Clients

Mohammad Anne Dalin

PROP Risk Status

TIL Status

Backup battery

3 Search Result

Customer ID: 1

MR. Mohammad Anne.Dalin

Phone Number: 126 6982495

453 W 12th Ave, Vancouver, BC V5Y 1V4,Island

Email Address: 14bdsrafgdbcv@sdfuh887.com

Customer ID: 1

MR. Mohammad Anne.Dalin

Phone Number: 126 6982495

453 W 12th Ave, Vancouver, BC V5Y 1V4,Island

Email Address: 14bdsrafgdbcv@sdfuh887.com

Customer ID: 1

MR. Mohammad Anne.Dalin

Phone Number: 126 6982495

453 W 12th Ave, Vancouver, BC V5Y 1V4,Island

Email Address: 14bdsrafgdbcv@sdfuh887.com

Customer ID

Program

Salut

First Name

Last Name

Address

Facility Name

Suite

Number

Direction

Street Name

Type

City

Province / State

Postal Code

Country / Region

Postal Address

Notes

Professional

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Date of Birth

Sex

Buzzer

Phone Number

EXT.

Fax Number

Other Number

Cell Number

Email Address

Health Region

Alternate

Employee

Peer Contact

Funding

File Number

Diagnosis

Ventilator Settings Bed

Mode	PR	Volume Set	Volume Delivered	Flow Rate	Wave From
	2

Ventilator Usage

IE	Pressure	02	High Pressure	Low Pressure	Pressure Control	Sensitivity B / E	Vent Alarm
01

Ventilator Settings Chair

Mode	PR	Volume Set	Volume Delivered	Flow Rate	Wave From	IE	Pressure	02	High Pressure	Low Pressure	Pressure Control	Peep	Sensitivity B / E	Vent Alarm
		3

Bilevel Settings

Mode	PR	Inspiratory Time	IPAP Set	IPAP Delivered
ST	12	1.5 S	18

Bilevel Usage

EPAP Set	Apap Delivered	Apnea	Rise Time
10			3

Night Only / Dependant

02	IPAP Max	IPAP Min	Trigger I	Trigger E	Start EPAP	% IPAP	AVAPS
01

Living Situation

Prescription

Bilevel

Ventilator

AerosolCompressor

Manual Cough Assist

Suction

Bilevel Prescription Date

IPAP Min - Max CM/H20

EPAP Min - Max CM/H20

Respiratory Rate

PROP

Start Date

End Date

Reason

PALS

Start Date

End Date

Reason

TIL

Start Date

End Date

Reason

SETS

Start Date

End Date

Reason

Category

Start Date

End Date

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Stationary Control Unit

Stationary Control Unit Switch

Stationary Custom Switch Description

Stationary Control Unit Description

Portable Control Unit

Stationary Control unit switch

Portable Custom Switch Description

Backup Equipment

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Gewa level

Description

Gewa Info

Micro Description

Level

Kincontrol Level

Description

Kincontorol Level	Kincontorol Level	Kincontorol Level	Kincontorol Level
Kincontorol Level	Kincontorol Level	Kincontorol Level	Kincontorol Level
Kincontorol Level	Kincontorol Level	Kincontorol Level	Kincontorol Level
Kincontorol Level	Kincontorol Level	Kincontorol Level	Kincontorol Level
Kincontorol Level	Kincontorol Level	Kincontorol Level	Kincontorol Level

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Model

Primary Control

Mode Switch

Vent

Voltage

Convertor Type

Internal Battery

Battery Size

Battery Compartment Type

Mounting

Battery Access

Location Backup Vent

System Description

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