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ConfidentialCONTACT v1.1
Page 1Demographics and Diagnosis
Unique Redcap ID___
(Please keep a record of the linked hospital level
patient identifier on a password encrypted
spreadsheet, or paper form
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How to fill out demographics and diagnosis

How to fill out demographics and diagnosis
01
To fill out demographics, follow these steps:
1. Start by providing your personal information such as your full name, date of birth, gender, and contact details.
2. Include your address and citizenship information.
3. Specify your marital status and the number of dependents you have.
4. Provide details about your occupation, education, and income.
5. Include information about your insurance coverage, if applicable.
To fill out the diagnosis, follow these steps:
1. Begin by providing the patient's full name, date of birth, and contact details.
2. Document the primary symptoms or complaints the patient is experiencing.
3. Mention the medical history and any pre-existing conditions.
4. Include information about any tests or procedures performed on the patient.
5. State the diagnosis made by the healthcare professional.
6. If required, mention the recommended treatment plan or medications.
7. Add any additional notes or comments relevant to the diagnosis.
Who needs demographics and diagnosis?
01
Demographics and diagnosis are needed by healthcare professionals, medical institutions, and research organizations. They use this information to understand the patient's background, medical history, and current condition. Healthcare professionals require demographics to provide personalized care and tailor treatment plans accordingly. Diagnosis is needed to determine the appropriate course of action, prescribe medications, or recommend further medical interventions. Research organizations utilize this data to generate insights, analyze trends, and contribute to medical advancements.
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What is demographics and diagnosis?
Demographics and diagnosis refer to the collection and reporting of statistical data related to the characteristics of a population (demographics) and the identification of the nature of a disease or condition (diagnosis).
Who is required to file demographics and diagnosis?
Typically, healthcare providers, institutions, and organizations that receive government funding or are involved in healthcare services are required to file demographics and diagnosis.
How to fill out demographics and diagnosis?
Filling out demographics and diagnosis usually involves entering specific data points related to patient information such as age, gender, ethnicity, and the diagnosis codes that identify medical conditions.
What is the purpose of demographics and diagnosis?
The purpose of demographics and diagnosis is to track health trends, allocate resources efficiently, assess population health needs, and improve healthcare services.
What information must be reported on demographics and diagnosis?
Information that must be reported includes patient identifiers, demographic details (age, gender, race, ethnicity), and diagnosis codes as per standard medical classification systems.
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