General WNL
|
General Abnormal
• • •
|
General Comments
|
|
Neuro WNL
|
Neuro Abnormal
• • •
|
Neuro Comments
|
|
HEENT WNL
|
HEENT Abnormal
• • •
|
HEENT Comments
|
|
Neck WNL
|
Neck Abnormal
• • •
|
Neck Comments
|
|
Cardiovascular WNL
|
Cardiovascular Abnormal
• • •
|
Cardiovascular Comments
|
Compression stockings/TEDS/Tubigrips
|
Lungs WNL
|
Lungs Abnormal
• • •
|
Lungs Comments
|
|
Abdomen WNL
|
Abdomen Abnormal
• • •
|
Abdomen Comments
|
|
Genitourinary WNL
|
Genitourinary abnormal
• • •
|
Genitourinary comments
|
Drainage device
|
Breasts WNL
|
Breasts Abnormal
• • •
|
Breasts Comments
|
|
Skin WNL
|
Skin Lesion
|
Skin Comments
|
Skin abnormals
• • •
|
MSK WNL
|
MSK Abnormal
• • •
|
MSK Comments
|
|
Extremities WNL
|
Extrem Abnormal
• • •
|
Extrem Comments
|
|
Endocrine WNL
|
Endocrine abnormals
• • •
|
Lymphatic WNL
|
Lymphatic abnormals
• • •
|
Psych WNL
|
|
PHQ9
/
|
Anxiety screening
/
|
Clock test
/
|
SLUMS
/
|
MOCA
/
|
|
Tobacco cessation teaching done
|
|