2nd Level Records

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GENERAL CONSIDERATIONS: Health records used to support Second-Level Priority problems are the second type of health records the Health Guardian collects. To those new to maintaining their own health records, it can seem like a quagmire of paperwork. Prioritization can bring peace of mind, to the otherwise nightmare.

ISSUES: There are just too many, time consuming records, that could add value in the complimentary health care practice, and most of them are best maintained in the home. For beginners, how do you know which to start with, and which can wait until later. Of course, product vendors will tell you the records that build the case for their product are the most important. How can the Health Guardian know the truth?

STRATEGY: This prioritization method is based on the same criteria found in many emergency rooms, but here we are triaging records instead of bodies. Priority setting can also evolve overtime, with changes in priority depending on the relationships between and severity of problems the Health Guardian is addressing.

  1. FIRST-LEVEL We assign higher priority to the health records supporting first-level priority problems such as airway, breathing, and circulation pathologies.
  2. SECOND-LEVEL Next assign a lessor priority to the health records supporting second-level priority problems, which include mental status changes, acute pain, infection risk, abnormal laboratory values, chronic illness, and elimination problems.
  3. THIRD-LEVEL Then we might address the health records of third-level priority problems such as lack of knowledge, mobility problems, strengthening organ systems, and family responses.

Each of these types of records, first, second, and third level records have different purposes and use. It makes sense to treat them differently. In this post Second-Level Priority Records will be considered, followed by other posts describing Third-Level Health Records.

THE BASE-LINE RECORDS The Second-Level problems are those that are next to the first-level problems in urgency- those requiring your prompt intervention to forestall further deterioration. There are more Health Records used to prevent and treat second-level problems. Dental records are the most common example used here. But there are many more types, and together they form your health base-line to be compared against measurements during temporary health issues.

Some Examples of second-level records include:

  • Immunization Records
  • Self-Examination Records
  • Vital Readings such as Blood Pressure, Pulse
  • Blood Lab Work 
  • Sugar Levels
  • Exercise Record 
  • Nutrition Record
  • Vision Records
  • Weight, height, BMI and other physical and mental characteristics

Often, these records are referred to as the “Base-Line” database. The base-line is combined with your focused or PROBLEM-CENTERED Database as a complete set of second-level health records. This is used for a limited or short-term problem. Here you collect a “mini” data base, smaller in scope and more targeted than your complete set of health records or complete database. It concerns mainly with one problem, one cue complex, or one body system. It is used in all settings- Hospital, primary care, or long-term care. Its use is for comparing your base-line characteristics against a current “Single Problem Onset” set of characteristics.

The second-level set of records also includes the “FOLLOW-UP” database of records, and are used to record answers to questions such as:

  • What change has occurred?
  • Is the problem getting better or worse?
  • Which coping strategies are used?

This type of database is used in all settings to follow up both short-term and the chronic health problems found with level-three problems. The “Follow-Up” database helps bridge level-two and level-three problem records.


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