Code | Display |
actions | Actions | |
clinical-administration | Clinical administration | |
current-palliative-oncology-treatment | Current palliative oncology treatment | |
current-supportive-care-for-terminal-illness | Current supportive care for terminal illness | |
intervention | Intervention | |
intervention-on-development-of-symptoms | Intervention on development of symptoms | |
medical-follow-up | Medical follow-up | |
medical-follow-up-normal | Medical follow-up - normal | |
mental-health-therapy-follow-up | Mental health therapy follow-up | |
participation | Participation | |
planned-supportive-care-for-terminal-illness | Planned supportive care for terminal illness | |
treatment | Treatment | |
oncology-treatment | Oncology treatment | |
planned-treatment | Planned treatment | |
planned-palliative-oncology-treatment | Planned palliative oncology treatment | |
ultraviolet-light-therapy-treatment-record | Ultraviolet light therapy treatment record | |
admission-details | Admission details | |
advance-decisions-about-treatment | Advance decisions about treatment | |
advance-decision-to-refuse-treatment | Advance decision to refuse treatment | |
advance-statement | Advance statement | |
allergies-and-adverse-reaction | Allergies and adverse reaction | |
appointment | Appointment | |
community-disease-modifying-antirheumatic-drug-monitoring-appointment | Community disease modifying antirheumatic drug monitoring appointment | |
emergency-appointment | Emergency appointment | |
new-appointment | New appointment | |
review-appointment | Review appointment | |
assessment-scales | Assessment scales | |
attendance-details | Attendance details | |
clinical-narrative | Clinical narrative | |
clinical-risk-assessment | Clinical risk assessment | |
clinical-summary | Clinical summary | |
confidential-patient-data | Confidential patient data | |
consent-for-information-sharing | Consent for information sharing | |
consent-for-treatment-record | Consent for treatment record | |
consent-for-treatment-intervention-record | Consent for treatment/intervention record | |
consent-relating-to-child | Consent relating to child | |
contact-for-further-information | Contact for further information | |
deprivation-of-liberty-safeguards-or-equivalent | Deprivation of Liberty Safeguards or equivalent | |
diagnoses | Diagnoses | |
discharge-details | Discharge details | |
disposition-details | Disposition details | |
distribution-list | Distribution list | |
drug/substance-use | Drug/substance use | |
educational-history | Educational history | |
ended-allergies | Ended allergies | |
expectation-of-referral | Expectation of referral | |
family-history | Family history | |
general-practitioner-practice | General practitioner practice | |
handover-details | Handover details | |
health-characteristics | Health characteristics | |
acute-medication | Acute medication | |
carer-perception-of-problem | Carer perception of problem | |
diagnosis | Diagnosis | |
examination-findings | Examination findings | |
history | History | |
diagnostic-history | Diagnostic history | |
diagnostic-history-oncology | Diagnostic history - oncology | |
patient-narrative | Patient narrative | |
professional-narrative | Professional narrative | |
hobbies-and-interests | Hobbies and interests | |
outcome | Outcome | |
patient-encounter-administration-data | Patient encounter administration data | |
patient-perception-of-problem | Patient perception of problem | |
relevant-medical-information | Relevant medical information | |
repeat-medication | Repeat medication | |
discontinued-repeat-medication | Discontinued repeat medication | |
social-circumstances | Social circumstances | |
test-result | Test result | |
workplace-ergonomics | Workplace ergonomics | |
histocompatibility-and-immunogenetics | Histocompatibility and immunogenetics | |
immunisations | Immunisations | |
incident-details | Incident details | |
individual-requirement | Individual requirement | |
individual-requirements | Individual requirements | |
individualised-treatment-guideline | Individualised Treatment Guideline | |
information-given | Information given | |
information-and-advice-given | Information and advice given | |
investigation-results | Investigation results | |
investigations-and-procedures-requested | Investigations and procedures requested | |
investigations-and-results | Investigations and results | |
investigations-requested | Investigations requested | |
lasting-or-enduring-power-of-attorney-or-similar | Lasting or enduring power of attorney or similar | |
lasting-power-of-attorney-for-health-and-welfare-or-court-appointed-deputy-or-equivalent | Lasting power of attorney for health and welfare or court-appointed deputy or equivalent | |
legal-information | Legal information | |
life-extinct-details | Life extinct details | |
lifestyle | Lifestyle | |
medications-and-medical-devices | Medications and medical devices | |
active-medications | Active medications | |
discontinued-medications | Discontinued medications | |
medical-devices | Medical devices | |
mental-capacity-assessment | Mental capacity assessment | |
mental-health-act-or-equivalent-status | Mental Health Act or equivalent status | |
most-senior-healthcare-professional-present | Most senior healthcare professional present | |
nuclear-medicine-images | Nuclear medicine images | |
observations | Observations | |
occupational-history | Occupational history | |
organ-and-tissue-donation | Organ and tissue donation | |
outpatient-details | Outpatient details | |
outstanding-issues | Outstanding issues | |
participation-in-research | Participation in research | |
patient-and-carer-concerns | Patient and carer concerns | |
patient-and-carer-concerns-expectations-and-wishes | Patient and carer concerns, expectations and wishes | |
patient-demographics | Patient demographics | |
patients-expectation-of-referral | Patient's expectation of referral | |
patients-reason-for-referral | Patient's reason for referral | |
person-completing-record | Person completing record | |
person-handing-over | Person handing over | |
person-receiving-handover | Person receiving handover | |
plan-and-requested-actions | Plan and requested actions | |
presenting-complaints-or-issues | Presenting complaints or issues | |
problems-and-issues | Problems and issues | |
procedure-codes-community | Procedure codes (community) | |
procedures | Procedures | |
procedures-requested | Procedures requested | |
professional-contacts | Professional contacts | |
reason-for-admission | Reason for admission | |
reason-for-contact | Reason for contact | |
reason-for-handover | Reason for handover | |
reasonable-adjustments-for-health-and-care-access | Reasonable adjustments for health and care access | |
referral-details | Referral details | |
referrer-details | Referrer details | |
referral-modes | Referral modes | |
inbound-referral | Inbound referral | |
letter-with-patient | Letter with patient | |
outbound-referral | Outbound referral | |
request-form-or-letter-sent-by-mail-email | Request form or letter sent by mail/email | |
telephone-contact-only | Telephone contact only | |
relevant-clinical-risk-factors | Relevant clinical risk factors | |
relevant-past-medical-surgical-and-mental-health-history | Relevant past medical, surgical and mental health history | |
request-types | Request types | |
diagnostic-imaging-request | Diagnostic imaging request | |
diagnostic-imaging-request-summary | Diagnostic imaging request summary | |
relevant-clinical-information-for-diagnostic-imaging-request | Relevant clinical information for diagnostic imaging request | |
relevant-supporting-information-for-diagnostic-imaging-request | Relevant supporting information for diagnostic imaging request | |
fulfiller-request | Fulfiller request | |
fulfiller-request-details | Fulfiller request details | |
request | Request | |
review-of-systems | Review of systems | |
risk-from-others | Risk from others | |
risk-information | Risk information | |
risk-mitigation | Risk mitigation | |
risks-to-others | Risks to others | |
risks-to-self | Risks to self | |
role-views | Role views | |
abstract-problem-node | Abstract problem node | |
alerts | Alerts | |
problems | Problems | |
reason-for-encounter | Reason for encounter | |
reason-for-referral | Reason for referral | |
reason-for-repeat-laboratory-test | Reason for repeat laboratory test | |
safeguarding | Safeguarding | |
safeguarding-issues | Safeguarding issues | |
safety-alerts | Safety alerts | |
screening-invitation-medium | Screening invitation medium | |
screening-method | Screening method | |
senior-reviewing-clinician | Senior reviewing clinician | |
services-and-care | Services and care | |
social-context | Social context | |
special-requirements | Special requirements | |
time-modifiers | Time modifiers | |
future | Future | |
outlook | Outlook | |
aim-goal | Aim/goal | |
at-risk-of | At risk of | |
risk-to-patient | Risk to patient | |
plan | Plan | |
past | Past | |
past-actions | Past actions | |
past-health-characteristics | Past health characteristics | |
present-time | Present - time | |
treatments-and-interventions | Treatments and interventions | |
treatments-and-interventions-and-changes-made-to-treatments | Treatments and interventions and changes made to treatments | |
visual-field-report | Visual field report | |
person-demographics | Person demographics | |
contact-with-professionals | Contact with professionals | |
future-appointments | Future appointments | |
gp-practice | GP practice | |
consent | Consent | |
appliances | Appliances | |
vaccinations | Vaccinations | |
signpost-details | Signpost details | |
procedures-and-therapies | Procedures and therapies | |
pregnancy-status | Pregnancy status | |
red-flags | Red flags | |
documents-including-correspondence-audio-and-images | Documents (including correspondence, audio and images) | |
assessments | Assessments | |