Category 1: Vital Signs
Examples: Blood pressure, heart rate, temperature, oxygen saturation

Category 2: Intake and Output
Examples: Fluid intake (oral, IV), urine output, stool output

Category 3: Pain Assessment
Examples: Location of pain, pain scale rating, effectiveness of pain management interventions

Category 4: Activity and Mobility
Examples: Ambulation distance, range of motion exercises, use of assistive devices

Category 5: Medication Administration
Examples: Name of medication, dosage, route of administration, time administered

Category 6: Nutrition and Diet
Examples: Type of diet (regular, pureed, diabetic), food allergies, percentage of meals eaten

Category 7: Fluid Balance
Examples: Intravenous fluid type and rate, oral fluid intake, output measurements

Category 8: Skin Integrity
Examples: Description of any wounds or pressure ulcers, wound dressing types, skin assessment findings

Category 9: Elimination
Examples: Bowel patterns, bladder emptying, incontinence episodes

Category 10: Mental and Emotional Status
Examples: Level of alertness, mood and affect, response to therapeutic interventions

Category 11: Special Procedures and Treatment
Examples: Date and time of procedures, consent documentation, patient response to treatment