Daisy Dukes
Case #:
777-00001
Hospital ID:
A181583
Admission:
2021-08-02
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
Incomplete
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