Disease State
Funkychic1
USW1_CMIS_4302_SampleForm.xlsSheet1
| CMIS4302: Patient Records Practice and Policy | ||||
| Sample Form for Week 2 Application: Disease State | ||||
| Demographics | Financials | Diagnostics | ||
| LastName | InsuranceName | HeartRate | ||
| FirstName | InsuranceID | BloodPressure | ||
| MI | PatientSSNumber | Temperature | ||
| Salutation | PatientEmployee | Height | ||
| Degree | Weight | |||
| HomeAddress | ||||
| HomeCity | ||||
| HomeState | ||||
| HomeZip | ||||
| HomeCountry | ||||
| HomeTel | ||||
| DateofBirth | ||||
| Sex |
