Jan Name
Case #:
777-00004
Hospital ID:
12345678
Admission:
2022-01-24
Record Complete
Form Completion
1 of 13 forms complete
Patient Forms
Burn Center Admission Information
Last updated: ...
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Demographics
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Diagnosis
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Financial Data
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Hospital Procedure Information
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Injury Information
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Injury Severity
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LTO of Inpatient Stays - Closure and Procedures
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LTO Of Inpatient Stays - Evaluation
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Outcome Information
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Outcome Information - Complications
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Related Admissions
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Resource Utilization
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