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Inhaltsverzeichnis
  1. 1. Klinische Studie
  2. 2. Routinedokumentation
  3. 3. Register-/Kohortenstudien
  4. 4. Qualitätssicherung
  5. 5. Datenstandard
  6. 6. Patientenfragebogen
  7. 7. Medizinische Fachrichtung
Ausgewählte Datenmodelle

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- 08.06.17 - 1 Formular, 36 Itemgruppen, 383 Datenelemente, 2 Sprachen
Itemgruppen: Nursing Assessment, Neurological status, GLASGOW COMA SCALE, PUPILS, ORIENTATION, Cardiovascular, Eyes Ear Nose & Throat, EYES, EARS, NOSE, THROAT, Respiratory, Gastrointestinal, Genitourinary, Musculoskeletal, Skin, PRESSURE ULCER ASSESSMENT, Wound(s), INCISION(S), Nutrition, IV Therapy, Safety, Hendrich II Fall Risk Assessment, INTERVENTIONS, IMPAIRED MOBILITY RISK, ALTERED ELIMINATION, HIGH RISK FALL MEDICATIONS (ANTIEPILEPTICS & BENZODIAZEPINES), INTERVENTIONS (FOR ONCOLOGY USE ONLY), ONN Unit specific, Antepartum specific, Post partum specific, Post Surgical, ADOLESCENT INTERACTION, GERIATRIC INTERVENTION (65+), Hendrich Fall Risk, SUGGESTED INTERVENTIONS
- 23.05.17 - 4 Formulare, 9 Itemgruppen, 26 Datenelemente, 2 Sprachen
Itemgruppen: Treatment goals, Treatment plan, Equipment and Resources, Healing and therapy process, Hygiene activity, Wound protection, Therapy, causal, Education of patient and relatives, Treatment results, preliminary
- 23.05.17 - 4 Formulare, 11 Itemgruppen, 36 Datenelemente, 2 Sprachen
Itemgruppen: Wound assessment, Patient status, Psychosocial factors, Risk factors, Risk Assessment, Hygiene assessment, Skin assessment, Healed wounds, Adherence, Physical impairment, Psychosocial impairment
- 21.05.15 - 1 Formular, 10 Itemgruppen, 150 Datenelemente, 2 Sprachen
Itemgruppen: Demographics, Medical History, Medical device, Diagnosis, Procedure, Findings, Laboratory Findings, Medication, Scores&Classifications, Patient Characteristics
- 23.05.17 - 1 Formular, 21 Itemgruppen, 341 Datenelemente, 2 Sprachen
Itemgruppen: Current episode, Transfer diagnosis, Other Diagnoses, Beta blocker, Calcium Channel Blockers, Angiotensin 2 Receptor Blocker, ACE inhibitors, Diuretics, Cardiac drugs, Antikoagulanzien, Antidiabetics , Antidepressive Agents, Neuroleptic Drugs, Hormonal contraceptives, Bronchodilator Agents, Antilipemic agent, Analgesics, Anti-Infective Agents, Antiparkinson Agents, Glucocorticoids, Other medication
- 19.04.16 - 2 Formulare, 9 Itemgruppen, 52 Datenelemente, 2 Sprachen
Itemgruppen: Care problem, Score, Care goal, Nursing procedure, Activities of daily living, Homecare Status, Social Environment, Legal Aspects, Medical information
- 04.06.17 - 1 Formular, 3 Itemgruppen, 33 Datenelemente, 2 Sprachen
Itemgruppen: Maternal Family History, Paternal Family History, Siblings Family History