| No | Discipline | Sub Discipline | Document Group | Document Type | Document Title | Status | Action |
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| 1 | Medicine | Medicine | CLINICAL NOTES | CLERKING NOTE | General Medicine Clerking Note |
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| 2 | Medicine | Medicine | CLINICAL NOTES | PROGRESS NOTE | General Medicine Progress Note |
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| 3 | Medicine | Medicine | CLINICAL NOTES | PROCEDURE NOTE | General Medicine Procedure Note |
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| 4 | Medicine | Medicine | CLINICAL NOTES | PROCEDURE NOTE | Medicine Procedure Note Oesophagus Gastro Duodenoscopy (OGDS)/ Upper GI Endoscopy |
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| 5 | Medicine | Medicine | CLINICAL NOTES | PROCEDURE NOTE | Medicine Procedure Note Colonoscopy/ Lower Gi Endoscopy |
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| 6 | Medicine | Medicine | CLINICAL NOTES | PROCEDURE NOTE | Medicine Procedure Note Endoscopic Retrograde Cholangio-Pancreatography (ERCP) |
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| 7 | Medicine | Medicine | CLINICAL NOTES | PROCEDURE NOTE | Medicine Procedure Note Endoscopic Ultrasound |
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| 8 | Medicine | Medicine | CLINICAL NOTES | ASSESSMENT NOTE | Nursing Care Plan - Medicine |
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| 9 | Medicine | Medicine | CLINICAL NOTES | PROCEDURE NOTE | Medicine Notes Test |
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| 10 | Surgery | Surgery | CLINICAL NOTES | PROCEDURE NOTE | Procedure Note Oesophagus Gastro Duodenoscopy (OGDS)/ Upper Gi Endoscopy |
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| 11 | Surgery | Surgery | CLINICAL NOTES | PROCEDURE NOTE | Procedure Note Colonoscopy/ Lower Gi Endoscopy |
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| 12 | Surgery | Surgery | CLINICAL NOTES | PROCEDURE NOTE | Procedure Note Endoscopic Retrograde Cholangio-Pancreatography (ERCP) |
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| 13 | Surgery | Surgery | CLINICAL NOTES | PROCEDURE NOTE | Procedure Note Endoscopic Ultrasound |
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| 14 | Surgery | Surgery | CLINICAL NOTES | ASSESSMENT NOTE | Nursing Care Plan - Surgery |
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| 15 | Obstetrics & Gynaecology | Obstetrics And Gynaecology | CLINICAL NOTES | CLERKING NOTE | Surgery Clerking Note |
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| 16 | Obstetrics & Gynaecology | Obstetrics And Gynaecology | CLINICAL NOTES | PROCEDURE NOTE | Surgery Procedure Note |
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| 17 | Obstetrics & Gynaecology | Obstetrics And Gynaecology | CLINICAL NOTES | CLERKING NOTE | Obstetrics Clerking Note |
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| 18 | Obstetrics & Gynaecology | Obstetrics And Gynaecology | CLINICAL NOTES | PROGRESS NOTE | Obstetrics Progress Note |
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| 19 | Obstetrics & Gynaecology | Obstetrics And Gynaecology | CLINICAL NOTES | PROCEDURE NOTE | LABOUR SUMMARY NOTE |
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| 20 | Obstetrics & Gynaecology | Obstetrics And Gynaecology | CLINICAL NOTES | PROCEDURE NOTE | Obstetrics Procedure Note |
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| 21 | Obstetrics & Gynaecology | Obstetrics And Gynaecology | CLINICAL NOTES | PROCEDURE NOTE | Obstetrics Ultrasound Note |
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| 22 | Obstetrics & Gynaecology | Obstetrics And Gynaecology | CLINICAL NOTES | ASSESSMENT NOTE | Obstetrics Outpatient Assessment Note |
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| 23 | Obstetrics & Gynaecology | Obstetrics And Gynaecology | CLINICAL NOTES | OTHER NOTES | Obstetrics Maternal Mortality Note |
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| 24 | Obstetrics & Gynaecology | Obstetrics And Gynaecology | CLINICAL NOTES | ASSESSMENT NOTE | Obstetrics Maternal Fetal Medicine Note |
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| 25 | Obstetrics & Gynaecology | Obstetrics And Gynaecology | REFERRAL LETTERS | REFERRAL LETTER | Neonatal Referral Letter |
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| 26 | Obstetrics & Gynaecology | Obstetrics And Gynaecology | CLINICAL NOTES | ASSESSMENT NOTE | Nursing Care Plan - Obstetrics |
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| 27 | Obstetrics & Gynaecology | Obstetrics And Gynaecology | CLINICAL NOTES | PROCEDURE NOTE | Obstetrics Detail Scan Note |
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| 28 | Obstetrics & Gynaecology | Obstetrics And Gynaecology | CLINICAL NOTES | CLERKING NOTE | Obstetrics Clerking Note (New) |
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| 29 | Obstetrics & Gynaecology | Obstetrics And Gynaecology | CLINICAL NOTES | CLERKING NOTE | ETD Triage O&G Note |
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| 30 | Obstetrics & Gynaecology | Obstetrics And Gynaecology | CLINICAL NOTES | PROCEDURE NOTE | OPERATION NOTE |
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| 31 | Obstetrics & Gynaecology | Obstetrics | REFERRAL LETTERS | REFERRAL LETTER | Pre Pregnancy Care Referral Form |
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| 32 | Obstetrics & Gynaecology | Gynaecology | CLINICAL NOTES | CLERKING NOTE | Gynaecology Clerking Note |
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| 33 | Obstetrics & Gynaecology | Gynaecology | CLINICAL NOTES | PROGRESS NOTE | Gynaecology Progress Note |
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| 34 | Obstetrics & Gynaecology | Gynaecology | CLINICAL NOTES | PROCEDURE NOTE | Gynaecology Procedure Note |
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| 35 | Obstetrics & Gynaecology | Gynaecology | CLINICAL NOTES | ASSESSMENT NOTE | Gynaecology Outpatient Assessment Form |
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| 36 | Obstetrics & Gynaecology | Gynaecology | CLINICAL NOTES | ASSESSMENT NOTE | Gynaecology Infertility Note (Male) |
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| 37 | Obstetrics & Gynaecology | Gynaecology | CLINICAL NOTES | ASSESSMENT NOTE | Gynaecology Infertility Note (Female) |
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| 38 | Obstetrics & Gynaecology | Gynaecology | CLINICAL NOTES | ASSESSMENT NOTE | Gynaecology Urogynae Clerking Note |
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| 39 | Obstetrics & Gynaecology | Gynaecology | CLINICAL NOTES | ASSESSMENT NOTE | Gynaecology Oncology Clerking Sheet |
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| 40 | Obstetrics & Gynaecology | Gynaecology | CLINICAL NOTES | CLERKING NOTE | OSCC Sexual Assault Clerking Note |
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| 41 | Obstetrics & Gynaecology | Gynaecology | CLINICAL NOTES | ASSESSMENT NOTE | Nursing Care Plan - Gynaecology |
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| 42 | Obstetrics & Gynaecology | Gynaecology | CLINICAL NOTES | PROCEDURE NOTE | Gynaecology Ultrasound Note |
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| 43 | Obstetrics & Gynaecology | Gynaecology | CLINICAL NOTES | CLERKING NOTE | Caesarean Section Note |
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| 44 | Paediatrics | Pediatric | CLINICAL NOTES | PROGRESS NOTE | Paediatrics Progress Note Inpatient |
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| 45 | Paediatrics | Pediatric | CLINICAL NOTES | PROGRESS NOTE | Paediatrics Clinic Follow Up Note |
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| 46 | Paediatrics | Pediatric | CLINICAL NOTES | CLERKING NOTE | Paediatrics Clerking Note |
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| 47 | Paediatrics | Pediatric | CLINICAL NOTES | ASSESSMENT NOTE | Paediatrics Neurological Exam Sheet |
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| 48 | Paediatrics | Pediatric | CLINICAL NOTES | CLERKING NOTE | OSCC Suspected Child Abuse and Neglect (SCAN) Clerking Note |
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| 49 | Paediatrics | Pediatric | CLINICAL NOTES | ASSESSMENT NOTE | Nursing Care Plan - Paediatrics |
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| 50 | Paediatrics | Neonatology | CLINICAL NOTES | CLERKING NOTE | Neonatal Clerking Note |
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| 51 | Paediatrics | Neonatology | CLINICAL NOTES | CLERKING NOTE | Neonatal Clerking Note in Peripheral Wards |
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| 52 | Paediatrics | Neonatology | CLINICAL NOTES | PROGRESS NOTE | Neonatal Review Note in Peripheral Wards |
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| 53 | Paediatrics | Neonatology | CLINICAL NOTES | PROGRESS NOTE | Neonatal Progress Summary Note |
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| 54 | Paediatrics | Neonatology | CLINICAL NOTES | PROCEDURE NOTE | Neonatal Cranial Ultrasound Note |
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| 55 | Paediatrics | Neonatology | CLINICAL NOTES | CLERKING NOTE | Neonatal Jaundice - Clerking by Doctors |
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| 56 | Paediatrics | Neonatology | CLINICAL NOTES | CLERKING NOTE | Neonatal Jaundice - Nursing Assessment on Admission |
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| 57 | Paediatrics | Neonatology | CLINICAL NOTES | CLERKING NOTE | Neonatal Jaundice - Doctor's Daily Assessment |
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| 58 | Paediatrics | Neonatology | CLINICAL NOTES | CLERKING NOTE | NeonatalJaundice - Nurses Daily Nursing Note |
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| 59 | Paediatrics | Neonatology | CLINICAL NOTES | CLERKING NOTE | Neonatal Jaundice - Discharge Summary |
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| 60 | Paediatrics | Neonatology | CLINICAL NOTES | DISCHARGE NOTE | Neonatal Discharge Summary |
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| 61 | Paediatrics | Neonatology | CLINICAL NOTES | ASSESSMENT NOTE | Nursing Care Plan - Neonatology |
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| 62 | Paediatrics | Neonatology | CLINICAL NOTES | CLERKING NOTE | Newborn Examination and Screening Checklist |
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| 63 | Paediatrics | Neonatology | CLINICAL NOTES | PROGRESS NOTE | Neonatal Progress Note Inpatient |
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| 64 | Emergency | Emergency | CLINICAL NOTES | CLERKING NOTE | ETD General Clerking Note |
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| 65 | Emergency | Emergency | CLINICAL NOTES | CLERKING NOTE | ETD Fever Clerking Note |
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| 66 | Emergency | Emergency | CLINICAL NOTES | CLERKING NOTE | ETD Chest Pain Clerking Note |
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| 67 | Emergency | Emergency | CLINICAL NOTES | CLERKING NOTE | ETD Trauma Clerking Note |
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| 68 | Emergency | Emergency | CLINICAL NOTES | CLERKING NOTE | ETD Brought in Dead (BID) Note |
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| 69 | Emergency | Emergency | CLINICAL NOTES | CLERKING NOTE | OSCC Domestic Violence Clerking Note |
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| 70 | Emergency | Emergency | CLINICAL NOTES | PROGRESS NOTE | ETD Progress Note |
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| 71 | Emergency | Emergency | CLINICAL NOTES | ASSESSMENT NOTE | ETD Triage Assessment Note |
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| 72 | Emergency | Emergency | CLINICAL NOTES | ASSESSMENT NOTE | ETD Pre Hospital Care and Ambulance (PHC) |
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| 73 | Emergency | Emergency | CLINICAL NOTES | PROCEDURE NOTE | ETD Procedure Note |
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| 74 | Emergency | Emergency | CLINICAL NOTES | PROCEDURE NOTE | ETD Resuscitation Note |
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| 75 | Emergency | Emergency | CLINICAL NOTES | PROCEDURE NOTE | ETD Procedural Sedation and Analgesia Note (PSA) |
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| 76 | Emergency | Emergency | CLINICAL NOTES | CLERKING NOTE | OSCC Follow Up |
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| 77 | Emergency | Emergency | REFERRAL LETTERS | REFERRAL LETTER | ETD Referral |
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| 78 | Emergency | Emergency | CLINICAL NOTES | ASSESSMENT NOTE | ETD Pre Hospital Care and Ambulance (PHC) - Ambulance Information |
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| 79 | Emergency | Emergency | CLINICAL NOTES | CLERKING NOTE | Borang Kecemasan |
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| 80 | Emergency | Emergency | CLINICAL NOTES | PROGRESS NOTE | 1 |
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| 81 | General | test | CLINICAL NOTES | CLERKING NOTE | Dermatology Clerking Note |
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| 82 | General | test | CLINICAL NOTES | CLERKING NOTE | Dermatology Clerking Note - Leprosy |
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| 83 | General | test | CLINICAL NOTES | CLERKING NOTE | Dermatology Clerking Note - Sexually Transmitted Infections (STI) |
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| 84 | General | test | CLINICAL NOTES | CLERKING NOTE | Dermatology Clerking Note - Occupational Dermatoses/ Contact Dermatitis |
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| 85 | General | test | CLINICAL NOTES | CLERKING NOTE | Dermatology Clerking Note - Psoriasis |
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| 86 | General | test | CLINICAL NOTES | CLERKING NOTE | Dermatology Clerking Note - Skin Cancer |
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| 87 | General | test | CLINICAL NOTES | PROGRESS NOTE | Dermatology Generic Progress Note |
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| 88 | General | test | CLINICAL NOTES | PROGRESS NOTE | Dermatology Progress Note - Skin Cancer |
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| 89 | General | test | CLINICAL NOTES | PROGRESS NOTE | Dermatology Progress Note - Leprosy |
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| 90 | General | test | CLINICAL NOTES | ASSESSMENT NOTE | Dermatology Leprosy Contact |
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| 91 | General | test | CLINICAL NOTES | PROCEDURE NOTE | Dermatology Skin Prick Test (Drug) |
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| 92 | General | test | CLINICAL NOTES | PROCEDURE NOTE | Dermatology Skin Prick Test (SPT) |
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| 93 | General | test | CLINICAL NOTES | PROCEDURE NOTE | Dermatology Slit Skin Smear (SSS) |
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| 94 | General | test | CLINICAL NOTES | PROCEDURE NOTE | Dermatology Laser Procedure |
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| 95 | General | test | CLINICAL NOTES | PROCEDURE NOTE | Dermatology Generic Procedure Note |
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| 96 | General | test | CLINICAL NOTES | PROCEDURE NOTE | Dermatology Generic Post Dermatology Procedures |
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| 97 | General | test | CLINICAL NOTES | PROCEDURE NOTE | Dermatology Phototherapy Request Note |
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| 98 | General | General | CLINICAL NOTES | CLERKING NOTE | General Clerking Note |
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| 99 | General | General | CLINICAL NOTES | PROGRESS NOTE | General Progress Note |
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| 100 | General | General | CLINICAL NOTES | PROCEDURE NOTE | Simple Procedure Note |
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| 101 | General | General | CLINICAL NOTES | ASSESSMENT NOTE | General Healthcare Associated Infection (HCAI) Incident Report Note |
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| 102 | General | General | REFERRAL LETTERS | REFERRAL LETTER | Occupational Therapy (Pemulihan Carakerja) Referral Letter |
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| 103 | General | General | REFERRAL LETTERS | REFERRAL LETTER | Physiotherapy Referral Letter |
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| 104 | General | General | REFERRAL LETTERS | REFERRAL LETTER | Anaesthetic Referral Letter |
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| 105 | General | General | REFERRAL LETTERS | REFERRAL LETTER | Cardiology Referral Letter |
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| 106 | General | General | REFERRAL LETTERS | REFERRAL LETTER | Speech Therapy Referral Letter |
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| 107 | General | General | REFERRAL LETTERS | REFERRAL LETTER | Audiology Referral Letter |
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| 108 | General | General | REFERRAL LETTERS | REFERRAL LETTER | Clinical Psychology Referral |
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| 109 | General | General | REFERRAL LETTERS | REFERRAL LETTER | Oncology Referral Letter |
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| 110 | General | General | REFERRAL LETTERS | REPLY LETTER | Reply Letter (Surat Maklumbalas) |
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| 111 | General | General | REFERRAL LETTERS | REFERRAL LETTER | General Memo |
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| 112 | General | General | REFERRAL LETTERS | REFERRAL LETTER | General Referral Letter - Internal/ Bedside |
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| 113 | General | General | REFERRAL LETTERS | REFERRAL LETTER | General Referral Letter - Internal/ Clinic |
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| 114 | General | General | REFERRAL LETTERS | REFERRAL LETTER | General Referral Letter - External |
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| 115 | General | General | REFERRAL LETTERS | REFERRAL LETTER | General Referral Letter - External Consultancy |
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| 116 | General | General | REFERRAL LETTERS | REFERRAL LETTER | Dietetic - Clinic |
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| 117 | General | General | REFERRAL LETTERS | REFERRAL LETTER | Welfare Department |
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| 118 | General | General | REFERRAL LETTERS | REFERRAL LETTER | Medical Social Works |
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| 119 | General | General | REFERRAL LETTERS | REFERRAL LETTER | Radioiodine |
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| 120 | General | General | REFERRAL LETTERS | REFERRAL LETTER | Kaunseling |
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| 121 | General | General | REFERRAL LETTERS | REPLY LETTER | Oncology Reply Letter |
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| 122 | General | General | PATIENT DISEASE SUMMARY | PATIENT DISEASE SUMMARY | T2Dm. Hpt. Ihd. Ace-Inhibitor Intolerance |
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| 123 | General | General | CLINICAL NOTES | DISCHARGE NOTE | Discipline Discharge Summary |
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| 124 | General | General | CLINICAL NOTES | PROGRESS NOTE | Simple Nursing Progress Note |
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| 125 | General | General | CLINICAL NOTES | CLERKING NOTE | Covid-19 Daily Clinical Note |
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| 126 | General | General | CLINICAL NOTES | PROCEDURE NOTE | Covid-19 Procedure Note |
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| 127 | General | General | CLINICAL NOTES | PROGRESS NOTE | AMS Review Note |
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| 128 | General | General | REFERRAL LETTERS | REFERRAL LETTER | Audiology Services Requisition Form |
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| 129 | General | General | CLINICAL NOTES | ASSESSMENT NOTE | Perioperative Assessment Questionnaire |
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| 130 | General | General | CLINICAL NOTES | PROCEDURE NOTE | General Procedure Note |
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| 131 | General | General | CLINICAL NOTES | CLERKING NOTE | Simple Clerking Note |
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