№ files_lp_3_process_9_60110
Administrative healthcare transfer record documenting patient identification, clinical history, implant specifications, and required reports for continuity of cochlear implant care between CI centres within the NHS.
Document Type: Patient transfer form
Subject: Transfer of cochlear implant care between centres
Healthcare Sector: National Health Service (NHS)
Confidentiality: Private and Confidential
Patient Category: Cochlear implant recipient
Institutions Involved: Referring CI centre and receiving CI centre
Required Attachments: Annual review reports; pre-implant assessment reports; mapping or programming summaries; programming software export via secure email; post-operative X-ray
Patient Information Fields: Name; Date of Birth; Address; NHS Number; Contact telephone numbers; Email; Languages spoken; Interpreter requirements; Carer names; GP details; Overseas patient status
Clinical Information Fields: Date of implant surgery; Date of switch on; Date of last programming; Date of last processor upgrade; Implant make and model; Implant serial number; Sound processor make and model; Processor serial number; Processor colour; Coil/Cable length; Magnet strength; Medical complications; Aetiology; Speech perception outcomes
Geographical Scope: United Kingdom
Price: 8 / 10 USD
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