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Sex
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Patient name
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Address
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Age
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a
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Weight
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Body height
|
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Dx
E
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Date of proc
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{mm/dd/yyyy}
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Bone age assess TW2 panel
?
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XR Radius Bone dev stage
|
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{score}
|
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XR Ulna Bone dev stage
?
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{score}
|
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XR Metacarpal.1st Bone dev stage
|
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{score}
|
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XR Metacarpal.3rd Bone dev stage
|
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{score}
|
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XR Metacarpal.5th Bone dev stage
|
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{score}
|
|
XR Thumb.prox phlnx Bone dev stage
|
|
{score}
|
|
XR Finger.3rd.prox phlnx Bone dev stage
|
|
{score}
|
|
XR Finger.5th.prox phlnx Bone dev stage
|
|
{score}
|
|
XR Finger.5th.mid phlnx Bone dev stage
|
|
{score}
|
|
XR Finger.3rd.mid phlnx Bone dev stage
|
|
{score}
|
|
XR Finger.3rd.distl phlnx Bone dev stage
|
|
{score}
|
|
XR Finger.5th.distl phlnx Bone dev stage
|
|
{score}
|
|
XR Thumb.distl phlnx Bone dev stage
|
|
{score}
|
|
XR Capitate Bone dev stage
|
|
{score}
|
|
XR Hamate Bone dev stage
|
|
{score}
|
|
XR Triquetrum Bone dev stage
|
|
{score}
|
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XR Lunate Bone dev stage
|
|
{score}
|
|
XR Scaphoid Bone dev stage
|
|
{score}
|
|
XR Trapezium Bone dev stage
|
|
{score}
|
|
XR Trapezoid Bone dev stage
|
|
{score}
|
|
XR Wrist+Hand Total maturity score
?
|
|
{score}
|
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XR Bone age
?
|
|
mo
|