Contacts |
Type of contact registration (e.g. doctor, nurse, telephone, administrative), user ID, and date or time interval of contact |
Diagnosis |
Name, code according to ICD –9 –10, and date or time interval of diagnosis |
Biometrics |
Weight, height, and BMI sorted by date |
Documents |
Referrals and other documentation sorted by date |
Drugs |
Prescriptions (name, ATC code, iteration, and dosage) sorted by date |
Biochemical analysis |
Analyses, values, and units sorted by date |
Measurement |
Biometric measurements documented outside the table “Terminology” |
Patients |
Gender, age, alive/dead |
Terminology |
Narrative data in the core journal text are found under selected subheadings (e.g. current disease, heritage, physical status) |