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FULL INFLUENZA SOAP NOTE
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Free text Assessement:
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Historian
• • •
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Pt requesting flu shot. No risk factors.
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Additional notes
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Free text
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All systems otherwise negative.
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PE: free text
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PE: Superficial Exam + No rash along the deltoid
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Head to toe exam + No rash along the deltoid
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MDM: Influenza vaccination request
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MDM Notes
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Orders: Influenza Vaccine
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Orders:
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Flu vaccine injected.
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Notes
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Discharge pt home
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Discharge pt to ER
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Mode of Transport to ER
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ER Transfer Comments
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