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Comptes-rendus de sortie des patients ×
- Routine documentation (43)
- Ophthalmology (11)
- Insurance, Health, Reimbursement (8)
- Hematology (7)
- France (6)
- Leukemia (6)
- EHR (5)
- Retinal Vein Occlusion (3)
- Diabetic Retinopathy (3)
- Macular Degeneration (3)
- Neurology (3)
- Patient Discharge (3)
- Multiple Sclerosis (2)
- Neuromyelitis Optica (2)
- Psychiatry (1)
- Rehabilitation (1)
- General Surgery (1)
- Traumatology (1)
- Leukemia, Myeloid, Acute (1)
- Letter (1)
- Drug Resistance, Multiple (1)
- Stroke (1)
- Simarouba (1)
- Cardiology (1)
- Concomitant Medication (1)
- Diagnosis (1)
- Pharmaceutical Preparations (1)
- Encephalomyelitis, Acute Disseminated (1)
- Encephalomyelitis (1)
- Gastroenterology (1)
- Internal Medicine (1)
- Medical History Taking (1)
- Nursing Assessment (1)
- Orthopedics (1)
- Outpatient Clinics, Hospital (1)
- Patient Transfer (1)
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Geselecteerde datamodellen
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46 Zoekresultaten.
Itemgroepen: Current episode, Transfer diagnosis, Other Diagnoses, Beta blocker, Calcium Channel Blockers, Angiotensin 2 Receptor Blocker, ACE inhibitors, Diuretics, Cardiac drugs, Antikoagulanzien, Antidiabetics , Antidepressive Agents, Neuroleptic Drugs, Hormonal contraceptives, Bronchodilator Agents, Antilipemic agent, Analgesics, Anti-Infective Agents, Antiparkinson Agents, Glucocorticoids, Other medication
Itemgroepen: Current episode, Diagnosis, Current medication
Itemgroepen: Medical History, Befund, Clinical presentation, General therapy, Lab, Diagnostics, Cor, Hematology, Gastrointestinal system, Diabetes, Kidney, CNS, Lung, Psychiatrics, Epicrisis, Consultation, Clinical course, Mobilization and social service, Patient education and discharge, Procedere
Itemgroepen: Medical History , Finding, Clinical presentation, Initial therapy, Lab , Psychiatrics, Epicrisis, Consultation, Clinical course, Mobilization and social service, Patient education and discharge, Procedere
Itemgroepen: Administrative Data, Principal Diagnosis, Risk Stratification of Therapy with Natalizumab, Secondary Diagnosis, Reason for Admission, Medical History, Medication on Admission, Neurological Examination: Cranial Nerves, Neurological Examination: Motor, Neurological Examination: Reflexes, Neurological Examination: Sensibility , Neurological Examination: Coordination and Gait, Neurological Examination: On Discharge, Laboratory Results Urine, Laboratory Results Urine Analysis FACS, Laboratory Results Pregnancy, Laboratory Results Serum, Laboratory Results Small EDTA, Laboratory Results Differential EDTA, Laboratory Results Blood coagulation tests, Laboratory Results Thyroid Function Tests, Laboratory Results Calculated, Laboratory Results Cellular Immune State, Summary and Procedures, Medication on Discharge
Discharge Letter Items 1229450930 Multiple Sclerosis
12 Itemgroepen 103 Data-elementenDischarge Letter Items 1215271678 Multiple Sclerosis
9 Itemgroepen 155 Data-elementenDischarge Letter Items 1232376516 Multiple Sclerosis
6 Itemgroepen 84 Data-elementenDischarge Letter Items 1146404369 Multiple Sclerosis
23 Itemgroepen 177 Data-elementenDischarge Letter Items 1146401133 Multiple Sclerosis
19 Itemgroepen 148 Data-elementenDischarge Letter Items -31562 Multiple Sclerosis
14 Itemgroepen 81 Data-elementen Itemgroepen: Medical history, Vegetative medical history, Risk factors and risk behavior, Family medical history, Current medical complaints, Subjective impairments in daily living and occupation, Understanding of disease and coping strategies, Treatment at admittance, Patient social history, Patient occupational history, Sick leave, Physical examination, Functional and activity impairment, Psychosomatic assessment, Laboratory procedures, ECG, Exercise Test at admittance, 24hour ECG, 24hour blood pressure measurement, Cardiologic Ultrasound, Rehabilitation diagnosis, Rehabilitation goals, Rehabilitation course and epicrisis, Rehabilitation outcome and discharge assessment, Social epicrisis, Patient self-assessment, Procedure
Itemgroepen: Administrative data, Diagnosis Right eye, Diagnosis Left eye, Vision, Intraocular pressure, Slit lamp biomicroscopy Right eye, Slit lamp biomicroscopy Left eye, Ophthalmoscopy Right eye, Ophthalmoscopy Left eye, OCT Macula Right eye, OCT Macula Left eye, Fluorescein Angiography, Indocyanine green angiography, Evaluation; Treatment
Itemgroepen: Administrative data, Diagnosis Right eye, Diagnosis Left eye, Vision, Intraocular pressure, Slit lamp biomicroscopy Right eye, Slit lamp biomicroscopy Left eye, Ophthalmoscopy Right eye, Ophthalmoscopy Left eye, SD- OCT Right eye, SD- OCT Left eye, Fluorescein Angiography, Evaluation; Treatment
Example 2
0 Itemgroep 0 Data-element Itemgroepen: Administrative Data, Diagnosis, Secondary Diagnoses, Allergies, Therapy and course of disease, Current reason for presentation, Immunophenotyping, Medical History, Physical Examination, Lab Results, Apparative Diagnostics, Inpatient Treatment, Medication List, Procedures
Itemgroepen: Administrative Data, Diagnosis, Secondary Diagnoses, Allergies, Therapy and course of disease, Current reason for presentation, Medical History, Physical Examination, Lab Results, Apparative Diagnostics, Inpatient Treatment, Medication List, Procedures
Itemgroepen: Administrative Data, Diagnoses, Summary and Assessment, Procedures, Neurological Examination
Itemgroepen: Administrative Data, Principal Diagnosis, Summary and Assessment, Procedures, Neurological Examination