Create/Edit Patient Clinical Data: Difference between revisions
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(Created page with "Patient Clinical Data comprises five mandatory sections that must always be included in a Patient Summary Health History: *Allergies and intolerances *Current problems and di...") |
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==Examples of the Clinical Data Sections== | ==Examples of the Clinical Data Sections== | ||
==Allergies== | |||
<gallery widths="450px" heights=" | <gallery widths="450px" heights="200px"> | ||
File: Allergies.png | Figure 2.6: Allergies & Intolerances | File: Allergies.png | Figure 2.6: Allergies & Intolerances | ||
</gallery> | |||
===Drug Allergies=== | |||
<gallery widths="450px" heights="200px"> | |||
File: Drug_Allergy_Disable.png | Figure 2.6: Drug Allergy | |||
File: Add_Drug_Allergy.png | Figure 2.6: Add Drug Allergy | |||
</gallery> | |||
===No Drug Allergies=== | |||
<gallery widths="400px" heights="250px"> | |||
File: No_Drug_Allergy.png | Figure 2.6: No Drug Allergy | |||
File: Add_No_Drug_Allergy.png | Figure 2.6: Add No Drug Allergy | |||
</gallery> | </gallery> | ||
===Surgical Procedures=== | ===Surgical Procedures=== | ||
<gallery widths="450px" heights="200px"> | |||
File: Surgical_Procedures.png | Figure 2.6: Short description | |||
File: Surgical_Procedures_Has_known_procedures.png | Figure 2.6: Short description | |||
File: Surgical_Procedures_Disable.png | Figure 2.6: Short description | |||
File: Add_Surgical_Procedure.png | Figure 2.6: Short description | |||
</gallery> | |||
===Medication Summary=== | ===Medication Summary=== | ||
<gallery widths="450px" heights="300px"> | |||
File: Medication_Summary.png | Figure 2.6: Short description | |||
File: Medication_Summary_Has_medication_info.png | Figure 2.6: Short description | |||
File: Medication_Summary_Disable.png | Figure 2.6: Short description | |||
File: Medication_Summary_Add_Medication.png | Figure 2.6: Short description | |||
</gallery> | |||
[[Create/Edit Patient Summary | Back]] | [[Create/Edit Patient Summary | Back]] | ||
Latest revision as of 13:51, 27 June 2024
Patient Clinical Data comprises five mandatory sections that must always be included in a Patient Summary Health History:
- Allergies and intolerances
- Current problems and diagnoses
- Medical devices (implanted or external)
- Major interventions
- List of current medications
They also include several optional modules, such as:
- Vaccinations
- Problems that no longer exist
- Social history (e.g., smoking, alcohol consumption)
- Pregnancy history (for women)
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Figure 2.6: Create/Edit Patient Data.
Examples of the Clinical Data Sections
Allergies
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Figure 2.6: Allergies & Intolerances
Drug Allergies
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Figure 2.6: Drug Allergy
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Figure 2.6: Add Drug Allergy
No Drug Allergies
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Figure 2.6: No Drug Allergy
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Figure 2.6: Add No Drug Allergy
Surgical Procedures
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Figure 2.6: Short description
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Figure 2.6: Short description
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Figure 2.6: Short description
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Figure 2.6: Short description
Medication Summary
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Figure 2.6: Short description
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Figure 2.6: Short description
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Figure 2.6: Short description
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Figure 2.6: Short description
