{"aaData": [["PLATINUM", "", "", "", "", "
3.0
\n", "", "", "", "
ALL CASES
\n", "", "
YES
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\nOne month ago, you had an operation at the VA Medical Center.  We are\nIf you answered NO, you do not need to answer any more questions.  Please\nreturn this sheet in the self-addressed stamped envelope.\n \nIf you have answered YES, please answer the following questions.\n \n   1) Have you been seen in an outpatient clinic or doctor's office ? \n      ___ Yes  ___ No\n \n      Why did you go to the clinic or doctor's office ? ________________\n \ninterested in how you feel.  Have you had any health problems since your\n      Where ? (name and location) _____________________  Date ? ________\n \n      Who was your doctor ? ____________________________________________\n \n \n   2) Were you admitted to a hospital ?  ___ Yes  ___ No\n \n      Why did you go to the hospital ? _________________________________\n \n      Where ? (name and location) _____________________  Date ? ________\noperation ?  We would like to hear from you.  Please take a few minutes\n \n      Who was your doctor ? ____________________________________________\n \n \nPlease return this letter whether or not you have had any medical\nproblems.  Your health and opinion are important to us.  Thank You.\n \nSincerely,\n \n \nto answer these questions and return this letter in the self-addressed\nSurgical Clinical Nurse Reviewer\nstamped envelope.\n \nHave you been to a hospital or seen a doctor for any reason since your\noperation ?   ___ Yes  ___ No\n \n
\n
\n", "
20043
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NO, DO NOT INCLUDE CPT
\n", "
NO, DO NOT INCLUDE ICD
\n", "
NO
\n", "", "", "", "", "", "", "", "", "", ""]]}