Diagnoses

# Shared Care Plan Your Personal Health Record

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NAME Date of Birth, Age, Gender

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# My Chronic and Long-Term Diagnoses (HELP) This is a list of all the conditions you have been diagnoses with and are managing. [Sort] [Add New]

Diagnosis: Description: Date Diagnosed: Diagnosed By: Comments: Action: [Edit]

# Key to Symbols Lock Indicates that the patient has marked a item as private (hidden from one or more Care Team members). Your respect of this sensitive information is appreciated. i Place your mouse cursor over an information icon (don't click) to see who last updated the item and when. Orange Triangle with i These information icons indicate items updated since you last viewed this Shared Care Plan. Orange * Indicates a required field

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> # Keys to Symbols Lock | Indicates that the patient has marked an item as private (hidden from one or more Care Team members). Your respect of this sensitive information is appreciated. i | Place your mouse cursor over an information icon (don't click) to see who last updated the item and when. Orange Triangle | These information icons indicate items updated since you last viewed this Shared Care Plan. Orange * | Indicates a required field