eICU Collaborative Research Database Demo 2.0
File:
(1,099,631 bytes)
| nurseassessid | patientunitstayid | nurseassessoffset | nurseassessentryoffset | cellattributepath | celllabel | cellattribute | cellattributevalue |
|---|---|---|---|---|---|---|---|
| 57436984 | 1054428 | 13791 | 13819 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | generalized |
| 57483728 | 1036759 | 4075 | 4076 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | minimal |
| 57483729 | 1036759 | 4075 | 4076 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | thin |
| 57483730 | 1036759 | 4075 | 4076 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | clear |
| 57505995 | 1054428 | 18051 | 18065 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pacemaker/AICD|Pacemaker/AICD | Pacemaker/AICD | Pacemaker/AICD | N/A |
| 57515475 | 1014000 | 362 | 363 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | minimal |
| 57515476 | 1014000 | 362 | 363 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | thick |
| 57515477 | 1014000 | 362 | 363 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | bloody |
| 57515478 | 1014000 | 362 | 363 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | cloudy |
| 57515590 | 1034813 | 825 | 826 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Heart Sounds | Auscultation | Heart Sounds | normal |
| 57515591 | 1034813 | 825 | 826 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Murmurs and Rubs | Auscultation | Murmurs and Rubs | no murmur |
| 57519462 | 1054428 | 17631 | 17658 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +5-Normal |
| 57519463 | 1054428 | 17631 | 17658 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +4-Resists |
| 57519464 | 1054428 | 17631 | 17658 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +4-Resists |
| 57519465 | 1054428 | 17631 | 17658 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +4-Resists |
| 57519646 | 1034813 | 4905 | 4963 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Pupils | Pupils | Pupils | pupils equal, react to light |
| 57519647 | 1034813 | 4905 | 4963 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | 3 mm |
| 57519648 | 1034813 | 4905 | 4963 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | react to light |
| 57519649 | 1034813 | 4905 | 4963 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | brisk |
| 57519650 | 1034813 | 4905 | 4963 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | 3 mm |
| 57519651 | 1034813 | 4905 | 4963 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | react to light |
| 57519652 | 1034813 | 4905 | 4963 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | brisk |
| 57522879 | 1008970 | 3266 | 3266 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Pulses | Pulses | Pulses | normal |
| 57555862 | 1054428 | 4185 | 4185 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Pupils | Pupils | Pupils | pupils equal, react to light |
| 57564609 | 1036759 | 4794 | 4798 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pacemaker/AICD|Pacemaker/AICD | Pacemaker/AICD | Pacemaker/AICD | N/A |
| 57577642 | 1014000 | 1071 | 1068 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
| 57583454 | 1054428 | 1803 | 1804 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Capillary Refill|Capillary Refill | Capillary Refill | Capillary Refill | normal |
| 57598869 | 1036759 | 1734 | 1889 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | normal |
| 57603611 | 1013300 | 624 | 687 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | none |
| 57639100 | 1034813 | 2273 | 2333 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | 3 mm |
| 57639101 | 1034813 | 2273 | 2333 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | sluggish |
| 57639102 | 1034813 | 2273 | 2333 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | 3 mm |
| 57639103 | 1034813 | 2273 | 2333 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | sluggish |
| 57655036 | 1036759 | 5154 | 5164 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | generalized |
| 57655037 | 1036759 | 5154 | 5164 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|RUE | Edema | RUE | +1 |
| 57655038 | 1036759 | 5154 | 5164 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|RLE | Edema | RLE | +1 |
| 57655039 | 1036759 | 5154 | 5164 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|LUE | Edema | LUE | +1 |
| 57655040 | 1036759 | 5154 | 5164 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|LLE | Edema | LLE | +1 |
| 57682451 | 1051785 | 165 | 197 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|Motor Strength | Motor Strength | Motor Strength | normal |
| 57710138 | 994512 | 1598 | 1753 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Cough/Gag Reflex | Reflexes | Cough/Gag Reflex | present |
| 57710139 | 994512 | 1598 | 1753 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Facial Asymmetry | Reflexes | Facial Asymmetry | absent |
| 57710140 | 994512 | 1598 | 1753 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Tongue Deviation (Left) | Reflexes | Tongue Deviation (Left) | absent |
| 57710141 | 994512 | 1598 | 1753 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Tongue Deviation (Right) | Reflexes | Tongue Deviation (Right) | absent |
| 57771357 | 1036759 | 5394 | 5429 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOC | Neurologic | LOC | normal |
| 57771358 | 1036759 | 5394 | 5429 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to person |
| 57771359 | 1036759 | 5394 | 5429 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to place |
| 57771360 | 1036759 | 5394 | 5429 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Speech | Neurologic | Speech | clear |
| 57771361 | 1036759 | 5394 | 5429 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Stimulus | Neurologic | Stimulus | spontaneous |
| 57781809 | 1048833 | 777 | 776 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | clear to auscultation |
| 57781810 | 1048833 | 777 | 776 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | clear to auscultation |
| 57781811 | 1048833 | 777 | 776 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
| 57781812 | 1048833 | 777 | 776 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
| 57781813 | 1048833 | 777 | 776 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | clear to auscultation |
| 57781814 | 1048833 | 777 | 776 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
| 57785601 | 1048833 | 57 | 82 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | clear to auscultation |
| 57785602 | 1048833 | 57 | 82 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | clear to auscultation |
| 57785603 | 1048833 | 57 | 82 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
| 57785604 | 1048833 | 57 | 82 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
| 57785605 | 1048833 | 57 | 82 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | clear to auscultation |
| 57785606 | 1048833 | 57 | 82 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
| 57793820 | 1036759 | 6594 | 6710 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | clear to auscultation |
| 57793821 | 1036759 | 6594 | 6710 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | diminished |
| 57793822 | 1036759 | 6594 | 6710 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
| 57793823 | 1036759 | 6594 | 6710 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
| 57793824 | 1036759 | 6594 | 6710 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | diminished |
| 57793825 | 1036759 | 6594 | 6710 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
| 57800340 | 1054428 | 20001 | 20044 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | clear to auscultation |
| 57800341 | 1054428 | 20001 | 20044 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | diminished |
| 57800342 | 1054428 | 20001 | 20044 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
| 57800343 | 1054428 | 20001 | 20044 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
| 57800344 | 1054428 | 20001 | 20044 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | diminished |
| 57800345 | 1054428 | 20001 | 20044 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
| 57841013 | 1034813 | 1305 | 1342 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Capillary Refill|Capillary Refill | Capillary Refill | Capillary Refill | normal |
| 57854483 | 1054428 | 8031 | 8022 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Capillary Refill|Capillary Refill | Capillary Refill | Capillary Refill | normal |
| 57859726 | 1034813 | 3227 | 3229 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOC | Neurologic | LOC | sedated |
| 57859727 | 1034813 | 3227 | 3229 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Speech | Neurologic | Speech | ET/Trach |
| 57859728 | 1034813 | 3227 | 3229 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Stimulus | Neurologic | Stimulus | pain |
| 57884179 | 1034813 | 5910 | 5912 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pacemaker/AICD|Pacemaker/AICD | Pacemaker/AICD | Pacemaker/AICD | N/A |
| 57902506 | 1008970 | 2940 | 2953 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Pulses | Pulses | Pulses | normal |
| 57919502 | 994512 | 1193 | 1747 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +5-Normal |
| 57919503 | 994512 | 1193 | 1747 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +5-Normal |
| 57919504 | 994512 | 1193 | 1747 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +4-Resists |
| 57919505 | 994512 | 1193 | 1747 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +4-Resists |
| 57932980 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Pupils | Pupils | Pupils | pupils equal, react to light |
| 57932981 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | 4 mm |
| 57932982 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | react to light |
| 57932983 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | brisk |
| 57932984 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | corneal response (+) |
| 57932985 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | EOMS (up) |
| 57932986 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | EOMS (down) |
| 57932987 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | EOMS (left) |
| 57932988 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | EOMS (right) |
| 57932989 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | 5 mm |
| 57932990 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | react to light |
| 57932991 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | brisk |
| 57932992 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | corneal response (+) |
| 57932993 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | EOMS (up) |
| 57932994 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | EOMS (down) |
| 57932995 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | EOMS (left) |
| 57932996 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | EOMS (right) |
| 57936708 | 1034813 | 3705 | 3776 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOC | Neurologic | LOC | sedated |
| 57936709 | 1034813 | 3705 | 3776 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | unable to assess |
| 57936710 | 1034813 | 3705 | 3776 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Speech | Neurologic | Speech | ET/Trach |
| 57936711 | 1034813 | 3705 | 3776 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Stimulus | Neurologic | Stimulus | sound |
| 57967122 | 1014000 | 591 | 689 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +3-Gravity |
| 57967123 | 1014000 | 591 | 689 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | 0-None |
| 57967124 | 1014000 | 591 | 689 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +3-Gravity |
| 57967125 | 1014000 | 591 | 689 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +1-Flicker |
| 57989941 | 1048833 | 1017 | 1045 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | clear to auscultation |
| 57989942 | 1048833 | 1017 | 1045 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | clear to auscultation |
| 57989943 | 1048833 | 1017 | 1045 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
| 57989944 | 1048833 | 1017 | 1045 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
| 57989945 | 1048833 | 1017 | 1045 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | clear to auscultation |
| 57989946 | 1048833 | 1017 | 1045 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
| 57995720 | 1014000 | 2045 | 2049 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | normal |
| 58004331 | 1054428 | 17091 | 17128 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Pulses | Pulses | Pulses | normal |
| 58017572 | 1034813 | 7032 | 7032 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | minimal |
| 58017573 | 1034813 | 7032 | 7032 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | thick |
| 58017574 | 1034813 | 7032 | 7032 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | white |
| 58029097 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Interventions | Intervention | Interventions | use commercial moisture barrier |
| 58029098 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Interventions | Intervention | Interventions | use absorbent pads or diapers that wick & hold moisture |
| 58029099 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Interventions | Intervention | Interventions | address cause if possible |
| 58029100 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Interventions | Intervention | Interventions | consult dietitian |
| 58029101 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Interventions | Intervention | Interventions | elevate HOB no more than 30° |
| 58029102 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Interventions | Intervention | Interventions | use lift sheet to move patient |
| 58029103 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Interventions | Intervention | Interventions | protect elbows & heels if being exposed to friction |
| 58029104 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Interventions | Intervention | Interventions | no massage of reddened bony prominences |
| 58029105 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Interventions | Intervention | Interventions | no do-nut type devices |
| 58029106 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Interventions | Intervention | Interventions | maintain good hydration |
| 58029107 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Interventions | Intervention | Interventions | avoid drying the skin |
| 58029108 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Pressure Sore Risk Interventions | Intervention | Pressure Sore Risk Interventions | manage moisture, nutrition and friction & shear |
| 58029109 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Pressure Sore Risk Interventions | Intervention | Pressure Sore Risk Interventions | maximal remobilization |
| 58029110 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Pressure Sore Risk Interventions | Intervention | Pressure Sore Risk Interventions | pressure-reduction support surface |
| 58029111 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Pressure Sore Risk Interventions | Intervention | Pressure Sore Risk Interventions | protect heels |
| 58029112 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Pressure Sore Risk Interventions | Intervention | Pressure Sore Risk Interventions | frequent turning |
| 58029113 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Pressure Sore Risk Interventions | Intervention | Pressure Sore Risk Interventions | turning schedule |
| 58029114 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Pressure Sore Risk Interventions | Intervention | Pressure Sore Risk Interventions | use pressure-relieving surface |
| 58052684 | 1054428 | 14966 | 15064 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | regular |
| 58052685 | 1054428 | 14966 | 15064 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | unlabored |
| 58056515 | 1054428 | 5871 | 5933 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | clear to auscultation |
| 58056516 | 1054428 | 5871 | 5933 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
| 58056517 | 1054428 | 5871 | 5933 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
| 58056518 | 1054428 | 5871 | 5933 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
| 58114467 | 1034813 | 1305 | 1342 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | minimal |
| 58114468 | 1034813 | 1305 | 1342 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | thin |
| 58114469 | 1034813 | 1305 | 1342 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | clear |
| 58138705 | 1008970 | 3266 | 3266 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | clear to auscultation |
| 58138706 | 1008970 | 3266 | 3266 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | diminished |
| 58138707 | 1008970 | 3266 | 3266 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
| 58138708 | 1008970 | 3266 | 3266 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
| 58138709 | 1008970 | 3266 | 3266 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | diminished |
| 58138710 | 1008970 | 3266 | 3266 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
| 58141850 | 1008970 | 2114 | 2114 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | clear to auscultation |
| 58141851 | 1008970 | 2114 | 2114 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
| 58141852 | 1008970 | 2114 | 2114 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
| 58141853 | 1008970 | 2114 | 2114 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
| 58142045 | 1048833 | 357 | 360 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +4-Resists |
| 58142046 | 1048833 | 357 | 360 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +4-Resists |
| 58142047 | 1048833 | 357 | 360 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +5-Normal |
| 58142048 | 1048833 | 357 | 360 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +5-Normal |
| 58148074 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Pupils | Pupils | Pupils | pupils equal, react to light |
| 58148075 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | 4 mm |
| 58148076 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | react to light |
| 58148077 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | brisk |
| 58148078 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | corneal response (+) |
| 58148079 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | EOMS (up) |
| 58148080 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | EOMS (down) |
| 58148081 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | EOMS (left) |
| 58148082 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | EOMS (right) |
| 58148083 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | 5 mm |
| 58148084 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | react to light |
| 58148085 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | brisk |
| 58148086 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | corneal response (+) |
| 58148087 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | EOMS (up) |
| 58148088 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | EOMS (down) |
| 58148089 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | EOMS (left) |
| 58148090 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | EOMS (right) |
| 58165176 | 1054428 | 11391 | 11431 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Heart Sounds | Auscultation | Heart Sounds | normal |
| 58165177 | 1054428 | 11391 | 11431 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Murmurs and Rubs | Auscultation | Murmurs and Rubs | no murmur |
| 58173543 | 1013300 | 504 | 526 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOC | Neurologic | LOC | normal |
| 58173544 | 1013300 | 504 | 526 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to person |
| 58173545 | 1013300 | 504 | 526 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to place |
| 58173546 | 1013300 | 504 | 526 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to time |
| 58173547 | 1013300 | 504 | 526 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to situation |
| 58173548 | 1013300 | 504 | 526 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Speech | Neurologic | Speech | clear |
| 58173549 | 1013300 | 504 | 526 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Stimulus | Neurologic | Stimulus | spontaneous |
| 58183200 | 1036759 | 1854 | 1891 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Pulses | Pulses | Pulses | normal |
| 58211038 | 1054428 | 14502 | 14513 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
| 58212823 | 1014000 | 2279 | 2279 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Cough|Cough | Cough | Cough | weak |
| 58232039 | 1054428 | 15171 | 15344 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | regular |
| 58232040 | 1054428 | 15171 | 15344 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | unlabored |
| 58241223 | 1008970 | 285 | 297 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | minimal |
| 58241224 | 1008970 | 285 | 297 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | frothy |
| 58241225 | 1008970 | 285 | 297 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | white |
| 58263342 | 1054428 | 6144 | 6148 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | unlabored |
| 58310783 | 1054428 | 1567 | 1569 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
| 58333219 | 1013300 | 624 | 687 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Pupils | Pupils | Pupils | pupils equal, react to light |
| 58333220 | 1013300 | 624 | 687 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | 3 mm |
| 58333221 | 1013300 | 624 | 687 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | react to light |
| 58333222 | 1013300 | 624 | 687 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | brisk |
| 58333223 | 1013300 | 624 | 687 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | 3 mm |
| 58333224 | 1013300 | 624 | 687 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | react to light |
| 58333225 | 1013300 | 624 | 687 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | brisk |
| 58337035 | 1054428 | 2031 | 2027 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | rhonchi |
| 58337036 | 1054428 | 2031 | 2027 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
| 58337037 | 1054428 | 2031 | 2027 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | rhonchi |
| 58337038 | 1054428 | 2031 | 2027 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | rhonchi |
| 58337039 | 1054428 | 2031 | 2027 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
| 58337040 | 1054428 | 2031 | 2027 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | rhonchi |
| 58352232 | 1054428 | 17631 | 17658 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | rhonchi |
| 58352233 | 1054428 | 17631 | 17658 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
| 58352234 | 1054428 | 17631 | 17658 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | rhonchi |
| 58352235 | 1054428 | 17631 | 17658 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
| 58362105 | 1036759 | 3324 | 3385 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | regular |
| 58362106 | 1036759 | 3324 | 3385 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | unlabored |
| 58375579 | 1036759 | 2004 | 2068 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Capillary Refill|Capillary Refill | Capillary Refill | Capillary Refill | normal |
| 58381979 | 1054428 | 5181 | 5191 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Heart Sounds | Auscultation | Heart Sounds | normal |
| 58391332 | 1054428 | 20241 | 20304 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | none |
| 58407398 | 1036759 | 244 | 261 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Heart Sounds | Auscultation | Heart Sounds | normal |
| 58407399 | 1036759 | 244 | 261 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Murmurs and Rubs | Auscultation | Murmurs and Rubs | no murmur |
| 58408534 | 1013300 | 984 | 1267 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
| 58440037 | 1034813 | 6345 | 6441 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Cough|Cough | Cough | Cough | medium |
| 58440038 | 1034813 | 6345 | 6441 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Cough|Cough | Cough | Cough | productive |
| 58445621 | 1054428 | 10941 | 10946 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | minimal |
| 58445622 | 1054428 | 10941 | 10946 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | thin |
| 58445623 | 1054428 | 10941 | 10946 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | clear |
| 58454204 | 1054428 | -10 | -4 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | 3 mm |
| 58454205 | 1054428 | -10 | -4 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | react to light |
| 58454206 | 1054428 | -10 | -4 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | sluggish |
| 58454207 | 1054428 | -10 | -4 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | 3 mm |
| 58454208 | 1054428 | -10 | -4 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | react to light |
| 58454209 | 1054428 | -10 | -4 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | sluggish |
| 58505371 | 1014000 | 1071 | 1068 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Heart Sounds | Auscultation | Heart Sounds | normal |
| 58538910 | 1054428 | 16851 | 16868 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOC | Neurologic | LOC | normal |
| 58538911 | 1054428 | 16851 | 16868 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | unable to assess |
| 58538912 | 1054428 | 16851 | 16868 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Speech | Neurologic | Speech | ET/Trach |
| 58538913 | 1054428 | 16851 | 16868 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Stimulus | Neurologic | Stimulus | spontaneous |
| 58547947 | 1034813 | 8744 | 8750 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | clear to auscultation |
| 58547948 | 1034813 | 8744 | 8750 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
| 58547949 | 1034813 | 8744 | 8750 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
| 58547950 | 1034813 | 8744 | 8750 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
| 58554548 | 1036759 | 5784 | 5801 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Heart Sounds | Auscultation | Heart Sounds | normal |
| 58554549 | 1036759 | 5784 | 5801 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Murmurs and Rubs | Auscultation | Murmurs and Rubs | no murmur |
| 58581340 | 1008970 | 1605 | 1605 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Cough/Gag Reflex | Reflexes | Cough/Gag Reflex | present |
| 58586154 | 1013300 | 48 | 50 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +5-Normal |
| 58586155 | 1013300 | 48 | 50 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +5-Normal |
| 58586156 | 1013300 | 48 | 50 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +5-Normal |
| 58586157 | 1013300 | 48 | 50 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +5-Normal |
| 58589599 | 1054428 | 5181 | 5191 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | normal |
| 58607203 | 1036759 | 834 | 987 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | regular |
| 58607204 | 1036759 | 834 | 987 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | unlabored |
| 58620457 | 1008970 | 3045 | 3049 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +5-Normal |
| 58620458 | 1008970 | 3045 | 3049 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +4-Resists |
| 58620459 | 1008970 | 3045 | 3049 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +5-Normal |
| 58620460 | 1008970 | 3045 | 3049 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +4-Resists |
| 58623693 | 1008970 | 3266 | 3266 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | warm |
| 58682341 | 1054428 | 20491 | 20612 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | normal |
| 58737370 | 1014000 | 2279 | 2279 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
| 58738326 | 1008970 | 1260 | 1423 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Pupils | Pupils | Pupils | pupils equal, react to light |
| 58738327 | 1008970 | 1260 | 1423 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | 3 mm |
| 58738328 | 1008970 | 1260 | 1423 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | brisk |
| 58738329 | 1008970 | 1260 | 1423 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | 3 mm |
| 58738330 | 1008970 | 1260 | 1423 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | brisk |
| 58742256 | 1054428 | 2271 | 2318 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | rhonchi |
| 58742257 | 1054428 | 2271 | 2318 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
| 58742258 | 1054428 | 2271 | 2318 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | rhonchi |
| 58742259 | 1054428 | 2271 | 2318 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
| 58754482 | 1054428 | 10410 | 10412 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pacemaker/AICD|Pacemaker/AICD | Pacemaker/AICD | Pacemaker/AICD | N/A |
| 58756098 | 1034813 | 8265 | 8269 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Capillary Refill|Capillary Refill | Capillary Refill | Capillary Refill | normal |
| 58776033 | 1054428 | 8771 | 8776 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Pupils | Pupils | Pupils | pupils equal, react to light |
| 58776034 | 1054428 | 8771 | 8776 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | 3 mm |
| 58776035 | 1054428 | 8771 | 8776 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | 3 mm |
| 58809987 | 1048833 | 957 | 985 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOC | Neurologic | LOC | normal |
| 58809988 | 1048833 | 957 | 985 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to person |
| 58809989 | 1048833 | 957 | 985 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to place |
| 58809990 | 1048833 | 957 | 985 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to time |
| 58809991 | 1048833 | 957 | 985 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to situation |
| 58809992 | 1048833 | 957 | 985 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Speech | Neurologic | Speech | slurred |
| 58809993 | 1048833 | 957 | 985 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Stimulus | Neurologic | Stimulus | spontaneous |
| 58827344 | 1036759 | 5274 | 5300 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pacemaker/AICD|Pacemaker/AICD | Pacemaker/AICD | Pacemaker/AICD | N/A |
| 58848548 | 1036759 | 3594 | 3681 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|Motor Strength | Motor Strength | Motor Strength | normal |
| 58903983 | 1036759 | 714 | 781 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Pulses | Pulses | Pulses | normal |
| 58919292 | 1054428 | 20241 | 20304 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
| 58922179 | 1054428 | 6591 | 6592 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
| 58929134 | 1054428 | 17091 | 17128 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | copious |
| 58929135 | 1054428 | 17091 | 17128 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | thick |
| 58929136 | 1054428 | 17091 | 17128 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | tan |
| 58929137 | 1054428 | 17091 | 17128 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | yellow |
| 58956279 | 1008970 | 2940 | 2953 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | warm |
| 58969321 | 1054428 | 15411 | 15579 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Pulses | Pulses | Pulses | normal |
| 59022106 | 1034813 | 4425 | 4454 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | regular |
| 59022107 | 1034813 | 4425 | 4454 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | unlabored |
| 59027339 | 1054428 | 9480 | 9549 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Cough/Gag Reflex | Reflexes | Cough/Gag Reflex | present |
| 59029542 | 1008970 | 60 | 77 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Right Dorsalis Pedis | Pulses | Right Dorsalis Pedis | faint |
| 59029543 | 1008970 | 60 | 77 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Right Radial | Pulses | Right Radial | strong |
| 59029544 | 1008970 | 60 | 77 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Left Dorsalis Pedis | Pulses | Left Dorsalis Pedis | faint |
| 59029545 | 1008970 | 60 | 77 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Left Radial | Pulses | Left Radial | strong |
| 59086200 | 994512 | -4 | 385 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Sensation|Sensation | Sensation | Sensation | normal |
| 59115912 | 1054428 | 12591 | 12656 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +3-Gravity |
| 59115913 | 1054428 | 12591 | 12656 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +1-Flicker |
| 59115914 | 1054428 | 12591 | 12656 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +3-Gravity |
| 59115915 | 1054428 | 12591 | 12656 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +1-Flicker |
| 59153469 | 1015158 | 484 | 504 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Pupils | Pupils | Pupils | pupils equal, react to light |
| 59153470 | 1015158 | 484 | 504 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | 3 mm |
| 59153471 | 1015158 | 484 | 504 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | react to light |
| 59153472 | 1015158 | 484 | 504 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | brisk |
| 59153473 | 1015158 | 484 | 504 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | 3 mm |
| 59153474 | 1015158 | 484 | 504 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | react to light |
| 59153475 | 1015158 | 484 | 504 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | brisk |
| 59160863 | 1036759 | 5274 | 5300 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | generalized |
| 59160864 | 1036759 | 5274 | 5300 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|RUE | Edema | RUE | +1 |
| 59160865 | 1036759 | 5274 | 5300 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|RLE | Edema | RLE | +1 |
| 59160866 | 1036759 | 5274 | 5300 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|LUE | Edema | LUE | +1 |
| 59160867 | 1036759 | 5274 | 5300 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|LLE | Edema | LLE | +1 |
| 59172552 | 994512 | -4 | 385 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
| 59202317 | 1036759 | 5154 | 5164 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Heart Sounds | Auscultation | Heart Sounds | normal |
| 59202318 | 1036759 | 5154 | 5164 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Murmurs and Rubs | Auscultation | Murmurs and Rubs | no murmur |
| 59233490 | 1054428 | 18291 | 18315 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +5-Normal |
| 59233491 | 1054428 | 18291 | 18315 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +4-Resists |
| 59233492 | 1054428 | 18291 | 18315 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +5-Normal |
| 59233493 | 1054428 | 18291 | 18315 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +4-Resists |
| 59237476 | 1036759 | 4194 | 4228 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Capillary Refill|Capillary Refill | Capillary Refill | Capillary Refill | normal |
| 59249580 | 1013300 | 504 | 526 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +5-Normal |
| 59249581 | 1013300 | 504 | 526 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +5-Normal |
| 59249582 | 1013300 | 504 | 526 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +5-Normal |
| 59249583 | 1013300 | 504 | 526 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +5-Normal |
| 59260998 | 1036759 | 3474 | 3573 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | rhonchi |
| 59260999 | 1036759 | 3474 | 3573 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | rhonchi |
| 59261000 | 1036759 | 3474 | 3573 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | rhonchi |
| 59261001 | 1036759 | 3474 | 3573 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | rhonchi |
| 59265698 | 1034813 | 8265 | 8269 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | minimal |
| 59265699 | 1034813 | 8265 | 8269 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | frothy |
| 59265700 | 1034813 | 8265 | 8269 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | yellow |
| 59288389 | 1034813 | 1305 | 1342 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Pulses | Pulses | Pulses | normal |
| 59326441 | 1036759 | 364 | 365 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOC | Neurologic | LOC | normal |
| 59326442 | 1036759 | 364 | 365 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to person |
| 59326443 | 1036759 | 364 | 365 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to place |
| 59326444 | 1036759 | 364 | 365 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to time |
| 59326445 | 1036759 | 364 | 365 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to situation |
| 59326446 | 1036759 | 364 | 365 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Speech | Neurologic | Speech | clear |
| 59326447 | 1036759 | 364 | 365 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Stimulus | Neurologic | Stimulus | spontaneous |
| 59332494 | 1036759 | 4674 | 4678 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | normal |
| 59336451 | 1008970 | 173 | 173 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOC | Neurologic | LOC | sedated |
| 59336452 | 1008970 | 173 | 173 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | unable to assess |
| 59336453 | 1008970 | 173 | 173 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Speech | Neurologic | Speech | ET/Trach |
| 59336454 | 1008970 | 173 | 173 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Stimulus | Neurologic | Stimulus | sound |
| 59348045 | 1014000 | 843 | 844 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | rhonchi |
| 59348046 | 1014000 | 843 | 844 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | clear to auscultation |
| 59348047 | 1014000 | 843 | 844 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
| 59348048 | 1014000 | 843 | 844 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
| 59348049 | 1014000 | 843 | 844 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | clear to auscultation |
| 59348050 | 1014000 | 843 | 844 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
| 59366672 | 1013300 | 864 | 880 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +5-Normal |
| 59366673 | 1013300 | 864 | 880 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +5-Normal |
| 59366674 | 1013300 | 864 | 880 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +5-Normal |
| 59366675 | 1013300 | 864 | 880 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +5-Normal |
| 59379005 | 1054428 | 2271 | 2318 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Cough/Gag Reflex | Reflexes | Cough/Gag Reflex | present |
| 59393661 | 1034813 | 4425 | 4454 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +4-Resists |
| 59393662 | 1034813 | 4425 | 4454 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +4-Resists |
| 59393663 | 1034813 | 4425 | 4454 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +4-Resists |
| 59393664 | 1034813 | 4425 | 4454 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +4-Resists |
| 59402074 | 1051785 | 165 | 197 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
| 59409591 | 1054428 | 4719 | 4720 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Cough|Cough | Cough | Cough | strong |
| 59409592 | 1054428 | 4719 | 4720 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Cough|Cough | Cough | Cough | productive |
| 59414213 | 1034813 | 4665 | 4699 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | minimal |
| 59414214 | 1034813 | 4665 | 4699 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | yellow |
| 59425699 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Pupils | Pupils | Pupils | pupils equal, react to light |
| 59425700 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | 3 mm |
| 59425701 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | react to light |
| 59425702 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | brisk |
| 59425703 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | 3 mm |
| 59425704 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | react to light |
| 59425705 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | brisk |
| 59434985 | 1054428 | 17631 | 17658 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
| 59442744 | 1054428 | 3741 | 3790 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | warm |
| 59461082 | 1054428 | 2511 | 2618 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | normal |
| 59499706 | 1014000 | 2279 | 2279 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pacemaker/AICD|Pacemaker/AICD | Pacemaker/AICD | Pacemaker/AICD | N/A |
| 59508563 | 1034813 | 4905 | 4963 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +4-Resists |
| 59508564 | 1034813 | 4905 | 4963 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +4-Resists |
| 59508565 | 1034813 | 4905 | 4963 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +4-Resists |
| 59508566 | 1034813 | 4905 | 4963 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +4-Resists |
| 59513104 | 1008970 | 650 | 653 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | warm |
| 59534934 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOC | Neurologic | LOC | normal |
| 59534935 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to person |
| 59534936 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to place |
| 59534937 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to time |
| 59534938 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to situation |
| 59534939 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | unable to assess |
| 59534940 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Speech | Neurologic | Speech | clear |
| 59534941 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Stimulus | Neurologic | Stimulus | spontaneous |
| 59571206 | 1014000 | 2279 | 2279 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | clear to auscultation |
| 59571207 | 1014000 | 2279 | 2279 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | clear to auscultation |
| 59571208 | 1014000 | 2279 | 2279 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
| 59571209 | 1014000 | 2279 | 2279 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | clear to auscultation |
| 59585006 | 1036759 | 1134 | 1221 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Heart Sounds | Auscultation | Heart Sounds | normal |
| 59585007 | 1036759 | 1134 | 1221 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Murmurs and Rubs | Auscultation | Murmurs and Rubs | no murmur |
| 59598188 | 1054428 | 18051 | 18065 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +5-Normal |
| 59598189 | 1054428 | 18051 | 18065 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +4-Resists |
| 59598190 | 1054428 | 18051 | 18065 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +5-Normal |
| 59598191 | 1054428 | 18051 | 18065 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +4-Resists |
| 59599182 | 1008970 | 780 | 819 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | moderate |
| 59599183 | 1008970 | 780 | 819 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | cloudy |
| 59599184 | 1008970 | 780 | 819 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | white |
| 59629596 | 1008970 | 540 | 556 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
| 59644039 | 1048833 | 657 | 670 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Sensation|Sensation | Sensation | Sensation | normal |
| 59646467 | 1036759 | 594 | 647 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
| 59655943 | 1054428 | 3951 | 4185 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Pulses | Pulses | Pulses | normal |
| 59688529 | 1054428 | 17631 | 17658 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | normal |
| 59705652 | 1008970 | 2220 | 2486 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +5-Normal |
| 59705653 | 1008970 | 2220 | 2486 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +4-Resists |
| 59705654 | 1008970 | 2220 | 2486 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +5-Normal |
| 59705655 | 1008970 | 2220 | 2486 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +4-Resists |
| 59719716 | 1015158 | 4 | 53 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Capillary Refill|Capillary Refill | Capillary Refill | Capillary Refill | < 2 seconds |
| 59728728 | 1054428 | 18291 | 18315 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
| 59746767 | 1013300 | 1224 | 1268 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | normal |
| 59767360 | 1013300 | 984 | 1267 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +5-Normal |
| 59767361 | 1013300 | 984 | 1267 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +5-Normal |
| 59767362 | 1013300 | 984 | 1267 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +5-Normal |
| 59767363 | 1013300 | 984 | 1267 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +5-Normal |
| 59819043 | 1051785 | 660 | 717 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | regular |
| 59819044 | 1051785 | 660 | 717 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | unlabored |
| 59851035 | 1054428 | 7341 | 7343 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | clear to auscultation |
| 59851036 | 1054428 | 7341 | 7343 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
| 59851037 | 1054428 | 7341 | 7343 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
| 59851038 | 1054428 | 7341 | 7343 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
| 59854974 | 1054428 | 846 | 888 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Heart Sounds | Auscultation | Heart Sounds | normal |
| 59854975 | 1054428 | 846 | 888 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Murmurs and Rubs | Auscultation | Murmurs and Rubs | no murmur |
| 59855545 | 1015158 | 674 | 746 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
| 59863473 | 1054428 | 12111 | 12245 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | rhonchi |
| 59863474 | 1054428 | 12111 | 12245 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | rhonchi |
| 59863475 | 1054428 | 12111 | 12245 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | rhonchi |
| 59863476 | 1054428 | 12111 | 12245 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | rhonchi |
| 59878007 | 1008970 | 650 | 653 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pacemaker/AICD|Pacemaker/AICD | Pacemaker/AICD | Pacemaker/AICD | N/A |
| 59883001 | 1054428 | 11160 | 11161 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | minimal |
| 59883002 | 1054428 | 11160 | 11161 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | thin |
| 59883003 | 1054428 | 11160 | 11161 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | clear |
| 59914890 | 1034813 | 5650 | 5711 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Cough/Gag Reflex | Reflexes | Cough/Gag Reflex | present |
| 59921842 | 1054428 | 1102 | 1227 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOC | Neurologic | LOC | lethargic |
| 59921843 | 1054428 | 1102 | 1227 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to person |
| 59921844 | 1054428 | 1102 | 1227 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Speech | Neurologic | Speech | moan/grunt |
| 59921845 | 1054428 | 1102 | 1227 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Stimulus | Neurologic | Stimulus | spontaneous |
| 59926551 | 994512 | 233 | 389 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pacemaker/AICD|Pacemaker/AICD | Pacemaker/AICD | Pacemaker/AICD | N/A |
| 59952899 | 1034813 | 296 | 298 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Reflexes | Reflexes | Reflexes | normal |
| 59982679 | 1054428 | 4719 | 4720 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | diminished |
| 59982680 | 1054428 | 4719 | 4720 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
| 59982681 | 1054428 | 4719 | 4720 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | diminished |
| 59982682 | 1054428 | 4719 | 4720 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
| 59996661 | 1036759 | 2154 | 2173 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Cough|Cough | Cough | Cough | strong |
| 59996662 | 1036759 | 2154 | 2173 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Cough|Cough | Cough | Cough | productive |
| 60003014 | 1054428 | 6144 | 6148 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | normal |
| 60038597 | 1036759 | 3474 | 3574 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Braden Score Total | Braden Scale | Braden Score Total | 14 |
| 60038598 | 1036759 | 3474 | 3574 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Sensory Perception | Braden Scale | Sensory Perception | 3. slightly limited |
| 60038599 | 1036759 | 3474 | 3574 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Moisture | Braden Scale | Moisture | 4. rarely moist |
| 60038600 | 1036759 | 3474 | 3574 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Activity | Braden Scale | Activity | 1. bedfast |
| 60038601 | 1036759 | 3474 | 3574 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Mobility | Braden Scale | Mobility | 2. very limited |
| 60038602 | 1036759 | 3474 | 3574 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Nutrition | Braden Scale | Nutrition | 2. probably inadequate |
| 60038603 | 1036759 | 3474 | 3574 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Friction & Shear | Braden Scale | Friction & Shear | 2. potential problem |
| 60038604 | 1036759 | 3474 | 3574 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Pressure Sore Risk | Braden Scale | Pressure Sore Risk | moderate risk (13-14) |
| 60063669 | 1054428 | 13791 | 13819 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOC | Neurologic | LOC | normal |
| 60063670 | 1054428 | 13791 | 13819 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | unable to assess |
| 60063671 | 1054428 | 13791 | 13819 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Speech | Neurologic | Speech | ET/Trach |
| 60063672 | 1054428 | 13791 | 13819 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Stimulus | Neurologic | Stimulus | spontaneous |
| 60095355 | 1048833 | 1077 | 1122 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Reflexes | Reflexes | Reflexes | normal |
| 60095356 | 1048833 | 1077 | 1122 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Cough/Gag Reflex | Reflexes | Cough/Gag Reflex | present |
| 60095750 | 1036759 | 5664 | 5674 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +5-Normal |
| 60095751 | 1036759 | 5664 | 5674 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +5-Normal |
| 60095752 | 1036759 | 5664 | 5674 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +5-Normal |
| 60095753 | 1036759 | 5664 | 5674 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +5-Normal |
| 60113671 | 1048833 | 837 | 868 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Sensation|Sensation | Sensation | Sensation | normal |
| 60127207 | 1008970 | 2700 | 2838 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | regular |
| 60127208 | 1008970 | 2700 | 2838 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | unlabored |
| 60137805 | 1054428 | 10941 | 10946 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +4-Resists |
| 60137806 | 1054428 | 10941 | 10946 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +1-Flicker |
| 60137807 | 1054428 | 10941 | 10946 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +5-Normal |
| 60137808 | 1054428 | 10941 | 10946 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +1-Flicker |
| 60165389 | 1036759 | 4434 | 4437 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | generalized |
| 60165390 | 1036759 | 4434 | 4437 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|RUE | Edema | RUE | +1 |
| 60165391 | 1036759 | 4434 | 4437 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|RLE | Edema | RLE | +1 |
| 60165392 | 1036759 | 4434 | 4437 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|LUE | Edema | LUE | +1 |
| 60165393 | 1036759 | 4434 | 4437 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|LLE | Edema | LLE | +1 |
| 60169824 | 994512 | 413 | 463 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | clear to auscultation |
| 60169825 | 994512 | 413 | 463 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | clear to auscultation |
| 60169826 | 994512 | 413 | 463 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
| 60169827 | 994512 | 413 | 463 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | clear to auscultation |
| 60213082 | 1014000 | 591 | 689 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Braden Score Total | Braden Scale | Braden Score Total | 12 |
| 60213083 | 1014000 | 591 | 689 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Sensory Perception | Braden Scale | Sensory Perception | 2. very limited |
| 60213084 | 1014000 | 591 | 689 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Moisture | Braden Scale | Moisture | 3. occasionally moist |
| 60213085 | 1014000 | 591 | 689 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Activity | Braden Scale | Activity | 1. bedfast |
| 60213086 | 1014000 | 591 | 689 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Mobility | Braden Scale | Mobility | 2. very limited |
| 60213087 | 1014000 | 591 | 689 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Nutrition | Braden Scale | Nutrition | 2. probably inadequate |
| 60213088 | 1014000 | 591 | 689 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Friction & Shear | Braden Scale | Friction & Shear | 2. potential problem |
| 60213089 | 1014000 | 591 | 689 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Pressure Sore Risk | Braden Scale | Pressure Sore Risk | high risk (10-12) |
| 60216779 | 1054428 | 5181 | 5191 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Pulses | Pulses | Pulses | normal |
| 60219672 | 1054428 | 12351 | 12498 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | normal |
| 60230978 | 1054428 | 15411 | 15579 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pacemaker/AICD|Pacemaker/AICD | Pacemaker/AICD | Pacemaker/AICD | N/A |
| 60245396 | 1054428 | 4185 | 4185 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | clear to auscultation |
| 60245397 | 1054428 | 4185 | 4185 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
| 60245398 | 1054428 | 4185 | 4185 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
| 60245399 | 1054428 | 4185 | 4185 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |