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Chief Complaint:
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associated with
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Duration
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Chief Complaint Free text
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HPI
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HPI Comments
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Past medical History
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Allergies
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General:
• • •
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General comments
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HEENT
• • •
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HEENT Comments
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CHEST
• • •
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CHEST comments
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HEART:
• • •
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HEART comments
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LUNGS
• • •
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LUNGS Comments:
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ABDOMEN:
• • •
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ABDOMEN Comments
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GENITOURINARY:
• • •
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GENITOURINARY comments
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MUSCULOSKELETAL:
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MUSCULOSKELETAL Comments
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Neck:
• • •
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NECK Comments
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THORAX:
• • •
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THORAX Comments
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LUMBAR SPINE:
• • •
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LUMBAR SPINE Comments
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UPPER EXTREMITIES
• • •
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UPPER EXTREMITIES Comments
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LOWER EXTREMITIES:
• • •
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LOWER EXTREMITIES Comments
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SKIN:
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PHOTO:
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VASCULAR-LYMPHATIC
• • •
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Assessment
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Assessment Free write
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