ID
43984
Beskrivning
Routine documentation in German hospitals. Source file name: TH130110_Prämedikationsprotokoll Examplary forms provided by DMI (http://www.dmi.de/)
Länk
Nyckelord
Versioner (5)
- 2017-07-12 2017-07-12 -
- 2017-07-12 2017-07-12 -
- 2017-07-20 2017-07-20 -
- 2017-07-31 2017-07-31 -
- 2021-09-20 2021-09-20 -
Uppladdad den
20 september 2021
DOI
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Licens
Creative Commons BY-NC 3.0
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Premedication Example 2 Routine documentation in German hospitals DMI
Premedication Example 2 Routine documentation in German hospitals DMI
Beskrivning
Physical parameters
Alias
- UMLS CUI-1
- C1269723
Beskrivning
Height
Datatyp
integer
Alias
- UMLS CUI [1]
- C0005890
Beskrivning
Weight
Datatyp
integer
Alias
- UMLS CUI [1]
- C0005910
Beskrivning
BMI
Datatyp
integer
Alias
- UMLS CUI [1]
- C1305855
Beskrivning
Pulse
Datatyp
integer
Alias
- UMLS CUI [1]
- C0232117
Beskrivning
Systolic blood pressure
Datatyp
integer
Alias
- UMLS CUI [1]
- C0871470
Beskrivning
Diastolic blood pressure
Datatyp
integer
Alias
- UMLS CUI [1]
- C0428883
Beskrivning
Medical procedure
Alias
- UMLS CUI-1
- C0199171
Beskrivning
Preoperative state and risk factors
Alias
- UMLS CUI-1
- C0178808
- UMLS CUI-3
- C0035648
Beskrivning
No abnormality detected
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0559229
Beskrivning
narcosis
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0234447
Beskrivning
Acute care
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0679878
Beskrivning
ECG; Chest X-ray
Datatyp
text
Alias
- UMLS CUI [1]
- C1623258
- UMLS CUI [2]
- C0039985
Beskrivning
Heart
Datatyp
text
Alias
- UMLS CUI [1]
- C0018787
Beskrivning
Lungs
Datatyp
text
Alias
- UMLS CUI [1]
- C0024109
Beskrivning
Abdomen
Datatyp
text
Alias
- UMLS CUI [1]
- C0000726
Beskrivning
Other
Datatyp
text
Alias
- UMLS CUI [1]
- C0205394
Beskrivning
Long-term medication
Datatyp
text
Alias
- UMLS CUI [1]
- C0420257
Beskrivning
Previous surgeries
Datatyp
text
Alias
- UMLS CUI [1]
- C0744961
Beskrivning
Allergies
Datatyp
text
Alias
- UMLS CUI [1]
- C0020517
Beskrivning
complications anesthesia
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0009566
- UMLS CUI [1,2]
- C0002903
Beskrivning
Findings: ECG
Alias
- UMLS CUI-1
- C1623258
Beskrivning
ECG
Datatyp
boolean
Alias
- UMLS CUI [1]
- C1623258
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0039231
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0428977
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0232201
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0264886
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0541950
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C1287695
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C1141959
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C3854475
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C3279217
Beskrivning
Findings: Heart
Alias
- UMLS CUI-1
- C0018787
Beskrivning
heart
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0018787
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0010068
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0340288
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0948089
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0155668
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0018801
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0878544
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0003507
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0018799
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0003811
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0034072
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0027059
Beskrivning
Findings: Lungs
Alias
- UMLS CUI-1
- C0024109
Beskrivning
lungs
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0024109
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0013404
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0032285
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0149514
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0024117
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0028778
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0443288
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0032227
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0032326
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C2945579
Beskrivning
Findings: Circulatory system
Alias
- UMLS CUI-1
- C0007226
Beskrivning
Cardiovascular system
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0007226
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0020649
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0020538
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0013922
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0040053
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0264995
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0428714
Beskrivning
Findings: CNS / Neurology
Alias
- UMLS CUI-1
- C0027765
Beskrivning
Neurology
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0027765
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C2830004
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0009421
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0876926
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C2937358
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0038454
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0007787
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0030567
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0002395
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0026769
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0002736
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0014544
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0027868
Beskrivning
Findings: metabolism
Alias
- UMLS CUI-1
- C0025519
Beskrivning
metabolism
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0025519
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0011860
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0014130
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C1394815
Beskrivning
Other findings
Alias
- UMLS CUI-1
- C0243095
Beskrivning
findings
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0243095
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0009450
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C1444089
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0037315
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0035078
Beskrivning
Findings: Laboratory
Alias
- UMLS CUI-1
- C0022877
Beskrivning
laboratory findings
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0022877
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0005771
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0150116
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0005778
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0013832
Beskrivning
pathological finding with relevance for anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0243095
Beskrivning
Blood values
Alias
- UMLS CUI-1
- C0018941
Beskrivning
Hemoglobin
Datatyp
float
Alias
- UMLS CUI [1]
- C0019046
Beskrivning
Hematocrit
Datatyp
float
Alias
- UMLS CUI [1]
- C0518014
Beskrivning
Platelets
Datatyp
integer
Alias
- UMLS CUI [1]
- C0032181
Beskrivning
Prothrombin time
Datatyp
integer
Alias
- UMLS CUI [1]
- C0033707
Beskrivning
International Normalized Ratio
Datatyp
float
Alias
- UMLS CUI [1]
- C0525032
Beskrivning
Partial thromboplastin time
Datatyp
integer
Alias
- UMLS CUI [1]
- C3525810
Beskrivning
Potassium
Datatyp
float
Alias
- UMLS CUI [1]
- C0202194
Beskrivning
Creatinine
Datatyp
float
Alias
- UMLS CUI [1]
- C0201976
Beskrivning
Blood sugar
Datatyp
float
Alias
- UMLS CUI [1]
- C0392201
Beskrivning
Gamma-glutamyltransferase
Datatyp
float
Alias
- UMLS CUI [1]
- C0202035
Beskrivning
Anticoagulation
Alias
- UMLS CUI-1
- C0003281
Beskrivning
Acetylsalicylic acid
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0004057
Beskrivning
duration
Datatyp
date
Alias
- UMLS CUI [1]
- C0449238
Beskrivning
antagonists & inhibitors
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0003139
Beskrivning
duration administration
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0449238
- UMLS CUI [1,2]
- C1533734
Beskrivning
Heparin
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0019134
Beskrivning
Heparin
Datatyp
date
Alias
- UMLS CUI [1]
- C0019134
Beskrivning
Nonsteroidal anti-inflammatory drugs
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0003211
- UMLS CUI [1,2]
- C0205360
Beskrivning
NSAIDs
Datatyp
date
Alias
- UMLS CUI [1]
- C0003211
Beskrivning
Marcumar
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0918269
Beskrivning
Marcumar
Datatyp
date
Alias
- UMLS CUI [1]
- C0918269
Beskrivning
anticoagulants
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0003280
Beskrivning
Anticoagulation
Datatyp
date
Alias
- UMLS CUI [1]
- C0449867
Beskrivning
Preoperative assessment
Alias
- UMLS CUI-1
- C1516048
- UMLS CUI-2
- C0445204
Beskrivning
health condition teeth
Datatyp
text
Alias
- UMLS CUI [1,1]
- C4019131
- UMLS CUI [1,2]
- C0040426
Beskrivning
Bleeding tendency
Datatyp
boolean
Alias
- UMLS CUI [1]
- C1458140
Beskrivning
aspiration risk
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0349707
- UMLS CUI [1,2]
- C0035647
Beskrivning
Nicotine
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0028040
Beskrivning
Alcohol
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0001948
Beskrivning
Drugs
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0013227
Beskrivning
Allergies
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0020517
Beskrivning
ASA score
Datatyp
integer
Alias
- UMLS CUI [1]
- C1531480
Beskrivning
NYHA classification
Datatyp
integer
Alias
- UMLS CUI [1]
- C1275491
Beskrivning
Mallampati score
Datatyp
text
Alias
- UMLS CUI [1]
- C0451276
Beskrivning
airway management
Datatyp
text
Alias
- UMLS CUI [1]
- C0150126
Beskrivning
Preoperative instructions
Alias
- UMLS CUI-1
- C1442085
- UMLS CUI-2
- C0445204
Beskrivning
surgery
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0543467
Beskrivning
day surgery
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0439228
- UMLS CUI [1,2]
- C0543467
Beskrivning
Medication
Datatyp
text
Alias
- UMLS CUI [1]
- C0013227
Beskrivning
Administration
Datatyp
text
Alias
- UMLS CUI [1]
- C1533734
Beskrivning
Time
Datatyp
time
Alias
- UMLS CUI [1]
- C0040223
Beskrivning
Signature
Datatyp
text
Alias
- UMLS CUI [1]
- C1519316
Beskrivning
Transfusion pre-order
Alias
- UMLS CUI-1
- C1879316
Beskrivning
Blood type
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0005810
Beskrivning
Coombs test
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0009961
Beskrivning
Red cell concentrate
Datatyp
integer
Alias
- UMLS CUI [1]
- C0443095
Beskrivning
Fresh frozen plasma
Datatyp
integer
Alias
- UMLS CUI [1]
- C0016709
Beskrivning
Platelet concentrate
Datatyp
integer
Alias
- UMLS CUI [1]
- C2362067
Beskrivning
Requirements prior to approval of surgery
Alias
- UMLS CUI-1
- C0242801
- UMLS CUI-2
- C0543467
Beskrivning
Time of latest food intake
Alias
- UMLS CUI-1
- C0086311
Beskrivning
Premedication
Alias
- UMLS CUI-1
- C0033045
Beskrivning
Date of premedication
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0033045
Beskrivning
Anesthesist
Datatyp
text
Alias
- UMLS CUI [1]
- C1550495
Beskrivning
job
Datatyp
text
Alias
- UMLS CUI [1]
- C0028811
Beskrivning
Time
Datatyp
time
Alias
- UMLS CUI [1]
- C0040223
Beskrivning
Duration
Datatyp
integer
Måttenheter
- min
Alias
- UMLS CUI [1]
- C0449238
Beskrivning
premedication
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0033045
Beskrivning
outpatient department Anesthesia
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0557824
- UMLS CUI [1,2]
- C0002903
Beskrivning
premedication; surgery
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0033045
- UMLS CUI [2]
- C0543467
Beskrivning
Name of physician
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0027365
- UMLS CUI [1,2]
- C0031831
Beskrivning
Signature physician
Datatyp
text
Alias
- UMLS CUI [1]
- C0807938
Similar models
Premedication Example 2 Routine documentation in German hospitals DMI
C0600091 (UMLS CUI [1,2])
C0600091 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C1301732 (UMLS CUI [1,2])
C0035648 (UMLS CUI-3)
C0039985 (UMLS CUI [2])
C0002903 (UMLS CUI [1,2])
C1533734 (UMLS CUI [1,2])
C0205360 (UMLS CUI [1,2])
C0445204 (UMLS CUI-2)
C0035647 (UMLS CUI [1,2])
C0445204 (UMLS CUI-2)
C0543467 (UMLS CUI [1,2])
C0543467 (UMLS CUI-2)
C0033045 (UMLS CUI [1,2])
C0002903 (UMLS CUI [1,2])
C0543467 (UMLS CUI [2])
C0031831 (UMLS CUI [1,2])