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CARDIOTHORACIC MAJOR SURGICAL BOOKING & PAT ORDERS 1/11/19Date: Unit: FAXED TO: 9172506PATIENT SCHEDULING INFORMATION SURGERY: Date: Time: LAST NAMEFIRSTMIPRETEST: Date: Time: MF DOB: Last 4 digits
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To fill out the cardiac-major form, follow these simple steps:
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Start by providing your personal information, such as your full name, date of birth, and contact details.
03
Next, indicate your medical history and any pre-existing conditions you may have.
04
Specify if you have any allergies or allergic reactions to medications.
05
Provide details about your current medications, including the names, dosages, and frequencies.
06
Mention any recent surgeries or medical procedures you have undergone.
07
Describe any symptoms or warning signs related to cardiac issues that you have experienced.
08
Indicate if you have a family history of heart diseases.
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Answer the questions regarding your lifestyle choices, such as smoking, alcohol consumption, and exercise habits.
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Finally, review your filled-out form for accuracy and completeness before submitting it.

Who needs cardiac- major?

01
Cardiac-major is typically needed by individuals who:
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- Have a history of cardiac diseases or conditions
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- Have undergone heart surgeries or procedures
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- Are at a higher risk of developing heart problems due to family history or lifestyle choices
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- Are being evaluated for potential cardiac issues
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- Are participating in clinical trials or research studies related to cardiovascular health
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- Need to provide comprehensive medical information related to their cardiac health
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Cardiac-major refers to a specific reporting requirement related to significant heart conditions or events, often used in medical, insurance, or health monitoring contexts.
Individuals or entities that manage or report on health data involving patients with significant cardiac conditions are typically required to file cardiac-major.
To fill out cardiac-major, one generally needs to provide specific patient data, medical history, treatment details, and any events related to the cardiac condition as per the guidelines provided.
The purpose of cardiac-major is to track, monitor, and analyze significant cardiac events for better patient care, research, and health policy development.
Information required typically includes patient identification, diagnosis, treatment received, outcomes, and any follow-up actions taken.
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