Submit a redesigned operative report that includes hospital name, address, and phone number, patient  identification  section,  and  a  form  number  and  revision  date.  You may use a previously designed form, but you must complete some type of edits. 

The  form  should  include  the  following operative report elements. 

         Preoperative diagnosis

         Postoperative diagnosis

         Procedure performed

         Surgeon

         Assistant surgeon

         Operative findings and procedure