Table 3.
Diabetes mellitus | Ischemic heart disease and cardiac arrest | Cerebrovascular disease | Malignant neoplasms and benign neoplasm of the central nervous system |
Electronic health record number | Electronic health record number | Electronic health record number | Electronic health record number |
Patient name | Patient name | Patient name | Patient name |
Gender | Gender | Gender | Gender |
Nationality | Nationality | Nationality | Nationality |
Education level | Education level | Education level | Education level |
Identity card number | Identity card number | Identity card number | Identity card number |
Date of birth | Date of birth | Date of birth | Date of birth |
Occupation | Occupation | Occupation | Occupation |
Contact number | Contact number | Contact number | Contact number |
Marital status | Marital status | Marital status | Marital status |
Age | Age | Age | Age |
Registered address | Registered address | Registered address | Registered address |
Current address | Current address | Current address | Current address |
Outpatient number | Outpatient number | Outpatient number | Outpatient number |
Hospitalization number | Hospitalization number | Hospitalization number | Hospitalization number |
Report institution | Report institution | Report institution | Report institution |
Report doctor name | Report doctor name | Report doctor name | Report doctor name |
Date of report | Date of report | Date of report | Date of report |
ICD-10 code of disease | ICD-10 code of disease | ICD-10 code of disease | ICD-10 code of disease |
Disease type | Disease type | Disease type | Disease type |
Date of diagnosis | Date of diagnosis | Date of diagnosis | Date of diagnosis |
—a | Date of onset | Date of onset | —a |
Symptoms | Symptoms | Symptoms | Symptoms |
Examinations and tests | Examinations and tests | Examinations and tests | Examinations and tests |
—a | —a | —a | ICD-O-3 |
—a | —a | —a | Pathologic type |
—a | —a | —a | TMN stage |
Complications | —a | —a | —a |
Risk factors | —a | —a | —a |
Family history | —a | —a | —a |
—a | Medical history | Medical history | —a |
Underlying cause of death | Underlying cause of death | Underlying cause of death | Underlying cause of death |
Date of death | Date of death | Date of death | Date of death |
ICD-10 code of death | ICD-10 code of death | ICD-10 code of death | ICD-10 code of death |
aNot applicable.