ID

42047

Beschreibung

AML Discharge Letter Example V UKM provided by PD Schliemann.

Stichworte

Versionen (3)
  1. 10.12.17 10.12.17 -
  2. 21.12.17 21.12.17 -
  3. 15.03.21 15.03.21 - Dr. rer. medic Philipp Neuhaus
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Med A UKM

Hochgeladen am

15. März 2021

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AML Discharge Letter Example V UKM

Englisch

AML Discharge Letter Example V UKM

1 Formulare  
Administrative Data
Beschreibung

Administrative Data

Alias
UMLS CUI-1
C1320722
Corresponding family physician
Beschreibung

Family physician

Datentyp

text

Alias
UMLS CUI [1]
C1704221
Admission date
Beschreibung

Admission date

Datentyp

date

Alias
UMLS CUI [1]
C1302393
Discharge date
Beschreibung

Discharge date

Datentyp

date

Alias
UMLS CUI [1]
C2361123
Diagnosis
Beschreibung

Diagnosis

Alias
UMLS CUI-1
C0011900
Diagnosis
Beschreibung

Diagnosis

Datentyp

text

Alias
UMLS CUI [1]
C0011900
Date of diagnosis
Beschreibung

Diagnosis Date

Datentyp

date

Alias
UMLS CUI [1]
C2316983
Leucocytes
Beschreibung

Leucocytes

Datentyp

float

Maßeinheiten
  • 1000/µL
Alias
UMLS CUI [1]
C0023508
1000/µL
Hb
Beschreibung

Haemoglobin

Datentyp

float

Maßeinheiten
  • g/dL
Alias
UMLS CUI [1]
C0518015
g/dL
B symptoms
Beschreibung

B symptoms

Datentyp

boolean

Alias
UMLS CUI [1]
C1706867
Cytology (% blasts)
Beschreibung

(% blasts)

Datentyp

integer

Maßeinheiten
  • %
Alias
UMLS CUI [1]
C1982687
%
Moleculargenetics: NPM1
Beschreibung

NPM1

Datentyp

text

Alias
UMLS CUI [1]
C1334894
Cytogenetic
Beschreibung

Cytogenetic

Datentyp

text

Alias
UMLS CUI [1]
C0010802
Secondary Diagnoses
Beschreibung

Secondary Diagnoses

Alias
UMLS CUI-1
C0332138
Secondary diagnoses
Beschreibung

Secondary diagnoses

Datentyp

text

Alias
UMLS CUI [1]
C0332138
Allergies
Beschreibung

Allergies

Alias
UMLS CUI-1
C0020517
Allergies and intolerances
Beschreibung

Allergies

Datentyp

text

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

Therapy and course of disease

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

Treatment Date

Datentyp

date

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

Treatment

Datentyp

text

Alias
UMLS CUI [1]
C0087111
Bone marrow biopsy
Beschreibung

Bone Marrow Biopsy

Datentyp

text

Alias
UMLS CUI [1]
C0005954
Current reason for presentation
Beschreibung

Current reason for presentation

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

Current reason for presentation

Datentyp

text

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

Current Treatment

Datentyp

text

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

Start Date Current Therapy

Datentyp

date

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

End Date Current Therapy

Datentyp

date

Alias
UMLS CUI [1,1]
C0806020
UMLS CUI [1,2]
C2827774
Complication
Beschreibung

Complication

Datentyp

text

Alias
UMLS CUI [1]
C0009566
Medical history
Beschreibung

Medical history

Alias
UMLS CUI-1
C0262926
Medical history
Beschreibung

Medical History

Datentyp

text

Alias
UMLS CUI [1]
C0262926
Physical examination
Beschreibung

Physical examination

Alias
UMLS CUI-1
C0031809
General condition
Beschreibung

General condition

Datentyp

text

Alias
UMLS CUI [1]
C1142435
Weight
Beschreibung

weight

Datentyp

float

Maßeinheiten
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Height
Beschreibung

Height

Datentyp

integer

Maßeinheiten
  • cm
Alias
UMLS CUI [1]
C0005890
cm
BMI
Beschreibung

BMI

Datentyp

float

Alias
UMLS CUI [1]
C1305855
Neurological examination
Beschreibung

Neurological examination

Datentyp

text

Alias
UMLS CUI [1]
C0027853
Goiter
Beschreibung

Goiter

Datentyp

boolean

Alias
UMLS CUI [1]
C0018021
Chest
Beschreibung

Chest

Datentyp

text

Alias
UMLS CUI [1]
C0850563
Lungs
Beschreibung

Lungs

Datentyp

text

Alias
UMLS CUI [1]
C2228454
Heart
Beschreibung

Heart

Datentyp

text

Alias
UMLS CUI [1]
C0562319
Abdomen
Beschreibung

Abdomen

Datentyp

text

Alias
UMLS CUI [1]
C0562238
Limbs
Beschreibung

Limbs

Datentyp

text

Alias
UMLS CUI [1]
C0562241
Lab results
Beschreibung

Lab results

Alias
UMLS CUI-1
C1254595
Lab result date
Beschreibung

Lab Result Date

Datentyp

date

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

Lab Result

Datentyp

text

Alias
UMLS CUI [1]
C1254595
Apparative diagnostics
Beschreibung

Apparative diagnostics

Alias
UMLS CUI-1
C0430022
Apparative diagnostic procedure
Beschreibung

Apparative Diagnostic Procedure

Datentyp

text

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

Apparative Diagnostic Procedure Date

Datentyp

date

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

Apparative Diagnostic Procedure Result

Datentyp

text

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

Inpatient treatment

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

Inpatient Treatment

Datentyp

text

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

Medication list

Alias
UMLS CUI-1
C1553894
Medication
Beschreibung

Pharmaceutical Preparations

Datentyp

text

Alias
UMLS CUI [1]
C0013227
Administration Route
Beschreibung

Administration Route

Datentyp

text

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

Time and Amount

Datentyp

text

Maßeinheiten
  • 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
Beschreibung

Procedures

Alias
UMLS CUI-1
C2700391
Procedures
Beschreibung

Procedures

Datentyp

text

Alias
UMLS CUI [1]
C2700391
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Ähnliche Modelle

AML Discharge Letter Example V UKM

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
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])
B symptoms
Item
B symptoms
boolean
C1706867 (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)
Cytogenetic
Item
Cytogenetic
text
C0010802 (UMLS CUI [1])
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])
Bone Marrow Biopsy
Item
Bone marrow biopsy
text
C0005954 (UMLS CUI [1])
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])
Complication
Item
Complication
text
C0009566 (UMLS CUI [1])
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)
General condition
Item
General condition
text
C1142435 (UMLS CUI [1])
weight
Item
Weight
float
C0005910 (UMLS CUI [1])
Height
Item
Height
integer
C0005890 (UMLS CUI [1])
BMI
Item
BMI
float
C1305855 (UMLS CUI [1])
Neurological examination
Item
Neurological examination
text
C0027853 (UMLS CUI [1])
Goiter
Item
Goiter
boolean
C0018021 (UMLS CUI [1])
Chest
Item
Chest
text
C0850563 (UMLS CUI [1])
Lungs
Item
Lungs
text
C2228454 (UMLS CUI [1])
Heart
Item
Heart
text
C0562319 (UMLS CUI [1])
Abdomen
Item
Abdomen
text
C0562238 (UMLS CUI [1])
Limbs
Item
Limbs
text
C0562241 (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
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
Lung function (Lung function)
C0024119 (UMLS CUI-1)
(Comment:en)
CL Item
Head CT- scan (Head CT- scan)
C0202691 (UMLS CUI-1)
(Comment:en)
CL Item
Transthoracic echocardiography (Transthoracic echocardiography)
C0430462 (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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