ID

5584

Description

Form from HIS OpenVistA

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Versions (3)
  1. 25.02.12 25.02.12 -
  2. 07.08.14 07.08.14 - Martin Dugas
  3. 09.08.14 09.08.14 - Martin Dugas
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9. August 2014

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Creative Commons BY-NC 3.0 Legacy
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HIS Occupational Therapy Consult Results

Allemand Anglais

HIS

1 Formulaires  
  1. StudyEvent: HIS
    1. HIS
General Info
Description

General Info

Allergie
Description

Allergies

Type de données

string

Alias
UMLS CUI 2011AA
C0020517
SNOMED CT 2011_0131
257550005
Diagnose
Description

Diagnosis

Type de données

string

Alias
UMLS CUI 2011AA
C0011900
SNOMED CT 2011_0131
439401001
LOINC Version 232
MTHU008876
Vitalzeichen
Description

Vital Signs

Type de données

string

Alias
UMLS CUI 2011AA
C0518766
SNOMED CT 2011_0131
46680005
LOINC Version 232
MTHU024540
Größe
Description

Height

Type de données

integer

Alias
UMLS CUI-1
C0005890
LOINC Version 232
MTHU005354
Gewicht
Description

Weight

Type de données

integer

Alias
UMLS
C0005910
SNOMED CT 2011_0131
107647005
MedDRA 14.1
10047890
LOINC Version 232
LP18015-5
Occupational Therapy (OT) order
Description

Occupational Therapy (OT) order

Type de données

string

Frühere Operationen
Description

Surgery

Type de données

string

Alias
UMLS CUI 2011AA
C0455610
SNOMED CT 2011_0131
161615003
Vorsichtsmaßnahmen
Description

Precautions

Type de données

string

Alias
UMLS CUI 2011AA
C1882442
Medical History / Onset
Description

Medical History / Onset

Type de données

string

Functional Status before Onset
Description

Functional Status before Onset

Type de données

string

Alias
UMLS CUI 2011AA
C0598463, C0332162
SNOMED CT 2011_0131
77374008
LOINC Version 232
MTHU027728
Subjective
Description

Subjective

Conversation content
Description

Conversations

Type de données

string

Alias
UMLS CUI 2011AA
C0582166
SNOMED CT 2011_0131
225918008
Orientation - Person (Alert|Oriented|Comatose|Disoriented)
Description

Orientation - Person

Type de données

integer

Alias
UMLS CUI 2011AA
C0029266
SNOMED CT 2011_0131
43173001
Orientation - Place (Alert| Oriented| Comatose| Disoriented)
Description

Orientation - Place

Type de données

integer

Alias
UMLS CUI 2011AA
C0029266
SNOMED CT 2011_0131
43173001
Orientation - Situation (Alert|Oriented|Comatose| Disoriented)
Description

Orientation - Situation

Type de données

integer

Alias
UMLS CUI 2011AA
C0029266
SNOMED CT 2011_0131
43173001
Orientation - Time (Alert|Oriented|Comatose| Disoriented)
Description

Orientation - Time

Type de données

integer

Alias
UMLS CUI 2011AA
C0029266
SNOMED CT 2011_0131
43173001
Schmerz
Description

Pain

Type de données

string

Alias
UMLS CUI 2011AA
C0030193
SNOMED CT 2011_0131
22253000
MedDRA 14.1
10033371
LOINC Version 232
MTHU029813
ICD-10-CM Version 2010
R52
ICD-9-CM Version 2011
338-338.9
CTCAE 1105E
E11167
Objective
Description

Objective

Objective observation
Description

Objective

Type de données

string

Alias
UMLS CUI 2011AA
C1571702
SNOMED CT 2011_0131
260224007
LOINC Version 232
MTHU036448
Assessment
Description

Assessment

Occupational therapy assessment
Description

Assessment

Type de données

string

Alias
UMLS CUI 2011AA
C1444296
SNOMED CT 2011_0131
410155007
Plan
Description

Plan

Occupational Therapy treatment plan
Description

Plan

Type de données

string

Alias
UMLS CUI 2011AA
C0947154
LOINC Version 232
MTHU013099
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Similar models

HIS

1 Formulaires
  1. StudyEvent: HIS
    1. HIS
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Allergies
Item
Allergie
string
C0020517 (UMLS CUI 2011AA)
257550005 (SNOMED CT 2011_0131)
Diagnosis
Item
Diagnose
string
C0011900 (UMLS CUI 2011AA)
439401001 (SNOMED CT 2011_0131)
MTHU008876 (LOINC Version 232)
Vital Signs
Item
Vitalzeichen
string
C0518766 (UMLS CUI 2011AA)
46680005 (SNOMED CT 2011_0131)
MTHU024540 (LOINC Version 232)
Height
Item
Größe
integer
C0005890 (UMLS CUI-1)
MTHU005354 (LOINC Version 232)
Weight
Item
Gewicht
integer
C0005910 (UMLS)
107647005 (SNOMED CT 2011_0131)
10047890 (MedDRA 14.1)
LP18015-5 (LOINC Version 232)
Occupational Therapy (OT) order
Item
Occupational Therapy (OT) order
string
Surgery
Item
Frühere Operationen
string
C0455610 (UMLS CUI 2011AA)
161615003 (SNOMED CT 2011_0131)
Precautions
Item
Vorsichtsmaßnahmen
string
C1882442 (UMLS CUI 2011AA)
Medical History / Onset
Item
Medical History / Onset
string
Functional Status before Onset
Item
Functional Status before Onset
string
C0598463, C0332162 (UMLS CUI 2011AA)
77374008 (SNOMED CT 2011_0131)
MTHU027728 (LOINC Version 232)
Item Group
Conversations
Item
Conversation content
string
C0582166 (UMLS CUI 2011AA)
225918008 (SNOMED CT 2011_0131)
Orientation - Person
Item
Orientation - Person (Alert|Oriented|Comatose|Disoriented)
integer
C0029266 (UMLS CUI 2011AA)
43173001 (SNOMED CT 2011_0131)
Orientation - Place
Item
Orientation - Place (Alert| Oriented| Comatose| Disoriented)
integer
C0029266 (UMLS CUI 2011AA)
43173001 (SNOMED CT 2011_0131)
Orientation - Situation
Item
Orientation - Situation (Alert|Oriented|Comatose| Disoriented)
integer
C0029266 (UMLS CUI 2011AA)
43173001 (SNOMED CT 2011_0131)
Orientation - Time
Item
Orientation - Time (Alert|Oriented|Comatose| Disoriented)
integer
C0029266 (UMLS CUI 2011AA)
43173001 (SNOMED CT 2011_0131)
Pain
Item
Schmerz
string
C0030193 (UMLS CUI 2011AA)
22253000 (SNOMED CT 2011_0131)
10033371 (MedDRA 14.1)
MTHU029813 (LOINC Version 232)
R52 (ICD-10-CM Version 2010)
338-338.9 (ICD-9-CM Version 2011)
E11167 (CTCAE 1105E)
Item Group
Objective
Item
Objective observation
string
C1571702 (UMLS CUI 2011AA)
260224007 (SNOMED CT 2011_0131)
MTHU036448 (LOINC Version 232)
Item Group
Assessment
Item
Occupational therapy assessment
string
C1444296 (UMLS CUI 2011AA)
410155007 (SNOMED CT 2011_0131)
Item Group
Plan
Item
Occupational Therapy treatment plan
string
C0947154 (UMLS CUI 2011AA)
MTHU013099 (LOINC Version 232)
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