Category | Examples |
---|---|
Summaries | E.g. Index of consultations and admissions, Discharge reports, Discharge reports from other hospitals. |
Textual medical record | E.g. Continuous textual medical record (admission reports, surgery reports etc.), Referrals within the hospital |
Lab results – tissue and body fluids | E.g. clinical biochemical/immunol./pharmacol. Investigations |
Organ functions (incl. photographs) | E.g. cardiovascular function, lungs and respiratory function |
Radiology and other imaging | E.g radiological investigations, CT, MRI, ultrasound. |
Treatment, observation and anestesia forms | E.g. patient chart summary and treatment forms. |
Nurses' documentation | E.g. nurse's admission reports and notes |
Other health personnel | E.g. physical therapist, occupational therapist |
Correspondence | E.g. admission request forms |
Certificates/notifications | E.g. various public certificates, forms and notifications |