(Assessment ID: #session.cs.AssessmentId#)

SELECT Patient_ID, Last_Name_M0040 AS Last_Name, First_Name_M0040 AS First_Name, Middle_Initial_M0040 AS Middle, Payer_ID FROM #Request.prefix_db_agency#.patient WHERE Patient_Id = '#session.cs.patientid#' AND Agency_Id = '#session.AgencyId#' SELECT M0650_Assess, M0810_Assess, Grooming_M0640, After_Discharge_Services_M0880, Ambulation_M0700p, Bathing_M0670, Bathing_M0670p, Discharged_From_M0175 , Medical_or_Treatment_Change_M0200, Therapies_Home_M0250, Transferring_M0690, High_Risk_Factors_M0290, Hearing_M0400, Freq_of_Pain_M0420, Open_Wounds_M0440, Meal_Prep_M0720p, Bowel_Incont_M0540, Conditions_Prior_M0220, Overall_Prognosis_M0260, Life_Exp_M0280, Vision_M0390, Speech_M0410, Intrac_Pain_M0430, Pressure_Ulcer_M0445, Breathing_M0490, Pressure_Ulcer_a_M0450, Pressure_Ulcer_b_M0450, Pressure_Ulcer_c_M0450, Pressure_Ulcer_d_M0450, Pressure_Ulcer_e_M0450, Pressure_Ulcer_Stage_M0460, Pressure_Ulcer_Status_M0464, Stasis_Ulcer_Num_M0470, Stasis_Ulcer_Hidden_M0474, Stasis_Ulcer_Status_M0476, Surgical_Wound_M0482, Surgical_Wound_OB_M0484, Transport_M0730, Transport_M0730p, Urinary_INcont_when_M0530, When_Anxious_M0580, Patient_Behav_freq_M0620, Psy_Nursing_M0630, Grooming_M0640p, Dress_Lower_M0660, Caregiver_Manage_Equip_M0820, Dress_Upper_M0650p, Cog_Function_M0560, Depressive_Feelings_M0590, Discharge_Disposition_M0870, Dress_Lower_M0660p, Dress_Upper_M0650, Eating_M0710p, Ambulation_M0700, Ambulation_M0700p, Eating_M0710, Emergent_Care_M0830, Housekeeping_M0750p, Inhalant_Meds_M0790, Inhalant_Meds_M0790p, Inject_Meds_M0800, Nursing_Home_M0900, Oral_Meds_M0780p, Inpatient_Facility_M0855, Laundry_M0740, Laundry_M0740p, Rehab_Prognosis_M0270 , Assessment_note, Record_Created_By FROM #Request.prefix_db_agency#.Assessment_New WHERE Assessment_ID='#session.cs.AssessmentId#' select Last_Name,First_Name from #Request.prefix_db_lookup#.Employee where Employee_ID = '#AssForm.Record_Created_By#'

#GetP.First_Name# #GetP.Last_Name#, OT Adult Evaluation