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  • Date of sick visit 1
  • Reason for sick visit 1
  • Sick visit 1 was a condition exacerbation
  • Location for sick visit 1
  • Patient was admitted to the hospital as a result of sick visit 1
  • ICD-9 codes for sick visit 1 known
  • ICD-9 codes for sick visit 1
  • Diagnosis for sick visit 1
  • Number of inpatient days for sick visit 1
  • Number of ICU days for sick visit 1
  • Anesthesia since last visit
  • Surgeries since last visit
  • Surgery complications
  • Patient has had a biological child since the last visit
  • Patient has become pregnant since the last visit
  • Specify other current health services
  • Preventive care status
  • Developmental milestones that were achieved in a typical order and timeframe
  • Type of provider/service to whom patient was referred for developmental assessment
  • Progressive loss of developmental milestones since last visit
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