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Parts of the ED Medical Record - Printable Version

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Parts of the ED Medical Record - dbrosnahan - 04-26-2016

Chief Complaint (CC), History of Present Illness (HPI), Review of Systems (ROS), Past Medical History (PMHx), Past Surgical Hx (PSHx), Social History (SHx), Family History (FHx), Physical Exam (PE), Vital Signs (VS), Lab and Imaging Results, Reassessments, Differential Diagnosis (DDx), ED Course, Clinical Decision Making, Critical Care Statement, Diagnosis (Dx), Follow-Up, Prescriptions (Rx), Discharge Instructions