charts, images of the objective findings. Not Specified or for bulk AS99 Assessment 325931000000109 scanning CA Care Plans Any care plan involving clinicians and/or social services which may or CA03 Clinical Care Plan 325661000000106 may not be integrated. Also includes Care Pathway. Any care plan involving multi disciplinary staff CA04 MDT Plan 823581000000101 groups for example Lung MDT Plan Any care plan used for CA05 Discharge Plan discharge planning 820121000000100 including nursing Anticipatory Care Plan End of Life Treatment CA06 935921000000102 (ELT) decisions Individualised Treatment Guidelines for a patient Anticipatory Care Plan CA07 with an unusual 962891000000106 (ITG) condition or difficulty treating a condition Not Specified or for bulk CA99 Care Plan 325661000000106 scanning CH Observations Any chart, form or CH03 Fluid Balance Chart document used to record 526591000000108 fluid balance Any chart, form or CH04 Fundal height document used to record 820141000000107 fundal height Any chart, form or CH05 Growth Chart document used to record 820161000000108 growth Any form or document used to record CH06 ITU & ICU chart intensive care or 823601000000105 intensive therapy observations A graphical record of key data (maternal and fetal) CH07 Partogram during labour for 820191000000102 example Cervical Dilatation Any chart, form or CH08 Temperature Chart document used to record 824231000000100 temperature Any chart, form or CH09 Patient Safety Checklist document used for this 820211000000103 purpose
charts, images of the objective findings. AS99 Assessment Not Specified or for bulk scanning 325931000000109 CA Care Plans CA03 Clinical Care Plan Any care plan involving clinicians and/or social services which may or may not be integrated. Also includes Care Pathway. 325661000000106 CA04 MDT Plan Any care plan involving multi disciplinary staff groups for example Lung MDT Plan 823581000000101 CA05 Discharge Plan Any care plan used for discharge planning including nursing 820121000000100 CA06 Anticipatory Care Plan (ELT) End of Life Treatment decisions 935921000000102 CA07 Anticipatory Care Plan (ITG) Individualised Treatment Guidelines for a patient with an unusual condition or difficulty treating a condition 962891000000106 CA99 Care Plan Not Specified or for bulk scanning 325661000000106 CH Observations CH03 Fluid Balance Chart Any chart, form or document used to record fluid balance 526591000000108 CH04 Fundal height Any chart, form or document used to record fundal height 820141000000107 CH05 Growth Chart Any chart, form or document used to record growth 820161000000108 CH06 ITU & ICU chart Any form or document used to record intensive care or intensive therapy observations 823601000000105 CH07 Partogram A graphical record of key data (maternal and fetal) during labour for example Cervical Dilatation 820191000000102 CH08 Temperature Chart Any chart, form or document used to record temperature 824231000000100 CH09 Patient Safety Checklist Any chart, form or document used for this purpose 820211000000103
2018-04-27-CDI-Standard-v3-3-FINAL.docx