Narrative Review: Stroke: Difference between revisions

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** The site reported that there were/were not procedural complication(s).  
** The site reported that there were/were not procedural complication(s).  


== Event ==
== Event(s) ==
* '''Event''':
'''Event (1):'''
* '''Site Reported Event Onset Date:''' xx/xx/xxxx


* '''Site Reported Event Onset Date:''' xx/xx/xxxx
* '''Event summary''':
** Symptoms and sign: Subject presented with [sign and symptom] on xx/xx/xxxx.
** Important characteristics of the chief complaint such as severity, site, and duration.
** Other important symptoms related to the chief compliant.
** Physical assessment: 
** Vital signs
** Positive physical examinations or related negative examinations.
'''Event (2):'''
*'''Site Reported Event Onset Date:''' xx/xx/xxxx
* '''Event summary''':  
* '''Event summary''':  
** Symptoms and sign: Subject presented with [sign and symptom] on xx/xx/xxxx.  
** Symptoms and sign: Subject presented with [sign and symptom] on xx/xx/xxxx.  
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** Physical assessment:   
** Physical assessment:   
** Vital signs  
** Vital signs  
** Positive physical examinations or related negative examinations.  
** Positive physical examinations or related negative examinations.


== Laboratory data, Imaging and tests ==
== Laboratory data, Imaging and tests ==
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'''Site:'''
'''AE:'''
'''Complication:'''
'''Event date:'''
'''Adverse event code:'''
* '''Demograghic''': [age] year old [gender]
* '''Past Medical History:''' [eg. CAD, Severe mitral stenosis, former tobacco use, dyslipidemia, ...]
* '''Index Procedure Date/Time''': xx/xx/xxxx at xx:xx  [insert date and time]
* '''Index Procedure Detail''': 
** On [insert date and time] the subject underwent a [select surgical correction] for [select etiology].
** Enter access site details
** Baseline MR severity was classified as [select none, trace, mild, mild-moderate, moderate, moderate-severe-severe] and post-implant MR was classified as [select severity].
** The site reported that there were/were not procedural complication(s).
* '''Event''':
* '''Site Reported Event Onset Date:''' xx/xx/xxxx
* '''Event summary''':
** Symptoms and sign: Subject presented with [sign and symptom] on xx/xx/xxxx.
** Important characteristics of the chief complaint such as severity, site, and duration.
** Other important symptoms related to the chief compliant.
** Physical assessment: 
** Vital sign
** Positive physical examinations or related negative examinations.
* '''Lab studies:'''
** Date/ name/ value [ as a list ]


* '''Brain, carotid Imaging/tests:'''
* '''Brain, carotid Imaging/tests:'''
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* '''Other relevant clinical clues/ Date:'''
* '''Other relevant clinical clues/ Date:'''
* '''Clinical course''':
* '''Treatment:'''
* '''Outcome / date:''' [Discharge / Hospice / Death]

Revision as of 18:14, 14 June 2018

Site Patient AE Complication Event date AE code
xxx xxx x xx/xx/xxxx xxx

Demographic / Medical history

  • [age] year old [gender]
  • Past Medical History: [eg. VHD, anticoagulant usage, diabetes, and CAD,.../ including date]
  • Past Surgical History: [including date]

Procedure

  • Index Procedure Date/Time:
    • xx/xx/xxxx at xx:xx [insert date and time]
  • Index Procedure Detail:
    • On xx/xx/xxxx 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).

Event(s)

Event (1):

  • Site Reported Event Onset Date: xx/xx/xxxx
  • Event summary:
    • Symptoms and sign: Subject presented with [sign and symptom] on xx/xx/xxxx.
    • Important characteristics of the chief complaint such as severity, site, and duration.
    • Other important symptoms related to the chief compliant.
    • Physical assessment:
    • Vital signs
    • Positive physical examinations or related negative examinations.

Event (2):

  • Site Reported Event Onset Date: xx/xx/xxxx
  • Event summary:
    • Symptoms and sign: Subject presented with [sign and symptom] on xx/xx/xxxx.
    • Important characteristics of the chief complaint such as severity, site, and duration.
    • Other important symptoms related to the chief compliant.
    • Physical assessment:
    • Vital signs
    • Positive physical examinations or related negative examinations.

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
  • Out come [Discharge / Hospice / Death]


  • Brain, carotid Imaging/tests:
    • xx/xx/xxxx at xx:xx on MRI
    • xx/xx/xxxx at xx:xx on MRA
    • xx/xx/xxxx at xx:xx on CT
    • xx/xx/xxxx at xx:xx on EEG
    • xx/xx/xxxx at xx:xx on Carotid US
  • Other relevant clinical clues/ Date:
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