Table 2 Participants’ perspective about the necessity of recording and communicating complementary data to SEPAS
Survey > 50% participants identified as mandatory | Survey > 50% participants identified as optional | Survey > 50% participants identified as unnecessary | ||
|---|---|---|---|---|
Demographic data | Patient unit number | ✓ | – | – |
Nickname | – | – | ✓ | |
Age | ✓ | – | – | |
Province | ✓ | – | – | |
City | ✓ | – | – | |
Driver’s license number | – | – | ✓ | |
Military status | – | – | ✓ | |
Religion | – | – | – | |
Denominations | – | – | – | |
Ethnicity | – | – | – | |
Dialect | – | – | ✓ | |
Spouse personal details | – | – | – | |
Death certificate number | – | – | – | |
the deceased person’s full address | ✓ | – | – | |
Delivery and childbirth | Type of delivery | ✓ | – | – |
Cause of delivery | – | – | – | |
Delivery location | – | – | – | |
Number of newborns | ✓ | – | – | |
Birth order | ✓ | – | – | |
Newborn weight | ✓ | – | – | |
Newborn Health status | ✓ | – | – | |
Congenital anomalies | ✓ | – | – | |
Newborn unit number | ✓ | – | – | |
Patient examinations | Main complaints | ✓ | – | – |
Primary diagnosis | ✓ | – | – | |
Diagnosis during treatment | ✓ | – | – | |
Physician orders | ✓ | – | – | |
Physical examination and clinical investigation | – | – | – | |
Nurse observations | – | – | – | |
Underlying disease | ✓ | – | – | |
Family history | ✓ | – | – | |
Vital signs | Systolic blood pressure | ✓ | – | – |
Diastolic blood pressure | ✓ | – | – | |
Heart rate | – | – | – | |
Respiratory rate | – | – | – | |
Temperature | – | – | – | |
Operations | Operation name | ✓ | – | – |
Type of operation (outpatient, inpatient) | ✓ | – | – | |
Date of operation | ✓ | – | – | |
Anesthesia Allergies | Type of anesthesia | ✓ | – | – |
Anesthetics | – | – | – | |
Anesthesia time | – | – | – | |
Type of allergy | ✓ | – | – | |
Allergens | ✓ | – | – | |
Severity of allergy diagnosis | – | – | – | |
Date identify allergies | – | – | – | |
Specific patient conditions | Pregnancy or breastfeeding | ✓ | – | – |
Alcohol consumption | – | – | – | |
Smoking | – | – | – | |
Tobacco usage | – | – | – | |
Prosthesis in patient body | ✓ | – | – | |
Diet | – | – | – | |
Medications | Medication name | ✓ | – | – |
Medication type (Therapeutic) | – | – | – | |
Medication form | – | – | – | |
Medication dose | – | – | – | |
Medication usage | – | – | – | |
Patient medication history | ✓ | – | – | |
Drug sensitivity | ✓ | – | – | |
Blood type | Blood group | ✓ | – | – |
Rh | ✓ | – | – | |