[Standardized diagnosis-oriented documentation of anamnesis and findings in orthopedic disease pictures].
A new standardized diagnosis related record system for orthopedic diseases is presented. 15 special record forms plus 1 general record form can reach about 80 per cent of all orthopedic diseases and will ease patients management as well as scientific evaluation.
D001847:Bone Diseases / Q000175:diagnosis*; D006753:Hospital Records / Q000592:standards; D006801:Humans; D007592:Joint Diseases / Q000175:diagnosis*; D008487:Medical History Taking / Q000592:standards*; D008499:Medical Records / Q000592:standards*; D008501:Medical Records, Problem-Oriented / Q000592:standards*; D009135:Muscular Diseases / Q000175:diagnosis*
Standardisierte diagnoseorientierte Dokumentation von Anamnese und Befund bei orthopädischen Krankheitsbildern.