|
PRE OP
|
HOSPITAL
|
|
POSTPARTUM
|
Birth control election
|
|
|
|
|
Constitutional WNL
|
General Abnormal
• • •
|
|
General Comments
|
|
|
HEENT WNL
|
HEENT Abnormal
• • •
|
|
HEENT Comments
|
|
|
Skin WNL
|
Skin Lesion
|
|
Skin Comments
|
|
|
Neck WNL
|
Neck Abnormal
• • •
|
|
Neck Comments
|
|
|
Cardiovascular WNL
|
Cardiovascular Abnormal
• • •
|
|
Cardiovascular Comments
|
|
|
Lungs WNL
|
Lungs Abnormal
• • •
|
|
Lungs Comments
|
|
|
Breasts WNL
|
|
|
Breasts Abnormal
• • •
|
Breasts Comments
|
|
Abdomen WNL
|
Abdomen Abnormal
• • •
|
|
Abdomen Comments
|
|
|
Pelvic/Bimanual WNL
|
Pelvic/Bimanual
• • •
|
|
Pelvic/Bimanual Comments
|
|
|
PAP OBTAINED
|
|
|
IUD INSERTION
|
IUD FREEWRITE
|
|
LEEP
|
Hysterosalpingogram
|
|
ENDOMETRIAL BIOPSY
|
|
|
Extremities WNL
|
Extrem Abnormal
• • •
|
|
Extrem Comments
|
|
|
MSK WNL
|
MSK Abnormal
• • •
|
|
MSK Comments
|
|
|
Neuro WNL
|
Neuro Abnormal
• • •
|
|
Neuro Comments
|
|
|
Psychiatric
|
|
