جميع قوالب المجتمع
مستند
Coroner
4,039 استخدامًا
Coroner Report Note
هيكل القالب
هذا هو الهيكل الذي يتبعه Notat عند كتابة الملاحظة من الزيارة — لن تضطر لملئها يدويًا أبدًا.
Coroner Note Date and Time of Examination: [Date and time] Decedent Identification: [Name, age, gender] [Case number] [Location of examination] Circumstances of Death: [Brief summary of events leading to death] [Location where decedent was found] [Who discovered the decedent] [Relevant history or background information] External Examination: (hyphenated list) - [General appearance] - [Clothing and personal effects] - [Identifying marks, scars, tattoos] - [Evidence of trauma or injury] - [Postmortem changes (rigor mortis, livor mortis, decomposition)] - [Other notable findings] Internal Examination: (hyphenated list) - [Head and brain findings] - [Neck findings] - [Chest and heart findings] - [Abdominal organ findings] - [Musculoskeletal findings] - [Other relevant internal findings] Ancillary Studies: (hyphenated list) - [Toxicology samples collected] - [Radiology studies performed] - [Other laboratory tests] Cause of Death: [Summary statement of cause of death] [Manner of death: Natural, Accident, Suicide, Homicide, Undetermined] Comments: [Additional relevant observations or recommendations] [Pending studies or follow-up required]
شارك بواسطة
JW
Dr. James Whitfield
Internal Medicine Specialist, United Kingdom
كيفية العمل في Notat
أضف هذا القالب إلى مكتبتك، وسجل الزيارة كالمعتاد، وسيقوم Notat بصياغة الملاحظة بهذا الهيكل الدقيق من الحقائق السريرية المستخرجة. ثم تقوم أنت بالمراجعة والتحرير والتوقيع.
جرب Notat — إنها مجانية