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QUESTIONNAIRE STAMP

  • US 20180126762A1
  • Filed: 06/01/2017
  • Published: 05/10/2018
  • Est. Priority Date: 11/10/2016
  • Status: Abandoned Application
First Claim
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1. A questionnaire stamp comprising:

  • a question item indicating section that indicates at least one question item concerning a predetermined symptom that a patient may have;

    a check result entry section in which a check result as to whether the question item is applicable to the patient can be recorded; and

    an applicable item counting section in which a total number of applicable question items is entered,wherein the questionnaire stamp is affixed to a given location of a medical record of the patient or an auxiliary record form of the medical record.

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