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. 2021 Mar 15;16(3):e0248569. doi: 10.1371/journal.pone.0248569

Table 1. Medical chart documentation checklist in each component.

Component 1
Informed consent
Component 2
Resuscitation
Component 3
Diagnostic imaging
1 Date, place Date, place Date, place
2 Patient or family name Patient name Patient name
3 Explainer, Attender Present history Present history
4 Patient condition Electric treatment Disease name
5 Content of medical procedure Drug treatment Image findings
6 Alternative description Type of cardiac arrest Left or Right
7 Complications Differential diagnosis Initial treatment
8 Understanding by patient or family Communication with medical staff members Differential diagnosis
9 Question and answer Time course Time course
10 Organized Organized Organized