| 
               HPI 
  
  
  • • •
  
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               HPI 
  
  
  
  
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| 
               Location Chest Pain 
  
  
  • • •
  
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               Location Comments 
  
  
  
  
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| 
               Radiates 
  
  
  • • •
  
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               Radiation Comments 
  
  
  
  
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| 
               Quality 
  
  
  • • •
  
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               Quality Comments 
  
  
  
  
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| 
               Severity 
  
  
  
  
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               Severity Comments 
  
  
  
  
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| 
               Duration 
  
  
  • • •
  
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               Duration Comments 
  
  
  
  
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| 
               Onset / Timing 
  
  
  • • •
  
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               Onset Comments 
  
  
  
  
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| 
               Context 
  
  
  • • •
  
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               Context Comments 
  
  
  
  
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| 
               Modifying Factors 
  
  
  • • •
  
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               Modifying Factors Comments 
  
  
  
  
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| 
               Associated Symptoms 
  
  
  • • •
  
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               Associated Symptoms Comments  
  
  
  
  
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| 
               Cardiac Risk Factors 
  
  
  • • •
  
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               New Field 
  
  
  
  
 | 
          
          
| 
               Previous Treatment 
  
  
  
  
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               | 
          
          
