item
Discharge Medications
text
LP72754-2 (LOINC Version 232)
C0489553 (UMLS CUI [1])
Item Group
C0012155 (UMLS CUI-1)
Regular diet
Item
DISCHARGE DIET
boolean
LP74004-0 (LOINC Version 232)
C0012155 (UMLS CUI [1])
Cardiac diet
Item
Cardiac
boolean
C0301594 (UMLS CUI [1])
Clear liquid diet
Item
Clear Liquid
boolean
C2184084 (UMLS CUI [1])
Diabetic diet
Item
Diabetic
boolean
C0011878 (UMLS CUI [1])
Renal diet
Item
Renal
boolean
C0457987 (UMLS CUI [1])
Advance diet as tolerated
Item
Advance as tolerated
boolean
C0547819 (UMLS CUI [1])
Item Group
C0026606 (UMLS CUI-1)
activity as tolerated
Item
As tolerated
boolean
C3694142 (UMLS CUI [1])
activity as much as desired
Item
Ad lib
boolean
C0026606 (UMLS CUI [1,1])
C1879743 (UMLS CUI [1,2])
activity as much as possible
Item
As much as possible
boolean
C0026606 (UMLS CUI [1,1])
C3831464 (UMLS CUI [1,2])
Avoid lifting heavy objects
Item
Avoid lifting over 10 lbs
boolean
C0509206 (UMLS CUI [1])
Limited activity
Item
Limited
boolean
C0026606 (UMLS CUI [1,1])
C0439801 (UMLS CUI [1,2])
Restrict physical activity
Item
Restricted
boolean
C0515591 (UMLS CUI [1])
Physical Activity
Item
Körperliche Aktivität
text
68130003 (SNOMED CT 2011_0131)
MTHU017278 (LOINC Version 232)
C0026606 (UMLS CUI [1])
Item Group
C0552421 (UMLS CUI-1)
DISCHARGE INSTRUCTIONS
Item
DISCHARGE INSTRUCTIONS
text
LP72753-4 (LOINC Version 232)
C0552421 (UMLS CUI [1])
Item
Return to office (physician, nurse, none)
integer
C1522577 (UMLS CUI [1])
Return to office
Code List
Return to office (physician, nurse, none)
CL Item
 (1)
C0031831 (UMLS CUI-1)
CL Item
 (2)
C0028661 (UMLS CUI-1)
CL Item
 (3)
C0549184 (UMLS CUI-1)
appointment date
Item
appointment
date
C0585085 (UMLS CUI [1])
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