ID

23114

Beskrivning

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

Länk

http://www.dmi.de/

Nyckelord

  1. 2017-06-24 2017-06-24 -
  2. 2017-07-31 2017-07-31 -
Uppladdad den

24 juni 2017

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0

Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Itemgroup-kommentar för :

Item-kommentar för :

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

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)
Beskrivning

NIH Stroke Scale (0-34)

Date
Beskrivning

Date of assessment

Datatyp

date

Time
Beskrivning

Time of assessment

Datatyp

time

1a Level of consciousness
Beskrivning

Level of consciousness

Datatyp

integer

Alias
UMLS CUI [1]
C2234452
1b Orientation
Beskrivning

Orientation

Datatyp

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)
Beskrivning

Attention

Datatyp

integer

Alias
UMLS CUI [1]
C3649005
2 Gaze
Beskrivning

Eye movements

Datatyp

integer

Alias
UMLS CUI [1]
C0015413
3 Visual field
Beskrivning

Visual field

Datatyp

integer

Alias
UMLS CUI [1]
C0042826
4 Facial Palsy
Beskrivning

Facial paresis

Datatyp

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.)
Beskrivning

Motor Arm

Datatyp

integer

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

Motor Leg

Datatyp

integer

7 Limb Ataxia
Beskrivning

Extremity ataxia

Datatyp

integer

Alias
UMLS CUI [1]
C4015302
8 Sensory
Beskrivning

Sensibilities

Datatyp

integer

Alias
UMLS CUI [1]
C0439823
9 Language
Beskrivning

Speech

Datatyp

integer

Alias
UMLS CUI [1]
C0037817
10 Dysarthria
Beskrivning

Dysarthria

Datatyp

integer

Alias
UMLS CUI [1]
C0013362
Extinction and Inattention
Beskrivning

Formerly neglect.

Datatyp

integer

Alias
UMLS CUI [1]
C0452129
Name of physician
Beskrivning

Name of physician

Datatyp

text

Similar models

NIH Stroke Scale Routine documentation in German hospitals DMI

Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial