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What type of note is this?
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Admitting Facility
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Other Admitting Facility?
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Admission Date
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Transferring Facility
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Other Transferring Facility?
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Admitting Level of Care
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Admitting Surgical Diagnosis?
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What Type of Surgery?
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Surgery Date?
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Date of Surgery
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Surgeon's Name
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Who was the Surgeon?
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Medical Admitting Diagnosis?
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What is the medical diagnosis?
• • •
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Current Level of Care
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Who is giving this history?
• • •
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Patient Can't Give Full History
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Why Patient Give Full History?
• • •
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Did You Review Other Documents?
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What Documents did you Review?
• • •
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