ID

23114

Description

Routine documentation in German hospitals. Source file name: VL010107_NIH Stroke Scale. Examplary forms provided by DMI (http://www.dmi.de/)

Link

http://www.dmi.de/

Keywords

  1. 6/24/17 6/24/17 -
  2. 7/31/17 7/31/17 -
Uploaded on

June 24, 2017

DOI

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License

Creative Commons BY-NC 3.0

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NIH Stroke Scale, Example 3 Routine documentation in German hospitals DMI

NIH Stroke Scale Routine documentation in German hospitals DMI

NIH Stroke Scale (0-34)
Description

NIH Stroke Scale (0-34)

Date
Description

Date of assessment

Data type

date

Time
Description

Time of assessment

Data type

time

1a Level of consciousness
Description

Level of consciousness

Data type

integer

Alias
UMLS CUI [1]
C2234452
1b Orientation
Description

Orientation

Data type

integer

Alias
UMLS CUI [1]
C0029266
1c Attention (patient is asked to open and close the eyes and then to grip and release the non-paretic Hand)
Description

Attention

Data type

integer

Alias
UMLS CUI [1]
C3649005
2 Gaze
Description

Eye movements

Data type

integer

Alias
UMLS CUI [1]
C0015413
3 Visual field
Description

Visual field

Data type

integer

Alias
UMLS CUI [1]
C0042826
4 Facial Palsy
Description

Facial paresis

Data type

integer

Alias
UMLS CUI [1]
C0427055
5 Motor Arm left and right (Extend the arms (palms down) 90 degrees (if sitting) or 45 degrees (if supine). Drift is scored if the arm falls before 10 seconds.)
Description

Motor Arm

Data type

integer

6 Motor Leg left and right (Hold the leg at 30 degrees. Always tested supine.)
Description

Motor Leg

Data type

integer

7 Limb Ataxia
Description

Extremity ataxia

Data type

integer

Alias
UMLS CUI [1]
C4015302
8 Sensory
Description

Sensibilities

Data type

integer

Alias
UMLS CUI [1]
C0439823
9 Language
Description

Speech

Data type

integer

Alias
UMLS CUI [1]
C0037817
10 Dysarthria
Description

Dysarthria

Data type

integer

Alias
UMLS CUI [1]
C0013362
Extinction and Inattention
Description

Formerly neglect.

Data type

integer

Alias
UMLS CUI [1]
C0452129
Name of physician
Description

Name of physician

Data type

text

Similar models

NIH Stroke Scale Routine documentation in German hospitals DMI

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
NIH Stroke Scale (0-34)
Date of assessment
Item
Date
date
Time of assessment
Item
Time
time
Item
1a Level of consciousness
integer
C2234452 (UMLS CUI [1])
Code List
1a Level of consciousness
CL Item
0 (1)
CL Item
1 (2)
CL Item
2 (3)
CL Item
3 (4)
Item
1b Orientation
integer
C0029266 (UMLS CUI [1])
Code List
1b Orientation
CL Item
0 (1)
CL Item
1 (2)
CL Item
2 (3)
Item
1c Attention (patient is asked to open and close the eyes and then to grip and release the non-paretic Hand)
integer
C3649005 (UMLS CUI [1])
Code List
1c Attention (patient is asked to open and close the eyes and then to grip and release the non-paretic Hand)
CL Item
1 (1)
CL Item
2 (2)
CL Item
0 (0)
Item
2 Gaze
integer
C0015413 (UMLS CUI [1])
Code List
2 Gaze
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
Item
3 Visual field
integer
C0042826 (UMLS CUI [1])
Code List
3 Visual field
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
Item
4 Facial Palsy
integer
C0427055 (UMLS CUI [1])
Code List
4 Facial Palsy
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
Item
5 Motor Arm left and right (Extend the arms (palms down) 90 degrees (if sitting) or 45 degrees (if supine). Drift is scored if the arm falls before 10 seconds.)
integer
Code List
5 Motor Arm left and right (Extend the arms (palms down) 90 degrees (if sitting) or 45 degrees (if supine). Drift is scored if the arm falls before 10 seconds.)
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
Item
6 Motor Leg left and right (Hold the leg at 30 degrees. Always tested supine.)
integer
Code List
6 Motor Leg left and right (Hold the leg at 30 degrees. Always tested supine.)
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
Item
7 Limb Ataxia
integer
C4015302 (UMLS CUI [1])
Code List
7 Limb Ataxia
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
Item
8 Sensory
integer
C0439823 (UMLS CUI [1])
Code List
8 Sensory
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
Item
9 Language
integer
C0037817 (UMLS CUI [1])
Code List
9 Language
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
Item
10 Dysarthria
integer
C0013362 (UMLS CUI [1])
Code List
10 Dysarthria
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
Item
Extinction and Inattention
integer
C0452129 (UMLS CUI [1])
Code List
Extinction and Inattention
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
Name of physician
Item
Name of physician
text

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