: Public Note
Created: |
1/26/2011 10:30:52 AM |
Modified: |
5/31/2011 9:51:05 AM |
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Project: |
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Author: |
jlyle |
Version: |
1.0 |
Phase: |
1.0 |
Status: |
Proposed |
Complexity: |
Easy |
Difficulty: |
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Priority: |
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Multiplicity: |
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Advanced: |
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UUID: |
{5C7A694C-3DD3-41bd-9978-0B3FA83381EE} |
Appears In: |
Assess Pressure Ulcer Risk AD |
An assessment may include information that a clinician observes directly in the patient (e.g., skin color), information observed in a device (e.g., vitals), and information retrieved from a record (e.g., medications).<br /></p><p><br /></p><p>An observation may also be conditional, as when a chart datum (e.g., bmi) affects the method or interpretation of a direct observation (e.g., cuff size).<br /></p>