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REASON FOR VISIT
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PCP
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HPI - free text
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PROCRIT INJ RELATED INFO.
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BP
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Hgb / Hct
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TSAT / Ferretin
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eGFR
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Dose of Procrit inj
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Previous dose of Procrit inj
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Date of Previous Procrit inj
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Plan for next Procrit inj
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Plan for next H/H
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ROS - neg.
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ROS neg but only admits of
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ROS - free text
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MEDICAL HISTORY
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PMH
• • •
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PMH - free text
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SOCIAL Hx - free text
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FAMILY HX
• • •
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FAMILY HX - free text
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PHYSICAL EXAM
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ASSESSMENT
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This note will be sent to PCP
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