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Chief Complaint
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Have you see an OBGYN specialist before?
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HPI
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History
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Allergies
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Allergies
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Medications
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Medications
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Medical history
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Medical history
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Surgical history
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Surgical history
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Social History
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Social history
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Sexual History/ Contraception if applicable
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Sexual History/ Contraception if applicable
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Menstrual History:
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Menstrual history:
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Gynecologic history:
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Gynecologic history
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Obstetrical history
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Review of Systems
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General
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General Abnormal
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Respiratory
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Respiratory Abnormal
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Cardiovascular
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Cardiovascular abnormal
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Gastrointestinal
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Gastrointestinal Abnormal
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Extremities
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Extremities abnormal
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Urinary
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Urinary abnormal
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Adnexa
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Adnexa abnormal
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Uterus
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Uterus abnormal
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Vagina and cervix
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Vagina and cervix abnormal
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Vaginal Discharge
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Vaginal Discharge Comments
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Physical Examination
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Constitutional / Neurologic
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Constitutional / Neurologic abnormal:
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Thyroid
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Thyroid abnormal
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Breast exam:
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Breast exam abnormal
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Lungs
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Lungs abnormal
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Cardiovascular
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Cardiovascular abnormal
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Abdomen
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Abdomen abnormal
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Extremities
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Extremities abnormal
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External Genitalia
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External Genitalia abnormal
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Vagina
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Vagina abnormal
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Cervix
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Cervix abnormal
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Uterus
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Uterus abnormal
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Adnexa
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Adnexa abnormal
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Rectovaginal if applicable
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Assessment and Plan:
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New Short Text Field
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Preventive Medicine
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