Source,TTY

  1  NIC93RT|            C0150738] [NOCODE]~----~record keeping [C0178934] [NOCODE]~----~
  2  NIC96AC|                  Assist patient to record what is usually eaten in
  3  NIC96AC|     developing and using a written record of calorie intake and energy
  4  NIC96AC|      duplication of information in record [C0509185] [U001115]~----~
  5  NIC96AC|           Check patient's hospital record for elevation of enzymes [
  6  NIC96AC|           Check patient's hospital record to determine baseline vital
  7  NIC96AC|          U001497]~----~Compare and record regularly any changes in
  8  NIC96AC|                  Complete delivery record and report of death, as
  9  NIC96AC|           a method to keep a daily record of intake [C0510209] [U002147]~----~
 10  NIC96AC|        U002199]~----~Discuss daily record of continence with patient
 11  NIC96AC|        U002200]~----~Discuss daily record of continence with staff
 12  NIC96AC|          all allergies in clinical record, according to protocol [
 13  NIC96AC|       information on the operative record [C0510425] [U002364]~----~
 14  NIC96AC|           the event in the patient record [C0510439] [U002378]~----~
 15  NIC96AC|                Document in patient record that physician was notified [
 16  NIC96AC|           on the permanent medical record [C0510476] [U002415]~----~
 17  NIC96AC|           on the permanent medical record [C0510478] [U002417]~----~
 18  NIC96AC|       patient use of daily logs to record feelings, as well as circumstances
 19  NIC96AC|                Ensure that medical record is complete at time of discharge,
 20  NIC96AC|     patient/significant other keep record of medications taken and
 21  NIC96AC|          U004159]~----~Instruct on record keeping of length and frequency
 22  NIC96AC|          patient/family members to record color, volume, frequency,
 23  NIC96AC|         Instruct patient/family to record color, volume, frequency,
 24  NIC96AC|         Instruct patient/family to record fecal output, as appropriate [
 25  NIC96AC|         Instruct patient/family to record urinary output and pattern,
 26  NIC96AC|         Instruct patient/family to record urinary output, as appropriate [
 27  NIC96AC|            Instruct the patient to record the incidence of behaviors
 28  NIC96AC|           family on use of voiding record, as appropriate [C0512565] [
 29  NIC96AC|           continence specification record for 3 days to establish
 30  NIC96AC|     U004602]~----~Keep an accurate record of intake and output [C0512634] [
 31  NIC96AC|           viewing of the patient's record to immediate health care
 32  NIC96AC|                Maintain a detailed record of catheterization schedule,
 33  NIC96AC|         accurate intake and output record [C0512769] [U004742]~----~
 34  NIC96AC|                  Maintain accurate record of infusate [C0512770] [
 35  NIC96AC|        Maintain confidentiality of record [C0512795] [U004770]~----~
 36  NIC96AC|             U004815]~----~Maintain record of inflow/outflow volumes
 37  NIC96AC|          U004874]~----~Measure and record abdominal girth [C0512897] [
 38  NIC96AC|          U004875]~----~Measure and record daily weight [C0512898] [
 39  NIC96AC|          U004964]~----~Monitor and record fundal height and firmness
 40  NIC96AC|          U004965]~----~Monitor and record vital signs every 15 min
 41  NIC96AC|          appropriate intervals and record on flow sheet [C0513510] [
 42  NIC96AC|      parent-child interactions and record observations as appropriate [
 43  NIC96AC|      parent-child interactions and record observations [C0513572] [
 44  NIC96AC| patient-caretaker interactions and record observations [C0513654] [
 45  NIC96AC|          appropriate intervals and record on flow sheet [C0513778] [
 46  NIC96AC|              U005870]~----~Monitor/record patient's sleep pattern
 47  NIC96AC|      U005914]~----~Note on medical record any observable facts bearing
 48  NIC96AC|            drainage from lung, and record appropriately [C0513991] [
 49  NIC96AC|           of the permanent patient record [C0515097] [U007160]~----~
 50  NIC96AC|           C0515247] [U007312]~----~Record all entries, as promptly
 51  NIC96AC|           C0515250] [U007315]~----~Record allergy or risk in patient'
 52  NIC96AC|          risk in patient's medical record [C0515251] [U007316]~----~
 53  NIC96AC|           C0515251] [U007316]~----~Record amount of fluid used, characteristics
 54  NIC96AC|           C0515252] [U007317]~----~Record any advice, instructions,
 55  NIC96AC|           C0515253] [U007318]~----~Record baseline vital signs: weight,
 56  NIC96AC|           C0515254] [U007319]~----~Record complete assessment findings
 57  NIC96AC|     assessment findings in initial record [C0515255] [U007320]~----~
 58  NIC96AC|           C0515255] [U007320]~----~Record CSF drainage [C0515248] [
 59  NIC96AC|           C0515248] [U007313]~----~Record current smoking status and
 60  NIC96AC|           C0515256] [U007321]~----~Record data findings clearly on
 61  NIC96AC|           C0515257] [U007322]~----~Record evidence of preapproval (
 62  NIC96AC|           C0515258] [U007323]~----~Record ICP pressure readings and
 63  NIC96AC|           C0515249] [U007314]~----~Record information, as per protocol [
 64  NIC96AC|           C0515259] [U007324]~----~Record intake and output [C0515260] [
 65  NIC96AC|           C0515260] [U007325]~----~Record intake, if appropriate [
 66  NIC96AC|           C0515261] [U007326]~----~Record involvement of significant
 67  NIC96AC|           C0515262] [U007327]~----~Record length of seizure [C0515263] [
 68  NIC96AC|           C0515263] [U007328]~----~Record newborn's first voiding
 69  NIC96AC|           C0515264] [U007329]~----~Record observations made about
 70  NIC96AC|           C0515265] [U007330]~----~Record observations made during
 71  NIC96AC|           C0515266] [U007331]~----~Record observations of family interactions
 72  NIC96AC|           C0515267] [U007332]~----~Record ongoing assessments, as
 73  NIC96AC|           C0515268] [U007333]~----~Record patient behaviors that indicate
 74  NIC96AC|           C0515269] [U007334]~----~Record patient interpretation of
 75  NIC96AC|           C0515270] [U007335]~----~Record patient's response to nursing
 76  NIC96AC|           C0515271] [U007336]~----~Record physical description (e.g.,
 77  NIC96AC|           C0515272] [U007337]~----~Record position and devices used [
 78  NIC96AC|           C0515273] [U007338]~----~Record precise date and time of
 79  NIC96AC|           C0515274] [U007339]~----~Record resolution/status of identified
 80  NIC96AC|           C0515275] [U007340]~----~Record results of counts, as per
 81  NIC96AC|           C0515276] [U007341]~----~Record seizure characteristics:
 82  NIC96AC|           C0515277] [U007342]~----~Record specific patient behavior,
 83  NIC96AC|           C0515278] [U007343]~----~Record temperature, oxygen percent,
 84  NIC96AC|           C0515279] [U007344]~----~Record the volume and characteristics
 85  NIC96AC|           C0515280] [U007345]~----~Record time of birth(s) [C0515281] [
 86  NIC96AC|           C0515281] [U007346]~----~Record time of delivery of first
 87  NIC96AC|           C0515282] [U007347]~----~Record time of first voiding after
 88  NIC96AC|           C0515283] [U007348]~----~Record times and durations of visits
 89  NIC96AC|           C0515284] [U007350]~----~Record times and duration of visits
 90  NIC96AC|           C0515284] [U007349]~----~Record use of safety measures,
 91  NIC96AC|           C0515285] [U007351]~----~Record verbal comments made by
 92  NIC96AC|                Review patient care record for documentation of care,
 93  NIC96AC|         U007910]~----~Sign medical record, using legal signature and
 94  NIC96AC|      C0515999] [U008076]~----~Tape record the imaged experience, if
 95  NIC96AC|        note changes in the medical record, and inform other health
 96  NIC96PT|         patient data in a clinical record~Dressing [C0152053] [1630]~
 97  NIC96PT|      documentation in the clinical record~Surveillance [C0150369] [
 98  NIC96SA|      obstetrical history and labor record for risk factors for postpartum
 99 PCDS97OR|         12140.00]~----~Measure and record leg circumference and assess
100 PCDS97OR|         12170.02]~----~Monitor and record SaO2 of circumferentially
101 PCDS97OR|                Obtain immunization record. [C0547601] [ORC_07040.01]~----~
102 PCDS97OR|                        Palpate and record peripheral pulses. [C0548397] [