ID

24398

Beschreibung

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

Link

http://www.dmi.de/

Stichworte

Versionen (2)
  1. 08.06.17 08.06.17 -
  2. 30.07.17 30.07.17 -
Hochgeladen am

30. Juli 2017

DOI

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Creative Commons BY-NC 3.0
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Infection documentation ICU Routine documentation in German hospitals DMI

Deutsch Englisch

Infection documentation ICU Routine documentation in German hospitals DMI

1 Formulare  
General information
Beschreibung

General information

Alias
UMLS CUI-1
C1508263
Patient data
Beschreibung

Patient data

Datentyp

text

Alias
UMLS CUI [1]
C2707520
Date of admission
Beschreibung

Date of admission

Datentyp

date

Alias
UMLS CUI [1]
C1302393
Date of infection (first symptoms)
Beschreibung

Date of infection

Datentyp

date

Alias
UMLS CUI [1,1]
C0009450
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0439659
Urinary tract infection
Beschreibung

Urinary tract infection

Alias
UMLS CUI-1
C0042029
Type of infection
Beschreibung

Type of infection

Datentyp

text

Alias
UMLS CUI [1,1]
C0332307
UMLS CUI [1,2]
C0009450
Urinary tract catheter (within 48h prior to infection)
Beschreibung

Urinary tract catheter

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0085590
UMLS CUI [1,2]
C0042027
Laboratory diagnosis (pathogen) with date
Beschreibung

Laboratory; pathogen

Datentyp

text

Alias
UMLS CUI [1]
C0022877
UMLS CUI [2]
C0450254
Lower Respiratory Tract Infection
Beschreibung

Lower Respiratory Tract Infection

Alias
UMLS CUI-1
C0149725
Type of infection
Beschreibung

Type of infection

Datentyp

text

Alias
UMLS CUI [1,1]
C0332307
UMLS CUI [1,2]
C0009450
Mechanical ventilation (within 48h prior to infection)
Beschreibung

Mechanical ventilation

Datentyp

text

Alias
UMLS CUI [1]
C0199470
Test material
Beschreibung

Test material

Datentyp

text

Alias
UMLS CUI [1,1]
C0520510
UMLS CUI [1,2]
C0205462
Laboratory diagnosis (pathogen) with date
Beschreibung

Laboratory; pathogen

Datentyp

text

Alias
UMLS CUI [1]
C0022877
UMLS CUI [2]
C0450254
Primary sepsis
Beschreibung

Primary sepsis

Alias
UMLS CUI-1
C0243026
Confirmed by laboratory (B1)
Beschreibung

laboratory

Datentyp

boolean

Alias
UMLS CUI [1]
C0022877
Central venous catheter within 48h prior to infection
Beschreibung

Central venous catheter

Datentyp

boolean

Alias
UMLS CUI [1]
C1145640
Number of lumens
Beschreibung

Number of lumen

Datentyp

integer

Alias
UMLS CUI [1,1]
C0449788
UMLS CUI [1,2]
C1301906
Total parenteral nutrition within 48h prior to infection
Beschreibung

parenteral nutrition

Datentyp

boolean

Alias
UMLS CUI [1]
C0030547
Laboratory diagnosis (pathogen) with date
Beschreibung

Laboratory; pathogen

Datentyp

text

Alias
UMLS CUI [1]
C0022877
UMLS CUI [2]
C0450254
Other infections (infectious bowel diseases, Clostridium difficile, FUO, etc.)
Beschreibung

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

Alias
UMLS CUI-1
C0205394
UMLS CUI-2
C0009450
Laboratory diagnosis (pathogen) with date
Beschreibung

Laboratory; pathogen

Datentyp

text

Alias
UMLS CUI [1]
C0022877
UMLS CUI [2]
C0450254
Complications
Beschreibung

Complications

Alias
UMLS CUI-1
C0009566
Secondary sepsis
Beschreibung

sepsis

Datentyp

boolean

Alias
UMLS CUI [1]
C0243026
Pathogen (blood)
Beschreibung

Pathogen

Datentyp

text

Alias
UMLS CUI [1]
C0450254
Death
Beschreibung

Death

Datentyp

boolean

Alias
UMLS CUI [1]
C0011065
Comments
Beschreibung

Comments

Alias
UMLS CUI-1
C0947611
Comments
Beschreibung

Comments

Datentyp

text

Alias
UMLS CUI [1]
C0947611
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Ähnliche Modelle

Infection documentation ICU Routine documentation in German hospitals DMI

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
General information
C1508263 (UMLS CUI-1)
Patient data
Item
Patient data
text
C2707520 (UMLS CUI [1])
Date of admission
Item
Date of admission
date
C1302393 (UMLS CUI [1])
Date of infection
Item
Date of infection (first symptoms)
date
C0009450 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0439659 (UMLS CUI [1,3])
Item Group
Urinary tract infection
C0042029 (UMLS CUI-1)
Item
Type of infection
text
C0332307 (UMLS CUI [1,1])
C0009450 (UMLS CUI [1,2])
Urinary tract infection, type
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
C0085590 (UMLS CUI [1,1])
C0042027 (UMLS CUI [1,2])
Laboratory; pathogen
Item
Laboratory diagnosis (pathogen) with date
text
C0022877 (UMLS CUI [1])
C0450254 (UMLS CUI [2])
Item Group
Lower Respiratory Tract Infection
C0149725 (UMLS CUI-1)
Item
Type of infection
text
C0332307 (UMLS CUI [1,1])
C0009450 (UMLS CUI [1,2])
Type of infection
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
C0199470 (UMLS CUI [1])
Mechanical ventilation
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
C0520510 (UMLS CUI [1,1])
C0205462 (UMLS CUI [1,2])
Test material
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; pathogen
Item
Laboratory diagnosis (pathogen) with date
text
C0022877 (UMLS CUI [1])
C0450254 (UMLS CUI [2])
Item Group
Primary sepsis
C0243026 (UMLS CUI-1)
laboratory
Item
Confirmed by laboratory (B1)
boolean
C0022877 (UMLS CUI [1])
Central venous catheter
Item
Central venous catheter within 48h prior to infection
boolean
C1145640 (UMLS CUI [1])
Number of lumen
Item
Number of lumens
integer
C0449788 (UMLS CUI [1,1])
C1301906 (UMLS CUI [1,2])
parenteral nutrition
Item
Total parenteral nutrition within 48h prior to infection
boolean
C0030547 (UMLS CUI [1])
Laboratory; pathogen
Item
Laboratory diagnosis (pathogen) with date
text
C0022877 (UMLS CUI [1])
C0450254 (UMLS CUI [2])
Item Group
Other infections (infectious bowel diseases, Clostridium difficile, FUO, etc.)
C0205394 (UMLS CUI-1)
C0009450 (UMLS CUI-2)
Laboratory; pathogen
Item
Laboratory diagnosis (pathogen) with date
text
C0022877 (UMLS CUI [1])
C0450254 (UMLS CUI [2])
Item Group
Complications
C0009566 (UMLS CUI-1)
sepsis
Item
Secondary sepsis
boolean
C0243026 (UMLS CUI [1])
Pathogen
Item
Pathogen (blood)
text
C0450254 (UMLS CUI [1])
Death
Item
Death
boolean
C0011065 (UMLS CUI [1])
Item Group
Comments
C0947611 (UMLS CUI-1)
Comments
Item
Comments
text
C0947611 (UMLS CUI [1])
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