ID

11794

Description

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

Keywords

  1. 8/4/15 8/4/15 - Julian Varghese
Uploaded on

August 4, 2015

DOI

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License

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
Description

Discharge Header

Patient Name
Description

Patient Name

Data type

text

Alias
UMLS CUI-1
C1299487
Date of Birth
Description

Date of Birth

Data type

date

Alias
UMLS CUI-1
C0421451
Address
Description

Address

Data type

text

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

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

Data type

text

Admission Date
Description

Admission Date

Data type

date

Alias
UMLS CUI-1
C1302393
Discharge Date
Description

Discharge Date

Data type

date

Alias
UMLS CUI-1
C2361123
Recipient
Description

Recipient

Data type

text

Alias
UMLS CUI-1
C1709854
Medical Report
Description

Medical Report

Previous findings
Description

Previous Findings

Data type

text

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

Diagnoses

Data type

text

Alias
UMLS CUI-1
C0011900
Therapeutic Procedures
Description

Therapeutic Procedures

Data type

text

Alias
UMLS CUI-1
C0087111
Clinical Course
Description

Clinical Course

Data type

text

Alias
UMLS CUI-1
C0449259
Planned Procedures
Description

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

Data type

text

Alias
UMLS CUI-1
C1320712
Discharge Medication
Description

Discharge Medication

Data type

text

Alias
UMLS CUI-1
C0489553
Footer
Description

Footer

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

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

Data type

text

Physician Signature
Description

Physician's Signature

Data type

text

Alias
UMLS CUI-1
C1519316

Similar models

Physician's discharge letter for Trauma Surgery Clinic UKM

Name
Type
Description | Question | Decode (Coded Value)
Data type
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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