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  • Fisa Medicala Sintetica

    Încărcat de

    Duță Tatiana Gabriela
    320 vizualizări2 pagini

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    fisa medicala sintetica

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    Drepturi de autor:

    Attribution Non-Commercial (BY-NC)
    Descărcați ca DOCX, PDF, TXT sau citiți online pe Scribd
    Indicator pentru conținut neadecvat
    320 vizualizări2 pagini

    Fisa Medicala Sintetica

    Încărcat de

    Duță Tatiana Gabriela

    Drepturi de autor:

    Attribution Non-Commercial (BY-NC)
    Descărcați ca DOCX, PDF, TXT sau citiți online pe Scribd
    Indicator pentru conținut neadecvat
    din 2

    Dosar nr.

    _____________________________________________
    Data inregistrarii ______________________________________
    Numele medicului _____________________________________
    Sef serviciu___________________________________________

    FI MEDICAL SINTETIC
    Nume __________________ Prenume _____________________ Vrst _________
    I. Anamneza_________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    II. Diagnosticul medical (se specifica si nr. cod ICD 10)
    - principal_________________________________________________________________________________
    __________________________________________________________________________________________
    - altele ____________________________________________________________________________________
    __________________________________________________________________________________________
    _________________________________________________________________
    Certificatele medicale actuale (se specific nr., data, instituia emitent i numele
    medicului care a eliberat certificatul)
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    III. Tratamente urmate i recomandate

    IV. Rezultatul tratamentelor urmate ( per ansamblu):


    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    n cazul absenei oricrui tratament, enumerai motivele pe care le invoc familia :
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    V. Stadiul actual al bolii (nconjurai etapa care se potrivete): de debut, de stare evolutiv sau stabilizat,
    terminal.
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    VI. Concluzii i recomandri
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________

    Data
    _________ _________

    Semntura i parafa medicului


    ___________________

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