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History of Present Illness
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XX present todays and describes the CC on his/her _____region.
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Location (free text).
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He/She states this occurred _____.
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Context, when this occurred (free text).
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The symptoms started ____
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Onset (free text).
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He/She describes the quality as _____
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Quality/characteristics (free text).
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The pain is described with an intensity level of ____.
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Severity/pain (free text).
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The CC has been _____.
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Duration (free text)
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The signs and symptoms described ______.
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______ alleviates the symptoms.
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_____ exacerbates the symptoms
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Associated symptoms include: _____
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Associated Symptoms (free text).
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In the past, he/she has used ____ to treat for similar symptoms.
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