MDM

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[text name="field_agesex" default=""] [comment memo="Age and sex of the patient"]
[text name="field_cc" default=""] [comment memo="chief complaint"]
[text name="field_sxduration" default=""] [comment memo="duration of symptoms"]
[comment memo="HPI"] [textarea][/textarea]

[comment memo="Pertinent PMH"][checkbox name="field_pmhx" value="DM1|DM2|HTN|hypercholesterolemia|CAD|ESRD|a-fib"]
[comment memo="Other less pertinent PMHX"] [text name="field_pmhx" default=""]

MDM
[text name="field_agesex"] with history of [comment memo="Pertinent PMH"][checkbox name="field_pmhx" value="DM1|DM2|HTN|hypercholesterolemia|CAD|ESRD|a-fib"] presenting with [text name="field_cc" default=""] for [text name="sxduration"].
Exam was notable for [textarea][/textarea]
DDx includes but is not limited to [textarea][/textarea]
Plan of Testing and Treatment: [textarea][/textarea]
[checkbox value="No further diagnostic workup is indicated at this time. |Diagnostic rationale discussed with patient|Disposition to be determined by results of tests and response to treatment. "]

ED Course: [textarea name="field_Reeval" default="Time:"]
[comment memo="Reassessments, pt new complaint, response to treatment. Pertinent lab findings. Anything that I discover that clinches or alters the disposition - and chart if you see me picking up the phone - chart it - called lab as delay in CBC result. Spoke with consultant. RN called and informed me pt continues to complain of pain, etc."]

[checkbox value="Results discussed with patient."][checkbox value="Shared Decision Making "][textarea name="field_SDS" default=""]
[checkbox value="Anticipatory guidance, follow up instructions and return indications discussed with patient|pt agrees with plan. "]
Age and sex of the patient
chief complaint
duration of symptoms
HPI

Pertinent PMH
Other less pertinent PMHX

MDM
with history of Pertinent PMH presenting with for .
Exam was notable for
DDx includes but is not limited to
Plan of Testing and Treatment:


ED Course:
Reassessments, pt new complaint, response to treatment. Pertinent lab findings. Anything that I discover that clinches or alters the disposition - and chart if you see me picking up the phone - chart it - called lab as delay in CBC result. Spoke with consultant. RN called and informed me pt continues to complain of pain, etc.


Result - Copy and paste this output:

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    kachangmd
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    Exam was notable for DDx includes but is not limited to Plan of Testing and Treatment:
    [See the full post at: MDM]

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