ID

42036

Description

AML Discharge Letter Example I UKM provided by PD Schliemann.

Mots-clés

Versions (2)
  1. 08/12/2017 08/12/2017 -
  2. 15/03/2021 15/03/2021 - Dr. rer. medic Philipp Neuhaus
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Med A UKM

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15 mars 2021

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Creative Commons BY-NC 3.0
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AML Discharge Letter Example I UKM

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AML Discharge Letter Example I UKM

1 Formulaires  
Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
Corresponding family physician
Description

Family physician

Type de données

text

Alias
UMLS CUI [1]
C1704221
Admission date
Description

Admission date

Type de données

date

Alias
UMLS CUI [1]
C1302393
Discharge date
Description

Discharge date

Type de données

date

Alias
UMLS CUI [1]
C2361123
Diagnosis
Description

Diagnosis

Alias
UMLS CUI-1
C0011900
Diagnosis
Description

Diagnosis

Type de données

text

Alias
UMLS CUI [1]
C0011900
Date of diagnosis
Description

Diagnosis Date

Type de données

date

Alias
UMLS CUI [1]
C2316983
Leucocytes
Description

Leucocytes

Type de données

float

Unités de mesure
  • 1000/µL
Alias
UMLS CUI [1]
C0023508
1000/µL
Hb
Description

Haemoglobin

Type de données

float

Unités de mesure
  • g/dL
Alias
UMLS CUI [1]
C0518015
g/dL
Thrombocytes
Description

Thrombocytes

Type de données

float

Unités de mesure
  • 1000/µL
Alias
UMLS CUI [1]
C0005821
1000/µL
Cytology (% blasts)
Description

(% blasts)

Type de données

integer

Unités de mesure
  • %
Alias
UMLS CUI [1]
C1982687
%
Moleculargenetics: NPM1
Description

NPM1

Type de données

text

Alias
UMLS CUI [1]
C1334894
Secondary Diagnoses
Description

Secondary Diagnoses

Alias
UMLS CUI-1
C0332138
Secondary diagnoses
Description

Secondary diagnoses

Type de données

text

Alias
UMLS CUI [1]
C0332138
Allergies
Description

Allergies

Alias
UMLS CUI-1
C0020517
Allergies and intolerances
Description

Allergies

Type de données

text

Alias
UMLS CUI [1]
C0020517
Therapy and course of disease
Description

Therapy and course of disease

Alias
UMLS CUI-1
C0087111
UMLS CUI-3
C0449259
Treatment Date
Description

Treatment Date

Type de données

date

Alias
UMLS CUI [1,1]
C3173309
UMLS CUI [1,2]
C0279025
Treatment
Description

Treatment

Type de données

text

Alias
UMLS CUI [1]
C0087111
Complications
Description

Complications

Type de données

text

Alias
UMLS CUI [1]
C0009566
Therapy for complications
Description

Therapy Complications

Type de données

text

Alias
UMLS CUI [1,1]
C0009566
UMLS CUI [1,2]
C0087111
Date bone marrow biopsy
Description

Date Bone Marrow Biopsy

Type de données

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C2238269
Day bone marrow biopsy
Description

Day Bone Marrow Biopsy

Type de données

integer

Alias
UMLS CUI [1,1]
C2238269
UMLS CUI [1,2]
C0439228
Cytology (% blasts)
Description

(% blasts)

Type de données

integer

Unités de mesure
  • %
Alias
UMLS CUI [1]
C1982687
%
Moleculargenetics: NPM1
Description

NPM1

Type de données

text

Alias
UMLS CUI [1]
C1334894
Current reason for presentation
Description

Current reason for presentation

Alias
UMLS CUI-1
C0392360
UMLS CUI-2
C0809949
Current reason for presentation
Description

Current reason for presentation

Type de données

text

Alias
UMLS CUI [1,1]
C0392360
UMLS CUI [1,2]
C0809949
Current treatment
Description

Current Treatment

Type de données

text

Alias
UMLS CUI [1]
C2827774
Start date of current therapy
Description

Start Date Current Therapy

Type de données

date

Alias
UMLS CUI [1,1]
C3173309
UMLS CUI [1,2]
C2827774
End date current therapy
Description

End Date Current Therapy

Type de données

date

Alias
UMLS CUI [1,1]
C0806020
UMLS CUI [1,2]
C2827774
Immunophenotyping
Description

Immunophenotyping

Alias
UMLS CUI-1
C0079611
Immunophenotyping state family
Description

Immunophenotyping state family

Type de données

text

Alias
UMLS CUI [1,1]
C0079611
UMLS CUI [1,2]
C0086282
Medical history
Description

Medical history

Alias
UMLS CUI-1
C0262926
Medical history
Description

Medical History

Type de données

text

Alias
UMLS CUI [1]
C0262926
Physical examination
Description

Physical examination

Alias
UMLS CUI-1
C0031809
Lab results
Description

Lab results

Alias
UMLS CUI-1
C1254595
Lab result date
Description

Lab Result Date

Type de données

date

Alias
UMLS CUI [1,1]
C1254595
UMLS CUI [1,2]
C0011008
Lab result
Description

Lab Result

Type de données

text

Alias
UMLS CUI [1]
C1254595
Apparative diagnostics
Description

Apparative diagnostics

Alias
UMLS CUI-1
C0430022
Apparative diagnostic procedure
Description

Apparative Diagnostic Procedure

Type de données

text

Alias
UMLS CUI [1]
C0430022
Date of apparative diagnostic procedure
Description

Apparative Diagnostic Procedure Date

Type de données

date

Alias
UMLS CUI [1,1]
C0430022
UMLS CUI [1,2]
C0011008
Apparative diagnostic procedure result
Description

Apparative Diagnostic Procedure Result

Type de données

text

Alias
UMLS CUI [1,1]
C0430022
UMLS CUI [1,2]
C1274040
Inpatient treatment
Description

Inpatient treatment

Alias
UMLS CUI-1
C0021562
UMLS CUI-2
C0087111
Inpatient treatment and course of care
Description

Inpatient Treatment

Type de données

text

Alias
UMLS CUI [1,1]
C0021562
UMLS CUI [1,2]
C0087111
Medication list
Description

Medication list

Alias
UMLS CUI-1
C1553894
Medication
Description

Pharmaceutical Preparations

Type de données

text

Alias
UMLS CUI [1]
C0013227
Administration Route
Description

Administration Route

Type de données

text

Alias
UMLS CUI [1]
C0013153
Time and amount of medication administration
Description

Time and Amount

Type de données

text

Unités de mesure
  • x-x-x-x
Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0040223
UMLS CUI [1,3]
C0805077
x-x-x-x
Procedures
Description

Procedures

Alias
UMLS CUI-1
C2700391
Procedures
Description

Procedures

Type de données

text

Alias
UMLS CUI [1]
C2700391
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Similar models

AML Discharge Letter Example I UKM

1 Formulaires
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Family physician
Item
Corresponding family physician
text
C1704221 (UMLS CUI [1])
Admission date
Item
Admission date
date
C1302393 (UMLS CUI [1])
Discharge date
Item
Discharge date
date
C2361123 (UMLS CUI [1])
Item Group
Diagnosis
C0011900 (UMLS CUI-1)
Diagnosis
Item
Diagnosis
text
C0011900 (UMLS CUI [1])
Diagnosis Date
Item
Date of diagnosis
date
C2316983 (UMLS CUI [1])
Leucocytes
Item
Leucocytes
float
C0023508 (UMLS CUI [1])
Haemoglobin
Item
Hb
float
C0518015 (UMLS CUI [1])
Thrombocytes
Item
Thrombocytes
float
C0005821 (UMLS CUI [1])
Blasts
Item
Cytology (% blasts)
integer
C1982687 (UMLS CUI [1])
Item
Moleculargenetics: NPM1
text
C1334894 (UMLS CUI [1])
NPM1
Code List
Moleculargenetics: NPM1
CL Item
negative (negative)
CL Item
positive (positive)
CL Item
not applicable (not applicable)
Item Group
Secondary Diagnoses
C0332138 (UMLS CUI-1)
Secondary diagnoses
Item
Secondary diagnoses
text
C0332138 (UMLS CUI [1])
Item Group
Allergies
C0020517 (UMLS CUI-1)
Allergies
Item
Allergies and intolerances
text
C0020517 (UMLS CUI [1])
Item Group
Therapy and course of disease
C0087111 (UMLS CUI-1)
C0449259 (UMLS CUI-3)
Treatment Date
Item
Treatment Date
date
C3173309 (UMLS CUI [1,1])
C0279025 (UMLS CUI [1,2])
Treatment
Item
Treatment
text
C0087111 (UMLS CUI [1])
Complications
Item
Complications
text
C0009566 (UMLS CUI [1])
Therapy Complications
Item
Therapy for complications
text
C0009566 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
Date Bone Marrow Biopsy
Item
Date bone marrow biopsy
date
C0011008 (UMLS CUI [1,1])
C2238269 (UMLS CUI [1,2])
Day Bone Marrow Biopsy
Item
Day bone marrow biopsy
integer
C2238269 (UMLS CUI [1,1])
C0439228 (UMLS CUI [1,2])
Blasts
Item
Cytology (% blasts)
integer
C1982687 (UMLS CUI [1])
Item
Moleculargenetics: NPM1
text
C1334894 (UMLS CUI [1])
NPM1
Code List
Moleculargenetics: NPM1
CL Item
negative (negative)
CL Item
positive (positive)
CL Item
not applicable (not applicable)
Item Group
Current reason for presentation
C0392360 (UMLS CUI-1)
C0809949 (UMLS CUI-2)
Current reason for presentation
Item
Current reason for presentation
text
C0392360 (UMLS CUI [1,1])
C0809949 (UMLS CUI [1,2])
Current Treatment
Item
Current treatment
text
C2827774 (UMLS CUI [1])
Start Date Current Therapy
Item
Start date of current therapy
date
C3173309 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
End Date Current Therapy
Item
End date current therapy
date
C0806020 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
Item Group
Immunophenotyping
C0079611 (UMLS CUI-1)
Immunophenotyping state family
Item
Immunophenotyping state family
text
C0079611 (UMLS CUI [1,1])
C0086282 (UMLS CUI [1,2])
Item Group
Medical history
C0262926 (UMLS CUI-1)
Medical History
Item
Medical history
text
C0262926 (UMLS CUI [1])
Item Group
Physical examination
C0031809 (UMLS CUI-1)
Item Group
Lab results
C1254595 (UMLS CUI-1)
Lab Result Date
Item
Lab result date
date
C1254595 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Lab Result
Item
Lab result
text
C1254595 (UMLS CUI [1])
Item Group
Apparative diagnostics
C0430022 (UMLS CUI-1)
Item
Apparative diagnostic procedure
text
C0430022 (UMLS CUI [1])
Apparative Diagnostic Procedure
Code List
Apparative diagnostic procedure
CL Item
ECG (ECG)
C1623258 (UMLS CUI-1)
(Comment:en)
CL Item
Thoracic x-ray (Thoracic x-ray)
C0039985 (UMLS CUI-1)
(Comment:en)
CL Item
Bone marrow examination with cytology, immunophenotyping and pathology (Bone marrow examination with cytology, immunophenotyping and pathology)
C0005957 (UMLS CUI-1)
(Comment:en)
CL Item
Abdominal computed tomography (Abdominal computertomography)
C0412620 (UMLS CUI-1)
(Comment:en)
CL Item
Thoracic computed tomography (Thoracic computertomography)
C0202823 (UMLS CUI-1)
(Comment:en)
CL Item
Duplex-sonographic examination (Duplex-sonographic examination)
C0242845 (UMLS CUI-1)
(Comment:en)
Apparative Diagnostic Procedure Date
Item
Date of apparative diagnostic procedure
date
C0430022 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Apparative Diagnostic Procedure Result
Item
Apparative diagnostic procedure result
text
C0430022 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
Item Group
Inpatient treatment
C0021562 (UMLS CUI-1)
C0087111 (UMLS CUI-2)
Inpatient Treatment
Item
Inpatient treatment and course of care
text
C0021562 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
Item Group
Medication list
C1553894 (UMLS CUI-1)
Pharmaceutical Preparations
Item
Medication
text
C0013227 (UMLS CUI [1])
Administration Route
Item
Administration Route
text
C0013153 (UMLS CUI [1])
Time and Amount
Item
Time and amount of medication administration
text
C0013227 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
C0805077 (UMLS CUI [1,3])
Item Group
Procedures
C2700391 (UMLS CUI-1)
Procedures
Item
Procedures
text
C2700391 (UMLS CUI [1])
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