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Chief Complaint (1)
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Location
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Location 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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Previous Treatment
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Chief Complaint (2)
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Location
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Location 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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Previous Treatment
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Chief Complaint (3)
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Location
• • •
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Location 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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Previous Treatment
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Chief Complaint (4)
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Location
• • •
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Location 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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Previous Treatment
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