More examples in Healthcare/Medical Examination Reports
Infectious Disease Medical Examination Example
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Text in this example:
INFECTIOUS DISEASE NAME OF DECEDENT: This form is to be completed in addition to the ROD form in these guidelines THE SCENE INVESTIGATION WHO HAS IDENTIFIED THE DECEDENT AS HAVING AN INFECTIOUS DISEASE? NAME: TEL: RELATIONSHIP TO DECEDENT? WHAT INFORMATION HAS BEEN PROVIDED BY THIS INDIVIDUAL THAT CONFIRMS OR LEADS TO A
SUSPICION OF INFECTIOUS DISEASE? DESCRIBE THE BODY AND INDICATE VISIBLE SIGNS OF ILLNESS: WHAT INFORMATION IS PROVIDED BY THE PHYSICIAN INDICATING THAT THE DISEASE PROCESS
HAS BEEN DOCUMENTED? IS THIS AN EXPECTED DEATH? YES NO IF YES, DOES DEATH LOOK CONSISTENT WITH A NATURAL DEATH OR IS SUICIDE, ACCIDENT, HOMICIDE, ETC., A POSSIBILITY? IF FOUL PLAY IS SUSPECTED, DOCUMENT THE BODY AND THE SCENE AND CONTACT THE CENTRAL OFFICE.
IF DEATH IS EXPECTED AND ALL LOOKS CONSISTENT WITH NATURAL DEATH, DO AS LITTLE HANDLING OF THE REMAINS AS POSSIBLE TAKING APPROPRIATE SAFETY PRECAUTIONS AND CONTACT THE CENTRAL OFFICE.
REPORTING INFECTIOUS DISEASES: THE RESPONSIBILITY FOR REPORTING AN INFECTIOUS DISEASE TO THE DEPARTMENT OF EPIDEMIOLOGY IN SANTA FE USUALLY LIES WITH THE PRIMARY CARE PHYSICIAN WHEN THE INITIAL DIAGNOSIS IS MADE. IF A DIAGNOSIS IS MADE BY THE OMI, THE CENTRAL OFFICE WILL MAKE THE APPROPRIATE NOTIFICATION. NAME OF INVESTIGATOR DMI#
SUSPICION OF INFECTIOUS DISEASE? DESCRIBE THE BODY AND INDICATE VISIBLE SIGNS OF ILLNESS: WHAT INFORMATION IS PROVIDED BY THE PHYSICIAN INDICATING THAT THE DISEASE PROCESS
HAS BEEN DOCUMENTED? IS THIS AN EXPECTED DEATH? YES NO IF YES, DOES DEATH LOOK CONSISTENT WITH A NATURAL DEATH OR IS SUICIDE, ACCIDENT, HOMICIDE, ETC., A POSSIBILITY? IF FOUL PLAY IS SUSPECTED, DOCUMENT THE BODY AND THE SCENE AND CONTACT THE CENTRAL OFFICE.
IF DEATH IS EXPECTED AND ALL LOOKS CONSISTENT WITH NATURAL DEATH, DO AS LITTLE HANDLING OF THE REMAINS AS POSSIBLE TAKING APPROPRIATE SAFETY PRECAUTIONS AND CONTACT THE CENTRAL OFFICE.
REPORTING INFECTIOUS DISEASES: THE RESPONSIBILITY FOR REPORTING AN INFECTIOUS DISEASE TO THE DEPARTMENT OF EPIDEMIOLOGY IN SANTA FE USUALLY LIES WITH THE PRIMARY CARE PHYSICIAN WHEN THE INITIAL DIAGNOSIS IS MADE. IF A DIAGNOSIS IS MADE BY THE OMI, THE CENTRAL OFFICE WILL MAKE THE APPROPRIATE NOTIFICATION. NAME OF INVESTIGATOR DMI#