III.3.4 Place of Diagnosis

If the case was not first diagnosed at the reporting facility, enter whatever is known about the place of diagnosis:

Scenario

Instruction

Another Reporting Facility

Enter the facility's name, the city, and the state.

Physician Only

Enter physician's name and address. If the physician is on the reporting facility's medical staff, also enter "Staff Physician."

Reporting Facility and Physician Unknown

Enter name of city, state, or country where diagnosis was first made.

No Information Available

Enter "unknown."

 

 

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