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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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New Short Text Field
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Medical History
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Past Medical History
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Past Medical History Freewrite
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Past Surgical History
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Comments
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Childhood illnesses
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Comments
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Childhood Immunizations
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Comments
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Date of last PE
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PCP
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PCP Contact Information
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Family History
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Father's MH
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Comments
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Mother's MH
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Comments
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Sibling(s)' MH
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Comments
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Grandparent's MH
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Comments
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Children(s)' MH
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Comments
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Social History
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Marital Status
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Living Arrangements
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Potential Environmental Pathogen
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Sexual Hx
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Comments
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Occupation
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Caffeine
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Comments
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Alcohol
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Comments
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Other substances
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Patient's diet
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General [-]
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General
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General Comments
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Skin [-]
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Skin
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Skin Comments
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HEENT [-]
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HEENT
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HEENT Comments
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Neck [-]
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Neck
• • •
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Neck Comments
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Breasts [-]
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Breasts
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Breasts Comments
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Cardiovascular [-]
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Cardiovascular
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CV Comments
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Respiratory [-]
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Respiratory
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Resp Comments
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GI [-]
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GI
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GI Comments
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Urinary [-]
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Urinary
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Urinary Comments
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Genital (Male) [-]
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Genital (Male)
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Genital (Male) Comments
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Genital (Female) [-]
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Genital (Female)
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Genital (Female) Comments
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Periph. Vasc. [-]
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Periph. Vasc.
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Periph. Vasc. Comments
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MSK [-]
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MSK
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MSK Comments
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Neurological [-]
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Neurological
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Neuro Comments
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Endocrine [-]
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Endocrine
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Endo Comments
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Psychiatric [-]
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Psychiatric
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Psychiatric Comments
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General WNL
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General Abnormal
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General Comments
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HEENT WNL
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HEENT Abnormal
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HEENT Comments
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Skin WNL
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Skin Lesion
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Skin Comments
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Neck WNL
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Neck Abnormal
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Neck Comments
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Cardiovascular WNL
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Cardiovascular Abnormal
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Cardiovascular Comments
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Lungs WNL
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Lungs Abnormal
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Lungs Comments
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Abdomen WNL
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Abdomen Abnormal
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Abdomen Comments
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MSK WNL
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MSK Abnormal
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MSK Comments
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Breasts WNL
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Breasts Abnormal
• • •
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Breasts Comments
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Neuro WNL
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Neuro Abnormal
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Neuro Comments
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Extremities WNL
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Extrem Abnormal
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Extrem Comments
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Assessment
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Labs
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Lab Comments
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Radiology
• • •
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Radiology Comments
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PT Recommendations
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PT Recommendation Comments
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Home Health
• • •
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Home health comments
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Referrals
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Referral Comments
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Education
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Education Comments
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Diet
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Diet Comments
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General Instructions
• • •
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General Instruction Comments
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