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Transfer Out Form✅
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    • Transfer Out Form✅

    Owned by Veronica Muthee
    Last updated: Dec 11, 2024
    1 min read

    JSON File: ct_transfer_out.json

    Questions

    Concepts

    Questions

    Concepts

    Receiving Facility

    __________________________________

    161562 Name of where the patient was referred to

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

    ␣␣-␣␣-␣␣␣␣ 📆

    160649 Date transferred out

    Transfer-out Verified

    🔘 Yes

    🔘 No

    🔘 Unknown

    169465 Transfer out verification complete

    Date verification done

    ␣␣-␣␣-␣␣␣␣ 📆

    169466 Datetime of verification

    Notes

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    160632 Free text general