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
Biblioteca de Decisão Clínica e Diagnóstico Diferencial
Diretrizes baseadas em evidências para medicina de emergência, triagem e privacidade de dados médicos.
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.
Cardiologia & Emergência
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.
Gastroenterologia & Clínica Médica
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.
Cardiologia & Emergência
Guia de Diagnóstico Diferencial da Síndrome Coronariana Aguda e Dor Torácica Atípica
Triagem na emergência para dor torácica atípica, algoritmo de troponina 0h/1h da ESC 2023 e escore HEART.
Gastroenterologia & Clínica Médica
Guia Clínico: Anemia Microcítica, Sangue Oculto e Câncer Colorretal Precoce
Diagnóstico diferencial de anemias microcíticas, saturação de transferrina, índice de Mentzer e encaminhamento para colonoscopia segundo NICE e BSG.
Pneumologia & Triagem
Triagem na Emergência: Manejo da Embolia Pulmonar e Validação de Wells e PERC
Manejo de dispneia aguda e dor pleurítica, escore de Wells, regra PERC para descarte sem radiação e D-dímero ajustado pela idade.
Informática em Saúde & LGPD
Arquitetura Zero-Knowledge: Privacidade de Dados em Saúde, LGPD e HIPAA na IA Clínica
Proteção de dados de pacientes em IA médica, conformidade com LGPD e HIPAA: Anonimização local em WebAssembly e verificação duplo-cega.