Vocabulary for CREType
Description:
Assigned OID: 2.16.840.1.113883.2.1.3.2.4.17.56
A categorisation of patient Care Record elements. Taken from NPfIT Care Record Elements document, v1.1
This has now been deprecated in favour of CRETypeSnCT
Values:
|
Version: |
01 |
|
Date: |
10th May 2004 |
|
Code |
Description |
Note |
|
010 |
Personal demographics |
|
|
020 |
Personal Preference |
|
|
021 |
Proactive Personal Preference |
|
|
022 |
Reactive Personal Preference |
|
|
030 |
Finding |
|
|
031 |
Clinical Observation |
|
|
032 |
Investigation Result |
|
|
040 |
Diagnosis |
|
|
050 |
Family History |
|
|
060 |
Social Context |
|
|
061 |
Social & Personal Circumstances |
|
|
062 |
Services and Carers |
|
|
063 |
Behaviour |
|
|
100 |
Procedures |
|
|
101 |
Treatment |
|
|
102 |
Investigation |
|
|
103 |
Administrative Procedure |
|
|
104 |
Provision of Advice and Information to Patients and Carers |
|
|
110 |
Medication |
|
|
150 |
Care Event |
|
|
160 |
Additional Record Location |
|
|
170 |
Clinical Correspondence |
|
|
171 |
Clinical Documentation |
|
|
172 |
Patient/Carer Correspondence |
|
|
173 |
Third-party Correspondence |
|
|
200 |
Functioning and Wellbeing |
|
|
210 |
Projected and actual outcomes |
|
|
211 |
Prognosis |
|
|
212 |
Goal |
|
|
213 |
Actual Outcome |
|
|
220 |
Problems & Issues |
|
|
230 |
Risks and Warnings |
|
|
231 |
Allergies & Adverse Reactions |
|
|
232 |
Risk to Patient |
|
|
233 |
Risk to Care Practitioner or Third Party |
|
|
240 |
Care Plan |
|