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Difference between revisions of "DCM examples"
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* [http://wiki.hl7.org/index.php?title=Image:DCMHeartRate_V_06ENG.zip Heart Rate] | * [http://wiki.hl7.org/index.php?title=Image:DCMHeartRate_V_06ENG.zip Heart Rate] | ||
* [http://wiki.hl7.org/index.php?title=Image:DCMRespiration_V_08ENG.zip Respiration] | * [http://wiki.hl7.org/index.php?title=Image:DCMRespiration_V_08ENG.zip Respiration] | ||
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| + | =In-Progress DCM (examples)= | ||
| + | *[[DCM_CC|Chief complaint]], presenting problem, and/or reason for visit | ||
| + | *History of [[DCM_HPI|present illness]] | ||
| + | *Review of [[DCM_ROS|systems]] / symptoms | ||
| + | *Prior/past medical [[DCM_PMH|history]] of disease / disorder | ||
| + | **History of specific [[DCM_ID|infectious disease]] | ||
| + | **History of [[DCM_CAD|coronary artery]] disease | ||
| + | **History of [[DCM_RAD|reactive airway]] or other obstructive lung disease (asthma, COPD) | ||
| + | **History of [[DCM_CA|cancer]] | ||
| + | **[[DCM_OB|Obstetric]] and current [[DCM_preg|pregnancy]] history | ||
| + | **History of [[DCM_psych|psychiatric]] disorder | ||
| + | **History of [[DCM_CVA|stroke]] | ||
| + | **History of [[DCM_DM|diabetes]] | ||
| + | **History of drug [[DCM_ADR|allergy or intolerance]] | ||
| + | **[[DCM_birth|Birth]] and gestation history (primarily of interest in pediatrics) | ||
| + | **Clinical [[DCM_sex|sex]] | ||
| + | *History of specific [[DCM_procedure|procedure]] | ||
| + | *Physical [[DCM_PE|exam]] finding | ||
| + | *Current [[DCM_meds|medication use]] | ||
| + | *Entries in a health [[DCM_DX|concern]] tracker / problem list / diagnostic impression / differential diagnosis | ||
| + | *[[DCM_WU|Evaluation]] or [[DCM_TX|treatment]] plan | ||
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Revision as of 15:23, 18 October 2009
Currently we have the following DCM examples:
- Apgar Score
- Barthel Index
- Blood Pressure
- Body Height
- Body Temperature
- Body Weight
- Braden Scale
- Glasgow Coma Scale
- Heart Rate
- Respiration
In-Progress DCM (examples)
- Chief complaint, presenting problem, and/or reason for visit
- History of present illness
- Review of systems / symptoms
- Prior/past medical history of disease / disorder
- History of specific infectious disease
- History of coronary artery disease
- History of reactive airway or other obstructive lung disease (asthma, COPD)
- History of cancer
- Obstetric and current pregnancy history
- History of psychiatric disorder
- History of stroke
- History of diabetes
- History of drug allergy or intolerance
- Birth and gestation history (primarily of interest in pediatrics)
- Clinical sex
- History of specific procedure
- Physical exam finding
- Current medication use
- Entries in a health concern tracker / problem list / diagnostic impression / differential diagnosis
- Evaluation or treatment plan
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