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Location of Visit
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If other location, please specify
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source of information
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If other, source specify date and relation
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Reason for CCM
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Comments
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HPI freetext
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New symptom freetext
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Recent, new symptom
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NEW SYMPTOM (common)
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how many days?
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or how many weeks?
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associated with
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It is described as
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New symptom freetext
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Pertinent NEGatives Review of systems:
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Pertinent positives ROS/Review of systems:
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New symptom 2
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NEW SYMPTOM (common)
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how many days?
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or how many weeks?
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associated with
• • •
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It is described as
• • •
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New symptom freetext
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