ID

22494

Beskrivning

Form from HIS OpenVistA

Nyckelord

Versioner (2)
  1. 2012-02-15 2012-02-15 -
  2. 2017-06-05 2017-06-05 - Martin Dugas
Uppladdad den

5 juni 2017

DOI

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Creative Commons BY-NC 3.0
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DISCHARGE SUMMARY

Tysk Engelsk

HIS

1 Formulär  
  1. StudyEvent: HIS
    1. HIS
Discharge summary
Beskrivning

Discharge summary

Alias
UMLS CUI-1
C0552421
Final Diagnosis
Beskrivning

Final Diagnosis

Datatyp

string

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

ACTIVE PROBLEM LIST

Datatyp

string

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

HOSPITALIZATION SUMMARY

Datatyp

string

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

OPERATIONS / PROCEDURES

Datatyp

string

Alias
UMLS CUI 2011AA
C0087111
Lab Findings
Beskrivning

LABS: Prior 24 hour labs

Datatyp

string

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

NARRATIVE

Datatyp

text

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

Transfusions or tissue transplants

Datatyp

text

Alias
UMLS CUI [1,1]
C1879316
UMLS CUI [1,2]
C0348047
CONDITION AT DISCHARGE (stable, improved, unchanged)
Beskrivning

CONDITION AT DISCHARGE

Datatyp

integer

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

Condition at discharge comment

Datatyp

text

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

DISCHARGE INSTRUCTIONS

Datatyp

text

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

MEDICATIONS

Alias
UMLS CUI-1
C0013227
Inpatient Medications
Beskrivning

Inpatient Medications

Datatyp

text

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

Home Medications

Datatyp

text

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

Discharge Medications

Datatyp

string

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

Nutrition and Care

Alias
UMLS CUI-1
C1444313
NUTRITION STATUS
Beskrivning

NUTRITION STATUS

Datatyp

text

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

DISCHARGE DIET

Datatyp

string

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

HOME CARE

Datatyp

string

Alias
UMLS CUI 2011AA
C0204977
DISCHARGE RETURN INSTRUCTIONS
Beskrivning

DISCHARGE RETURN INSTRUCTIONS

Alias
UMLS CUI-1
C0517773
RETURN TO SEE NURSE
Beskrivning

RETURN TO SEE NURSE

Datatyp

boolean

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

Physician follow-up

Datatyp

boolean

Alias
UMLS CUI [1]
C0807395
Next appointment
Beskrivning

Next appointment

Datatyp

date

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

HIS

1 Formulär
  1. StudyEvent: HIS
    1. HIS
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
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 (stable, improved, unchanged)
integer
C0586514 (UMLS CUI [1])
CONDITION AT DISCHARGE
Code List
CONDITION AT DISCHARGE (stable, improved, unchanged)
CL Item
 (1)
C0205360 (UMLS CUI-1)
CL Item
 (2)
C0184511 (UMLS CUI-1)
CL Item
 (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
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
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
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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