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(i.e. hospital discharge papers; work release form; prescriptions) Please complete this block prior to submitting for other types of incidents and describe the incident and corrective actions in the space provided at the end of this report. ...

http://artis.apexcos.com/HealthSafety/HS_New/Forms/Blank%20Incident%20Report%20Form.doc

Date added: June 3, 2014 - Views: 2

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www.courts.ca.gov

The decedent was transferred within the hospital the following day and later that day signed discharge papers acknowledging that he ... operative complaint. (Blank v. Kirwan ... the decedent was permitted to sign discharge papers so the hospital and the health care professionals ...

http://www.courts.ca.gov/opinions/nonpub/B234051.DOC

Date added: July 12, 2013 - Views: 10

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Pennsylvania

... recording and access to copies of military discharge papers. ... real property); Section 35-4-130 (lis pendens and hospital liens); Sections 36-5-3 ... of it shall be printed in the form of discharge papers, with sufficient blank lines for the recording of such dates as may be ...

http://www.ernstpublishing.com/public/State%20Statutes.doc

Date added: October 7, 2011 - Views: 26

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CHAPTER V: - Maine Health Information - mehima

Miscarriage reporting Chapter 5, section ... miscarriages, induced abortions, and deaths. All hospitals should have as references the "Hospital Vital Statistics Handbook" and "Vital Statistics ... -- The person who "assembles the discharge papers" will check that a specimen has been ...

http://www.mehima.org/legalmanual/Ch%205%20Reporting%20April%202006.doc

Date added: May 23, 2013 - Views: 29

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Organized Form The Start, Inc - Baby Briefcase

the baby or the paperwork ... paperwork her new baby would bring. Birth certificate, discharge papers, immunizations and vaccinations, social-security card, gift cards, thank-you notes: the towering pile kept growing. “As a new parent, you come home from the hospital laden with ...

http://www.babybriefcase.com/downloadable_files/BabyBriefcasePressRelease0704.doc

Date added: November 23, 2011 - Views: 6

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1

Work Opportunity and Employment & Training Administration. Welfare-to-Work Tax Credits. 1. CONTROL NO.

http://www.doleta.gov/Performance/guidance/docs/ETA%209061%20Fina%20Rev%20wInstrs%206-05-05Rev6-24.doc

Date added: December 5, 2013 - Views: 6

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FAMILY INFORMATION GUIDE - wells-financial

family information guide _____ vital statistics and historical data. full name ... location of discharge papers: in home other _____ spouse ... other insurance (ad&d, hospital, rx, vision, dental, ...

http://www.wells-financial.com/uploads/4_FAMILY_INFORMATION_GUIDE_updated_062408.docx

Date added: August 18, 2013 - Views: 3

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Sample Promissory Note - HowStuffWorks

This is an unsecured note. Borrower agrees that until the principal and interest owed under this promissory note are paid in full, ... modification, waiver, or other indulgence or discharge or release of any obligor hereunder or exchange, substitution, ...

http://static.howstuffworks.com/pdf/samp-promissory.doc

Date added: September 15, 2011 - Views: 358

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Introduction

The database search was limited to English-language papers. ... FS Blank, HA Smithline, EA Henneman. Journal of Emergency Medicine Jun 2011;40(6):613-616. ... Accuracy of medication documentation in hospital discharge summaries: ...

http://www.medicinesresources.nhs.uk/upload/documents/Evidence/Medicines%20Management/mm-reconciliation-2011-final.doc

Date added: August 2, 2013 - Views: 7

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M21-1, Part 3, Change Document 131 - VA - Veterans Benefits ...

Clinical records are filed by the military hospital or other military medical facility which provided treatment. ... O27 RESERVED Blank – reserved for later use. ... discharge papers, MABMC-11 (discharge order) and service records usually provided Pages 3, 5-6, 8-9, 12-13, and 17 included ...

http://www.benefits.va.gov/warms/docs/admin21/m21_1/part3/chg131.doc

Date added: October 9, 2011 - Views: 57

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Massachusetts - Mass.Gov

... the hospital discharge planner, ... makes 2 copies of the original "Local Certification" papers, the attached documentation reports and the police form. The following folders are then prepared: ... Leave blank. The Division completes this upon data entry.

http://www.mass.gov/eohhs/docs/dph/cdc/tb/nursing-case-protocols.doc

Date added: May 28, 2012 - Views: 30

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PACE Contract Boilerplate - California Department of Health ...

... to inspect any and all working papers related to the preparation of the audit report. ... and coordinated hospital discharge planning that includes necessary post ... This Attachment Intentionally Left Blank 1 page M. Exhibit A, Attachment 13 - Member Services 7 pages N. Exhibit A ...

http://www.dhcs.ca.gov/services/ltc/Documents/PACE%20Boilerplate%20Contract.Updated%2012.2012.doc

Date added: April 19, 2013 - Views: 31

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DATA DICTIONARY - Iowa Hospital Association

Length of time patient stayed in hospital. From admission to discharge. 10 sex code: (UB-04 ... If SSN was not supplied the patient ID will be blank. ... e.g. SCHIP otherwise known as HAWK-I) 03 Iowa State Government (e.g. Mental Health State Papers, Iowa Cares, etc.) 04 County/Local ...

http://www.ihaonline.org/imis15/Images/IHAWebPageDocs/infoservices/Inpatient%20and%20Outpatient%20Services/IP%20Data%20Dictionary%202011%202Q.doc

Date added: October 17, 2013 - Views: 15

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COURSE DESCRIPTION - Council on Social Work Education

Papers will be marked down for being below ... M., Fitzgerald, L., Haesler, E., & Manfrin, M. (2009). Hospital discharge planning for frail older people and their family. Are we delivering best practice? A review of the evidence. Journal of Clinical Nursing, 18(18), 2539-2546. Blank,T., Asencio ...

http://www.cswe.org/File.aspx?id=55792

Date added: May 6, 2013 - Views: 3

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Birth3 - Texas Department of State Health Services

... may be used in requesting completion of any item left blank on the original birth certificate or to correct any errors made during the ... The certification of a hospital or licensed birthing center record ... A copy of official discharge papers of the Army, Navy, Air Force ...

http://www.dshs.state.tx.us/vs/handbooks/birth/birth3.doc

Date added: September 15, 2011 - Views: 44

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DATA DICTIONARY - Iowa Hospital Association

The condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care ... e.g. SCHIP otherwise known as HAWK-I) 03 Iowa State Government (e.g. Mental Health State Papers, Iowa Cares, etc ... Includes discharge to home, home ...

http://www.ihaonline.org/imis15/Images/IHAWebPageDocs/infoservices/Inpatient%20and%20Outpatient%20Services/OP%20Data%20Dictionary%202011%202Q.doc

Date added: August 21, 2013 - Views: 18

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INSTITUTE FOR THE ADVANCMENT OF SOCIAL WORK RESEARCH

CALL FOR PAPERS: THE IMPACT OF INSTITUTIONS ON ADULT DEVELOPMENT. Deadline: June 1, 2005. A special issue devoted to the impact of institutions on adult development will be published in The Journal of Human Behavior in the Social Environment.

http://www.socialworkers.org/research/call/041405.doc

Date added: September 4, 2014 - Views: 1

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NURSERY ENDORSEMENTS

You have a have a lab coat over the scrubs to go around the hospital. ... a printout of the discharge papers will come out. ... review the problem list, if it is blank or if the problem list still does not mention it, ...

http://lincolnpediatrics.org/guidenx.doc

Date added: January 16, 2014 - Views: 3

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J - Independence Seaport Museum

... charts for determining ballast requirements; blank inspection report forms; a blank checklist for official ... Materials related to John MacDonald include: discharge papers from the U.S. Coast Guard-Merchant ... crew lists for SS Pine Bluff Victory; a hospital ledger book and ...

http://www.phillyseaport.org/images/Archives/ISM-WWII.doc

Date added: May 4, 2013 - Views: 21

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AUTHORIZATION TO RELEASE MEDICAL INFORMATION

Discharge summary. Complete hospital chart. Office notes. Outpatient records Lab reports. ... If you fill in too much text in a blank, ... requires an Authorization to Release Medical Information in order for health care providers to release medical information or records.

http://www.awppw.org/docs/Generic.HIPAA.authform.doc

Date added: October 13, 2011 - Views: 1077

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APACHE GAMING COMMISSION - Delaware Nation

Copy of DD 214 (Military Discharge Papers) ... Complete the application form in it’s entirely (no questions should be left blank). ... lending institutions, medical institutions, hospital and health care professionals.

http://delawarenation.com/Portals/0/PDF/gamingcommission/NewPDF1/Vendor%20Tech%20Application.docx

Date added: July 17, 2013 - Views: 2

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Attachments - New York State Department of Health

It has produced several issue papers explaining the conceptual framework for ... summary Comments Home to acute care and acute care to nursing home Acute care and Nursing home staff Pertinent hospital admission/discharge information to including a complete medication list ... Blank line and/or ...

http://www.health.ny.gov/funding/rfa/inactive/0903160302/attachments.doc

Date added: July 4, 2012 - Views: 14

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Family Information - Operation We Are Here

Hospital Tracker Special Care Organization Record ... This page intentionally left blank Medical Bill Tracker Special Care ... of All Contracts and Loans Pet Health/Vaccination Records Birth Certificates Adoption Papers Death Certificates Divorce Papers Discharge Papers (DD 214) Car Title ...

http://www.operationwearehere.com/SCOR_2.doc

Date added: April 26, 2012 - Views: 13

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www.castonline.ilstu.edu

Therapeutic Recreation Internship ... and fill in the number of clients in the blank next to the ... Physical Medicine and Rehabilitation Treatment/Rehabilitation Hospital Based Inpatient Day Treatment Outpatient Treatment/Rehabilitation Non-Hospital Based Long Term Health ...

http://www.castonline.ilstu.edu/klitzing/internship%20papers/Therapeutic%20Recreation%20Internship%20Site%20Info%20Form%202011.doc

Date added: June 29, 2013 - Views: 4

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Ob/Gyn Intern Orientation and Survival Guide

Ob/Gyn Intern Orientation and Survival Guide ... Hospital Care (OB) Rounds ... Discharge Orders SVD- 24-48 hr postpartum; c-sections 48-72hr ...

http://slfp.net/uploads/internsurvive.doc

Date added: December 1, 2012 - Views: 14

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Acute flaccid paralysis - College of Paediatricians

Standard Treatment Guidelines and Essential Drug List for South Africa Hospital Level ... Food refusal can have different implications depending on the extent: many children, for instance, point-blank refuse to ... He also had seizures after birth that persisted after discharge. Letitia says ...

http://www.collegepaeds.ac.za/past%20papers/2006-09/DCH%20Aug%202006.doc

Date added: May 13, 2013 - Views: 3

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C2005 Evidence Evaluation Template - Oct.14, 2003

The remainder were general discussion papers or studies relating to other aspects of early ... Pittard 2003 E 1 2 3 4 5 6 7 8 Level of Evidence A = Return of spontaneous circulation C = Survival to hospital discharge E = Other ... REMEMBER TO SAVE THE BLANK WORKSHEET TEMPLATE ...

http://circ.ahajournals.org/content/suppl/2005/11/09/CIRCULATIONAHA.105.170522.DC214/W128B_Parr_Cretikos.doc

Date added: March 19, 2014 - Views: 1

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A PROJECT REPORT ON - Projects Org

Hospital Management System provides the benefits of streamlined operations, ... Doctor, Wards, , Admin, Store, Patient appointment, bill payment, record modification, discharge details etc. TABLE OF CONTENT. ... All these works are done on papers.

http://projectorg.files.wordpress.com/2012/10/hospital-management_project-report.doc

Date added: October 7, 2013 - Views: 249

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M21-1, PT V, Chapter 23, Change 9 - Veterans Benefits ...

separation papers (DD214 or other document) from service. Enclosure: ... we will reduce letter A or I (blank for origi-451105 our evaluation of the veteran's service-connected malaria to nals), ... the end of the month of your hospital discharge; or a subsequent evaluation (2) ...

http://www.benefits.va.gov/warms/docs/admin21/m21_1/part5/ch23.doc

Date added: October 22, 2011 - Views: 31

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www.daltonwealth.com

Hospital (preferred): Human resources contact (current or prior employment): ... Adoption papers. Birth certificate. Driver’s license. Marriage certificate. ... Military discharge papers. Pre-paid funeral documentation. Other:

http://www.daltonwealth.com/new/daltonwealthmanagement/content.asp?contentid=2017685715

Date added: June 28, 2014 - Views: 2

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CHAPTER 100–GENERAL INFORMATION - West Virginia

Hospital admissions for diagnostic procedures may be reimbursed only when there is adequate documentation the procedure cannot be performed on an outpatient basis. ... the initial observation care and the observation care discharge services.

http://www.dhhr.wv.gov/bms/Diabetes%20Education/Documents/Chapter%20519%20Practitioners%20080415.doc

Date added: October 3, 2011 - Views: 184

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Managing Hospital Records - International Records Management ...

Hospital Records INTERNATIONAL. COUNCIL ON ARCHIVES. INTERNATIONAL RECORDS . ... Minutes and papers of major committees and of the governing body, ... Records procedures on the discharge or death of a patient are described in Lesson 4.

http://www.irmt.org/documents/educ_training/public_sector_rec/IRMT_hospital_recs.doc

Date added: October 25, 2011 - Views: 96

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SECTION 1 - American Legion

discharge or honorable separation, or continued honorably after any of said periods; ... An unmarked (blank) ballot is just a scrap of paper and is not counted in ... orders and other process and papers of the subcommittee or the Department organization of The American Legion may be served ...

http://www.legion.org/documents/word/pogsection4_06.doc

Date added: January 11, 2013 - Views: 34

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C2005 Evidence Evaluation Template - Nov.11 2003

Forty nine papers were ultimately analyzed ... do not document improvement in survival to hospital discharge neither in the rate of admission to hospital when pacing is ... (1998). “Outcome from out-of-hospital cardiac arrest caused by nonventricular arrhythmias: Contribution of ...

http://circ.ahajournals.org/content/suppl/2005/11/26/CIRCULATIONAHA.105.170522.DC179/W104_Ruano.doc

Date added: January 5, 2014 - Views: 5

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Fayetteville State University Institutional Review Board ...

Data already collected for administrative purposes (e.g., Medicare data, hospital discharge data) Medical records ... You may keep a blank copy of this form for your records ... If you have any questions about this research study you can contact me at <<provide your phone ...

http://www.uncfsu.edu/Documents/Research/2012-2013_Application_for_the_Use_of_Human_Subjects_in_Resea%5B1%5D.doc

Date added: May 9, 2013 - Views: 19

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AAP Screening-ScreenMaterials-NBScatergorizedcompend.doc

All selected papers were read by two or three experts and were critically appraised using a standard format. Seven criteria for a screening programme, ... (55 324 infants) were screened for hearing acuity before hospital discharge, ...

http://www.medicalhomeinfo.org/downloads/docs/NBScategorizedcompend.doc

Date added: September 30, 2011 - Views: 48

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Employment outline - Free Law School Outlines Professor Subject

Employment outline . Chapter 1 Skipped. Chapters 2 &3 Information Gathering and the Hiring Process. Hiring process – this subsection talks about employers restricting the applicant pool

http://www.outlinesumo.com/outlines/download.php?outline_id=4495&action=download

Date added: May 5, 2013 - Views: 1

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LONG HILL TOWNSHIP POLICE DEPARTMENT

If naturalized citizen, need copies of naturalization papers. B. Social Status ...

http://www.njsacop.org/rc_files/132/Background%20Investigation%20%20-%20Sample%20Policy.doc

Date added: November 17, 2013 - Views: 6

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COLLINS CAREER

Discharge papers from the hospital or original subpoena document must accompany the request for this LOA. ... Any missed exams will be given in a different format from original test and may consist of fill in the blank and essay questions.

http://www.collins-cc.edu/docs/RadTech/Rad%20Tech%20Policy%20Handbook.doc

Date added: January 14, 2014 - Views: 1

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Handbook on Death REgistration - Texas Department of State ...

A long-term care facility is not a hospital but provides patient care beyond custodial care (e.g., nursing home, skilled nursing facility, long-term care facility, ... Leave blank if injury was not a transportation injury. 40a. Date of ... Serial number of discharge papers or adjusted service ...

http://www.dshs.state.tx.us/vs/handbooks/death/chapter-4.doc

Date added: May 8, 2013 - Views: 10

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ENVIRONMENT OF CARE CLARIFICATIONS - United States Navy

Stairs that extend beyond (go past) the level of discharge (ground floor) must be interrupted (stopped) at the level of ... Our hospital policy states that when security officers are ... The best practice may be to fill out the top part of a blank part 4, and then draw a line ...

http://www.med.navy.mil/sites/nmcp/EduTrain/Documents/FacMgmt/EnvironmentOfCareClarificationsSept2002.doc

Date added: April 14, 2012 - Views: 58

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Chapter 1

Upon discharge from the hospital, you will be given medications to prevent infection. ... Blank forms left to be filled out by the office staff may take longer to process. ... - you will receive your stem cells and remain in hospital until your stem cells are able to grow on their own.

http://www.stemcell-immunotherapy.com/pdfs/handbook.doc

Date added: September 5, 2011 - Views: 44

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METHODIST HOSPITALS OF DALLAS

4.2.7 Primary System Hospital Affiliation 4. 4.2.8 Applicant’s Obligations 4. 4.2.9 Participation in Teaching Programs as Teaching Staff 4. 4.2.9.1 Appointment Process 4. 4.2.9.2 Degree of Care/Management of Patient by House Staff 5.

http://www.methodisthealthsystem.org/documents/08%2D25%2D05%20MHS%20Policies.doc

Date added: December 16, 2013 - Views: 1

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... Document Retrieval - The United States Social Security ...

Memorial Hospital discharge summary dated July 1, ... Use blank SSA letterhead (SSAL-951/SSAL-8052). For a child's claim, ... The ALJ also can require people to bring important papers to your hearing and give facts about your case.

http://www.ssa.gov/disability/Documents/Prototype_Operating_Instructions.doc

Date added: October 2, 2011 - Views: 85

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Improving Care Transitions - Welcome to Aging and Disability ...

... any medication lists you have, and the discharge summary from the hospital. Great—I’ll see you in [days/time]. ... medications lists and papers from the hospital? ... You should see a blank spot for questions. Patient: Okay, ...

http://communitychoices.info/adrc/docs/ADRC%20CTI%20Booklet%20June%202009%20updated%2011-12-09.doc

Date added: August 18, 2013 - Views: 1

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SA01 Policy for thr Development, Ratification, Implementation ...

Upon receipt of Section papers MHLAO will check rights have ... The Responsible Clinician may or may not have the power to grant leave of absence and/or discharge from hospital depending on whether the Bail Conditions authorise ... BLANK FORM; ACTIONS; Access to Documentation. CQC Where to find ...

http://www.merseycare.nhs.uk/Library/Who_we_are/Policies_and_Procedures/MH01-MHA%201983%20Overarching%20Policy%20-%20Uploaded%2030th%20Jan%202014%20-%20Review%20Nov%202016.docx

Date added: March 10, 2014 - Views: 3

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Introduction - Disability Rights Center

There are blank pages at the end of the manual for your own notes. ... 34B MRSA §3871.Discharge. 1. Examination. ... Discharge against medical advice. The chief administrative officer of a psychiatric hospital may discharge, ...

http://www.drcme.org/uploads/Commitment__5th_Ed_-_Rev_Nov_2013.docx

Date added: December 16, 2013 - Views: 5

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A Cardiologist's View - HPI - Medical Transcription ...

The Discharge Summary is the medical document that summarizes the patient’s course in the hospital, and it is usually dictated just before or after the patient is discharged from the hospital. The Discharge Summary contains ... leave a blank (or blanks) and continue with the ...

http://www.hpisum.com/Campbell,%20Introduction%20to%20Cardiology%20Transcription.doc

Date added: May 2, 2013 - Views: 13

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Review of the Implementation of Care Plus - Ministry of Health NZ

Some of the remaining practices simply left the section blank, ... Table 12: Hospital discharge profiles for Care Plus patients ... and some post-grad papers in chronic disease. The training needs to be practically based.

http://www.health.govt.nz/system/files/documents/publications/review-implementation-care-plus.doc

Date added: April 9, 2012 - Views: 9

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TABLE OF CONTENTS - Health Level Seven International

In most cases, court papers will accompany the client or be submitted to the facility. ... it allows staff to be involved in the linkage for hospital discharge plans; (4) ... The Staff ID field may be left blank when reporting Community Based Structured Crisis Care and Day Program services.

http://www.hl7.org/documentcenter/public/wg/homehealth/ICIS%20Manual%20FY%2006.doc

Date added: January 29, 2012 - Views: 35