ID

22551

Description

Form from HIS OpenVista

Keywords

Versions (2)
  1. 3/4/12 3/4/12 -
  2. 6/7/17 6/7/17 - Martin Dugas
Uploaded on

June 7, 2017

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License

Creative Commons BY-NC 3.0
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SPEECH THERAPY PROGRESS NOTE

German English

HIS

1 forms  
  1. StudyEvent: HIS
    1. HIS
SUBJECTIVE
Description

SUBJECTIVE

Alias
UMLS CUI-1
C2266644
Patient tolerated treatment well with no complaints of pain.
Description

treatment well tolerated

Data type

boolean

Alias
SNOMED CT 2011_0131
22253000
MedDRA 14.1
10033371
LOINC Version 232
MTHU029813
ICD-10-CM Version 2010
R52
ICD-9-CM Version 2011
338-338.9
CTCAE 1105E
E11167
UMLS CUI [1,1]
C0039798
UMLS CUI [1,2]
C0030193
Patient did not tolerate treatment well
Description

treatment not well tolerated

Data type

boolean

Alias
SNOMED CT 2011_0131
407563006
UMLS CUI [1]
C1319899
Other
Description

Other

Data type

text

Alias
UMLS CUI [1]
C0205394
OBJECTIVE
Description

OBJECTIVE

Alias
UMLS CUI-1
C1571702
Narrative
Description

Narrative

Data type

string

Alias
UMLS CUI 2011AA
C1135957
Assessment
Description

Assessment

Alias
UMLS CUI-1
C0220825
Description
Description

Description

Data type

string

Alias
UMLS CUI 2011AA
C0678257
HL7 V3 2006_05
DESC
Plan
Description

Plan

Alias
UMLS CUI-1
C1301732
Continue Plan Of Care
Description

Continue Plan Of Care

Data type

boolean

Alias
UMLS CUI [1]
C0028683
Modify Goals
Description

Modify Goals

Data type

boolean

Alias
UMLS CUI 2011AA
C0392747
SNOMED CT 2011_0131
243326001
UMLS CUI 2011AA
C0018017
SNOMED CT 2011_0131
410518001
LOINC Version 232
MTHU036445
Received D/C ST Order
Description

Received D/C ST Order

Data type

boolean

Alias
UMLS CUI [1]
C3846158
Other
Description

Other

Data type

text

Alias
UMLS CUI [1]
C0205394
Charge Time
Description

Charge Time

Data type

integer

Measurement units
  • minutes
Alias
SNOMED CT 2011_0131
410670007
LOINC Version 232
MTHU009151
UMLS CUI [1,1]
C0007961
UMLS CUI [1,2]
C0040223
minutes
Reassessment
Description

Reassessment

Data type

date

Alias
UMLS CUI 2011AA
C1516048
Oral Motor Exercise
Description

Oral motor exercises

Data type

boolean

Alias
UMLS CUI [1]
C0589304
Slow Speech Training
Description

Slow Speech Training

Data type

boolean

Alias
UMLS CUI [1,1]
C1859270
UMLS CUI [1,2]
C0220931
Follow One-Step Directions
Description

Follow One-Step Directions

Data type

boolean

Alias
UMLS CUI [1]
C0512555
Vocal Intensity Training
Description

Vocal Intensity Training

Data type

boolean

Alias
UMLS CUI [1,1]
C0234795
UMLS CUI [1,2]
C0220931
Respiratory Support Exercise
Description

Ability to use respiratory support for speech

Data type

boolean

Alias
UMLS CUI [1]
C0564067
Memory training
Description

Memory Training

Data type

boolean

Alias
UMLS CUI 2011AA
C0729377
SNOMED CT 2011_0131
302262007
Relaxation
Description

Relaxation

Data type

boolean

Alias
UMLS CUI 2011AA
C0035028
MedDRA 14.1
10038308
Narrative
Description

Narrative

Data type

string

Alias
UMLS CUI 2011AA
C1135957
ID Function of Objects
Description

ID Function of Objects

Data type

boolean

Alias
UMLS CUI [1]
C3846158
Word Retrieval
Description

Able to find words

Data type

boolean

Alias
UMLS CUI [1]
C0564223
Improve Sentence Complexity
Description

Sentence Structure

Data type

boolean

Alias
UMLS CUI [1]
C0871341
Speaking Valve
Description

Speaking Valve

Data type

boolean

Alias
UMLS CUI [1]
C0500184
Orientation Training
Description

Orientation Training

Data type

boolean

Alias
UMLS CUI [1]
C0556507
Confrontational Naming
Description

confrontational anomia

Data type

boolean

Alias
UMLS CUI [1]
C2018035
Yes/No Questions
Description

Yes/No Questions

Data type

boolean

Alias
UMLS CUI [1]
C1739588
Assistive Communication
Description

Assistive Communication

Data type

boolean

Alias
UMLS CUI [1]
C2371637
Patient/Family Education
Description

Patient/Family Education

Data type

boolean

Alias
UMLS CUI 2011AA
C0030688
SNOMED CT 2011_0131
311401005
UMLS CUI 2011AA
C0150577
SNOMED CT 2011_0131
311403008
Narrative
Description

Narrative

Data type

string

Alias
UMLS CUI 2011AA
C1135957
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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
SUBJECTIVE
C2266644 (UMLS CUI-1)
treatment well tolerated
Item
Patient tolerated treatment well with no complaints of pain.
boolean
22253000 (SNOMED CT 2011_0131)
10033371 (MedDRA 14.1)
MTHU029813 (LOINC Version 232)
R52 (ICD-10-CM Version 2010)
338-338.9 (ICD-9-CM Version 2011)
E11167 (CTCAE 1105E)
C0039798 (UMLS CUI [1,1])
C0030193 (UMLS CUI [1,2])
treatment not well tolerated
Item
Patient did not tolerate treatment well
boolean
407563006 (SNOMED CT 2011_0131)
C1319899 (UMLS CUI [1])
Other
Item
Other
text
C0205394 (UMLS CUI [1])
Item Group
OBJECTIVE
C1571702 (UMLS CUI-1)
Narrative
Item
Narrative
string
C1135957 (UMLS CUI 2011AA)
Item Group
Assessment
C0220825 (UMLS CUI-1)
Description
Item
Description
string
C0678257 (UMLS CUI 2011AA)
DESC (HL7 V3 2006_05)
Item Group
Plan
C1301732 (UMLS CUI-1)
Continue Plan Of Care
Item
Continue Plan Of Care
boolean
C0028683 (UMLS CUI [1])
Modify Goals
Item
Modify Goals
boolean
C0392747 (UMLS CUI 2011AA)
243326001 (SNOMED CT 2011_0131)
C0018017 (UMLS CUI 2011AA)
410518001 (SNOMED CT 2011_0131)
MTHU036445 (LOINC Version 232)
Received D/C ST Order
Item
Received D/C ST Order
boolean
C3846158 (UMLS CUI [1])
Other
Item
Other
text
C0205394 (UMLS CUI [1])
Charge Time
Item
Charge Time
integer
410670007 (SNOMED CT 2011_0131)
MTHU009151 (LOINC Version 232)
C0007961 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Reassessment
Item
Reassessment
date
C1516048 (UMLS CUI 2011AA)
Oral motor exercises
Item
Oral Motor Exercise
boolean
C0589304 (UMLS CUI [1])
Slow Speech Training
Item
Slow Speech Training
boolean
C1859270 (UMLS CUI [1,1])
C0220931 (UMLS CUI [1,2])
Follow One-Step Directions
Item
Follow One-Step Directions
boolean
C0512555 (UMLS CUI [1])
Vocal Intensity Training
Item
Vocal Intensity Training
boolean
C0234795 (UMLS CUI [1,1])
C0220931 (UMLS CUI [1,2])
Ability to use respiratory support for speech
Item
Respiratory Support Exercise
boolean
C0564067 (UMLS CUI [1])
Memory Training
Item
Memory training
boolean
C0729377 (UMLS CUI 2011AA)
302262007 (SNOMED CT 2011_0131)
Relaxation
Item
Relaxation
boolean
C0035028 (UMLS CUI 2011AA)
10038308 (MedDRA 14.1)
Narrative
Item
Narrative
string
C1135957 (UMLS CUI 2011AA)
ID Function of Objects
Item
ID Function of Objects
boolean
C3846158 (UMLS CUI [1])
Able to find words
Item
Word Retrieval
boolean
C0564223 (UMLS CUI [1])
Sentence Structure
Item
Improve Sentence Complexity
boolean
C0871341 (UMLS CUI [1])
Speaking Valve
Item
Speaking Valve
boolean
C0500184 (UMLS CUI [1])
Orientation Training
Item
Orientation Training
boolean
C0556507 (UMLS CUI [1])
confrontational anomia
Item
Confrontational Naming
boolean
C2018035 (UMLS CUI [1])
Yes/No Questions
Item
Yes/No Questions
boolean
C1739588 (UMLS CUI [1])
Assistive Communication
Item
Assistive Communication
boolean
C2371637 (UMLS CUI [1])
Patient/Family Education
Item
Patient/Family Education
boolean
C0030688 (UMLS CUI 2011AA)
311401005 (SNOMED CT 2011_0131)
C0150577 (UMLS CUI 2011AA)
311403008 (SNOMED CT 2011_0131)
Narrative
Item
Narrative
string
C1135957 (UMLS CUI 2011AA)
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