ID

24490

Description

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

Link

http://www.dmi.de/

Keywords

Versions (3)
  1. 6/8/17 6/8/17 -
  2. 6/16/17 6/16/17 -
  3. 8/2/17 8/2/17 -
Uploaded on

August 2, 2017

DOI

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License

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

German English

Infection documentation, nosocomial Routine documentation in German hospitals DMI

1 forms  
General information
Description

General information

Alias
UMLS CUI-1
C1508263
Patient data
Description

This sheet is enclosed to every patient's chart. If nosocomial infection (NI) does not emerge during the hospital stay, plaease fill in the patient's data only and check "no". In the event of NI, please fill in the entire questionnaire and return it to the patient admission.

Data type

text

Alias
UMLS CUI [1]
C2707520
Nosocomial infection
Description

Nosocomial infection

Alias
UMLS CUI-1
C0205721
Nosocomial infection (NI)
Description

Nosocomial infection

Data type

boolean

Alias
UMLS CUI [1]
C0205721
Type of infection
Description

infection type

Data type

text

Alias
UMLS CUI [1,1]
C0009450
UMLS CUI [1,2]
C0332307
Microbiological diagnostics
Description

Microbiological diagnostics

Alias
UMLS CUI-1
C0025951
Pathogen detection conducted
Description

Pathogen detection

Data type

boolean

Alias
UMLS CUI [1]
C1740302
Type of pathogen
Description

pathogen

Data type

text

Alias
UMLS CUI [1]
C0450254
Diagnoses and medical procedures
Description

Diagnoses and medical procedures

Alias
UMLS CUI-1
C0011900
UMLS CUI-3
C0199171
Diagnoses
Description

Fill in only in case of NI

Data type

text

Alias
UMLS CUI [1]
C0011900
Medical procedure
Description

Medical procedure

Data type

text

Alias
UMLS CUI [1]
C0199171
ICU stay
Description

ICU stay

Alias
UMLS CUI-1
C0085559
UMLS CUI-2
C0023303
ICU
Description

ICU stay

Data type

boolean

Alias
UMLS CUI [1,1]
C0085559
UMLS CUI [1,2]
C0023303
Before surgery
Description

before surgery

Data type

boolean

Alias
UMLS CUI [1,1]
C0332152
UMLS CUI [1,2]
C0543467
After surgery
Description

after surgery

Data type

boolean

Alias
UMLS CUI [1]
C0332387
Antibiotics
Description

Antibiotics

Alias
UMLS CUI-1
C0003232
Preoperative antibiotic prophylaxis
Description

antibiotic prophylaxis preoperative

Data type

boolean

Alias
UMLS CUI [1,1]
C0282638
UMLS CUI [1,2]
C0445204
Antibiotic therapy
Description

Antibiotic therapy

Data type

boolean

Alias
UMLS CUI [1]
C0338237
Risk factors
Description

Risk factors

Alias
UMLS CUI-1
C0035648
Diabetes
Description

Diabetes

Data type

boolean

Alias
UMLS CUI [1]
C0011849
Obesity
Description

Obesity

Data type

boolean

Alias
UMLS CUI [1]
C0028754
Cachexia
Description

Cachexia

Data type

boolean

Alias
UMLS CUI [1]
C0006625
Carcinoma
Description

Carcinoma

Data type

boolean

Alias
UMLS CUI [1]
C0007097
Abuse
Description

Abuse

Data type

boolean

Alias
UMLS CUI [1]
C1546935
Immunodeficiency
Description

Immunodeficiency

Data type

boolean

Alias
UMLS CUI [1]
C0021051
Cytostatic therapy
Description

Cytostatic therapy

Data type

boolean

Alias
UMLS CUI [1]
C2609342
Other
Description

Other

Data type

boolean

Alias
UMLS CUI [1]
C0205394
Signature
Description

Signature

Alias
UMLS CUI-1
C1519316
Date
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Signature physician
Description

Signature physician

Data type

text

Alias
UMLS CUI [1]
C0807938
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Similar models

Infection documentation, nosocomial Routine documentation in German hospitals DMI

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
General information
C1508263 (UMLS CUI-1)
Patient data
Item
Patient data
text
C2707520 (UMLS CUI [1])
Item Group
Nosocomial infection
C0205721 (UMLS CUI-1)
Nosocomial infection
Item
Nosocomial infection (NI)
boolean
C0205721 (UMLS CUI [1])
Item
Type of infection
text
C0009450 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Type of infection
Code List
Type of infection
CL Item
Wound infection (Wound infection)
CL Item
Urinary tract infection (Urinary tract infection)
CL Item
Respiratory tract infection (Respiratory tract infection)
CL Item
Septicemia (Septicemia)
CL Item
Peripheral venous catheter infection (Peripheral venous catheter infection)
CL Item
Central venous catheter infection (Central venous catheter infection)
CL Item
Other infection (Other infection)
Item Group
Microbiological diagnostics
C0025951 (UMLS CUI-1)
Pathogen detection
Item
Pathogen detection conducted
boolean
C1740302 (UMLS CUI [1])
pathogen
Item
Type of pathogen
text
C0450254 (UMLS CUI [1])
Item Group
Diagnoses and medical procedures
C0011900 (UMLS CUI-1)
C0199171 (UMLS CUI-3)
Diagnoses
Item
Diagnoses
text
C0011900 (UMLS CUI [1])
Item
Medical procedure
text
C0199171 (UMLS CUI [1])
Medical procedure
Code List
Medical procedure
CL Item
aseptic (aseptic)
C0232920 (UMLS CUI-1)
(Comment:en)
CL Item
colonization/contamination (colonization/contamination)
C4289767 (UMLS CUI-1)
(Comment:en)
CL Item
infection (infection)
C0009450 (UMLS CUI-1)
(Comment:en)
Item Group
ICU stay
C0085559 (UMLS CUI-1)
C0023303 (UMLS CUI-2)
ICU stay
Item
ICU
boolean
C0085559 (UMLS CUI [1,1])
C0023303 (UMLS CUI [1,2])
before surgery
Item
Before surgery
boolean
C0332152 (UMLS CUI [1,1])
C0543467 (UMLS CUI [1,2])
after surgery
Item
After surgery
boolean
C0332387 (UMLS CUI [1])
Item Group
Antibiotics
C0003232 (UMLS CUI-1)
antibiotic prophylaxis preoperative
Item
Preoperative antibiotic prophylaxis
boolean
C0282638 (UMLS CUI [1,1])
C0445204 (UMLS CUI [1,2])
Antibiotic therapy
Item
Antibiotic therapy
boolean
C0338237 (UMLS CUI [1])
Item Group
Risk factors
C0035648 (UMLS CUI-1)
Diabetes
Item
Diabetes
boolean
C0011849 (UMLS CUI [1])
Obesity
Item
Obesity
boolean
C0028754 (UMLS CUI [1])
Cachexia
Item
Cachexia
boolean
C0006625 (UMLS CUI [1])
Carcinoma
Item
Carcinoma
boolean
C0007097 (UMLS CUI [1])
Abuse
Item
Abuse
boolean
C1546935 (UMLS CUI [1])
Immunodeficiency
Item
Immunodeficiency
boolean
C0021051 (UMLS CUI [1])
Cytostatic therapy
Item
Cytostatic therapy
boolean
C2609342 (UMLS CUI [1])
Other
Item
Other
boolean
C0205394 (UMLS CUI [1])
Item Group
Signature
C1519316 (UMLS CUI-1)
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Signature physician
Item
Signature physician
text
C0807938 (UMLS CUI [1])
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