| 104029-4 | Confusion, disorient or impuls Obs | |
| 104030-2 | Symptomatic depression | |
| 104031-0 | Altered elimination | |
| 104032-8 | Dizziness, vertigo | |
| 104033-6 | Male or identifies as male | |
| 104034-4 | Admin antiepileptic | |
| 104035-1 | Admi Benzodiazepine | |
| 104036-9 | Get up and go | |
| 104037-7 | Total score Hendrich II | |
| 104038-5 | Hendrich II fall risk Imp Hendrich II | |
| 104028-6 | Hendrich II fall risk:-:Pt:^Patient:-:Hendrich II | |