| 0 |
|
|
| 482 |
(A) INTEGRATED SCALE DEVELOPMENT (ISD) |
|
| 515 |
(D) WORD COUNTING |
|
| 483 |
0 - 3 MONTHS |
|
| 449 |
0 0 3 |
|
| 450 |
0 3 0 6 |
|
| 452 |
0 6 0 18 |
|
| 451 |
0 6 0 9 |
|
| 453 |
1 0 1 6 |
|
| 454 |
1 6 2 0 |
|
| 429 |
1 PRE-VERBAL SKILLS |
|
| 445 |
1 SEMANTICS |
|
| 519 |
10 - 12 MONTHS |
|
| 54 |
100 HUE |
|
| 418 |
12-24 MONTHS |
|
| 520 |
13 - 15 MONTHS |
|
| 521 |
16 - 18 MONTHS |
|
| 522 |
19 - 24 MONTH |
|
| 64 |
2 - TONGUE |
|
| 455 |
2 0 3 0 |
|
| 437 |
2 RECEPTIVE LANGUAGE SKILLS |
|
| 446 |
2 SYNTAX / MORPHOLOGY |
|
| 523 |
25 - 30 MONTHS |
|
| 419 |
3 - 4 YEARS |
|
| 65 |
3 - JAW AND TEETH |
|
| 456 |
3 0 4 0 |
|
| 439 |
3 EXPRESSIVE LANGUAGE SKILLS |
|
| 447 |
3 PRAGMATICS |
|
| 524 |
31 - 36 MONTHS |
|
| 525 |
37 - 42 MONTHS |
|
| 517 |
4 - 6 MONTHS |
|
| 420 |
4 - 6 YEARS |
|
| 457 |
4 0 5 0 |
|
| 460 |
4- CHEEK |
|
| 526 |
43 - 48 MONTHS |
|
| 458 |
5 0 6 0 |
|
| 66 |
5- HARD PALATE |
|
| 421 |
6 - 8 YEARS |
|
| 633 |
6 LING SOUNDS TEST |
|
| 67 |
6- SOFT PALATE |
|
| 518 |
7 - 9 MONTHS |
|
| 68 |
7 - BREATHING |
|
| 480 |
7 SOUNDS TEST |
|
| 438 |
8 8 11 YEARS |
|
| 69 |
8- DDK ( DIADOCHOKINETIC RATE) |
|
| 4 |
9 POSITION GAZE |
|
| 417 |
< 12 MONTHS |
|
| 70 |
A. ORIENTATION & AWARENESS |
|
| 684 |
A. RISK ASSESSMENT |
|
| 472 |
A.ACTIVITY |
|
| 552 |
ABDOMINAL EXAMINATION |
|
| 1005 |
ABDOMINAL HYSTERECTOMY: ANXIETY |
|
| 1007 |
ABDOMINAL HYSTERECTOMY: KNOWLEDGE DEFICITS |
|
| 1009 |
ABDOMINAL HYSTERECTOMY: NAUSEA & VOMITING (POTENTIAL) |
|
| 1006 |
ABDOMINAL HYSTERECTOMY: PAIN |
|
| 1008 |
ABDOMINAL HYSTERECTOMY: POTENTIAL OF INFECTION |
|
| 71 |
ABNORMAL MOVEMENTS |
|
| 615 |
ACADEMIC HISTORY |
|
| 72 |
ACCESS METHOD |
|
| 73 |
ACCOMMODATION AND CONVERGENCE |
|
| 1 |
ADDITIONAL TEST |
|
| 74 |
ADMISSION |
|
| 75 |
ADMISSION INFORMATION |
|
| 629 |
ADULT AURAL REHABILITATION-ADULT |
|
| 76 |
ADULT LANGUAGE ASSESSMENT |
|
| 394 |
ADVANCED ELECTROPHYSIOLOGY |
|
| 357 |
ADVERSE OUTCOME DOCUMENTATION |
|
| 77 |
AIRWAY AND CERVICAL PROTECTION |
|
| 553 |
ALLERGIES AND ALERT |
|
| 475 |
ALOPECIA |
|
| 766 |
ALTERATION IN BOWEL ELIMINATION: CONSTIPATION |
|
| 767 |
ALTERATION IN BOWEL ELIMINATION: DIARRHOEA |
|
| 768 |
ALTERATION IN COMFORT: PAIN |
|
| 769 |
ALTERATION IN PATTERNS OF URINARY ELIMINATION: INCONTINENCE |
|
| 770 |
ALTERATION IN PATTERNS OF URINARY ELIMINATION: RETENTION |
|
| 833 |
ALTERED NUTRITION: LESS THAN BODY REQUIREMENTS |
|
| 853 |
ALZHEIMER: ANXIETY |
|
| 854 |
ALZHEIMER: DEFICIENT KNOWLEDGE |
|
| 850 |
ALZHEIMER: INTERFERENCE OF THE THINKING PROCESS DUE TO DISEASE |
|
| 852 |
ALZHEIMER: PATIENT DISABLED TO MEET THEIR CARE AND NEEDS |
|
| 851 |
ALZHEIMER: RISK OF INJURY |
|
| 740 |
AMBULANCE INFORMATION |
|
| 599 |
AMNIOCENTESIS |
|
| 600 |
AMNIOINFUSION |
|
| 601 |
AMNIOREDUCTION |
|
| 1093 |
AMPUTATION REVISION PATIENTS: DISRUPTION OF PERSONAL IMAGE |
|
| 543 |
ANAESTHESIA |
|
| 78 |
ANALGESIA |
|
| 473 |
ANATOMIC LOCATION |
|
| 490 |
ANATOMY STRUCTURE & PHYSIOLOGY |
|
| 855 |
ANEMIA: FATIQUE |
|
| 856 |
ANEMIA: HEADACHE |
|
| 858 |
ANEMIA: PALPITATION |
|
| 857 |
ANEMIA: SHORTNESS OF BREATH |
|
| 538 |
ANKYLOSING SPONDYLITIS |
|
| 813 |
ANORECTAL ANOMALY: ABDOMEN DISTENTION |
|
| 814 |
ANORECTAL ANOMALY: VOMITING |
|
| 79 |
ANTENATAL HISTORY |
|
| 5 |
ANTENATAL HYPERTENSION |
|
| 80 |
ANTENATAL PROBLEMS |
|
| 81 |
ANTENATAL SCREENING |
|
| 6 |
ANTERIOR CHAMBER |
|
| 371 |
ANTERIOR CHAMBER |
|
| 7 |
ANTERIOR SEGMENT |
|
| 358 |
ANTERIOR SEGMENT |
|
| 8 |
ANTHROPOMETRIC MEASUREMENTS |
|
| 691 |
ANTHROPOMETRY |
|
| 1109 |
ANXIETY: VAGUE UNEASY FEELING OF DISCOMFORT OR DREAD ACCOMPANIED BY AN AUTONOMIC RESPONSE |
|
| 464 |
ARTICULATION |
|
| 542 |
ASCAN |
|
| 819 |
ASPHYXIA: ALTERED RESPONSE OF CENTRAL NERVOUS SYSTEM |
|
| 818 |
ASPHYXIA: ALTERED CARDIAC OUTPUT |
|
| 820 |
ASPHYXIA: ALTERED KIDNEY PERFUSSION |
|
| 817 |
ASPHYXIA: IMPAIRED GAS EXCHANGE |
|
| 82 |
ASSESMENT |
|
| 471 |
ASSESSMENT |
|
| 83 |
ASSESSMENT CHECKLIST (WARD) |
|
| 655 |
ASSESSMENT NEEDED |
|
| 680 |
ASSESSMENT SCORE |
|
| 795 |
ASSESSMENT/INTERVENTION |
|
| 636 |
ASSESSMENTS |
|
| 793 |
ASSIGN CALL CARD |
|
| 683 |
ASSOCIATED PROBLEMS |
|
| 84 |
ATOPIC ECZEMA |
|
| 529 |
ATTENDANCE (FAMILY) |
|
| 431 |
ATTENTION |
|
| 85 |
AUDIOLOGIC REHABILITATION TRAINING |
|
| 392 |
AUDIOMETRY |
|
| 479 |
AUDITORY AWARENESS |
|
| 86 |
AUDITORY COMPREHENSION |
|
| 481 |
AUDITORY MEMORY |
|
| 87 |
AUGMENTATIVE DEVICE EVALUATION |
|
| 88 |
AURAL REHABILITATION STRATEGIES |
|
| 89 |
B. MEMORY |
|
| 503 |
B. PENGULANGAN |
|
| 685 |
B. SOCIAL SUPPORT |
|
| 476 |
B.DAMAGE |
|
| 90 |
BABY |
|
| 1010 |
BABY ON PHOTOTHERAPY: KNOWLEDGE DEFICITS |
|
| 1012 |
BABY ON PHOTOTHERAPY: POTENTIAL OF DEHYDRATION TO BABY |
|
| 1015 |
BABY ON PHOTOTHERAPY: POTENTIAL OF EYE INFECTION |
|
| 1013 |
BABY ON PHOTOTHERAPY: POTENTIAL OF SKIN PEELING |
|
| 1011 |
BABY ON PHOTOTHERAPY: RISKS OF COMPLICATIONS |
|
| 1014 |
BABY ON PHOTOTHERAPY: RISKS OF EYE INJURY |
|
| 91 |
BABY'S RECORD |
|
| 92 |
BACKGROUND INFORMATION |
|
| 610 |
BALANCE & VESTIBULAR |
|
| 498 |
BDAE (ADAPTED) |
|
| 612 |
BEHAVIORAL OBSERVATION AUDIOMETRY (BOA) |
|
| 411 |
BEHAVIOUR & SOCIAL SKILLS AND EDUCATION |
|
| 93 |
BEST CORRECTED VA |
|
| 1016 |
BILATERAL TUBAL LIGATION: KNOWLEDGE DEFICITS |
|
| 94 |
BINAURAL MASKING LEVEL DIFFERENCE |
|
| 95 |
BINOCULAR FUNCTION |
|
| 692 |
BIOCHEMISTRY |
|
| 96 |
BIOMETRY |
|
| 403 |
BIRTH AND MEDICAL HISTORY |
|
| 559 |
BIRTH AND NEONATAL HISTORY (WHERE RELEVANT) |
|
| 97 |
BIRTH HISTORY |
|
| 641 |
BODY IMAGE |
|
| 1018 |
BREASTFEEDING: ANXIETY |
|
| 1020 |
BREASTFEEDING: BREAST ENGORGEMENT |
|
| 1017 |
BREASTFEEDING: KNOWLEDGE DEFICITS |
|
| 1019 |
BREASTFEEDING: POTENTIAL OF CRACKED / SORE NIPPLE |
|
| 98 |
BREATHING |
|
| 719 |
BRIEF HISTORY |
|
| 864 |
BRONCHO ASTHMA: INSUFFICIENT OF KNOWLEDGE |
|
| 862 |
BRONCHO ASTHMA: RESPIRATORY DISTURATION |
|
| 863 |
BRONCHO ASTHMA: WORRY WHEN SOB ATTACK |
|
| 9 |
BROW |
|
| 99 |
C. AUDITORY PROCESSING & COMPREHENSION |
|
| 686 |
C. CAPACITY TO COOPERATE |
|
| 509 |
C. MENAMAKAN |
|
| 805 |
CAESAREAN |
|
| 675 |
CARDIAC STATUS AT PCI PROCEDURE |
|
| 1098 |
CARDIOTHORACIC: IMPAIRED SKIN INTEGRITY |
|
| 1099 |
CARDIOTHORACIC: INEFECTIVE BREATHING PATTERN |
|
| 1094 |
CARDIOTHORACIC: KNOWLEDGE DEFICIT |
|
| 1097 |
CARDIOTHORACIC: PAIN |
|
| 1095 |
CARDIOTHORACIC: RISK OF BLEEDING |
|
| 1096 |
CARDIOTHORACIC: RISK OF CARDIAC CRRHYTHMIA |
|
| 1100 |
CARDIOTHORACIC: RISK OF INFECTION |
|
| 1128 |
CARDIOVASCULAR |
|
| 816 |
CARE BABY OF PNEUMOTHORAX: INEFFECTIVE BREATHING PATTERN |
|
| 815 |
CARE BABY ON VENTILATOR: INEFFECTIVE BREATHING PATTERN |
|
| 823 |
CARE OF PREMATURE BABY: ALTERTED NUTRITION |
|
| 821 |
CARE OF PREMATURE BABY: HYPORTHEMIA |
|
| 822 |
CARE OF PREMATURE BABY: INEFFECTIVE BREATHING PATTERN |
|
| 824 |
CARE OF PREMATURE BABY: POOR WEIGHT GAIN |
|
| 753 |
CARE PLAN |
|
| 731 |
CARE PLAN CHEMOTHERAPY |
|
| 730 |
CARE PLAN HAEMOPHILIA |
|
| 752 |
CARE PLAN THALASSEMIA |
|
| 1092 |
CARPAL TUNNEL SYNDROME PATIENTS: LIMITED MOBILITY |
|
| 100 |
CASE HISTORY |
|
| 516 |
CATEGORIES OF AUDITORY PERFORMANCES-II (CAP)-II |
|
| 101 |
CATH LAB TO BE COMPLETED BY HUB |
|
| 676 |
CATH LAB VISIT |
|
| 1127 |
CENTRAL NERVOUS SYSTEM |
|
| 102 |
CEREBELLAR |
|
| 1021 |
CERVICAL CANCER: ANXIETY |
|
| 1024 |
CERVICAL CANCER: KNOWLEDGE DEFICITS |
|
| 1022 |
CERVICAL CANCER: PAIN |
|
| 1023 |
CERVICAL CANCER: POTENTIAL OF FLUIDS AND ELECTROLITE IMBALANCE |
|
| 55 |
CERVICAL CERCLAGE |
|
| 349 |
CERVICAL CERCLAGE |
|
| 1121 |
CERVICAL LENGTH |
|
| 440 |
CHAMBERS |
|
| 103 |
CHECKLIST FOR CONTRA INDICATIONS |
|
| 771 |
CHEST PAIN |
|
| 104 |
CHIEF COMPLAINT |
|
| 836 |
CHILD HOSPITALIZED: FEAR |
|
| 1110 |
CHILD WITH IDDM: RISK OF COMPLICATION FOR UNSTABLE BLOOD GLUCOSE LEVEL |
|
| 626 |
CHILDHOOD APRAXIA OF SPEECH-PAEDIATRICS |
|
| 602 |
CHORIONIC VILLOUS SAMPLING |
|
| 105 |
CIRCULATION |
|
| 693 |
CLINICAL ASSESSMENT |
|
| 106 |
CLINICAL DIAGNOSIS |
|
| 712 |
CLINICAL DIAGNOSIS AT ADMISSION* |
|
| 688 |
CLINICAL EVALUATION |
|
| 716 |
CLINICAL EXAMINATION AND BASELINE INVESTIGATION |
|
| 107 |
CLINICAL IMPRESSION / DIAGNOSIS |
|
| 346 |
CLINICAL PRESENTATION AND EXAMINATION |
|
| 718 |
CLINICAL SUMMARY |
|
| 505 |
CLINICAL VOICE EVALUATION |
|
| 623 |
COGNITIVE COMMUNICATION NOTE-ADULT |
|
| 581 |
COLLECTION OF FORENSIC SAMPLES |
|
| 108 |
COLLECTION OF MEDICO-LEGAL SAMPLES FOR LABORATORY INVESTIGATION |
|
| 56 |
COLOUR VISON TEST |
|
| 10 |
COLPOSCOPY |
|
| 109 |
COMMENTS |
|
| 110 |
COMPLAINT AND HISTORY |
|
| 504 |
COMPLICATION |
|
| 382 |
COMPLICATIONS OF CONTACT LENS WEAR |
|
| 444 |
COMPONENT |
|
| 442 |
CONCLUSIONS |
|
| 812 |
CONGENITAL DIAPHRAGMATIC HERNIA: INEFFECTIVE BREATHING PATTERN |
|
| 11 |
CONJUNCTIVA |
|
| 360 |
CONJUNCTIVA |
|
| 381 |
CONTACT LENS AFTER-CARE |
|
| 380 |
CONTACT LENS DELIVERY |
|
| 111 |
CONTRACEPTIVE HISTORY |
|
| 112 |
CONVERSATIONAL AND EXPOSITORY SPEECH |
|
| 1025 |
CORD PROLAPSE: ANXIETY |
|
| 1026 |
CORD PROLAPSE: POTENTIAL OF CORD COMPRESSION |
|
| 12 |
CORNEA |
|
| 370 |
CORNEA |
|
| 57 |
CORNEAL TOPOGRAPHY |
|
| 791 |
CPR TIME LOG |
|
| 113 |
CRANIAL NERVES |
|
| 708 |
CRITERIA |
|
| 527 |
CRITICAL CARE REVIEW AND FAST-TRACK |
|
| 563 |
CURRENT COMPLAINTS |
|
| 640 |
CURRENT HISTORY |
|
| 703 |
CURRENT MEDICATION |
|
| 114 |
CURRENT RX |
|
| 13 |
CYTOLOGICAL SMEAR |
|
| 115 |
D. PROBLEM SOLVING |
|
| 58 |
D15 |
|
| 116 |
DATA ANALYSIS |
|
| 666 |
DATA ENTRY |
|
| 117 |
DATA ENTRY (TO BE FILLED IN MANUALLY) |
|
| 704 |
DATE FIRST VISIT |
|
| 687 |
DECISION |
|
| 404 |
DELIVERY |
|
| 735 |
DELIVERY DETAILS |
|
| 865 |
DENGUE FEVER: ALTERED BODY TEMPERATURE |
|
| 867 |
DENGUE FEVER: HEADACHE |
|
| 869 |
DENGUE FEVER: ITCHINESS AND DISCOMFORT OVER PETECHIAE AND RASHNESS |
|
| 868 |
DENGUE FEVER: JOINT AND MUSCLE PAIN |
|
| 870 |
DENGUE FEVER: LACK OF KNOWLEDGE |
|
| 873 |
DENGUE FEVER: POTENTIAL DEHYDRATION |
|
| 872 |
DENGUE FEVER: POTENTIAL OF BLEEDING TENDENCY |
|
| 866 |
DENGUE FEVER: VOMIT & NAUSEA |
|
| 871 |
DENGUE FEVER: WORRY |
|
| 495 |
DERMATOLOGY ASSESMENT NOTE - CUTANEOUS LUPUS ERYTHEMATOSUS DISEASE AREA AND SEVERITY INDEX (CLASI) |
|
| 847 |
DERMATOLOGY: ALTERED BODY IMAGE |
|
| 846 |
DERMATOLOGY: ANXIETY |
|
| 849 |
DERMATOLOGY: CHANGES IN EYE MUCOSA |
|
| 842 |
DERMATOLOGY: IMPAIRED SKIN INTEGRITY |
|
| 843 |
DERMATOLOGY: ITCHYNESS |
|
| 844 |
DERMATOLOGY: PAIN |
|
| 848 |
DERMATOLOGY: POOR ORAL INTAKE |
|
| 845 |
DERMATOLOGY: RISK FOR INFECTION |
|
| 118 |
DESCRIPTION OF ANGIOGRAPHIC FINDING |
|
| 14 |
DETAIL SCAN |
|
| 119 |
DETAILED DESCRIPTION OF STUTTERING BEHAVIOR |
|
| 469 |
DETAILED DESCRIPTION OF STUTTERING BEHAVIOR |
|
| 120 |
DETAILS OF ACT |
|
| 379 |
DETAILS OF CONTACT LENS |
|
| 121 |
DETAILS OF FAMILY |
|
| 578 |
DETAILS OF REFERRAL |
|
| 619 |
DEVELOPMENT HISTORY |
|
| 122 |
DEVELOPMENTAL HISTORY |
|
| 579 |
DEVELOPMENTAL HISTORY (IF A CHILD) |
|
| 874 |
DIABETIC MELLITUS: LACK OF KNOWLEDGE |
|
| 877 |
DIABETIC MELLITUS: POTENTIAL DKA |
|
| 876 |
DIABETIC MELLITUS: POTENTIAL HYPERGLYCAEMIA |
|
| 875 |
DIABETIC MELLITUS: POTENTIAL HYPOGLYCAEMIA |
|
| 878 |
DIABETIC MELLITUS: POTENTIAL PATIENT TO GET FOOT ULCER |
|
| 466 |
DIADOCHOKINETIC RATE |
|
| 123 |
DIAGNOSIS |
|
| 468 |
DIAGNOSIS & SEVERITY |
|
| 124 |
DIAGNOSIS (INPATIENT / OUTPATIENT) |
|
| 125 |
DIAGNOSIS (INPATIENT) |
|
| 126 |
DIAGNOSIS (OUTPATIENT) |
|
| 385 |
DIAGNOSIS / PROBLEM |
|
| 669 |
DIAGNOSIS ON DISCHARGE (PLEASE INCLUDE MAIN COURSE OF TREATMENT) |
|
| 531 |
DIALYSIS ACCESS |
|
| 759 |
DIET RECALL (FOOD ONLY) |
|
| 694 |
DIETARY ASSESSMENT |
|
| 560 |
DIETARY HISTORY (WHERE RELEVANT) |
|
| 700 |
DIETARY INTAKE |
|
| 757 |
DIETARY REQUIREMENT |
|
| 127 |
DIGIT SPAN TEST |
|
| 128 |
DISCHARGE |
|
| 796 |
DISCHARGE |
|
| 665 |
DISCHARGE DESTINATION/PLANS |
|
| 652 |
DISCHARGE PLAN |
|
| 129 |
DISEASES |
|
| 784 |
DISMISSAL ARRANGEMENT |
|
| 534 |
DISPLAY LAB RESULT |
|
| 130 |
DISTANT VA |
|
| 535 |
DISTANT VA |
|
| 15 |
DOPPLER STUDY |
|
| 131 |
DOUBLE DICHOTIC DIGIT TEST |
|
| 558 |
DRUG HISTORY |
|
| 879 |
DRUG OVERDOSE: ABDOMINAL PAIN |
|
| 881 |
DRUG OVERDOSE: ANXIETY |
|
| 880 |
DRUG OVERDOSE: DROWSINESS |
|
| 882 |
DRUG OVERDOSE: SUICIDAL TENDENCY |
|
| 624 |
DYSARTHRIA-ADULT |
|
| 132 |
DYSFUNCTION |
|
| 1029 |
DYSFUNCTIONAL UTERINE BLEEDING: ALTERED SEXUAL ACTIVITY |
|
| 1028 |
DYSFUNCTIONAL UTERINE BLEEDING: ANEMIA |
|
| 1027 |
DYSFUNCTIONAL UTERINE BLEEDING: POTENTIAL OF HYPOVOLUMIC SHOCK |
|
| 511 |
DYSPHAGIA CLINICAL RECORDS |
|
| 489 |
DYSPIGMENTATION |
|
| 133 |
E. LOGIC, REASONING, INFERENCE |
|
| 407 |
EAR INFECTION |
|
| 699 |
EATING BEHAVIOR |
|
| 1030 |
ECTOPIC PREGNANCY: ANXIETY |
|
| 1032 |
ECTOPIC PREGNANCY: KNOWLEDGE DEFICITS |
|
| 1033 |
ECTOPIC PREGNANCY: NAUSEA & VOMITING (POTENTIAL) |
|
| 1031 |
ECTOPIC PREGNANCY: PAIN |
|
| 134 |
EDUCATION HISTORY |
|
| 613 |
EDUCATIONAL INFORMATION |
|
| 711 |
ELECTROCARDIOGRAPHY |
|
| 393 |
ELECTROPHYSIOLOGY |
|
| 135 |
EMERGENCY DEPARTMENT TO BE COMPLETED BY HUB |
|
| 717 |
EMPLOYMENT HISTORY |
|
| 883 |
ENCEPHALITIS: HYPERTHERMIA |
|
| 884 |
ENCEPHALITIS: MENTAL DEFICIT |
|
| 885 |
ENCEPHALITIS: MOBILITY DEFICIT |
|
| 1132 |
ENDOCRINE |
|
| 16 |
ENDOMETRIAL SAMPLING |
|
| 136 |
ENT EXAMINATION |
|
| 841 |
ENT: ACTIVITY INTOLERANCE |
|
| 589 |
ENTRANCE TEST |
|
| 887 |
EPILEPSY: ANXIETY |
|
| 889 |
EPILEPSY: KNOWLEDGE DEIFICIT (LACK OF KNOWLEDGE) |
|
| 886 |
EPILEPSY: POTENTIAL COMPLICATION DURING FITTING |
|
| 888 |
EPILEPSY: SELF - ISOLATION |
|
| 1340 |
ESTIMATED BLOOD LOSS |
|
| 137 |
EXAMINATION |
|
| 510 |
EXAMINATIONS |
|
| 772 |
EXOMPHALUS: POTENTIAL INFECTION |
|
| 17 |
EXTERNAL CEPHALIC VERSION (ECV) PROCEDURES |
|
| 351 |
EXTERNAL CEPHALIC VERSION (ECV) PROCEDURES |
|
| 590 |
EXTRAOCULAR MUSCLE ASSESSMENT |
|
| 430 |
EYE CONTACT |
|
| 375 |
EYE EXAMINATION |
|
| 138 |
F. ORGANIZATIONAL THINKING |
|
| 620 |
FAMILY AND SOCIAL HISTORY |
|
| 1124 |
FAMILY ENCOUNTER NOTE |
|
| 139 |
FAMILY HISTORY |
|
| 140 |
FAMILY INFORMATION |
|
| 141 |
FAMILY MEMBERS |
|
| 488 |
FEEDING ASSESSMENT |
|
| 414 |
FEEDING HISTORY |
|
| 597 |
FEES FINDINGS |
|
| 142 |
FERTILITY HISTORY |
|
| 806 |
FETAL BLOOD SAMPLING |
|
| 603 |
FETOSCOPIC LASER COAGULATION |
|
| 143 |
FETUS A |
|
| 714 |
FIBRINOLYTIC_THERAPY |
|
| 144 |
FINAL IMPRESSION |
|
| 145 |
FINDINGS |
|
| 146 |
FINDINGS |
|
| 18 |
FIRST TRIMESTER SCAN FINDING |
|
| 19 |
FITTING ASSESSMENT |
|
| 628 |
FLUENCY |
|
| 773 |
FLUID VOLUME DEFICIT |
|
| 774 |
FLUID VOLUME EXCESS |
|
| 651 |
FOLLOW UP |
|
| 891 |
FOOD POISONING: DIARRHOEA |
|
| 892 |
FOOD POISONING: FATIQUE |
|
| 893 |
FOOD POISONING: RISK OF FLUIDS IMBALANCE; DEHYDRATION |
|
| 890 |
FOOD POISONING: VOMITING |
|
| 20 |
FORCEPS DELIVERY |
|
| 682 |
FORMULATION |
|
| 1138 |
FULL EXAMINATION |
|
| 643 |
FUNCTIONAL ACTIVITIES |
|
| 562 |
FUNCTIONAL HISTORY |
|
| 627 |
FUNCTIONAL INTELLIGIBILITY MEASURE |
|
| 654 |
FUNCTIONAL STATUS |
|
| 147 |
G. CALCULATION |
|
| 148 |
GAIT |
|
| 149 |
GAP IN NOISE |
|
| 896 |
GASTRITIS: ABDOMEN DISCOMFORT, BEFORE OR AFTER EATING |
|
| 894 |
GASTRITIS: EPIGASTRIC PAIN |
|
| 897 |
GASTRITIS: LACK OF KNOWLEDGE |
|
| 895 |
GASTRITIS: NAUSEA AND VOMITING |
|
| 808 |
GASTROCHIASIS: LOSS OF FLUID AND HEAT |
|
| 810 |
GASTROCHIASIS: POTENTIAL INFECTION |
|
| 1130 |
GASTROINTESTINAL |
|
| 1126 |
GENERAL APPEARANCE |
|
| 378 |
GENERAL ASSESSMENT |
|
| 150 |
GENERAL CONDITION |
|
| 151 |
GENERAL EXAMINATION |
|
| 152 |
GENERAL INFORMATION: |
|
| 861 |
GENERAL MEDICINE: ABDOMINAL PAIN |
|
| 860 |
GENERAL MEDICINE: INSUFFICIENT OF KNOWLEDGE |
|
| 859 |
GENERAL MEDICINE: REDUCE APPETITE |
|
| 1131 |
GENTOURINARY/ FLUID/ ELECTROLYTE |
|
| 355 |
GLASGOW COMA SCALE |
|
| 1077 |
GLAUCOMA: ACTIVITY INTOLERANCE |
|
| 1078 |
GLAUCOMA: ANXIETY |
|
| 1079 |
GLAUCOMA: CHANGE IN USUAL ACTIVITIES/ HOBBIES DUE TO ALTERED VISION |
|
| 1080 |
GLAUCOMA: DEFICIENT KNOWLEDGE (LEARNING NEED) REGARDING CONDITION, PROGNOSIS, TREATMENT, SELF-CARE NEEDS |
|
| 1081 |
GLAUCOMA: SENSORY/ PERCEPTUAL ALTERATION: VISUAL |
|
| 648 |
GOALS |
|
| 59 |
GONIO |
|
| 715 |
GONIOSCOPY |
|
| 898 |
GOUT: JOINT AND MUSCLE PAIN |
|
| 899 |
GOUT: PONTENTIAL OF GETTING RENAL CALCULI |
|
| 900 |
GULLIAN BARRE SYNDROME: CHANGES IN THE COPING MECHANISM |
|
| 901 |
GULLIAN BARRE SYNDROME: MOBILITY DISORDER |
|
| 902 |
GULLIAN BARRE SYNDROME: POTENTIAL INJURY |
|
| 903 |
GULLIAN BARRE SYNDROME: RESPIRATORY DISORDER |
|
| 153 |
GYNAECOLOGICAL EXAMINATION |
|
| 154 |
GYNAECOLOGICAL EXAMINATION - CERVIX |
|
| 21 |
GYNAECOLOGICAL EXAMINATION - EXTERNAL |
|
| 155 |
GYNAECOLOGICAL EXAMINATION - OTHER |
|
| 156 |
GYNAECOLOGICAL EXAMINATION - UTERUS |
|
| 157 |
GYNAECOLOGICAL HISTORY |
|
| 598 |
GYNAECOLOGY ULTRASOUND |
|
| 158 |
H. READING & VISUAL PROCESSING |
|
| 159 |
H.E.E.A.D.S.S.S ASSESSMENT |
|
| 160 |
HABIT |
|
| 1134 |
HAEMATOLOGY |
|
| 1125 |
HAND OVER |
|
| 723 |
HEADER |
|
| 789 |
HEARING AID FINE TUNING |
|
| 786 |
HEARING AID FITTING |
|
| 785 |
HEARING AID TRIAL & PRESCRIPTION |
|
| 788 |
HEARING AID VALIDATION |
|
| 787 |
HEARING AID VERIFICATION |
|
| 406 |
HEARING AND VISUAL ASSESSMENT |
|
| 608 |
HEARING ASSESSMENT |
|
| 161 |
HEARING DIAGNOSIS |
|
| 162 |
HEARING HANDICAP |
|
| 616 |
HEARING HISTORY |
|
| 477 |
HEARING STATUS |
|
| 22 |
HEART DISEASES IN PREGNANCY |
|
| 904 |
HEMATOLOGY: ALTERED BODY IMAGE; ALOPECIA |
|
| 905 |
HEMATOLOGY: ALTERED COMFORT : NAUSEA AND VOMITING |
|
| 906 |
HEMATOLOGY: ALTERED CONFORT - PAIN |
|
| 907 |
HEMATOLOGY: ALTERED ORAL MUCOUS MEMBRANE - MUCOSITIS |
|
| 908 |
HEMATOLOGY: ANEAMIA |
|
| 909 |
HEMATOLOGY: FEAR / ANXIETY |
|
| 910 |
HEMATOLOGY: IMPAIRED BOWEL ELIMINATION - DIARRHEA |
|
| 911 |
HEMATOLOGY: IMPAIRED URINARY ELIMINATION - HAEMORRHAGIC CYSTITIS / HAEMATURIA |
|
| 912 |
HEMATOLOGY: PERIPHERAL NEUROPATHY |
|
| 1107 |
HEMATOLOGY: RISK OF BLEEDING |
|
| 913 |
HEMATOLOGY: RISK OF INFECTION |
|
| 914 |
HEPATOLOGY (HEPATITIS B & C): ANXIETY AND LACK OF KNOWLEDGE |
|
| 918 |
HEPATOLOGY (HEPATITIS B & C): IMPAIRED SKIN INTEGRITY |
|
| 919 |
HEPATOLOGY (HEPATITIS B & C): INBALANCE NUTRITION |
|
| 917 |
HEPATOLOGY (HEPATITIS B & C): RESPIRATORY CHANGES |
|
| 920 |
HEPATOLOGY (HEPATITIS B & C): RISK FOR DEFICIENT FLUID VOLUME |
|
| 915 |
HEPATOLOGY (HEPATITIS B & C): RISK FOR INFECTION |
|
| 916 |
HEPATOLOGY (HEPATITIS B & C): SITUATIONAL LOW SELF-ESTEEM |
|
| 60 |
HESS CHART/BSV CHART |
|
| 163 |
HISTORY |
|
| 638 |
HISTORY DETAILS |
|
| 705 |
HISTORY OF PRESENT COMPLAINTS |
|
| 164 |
HISTORY OF PRESENT ILLNESS |
|
| 546 |
HISTORY OF SPEECH THERAPY |
|
| 565 |
HISTORY OF THE INCIDENT |
|
| 165 |
HISTORY PAST OBSTETRICS / GYNAE |
|
| 668 |
HISTORY/EXAMINATION (INCLUDING ELECTIVE ADMISSION FOR INTERVENTION) |
|
| 23 |
HOME-BASED PROGRAM (HBP) |
|
| 166 |
HOSPITAL PHASE |
|
| 775 |
HYDROCEPHALUS: ALTERED COMFORT |
|
| 776 |
HYDROCEPHALUS: EMOTIONAL DISTURBANCE OF PARENTS |
|
| 778 |
HYDROCEPHALUS: POTENETIAL PRESSURE INJURY OVER THE HEAD |
|
| 777 |
HYDROCEPHALUS: POTENTIAL OF INCREASING INTRACRANIAL PRESSURE |
|
| 167 |
HYMEN INTACT |
|
| 1035 |
HYPEREMESIS: DECREASED APPETITE |
|
| 1034 |
HYPEREMESIS: NAUSEA AND VOMITTING |
|
| 929 |
HYPERTENSION: ANXIETY |
|
| 926 |
HYPERTENSION: HEADACHE |
|
| 928 |
HYPERTENSION: INSOMNIA |
|
| 927 |
HYPERTENSION: LACK OF KNOWLEDGE |
|
| 930 |
HYPERTENSION: POTENTIAL OF PATIENT HAVING LOW BLOOD PRESSURE |
|
| 779 |
HYPERTHERMIA |
|
| 780 |
HYPOTHERMIA |
|
| 24 |
HYSTEROSALPHINGOGRAM |
|
| 499 |
I CONVERSATIONAL AND EXPOSITORY SPEECH |
|
| 168 |
I. WRITING |
|
| 1137 |
ICU DISCHARGE PLAN & TRANSFER DOCUMENTATION |
|
| 169 |
IDENTIFICATION OF VOCAL ABUSE |
|
| 501 |
II AUDITORY COMPREHENSION |
|
| 502 |
III VERBAL EXPRESSION |
|
| 434 |
IMITATION |
|
| 500 |
IMMEDIATE POST LASER TREATMENT COMPLICATION |
|
| 931 |
IMMOBILITY |
|
| 170 |
IMMUNIZATION |
|
| 781 |
IMPAIRED GAS EXCHANGE |
|
| 391 |
IMPEDANCE |
|
| 171 |
IMPRESSION |
|
| 172 |
IMPRESSION / DIAGNOSIS |
|
| 173 |
IMPRESSION/ASSESSMENT |
|
| 803 |
IN-HOSPITAL CLINICAL OUTCOMES |
|
| 1117 |
INCIDENT REPORTING |
|
| 932 |
INEFFECTIVE COPING |
|
| 634 |
INFANT-DRIVEN FEEDING SCALES |
|
| 1133 |
INFECTION CONTROL |
|
| 934 |
INFECTIOUS DISEASE: DEHYDRATION |
|
| 933 |
INFECTIOUS DISEASE: DIARRHOEA |
|
| 935 |
INFECTIOUS DISEASE: POTENTIAL TO SPREAD (CONTAGIOUS) |
|
| 1036 |
INFERTILITY: ANXIETY |
|
| 174 |
INFORMATION OF ABUSER |
|
| 175 |
INJURY DETAILS |
|
| 26 |
INSERTION OF CONTRACEPTIVE IMPLANT |
|
| 27 |
INSERTION OF IUD |
|
| 28 |
INSERTION OF VAGINAL PESSARY |
|
| 176 |
INSTRUCTION |
|
| 415 |
INSTRUCTIONS |
|
| 177 |
INSTRUMENTAL DELIVERY |
|
| 29 |
INSTRUMENTAL DELIVERY COMPLICATIONS |
|
| 465 |
INTELLIGIBILITY |
|
| 837 |
INTERRUPTED BREASTFEEDING |
|
| 1115 |
INTERVENTION |
|
| 2 |
INTRA OPERATIVE ASSESSMENT |
|
| 1038 |
INTRA UTERINE DEATH: POTENTIAL DECREASE TISSUE PERFUSION |
|
| 1037 |
INTRA UTERINE DEATH: SADNESS |
|
| 739 |
INTRAOCULAR PRESSURE(IOP) |
|
| 605 |
INTRAUTERINE TRANSFUSION |
|
| 178 |
INTRODUCTION |
|
| 179 |
INVESTIGATION |
|
| 180 |
INVESTIGATION RESULTS |
|
| 61 |
IOL |
|
| 373 |
IOL |
|
| 62 |
IOP |
|
| 725 |
ISOLATION PRECAUTION |
|
| 681 |
ISSUE(S) OF CONCERN |
|
| 508 |
IV - READING |
|
| 181 |
J. PRAGMATICS & AFFECT |
|
| 826 |
JAUNDICE: ALTERED SKIN COLOUR |
|
| 827 |
JAUNDICE: EMOTIONAL DISORDERS OF PARENTS |
|
| 377 |
KERATOMETRY |
|
| 936 |
KNOWLEDGE DEFICIT |
|
| 347 |
LAB INVESTIGATION |
|
| 721 |
LABORATORY RESULT |
|
| 182 |
LABOUR AND DELIVERY |
|
| 183 |
LABOUR AND DELIVERY RECORD |
|
| 184 |
LABOUR DETAIL |
|
| 30 |
LACRIMAL SYSTEM |
|
| 410 |
LANGUAGE COMPREHENSION |
|
| 622 |
LANGUAGE OF SCHOOL AGED CHILDREN (7-18 YEARS OLD) NOTE |
|
| 185 |
LANGUAGE USE |
|
| 804 |
LAPAROSCOPY |
|
| 31 |
LAPAROSCOPY AND DYE TEST |
|
| 732 |
LAPORAN AWAL |
|
| 186 |
LARYNGEAL FUNCTION |
|
| 604 |
LASER ABILATION |
|
| 799 |
LASER ABLATION |
|
| 388 |
LEFT |
|
| 32 |
LENS |
|
| 372 |
LENS |
|
| 33 |
LIDS |
|
| 663 |
LIST OF TREATMENT PROVIDED |
|
| 187 |
LISTENING AND UNDERSTANDING: |
|
| 513 |
LISTENING ASSESSMENT |
|
| 630 |
LISTENING ASSESSMENT COMPONENT |
|
| 672 |
LONG TERM PLAN / FOLLOW UP |
|
| 188 |
LONG-TERM MEMORY |
|
| 400 |
LOUDNESS DISCOMFORT LEVEL |
|
| 397 |
LOUDNESS MATCHING |
|
| 189 |
LOW VISION ASSESSMENT |
|
| 383 |
LOW VISION ASSESSMENT |
|
| 587 |
LOW VISION DEVICES DELIVERY |
|
| 588 |
LOW VISION FOLLOW-UP |
|
| 570 |
MAKLUMAT PERAWATAN |
|
| 746 |
MAKLUMAT PERAWATAN (Diisi oleh Pegawai Perubatan) |
|
| 743 |
MAKLUMAT RUJUKAN |
|
| 937 |
MALARIA: BODY TEMPERATURE DISTURBANCE |
|
| 938 |
MALARIA: POTENTIAL OF SPREADING |
|
| 326 |
MANAGEMENT |
|
| 191 |
MANAGEMENT AND NURSING CARE |
|
| 192 |
MANAGEMENT PLAN |
|
| 436 |
MATCHING |
|
| 1139 |
MATERIAL SENT OT PATHOLOGY |
|
| 193 |
MATERNAL CONDITION - POST DELIVERY |
|
| 194 |
MATERNAL HISTORY |
|
| 34 |
MEASUREMENT |
|
| 359 |
MEASUREMENT |
|
| 724 |
MEDICAL ALERT |
|
| 195 |
MEDICAL AND SURGICAL HISTORY |
|
| 196 |
MEDICAL AND SURGICAL HISTORY WITH POSIBBLE ADVERSE EFFECTS ON FERTILITY |
|
| 751 |
MEDICAL CERTIFICATE / LIGHT DUTY |
|
| 197 |
MEDICAL HISTORY |
|
| 198 |
MEDICATION |
|
| 199 |
MEDICATION ADMINISTERED |
|
| 671 |
MEDICATION ON DISCHARGE |
|
| 200 |
MEDICO LEGAL SPECIMENS |
|
| 941 |
MENINGITIS: HYPERTHEMIA |
|
| 939 |
MENINGITIS: POOR CEREBRAL TISSUE PERFUSSION |
|
| 940 |
MENINGITIS: POTENTIAL INFECTION |
|
| 942 |
MENINGITIS: POTENTIAL INJURY |
|
| 201 |
MENSTRUAL AND OVULATION HISTORY |
|
| 202 |
MENSTRUAL HISTORY |
|
| 679 |
MENTAL STATE EXAMINATION |
|
| 203 |
MENTAL STATUS |
|
| 398 |
MINIMUM MASKING LEVEL |
|
| 1039 |
MISSED AND INCOMPLETE ABORTION: ANXIETY |
|
| 1108 |
MISSED AND INCOMPLETE ABORTION: KNOWLEDGE DEFICIT |
|
| 1042 |
MISSED AND INCOMPLETE ABORTION: NAUSEA & VOMITING (POTENTIAL) |
|
| 1040 |
MISSED AND INCOMPLETE ABORTION: PAIN |
|
| 1043 |
MISSED AND INCOMPLETE ABORTION: POTENTIAL HPOVOLUMIC SHOCK |
|
| 1041 |
MISSED AND INCOMPLETE ABORTION: POTENTIAL OF HEAVY BLEEDING |
|
| 405 |
MODE OF DELIVERY |
|
| 572 |
MODIFIED RANKIN SCALE (MRS) |
|
| 748 |
MODIFIED RANKING SCALE (mRS) |
|
| 1044 |
MOLAR PREGNANCY: ANXIETY |
|
| 1046 |
MOLAR PREGNANCY: EMOTIONAL DISTURBANCE DUE TO ALTERED BODY IMAGE |
|
| 1045 |
MOLAR PREGNANCY: KNOWLEDGE DEFICITS |
|
| 1047 |
MOLAR PREGNANCY: POTENTIAL DEHYDRATION |
|
| 706 |
MONITORING AND EVALUATION |
|
| 697 |
MONITORING EVALUTION |
|
| 204 |
MORPHOEA /SCLERODERMA |
|
| 205 |
MOTHER |
|
| 734 |
MOTHERS DETAILS |
|
| 206 |
MOTOR FUNCTION |
|
| 474 |
MUCOUS MEMBRANE |
|
| 496 |
MUCOUS MEMBRANE |
|
| 35 |
MULTIPLE PREGNANCY DESCRIPTION |
|
| 207 |
MUSCLE TONE |
|
| 208 |
MUSCULOSKELETAL |
|
| 1135 |
MUSCULOSKELETAL SYSTEM |
|
| 209 |
MYCOSIS FUNGOIDES |
|
| 210 |
NASOMETER ANALYSIS |
|
| 211 |
NEAR VA |
|
| 212 |
NEONATAL HISTORY |
|
| 413 |
NEONATAL PERIOD - FIRST 28 DAYS (ONLY FOR NEONATES |
|
| 213 |
NEUROLOGICAL SYSTEM |
|
| 646 |
NEUROLOGICAL TESTS |
|
| 596 |
NEUROMUSCULAR ELECTRICAL STIMULATION PROCEDURE NOTE |
|
| 214 |
NEXT SESSION PLAN |
|
| 484 |
NON-NUTRITIVE SUCKING / SWALLOW |
|
| 215 |
NURSING ASSESSMENT |
|
| 216 |
NURSING CARE PLAN |
|
| 701 |
NUTRITION ASSESSMENT OF DIET INTAKE |
|
| 702 |
NUTRITION DIAGNOSIS |
|
| 754 |
NUTRITION DIAGNOSIS (PROBLEM, ETIOLOGY, SIGN & SYMPTOM) |
|
| 695 |
NUTRITION DIAGNOSIS (PROBLEM,ETIOLOGY,SIGN & SYMPTOM) |
|
| 756 |
NUTRITION FOCUSED PHYSICAL FINDINGS |
|
| 696 |
NUTRITION INTERVENTION |
|
| 758 |
NUTRITION INTERVENTION (PLAN) & MONITORING AND EVALUATION |
|
| 760 |
NUTRITION INTERVENTION (PLAN) & MONITORING AND EVALUATION |
|
| 755 |
NUTRITION RELATED BIOCHEMISTRY |
|
| 217 |
NUTRITIONAL HISTORY |
|
| 659 |
OBJECTIVE |
|
| 512 |
OBSERVATION |
|
| 661 |
OBSERVATION & PATHOPHYSIOLOGY |
|
| 557 |
OBSTETRIC/MENSTRUAL HISTORY |
|
| 218 |
OBSTETRICS HISTORY |
|
| 219 |
OBSTETRICS LMP DETAILS |
|
| 561 |
OCCUPATIONAL HISTORY |
|
| 737 |
OCCUPATIONAL INFORMATION |
|
| 653 |
OCCUPATIONAL THERAPY HISTORY |
|
| 545 |
OCCUPATIONAL THERAPY PROGRESS NOTE |
|
| 220 |
OCULAR EXAMINATION |
|
| 25 |
OFFICE HYSTEROSCOPY |
|
| 667 |
ON SET |
|
| 345 |
ONSET |
|
| 1082 |
OPERATION ORIF, BSSO SURGICAL REMOVAL: KNOWLEDGE DEFICIT |
|
| 221 |
OPERATIVE PROCEDURE |
|
| 689 |
ORAL INTAKE (CURRENT / DIET HISTORY) |
|
| 459 |
ORAL MOTOR EXAMINATION |
|
| 222 |
ORAL-MOTOR EXAMINATION |
|
| 487 |
ORAL-MOTOR FUNCTION |
|
| 607 |
ORL EXAMINATION |
|
| 223 |
ORL FINDINGS |
|
| 463 |
OROMOTOR MOVEMENT |
|
| 709 |
OSCC ADMINISTRATOR |
|
| 1118 |
OSCC TEAM |
|
| 395 |
OTHER |
|
| 713 |
OTHER DIAGNOSIS |
|
| 224 |
OTHER FACTORS WITH POSSIBLE ADVERSE EFFECTS ON FERTILITY |
|
| 225 |
OTHER FACTORS WITH POSSIBLE EFFECTS ON FERTILITY |
|
| 614 |
OTHER HISTORY |
|
| 797 |
OTHER INDICATION |
|
| 1120 |
OTHER INFORMATION |
|
| 576 |
OTHER INFORMATION FROM MEDICAL OFFICER |
|
| 710 |
OTHER PARAMETERS |
|
| 226 |
OTHER PROBLEM IN OBSTETRICS |
|
| 227 |
OTHER PROCEDURE |
|
| 412 |
OTHER PROFESSIONALS' INVOLVEMENT |
|
| 1136 |
OTHER SYSTEMS |
|
| 606 |
OTHERS |
|
| 228 |
OTOLOGIC HISTORY |
|
| 386 |
OTORHINOLARYNGOLOGY |
|
| 390 |
OTOSCOPIC EXAMINATION |
|
| 1116 |
OUTCOME |
|
| 678 |
OUTCOME AT DISCHARGE |
|
| 229 |
OUTCOME MEASURE |
|
| 402 |
OUTCOME MEASURE EVALUATION |
|
| 750 |
OUTREACH SCREENING |
|
| 618 |
OVERALL SESSION OBSERVATION |
|
| 354 |
OXYGEN DELIVERY DURING PROCEDURAL SEDATION |
|
| 36 |
PAEDIATRIC HISTORY |
|
| 621 |
PAEDIATRICS LANGUAGE DEVELOPMENT |
|
| 974 |
PALLIATIF CARE: ANXIETY |
|
| 967 |
PALLIATIF CARE: CHANGES IN RESPITATORY PATTERN |
|
| 972 |
PALLIATIF CARE: ELECTROLYTES IMBALANCE |
|
| 970 |
PALLIATIF CARE: FEVER |
|
| 973 |
PALLIATIF CARE: INSOMNIA |
|
| 968 |
PALLIATIF CARE: LIMITED MOBILITY |
|
| 969 |
PALLIATIF CARE: NAUSEA & VOMITING |
|
| 971 |
PALLIATIF CARE: POTENTIAL FOR IMPAIRED ELIMINATION (CONSTIPATION) |
|
| 975 |
PALLIATIF CARE: POTENTIAL SURGICAL WOUND INFECTION |
|
| 230 |
PART 1: ADMISSION INFORMATION |
|
| 231 |
PART 2: NURSING ASSESSMENT |
|
| 233 |
PART 3: FALL RISK ASSESSMENT (MODIFIED MORSE FALL SCALE) |
|
| 232 |
PART 3: RISK ASSESSMENT |
|
| 234 |
PART 4: PSYCHOSOCIAL HISTORY |
|
| 235 |
PAST HISTORY |
|
| 236 |
PAST MEDICAL HISTORY |
|
| 237 |
PAST OBSTETRIC HISTORY |
|
| 37 |
PAST OBSTETRICS HISTORY |
|
| 38 |
PAST SURGICAL HISTORY |
|
| 1113 |
PATIENT ASSESSMENT |
|
| 239 |
PATIENT DATA |
|
| 240 |
PATIENT DEMOGRAPHIC |
|
| 761 |
Patient Details |
|
| 238 |
PATIENT HISTORY |
|
| 551 |
PATIENT HISTORY |
|
| 241 |
PATIENT INFORMATION |
|
| 698 |
PATIENT MOTIVATION |
|
| 448 |
PATIENTS ACHIEVEMENT |
|
| 242 |
PATIENTS PERCEPTION OF OWN VOICE |
|
| 467 |
PATIENTS PERFORMANCE |
|
| 243 |
PATIENTS PROGRESS |
|
| 244 |
PELVIC EXAMINATION |
|
| 39 |
PELVIC ORGAN |
|
| 493 |
PENETRATION / ASPIRATION SCALE 1 - 8 (ROSENBEK, 1996 |
|
| 571 |
PERANCANGAN PERAWATAN |
|
| 747 |
PERANCANGAN PERAWATAN (Diisi oleh Pegawai Perubatan) |
|
| 1101 |
PERCUTANEOUS TRANSHEPATIC BILIARY DRAIN (PTBD): DEFICIENT OF KNOWLEDGE RELATED TO CARE OF PTBD |
|
| 1105 |
PERCUTANEOUS TRANSHEPATIC BILIARY DRAIN (PTBD): IMPAIRED SKIN INTEGRITY |
|
| 1103 |
PERCUTANEOUS TRANSHEPATIC BILIARY DRAIN (PTBD): KNOWLEDGE DEFICIENT OF WOUNDS CARE AFTER DISCHARGE |
|
| 1106 |
PERCUTANEOUS TRANSHEPATIC BILIARY DRAIN (PTBD): PAIN |
|
| 1104 |
PERCUTANEOUS TRANSHEPATIC BILIARY DRAIN (PTBD): RESPIRATORY CHANGES |
|
| 1102 |
PERCUTANEOUS TRANSHEPATIC BILIARY DRAIN (PTBD): RISK FOR INFECTION |
|
| 245 |
PERFORMED BY |
|
| 246 |
PERFORMING STAFF |
|
| 569 |
PERIHAL PENJAGA |
|
| 745 |
PERIHAL PENJAGA (Diisi oleh Jururawat) |
|
| 568 |
PERIHAL PESAKIT |
|
| 744 |
PERIHAL PESAKIT (Diisi oleh jururawat) |
|
| 800 |
PERSONAL AND SOCIAL HISTORY |
|
| 247 |
PERSONAL DETAILS |
|
| 352 |
PERSONAL HISTORY |
|
| 690 |
PERSONAL PARTICULARS |
|
| 802 |
PHARMALOGICAL THERAPY (USED / GIVEN DURING ADMISSION) |
|
| 40 |
PHOTOGRAPH |
|
| 642 |
PHYSICAL ASSESSMENT |
|
| 1123 |
PHYSICAL ASSESSMENT (CHECK BOXES PERTAINING TO PATIENT) |
|
| 408 |
PHYSICAL DEVELOPMENT |
|
| 248 |
PHYSICAL EXAMINATION |
|
| 250 |
PHYSICAL EXAMINATION (SYSTEMIC) |
|
| 249 |
PHYSICAL EXAMINATION - CHEST PAIN |
|
| 1122 |
PHYSICAL EXAMINATION AND ASSESSMENT |
|
| 41 |
PHYSICAL FINDINGS |
|
| 647 |
PHYSIOTHERAPY IMPRESSION |
|
| 637 |
PHYSIOTHERAPY REFERRAL DETAILS |
|
| 396 |
PITCH MATCHING |
|
| 251 |
PITCH PATTERN SEQUENCE TEST (PPST) |
|
| 252 |
PLAN |
|
| 253 |
PLAN OF CARE |
|
| 594 |
PLAN OF CARE : CHOOSE TOP 3 PRIORITIES FOR PLAN OF CARE |
|
| 649 |
PLAN OF TREATMENT |
|
| 660 |
PLAN/PROGRESS |
|
| 977 |
PNEUMONIA: DIFFICULTY IN BREATHING, TACHYPNOEA |
|
| 978 |
PNEUMONIA: FEVER |
|
| 976 |
PNEUMONIA: INCREASE IN SECRETION |
|
| 979 |
PNEUMONIA: LOST OF APPETITE |
|
| 254 |
POST OPERATIVE ASSESSMENT |
|
| 1051 |
POST OPERATIVE LSCS: NAUSEA & VOMITING |
|
| 1050 |
POST OPERATIVE LSCS: PAIN |
|
| 1048 |
POST OPERATIVE LSCS: POTENTIAL OF BLEEDING |
|
| 1052 |
POST OPERATIVE LSCS: POTENTIAL OF INFECTION |
|
| 1049 |
POST OPERATIVE LSCS: RISK OF HYPOVOLUMIC SHOCK |
|
| 255 |
POST PARTUM ORDERS |
|
| 1083 |
POST SURGICAL INTERVENTION: ACUTE PAIN |
|
| 256 |
POST-SEDATION ASSESSMENT BY DOCTOR |
|
| 42 |
POSTERIOR SEGMENT |
|
| 257 |
POSTNATAL COURSE |
|
| 840 |
POSTOPERATIVE PAIN: CONSTIPATION |
|
| 839 |
POSTOPERATIVE PAIN: RISK FOR INEFFECTIVE BREATHING PATTERN |
|
| 838 |
POSTOPERATIVE PAIN: SEVERE PAIN EVIDENCE BY SLEEP PATTERN DISTURBANCE |
|
| 782 |
POTENTIAL FOR INFECTION |
|
| 1058 |
PPH: ANEMIA |
|
| 1053 |
PPH: ANXIETY |
|
| 1057 |
PPH: EXCESSIVE BLEEDING (> 500MLS IN 24 HRS) |
|
| 1056 |
PPH: FLUIDS DEFICITS |
|
| 1055 |
PPH: LETHARGY |
|
| 1054 |
PPH: POTENTIAL OF COMPLICATIONS SECONDARY TO PER VAGINAL BLEEDING |
|
| 1059 |
PPH: POTENTIAL OF HYPOVOLUMIC SHOCK |
|
| 595 |
PRAGMATIC LANGUAGE-PAEDIATRICS |
|
| 741 |
PRE HOSPITAL CARE |
|
| 258 |
PRE HOSPITAL PHASE TREATMENT (OTHER THAN PHC) |
|
| 259 |
PRE PROCEDURE HISTORY |
|
| 263 |
PRE-SCOPE HISTORY |
|
| 260 |
PRE-SEDATION ASSESSMENT BY NURSE |
|
| 486 |
PREFEEDING OBSERVATIONS |
|
| 261 |
PREGNANCY |
|
| 586 |
PRELIMINARY EXAMINATION AND TRIAL FITTING |
|
| 585 |
PRELIMINARY REPORT |
|
| 790 |
PRELIMINARY TEST |
|
| 825 |
PREMATURE WITH RDS: IMPAIRED GAS EXCHANGE |
|
| 262 |
PREMORBID HISTORY |
|
| 264 |
PRESENT HISTORY |
|
| 265 |
PRESENT PREGNANCY |
|
| 266 |
PRESENT PREGNANCY (LATEST OBSTETRIC ENCOUNTER) |
|
| 267 |
PRESENTING PROBLEMS |
|
| 674 |
PREVIOUS INTERVENTION |
|
| 268 |
PREVIOUS INVESTIGATION |
|
| 389 |
PREVIOUS INVESTIGATION RESULTS |
|
| 269 |
PREVIOUS INVESTIGATIONS AND TREATMENTS FOR INFERTILITY |
|
| 270 |
PRIMARY SURVEY |
|
| 639 |
PROBLEM |
|
| 656 |
PROBLEM IDENTIFICATION |
|
| 271 |
PROBLEM LIST |
|
| 677 |
PROCEDURAL COMPLICATION |
|
| 272 |
PROCEDURE |
|
| 564 |
PROCEDURE DETAILS |
|
| 273 |
PROCEDURE REPORT |
|
| 274 |
PROCEDURES AND TREATMENT |
|
| 670 |
PROCEDURES PERFORMED DURING ADMISSION (INCLUDING PACEMAKER INSERTION) - IF DONE |
|
| 617 |
PROFESSIONAL EVALUATIONS COMPLETED |
|
| 275 |
PROGNOSIS |
|
| 548 |
PROGNOSIS&PATIENT/CAREGIVERS EXPECTATION |
|
| 532 |
PROGRESS |
|
| 625 |
PROSODY / RATE |
|
| 384 |
PROVISIONAL DIAGNOSIS |
|
| 276 |
PSORIASIS |
|
| 539 |
PSORIATIC ARTHRITIS |
|
| 783 |
PSYCHIATRIC |
|
| 809 |
PSYCHIATRIC 2 |
|
| 593 |
PSYCHOSOCIAL HISTORY |
|
| 650 |
PURPOSE |
|
| 575 |
PURPOSE OF REFERRAL |
|
| 954 |
RADIOTHERAPY AND ONCOLOGY: ACTIVITY INTOLERANCE |
|
| 945 |
RADIOTHERAPY AND ONCOLOGY: ACUTE PAIN |
|
| 951 |
RADIOTHERAPY AND ONCOLOGY: ACUTE RAFIATION SKIN REACTIONS (DRY/MOIST) |
|
| 944 |
RADIOTHERAPY AND ONCOLOGY: ANTICIPATORY GRIEVING |
|
| 957 |
RADIOTHERAPY AND ONCOLOGY: ANXIETY |
|
| 960 |
RADIOTHERAPY AND ONCOLOGY: CHEMOTHERAPY EXTRAVATION |
|
| 958 |
RADIOTHERAPY AND ONCOLOGY: DISTURBED SLEEP PATTERN |
|
| 948 |
RADIOTHERAPY AND ONCOLOGY: FATIQUE |
|
| 943 |
RADIOTHERAPY AND ONCOLOGY: FEAR ANXIETY |
|
| 966 |
RADIOTHERAPY AND ONCOLOGY: HEMORRHAGIC CYSTITIS |
|
| 946 |
RADIOTHERAPY AND ONCOLOGY: NUTRITION: LESS THAN BODY REQUIREMENTS |
|
| 950 |
RADIOTHERAPY AND ONCOLOGY: ORAL MUCUSITIS |
|
| 965 |
RADIOTHERAPY AND ONCOLOGY: PERIPHERAL NEUROPATHY |
|
| 953 |
RADIOTHERAPY AND ONCOLOGY: RISK FOR ALTERED SEXUALITY PATTERNS |
|
| 952 |
RADIOTHERAPY AND ONCOLOGY: RISK FOR CONSTIPATION /DIARRHEA |
|
| 955 |
RADIOTHERAPY AND ONCOLOGY: RISK FOR FALLS |
|
| 947 |
RADIOTHERAPY AND ONCOLOGY: RISK FOR FLUID VOLUME DEFICIT |
|
| 949 |
RADIOTHERAPY AND ONCOLOGY: RISK FOR INFECTION |
|
| 963 |
RADIOTHERAPY AND ONCOLOGY: RISK NAUSEA AND VOMITING |
|
| 962 |
RADIOTHERAPY AND ONCOLOGY: RISK OF ANEMIA |
|
| 959 |
RADIOTHERAPY AND ONCOLOGY: RISK OF CHEMOTHERAPY EXTRAVASATION |
|
| 961 |
RADIOTHERAPY AND ONCOLOGY: RISK OF HAIR LOSS OR ALOPECIA OR HAIR THINNING |
|
| 956 |
RADIOTHERAPY AND ONCOLOGY: RISK OF PRESSURE ULCER / DECUBITUS ULCER |
|
| 964 |
RADIOTHERAPY AND ONCOLOGY: SITATUINAL LOW SELF-ESTEEM |
|
| 573 |
RAWATAN SUSULAN YANG DIPERLUKAN |
|
| 749 |
RAWATAN SUSULAN YANG DIPERLUKAN |
|
| 63 |
RE |
|
| 528 |
READING |
|
| 664 |
REASON FOR DISCHARGE |
|
| 556 |
REASON FOR REFERRAL |
|
| 277 |
RECOMMENDATION / PLAN |
|
| 443 |
RECOMMENDATIONS |
|
| 631 |
RECORD OF PATIENT'S PERFORMANCE |
|
| 278 |
RECORD OF PATIENTS PERFORMANCE / PROGRESS |
|
| 470 |
RECORD OF PATIENTS PERFORMANCE / PROGRESS |
|
| 286 |
RECORD RESUSCITATION AND STABILIZATION |
|
| 416 |
RED FLAGS FOR PAEDIATRICS COMMUNICATION SKILL |
|
| 733 |
REFER DETAILS |
|
| 190 |
REFERRAL |
|
| 279 |
REFERRAL |
|
| 566 |
REFERRAL DETAILS |
|
| 567 |
REFERRAL INFORMATION |
|
| 280 |
REFLEXES |
|
| 801 |
REFLEXES/BRISKESS |
|
| 807 |
REFLEXES/BRISKNESS |
|
| 376 |
REFRACTION FINDINGS |
|
| 281 |
REHAB TEAM |
|
| 282 |
RELATED OBSERVATIONS |
|
| 738 |
RELEVANT INVESTIGATIONS |
|
| 374 |
REMARKS |
|
| 43 |
REMOVAL OF CONTRACEPTIVE IMPLANT |
|
| 44 |
REMOVAL OF IUD |
|
| 722 |
REPERFUSION THERAPY / MANAGEMENT |
|
| 1087 |
REPLANTATION PATIENTS: ANXIETY |
|
| 1088 |
REPLANTATION PATIENTS: LACK OF KNOWLEDGE |
|
| 1090 |
REPLANTATION PATIENTS: POOR APPETITE |
|
| 1089 |
REPLANTATION PATIENTS: POTENTIAL CHANGE OF FINGER COLOR (PALE / BLUE) |
|
| 1086 |
REPLANTATION PATIENTS: POTENTIAL HYPOXOLEMIC SHOCK |
|
| 1091 |
REPLANTATION PATIENTS: POTENTIAL INFECTIONS |
|
| 555 |
REPLY DETAILS |
|
| 283 |
REPORT |
|
| 549 |
REPORTS |
|
| 574 |
REQUIRED SERVICE/S |
|
| 399 |
RESIDUAL INHIBITION |
|
| 530 |
RESOLVED PROBLEM |
|
| 632 |
RESONANCE-ADULT |
|
| 461 |
RESPIRATION |
|
| 1129 |
RESPIRATORY |
|
| 834 |
RESPIRATORY PROBLEM: ACTIVITY INTOLERANCE |
|
| 835 |
RESPIRATORY PROBLEM: ALTERED FAMILY PROCESSES/COPING |
|
| 830 |
RESPIRATORY PROBLEM: GAS EXCHANGE, IMPAIRED |
|
| 828 |
RESPIRATORY PROBLEM: INEFFECTIVE AIRWAY CLEARANCE |
|
| 829 |
RESPIRATORY PROBLEM: INEFFECTIVE BREATHING PATTERN |
|
| 831 |
RESPIRATORY PROBLEM: RISK FOR INFECTION |
|
| 832 |
RESPIRATORY PROBLEM: RISK OF FLUID VOLUME DEFICIT |
|
| 1111 |
RESPONSE TEAM |
|
| 284 |
RESULT |
|
| 285 |
RESULTS REVIEW |
|
| 45 |
RESUSCITATION |
|
| 923 |
RETROVIRAL DISEASE: DIARRHOEA |
|
| 925 |
RETROVIRAL DISEASE: LACK OF KNOWLEDGE |
|
| 922 |
RETROVIRAL DISEASE: LOSS OF APPETITE |
|
| 921 |
RETROVIRAL DISEASE: NAUSEA AND VOMIT |
|
| 924 |
RETROVIRAL DISEASE: SKIN INTEGRITY DISORDER, PETECHIAE AND RASHNESS |
|
| 536 |
RHEUMATOID ARTHRITIS |
|
| 986 |
RHEUMOTOLOGY: ALTERED BODY IMAGE |
|
| 984 |
RHEUMOTOLOGY: DEFICIENT KNOWLEDGE |
|
| 988 |
RHEUMOTOLOGY: HEADACHE |
|
| 981 |
RHEUMOTOLOGY: INEFFECTIVE BREATHING PATTERN |
|
| 982 |
RHEUMOTOLOGY: INEFFECTIVE PERIPHERAL TISSUE PERFUSION |
|
| 989 |
RHEUMOTOLOGY: JOINT & MUSCLE PAIN |
|
| 985 |
RHEUMOTOLOGY: LIMITED MOBILITY |
|
| 987 |
RHEUMOTOLOGY: NAUSEA AND VOMIT |
|
| 983 |
RHEUMOTOLOGY: PAIN |
|
| 980 |
RHEUMOTOLOGY: PHOTOSENSITIVITY |
|
| 990 |
RHEUMOTOLOGY: SKIN INTEGRITY DISORDER, PETECHIAE AND RASHNESS |
|
| 387 |
RIGHT |
|
| 592 |
RISK ASSESSMENT |
|
| 1119 |
SAMPLER |
|
| 287 |
SCAN TEAM MEMBERS INCHARGE |
|
| 485 |
SCARRING OF SCALP |
|
| 1112 |
SCENE ASSESSMENT |
|
| 497 |
SCORE: |
|
| 288 |
SCORING |
|
| 611 |
SCREENING |
|
| 46 |
SECOND / THIRD TRIMESTER SCAN FINDING |
|
| 422 |
SECTION 1: GENERAL INFORMATION |
|
| 423 |
SECTION II : HISTORY/EXAMINATION (INCLUDING ELECTIVE ADMISSION FOR INTERVENTION) |
|
| 424 |
SECTION III : RELEVANT INVESTIGATIONS |
|
| 425 |
SECTION IV : DIAGNOSIS ON DISCHARGE (PLEASE INCLUDE MAIN COURSE OF TREATMENT) |
|
| 426 |
SECTION V : PROCEDURES PERFORMED DURING ADMISSION (INCLUDING PACEMAKER INSERTION) - IF DONE |
|
| 427 |
SECTION VI : MEDICATION ON DISCHARGE |
|
| 428 |
SECTION VII : LONG TERM PLAN/ FOLLOW UP |
|
| 728 |
SEDATION CARE PLAN - ASSESSMENT BY NURSE |
|
| 729 |
SEDATION CARE PLAN - POST –SEDATION ASSESSMENT BY DOCTOR |
|
| 727 |
SEDATION CARE PLAN - PRE-PROCEDURAL SEDATION ASSESSMENT BY DOCTOR |
|
| 720 |
SEDATION CARE PLAN - PRE-SEDATION ASSESSMENT BY DOCTOR |
|
| 356 |
SEDATION DOCUMENTATION |
|
| 991 |
SELF-CARE DEFICIT |
|
| 47 |
SEMEN ANALYSIS |
|
| 289 |
SENSORY |
|
| 290 |
SENSORY SYMPTOMS |
|
| 3 |
SESSION CLINICAL NOTES |
|
| 291 |
SESSION CLINICAL NOTES |
|
| 292 |
SESSION DETAILS |
|
| 293 |
SESSION NOTES (ONE-HOUR SESSION) |
|
| 294 |
SEVERITY |
|
| 506 |
SEVERITY RATING |
|
| 295 |
SEXUAL HISTORY |
|
| 48 |
SEXUAL HISTORY (WHERE RELEVANT) |
|
| 296 |
SEXUAL HISTORY OF BOTH PARTNERS |
|
| 297 |
SHORT-TERM MEMORY |
|
| 298 |
SIDE EFFECTS |
|
| 300 |
SIGNATURE (BY ETD DOCTOR) |
|
| 582 |
SIGNATURE (DOCTOR O&G) |
|
| 798 |
SIGNATURE (DOCTOR PAEDIATRIC) |
|
| 584 |
SIGNATURE (DOCTOR SURGERY) |
|
| 299 |
SIGNATURES |
|
| 992 |
SLE: SKIN INTEGRITY DISORDERS (INFLAMMATORY: VASOCONSTRICTION) |
|
| 742 |
SLEEP HISTORY |
|
| 736 |
SLIT-LAMP |
|
| 301 |
SNAP II -PE SCORE |
|
| 302 |
SOCIAL AND FAMILY HISTORY |
|
| 303 |
SOCIAL BACKGROUND |
|
| 304 |
SOCIAL HISTORY |
|
| 583 |
SODOMY |
|
| 1085 |
SOFT TISSUE INJURY OR MAJOR SURGERY: IMBALANCED NUTRITION: LESS THAN BODY REQUIREMENTS |
|
| 1084 |
SOFT TISSUE INJURY OR SURGICAL PROCEDURE: IMPAIRED ORAL MUCOUS MEMBRANE |
|
| 645 |
SPECIAL TESTS |
|
| 644 |
SPECIFIC QUESTIONS |
|
| 305 |
SPECULUM EXAMINATION / EXAMINATION IN STANDING POSITION |
|
| 306 |
SPEECH BEHAVIOUR |
|
| 409 |
SPEECH DEVELOPMENT |
|
| 514 |
SPEECH INTELLIGIBILITY RATING (SIR) |
|
| 462 |
SPEECH PRODUCTION |
|
| 673 |
STATUS BEFORE EVENT |
|
| 307 |
STIMULUS |
|
| 308 |
STRATEGIES TO ENHANCE DEVICE USE IN CLASSROOM |
|
| 492 |
STRUCTURAL OBSERVATION |
|
| 658 |
SUBJECTIVE |
|
| 309 |
SUBTEST 1 : DIADOCHOKINETIC RATE |
|
| 310 |
SUBTEST 2 : INCREASING WORD LENGTH |
|
| 311 |
SUBTEST 3 : LIMB APRAXIA AND ORAL APRAXIA |
|
| 312 |
SUBTEST 4 : RESPONSE RATE AND UTTERANCE TIME FOR MULTISYLLABIC WORDS |
|
| 313 |
SUBTEST 5 : REPEATED TRIAL TEST |
|
| 314 |
SUBTEST 6 : ARTICULATION FEATURES INVENTORY |
|
| 662 |
SUMMARIES OF PATIENT PROGRESS |
|
| 315 |
SUMMARY |
|
| 316 |
SUMMARY AND COMMENTS |
|
| 317 |
SUMMARY AND RECOMMENDATION |
|
| 318 |
SUMMARY OF FINDINGS |
|
| 547 |
SWALLOWING PROBLEMS |
|
| 319 |
SYMBOL SYSTEM |
|
| 435 |
SYMBOLIC PLAY |
|
| 320 |
SYMPTOMS |
|
| 321 |
SYSTEM RECOMMENDATION |
|
| 544 |
SYSTEMIC |
|
| 322 |
SYSTEMIC EXAMINATION |
|
| 537 |
SYSTEMIC LUPUS ERYTHEMATOSUS |
|
| 550 |
SYSTEMIC PROBLEM |
|
| 49 |
SYSTEMIC REVIEW |
|
| 323 |
SYSTEMIC REVIEW |
|
| 540 |
SYSTEMIC SCLEROSIS |
|
| 50 |
TERMINATION OF PREGNANCY (TOP) |
|
| 494 |
THERAPEUTIC MANOEUVRE |
|
| 635 |
THERAPEUTIC MANOEUVRES & EFFICACY |
|
| 324 |
THERAPEUTIC MANOEUVRES TRIALLED & EFFICACY |
|
| 325 |
THIRD STAGE MANAGEMENT |
|
| 995 |
THYPHOID: DEHYDRATION |
|
| 994 |
THYPHOID: DIARRHOEA |
|
| 993 |
THYPHOID: FEVER |
|
| 996 |
THYPHOID: POTENTIAL OF INFECTIOUS TO OTHERS PERSON |
|
| 997 |
THYROID: ANXIETY |
|
| 998 |
THYROID: INSOMNIA |
|
| 999 |
THYROID: WEIGHT LOSS |
|
| 609 |
TINNITUS |
|
| 792 |
TINNITUS MANAGEMENT |
|
| 327 |
TINNITUS TREATMENT |
|
| 577 |
TO BE FILLED BY STAFF/PHYSIOTHERAPIST |
|
| 1061 |
TOTAL HYSTERECTOMY & SALPHINGO-OOPHERECTOMY (TAHBSO): ANXIETY |
|
| 1062 |
TOTAL HYSTERECTOMY & SALPHINGO-OOPHERECTOMY (TAHBSO): LIMITED ACTIVITIES |
|
| 1060 |
TOTAL HYSTERECTOMY & SALPHINGO-OOPHERECTOMY (TAHBSO): PAIN |
|
| 328 |
TOTAL SCORE |
|
| 811 |
TRACHEAL OESOPHAGEAL FISTULA: POTENTIAL ASPIRATION |
|
| 1114 |
TRAUMA ASSESSMENT |
|
| 1063 |
TREATENED ABORTION: ANXIETY |
|
| 1064 |
TREATENED ABORTION: KNOWLEDGE DEFICITS |
|
| 1065 |
TREATENED ABORTION: PAIN |
|
| 329 |
TREATMENT |
|
| 580 |
TREATMENT AND AFTER CARE |
|
| 401 |
TREATMENT CONSENT FORM |
|
| 657 |
TREATMENT PLAN(GOALS AND ACTIVITIES) |
|
| 1003 |
TUBERCULOSIS: HAEMOPTYSIS |
|
| 1000 |
TUBERCULOSIS: LACK OF KNOWLEDGE |
|
| 1004 |
TUBERCULOSIS: POTENTIAL OF SREADING - RISK OF INFECTIOUS TO OTHERS PERSON |
|
| 1001 |
TUBERCULOSIS: PROGRESSIVE COUGH |
|
| 1002 |
TUBERCULOSIS: PROLONG FEVER |
|
| 432 |
TURN TAKING |
|
| 478 |
TYPE OF AMPLIFICATION |
|
| 330 |
TYPE OF PHOTOTHERAPY |
|
| 348 |
TYPE OF PROCEDURE |
|
| 726 |
TYPE OF TREATMENT |
|
| 331 |
ULTRASONOGRAPHY OF PELVIS |
|
| 332 |
ULTRASOUND FINDINGS |
|
| 51 |
URODYNAMICS |
|
| 333 |
UROGENITAL EXAMINATION |
|
| 1069 |
UTERIN INVERSION: BLEEDING |
|
| 1070 |
UTERIN INVERSION: POTENTIAL OF HYPOVOLUMIC SHOCK |
|
| 1066 |
UTERIN RUPTURE: ANXIETY |
|
| 1067 |
UTERIN RUPTURE: POTENTIAL OF HYPOVOLUMIC SHOCK |
|
| 1068 |
UTERIN RUPTURE: RISKS OF HYPOXIA TO FETUS |
|
| 507 |
V - WRITING |
|
| 52 |
VACUUM DELIVERY |
|
| 334 |
VAGINAL BREECH DELIVERY |
|
| 335 |
VAGINAL DELIVERY SUMMARY |
|
| 1071 |
VAGINAL HYSTERECTOMY: ANXIETY |
|
| 1073 |
VAGINAL HYSTERECTOMY: KNOWLEDGE DEFICITS |
|
| 1072 |
VAGINAL HYSTERECTOMY: PAIN |
|
| 1074 |
VAGINAL HYSTERECTOMY: POTENTIAL OF INFECTION |
|
| 1076 |
VAGINITIS, VULVITIS & BARTHILON CYST: DISCOMFORT |
|
| 1075 |
VAGINITIS, VULVITIS & BARTHILON CYST: KNOWLEDGE DEFICITS |
|
| 441 |
VALVES |
|
| 541 |
VASCULITIS |
|
| 491 |
VELOPHARYNGEAL PORT |
|
| 336 |
VERBAL EXPRESSION |
|
| 337 |
VFSS RESULTS |
|
| 554 |
VISUAL ACUITY AND REFRACTIVE STATUS |
|
| 591 |
VISUAL FIELD |
|
| 53 |
VITAL SIGNS |
|
| 338 |
VITAL SIGNS |
|
| 794 |
VITAL SIGNS & OTHER OBSERVATIONS |
|
| 533 |
VITAL SIGNS / EXAMINATION |
|
| 707 |
VITAL SIGNS AND OTHER OBSERVATIONS |
|
| 353 |
VITALS PRIOR TO PROCEDURAL SEDATION |
|
| 339 |
VITILIGO |
|
| 340 |
VOCABULARY / SYMBOL USE |
|
| 341 |
VOICE PRODUCTION |
|
| 342 |
VOICE QUALITY EVALUATION |
|
| 343 |
VULVA |
|
| 344 |
WRITING |
|