Medical History
Previous diseases
text
date diagnosis
date
long term medication
text
date Medication commenced
date
Hypersensitivity
text
date hypersensitivity
date
Family medical history
text
date family history
date
alcohol consumption
text
nicotine consumption
text
medical history
text
Medical Examination
Physical examination
boolean
Physical examination
text
date Physical examination
date
Dermatological Diagnosis
Location: Lips .0, Eye .1, Ear .2, Face .3, Scalp and neck .4, Trunk .5, Arm/ shoulder .6, Leg/ Hip .7, Several overlapping .8, Tumors (location independent) .9 Please fill in the diagnostics (A, V, G, Z, R, L, B) according to the ICD codes
text
date diagnosis
date
Location: Lips .0, Eye .1, Ear .2, Face .3, Scalp and neck .4, Trunk .5, Arm/ shoulder .6, Leg/ Hip .7, Several overlapping .8, Tumors (location independent) .9 Please fill in the diagnostics (A, V, G, Z, R, L, B) according to the ICD codes
text
date diagnosis
date
Procedure
Procedure
text
Senior physician
text
Follow- up
text
Follow- up
text
Nursing procedure
text
Photo
boolean
date photo
date
Other
study participation status
text
Clinical trials
text
Memo
text
Notes
text
Nursing notes
text