DOKUMANTASYON
SOAP Notes in Clinical Practice: Structure, Examples & EHR Integration
Comprehensive guide to SOAP clinical documentation (Subjective, Objective, Assessment, Plan), Weed POMR model, sample cases and EHR workflow.
CLINIQ · MEDICAL KNOWLEDGE BASE
Perpustakaan Keputusan Klinis & Diagnosis Banding
Panduan klinis berbasis bukti untuk kedokteran darurat, triase penyakit dalam, dan privasi data medis.
DOKUMANTASYON
Clinical Discharge Summary (Epicrisis): Requirements, Templates & Legal Standards
How to write a robust medical discharge summary, 8 essential components, malpractice defense, sample templates and PDF download.
DOKUMANTASYON
Medical History Taking: Calgary-Cambridge Framework & Red Flags
Systematic approach to medical history taking, Calgary-Cambridge consultation framework, review of systems, clinical red flags and anamnesis template.
Kardiologi & Kegawatdaruratan
Cardiology Examination Note & History Template: ECG, NYHA & Risk Scores
Structured cardiology clinical documentation, chest pain and dyspnea evaluation, NYHA staging, cardiovascular physical exam and ESC guidelines.
Gastroenterologi & Penyakit Dalam
Internal Medicine Clinical Note: Chronic Disease & Multimorbidity Workflow
Internal medicine outpatient examination note, multimorbid patient management, diabetes and hypertension monitoring parameters and sample note.
AILE
Family Medicine Clinical Note: Preventive Health & Chronic Care Template
Primary care clinical documentation, periodic health exams, chronic disease monitoring, cancer screening intervals and common primary care ICD-10 codes.
ORTOPEDI
Orthopedic Examination Note: Joint Range of Motion, Special Tests & Trauma
Orthopedic surgery and trauma clinical note, joint range of motion (ROM), motor grading (MRC), ligament tests and Ottawa rules.
ACIL
Emergency Department Clinical Note: Triage, Resuscitation & Forensic Report
Emergency room documentation standards, triage acuity levels, serial vital signs, medicolegal reporting and sample acute SOAP note.
PEDIATRI
Pediatric Clinical Examination Note: Growth, Vaccination & Febrile Child
Pediatric outpatient clinical documentation, growth percentiles, immunization tracking, febrile child triage, NICE red flags and sample note.
NOROLOJI
Neurological Examination Note: Cranial Nerves, Motor Exam & Stroke Protocol
Structured neurology clinical documentation, comprehensive cranial nerve exam (I-XII), MRC motor scale, acute stroke pathway and NIHSS score.
KANIT
OpenEvidence Turkey: Evidence-Based Clinical Search & Guideline Assistant
AI-powered evidence-based clinical search engine for physicians, numbered citations ([1], [2]), ESC, KDIGO, ADA, NICE monographs and UpToDate alternative.
ICD10
ICD-10 Clinical Diagnostic Coding & EHR Billing Guide
Comprehensive guide to ICD-10 diagnostic coding, hospital information system (EHR) transmission, specialty-specific top diagnosis codes and PDF handbook.
Kardiologi & Kegawatdaruratan
Panduan Diagnosis Banding Sindrom Koroner Akut & Nyeri Dada Atipikal di IGD
Triase gawat darurat untuk nyeri dada atipikal, algoritma troponin sensitivitas tinggi 0j/1j ESC 2023, dan validasi skor HEART.
Gastroenterologi & Penyakit Dalam
Panduan Keputusan Klinis: Anemia Mikrositik, Darah Samar & Keganasan Kolorektal
Diagnosis banding anemia mikrositik, saturasi transferin, indeks Mentzer, dan kriteria rujukan endoskopi menurut pedoman NICE dan BSG.
Pulmonologi & Triase
Triase Gawat Darurat: Tata Laksana Emboli Paru & Validasi Skor Wells / PERC
Evaluasi sesak napas akut, nyeri pleuritik, stratifikasi kemungkinan klinis Wells, kriteria eksklusi PERC, dan D-dimer disesuaikan usia.
Informatika Kesehatan & Privasi
Arsitektur Zero-Knowledge: Privasi Data Medis, Kepatuhan HIPAA & GDPR dalam AI Klinis
Perlindungan data pasien dalam AI kesehatan, kepatuhan HIPAA dan GDPR: De-identifikasi lokal WebAssembly di peramban dan verifikasi double-blind.