Details

Primary ICD-9-CM:
{{#if icd9}} {{icdCode}} {{else}} N/A {{/if}}

Primary ICD-10-CM:
{{#if icd10}} {{icdCode}} {{else}} N/A {{/if}}

Recorded by:
{{#if recordedBy}} {{recordedBy}} {{else}} N/A {{/if}}

Recorded on:
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SNOMED CT:
{{#if snomedCode}} {{snomedCode}} {{else}} N/A {{/if}}

Onset:
{{#if onsetFormatted}} {{onsetFormatted}} {{else}} N/A {{/if}}

Status:
{{#if statusName}} {{statusName}} {{else}} N/A {{/if}}

Service connected:
{{#if serviceConnected}} Yes {{else}} No {{/if}}

Acuity:
{{#if acuityName}} {{acuityName}} {{else}} N/A {{/if}}

Responsible provider:
{{#if providerDisplayName}} {{providerDisplayName}} {{else}} N/A {{/if}}

Facility:
{{#if facilityName}} {{facilityName}} {{else}} N/A {{/if}}

Location:
{{#if locationDisplayName}} {{locationDisplayName}} {{else}} N/A {{/if}}

Entered on:
{{#if entered}} {{formatDate entered}} {{else}} N/A {{/if}}

Entered by:
{{#if enteredBy}} {{enteredBy}} {{else}} N/A {{/if}}

Updated on:
{{#if updated}} {{formatDate updated}} {{else}} N/A {{/if}}

Treatment Factors
    {{#ifExp agentOrangeExposure "===" "YES"}}
  • Agent Orange
  • {{/ifExp}} {{#ifExp radiationExposure "===" "YES"}}
  • Radiation
  • {{/ifExp}} {{#ifExp headNeckCancer "===" "YES"}}
  • Head and/or Neck Cancer
  • {{/ifExp}} {{#ifExp persianGulfExposure "===" "YES"}}
  • Southwest Asia Conditions
  • {{/ifExp}} {{#ifExp militarySexualTrauma "===" "YES"}}
  • Military Sexual Trauma
  • {{/ifExp}} {{#ifExp shipboardHazard "===" "YES"}}
  • Shipboard Hazard & Defense
  • {{/ifExp}}
Comments
{{#comments}}

{{enteredByName}} {{formatDate entered}}
{{comment}}

{{/comments}}