| Client Name: |
{{ client.fname }} {{ client.lname }} |
| Reporting Unit: |
{{ record.unit_lname }} |
| Inpatient Admission: |
{{ record.start_date }} |
| Discharge Date: |
{{ record.end_date or 'Active Inpatient' }} |
| Hospital Name: |
{{ record.hospital }} |
| Hospital Address: |
{{ record.address }} |
| State Hospital: |
{{ record.state_hospital }} |
| Hospital Type: |
{{ record.hospital_type }} |
| Staff Name: |
{{ record.staff_member }} |
| Staff Shift: |
{{ record.staff_shift }} |
| Time Of Day: |
{{ record.staff_time }} |
| Complaint: |
{{ record.complaint }} |
| Reason For Visit (Detail): |
{{ record.visit_reason }} |
| EOB Visit: |
{{ record.eob }} |
| Admission / Visit Type: |
{{ record.voluntary }} |
| Escort Type: |
{{ record.escort_type }} |
| Transportation Type: |
{{ record.transport_type }} |
| Client Age: |
{{ record.age }} |
| Client Sex: |
{{ record.sex }} |
| Diagnosis: |
{{ record.diagnosis }} |
| Outcome: |
{{ record.outcome }} |
| Comments: |
{{ record.comment_text }} |
{% endfor %}
{% include '_footer.html' %}