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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
Versions (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
- StudyEvent: ODM
Similar models
Physician's discharge letter for Trauma Surgery Clinic UKM
- StudyEvent: ODM
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
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)
Previous Findings
Item
Previous findings
text
C0205156 (UMLS CUI-1)
C0243095 (UMLS CUI-2)
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)
Footer text
Item
We thank you for your co-operation! Sincerely yours,
text
Physician's Signature
Item
Physician Signature
text
C1519316 (UMLS CUI-1)