ID

22494

Description

Form from HIS OpenVistA

Keywords

Versions (2)
  1. 2/15/12 2/15/12 -
  2. 6/5/17 6/5/17 - Martin Dugas
Uploaded on

June 5, 2017

DOI

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License

Creative Commons BY-NC 3.0
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DISCHARGE SUMMARY

German English

HIS

1 forms  
  1. StudyEvent: HIS
    1. HIS
DISCHARGE SUMMARY
Description

DISCHARGE SUMMARY

Alias
UMLS CUI-1
C0552421
Final Diagnosis
Description

Final Diagnosis

Data type

string

Alias
UMLS CUI 2011AA
C0011900
SNOMED CT 2011_0131
439401001
LOINC Version 232
MTHU008876
ACTIVE PROBLEM LIST
Description

ACTIVE PROBLEM LIST

Data type

string

Alias
UMLS CUI 2011AA
C0552582
LOINC Version 232
LP73189-0
HOSPITALIZATION SUMMARY
Description

HOSPITALIZATION SUMMARY

Data type

string

Alias
UMLS CUI 2011AA
C1317307
LOINC Version 232
LP72467-1
OPERATIONS / PROCEDURES
Description

OPERATIONS / PROCEDURES

Data type

string

Alias
UMLS CUI 2011AA
C0087111
Lab Findings
Description

LABS: Prior 24 hour labs

Data type

string

Alias
UMLS CUI 2011AA
C0587081
SNOMED CT 2011_0131
118246004
NARRATIVE
Description

NARRATIVE

Data type

text

Alias
UMLS CUI [1]
C1135957
Transfusions/tissue transplants
Description

Transfusions or tissue transplants

Data type

text

Alias
UMLS CUI [1,1]
C1879316
UMLS CUI [1,2]
C0348047
CONDITION AT DISCHARGE
Description

CONDITION AT DISCHARGE

Data type

integer

Alias
UMLS CUI [1]
C0586514
Condition at discharge comment
Description

Condition at discharge comment

Data type

text

Alias
UMLS CUI [1,1]
C0586514
UMLS CUI [1,2]
C0947611
DISCHARGE INSTRUCTIONS
Description

DISCHARGE INSTRUCTIONS

Data type

text

Alias
LOINC Version 232
LP72753-4
UMLS CUI [1]
C3858559
MEDICATIONS
Description

MEDICATIONS

Alias
UMLS CUI-1
C0013227
Inpatient Medications
Description

Inpatient Medications

Data type

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0021562
Home Medications
Description

Home Medications

Data type

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0442519
Discharge Medications
Description

Discharge Medications

Data type

string

Alias
UMLS CUI 2011AA
C0489553
LOINC Version 232
LP72754-2
Nutrition and Care
Description

Nutrition and Care

Alias
UMLS CUI-1
C1444313
NUTRITION STATUS
Description

NUTRITION STATUS

Data type

text

Alias
LOINC Version 232
LP79846-9
UMLS CUI [1]
C0392209
DISCHARGE DIET
Description

DISCHARGE DIET

Data type

string

Alias
UMLS CUI 2011AA
C1657597
LOINC Version 232
LP74004-0
HOME CARE
Description

HOME CARE

Data type

string

Alias
UMLS CUI 2011AA
C0204977
DISCHARGE RETURN INSTRUCTIONS
Description

DISCHARGE RETURN INSTRUCTIONS

Alias
UMLS CUI-1
C0517773
RETURN TO SEE NURSE
Description

RETURN TO SEE NURSE

Data type

boolean

Alias
UMLS CUI [1]
C1319415
RETURN TO SEE MD
Description

Physician follow-up

Data type

boolean

Alias
UMLS CUI [1]
C0807395
Next appointment
Description

Next appointment

Data type

date

Alias
UMLS CUI 2011AA
C1272171
SNOMED CT 2011_0131
389837003
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Similar models

HIS

1 forms
  1. StudyEvent: HIS
    1. HIS
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
DISCHARGE SUMMARY
C0552421 (UMLS CUI-1)
Final Diagnosis
Item
Final Diagnosis
string
C0011900 (UMLS CUI 2011AA)
439401001 (SNOMED CT 2011_0131)
MTHU008876 (LOINC Version 232)
ACTIVE PROBLEM LIST
Item
ACTIVE PROBLEM LIST
string
C0552582 (UMLS CUI 2011AA)
LP73189-0 (LOINC Version 232)
HOSPITALIZATION SUMMARY
Item
HOSPITALIZATION SUMMARY
string
C1317307 (UMLS CUI 2011AA)
LP72467-1 (LOINC Version 232)
OPERATIONS / PROCEDURES
Item
OPERATIONS / PROCEDURES
string
C0087111 (UMLS CUI 2011AA)
LABS: Prior 24 hour labs
Item
Lab Findings
string
C0587081 (UMLS CUI 2011AA)
118246004 (SNOMED CT 2011_0131)
NARRATIVE
Item
NARRATIVE
text
C1135957 (UMLS CUI [1])
Transfusions or tissue transplants
Item
Transfusions/tissue transplants
text
C1879316 (UMLS CUI [1,1])
C0348047 (UMLS CUI [1,2])
Item
CONDITION AT DISCHARGE
integer
C0586514 (UMLS CUI [1])
CONDITION AT DISCHARGE
Code List
CONDITION AT DISCHARGE
CL Item
stable (1)
C0205360 (UMLS CUI-1)
CL Item
improved (2)
C0184511 (UMLS CUI-1)
CL Item
unchanged (3)
C0442739 (UMLS CUI-1)
Condition at discharge comment
Item
Condition at discharge comment
text
C0586514 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
DISCHARGE INSTRUCTIONS
Item
DISCHARGE INSTRUCTIONS
text
LP72753-4 (LOINC Version 232)
C3858559 (UMLS CUI [1])
Item Group
MEDICATIONS
C0013227 (UMLS CUI-1)
Inpatient Medications
Item
Inpatient Medications
text
C0013227 (UMLS CUI [1,1])
C0021562 (UMLS CUI [1,2])
Home Medications
Item
Home Medications
text
C0013227 (UMLS CUI [1,1])
C0442519 (UMLS CUI [1,2])
Discharge Medications
Item
Discharge Medications
string
C0489553 (UMLS CUI 2011AA)
LP72754-2 (LOINC Version 232)
Item Group
Nutrition and Care
C1444313 (UMLS CUI-1)
NUTRITION STATUS
Item
NUTRITION STATUS
text
LP79846-9 (LOINC Version 232)
C0392209 (UMLS CUI [1])
DISCHARGE DIET
Item
DISCHARGE DIET
string
C1657597 (UMLS CUI 2011AA)
LP74004-0 (LOINC Version 232)
HOME CARE
Item
HOME CARE
string
C0204977 (UMLS CUI 2011AA)
Item Group
DISCHARGE RETURN INSTRUCTIONS
C0517773 (UMLS CUI-1)
RETURN TO SEE NURSE
Item
RETURN TO SEE NURSE
boolean
C1319415 (UMLS CUI [1])
Physician follow-up
Item
RETURN TO SEE MD
boolean
C0807395 (UMLS CUI [1])
Next appointment
Item
Next appointment
date
C1272171 (UMLS CUI 2011AA)
389837003 (SNOMED CT 2011_0131)
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