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Total # of Questions: 9

Physical therapy health concerns panel [92563-6]

Date Done

Time Done

Where Done

Comment

Name

Value

Units

Diagnosis.primary [18630-4]

Dx.secondary [81885-6]

Movement system dx [89177-0]

Primary health cond [76442-3]

Other health condition [76472-0]

Problem Body function ICF code [76444-9]

Problem Body structure ICF code [76445-6]

Problem Activities and participation ICF code [76446-4]

Prognosis for rehabilitation [92725-1]

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