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Chronic Daily Headache Detoxification Admission Orders Mobile App

The Chronic Daily Headache Detoxification Admission Orders mobile app makes it easy for attending physicians to submit admission orders for patients using a Smartphone or mobile device. The app documents patient specific information for the following: Admit to, Attending Dr, Admitting Dx, Contributing Dx, Condition, VS, Activity, Nursing, Diet, IV, Meds, Labs, Consultation and H&P. This app is specific for the diagnosis of Chronic Daily Headache Detoxification. All GoCanvas apps allow submissions to be converted to a CSV file that can be emailed.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Chronic Daily Headache Detoxification Admission Orders Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico date

    Date:

  • Ico time

    Time:

  • Ico textbox

    Name:

  • Ico integer

    Age:

  • Ico date

    DOB:

  • Ico multiline

    Allergies:

  • Ico dropdown

    1. Admit to:

  • Ico textbox

    2. Attending Dr:

  • Ico textbox

    3. Admitting Dx:

  • Ico textbox

    4. Contributing Dx:

  • Ico dropdown

    5. Condition:

  • Ico multiline

    6. VS:

  • Ico multiline

    7. Activity:

  • Ico multiline

    8. Nursing:

  • Ico multiline

    9. Diet:

  • Ico multiline

    10. IV:

  • Ico multiline

    11. Meds:

  • Ico multiline

    12. Other Meds:

  • Ico multiline

    13. Labs:

  • Ico multiline

    14. Other:

  • Ico multiline

    15. Consultations:

  • Ico multiline

    16. H&P:

  • Ico signature

    Signature

  • ...and More!

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More Information


  • Creator: Team GoCanvas
  • Language: English
  • Country: United States of America
  • Type: Order Forms
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