ID

22635

Beskrivning

Routine documentation in German hospitals. Source file name: VL040310_Infektionsdokumentationsbogen Examplary forms provided by DMI (http://www.dmi.de/)

Länk

http://www.dmi.de/

Nyckelord

  1. 2017-06-08 2017-06-08 -
  2. 2017-07-30 2017-07-30 -
Uppladdad den

8 juni 2017

DOI

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Licens

Creative Commons BY-NC 3.0

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Infection documentation ICU Routine documentation in German hospitals DMI

Infection documentation ICU Routine documentation in German hospitals DMI

General information
Beskrivning

General information

Patient data
Beskrivning

Patient data

Datatyp

text

Date of admission
Beskrivning

Date of admission

Datatyp

date

Date of infection (first symptoms)
Beskrivning

Date of infection

Datatyp

date

Urinary tract infection
Beskrivning

Urinary tract infection

Type of infection
Beskrivning

Urinary tract infection, type

Datatyp

text

Urinary tract catheter (within 48h prior to infection)
Beskrivning

Urinary tract catheter

Datatyp

boolean

Laboratory diagnosis (pathogen) with date
Beskrivning

Laboratory diagnosis, pathogen

Datatyp

text

Lower Respiratory Tract Infection
Beskrivning

Lower Respiratory Tract Infection

Type of infection
Beskrivning

Type of infection

Datatyp

text

Mechanical ventilation (within 48h prior to infection)
Beskrivning

Mechanical ventilation

Datatyp

text

Test material
Beskrivning

Test material

Datatyp

text

Laboratory diagnosis (pathogen) with date
Beskrivning

Laboratory diagnosis, pathogen

Datatyp

text

Primary sepsis
Beskrivning

Primary sepsis

Confirmed by laboratory (B1)
Beskrivning

Confirmation sepsis, laboratory

Datatyp

boolean

Central venous catheter within 48h prior to infection
Beskrivning

Central venous catheter

Datatyp

boolean

Number of lumens
Beskrivning

Number of lumens

Datatyp

integer

Total parenteral nutrition within 48h prior to infection
Beskrivning

Total parenteral nutrition

Datatyp

boolean

Laboratory diagnosis (pathogen) with date
Beskrivning

Laboratory diagnosis, pathogen

Datatyp

text

Other infections (infectious bowel diseases, Clostridium difficile, FUO, etc.)
Beskrivning

Other infections (infectious bowel diseases, Clostridium difficile, FUO, etc.)

Laboratory diagnosis (pathogen) with date
Beskrivning

Laboratory diagnosis, pathogen

Datatyp

text

Complications
Beskrivning

Complications

Secondary sepsis
Beskrivning

Secondary sepsis

Datatyp

boolean

Pathogen (blood)
Beskrivning

Pathogen

Datatyp

text

Death
Beskrivning

Death

Datatyp

boolean

Comments
Beskrivning

Comments

Comments
Beskrivning

Comments

Datatyp

text

Similar models

Infection documentation ICU Routine documentation in German hospitals DMI

Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
General information
Patient data
Item
Patient data
text
Date of admission
Item
Date of admission
date
Date of infection
Item
Date of infection (first symptoms)
date
Item Group
Urinary tract infection
Item
Type of infection
text
Code List
Type of infection
CL Item
SYMP (D1a-c) (SYMP (D1a-c))
CL Item
ASYMP with sec. sepsis (D2) (ASYMP with sec. sepsis (D2))
CL Item
Other (D3) (Other (D3))
Urinary tract catheter
Item
Urinary tract catheter (within 48h prior to infection)
boolean
Laboratory diagnosis, pathogen
Item
Laboratory diagnosis (pathogen) with date
text
Item Group
Lower Respiratory Tract Infection
Item
Type of infection
text
Code List
Type of infection
CL Item
bronchitis/tracheobronchitis/tracheitis (J1) (bronchitis/tracheobronchitis/tracheitis (J1))
CL Item
other respiratory tract infection (J2) (other respiratory tract infection (J2))
CL Item
pneumonia (C1a) (pneumonia (C1a))
CL Item
pneumonia (C1b) (pneumonia (C1b))
CL Item
pneumonia (C1c) (pneumonia (C1c))
CL Item
pneumonia (C1d) (pneumonia (C1d))
Item
Mechanical ventilation (within 48h prior to infection)
text
Code List
Mechanical ventilation (within 48h prior to infection)
CL Item
invasive by tube/tracheostoma (INV) (invasive by tube/tracheostoma (INV))
CL Item
non-invasive (NIV) (non-invasive (NIV))
CL Item
no ventilation within 48h prior to infection (no ventilation within 48h prior to infection)
Item
Test material
text
Code List
Test material
CL Item
tracheal secretion (tracheal secretion)
CL Item
BAL/PSB (BAL/PSB)
CL Item
blood (blood)
CL Item
other (other)
Laboratory diagnosis, pathogen
Item
Laboratory diagnosis (pathogen) with date
text
Item Group
Primary sepsis
Confirmation sepsis, laboratory
Item
Confirmed by laboratory (B1)
boolean
Central venous catheter
Item
Central venous catheter within 48h prior to infection
boolean
Number of lumens
Item
Number of lumens
integer
Total parenteral nutrition
Item
Total parenteral nutrition within 48h prior to infection
boolean
Laboratory diagnosis, pathogen
Item
Laboratory diagnosis (pathogen) with date
text
Item Group
Other infections (infectious bowel diseases, Clostridium difficile, FUO, etc.)
Laboratory diagnosis, pathogen
Item
Laboratory diagnosis (pathogen) with date
text
Item Group
Complications
Secondary sepsis
Item
Secondary sepsis
boolean
Pathogen
Item
Pathogen (blood)
text
Death
Item
Death
boolean
Item Group
Comments
Comments
Item
Comments
text

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