ID

11794

Beschrijving

Items used as routine documentation by Trauma Surgery Clinic, University Hostpital Muenster. ODM derived from original form AB MS UCH POLI.

Trefwoorden

  1. 04-08-15 04-08-15 - Julian Varghese
Geüploaded op

4 augustus 2015

DOI

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Licentie

Creative Commons BY-NC 3.0 Legacy

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Physician's discharge letter for Trauma Surgery Clinic UKM

Physician's discharge letter for Trauma Surgery Clinic UKM

Discharge Header
Beschrijving

Discharge Header

Patient Name
Beschrijving

Patient Name

Datatype

text

Alias
UMLS CUI-1
C1299487
Date of Birth
Beschrijving

Date of Birth

Datatype

date

Alias
UMLS CUI-1
C0421451
Address
Beschrijving

Address

Datatype

text

Alias
UMLS CUI-1
C0421449
We report on the in-patient stay of [Patient Name] from [Admission Date] to [Discharge Date].
Beschrijving

We report on the in-patient stay of [Patient Name] from [Admission Date] to [Discharge Date].

Datatype

text

Admission Date
Beschrijving

Admission Date

Datatype

date

Alias
UMLS CUI-1
C1302393
Discharge Date
Beschrijving

Discharge Date

Datatype

date

Alias
UMLS CUI-1
C2361123
Recipient
Beschrijving

Recipient

Datatype

text

Alias
UMLS CUI-1
C1709854
Medical Report
Beschrijving

Medical Report

Previous findings
Beschrijving

Previous Findings

Datatype

text

Alias
UMLS CUI-1
C0205156
UMLS CUI-2
C0243095
Diagnoses
Beschrijving

Diagnoses

Datatype

text

Alias
UMLS CUI-1
C0011900
Therapeutic Procedures
Beschrijving

Therapeutic Procedures

Datatype

text

Alias
UMLS CUI-1
C0087111
Clinical Course
Beschrijving

Clinical Course

Datatype

text

Alias
UMLS CUI-1
C0449259
Planned Procedures
Beschrijving

Further medical instructions, advise or procedures to the patient and its primary care physician

Datatype

text

Alias
UMLS CUI-1
C1320712
Discharge Medication
Beschrijving

Discharge Medication

Datatype

text

Alias
UMLS CUI-1
C0489553
Footer
Beschrijving

Footer

We thank you for your co-operation! Sincerely yours,
Beschrijving

We thank you for the admission of the patient! Sincerely yours,

Datatype

text

Physician Signature
Beschrijving

Physician's Signature

Datatype

text

Alias
UMLS CUI-1
C1519316

Similar models

Physician's discharge letter for Trauma Surgery Clinic UKM

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Discharge Header
Patient Name
Item
Patient Name
text
C1299487 (UMLS CUI-1)
Date of Birth
Item
Date of Birth
date
C0421451 (UMLS CUI-1)
Address
Item
Address
text
C0421449 (UMLS CUI-1)
Discharge introduction text
Item
We report on the in-patient stay of [Patient Name] from [Admission Date] to [Discharge Date].
text
Admission Date
Item
Admission Date
date
C1302393 (UMLS CUI-1)
Discharge Date
Item
Discharge Date
date
C2361123 (UMLS CUI-1)
Recipient
Item
Recipient
text
C1709854 (UMLS CUI-1)
Item Group
Medical Report
Previous Findings
Item
Previous findings
text
C0205156 (UMLS CUI-1)
C0243095 (UMLS CUI-2)
Diagnoses
Item
Diagnoses
text
C0011900 (UMLS CUI-1)
Therapeutic Procedures
Item
Therapeutic Procedures
text
C0087111 (UMLS CUI-1)
Clinical Course
Item
Clinical Course
text
C0449259 (UMLS CUI-1)
Planned Procedures
Item
Planned Procedures
text
C1320712 (UMLS CUI-1)
Discharge Medication
Item
Discharge Medication
text
C0489553 (UMLS CUI-1)
Item Group
Footer
Footer text
Item
We thank you for your co-operation! Sincerely yours,
text
Physician's Signature
Item
Physician Signature
text
C1519316 (UMLS CUI-1)

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