Summary of episode note
?
|
|
|
Hx of Past illness
?
|
|
|
Hospital admission Dx Reported
E
|
|
|
Hospital discharge Dx
?
|
|
|
Problem list Reported
|
|
|
Hx of Allergies
|
|
|
Hx of Allergies
|
|
|
Medication allergy Reported
|
|
|
Hx of Medication use
?
|
|
|
Hospital discharge medications
?
|
|
|
Medications on admission:Find:Pt:^Patient:Nar:
?
|
|
|
Hospital course
?
|
|
|
Chief complaint Reported
?
|
|
|
Reason for visit
?
|
|
|
Chief complaint+Reason for visit
?
|
|
|
Reason for referral:Find:Pt:^Patient:Nar:
|
|
|
Adv healthcare directives
?
|
|
|
Hx of Pres illness
?
|
|
|
Hx of Functional status
|
|
|
Family member diseases Hx
?
|
|
|
Social Hx
?
|
|
|
Hx of Immunization
?
|
|
|
Hx of Surg proc
|
|
|
Hx of Hospitalizations+OP visits
?
|
|
|
Hx of Hospitalization
|
|
|
Hx of Outpt visits
|
|
|
Review of systems
?
|
|
|
Hospital discharge physical findings
?
|
|
|
Physical exam.total
?
|
|
|
Vital signs
?
|
|
|
Fet Doc Vital signs measurements
|
|
|
Hospital discharge studies summary
|
|
|
Relevant Dx tests/lab data
|
|
|
Plan of care note
?
|
|
|