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This document serves as a patient record form for the National Hospital Ambulatory Medical Care Survey (NHAMCS). It includes fields for patient information, vital signs, medical history, diagnoses, services provided, medications, and immunizations. The collected data is used for statistical purposes only, maintaining confidentiality as required by law.

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How to fill out nhamcs-174

01

Obtain the NHAMCS-174 form from the appropriate health department website.

02

Carefully read the instructions provided at the top of the form.

03

Fill out the facility information section, including the name, address, and type of facility.

04

Provide details about the patient visits, including date, time, and nature of the visit.

05

Complete the demographic information section, including age, gender, and insurance status of the patients.

06

Record any relevant clinical data related to the patient visits.

07

Review all the filled sections for accuracy and completeness.

08

Sign and date the form as required.

09

Submit the completed NHAMCS-174 form according to the given submission guidelines.

Who needs nhamcs-174?

01

Healthcare providers participating in the NHAMCS study.

02

Hospitals and outpatient facilities collecting data on patient visits.

03

Researchers analyzing healthcare trends and outcomes.

04

Policymakers seeking information on healthcare utilization.

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What is nhamcs-174?

NHAMCS-174 is a survey form used for the National Hospital Ambulatory Medical Care Survey, designed to collect data on outpatient visits to hospital emergency departments and outpatient departments in the United States.

Who is required to file nhamcs-174?

Health care facilities that provide outpatient services, including emergency departments and outpatient departments, are required to file NHAMCS-174.

How to fill out nhamcs-174?

To fill out NHAMCS-174, facilities should provide detailed information about outpatient visits, including patient demographics, diagnoses, treatments, and other relevant data as instructed on the form.

What is the purpose of nhamcs-174?

The purpose of NHAMCS-174 is to gather comprehensive data on outpatient health care delivery in hospitals, which helps inform health policy, research, and quality improvement initiatives.

What information must be reported on nhamcs-174?

Information reported on NHAMCS-174 includes patient demographics (age, gender), visit details (date, time), diagnosis codes, treatments provided, and discharge status.

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