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Informações:
Falhas:
ID
30463
Descrição
Emergency protocol by the DIVI (Deutsche Interdisziplinre Vereinigung fr Intensiv- und Notfallmedizin). ODM derived from "Notaufnahmeprotokoll Modul Trauma".
Palavras-chave
Versões (8)
- 06/06/2018 06/06/2018 - Ann-Kristin Kock
- 06/06/2018 06/06/2018 - Ann-Kristin Kock
- 06/06/2018 06/06/2018 - Ann-Kristin Kock
- 06/06/2018 06/06/2018 - Ann-Kristin Kock
- 06/06/2018 06/06/2018 - Ann-Kristin Kock
- 19/06/2018 19/06/2018 -
- 25/06/2018 25/06/2018 -
- 20/07/2018 20/07/2018 - Ann-Kristin Kock
Titular dos direitos
DIVI (Deutsche Interdisziplinre Vereinigung für Intensiv- und Notfallmedizin)
Transferido a
6 de junho de 2018
DOI
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Licença
Creative Commons BY-NC 3.0
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DIVI Notaufnahmeprotokoll Zusatzmodul Trauma
Patienteninformation und Stammdaten
- StudyEvent: ODM
Similar models
Patienteninformation und Stammdaten
- StudyEvent: ODM
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Name
Item
text
Vorname
Item
Name des Patienten:
text
C1299487 (UMLS CUI [1])
Patient Id
Item
Patienten-ID:
integer
C2348585 (UMLS CUI [1])
Date of birth
Item
Geburtsdatum:
date
C0421451 (UMLS CUI [1])
CL Item
männlich (1)
CL Item
weiblich (2)
Injury pattern
Item
Angemeldetes Verletzungsmuster:
text
date
Item
Unfalldatum und Unfallzeit:
date
C0011008 (UMLS CUI [1])
Unfallzeit
Item
time
CL Item
I (1)
CL Item
II (2)
CL Item
III (3)
CL Item
IV (4)
CL Item
V (5)
CL Item
Trauma (1)
CL Item
V.a. Gewaltverbrechen (2)
CL Item
V.a. Suizid (3)
CL Item
stumpf (1)
CL Item
penetrierend (2)
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(4)
CL Item
(5)
CL Item
(6)
CL Item
(7)
CL Item
(8)
CL Item
unter 3m (1)
CL Item
über 3m (2)
CL Item
Schlag (1)
CL Item
Schuss (2)
CL Item
Stich (3)
CL Item
Andere (4)
other
Item
Für ,,Andere" bitte erwähnen:
text
C0205394 (UMLS CUI [1])
Time
Item
Alarmierungszeit:
time
C0040223 (UMLS CUI [1])
time
Item
Eintreffzeit:
time
C0040223 (UMLS CUI [1])
time
Item
Beginn Transport:
time
C0040223 (UMLS CUI [1])
respiratory rate
Item
Atemfrequenz:
integer
C0231832 (UMLS CUI [1])
oxygen saturation
Item
Sauerstoffsättigung:
float
C2237091 (UMLS CUI [1])
End tidal carbon dioxide concentration
Item
etCO2:
integer
C0428658 (UMLS CUI [1])
Systolic Pressure
Item
Systolischer Blutdruck:
integer
C0871470 (UMLS CUI [1])
heart rate
Item
Herzfrequenz:
integer
C0018810 (UMLS CUI [1])
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(4)
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(4)
CL Item
(5)
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(4)
CL Item
(5)
CL Item
(6)
Glasgow coma score
Item
Glasgow-Koma-Skala:
integer
C1271007 (UMLS CUI [1])
Item
Rechte Pupillenweite:
text
C0517965 (UMLS CUI [1,1])
C0205090 (UMLS CUI [1,2])
C0205090 (UMLS CUI [1,2])
CL Item
weit (1)
CL Item
mittel (2)
CL Item
eng (3)
CL Item
weit (1)
CL Item
mittel (2)
CL Item
eng (3)
Item
Lichtreaktion (rechts):
text
C1287558 (UMLS CUI [1,1])
C0205090 (UMLS CUI [1,2])
C0205090 (UMLS CUI [1,2])
CL Item
prompt (1)
CL Item
träge (2)
CL Item
keine (3)
Item
Lichtreaktion (links):
text
C1287558 (UMLS CUI [1,1])
C0205091 (UMLS CUI [1,2])
C0205091 (UMLS CUI [1,2])
CL Item
prompt (1)
CL Item
träge (2)
CL Item
keine (3)
CL Item
Kein (1)
CL Item
Alkohol (2)
CL Item
Drogen (3)
CL Item
(4)
temperature
Item
Temperatur:
float
C0039476 (UMLS CUI [1])
Numeric Pain Scale
Item
Schmerzskala:
integer
C1518471 (UMLS CUI [1])
Cervical immobilization
Item
HWS-Immobilisierung:
boolean
C1301792 (UMLS CUI [1])
Intubation
Item
Intubation:
boolean
C0021925 (UMLS CUI [1])
Supraglottic airway Help
Item
Supraglottische Atemwegshilfe:
boolean
surgical result airway breathing
Item
Chirurgischer Atemweg:
boolean
C2096028 (UMLS CUI [1])
Thoracic cavity drainage
Item
Rechte Thoraxdrainage:
boolean
C1096536 (UMLS CUI [1])
Thoracic cavity drainage
Item
Linke Thoraxdrainage:
boolean
C1096536 (UMLS CUI [1])
oxygen
Item
Sauerstoff:
boolean
C0030054 (UMLS CUI [1])
venous access
Item
Rechter venöser Zugang:
boolean
C0750164 (UMLS CUI [1])
venous access
Item
Linker venöser Zugang:
boolean
C0750164 (UMLS CUI [1])
Radial arterial access site
Item
Rechter arterieller Zugang (radial):
boolean
C3272298 (UMLS CUI [1,1])
C1278948 (UMLS CUI [1,2])
C1278948 (UMLS CUI [1,2])
Radial arterial access site
Item
Linker arterieller Zugang (radial):
boolean
C3272298 (UMLS CUI [1,1])
C1278948 (UMLS CUI [1,2])
C1278948 (UMLS CUI [1,2])
Femoral arterial access site
Item
Rechter arterieller Zugang (femoral):
boolean
C3272298 (UMLS CUI [1,1])
C1280173 (UMLS CUI [1,2])
C1280173 (UMLS CUI [1,2])
Femoral arterial access site
Item
Linker arterieller Zugang (femoral):
boolean
C3272298 (UMLS CUI [1,1])
C1280173 (UMLS CUI [1,2])
C1280173 (UMLS CUI [1,2])
CL Item
subclavia (rechts) (1)
CL Item
subclavia (links) (2)
CL Item
jugularis (rechts) (3)
CL Item
jugularis (links) (4)
CL Item
femoral (rechts) (5)
CL Item
femoral (links) (6)
CL Item
nein (7)
Intraosseous infusion
Item
Rechter IO Zugang:
boolean
C0162590 (UMLS CUI [1])
Intraosseous infusion
Item
Linker IO Zugang:
boolean
C0162590 (UMLS CUI [1])
Kristalloide
Item
boolean
crystalloid solutions
Item
Kristalloide:
float
C0056562 (UMLS CUI [1])
Kolloide
Item
boolean
Colloids
Item
Kolloide:
float
C0009361 (UMLS CUI [1])
Resuscitation procedure
Item
Small Volume Resuscitation:
boolean
C0035273 (UMLS CUI [1])
Heart Massage
Item
Herzdruckmassage:
boolean
C0018807 (UMLS CUI [1])
Electric Countershock
Item
Defibrillation:
boolean
C0013778 (UMLS CUI [1])
Catecholamines
Item
Katecholamine:
boolean
C0007412 (UMLS CUI [1])
Blutstillung
Item
boolean
CL Item
Druckverband (1)
CL Item
Hämostyptika (2)
CL Item
Tourniquet (3)
Fraktur
Item
boolean
CL Item
reponiert (1)
CL Item
achsengerecht gelagert (2)
CL Item
immobilisiert (3)
Lap belt
Item
Beckengurt:
boolean
C0553557 (UMLS CUI [1])
Tranexamic Acid
Item
Tranexamsäure:
boolean
C0040613 (UMLS CUI [1])
Focused assessment with ultrasonography for trauma
Item
FAST (Focused assessment with ultrasonography for trauma):
text
C2585897 (UMLS CUI [1])
analgosedation
Item
Analgosedierung:
boolean
thermoprotection
Item
Thermoprotektion:
boolean
CL Item
keine (1)
CL Item
leicht (2)
CL Item
mittel (3)
CL Item
Schwer (4)
CL Item
keine (1)
CL Item
leicht (2)
CL Item
mittel (3)
CL Item
Schwer (4)
CL Item
keine (1)
CL Item
leicht (2)
CL Item
mittel (3)
CL Item
Schwer (4)
CL Item
keine (1)
CL Item
leicht (2)
CL Item
mittel (3)
CL Item
Schwer (4)
CL Item
keine (1)
CL Item
leicht (2)
CL Item
mittel (3)
CL Item
Schwer (4)
CL Item
keine (1)
CL Item
leicht (2)
CL Item
mittel (3)
CL Item
Schwer (4)
CL Item
keine (1)
CL Item
leicht (2)
CL Item
mittel (3)
CL Item
Schwer (4)
CL Item
keine (1)
CL Item
leicht (2)
CL Item
mittel (3)
CL Item
Schwer (4)
CL Item
keine (1)
CL Item
leicht (2)
CL Item
mittel (3)
CL Item
Schwer (4)
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(4)
CL Item
(5)
CL Item
(6)
CL Item
(7)
comments
Item
Bemerkung:
text
C0947611 (UMLS CUI [1])
Item Group
ERSTE VITALWERTE (Bitte siehe Basismodul https://medical-data-models.org/forms/11927)
C0518766 (UMLS CUI-1)
Fraction of inspired oxygen
Item
FiO2:
float
C0428167 (UMLS CUI [1])
etCo2
Item
text
Item Group
SCHOCKRAUM DIAGNOSTIK/ ADJUNCTS
C0562508 (UMLS CUI-1)
C0011900 (UMLS CUI-2)
C0011900 (UMLS CUI-2)
Item
FAST (Focused assessment with ultrasonography for trauma):
text
C2585897 (UMLS CUI [1])
Code List
FAST (Focused assessment with ultrasonography for trauma):
CL Item
Ja (1)
CL Item
Nein (2)
CL Item
opB (3)
CL Item
freie Flüssigkeit (4)
Time
Item
FAST Zeit:
time
C0040223 (UMLS CUI [1])
Blood Loss
Item
Relevanter gefühlter Blutverlust?
boolean
C3163616 (UMLS CUI [1])
pH
Item
pH:
float
C0202165 (UMLS CUI [1])
Base Excess
Item
Base Excess:
float
C0201985 (UMLS CUI [1])
Partial pressure of Oxygen
Item
PaO2
float
C0391840 (UMLS CUI [1])
Hemoglobin
Item
Hb:
float
C0019046 (UMLS CUI [1])
Thrombozyten
Item
Thrombozyten:
float
C0005821 (UMLS CUI [1])
Quick
Item
Quick:
float
C0483455 (UMLS CUI [1])
Activated Partial Thromboplastin Time measurement
Item
PTT:
float
C0030605 (UMLS CUI [1])
International Normalized Ratio
Item
INR:
float
C0525032 (UMLS CUI [1])
Fibrinogen
Item
Fibrinogen:
float
C0016006 (UMLS CUI [1])
Calcium measurement
Item
Calcium (io):
float
C0201925 (UMLS CUI [1])
Ethanol measurement
Item
Ethanol:
float
C0202304 (UMLS CUI [1])
Time
Item
ROTEM Zeit:
time
C0040223 (UMLS CUI [1])
EXTEM MCF
Item
EXTEM MCF:
float
EXTEM CT
Item
EXTEM CT:
float
FIBTEM A10
Item
FIBTEM A10:
float
Diagnostic Imaging
Item
Ergebnisse Bildgebung
text
C0011923 (UMLS CUI [1])
Teleradiology
Item
Teleradiologie:
boolean
C0162647 (UMLS CUI [1])
Cervical immobilization
Item
HWS-Immobilisierung:
boolean
C1301792 (UMLS CUI [1])
time
Item
HWS-Immobilisierung Zeit:
time
C0040223 (UMLS CUI [1])
Intubation
Item
Intubation:
boolean
C0021925 (UMLS CUI [1])
time
Item
Intubation Zeit:
time
C0040223 (UMLS CUI [1])
Supraglottic airway Help
Item
Supraglottische Atemwegshilfe:
boolean
time
Item
Supraglottische Atemwegshilfe Zeit:
time
C0040223 (UMLS CUI [1])
surgical result airway breathing
Item
Chirurgischer Atemweg:
boolean
C2096028 (UMLS CUI [1])
time
Item
Chirurgischer Atemweg Zeit:
time
C0040223 (UMLS CUI [1])
Thoracic cavity drainage
Item
Rechte Thoraxdrainage:
boolean
C1096536 (UMLS CUI [1])
time
Item
Rechte Thoraxdrainage Zeit:
time
C0040223 (UMLS CUI [1])
Thoracic cavity drainage
Item
Linke Thoraxdrainage:
boolean
C1096536 (UMLS CUI [1])
time
Item
Linke Thoraxdrainage Zeit:
time
C0040223 (UMLS CUI [1])
oxygen
Item
Sauerstoff:
boolean
C0030054 (UMLS CUI [1])
time
Item
Sauerstoff Zeit:
time
C0040223 (UMLS CUI [1])
CL Item
rechts (1)
CL Item
links (2)
CL Item
keine (3)
time
Item
Venöser Zugang Zeit:
time
C0040223 (UMLS CUI [1])
Item
Arterieller Zugang (radial):
text
C3272298 (UMLS CUI [1,1])
C1278948 (UMLS CUI [1,2])
C1278948 (UMLS CUI [1,2])
CL Item
rechts (1)
CL Item
links (2)
CL Item
keine (3)
time
Item
Arterieller Zugang (radial) Zeit:
time
C0040223 (UMLS CUI [1])
Item
Arterieller Zugang (femoral):
text
C3272298 (UMLS CUI [1,1])
C1280173 (UMLS CUI [1,2])
C1280173 (UMLS CUI [1,2])
CL Item
rechts (1)
CL Item
links (2)
CL Item
keine (3)
time
Item
Arterieller Zugang (femoral) Zeit:
time
C0040223 (UMLS CUI [1])
CL Item
subclavia (rechts) (1)
CL Item
subclavia (links) (2)
CL Item
jugularis (rechts) (3)
CL Item
jugularis (links) (4)
CL Item
femoral (rechts) (5)
CL Item
femoral (links) (6)
CL Item
keine (7)
time
Item
ZVK Zeit:
time
C0040223 (UMLS CUI [1])
CL Item
rechts (1)
CL Item
links (2)
CL Item
keine (3)
crystalloid solutions
Item
Kristalloide:
float
C0056562 (UMLS CUI [1])
time
Item
Kristalloide Zeit:
time
C0040223 (UMLS CUI [1])
Colloids
Item
Kolloide:
float
C0009361 (UMLS CUI [1])
time
Item
Kolloide Zeit:
time
C0040223 (UMLS CUI [1])
Resuscitation procedure
Item
Small Volume Resuscitation:
boolean
C0035273 (UMLS CUI [1])
time
Item
Small Volume Resuscitation Zeit:
time
C0040223 (UMLS CUI [1])
Heart Massage
Item
Herzdruckmassage:
boolean
C0018807 (UMLS CUI [1])
time
Item
Herzdruckmassage Zeit:
time
C0040223 (UMLS CUI [1])
Electric Countershock
Item
Defibrillation:
boolean
C0013778 (UMLS CUI [1])
time
Item
Defibrillation Zeit:
time
C0040223 (UMLS CUI [1])
Catecholamines
Item
Katecholamine:
boolean
C0007412 (UMLS CUI [1])
time
Item
Katecholamine Zeit:
time
C0040223 (UMLS CUI [1])
CL Item
Druckverband (1)
CL Item
Hämostyptika (2)
CL Item
Tourniquet (3)
Blutstillung
Item
boolean
time
Item
Blutstillung Zeit:
time
C0040223 (UMLS CUI [1])
Fraktur
Item
boolean
CL Item
reponiert (1)
CL Item
achsengerecht gelagert (2)
CL Item
immobilisiert (3)
time
Item
Fraktur Zeit:
time
C0040223 (UMLS CUI [1])
Lap belt
Item
Beckengurt:
boolean
C0553557 (UMLS CUI [1])
time
Item
Beckengurt Zeit:
time
C0040223 (UMLS CUI [1])
analgosedation
Item
Analgosedierung:
boolean
time
Item
Analgosedierung Zeit:
time
C0040223 (UMLS CUI [1])
Active heat preservation
Item
Aktiver Wärmeerhalt:
boolean
time
Item
Aktiver Wärmeerhalt Zeit:
time
C0040223 (UMLS CUI [1])
time
Item
time
C0040223 (UMLS CUI [1])
time
Item
time
C0040223 (UMLS CUI [1])
time
Item
time
C0040223 (UMLS CUI [1])
time
Item
time
C0040223 (UMLS CUI [1])
time
Item
time
C0040223 (UMLS CUI [1])
time
Item
time
C0040223 (UMLS CUI [1])
time
Item
time
C0040223 (UMLS CUI [1])
time
Item
time
C0040223 (UMLS CUI [1])
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(4)
CL Item
(5)
CL Item
(6)
PHYSICAL EXAMINATION
Item
text
C0031809 (UMLS CUI [1])
final diagnoses
Item
text
diagnosis
Item
boolean
C0011900 (UMLS CUI [1])
shock room diagnosis
Item
boolean
Further procedures
Item
text
Anesthetist
Item
text
C0473161 (UMLS CUI [1])
surgeon
Item
text
C0582175 (UMLS CUI [1])
Central Interdisciplinary Emergency Department
Item
text
radiologist
Item
text
C0260194 (UMLS CUI [1])
Medical Assistant Radiology
Item
text
Other
Item
text
C0205394 (UMLS CUI [1])