ID

24398

Beschrijving

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

Link

http://www.dmi.de/

Trefwoorden

Versies (2)
  1. 08-06-17 08-06-17 -
  2. 30-07-17 30-07-17 -
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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

Duits Engels

Infection documentation ICU Routine documentation in German hospitals DMI

1 Formulieren  
General information
Beschrijving

General information

Alias
UMLS CUI-1
C1508263
Patient data
Beschrijving

Patient data

Datatype

text

Alias
UMLS CUI [1]
C2707520
Date of admission
Beschrijving

Date of admission

Datatype

date

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

Date of infection

Datatype

date

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

Urinary tract infection

Alias
UMLS CUI-1
C0042029
Type of infection
Beschrijving

Type of infection

Datatype

text

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

Urinary tract catheter

Datatype

boolean

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

Laboratory; pathogen

Datatype

text

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

Lower Respiratory Tract Infection

Alias
UMLS CUI-1
C0149725
Type of infection
Beschrijving

Type of infection

Datatype

text

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

Mechanical ventilation

Datatype

text

Alias
UMLS CUI [1]
C0199470
Test material
Beschrijving

Test material

Datatype

text

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

Laboratory; pathogen

Datatype

text

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

Primary sepsis

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

laboratory

Datatype

boolean

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

Central venous catheter

Datatype

boolean

Alias
UMLS CUI [1]
C1145640
Number of lumens
Beschrijving

Number of lumen

Datatype

integer

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

parenteral nutrition

Datatype

boolean

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

Laboratory; pathogen

Datatype

text

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

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

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

Laboratory; pathogen

Datatype

text

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

Complications

Alias
UMLS CUI-1
C0009566
Secondary sepsis
Beschrijving

sepsis

Datatype

boolean

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

Pathogen

Datatype

text

Alias
UMLS CUI [1]
C0450254
Death
Beschrijving

Death

Datatype

boolean

Alias
UMLS CUI [1]
C0011065
Comments
Beschrijving

Comments

Alias
UMLS CUI-1
C0947611
Comments
Beschrijving

Comments

Datatype

text

Alias
UMLS CUI [1]
C0947611
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Similar models

Infection documentation ICU Routine documentation in German hospitals DMI

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
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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