Registration
Screening questionnaire
From Dr Selva: when a patient is registered, a quick set of screening questions.
Fields from chat
| Field | Build notes |
|---|---|
| Previous diseases | Coded list + free text; onset year |
| Previous surgeries | Procedure + year |
| Current / previous medications | Name, dose, frequency |
| Prior hospitalisations | Reason + year; ICU Y/N |
| Previous similar illnesses | Define “similar” for liver context |
| Smoking / drinking / drugs | Quantity, duration, last use |
| Married or not | Confirm if needed or optional |
| Sleep / diet / bowel / urine | Structured scales |
Also useful (from real DS)
- Comorbidities, allergies
- Vitals at admission
- CTP / MELD-Na when known
- Ascites / HE / GI bleed / HRS history
- Viral markers
- Emergency contact; preferred language
Keep it quick — under 5 minutes. Allow attendant-assisted fill. Skip path for unstable emergencies.