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Appendix - Sample MDR Report

Report example sorted by Data Source

Sample MDR Report

                                                     By Clinic, Provider, and Date

                                                  AUG 8,2004 through NOV 16,2004

                                                             Page 1

Patient                   SSN          Date/Time           Enc. ID         Created by User    Defect

OUTPATIENT DIAG (BAY PINES)

 Unknown

   SORT VALUE:  DATA SOURCE= RAD/NUC MED

     NOV 03, 2004:

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

PCEpatient, One000-00-0001  NOV 03, 2004@14:18  HMX8P-BAY       PCEprovider, One             Procedure: 73110 missing assoc. DXs

   Diagnosis: 171.6 missing Service Conn

   Diagnosis: 171.2 missing SC/EI

                                                                                             TOTAL DEFECTS FOR HMX8P-BAY:  1

     TOTAL DEFECTS FOR OCT 25, 2004:  1

     TOTAL ENCOUNTERS FOR OCT 25, 2004:  1

   TOTAL DEFECTS FOR SORT VALUE - RAD/NUC MED: 3

   TOTAL ENCOUNTERS FOR SORT VALUE - RAD/NUC MED: 1

 TOTAL DEFECTS FOR Unknown: 3

 TOTAL ENCOUNTERS FOR Unknown: 1

TOTAL DEFECTS FOR OUTPATIENT DIAG (BAY PINES):  3

TOTAL ENCOUNTERS FOR OUTPATIENT DIAG (BAY PINES): 1

August 1996PCE V. 1.0 User Manual140

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