Form:ICD10 dx: Difference between revisions
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Ttenbergen (talk | contribs) Created page with "<noinclude> This is the "ICD10 dx" form. To create a page with this form, enter the page name below; if a page with that name already exists, you will be sent to a form to edi..." |
Ttenbergen (talk | contribs) No edit summary |
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| Line 13: | Line 13: | ||
! ICD10 Code: | ! ICD10 Code: | ||
| {{{field|ICD10 Code}}} | | {{{field|ICD10 Code}}} | ||
|- | |- | ||
! StartDate: | ! StartDate: | ||
| Line 25: | Line 19: | ||
! StopDate: | ! StopDate: | ||
| {{{field|StopDate}}} | | {{{field|StopDate}}} | ||
|- | |||
! MinimumCombinedCodes: | |||
| {{{field|MinimumCombinedCodes|hidden}}} | |||
|} | |||
{{{end template}}} | |||
{{{for template|ICD10 category|label=ICD10 category}}} | |||
{| class="formtable" | |||
! ICD10 category: | |||
| {{{field|1}}} | |||
|} | |} | ||
{{{end template}}} | {{{end template}}} | ||
Revision as of 20:02, 31 December 2018
This is the "ICD10 dx" form. To create a page with this form, enter the page name below; if a page with that name already exists, you will be sent to a form to edit that page.