| NAME |
VA-GP HT CCF SECTION C |
| COMPONENTS |
|
| CLASS |
NATIONAL |
| SPONSOR |
VHA OFFICE OF CONNECTED CARE (10P8) |
| EDIT HISTORY |
-
- EDIT DATE: 2017-07-26 13:11:47
- EDIT BY: USER,FIFTYFOUR
- EDIT COMMENTS:
Exchange Install
|
| EXCLUDE FROM PROGRESS NOTE |
NO |
| DIALOG/PROGRESS NOTE TEXT |
SECTION C: BASIC ACTIVITIES OF DAILY LIVING
|
| ALTERNATE PROGRESS NOTE TEXT |
BASIC ACTIVITIES OF DAILY LIVING: In the last 7 days, has the Veteran
required help or supervision with the following activities?
|
| TYPE |
dialog group |
| SUPPRESS CHECKBOX |
SUPPRESS |
| INDENT PROGRESS NOTE TEXT |
INDENT |
| NUMBER OF INDENTS |
2 |
| SHARE COMMON PROMPTS |
NO |
