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Basic Information
- Patient sex
- Patient race
- Patient SSN
- Patient marital status
- Patient disposition
- Discharged to
- Arrival mode
- Arrival mode vendor
( Example: ambulance companies )
- Patient type
Vitals, in US or Metric units *
- Date / time
- Temperature
- Pulse
- Systolic
- Diastolic
- Height
- Weight
- Number of vitals taken
( * Enter as many sets as desired )
Extensive reporting is available to profile the clinical data that is collected. |
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Date / Time Stamps **
- Physician admit order
- Physician discharge order
- Admit to hospital
- Discharge from hospital
- In-bed
- Observation began
- Observation end
- Seen by physician (1)
- Seen by physician (2)
- Seen by physician (3)
- Seen by Physician (4)
- Nurse / triage assessment (1)
- Nurse / triage assessment (2)
- Nurse / triage assessment (3)
- Nurse / triage assessment (4)
- Add other time stamps using list maintenance in EDITS+ System Administration.
( ** Created by system administrator )
Extended Information
- Drugs - dosages, quantity, administered, prescribed, or both
- Tests - quantity, x-ray read by physician or technician
- Supplies – options (such as size), quantity
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