DIAGNOSIS (V2.1) PAGE 4 (120)    ENCOUNTER FORM BLOCK (357.1)

Name Value
NAME DIAGNOSIS (V2.1) PAGE 4
FORM NATIONAL ORTHOPEDICS
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BLOCK'S STARTING COLUMN 0
WIDTH IN CHARACTERS 132
HEIGHT IN LINES 60
OUTLINE TYPE SOLID LINE
BLOCK HEADER DIAGNOSIS
HEADER APPEARANCE CR
BRIEF DESCRIPTION Common ICD-9 diagnoses
TOOLKIT ORDER 0