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New admission H&P #1
New Admission H&P #2
NEW ADMISSION #3
• • •
NEW ADMISSION SNF #1
New admission SNF #2
HPI: transfer of Care MD
TRANSFER OF CARE MD #2
• • •
HPI: transfer of Care NP/PA
MEDICATION RECONCILIATION
HPI: Lab monitoring new admit
PAIN REFILL #1
HPI: annual H&P
PAIN REFILL #2
ANNUAL H&P #2
HPI: HEALTH CARE PROXY ACTIVATION
CCM
HPI: Regular visit
HPI: poor historian dementia f/u visit
HPI: 30/60 days 1
HPI 30/60 2
• • •
HPI 30 days #3
HPI 30/60 #4
30/60 #5
30/60 days #6
30/60 day #7
30/60 dAYS #8
30/60 DAYS #9
HPI: discharge
HPI med review
HPI: malnutrition
HPI: anxiety
HPI: pharmacy recommendations
HPI: PT cert
HPI Psych consult
HPI: COVID
hpi: influenza
DIETICIAN CONSULT
DM SHOES
HPI: CHF initial visit
HPI: CHF Initial visit (Laura)
CHF Subs Visit HPI w eval FTT
OT
PT
• • •
speech
• • •
Location
• • •
Location Comments
Quality
• • •
Quality Comments
Severity
Severity Comments
Duration
• • •
Duration Comments
Onset / Timing
• • •
Onset Comments
Context
• • •
Context Comments
Modifying Factors
• • •
Modifying Factors Comments
Associated Symptoms
• • •
Associated Symptoms Comments
Previous Treatment

H&P CC / History of Present Illness Medical Form

Geriatrician

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Published: Sept. 8, 2023, 8:51 a.m.
Doctor: Dr. History Physical
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