[Problem oriented pediatric record (author's transl)].
The object of this paper is the presentation of the problem griented medical record now in use at the Department of Pediatrics of the Faculty of Medicine of the University of Valencia. The main documents of this medical record (problem list, discharge summary, anamnesis and physical examination summary, and medical record summary) are given describing the characteristics of format and the rules for its completion. The relationships between the main documents are shown.
D002648:Child; D006801:Humans; D008487:Medical History Taking; D008499:Medical Records; D008501:Medical Records, Problem-Oriented; D008722:Methods; D010372:Pediatrics; D013030:Spain
Historia clínica pediátrica orientada por problemas.