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- Routine documentation (271)
- Patientenaufnahme (31)
- Krankenhausinformationssysteme (23)
- Released Standard (21)
- On-Study Form (19)
- Patientenentlassung (19)
- Prostatatumoren (17)
- Verordnungen, Arzneimittel- (16)
- Mammatumoren, Mensch (15)
- Deprecated Standard (15)
- Klassifikation (15)
- Arzneimitteltherapie (15)
- Anamnesenerhebung (13)
- Körperliche Untersuchung (11)
- Wisconsin (11)
- Klinische Konferenz [Dokumenttyp] (10)
- AML (10)
- Behandlungsbedürftigkeit, Begutachtung (10)
- Parese (10)
- Leukämie (7)
- Nierentransplantation (6)
- Common Data Elements (CDE) (6)
- Krankenpflegebeurteilung (6)
- Herz-Kreislauf-Krankheiten (5)
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- Atherosklerose (2)
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- Akutes Koronarsyndrom (2)
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- Concomitant Medication (2)
- Psychoeducation (2)
- Global assessment of functioning, GAF (2)
- Beck depression Inventory, BDI (2)
- Hamilton Anxiety Rating scale, HAM-A (2)
- Young Mania Rating scale, YMRS (2)
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- Diabetes mellitus, Typ 2 (2)
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- Lebensqualität (1)
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- Überweisung und Konsultation (1)
- Reflex, akustischer (1)
- Refraktion, Auge (1)
- Arteria renalis (1)
- Forschung (1)
- Atmungstherapie (1)
- Aspergillus (1)
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- Anfälle (1)
- Haut (1)
- Audiologie (1)
Inhaltsverzeichnis
Ausgewählte Datenmodelle
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273 Suchergebnisse.
Itemgruppen: Demographics, Medical History, Medical device, Diagnosis, Procedure, Findings, Laboratory Findings, Medication, Scores&Classifications, Patient Characteristics
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
Body - Anamnese (medical history)
11 Itemgruppen 36 DatenelementeBody - Diagnose (diagnosis)
2 Itemgruppen 6 DatenelementeHeader
3 Itemgruppen 18 Datenelemente 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
Itemgruppen: Demographics, Medical History, Diagnosis, Procedure, Findings, Laboratory Findings, Medication
Itemgruppen: Care problem, Score, Care goal, Nursing procedure, Activities of daily living, Homecare Status, Social Environment, Legal Aspects, Medical information
Header
3 Itemgruppen 18 Datenelemente 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
Itemgruppen: Allergy, Medical Alert Information, History of Past Illness, Social History, Pregnancy History, Vaccination, Medical Devices and Implants, Medical problems (current), Vital Signs Observations, Diagnostic Tests, Disability or function, Medication, Surgical Procedure, Treatments, Care plan
Itemgruppen: History and Physical Examination Elements, Patient History, Family History, Patient Assessment, Laboratory Results Elements, Diagnostic and Therapeutic Procedures Elements, Diagnostic Procedure Results, Therapeutic Procedures, Therapeutic Procedure Device Implants, Pharmacological Therapy Data Elements, Outcomes Data Elements
Itemgruppe: Pain NRS
Itemgruppen: Current episode, Diagnosis, Current medication
Itemgruppe: openEHR-EHR-OBSERVATION.blood_pressure.v1.xml
Itemgruppe: BRADEN SCALE