Procedure Test5
Case #:
777-00010
Hospital ID:
n/a
Admission:
n/a
Record Incomplete
Form Completion
1 of 13 forms complete
Patient Forms
Burn Center Admission Information
Last updated: ...
Complete
Demographics
Incomplete
Diagnosis
Incomplete
Financial Data
Incomplete
Hospital Procedure Information
Incomplete
Injury Information
Incomplete
Injury Severity
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LTO of Inpatient Stays - Closure and Procedures
Incomplete
LTO Of Inpatient Stays - Evaluation
Incomplete
Outcome Information
Incomplete
Outcome Information - Complications
Incomplete
Related Admissions
Incomplete
Resource Utilization
Incomplete