Ausgewählte Datenmodelle

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10 Suchergebnisse.
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SPEECH THERAPY EVALUATION - HIS

- 07.06.17 - 1 Formular, 3 Itemgruppen, 14 Datenelemente, 2 Sprachen
Itemgruppen: General Info, SPEECH-LANGUAGE TESTING, PLAN OF CARE
Form from HIS OpenVista

SPEECH THERAPY PROGRESS NOTE - HIS

- 07.06.17 - 1 Formular, 4 Itemgruppen, 29 Datenelemente, 2 Sprachen
Itemgruppen: SUBJECTIVE, OBJECTIVE, ASSESSMENT, PLAN
Form from HIS OpenVista

SPEECH THERAPY CONSULT RESULTS

- 25.07.15 - 1 Formular, 11 Itemgruppen, 68 Datenelemente, 2 Sprachen
Itemgruppen: General Info, SPEECH-LANGUAGE TESTING, SPEECH THERAPY CONSULT RESULTS, PRECAUTIONS, FUNCTIONAL STATUS BEFORE ONSET, SUBJECTIVE, OBJECTIVE, BEDSIDE DYSPHAGIA EVALUATION, Speech Therapy GOALS, PROGNOSIS, S.T. PLAN
Form from HIS OpenVistA

openEHR-EHR-OBSERVATION.audiology_speech_test_result.v1

- 10.04.18 - 1 Formular, 1 Itemgruppe, 46 Datenelemente, 1 Sprache
Itemgruppe: openEHR-EHR-OBSERVATION.audiology_speech_test_result.v1.xml
http://openehr.org/ckm/ Use to record the results of audiology speech tests carried out to assess speech discrimination and speech recognition. Use to record the clinical interpretation of audiology speech tests carried out to assess speech discrimination and speech recognition.

openEHR-EHR-OBSERVATION.acoustic_reflex_result.v1

- 10.04.18 - 1 Formular, 1 Itemgruppe, 35 Datenelemente, 1 Sprache
Itemgruppe: openEHR-EHR-OBSERVATION.acoustic_reflex_result.v1.xml
http://openehr.org/ckm/ Use to record measurements from a single acoustic reflext test, for diagnostic or screening purposes. Ipsilateral testing, contralateral testing or both, can be recorded per test ear. Use to record the interpretation of all measurements for each single ear test configuration, and an overall interpretation (or audiological diagnosis). Acoustic reflexes measure the eardrum movement generated by the stapedius and tensor tympani reflex in response to intense sound. The acoustic reflex threshold can be helpful in checking for particular types of hearing loss in situations where patient reliability is questionable. Acoustic reflex testing can also be done as part of a battery of tests to investigate central nervous system pathology, although this usage is now uncommon.

NURSING ASSESSMENT (adult) - HIS

- 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
Form from HIS OpenVista

NURSING ASSESSMENT (pedi) - HIS

- 20.09.21 - 1 Formular, 32 Itemgruppen, 326 Datenelemente, 2 Sprachen
Itemgruppen: Child Nursing Assessment, Neurological status, GLASGOW COMA SCALE ADULT, PUPILS, GLASGOW COMA SCALE CHILD, ORIENTATION, Cardiovascular, Eyes Ear Nose and Throat, EYES, EARS, NOSE, THROAT, Respiratory, Gastrointestinal, Genitourinary, Musculoskeletal, Skin, INCISION(S), Wound(s), Nutrition, IV Therapy, Safety, Pediatric Fall Risk Assessment, INTERVENTIONS, IMPAIRED MOBILITY RISK, ALTERED ELIMINATION, HIGH RISK FALL MEDICATIONS (ANTIEPILEPTICS & BENZODIAZEPINES), Hendrich II Fall Risk Assessment, ONN Unit specific, Post Surgical, ADOLESCENT INTERACTION, GERIATRIC INTERVENTION (65+)
Form from HIS OpenVista

Eligibility Head and Neck Cancer NCT01958515

- 31.08.15 - 1 Formular, 2 Itemgruppen, 11 Datenelemente, 1 Sprache
Itemgruppen: Inclusion Criteria, Exclusion Criteria
Immunologic Responses in HPV-Associated Carcinoma for Patients Receiving Chemoradiation; ODM derived from: https://clinicaltrials.gov/show/NCT01958515

Use of services: PaReSiS UKH

- 05.12.16 - 1 Formular, 24 Itemgruppen, 205 Datenelemente, 1 Sprache
Itemgruppen: 80. Visiting Nurses Services, 81. Stationary/ party stationary care facility, 82. Physiotherapy, 83. Ergotherapy, 84. Speech therapy, 85. Domestic services, 86. Meals on wheels, 87. Visitors or honorary services, 88. Neighbourhood assistance, 89. Support group, 90. Sport groups, 91. Transportation service, 92. Book services, 93. Hairdresser, 94. Foot care, 95. Charities, 96. Emergency call system, 97. Maintenance council, 98. Service for Rehabilitation, 99. Integrational service, 100. Care support point, 101. Other support, 102. Use of following supports, 103. Medications
Use of services: PaReSiS UKH PaReSiS UKH Rehabilitation Study: "Partizipatives Rehabilitationsprozessmanagement, PaReSiS Schlaganfall in Sachsen-Anhalt" Martin-Luther-Universität Halle-Wittenberg Medizinische Fakultät Institut für Gesundheits- und Pflegewissenschaft Projekt: Partizipatives Rehabilitationsprozessmanagement „Schlaganfall in Sachsen-Anhalt“ Magdeburger Straße 8 06097 Halle (Saale), Germany E-Mail: paresis@medizin.uni-halle.de

H and P or consult specialty - HIS

- 26.06.15 - 1 Formular, 32 Itemgruppen, 281 Datenelemente, 2 Sprachen
Itemgruppen: H and P or consult specialty, HISTORY OF PRESENT ILLNESS, REVIEW OF SYSTEMS, PAST HISTORY, Female Specific History, FAMILY HISTORY, SOCIAL HISTORY, ALLERGIES, MEDICATIONS, PHYSICAL EXAM - General, PHYSICAL EXAM - HEAD, PHYSICAL EXAM - EYES, Physical Exam - Ears, Nose, Throat, Physical Exam - Neck, Physical Exam - BREAST, Physical Exam - CHEST, Physical Exam - HEART, Physical Exam - VASCULAR, Physical Exam - ABDOMEN, Physical Exam - GENITOURINARY/RECTAL: MALE, Physical Exam - GENITOURINARY/RECTAL: FEMALE, Physical Exam -MUSCULOSKELETAL, Physical Exam - EXTREMITIES, Physical Exam - LYMPHATIC, Physical Exam - SKIN, Physical Exam - Wound and Incision Care , Physical Exam - NEUROLOGIC, PSYCHIATRIC, Laboratory Results, Radiology Results, ASSESSMENT, PLAN
Form from HIS OpenVistA

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