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Routine documentation ×
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Sommario
  1. 1. Test clinico
  2. 2. Documentazione di routine
  3. 3. Registro / studio di coorte
  4. 4. Garanzia di qualità
  5. 5. Dati Standard
  6. 6. Risultato segnalato dal paziente
  7. 7. Specialità mediche
    1. 7.1. Anestesiologia
    1. 7.2. Dermatologia
    1. 7.3. orecchio naso gola
    1. 7.4. Geriatria
    1. 7.5. Ginecologia / Ostetricia
    1. 7.6. Medicina Interna
      1. Ematologia
      1. Malattie infettive
      1. Cardiologia / Angiologia
      1. pneumologia
      1. Gastroenterologia
      1. Nefrologia
      1. Endocrinologia / Malattie metaboliche
      1. Reumatologia
    1. 7.7. Neurologia
    1. 7.8. Oftalmologia
    1. 7.9. Cure palliative
    1. 7.10. Patologia / Forense
    1. 7.11. Pediatria
    1. 7.12. Psichiatria / Psicosomatica
    1. 7.13. Radiologia
    1. 7.14. Chirurgia
      1. Chirurgia generale / viscerale
      1. Neurochirurgia
      1. Chirurgia plastica
      1. Chirurgia toracica
      1. Trauma / Ortopedia
      1. Chirurgia vascolare
    1. 7.15. Urologia
    1. 7.16. Medicina odontoiatrica / OMS
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German Examination Booklet for Children G-BA - German Examination Booklet for Children G-BA U8

- 03/02/17 - 19 moduli, 18 itemgroups, 63 elementi, 1 linguaggio
Itemgroups: findings, body measurements, Examination of skin, findings Thorax organ heart neck, lungs findings, finding Abdominal organ, findings Genitalia, findings urine, findings Bone structure of cranium, findings Vertebral column, findings limbs, findings eye, findings Mouth, findings Nose, findings Ear, findings Motor function nervous system, additional information, Physical Examination
German Kinderuntersuchungsheft (resolution in June 2008 by G-BA) for early detection of diseases in children. The scope of early detection measures for children is specified in the G-BA Paediatrics Directive. Findings are documented in the “Examination Booklet for Children”. This yellow booklet is issued to parents following delivery, either by the delivery ward or the midwife. Medical measures to be performed in accordance with the directives target the early detection of diseases that could jeopardize normal physical or mental development. The examinations provided must be administered within specific periods. Source: Gemeinsamer Bundesausschuss (G-BA), juristische Person des öffentlichen Rechts, Wegelystr. 8, 10623 Berlin, https://www.g-ba.de/institution/themenschwerpunkte/frueherkennung/kinder/, Publication granted by Dr. Beate Axmann.

German Examination Booklet for Children G-BA U9

17 itemgroups 63 elementi

German Examination Booklet for Children G-BA Percentile curves for body length and weight girls (0- 2 years old)

1 ItemGroup 3 elementi

German Examination Booklet for Children G-BA Percentile curves for the Body Mass Index boys (0- 7 years old)

1 ItemGroup 2 elementi

German Examination Booklet for Children G-BA Percentile curves for body length and weight boys (0- 2 years old)

1 ItemGroup 3 elementi

Admission Checklist Children Oncology Pediatric Hematology and Oncology UK Muenster

- 17/11/21 - 1 modulo, 12 itemgroups, 60 elementi, 2 lingue
Itemgroups: Checklist, InInfectivity, Planned therapy, Supportive therapy, Transfusions, Chemotherapy flush, Intensive Care, Laboratories and Diagnostics, Hypersensitivities and Premedication, Next visits, Other, KIONK Physician
Bei Aufnahme eines Patienten außerhalb 17A West und KMT-Station, aber innerhalb des Zentrums für Kinder- und Jugendmedizin. Freigabe zur Verarbeitung durch Frau Prof. Rössig, Quellenangabe: "Pädiatrische Hämatologie und Onkologie, UKM" Klinik für Kinder- und Jugendmedizin, Universitätsklinikum Münster Released for adaption by Frau Prof. Rössig Source:Pediatric Hematology und Oncology, University hospital Münster

Findings premature infant physical therapy UKM - Findings premature infant

- 30/05/17 - 1 modulo, 2 itemgroups, 22 elementi, 2 lingue
Itemgroups: Patient demographics, Primitive reflexes
Findings premature infant form converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by Dirk Robrecht

Telephone notes Pediatric Hematology and Oncology UK Muenster

- 17/11/21 - 1 modulo, 3 itemgroups, 24 elementi, 2 lingue
Itemgroups: Telephone notes, Laboratory, Current Medication
Freigabe zur Verarbeitung durch Frau Prof. Rössig, Quellenangabe: "Pädiatrische Hämatologie und Onkologie, UKM" Klinik für Kinder- und Jugendmedizin, Universitätsklinikum Münster Released for adaption by Frau Prof. Rössig Source:Pediatric Hematology und Oncology, University hospital Münster

German Dental Examination Booklet for Children - UZ 5 Permanent teeth Examination (5 years old)

- 03/02/17 - 7 moduli, 2 itemgroups, 22 elementi, 1 linguaggio
Itemgroups: dental examination, report
The Child‘s Dental Examination Book is used to help to look after a child‘s dental health from the very beginning. Children are examined specifically with regard to particular risks, such as baby tooth decay and all the precautionary examinations are documented in this book. The examinations provided must be administered within specific periods. Source: Chamber of Dental Surgeons Westfalen-Lippe, Chamber of Dental Surgeons Nordrhein, Association of Health Service Dental Surgeons Westfalen-Lippe) and Association of Health Service Dental Surgeons Nordrhein.

UZ 6 Permanent teeth Examination (6 years old)

2 itemgroups 22 elementi

UZ 2 Milk Teeth Examination (2 years old)

2 itemgroups 19 elementi

UZ 3 Milk Teeth Examination (3 years old)

2 itemgroups 19 elementi

UZ 4 Milk Teeth Examination (4 years old)

2 itemgroups 19 elementi

UZ 1 Milk Teeth Examination (1 year old)

1 ItemGroup 10 elementi

Intro

1 ItemGroup 8 elementi

Breastfeeding and infant feeding counseling University Hospital Muenster (UKM)

- 21/10/16 - 1 modulo, 4 itemgroups, 34 elementi, 1 linguaggio
Itemgroups: Demographic Information, Infant data, Infant development, Mother´s course
Hospital Routine Documentation Form at the University Hospital Muenster. Original Form name: Still und Ernährungsberatung MS

Pediatric surgery UKM - Head injury admission form

- 27/09/21 - 1 modulo, 3 itemgroups, 22 elementi, 2 lingue
Itemgroups: Patient identification, Glasgow coma scale, Neurological assessment
Head injury admission form converted to ODM format. Routine documentation of University Hospital of Münster.

Pediatric oncology (Kinderonkologie) - Medical history (Anamnese)

- 27/09/21 - 1 modulo, 8 itemgroups, 74 elementi, 2 lingue
Itemgroups: Pregnancy, Childbirth, Postpartum development, Kindergarten / school, Puberty stage, Other information, Physical examination basic information, Physical examination (further information)
This form about medical history originates from the Department of Pediatric Oncology, Hematology and Clinical Immunology of the University Hospital Düsseldorf.

Pediatric surgery UKM - Route card pediatric surgery

- 03/01/17 - 1 modulo, 2 itemgroups, 10 elementi, 2 lingue
Itemgroups: Patient admission, Preparation
Route card converted to ODM format. Routine documentation of University Hospital of Münster.

Chart Pediatric surgery UKM - Chart pediatric surgery

- 01/06/17 - 1 modulo, 5 itemgroups, 38 elementi, 2 lingue
Itemgroups: Patient demographics, Nursing, Prescription, Lab results, Patient data
Chart pediatric surgery form converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by Dr. med. V. Müller

Order Form Pediatric Intensive Care Unit UKM - Pharmacy Order

- 08/06/15 - 1 modulo, 3 itemgroups, 9 elementi, 1 linguaggio
Itemgroups: Patient Information, Medication, Infusion Special Arterial or Venous Administration Routes
"Apothekenanforderung für Infusionslösungen-MS Anordnungsbogen Päd Int 3" converted to ODM format. Routine documentation of university hospital muenster. This form simultaneously also serves the purpose of creating order forms for the making of mixed infusion bags for children.

Chest questionnaire Pediatric surgery UKM - Chest questionnaire

- 20/09/21 - 1 modulo, 6 itemgroups, 31 elementi, 2 lingue
Itemgroups: Patient demographics, Congenital breast deformities, Impaired health due to chest deformity, Standing position improvements, Reason to play sports, What do you dislike about physical education?
Chest questionnaire form converted to ODM format. Routine documentation of University Hospital of Münster.

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