Constitutional Assessment
From WikiHIT
Contents |
[edit] Description
The General Examination is part of the Physical Exam in which the overall appearance and condition are documented.
[edit] Synopsis
| Short Name | General Examination |
|---|---|
| Long Name | Constitutional Assessment |
| TemplateID | |
| UMLS Concept Code | |
| Synonym | |
| Type | Observation |
| Revision | 11314 |
[edit] Applicability
| Account | eCHR/ePHR |
|---|---|
| Sex | All |
| Age | All |
| Exceptions | None |
[edit] Instructions
| Patient | |
|---|---|
| Clinical |
[edit] Relationships
| Type | Category or CDD | Cardinality | Rules |
|---|---|---|---|
| Contains | Nutritional Status | 0..1 | |
| Contains | Physique | 0..1 | |
| Contains | State of Health | 0..1 | |
| Contains | Level of Stress | 0..1 | |
| Contains | Mental State | 0..1 | |
| Contains | Appearance Related to Age | 0..1 | |
| Contains | State of Dress | 0..1 | |
| Contains | Degree of Personal Cleanliness | 0..1 |
[edit] Attributes
| Attribute | Value | Cardinality | Data Type | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| General |
| 0..1 | CD | ||||||||
| Comments | Free Text | 0..1 | ED |
