ID
240
Description
Form from HIS OpenVista
Keywords
Versions (2)
- 3/9/12 3/9/12 -
- 6/8/17 6/8/17 - Martin Dugas
Uploaded on
March 9, 2012
DOI
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License
Creative Commons BY-NC 3.0
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HIS SOCIAL SERVICES PSYCHOSOCIAL ASSESSMENT NOTE
HIS
- StudyEvent: HIS
Description
Treatments
Description
HBO
Data type
boolean
Description
Occupational Therapy
Data type
boolean
Description
Physical Therapy
Data type
boolean
Description
Phototherapy
Data type
boolean
Description
Radiation / Chemotherapy
Data type
boolean
Alias
- UMLS CUI 2011AA
- C1522449
- SNOMED CT 2011_0131
- 302505005
- UMLS CUI 2011AA
- C0392920
- SNOMED CT 2011_0131
- 150415003
Description
Respiratory Therapy
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0035239
- SNOMED CT 2011_0131
- 53950000
- MedDRA 14.1
- 10059828
- LOINC Version 232
- MTHU015440
- ICD-9-CM Version 2011
- 93.9
Description
Speech Therapy
Data type
boolean
Description
Wound Care
Data type
boolean
Description
None
Data type
boolean
Description
Time of Patient's condition
Description
Patient Status
Description
Alert
Data type
boolean
Description
Disoriented
Data type
boolean
Description
Comatose
Data type
boolean
Description
Speech impairment
Data type
boolean
Description
Vision impairment
Data type
boolean
Description
Hearing impairment
Data type
boolean
Description
Notes
Data type
string
Description
Living Situation
Description
Lives with family
Data type
boolean
Description
Lives with spouse
Data type
boolean
Description
Nursing home
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0028688
- SNOMED CT 2011_0131
- 42665001
- LOINC Version 232
- MTHU015917
- HL7 V3 2006_05
- N
Description
Foster home
Data type
boolean
Description
Home alone
Data type
boolean
Description
Notes
Data type
string
Description
FINANCIAL INFORMATION
Description
employed
Data type
boolean
Description
unemployed
Data type
boolean
Description
commercial insurance
Data type
boolean
Description
MEDICAID
Data type
boolean
Description
MEDICARE
Data type
boolean
Description
SS
Data type
boolean
Description
SSD
Data type
boolean
Description
SSI
Data type
boolean
Description
AFDC
Data type
boolean
Description
CSHCN
Data type
boolean
Description
CHIP
Data type
boolean
Description
MCHD
Data type
boolean
Description
VA
Data type
boolean
Description
No Income
Data type
boolean
Description
Notes
Data type
string
Description
SUPPORT SYSTEM
Description
CAREGIVER
Description
Self
Data type
boolean
Description
Spouse/Family
Data type
boolean
Description
Friend
Data type
boolean
Description
Agency personnel
Data type
boolean
Description
Community Clinic
Data type
boolean
Description
Notes
Data type
string
Description
SKILLED NEEDS
Description
IV Therapy
Data type
boolean
Alias
- UMLS CUI 2011AA
- C1411942
Description
Foley Catheter Care
Data type
boolean
Description
Ostomy Care
Data type
boolean
Description
Wound Care
Data type
boolean
Description
Feeding Tube Care
Data type
boolean
Description
Dialysis
Data type
boolean
Description
Drain Care
Data type
boolean
Description
Ventilator
Data type
boolean
Description
None
Data type
boolean
Description
Notes
Data type
string
Description
CURRENT ASSISTIVE DEVICES EQUIPMENT NEEDS
Description
Wheelchair
Data type
boolean
Description
Crutches
Data type
boolean
Description
Walker
Data type
boolean
Description
Cane
Data type
boolean
Description
Hospital Bed/Rails
Data type
boolean
Description
Hoyer lift/Trapeze
Data type
boolean
Description
Oxygen
Data type
boolean
Description
Apnea Monitor
Data type
boolean
Description
Carseat
Data type
boolean
Description
Crib
Data type
boolean
Description
None
Data type
boolean
Description
Notes
Data type
string
Description
DAILY LIVING ACTIVITY
Description
Wheelchair
Data type
boolean
Description
Bedbound
Data type
boolean
Description
Incontinence
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0021167
- SNOMED CT 2011_0131
- 48340000
- MedDRA 14.1
- 10021639
Description
Hygiene preparation
Data type
boolean
Description
Meal preparation
Data type
boolean
Description
Feeding tube
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0041281
- SNOMED CT 2011_0131
- 61420007
- MedDRA 14.1
- 10053095
Description
Grooming / Dressing
Data type
boolean
Description
Shopping
Data type
boolean
Description
Laundry
Data type
boolean
Description
Cleaning
Data type
boolean
Description
Total independence
Data type
boolean
Description
Mobility impaired
Data type
boolean
Description
No assistance required
Data type
boolean
Description
Notes
Data type
string
Description
PSYCHOSOCIAL ASSESSMENT
Description
PATIENT'S/FAMILY'S PERCEPTION OF ILLNESS/ADMISSION
Data type
string
Description
COPING STRENGTHS
Data type
string
Description
Coping WEAKNESSES
Data type
string
Description
NOTED COGNITIVE/BEHAVIORAL/BONDING/FUNCTIONAL PROBLEMS
Data type
string
Description
EXPLANATION OF FAMILY DYNAMICS/PATIENT INVOLVEMENT/PEDI/SPOUSE/BOYFRIEND INVOLVEMENT
Data type
string
Description
RELIGIOUS/CULTURAL PREFERENCE
Description
POSSIBLE NEEDS
Description
No Needs evident
Data type
boolean
Description
Adoption
Data type
boolean
Description
Adult protective Services
Data type
boolean
Description
Assistance ADL's
Data type
boolean
Description
Child protective Services
Data type
boolean
Description
Counseling / Therapy
Data type
boolean
Description
Education
Data type
boolean
Alias
- UMLS CUI 2011AA
- CL357394
Description
Equipment
Data type
boolean
Description
Financial Resources
Data type
boolean
Description
Food / Clothing
Data type
boolean
Description
Home health
Data type
boolean
Description
Hospice
Data type
boolean
Description
Housing
Data type
boolean
Description
Lifeline / ERS
Data type
boolean
Description
LTAC
Data type
boolean
Description
Medication / Supplies
Data type
boolean
Description
PBCCMHMR
Data type
boolean
Description
Meals on Wheels
Data type
boolean
Description
Nursing facility placement
Data type
boolean
Description
Other hospital
Data type
boolean
Description
Rehabilitation
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0034991
- SNOMED CT 2011_0131
- 52052004
- MedDRA 14.1
- 10057374
Description
Safe Place
Data type
boolean
Description
Skilled Nursing Facility
Data type
boolean
Description
Substance abuse treatment
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0740858
- SNOMED CT 2011_0131
- 66214007
- MedDRA 14.1
- 10066169
- LOINC Version 232
- MTHU019364
- UMLS CUI 2011AA
- C0039798
Description
Support Group
Data type
boolean
Description
Transportation
Data type
boolean
Description
WIC
Data type
boolean
Description
Other
Data type
boolean
Description
INITIAL ASSESSMENT NOTE
Data type
string
Description
AT THIS TIME CONTINUED INTERVENTION IS
Data type
string
Description
PLANNED DISPOSITION
Data type
string
Alias
- UMLS CUI 2011AA
- C1301732
- SNOMED CT 2011_0131
- 397943006
- UMLS CUI 2011AA
- C1550390
- LOINC Version 232
- MTHU021441
Description
ANTICIPATED DATE OF PLANNED DISPOSITION
Data type
date
Similar models
HIS
- StudyEvent: HIS
161139007 (SNOMED CT 2011_0131)
302505005 (SNOMED CT 2011_0131)
C0392920 (UMLS CUI 2011AA)
150415003 (SNOMED CT 2011_0131)
53950000 (SNOMED CT 2011_0131)
10059828 (MedDRA 14.1)
MTHU015440 (LOINC Version 232)
93.9 (ICD-9-CM Version 2011)
42665001 (SNOMED CT 2011_0131)
MTHU015917 (LOINC Version 232)
N (HL7 V3 2006_05)
48340000 (SNOMED CT 2011_0131)
10021639 (MedDRA 14.1)
61420007 (SNOMED CT 2011_0131)
10053095 (MedDRA 14.1)
52052004 (SNOMED CT 2011_0131)
10057374 (MedDRA 14.1)
66214007 (SNOMED CT 2011_0131)
10066169 (MedDRA 14.1)
MTHU019364 (LOINC Version 232)
C0039798 (UMLS CUI 2011AA)
397943006 (SNOMED CT 2011_0131)
C1550390 (UMLS CUI 2011AA)
MTHU021441 (LOINC Version 232)