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Unified Medical Language System® (UMLS®)

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2011AA Perioperative Nursing Data Set Source Information

Counts

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Attribute Name Description Count (MRSAT.RRF)
RETIRED_CODE Previous/Retired Code 156
INTERPRETIVE_STATEMENT Interpretive Statement 39
SOS Scope Statement 5

Notes

  • Attributes included every discrete piece of information about a concept, an atom, or a relationship that is not part of the basic Metathesaurus concept structure or distributed in one of the relationship files.
  • Attribute Names (ATN) are based on source documentation or NLMs understanding of the source.
  • Sample attribute values (ATV) are provided for each ATN in the source.
  • Sample data highlight examples of ATNs and Attribute Values (ATV) in MRSAT.RRF.
  • See Metathesaurus Documentation for a complete list of attribute names.
  • See Section 2.5 of the UMLS Reference Manual for more information on attributes in the UMLS Metathesaurus.

Sample Data

RETIRED_CODE

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C2945769 A18716408 L9525885 S11967922 SCUI A.10 RETIRED_CODE I26 Confirms patient identity
C1546306 A18716336 L5522408 S11968027 SCUI A.20 RETIRED_CODE I143 Verifies operative procedure, surgical site, and laterality
C1269736 A18716484 L2973451 S3614065 SCUI A.20.1 RETIRED_CODE I124 Verifies consent for planned procedure
C1269735 A18716386 L2815927 S3614064 SCUI A.30 RETIRED_CODE I123 Verifies allergies
C1546289 A18716313 L5522380 S11968028 SCUI A.40 RETIRED_CODE I127 Verifies presence of prosthetics or corrective devices
C1269814 A18716311 L2860719 S3557477 SCUI A.200.1 RETIRED_CODE I131 Assesses risk for inadvertent hypothermia
C1546267 A18716407 L5522362 S11967945 SCUI A.220 RETIRED_CODE I59 Identifies baseline cardiac status
C2945773 A18716385 L9525945 S11968022 SCUI A.220.1 RETIRED_CODE I58 Reports the presence of implantable cardiac devices
C1269818 A18716460 L2860705 S3557418 SCUI A.240.1 RETIRED_CODE I142 Assesses history of previous radiation exposure
C1269820 A18716405 L2860635 S3557388 SCUI A.250 RETIRED_CODE I144 Assesses baseline neurological status
C0028708 A18716483 L2860714 S3557437 SCUI A.260.1 RETIRED_CODE I148 Assesses nutritional habits and patterns
C1269664 A18716383 L2860726 S11967916 SCUI A.260.2 RETIRED_CODE I18 Assesses psychosocial issues specific to the patient's nutritional status
C1546268 A18716357 L5522323 S11967953 SCUI A.280.1 RETIRED_CODE I64 Identifies physical alterations that require additional precautions for procedure-specific positioning
C2945781 A18716382 L9525888 S11967951 SCUI A.310 RETIRED_CODE I132 Identifies factors associated with an increased risk for hemorrhage or fluid and electrolyte imbalance
C2945782 A18716482 L9525883 S11968020 SCUI A.340 RETIRED_CODE I111 Reports deviation in diagnostic study results
C2945783 A18716457 L9525893 S11968019 SCUI A.340.1 RETIRED_CODE I110 Reports deviation in arterial blood gas studies
C1161170 A18716428 L2860694 S3557447 SCUI A.360 RETIRED_CODE I16 Assesses pain control
C1269709 A18716427 L2969619 S3360778 SCUI A.360.1 RETIRED_CODE I61 Identifies cultural and value components related to pain
C1546270 A18716356 L5522398 S11967955 SCUI A.510 RETIRED_CODE I68 Identifies psychosocial status

INTERPRETIVE_STATEMENT

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C2945813 A18716367 L9525923 S11967976 SCUI O.10 INTERPRETIVE_STATEMENT Prevention of injury requires application of knowledge regarding effects of thermal sources during an operative or invasive procedure. Care must be taken to ensure patient care modalities are used in accordance to the intended functionality. Patient is free from signs and symptoms of injury related to thermal sources
C2945814 A18716413 L9525910 S11967980 SCUI O.20 INTERPRETIVE_STATEMENT Prevention of injury requires application of knowledge regarding the appropriate utilization of items used during the operative or invasive procedure. Care must be taken to ensure removal of extraneous item from the procedural site before closure. Patient is free from unintended retained foreign objects
C2945815 A18716464 L9525912 S11968000 SCUI O.30 INTERPRETIVE_STATEMENT Clinical processes support patient participation in identification of the correct procedure on the correct side including laterality and/or level. Care is individualized to address the unique needs of each patient. Patient's procedure is performed on the correct site, side, and level
C2945816 A18716443 L9525935 S11968003 SCUI O.40 INTERPRETIVE_STATEMENT Prevention of patient harm requires application of knowledge regarding specimen management. The specimen(s) will be correctly obtained, identified, labeled, processed, stored, preserved and transported. Patient's specimen(s) is managed in the appropriate manner
C2945817 A18716366 L9525882 S11967993 SCUI O.50 INTERPRETIVE_STATEMENT Caregivers convey information regarding patient current status to colleagues whenever transferring care to another caregiver. Confidentiality of information remains an integral component of patient privacy and will be maintained. Patient's current status is communicated throughout the continuum of care
C1546219 A18716365 L5522343 S11967974 SCUI O.60 INTERPRETIVE_STATEMENT Performance of an operative or other invasive procedure requires the use of a variety of equipment (eg, IVs, tracheostomy tubes, pneumatic tourniquet, thermal blanket, and sequential compression devices). Prevention of injury requires application of knowledge regarding each item used during the operative or invasive procedure. Care must be taken to ensure the proper use, function, and coordination of these items so they serve their intended therapeutic purposes. Patient is free from signs and symptoms of injury caused by extraneous objects
C1546221 A18716364 L5522345 S11967972 SCUI O.70 INTERPRETIVE_STATEMENT Prevention of electrical injury requires application of principles of electrosurgical safety, routine maintenance, and knowledge of potential hazards. Performance of the operative or other invasive procedure relies on many electrical devices, notably the electrosurgical unit (ESU). Electrical equipment must be used according to manufactures' documented instructions. Patient is free from signs and symptoms of electrical injury
C1546223 A18716363 L5522348 S11967975 SCUI O.80 INTERPRETIVE_STATEMENT Prevention of positioning injury requires application of the principles of body mechanics, ongoing assessment throughout the perioperative period, and coordination with the entire health care team. Preexisting conditions (egg, poor nutritional status, extremes of age, vascular insufficiency, diabetes, impaired nerve function) may increase the patient's risk of injury. Other factors, independent of nursing care (egg, type and length of procedure, type of anesthesia) can contribute to the risk of positioning injury. Patient is free from signs and symptoms of injury related to positioning
C1546225 A18716291 L5522347 S11967978 SCUI O.90 INTERPRETIVE_STATEMENT Prevention of laser injury requires application of laser safety principles, coordination with the entire health care team, and knowledge of hazards. Policies that address credentialing of personnel, laser safety, and maintenance must be in accordance with national regulatory standards and manufacturers' documented instructions. Patient is free from signs and symptoms of laser injury
C1546220 A18716340 L5522344 S11967971 SCUI O.100 INTERPRETIVE_STATEMENT Hazards arise from the use of a variety of chemicals in the perioperative environment. Prevention of chemical injury requires application of knowledge of the proper use of each chemical compound. Preexisting patients conditions (egg, open wounds, skin condition, immune status, previous chemical exposure) can influence patient susceptibility to chemical injury. Length of exposure to a chemical may increase the likelihood of injury. These chemicals include, but are not limited to: cleaning solutions, skin prep solutions, pharmaceuticals (egg, irrigation solutions), methylmethacrylate, and tissue preservatives (egg, formalin). Patient is free from signs and symptoms of chemical injury
C1546226 A18716442 L5522349 S11967979 SCUI O.110 INTERPRETIVE_STATEMENT Prevention of radiation injury requires the application of principles of physics and radiologic safety standards. Policies addressing education, credentialing, and radiologic safety and maintenance must be in accordance with national regulatory standards and manufacturers' documented instructions. Preexisting patient conditions (e.g., length of and /or previous exposure) can influence the patient's susceptibility to radiologic injury. Radiation exposure is limited to the target site. Patient is free from signs and symptoms of radiation injury
C1546228 A18716441 L5522350 S11967977 SCUI O.120 INTERPRETIVE_STATEMENT Prevention of patient injury during transfer/transport requires application of principles of body mechanics, knowledge of transfer/transport techniques and equipment, and coordination of the entire health care team. Appropriate restraints or safety devices are used in accordance with regulatory standards and manufacturers' documented instructions. The condition of the patient will determine the qualifications and number of health care providers necessary during transfer/transport to ensure safety. Transfer/transport injuries may include skin damage from shearing, falls, fracture, or neuromuscular injury. Patient is free from signs and symptoms of injury related to transfer/transport
C2945818 A18716290 L9525944 S11967989 SCUI O.130 INTERPRETIVE_STATEMENT Medications administered must be within the defined scope of nursing practice. Safe administration of medications during the perioperative period requires knowledge of the intended purpose and side effects of each medication and the patient's condition and current medication usage. Documentation should reflect name, dose, route, time, and effects of all medications administered. Patient receives appropriately administered medication(s)
C2945819 A18716362 L9525899 S11968006 SCUI O.200 INTERPRETIVE_STATEMENT Adequate wound perfusion is necessary to promote optimal healing and maintain cellular function. Preexisting conditions (e.g., diabetes, vascular disease) and patient behaviors (e.g., smoking) can interfere with the adequate perfusion of both oxygen and nutrients. Patient's wound perfusion is consistent with or improved from baseline levels
C2945820 A18716361 L9525903 S11968004 SCUI O.210 INTERPRETIVE_STATEMENT Adequate tissue perfusion is necessary to promote optimal healing and maintain cellular function. Preexisting conditions (e.g., diabetes, vascular disease) and patient behaviors (egg, smoking) can interfere with the adequate perfusion of both oxygen and nutrients. Patient's tissue perfusion is consistent with or improved from baseline levels
C2945821 A18716391 L9525896 S11967996 SCUI O.220 INTERPRETIVE_STATEMENT Adequate gastrointestinal status is essential to maintenance of nutrition and elimination of waste products. Adequate gastrointestinal status is critical to absorption of calories, protein, fats, vitamins and minerals. Patient's gastrointestinal status is maintained at or improved from baseline levels
C2945822 A18716412 L9525891 S11967997 SCUI O.230 INTERPRETIVE_STATEMENT Adequate genitourinary status is essential to renal function. Patient's genitourinary status is maintained at or improved from baseline levels
C2945823 A18716317 L9525897 S11967998 SCUI O.250 INTERPRETIVE_STATEMENT Adequate musculoskeletal status is essential to functional mobility and the regulation of calcium and phosphorus ions in body fluids. Patient's musculoskeletal status is maintained at or improved from baseline levels
C2945824 A18716463 L9525928 S11967994 SCUI O.260 INTERPRETIVE_STATEMENT The endocrine system with the secretion of hormones regulate cellular metabolism by influencing the rates of biochemical reactions to achieve homeostasis. Adequate hormone responses are critical to maintenance of physiologic equilibrium realized with homeostasis (egg, insulin secretion in response to hyperglycemia; epinephrine secretion during profound hypoglycemia; antidiuretic hormone secretion in the presence of increased osmolarity of the plasma; the instantaneous hypersecretion of pituitary adrenocorticotrophic hormone (ACTH) in response to many noxious stimuli; growth hormone to severe muscular exercise and of aldosterone to hemorrhage-induced hypovolemia). Several aspects are monitored throughout the perioperative period. Patient's endocrine status is maintained at or improved from baseline levels

SOS

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0036043 A8311251 L0036043 S0083679 SCUI D1 SOS Freedom from acquired physical injury Safety
C1546213 A8311380 L5522412 S6317332 SCUI D2 SOS Physiologic responses to surgery are as expected. Physiologic Responses
C1546214 A8311464 L5522366 S6317416 SCUI D3-A SOS Knowledge about the perioperative process. Behavioral Responses - Patient and Family: Knowledge
C1546215 A8311465 L5522365 S6317417 SCUI D3-B SOS Patient rights and ethics are supported. Behavioral Responses - Patient and Family: Rights/Ethics
C1456613 A18716314 L5189360 S5926707 SCUI D4 SOS The environment of perioperative settings. Health System