Englisch

Physical Examination Form - Treatment Period 2

1 Formulare  
Physical Examination
Beschreibung

Physical Examination

Date of assessment
Beschreibung

Date of assessment

Datentyp

date

Current physical findings
Beschreibung

Current physical findings

indicate current physical findings by ticking the appropriate box(es) below and if ABNORMAL, describe concisely: [different findings should be separated by either a (;) or a (/)].
Beschreibung

indicate current physical findings by ticking the appropriate box(es) below and if ABNORMAL, describe concisely: [different findings should be separated by either a (;) or a (/)].

Datentyp

text

Hair and Skin
Beschreibung

Hair and Skin

Datentyp

integer

Lymph nodes
Beschreibung

Lymph nodes

Datentyp

integer

Eyes
Beschreibung

Eyes

Datentyp

integer

Ears, Nose and Throat
Beschreibung

Ears, Nose and Throat

Datentyp

integer

Breasts
Beschreibung

Breasts

Datentyp

integer

Respiratory
Beschreibung

Respiratory

Datentyp

integer

Cardiovascular
Beschreibung

Cardiovascular

Datentyp

integer

Abdomen
Beschreibung

Abdomen

Datentyp

integer

Urogenital
Beschreibung

Urogenital

Datentyp

integer

Pelvic
Beschreibung

Pelvic

Datentyp

integer

Rectal
Beschreibung

Rectal

Datentyp

integer

Musculoskeletal
Beschreibung

Musculoskeletal

Datentyp

integer

Neurological
Beschreibung

Neurological

Datentyp

integer

Mental Status
Beschreibung

Mental Status

Datentyp

integer

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Ähnliche Modelle

Physical Examination Form - Treatment Period 2

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Physical Examination
Date of assessment
Item
Date of assessment
date
Item Group
Current physical findings
indicate current physical findings by ticking the appropriate box(es) below and if ABNORMAL, describe concisely: [different findings should be separated by either a (;) or a (/)].
Item
indicate current physical findings by ticking the appropriate box(es) below and if ABNORMAL, describe concisely: [different findings should be separated by either a (;) or a (/)].
text
Item
Hair and Skin
integer
Hair and Skin
Code List
Hair and Skin
CL Item
Normal (1)
CL Item
Abnormal (2)
Item
Lymph nodes
integer
Lymph nodes
Code List
Lymph nodes
CL Item
Normal (1)
CL Item
Abnormal (2)
Item
Eyes
integer
Eyes
Code List
Eyes
CL Item
Normal (1)
CL Item
Abnormal (2)
Item
Ears, Nose and Throat
integer
Ears, Nose and Throat
Code List
Ears, Nose and Throat
CL Item
Normal (1)
CL Item
Abnormal (2)
Item
Breasts
integer
Breasts
Code List
Breasts
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not Done (3)
Item
Respiratory
integer
Respiratory
Code List
Respiratory
CL Item
Normal (1)
CL Item
Abnormal (2)
Item
Cardiovascular
integer
Cardiovascular
Code List
Cardiovascular
CL Item
Normal (1)
CL Item
Abnormal (2)
Item
Abdomen
integer
Abdomen
Code List
Abdomen
CL Item
Normal (1)
CL Item
Abnormal (2)
Item
Urogenital
integer
Urogenital
Code List
Urogenital
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not Done (3)
Item
Pelvic
integer
Pelvic
Code List
Pelvic
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not Done (3)
Item
Rectal
integer
Rectal
Code List
Rectal
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not Done (3)
Item
Musculoskeletal
integer
Musculoskeletal
Code List
Musculoskeletal
CL Item
Normal (1)
CL Item
Abnormal (2)
Item
Neurological
integer
Neurological
Code List
Neurological
CL Item
Normal (1)
CL Item
Abnormal (2)
Item
Mental Status
integer
Mental Status
Code List
Mental Status
CL Item
Normal (1)
CL Item
Abnormal (2)
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