Hospital Discharge Report - Admission evaluation - A.2.4 eHN

Objective findings

Date and time of the examination

Observation of Body weight and height of the patient, BMI, circumference of head, waist, hip, limbs and skin fold thickness. Result of the observation includes text, numeric and coded results of the measurement including measurement units. Multiple observations could be provided.

Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation..

Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.

Vital signs observation:

Narrative representation of the observation result and findings.

Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation.

Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.

Physical examination is the process of evaluating objective anatomical findings. It is typically the first diagnostic measure performed after taking the patient's history, which allows an initial assessment of symptoms and is useful for determining the differential diagnoses and further steps. Physical examination can be performed through observation, palpation, percussion, and auscultation.

A narrative description of the observation. It should be structured by the organ system (e.g. head, neck, body, arms, ...)

Functional status

Need for the patient to be continuously assessed by third parties; functional status may influence decisions about how to plan and administer treatments

Onset date of a condition

Description of the functional assessment

Date of the functional assessment

Functional assessment result value

Hospital Discharge Report - Admission evaluation - A.2.4 eHN

Objective findings

Date and time of the examination

Observation of Body weight and height of the patient, BMI, circumference of head, waist, hip, limbs and skin fold thickness. Result of the observation includes text, numeric and coded results of the measurement including measurement units. Multiple observations could be provided.

Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation..

Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.

Vital signs observation:

Narrative representation of the observation result and findings.

Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation.

Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.

Physical examination is the process of evaluating objective anatomical findings. It is typically the first diagnostic measure performed after taking the patient's history, which allows an initial assessment of symptoms and is useful for determining the differential diagnoses and further steps. Physical examination can be performed through observation, palpation, percussion, and auscultation.

A narrative description of the observation. It should be structured by the organ system (e.g. head, neck, body, arms, ...)

Functional status

Need for the patient to be continuously assessed by third parties; functional status may influence decisions about how to plan and administer treatments

Onset date of a condition

Description of the functional assessment

Date of the functional assessment

Functional assessment result value

Hospital Discharge Report - Admission evaluation - A.2.4 eHN

Objective findings

Date and time of the examination

Observation of Body weight and height of the patient, BMI, circumference of head, waist, hip, limbs and skin fold thickness. Result of the observation includes text, numeric and coded results of the measurement including measurement units. Multiple observations could be provided.

Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation..

Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.

Vital signs observation:

Narrative representation of the observation result and findings.

Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation.

Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.

Physical examination is the process of evaluating objective anatomical findings. It is typically the first diagnostic measure performed after taking the patient's history, which allows an initial assessment of symptoms and is useful for determining the differential diagnoses and further steps. Physical examination can be performed through observation, palpation, percussion, and auscultation.

A narrative description of the observation. It should be structured by the organ system (e.g. head, neck, body, arms, ...)

Functional status

Need for the patient to be continuously assessed by third parties; functional status may influence decisions about how to plan and administer treatments

Onset date of a condition

Description of the functional assessment

Date of the functional assessment

Functional assessment result value