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Questions

Concepts

Visit Date

␣␣-␣␣-␣␣␣␣ 📆

163137AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA

Receiving Facility

__________________________________

162724 Health facility name

Transfer-Out Date (Date transfer-out takes effect)

␣␣-␣␣-␣␣␣␣ 📆

160649 Date transferred out

Transfer-out Verified ***

🔘 Yes

🔘 No

🔘 Unknown797e0073-1f3f-46b1-8b1a-8cdad134d2b3

VerificationDone Verification Complete

Date verification done

␣␣-␣␣-␣␣␣␣ 📆

160753 Date of event

Notes

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116509 5General patient note