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Asir Health Cluster / تجمع عسير الصحي
King Abdullah Hospital – Bisha / مستشفى الملك عبدالله - بيشة
Home Health Care Service / الرعاية الصحية المنزلية
Home Health Care – Assessment & Doctor Visits

Patient:

MRN:

Date:

Doctor(s):

Logo
Asir Health Cluster / تجمع عسير الصحي
King Abdullah Hospital – Bisha / مستشفى الملك عبدالله - بيشة
Home Health Care / الرعاية الصحية المنزلية

Home Health Care – Assessment & Doctor Visits

Unified Initial & Follow-up Assessment

Past Medical & Surgical History
Allergies
Medication Plan

Use the Smart Medication Basket to easily add and manage medications.

Medications Added to Plan:

No medications have been added yet.

Review of Systems (ROS) - Positive Findings Only

Select any symptoms currently present.

General
Cardiovascular
Respiratory

Select abnormal findings. Leave blank if normal.

General Appearance
Chest
Extremities
Skin

Functional Status (ADLs)
Nutritional Assessment
Fall Risk Assessment
Assistive Devices & Prosthetics

Select required investigations, imaging, and referrals.

Laboratory Orders
Common Panels
Core Tests
Nutrition & Cardiac
Cultures & Microbiology
Radiology Orders
X-Ray
Ultrasound & Advanced Imaging
Referrals & Actions

Patient's General Status
New Events Since Last Visit
Adherence to Plan

Vital Signs
Focused Physical Exam (New or Changed Findings)

Common Clinical Problems

Primary Action
Plan Modification Details

Open the to adjust, stop, or start new medications.

New Laboratory Orders
New Radiology Orders
New Referrals & Actions
Next Follow-up