Anemia

Progression

• When did disease process start
  
• Initial versus subsequent visit
  

Location

• N/A
  

Acuity

• Acute or chronic
  

Name

• Disease name, etiology
  
• Identify the type of anemia-nutritional , hemolytic, aplastic, blood loss, pancytopenia, Sickle-cell, etc.
  
• Describe hemolytic anemias as being hereditary, acquired, enzyme disorders, autoimmune or non-autoimmune
  
• Detail the underlying cause or provide a statement indicating unknown cause-chronic kidney disease, trauma, ulcer, cancer, chemotherapy, etc.

• Link lab findings to a related diagnosis-leukocytosis to hereditary hemolytic anemia, low vitamin B12 level to pernicious anemia, etc.

• Congenital or acquired

Necessary Procedures

• Interventions as appropriate-transfusions, etc.
  

Other

Why

• Any known causes or underlying conditions, comorbidities, associated problems, abnormal vitals, underdosing or overdosing of medications, hemorrhage, change in medications, smoking, etc.