Narrative Review: Death: Difference between revisions
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__NOTOC__ | |||
{{Narrative Review}} | |||
{{CMG}}; {{AE}}{{MJ}} | |||
{| class="wikitable" | {| class="wikitable" | ||
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|x | |x | ||
| | | | ||
| | |MM/DD/YYYY | ||
|xxx | |xxx | ||
|} | |} | ||
== Event== | |||
'''Addmission date:''' MM/DD/YYYY | |||
'''Demographic:''' [age] year old [gender] | |||
'''Site Reported Event Onset Date:''' MM/DD/YYYY | |||
'''Event summary''': | |||
* ''' | *'''Symptoms and sign''': | ||
**Subject presented with [sign and symptom] on MM/DD/YYYY. | |||
**Important characteristics of the chief complaint such as severity, site, and duration. | |||
**Other important symptoms related to the chief complaint. | |||
* ''' | *'''Past Medical History:''' [eg. CAD, Severe mitral stenosis, former tobacco use, dyslipidemia, ...] | ||
* ''' | *'''Past Surgical History:''' [including date] | ||
* | *'''Medications:''' [relevant to the event not all] | ||
*'''Physical assessment:''' | |||
**Vital signs | |||
* | **Positive physical examinations or related negative examinations. | ||
** Vital signs | '''Event (2): [If there is more than 1 event]''' | ||
** Positive physical examinations or related negative examinations. | ==Procedure== | ||
*'''Index Procedure Date/Time''': | |||
== Laboratory data and | **mm/dd/YYYY at xx:xx [insert date and time] | ||
*'''Index Procedure Detail''': | |||
**On mm/dd/YYYY at xx:xx [insert date and time] the subject underwent a [select surgical correction] for [select etiology]. | |||
**Access site details | |||
**The site reported that there were/were not procedural complication(s). | |||
== Laboratory data, Imaging and tests == | |||
* '''Lab studies:''' | * '''Lab studies:''' | ||
** Date/ name/ value | |||
* '''ECG / date:''' | * '''ECG / date:''' | ||
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* '''ECHO / date:''' | * '''ECHO / date:''' | ||
* '''CXR / date:''' | * '''CXR / date:''' | ||
* '''Ultrasound''' | |||
* '''Endoscopy''' | |||
* '''Colonoscopy''' | |||
* '''Other imaging and diagnostic tests / date:''' | * '''Other imaging and diagnostic tests / date:''' | ||
== | ==Consults== | ||
*Date and time of consult | *Date and time of consult | ||
*Suggested treatments | *Suggested treatments | ||
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==Treatment and outcome== | ==Treatment and outcome== | ||
*List of relevant medical treatments | *List of relevant medical treatments | ||
* | *Outcome [Discharge / Hospice / Death] |
Latest revision as of 14:39, 21 June 2018
Narrative Review |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mehrian Jafarizade, M.D [2]
Site | Patient | AE | Complication | Event date | AE code |
---|---|---|---|---|---|
xxx | xxx | x | MM/DD/YYYY | xxx |
Event
Addmission date: MM/DD/YYYY
Demographic: [age] year old [gender]
Site Reported Event Onset Date: MM/DD/YYYY
Event summary:
- Symptoms and sign:
- Subject presented with [sign and symptom] on MM/DD/YYYY.
- Important characteristics of the chief complaint such as severity, site, and duration.
- Other important symptoms related to the chief complaint.
- Past Medical History: [eg. CAD, Severe mitral stenosis, former tobacco use, dyslipidemia, ...]
- Past Surgical History: [including date]
- Medications: [relevant to the event not all]
- Physical assessment:
- Vital signs
- Positive physical examinations or related negative examinations.
Event (2): [If there is more than 1 event]
Procedure
- Index Procedure Date/Time:
- mm/dd/YYYY at xx:xx [insert date and time]
- Index Procedure Detail:
- On mm/dd/YYYY at xx:xx [insert date and time] the subject underwent a [select surgical correction] for [select etiology].
- Access site details
- The site reported that there were/were not procedural complication(s).
Laboratory data, Imaging and tests
- Lab studies:
- Date/ name/ value
- ECG / date:
- ECHO / date:
- CXR / date:
- Ultrasound
- Endoscopy
- Colonoscopy
- Other imaging and diagnostic tests / date:
Consults
- Date and time of consult
- Suggested treatments
Clinical course
- Date and time of events,
- Patient condition got worse or better.
Treatment and outcome
- List of relevant medical treatments
- Outcome [Discharge / Hospice / Death]