Parts of the ED Medical Record
#1
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
"They that are whole have no need of the physician, but they that are sick" -  Jesus of Nazareth
Reply


Forum Jump:


Users browsing this thread: 1 Guest(s)