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- cc:
- vitals:
- allergies:
- medications:
- history_medical:
- history_surgical:
- history_family:
- history_social:
- history_screenings:
- subjective:
- ros:
- active_interventions_review:
-
- Lifestyle Assessments:
- General
- Nutrition
- Physical Activity
- Sleep
- Social Relationships
- Stress
- Substance Use
- Objective:
- Physical exam findings:
- Laboratory data:
- Imaging results:
- Measurements:
- Other diagnostic data:
- Recognition and review of the documentation of other clinicians:
- Assessments / Current Problems / Focus Areas:
- List:
- PLAN:
-
- Free Text:
- Condition-Specific (Long-Term / Overall):
- Medication Changes:
- Interventions:
- Follow-Up:
- -------------------------------------------
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