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New Short Text Field
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Subjective:
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New Patient Visit
|
|
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Follow Up Visit
|
|
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Chief Complaint:
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HPI
|
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Social HX
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Past Surgical History
|
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Family HX
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Past Medical HX
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ROS
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Review of Systems
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General WNL
|
|
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General Abnormal
• • •
|
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General Comments
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HEENT WNL
|
|
|
HEENT Abnormal
• • •
|
|
|
HEENT Comments
|
|
|
Neck WNL
|
|
|
Neck Abnormal
• • •
|
|
|
Neck Comments
|
|
|
Cardiovascular WNL
|
|
|
Cardiovascular Abnormal
• • •
|
|
|
Cardiovascular WNL
|
|
|
Lungs WNL
|
|
|
Lungs Abnormal
• • •
|
|
|
Lungs Comments
|
|
|
Abdomen WNL
|
|
|
Abdomen Abnormal
• • •
|
|
|
Abdomen Comments
|
|
|
MSK WNL
|
|
|
MSK Abnormal
• • •
|
|
|
MSK Comments
|
|
|
Neuro WNL
|
|
|
Neuro Abnormal
• • •
|
|
|
Neuro Comments
|
|
|
Extremities WNL
|
|
|
Extrem Abnormal
• • •
|
|
|
Extrem Comments
|
|
|
Skin WNL
|
|
|
Wound Assessment
|
|
|
Wound 1
|
|
|
Type of Ulcer
• • •
|
|
|
Location
|
|
|
L__________
|
W______
|
|
D_______
|
|
|
|
|
|
Drainage/Exudate Type
• • •
|
|
|
Drainage/Exudate Amount
• • •
|
|
|
Odor
• • •
|
|
|
Wound Edges
• • •
|
|
|
Skin Comments
|
|
|
Wound 2
|
|
