Patient’s rights, confidentiality, limits and exceptions to confidentiality, and use of electronic medical records were reviewed with patient. Verification of patient identity was established with patient. Patient consents to telemedicine.
CHIEF COMPLAINT: [text name="variable_2"]
HISTORY OF PRESENT ILLNESS: The patient is a [text name="variable_3"] with a history of [text name="variable_4"] complaining of a [text name="variable_5"] history of [text name="variable_6"]. Symptoms are associated with [text name="variable_7"] but patient denies any [text name="variable_8"]. Symptoms are exacerbated by [text name="variable_9"] and improved with [text name="variable_10"]. Patient [text name="variable_11"] history of similar symptoms. [textarea name="variable_12"]
REVIEW OF SYSTEMS: Review of at least 10 organ systems is otherwise negative except as stated above.