ID
5581
Descripción
Form from HIS OpenVistA
Palabras clave
Versiones (3)
- 25/2/12 25/2/12 -
- 9/8/14 9/8/14 - Martin Dugas
- 25/6/15 25/6/15 - Martin Dugas
Subido en
9 de agosto de 2014
DOI
Para solicitar uno, por favor iniciar sesión.
Licencia
Creative Commons BY-NC 3.0 Legacy
Comentarios del modelo :
Puede comentar sobre el modelo de datos aquí. A través de las burbujas de diálogo en los grupos de elementos y elementos, puede agregar comentarios específicos.
Comentarios de grupo de elementos para :
Comentarios del elemento para :
Para descargar modelos de datos, debe haber iniciado sesión. Por favor iniciar sesión o Registrate gratis.
HIS NUTRITION SCREENING CONSULT RESULTS MAIN
HIS
- StudyEvent: HIS
Descripción
COMMENTS
Descripción
Patient triggered for problem swallowing difficulty
Tipo de datos
boolean
Alias
- UMLS CUI 2011AA
- C0392678
- SNOMED CT 2011_0131
- 399122003
- MedDRA 14.1
- 10042647
- LOINC Version 232
- MTHU020878
Descripción
Patient states no problems with swallowing difficulty
Tipo de datos
boolean
Descripción
Swallow difficulty due to sore throat. Nursing Notified.
Tipo de datos
boolean
Alias
- UMLS CUI 2011AA
- C0242429
- SNOMED CT 2011_0131
- 267102003
- MedDRA 14.1
- 10041367
- ICD-10-CM Version 2010
- R07.0
- ICD-9-CM Version 2011
- 784.1
- CTCAE 1105E
- E13575
Descripción
Patient needs diet consistency change to diet.
Tipo de datos
boolean
Descripción
Patient needs special foods of appropriate consistency.
Tipo de datos
boolean
Descripción
other
Tipo de datos
string
Descripción
Patient triggered for poor po intake > 5 days.
Tipo de datos
boolean
Descripción
Patient requests oral supplements of
Tipo de datos
string
Descripción
Patient states no problems with po intake.
Tipo de datos
boolean
Descripción
Patient states po intake improved>50% at all meals.
Tipo de datos
boolean
Descripción
Patient states no appetite.
Tipo de datos
boolean
Alias
- UMLS CUI 2011AA
- C0232462
- SNOMED CT 2011_0131
- 64379006
- MedDRA 14.1
- 10061428
Descripción
Patient states unable to eat certain foods:
Tipo de datos
string
Descripción
Patient started on nutrition support
Tipo de datos
boolean
Descripción
other
Tipo de datos
string
Descripción
Patient triggered for unintentional weight loss of 10 pounds or more in 3 months.
Tipo de datos
boolean
Alias
- UMLS CUI 2011AA
- C0936227
- SNOMED CT 2011_0131
- 267024001
- MedDRA 14.1
- 10000159
- ICD-10-CM Version 2010
- R63.4
Descripción
Patient states no weight loss.
Tipo de datos
boolean
Descripción
Patient was on a diet, weight loss was intentional.
Tipo de datos
boolean
Alias
- UMLS CUI 2011AA
- C0012155
- SNOMED CT 2011_0131
- 41829006
Descripción
Patient states weight loss due to increased activity.
Tipo de datos
boolean
Descripción
other
Tipo de datos
string
Descripción
Patient triggered for food allergies
Tipo de datos
boolean
Alias
- UMLS CUI 2011AA
- C0016470
- SNOMED CT 2011_0131
- 414285001
- MedDRA 14.1
- 10016946
Descripción
Patient states they have no food allergies/intolerances.
Tipo de datos
boolean
Descripción
Patient has no food intolerances to
Tipo de datos
string
Descripción
All food allergies/intolerances were identified.
Tipo de datos
boolean
Descripción
other
Tipo de datos
string
Descripción
Patient triggered for being pregnant and less than 16 years old of age.
Tipo de datos
boolean
Descripción
Patient is greater than 16 years old of age.
Tipo de datos
boolean
Alias
- UMLS CUI 2011AA
- C0001779
- SNOMED CT 2011_0131
- 397669002
Descripción
Patient is not pregnant.
Tipo de datos
boolean
Alias
- UMLS CUI 2011AA
- C0232973
- SNOMED CT 2011_0131
- 60001007
Descripción
other
Tipo de datos
string
Descripción
Patient triggered for being pregnant and on special diet.
Tipo de datos
boolean
Descripción
Patient is not pregnant.
Tipo de datos
boolean
Alias
- UMLS CUI 2011AA
- C0232973
- SNOMED CT 2011_0131
- 60001007
Descripción
Patient is not on a special diet.
Tipo de datos
boolean
Descripción
Patient is on diet for
Tipo de datos
string
Alias
- UMLS CUI 2011AA
- C0012155
- SNOMED CT 2011_0131
- 41829006
Descripción
Patient understands special diet, does not need additional information.
Tipo de datos
boolean
Descripción
Patient does not understand special diet.
Tipo de datos
boolean
Descripción
Patient triggered for being below 10th percentile of Pediatric Growth Charts.
Tipo de datos
boolean
Descripción
Patient is at 50th percentile or greater on growth charts.
Tipo de datos
boolean
Descripción
Patient is between 25th and 50th percentile on growth charts.
Tipo de datos
boolean
Descripción
Patient seen due to extended length of stay in hospital.
Tipo de datos
boolean
Alias
- UMLS CUI 2011AA
- C0023303
Descripción
other
Tipo de datos
string
Descripción
GOALS
Descripción
Patient to resume po intake (if currently NPO).
Tipo de datos
boolean
Alias
- UMLS CUI 2011AA
- C1512806
Descripción
Patient to transition to solid foods (if on CL or FL diet).
Tipo de datos
boolean
Descripción
Patient to be provided foods of appropriate consistency to decrease swallowing difficulty.
Tipo de datos
boolean
Descripción
Patient to continue po intake>75% at meals/snacks.
Tipo de datos
boolean
Descripción
PO intake to be greater than 50% at all meals/snacks.
Tipo de datos
boolean
Descripción
Weight gain of 1-2 lbs per week.
Tipo de datos
boolean
Alias
- UMLS CUI 2011AA
- C0043094
- SNOMED CT 2011_0131
- 262286000
- MedDRA 14.1
- 10047899
- LOINC Version 232
- MTHU020882
- CTCAE 1105E
- E12224
Descripción
Patient will not receive foods that they have indicated as being allergic or intolerate to.
Tipo de datos
boolean
Descripción
Patient to understand diet currently ordered by physician.
Tipo de datos
boolean
Descripción
Patient to be seen by dietician due to:
Tipo de datos
string
Descripción
other
Tipo de datos
string
Descripción
LEVEL OF CARE
Descripción
PLAN
Descripción
Continue with diet as currently ordered.
Tipo de datos
boolean
Alias
- UMLS CUI 2011AA
- C0012155
- SNOMED CT 2011_0131
- 41829006
Descripción
Advance diet as tolerated.
Tipo de datos
boolean
Alias
- UMLS CUI 2011AA
- C0012155
- SNOMED CT 2011_0131
- 41829006
Descripción
Explain menu process. Encourage continued good intake > 50%.
Tipo de datos
boolean
Descripción
Encourage patient to mark menu selections.
Tipo de datos
boolean
Descripción
Obtain food preferences. Place in computer and notify kitchen.
Tipo de datos
boolean
Descripción
Discuss adding oral supplement with nursing or dietician.
Tipo de datos
boolean
Descripción
Provide snacks to increase po intake.
Tipo de datos
boolean
Descripción
Notify diet office of food allergens or intolerances via computer.
Tipo de datos
boolean
Descripción
Provided educational handout on diet. Give RD contact information for further questions.
Tipo de datos
boolean
Descripción
Inform dietician of need for extensive diet education on diet.
Tipo de datos
boolean
Descripción
Follow patient per protocol.
Tipo de datos
boolean
Descripción
Refer to dietician.
Tipo de datos
boolean
Alias
- UMLS CUI 2011AA
- C0237083
- SNOMED CT 2011_0131
- 159033005
Descripción
other
Tipo de datos
string
Similar models
HIS
- StudyEvent: HIS
397669002 (SNOMED CT 2011_0131)
107647005 (SNOMED CT 2011_0131)
10047890 (MedDRA 14.1)
LP18015-5 (LOINC Version 232)
41829006 (SNOMED CT 2011_0131)
399122003 (SNOMED CT 2011_0131)
10042647 (MedDRA 14.1)
MTHU020878 (LOINC Version 232)
267102003 (SNOMED CT 2011_0131)
10041367 (MedDRA 14.1)
R07.0 (ICD-10-CM Version 2010)
784.1 (ICD-9-CM Version 2011)
E13575 (CTCAE 1105E)
64379006 (SNOMED CT 2011_0131)
10061428 (MedDRA 14.1)
267024001 (SNOMED CT 2011_0131)
10000159 (MedDRA 14.1)
R63.4 (ICD-10-CM Version 2010)
41829006 (SNOMED CT 2011_0131)
414285001 (SNOMED CT 2011_0131)
10016946 (MedDRA 14.1)
397669002 (SNOMED CT 2011_0131)
60001007 (SNOMED CT 2011_0131)
60001007 (SNOMED CT 2011_0131)
41829006 (SNOMED CT 2011_0131)
262286000 (SNOMED CT 2011_0131)
10047899 (MedDRA 14.1)
MTHU020882 (LOINC Version 232)
E12224 (CTCAE 1105E)
41829006 (SNOMED CT 2011_0131)
41829006 (SNOMED CT 2011_0131)
159033005 (SNOMED CT 2011_0131)