Costs to treat an injury or disease, such as hospital visits, surgeries, treatments, prescriptions, etc.Details including health insurance premiums, hospital stays, doctor appointments, co-pays.CPT codes also can be added to know the type/method of treatment.
Important/noteworthy dates flaggedKey events/diagnosis/procedures tagged under date/timeResponsible provider included wherever necessaryShort note about event/recordColor coded flags for specific providers
Pain Medication Chart:
Date of administrationAll pain medications administered/prescribedPain score (out of 10)Location of painSpecific page referencesGraphical Bar representation of total dose of medications ingested
Pain Medication Chart:Plaintiff's complaints/statements regarding pain or suffering of any kindPain score (out of 10)Location of painCorresponding diagnosis/conditionInterventions offered