TEMPLATE Intensivmedizinisches Monitoring Flüssigkeitshaushalt (Intensivmedizinisches Monitoring Flüssigkeitshaushalt)

TEMPLATE IDIntensivmedizinisches Monitoring Flüssigkeitshaushalt
ConceptIntensivmedizinisches Monitoring Flüssigkeitshaushalt
DescriptionZur Darstellung des Flüssigkeitshaushalts innerhalb eines intensivmedizinischen Monitorings eines an COVID-19 erkrankten Patienten.
UseDieses Template wird verwendet, um den Flüssigkeitshaushalts innerhalb eines intensivmedizinischen Monitorings eines Patienten mit COVID-19 aufzuzeichnen.
PurposeZur Darstellung des Flüssigkeitshaushalts innerhalb eines intensivmedizinischen Monitorings eines an COVID-19 erkrankten Patienten.
References
Authorsdate: 2020-04-06; email: rehberg.alina@mh-hannover.de; organisation: Medizinische Hochschule Hannover; name: Alina Rehberg
Other Details Languagedate: 2020-04-06; email: rehberg.alina@mh-hannover.de; organisation: Medizinische Hochschule Hannover; name: Alina Rehberg
Other Details (Language Independent)
  • MetaDataSet:Sample Set : Template metadata sample set
Language useden
Citeable Identifier1246.169.3505
Root archetype idopenEHR-EHR-COMPOSITION.report.v1
ReportReport: Document to communicate information to others, commonly in response to a request from another party.
Other Context
Bericht NameBericht Name: Identification information about the report.
  • Intensivmedizinisches Monitoring
StatusStatus: The status of the entire report. Note: This is not the status of any of the report components.
Case identificationCase identification: To record case identification details for public health purposes.
Case identifierCase identifier: The identifier of this case.
Fluid balanceFluid balance: The difference between fluid input and output during a specified interval of time.
Data
Any interval eventAny interval event: Unspecified interval event which may be explicitly defined in a template or at run-time.
Data
Total inputTotal input: The total amount of fluid administered or ingested during a specified interval of time.
>=0; >=0; >=0
Units:
  • ml
  • l
  • fl oz (US)
Total outputTotal output: The total amount of fluid lost or excreted during a specified interval of time.
>=0; >=0; >=0
Units:
  • ml
  • l
  • fl oz (US)
Insensible lossInsensible loss: The amount of fluid loss by evaporation from the skin and respiratory tract.
The insensible loss is calculated using a range of parameters, including: body weight, body temperature, time in open surgery and use of a mechanical ventilator.
>=0; >=0; >=0
Units:
  • ml
  • l
  • fl oz (US)
Fluid balanceFluid balance: The difference between fluid input and output during a specified interval of time.
Fluid Balance = Total Fluid Input - (Total Fluid Output + Insensible Loss).
Units:
  • ml
  • l
  • fl oz (US)
24 hour total24 hour total: Total fluid volume recorded during an interval of 24 hour duration.
Data
Total inputTotal input: The total amount of fluid administered or ingested during a specified interval of time.
>=0; >=0; >=0
Units:
  • ml
  • l
  • fl oz (US)
Total outputTotal output: The total amount of fluid lost or excreted during a specified interval of time.
>=0; >=0; >=0
Units:
  • ml
  • l
  • fl oz (US)
Insensible lossInsensible loss: The amount of fluid loss by evaporation from the skin and respiratory tract.
The insensible loss is calculated using a range of parameters, including: body weight, body temperature, time in open surgery and use of a mechanical ventilator.
>=0; >=0; >=0
Units:
  • ml
  • l
  • fl oz (US)
Fluid balanceFluid balance: The difference between fluid input and output during a specified interval of time.
Fluid Balance = Total Fluid Input - (Total Fluid Output + Insensible Loss).
Units:
  • ml
  • l
  • fl oz (US)
Protocol
Insensible loss formulaInsensible loss formula: The formula used to calculate the amount of insensible loss.
For example: "10 ml/kg/day when not intubated"; "5 ml/kg/day when intubated"; and "+10% per degree celcius over 37C".
Fluid inputFluid input: The amount of fluid ingested or administered to the individual.
Data
Any eventAny event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.
Data
Fluid nameFluid name: Identification of the fluid ingested or administered.
For example: 0.9% NaCl; tea; or parenteral nutrition. The fluid name can be entered manually or derived from the fluid order by the clinical system.
RouteRoute: The delivery route of the fluid.
For example: nasogastric tube; oral; intravenously or intraosseous. The route can be entered manually or derived from the fluid order by the clinical system.
VolumeVolume: The volume of fluid ingested or administered.
The volume can be entered manually or derived from the fluid order by the clinical system.
>=0; >=0; >=0
Units:
  • ml
  • l
  • fl oz (US)
CommentComment: Additional narrative about the fluid input not captured in other fields.
Protocol
MethodMethod: The approach used to quantify the volume of fluid.
  • Estimated 
  • Measured 
Fluid outputFluid output: The measurement of fluid lost or excreted from the body via any mechanism.
Data
Any eventAny event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.
Data
Fluid nameFluid name: Identification of the fluid lost or excreted.
For example: urine or vomit. Coding of fluid name with a terminology is preferred, if possible.
SourceSource: The source from which the fluid is lost or excreted.
For example: drain tube; urinary catheter or nasopharyngal tube. In a clinical application, if the same type of fluid is being observed from two or more sources such as multiple drains from the same wound, the source may be described as “Drain tube 1” and “Drain tube 2”. Coding of the source with a terminology is preferred, where possible.
VolumeVolume: The volume of fluid.
If absorbant material, such as diapers and dressings, are weighed as part of managing fluid loss estimates, the weight will need to be converted to a volume for recording.
>=0; >=0; >=0
Units:
  • ml
  • l
  • fl oz (US)
CommentComment: Additional narrative about the fluid output not captured in other fields.
Protocol
MethodMethod: The approach used to quantify the volume of fluid.
  • Estimated 
  • Measured