"MedcinForm-V1.0"
"Peds--General--AMEDD","CHCSII","System"
0,0,0,830,535,0,1048576,"","",""
5,5,377,295,395,0,32," |||||||0|0||0|0|||0","V=1:DF=1:PS=1:TP=0:MR=F:BS=0:TWS=0:PB=3:NB=3:ROS=0:PL=0:FB=0:EM=0:CB=2",":-2147483633:HPI|ROS|Physical Exam|Misc Minor Procedures|Help"
1,20,380,270,440,112342,4202497," |||||||19|80|CN|0|0|T||0","","~Additional problems: "
1,20,190,270,210,122356,8961," |||||||19|80|YCN|0|0|||0","","This visit is Deployment-related~/deployment-related"
1,300,160,540,180,4932,13057," |||||||19|80|YCBN|0|0|Y|N|0","","Previous Hospitalizations"
1,300,180,540,200,4933,13057," |||||||19|80|YCBN|0|0|Y|N|0","","Previous ER Visits"
1,300,220,540,240,5341,13057," |||||||19|80|YCBN|0|0|Y|N|0","","Exposure To Secondhand Smoke"
1,570,250,810,270,5153,13057," |||||||19|80|YCBN|0|0|Y|N|0","","Mental Disability:"
1,300,140,540,160,3370,13057," |||||||19|80|YCBN|0|0|Y|N|0","","Prior Tests"
1,560,10,810,30,0,32769," |||||||0|80||0|0|||0","|B=T|U=T","Personal History"
1,580,330,810,350,4103,8961,"F|||||||19|80|YCN|0|0|Y|N|0","","Cancer"
1,560,290,810,310,0,32769," |||||||0|80||0|0|||0","|B=T|U=T","Family History"
1,570,310,810,330,5098,12545," |||||||19|80|YCBN|0|0|Y|N|0","","Reviewed Family History~: Reviewed in Problem List"
1,300,50,540,70,3406,12545," |||||||19|150|YCBN|0|0|Y|N|0","","Reviewed Past Surgical Hx~: Reviewed"
1,580,350,810,370,5093,13057,"F|||||||19|80|YCBN|0|0|Y|N|0","","Heart Disease"
1,10,10,270,90,0,32768," |||||||0|0||0|0|||0","C=255|B=T","Documentation recommendations: ~ Under HPI document the reason for the visit with attention to the elements of duration onset and alleviating/exacerbating factors using free text if structured items can not be found easily."
1,10,220,270,240,112176,4096," |||||||19|80||0|0|||0","|B=T|U=T|L=","History of Present Illness"
1,10,90,270,120,0,32768," |||||||0|0||0|0|||0","C=255|B=T","Include pertinent positives and negatives under ROS."
1,300,70,540,90,120227,12545," |||||||19|150|YCBN|0|0|Y|N|0","","Reviewed Medication Hx~: Reviewed Autocite Content"
1,10,290,270,310,2062,12289," |||||1||19|80|CBN|0|0|||0","|B=T|U=T|Y=0|L=","Info Source:"
1,20,240,270,260,3796,8961," |||||||19|80|YCN|0|0|Y|N|0","","An Active Illness"
1,20,450,270,480,0,32768," |||||||0|0||0|0|||0","C=128|B=T","AMEDD Medcin Form: 050907~Peds--General"
1,20,260,270,280,5,13057," |||||||19|80|YCBN|0|0|Y|N|0","","Fever [as Symptom]"
1,580,370,810,390,3512,13057,"F|||||||19|80|YCBN|0|0|Y|N|0","","Early Deaths"
1,580,390,810,410,5373,8961,"F|||||||19|80|YCN|0|0|Y|N|0","","Gene Disease"
1,570,270,810,290,5157,13057," |||||||19|80|YCBN|0|0|Y|N|0","","Physical Disability:"
0,420,0,830,530,0,4,"","I=FS=FB=T",""
2,30,160,210,180,10,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Headache"
2,30,180,210,200,90,268445441," |||||||19|80|YCNH|0|0|Y|N|4","","Sinus Pain"
2,30,220,210,240,111363,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Eyesight Problems"
2,30,360,210,380,147,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Earache"
2,30,330,210,360,170,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Nasal Passages Blocked/Stuffy"
2,230,220,410,250,279,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Chest Pain Or Discomfort"
2,30,240,210,270,120,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Mucous Discharge "
2,230,280,410,300,415,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Vomiting"
2,230,300,410,320,435,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Diarrhea"
2,230,320,410,340,444,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Constipation"
2,430,220,610,240,1075,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Dry Skin"
2,430,240,610,270,110670,268517121," ||||||cm|19|80|YCUVBNH|0|0|Y|N|4","",":0:0:0:Rash"
2,30,270,210,290,122,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Pus Discharge"
2,630,340,810,370,3777,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Poor School Performance"
2,630,320,810,340,4196,268445441," |||||||19|80|YCNH|0|0|Y|N|4","","Academic Failure"
2,630,370,810,400,1729,268445441," |||||||19|80|YCNH|0|0|Y|N|4","","Problems with Peer Group"
2,20,140,210,160,1879,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","|B=T|U=T|L=","Head Sx"
2,20,200,210,220,2901,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","|B=T|U=T|L=","Eye Sx"
2,20,290,210,310,2902,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","|B=T|U=T|L=","ENT Sx"
2,20,380,210,400,2903,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","|B=T|U=T|L=","Neck Sx"
2,220,170,410,200,1881,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","|B=T|U=T|L=","Cardiovascular Sx"
2,220,250,410,280,1882,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","|B=T|U=T|L=","Gastrointestinal Sx"
2,220,370,410,390,1883,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","|B=T|U=T|L=","Genitourinary Sx"
2,20,440,210,460,1887,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","|B=T|U=T|L=","Endocrine Sx"
2,420,200,610,220,1888,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","|B=T|U=T|L=","Skin Sx"
2,630,70,810,100,936,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Joint Pain Localized"
2,620,40,810,70,1886,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","|B=T|U=T|L=","Musculoskeletal Sx"
2,620,210,810,230,1885,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","|B=T|U=T|L=","Neurological Sx"
2,620,290,810,320,1891,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","|B=T|U=T|L=","Psychological Sx"
2,30,80,210,100,5,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Fever"
2,30,310,210,330,162,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Nasal discharge"
2,30,400,210,420,241,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Swollen glands "
2,230,340,410,370,115157,268445441," |||||||19|80|YCNH|0|0|Y|N|4","","Regurgitation With Acid / Burning Taste"
2,10,10,210,30,2952,268440577," |||||||19|80|CBH|0|0|||4","|B=T|U=T|L=","Review of Systems"
2,630,100,810,130,957,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Joint Swelling Localized"
2,220,10,820,30,0,32768," |||||||0|0||0|0|||0","C=255|B=T","REMINDER: Include pertinent positives and negatives as related to HPI/Purpose of visit here"
2,20,60,210,80,1878,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","|B=T|U=T|L=","Constitutional Sx"
2,220,40,410,60,1880,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","|B=T|U=T|L=","Pulmonary Sx"
2,230,130,410,150,110376,268445441," |||||||19|80|YCNH|0|0|Y|N|4","","Chest Congestion"
2,230,60,410,90,353,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Difficulty Breathing"
2,230,110,410,130,247,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Cough"
2,230,90,410,110,273,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Wheezing"
2,230,150,410,170,115876,268445441," |||||||19|80|YCNH|0|0|Y|N|4","","Shortness Of Breath"
2,20,500,810,520,0,32768," |||||||0|0||0|0|||0","C=255|B=T","ADVISORY: All items are designed to be documented in ROS. If the ROS button is clicked the item will appear in HPI."
2,430,410,610,450,110389,268517121," ||||||cm|19|80|YCUVBNH|0|0|Y|N|4","",":0:0:0:Right Breast Lump"
2,630,230,810,250,658,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Convulsions"
2,420,390,610,410,1884,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","|B=T|U=T|L=","Breast Sx"
2,630,250,810,270,663,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Fainting"
2,630,270,810,290,670,268445441," |||||||19|80|YCNH|0|0|Y|N|4","","Staring Spells"
2,20,460,210,480,1889,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","|B=T|U=T|L=","Hematologic Sx"
2,30,100,210,120,115280,268445441," |||||||19|80|YCNH|0|0|Y|N|4","","Lethargy"
2,30,120,210,140,112217,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Weight Change"
2,30,420,210,440,244,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Lump Or Swelling"
2,430,450,610,490,110394,268517121," ||||||cm|19|80|YCUVBNH|0|0|Y|N|4","",":0:0:0:Left Breast Lump"
2,430,90,610,120,564,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Male Genital Symptoms"
2,230,390,410,410,610,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Vaginal Discharge"
2,430,60,610,90,531,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Change In Urine Appearance"
2,440,120,610,140,114881,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Penile"
2,440,140,610,160,114903,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Testicular"
2,440,180,610,200,114914,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Scrotal"
2,450,160,610,180,1496,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Swelling"
2,430,290,610,320,1334,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Localized Skin Discoloration"
2,430,270,610,290,1089,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Skin Lesions [sx]"
2,430,320,610,340,2664,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Sx: Skin Lump"
2,430,340,610,360,1124,268445441," |||||||19|80|YCNH|0|0|Y|N|4","","A Change In A Mole"
2,430,360,610,390,363,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Soft Tissue Swelling"
2,630,130,810,160,990,268445441," |||||||19|80|YCNH|0|0|Y|N|4","","Sudden Unexplained Fractures"
2,630,160,810,190,955,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Bony Lump Does Not Go Away"
2,630,190,810,210,116644,268445441," |||||||19|80|YCNH|0|0|Y|N|4","","Limb Pain"
2,620,460,810,500,112344,4202497," |||||||19|80|N|0|0|||4","","~Additional Review of Systems information: "
2,230,410,410,440,1630,268512257," ||||||years old|19|80|CUVNH|0|0|||4","",":0:0:0:Age at Menarche"
2,230,440,410,460,1500,268968961," |||||||19|80|CONH|0|0|||4","","Last Period"
2,230,460,410,480,112206,268512257," ||||||days|19|80|CUVNH|0|0|||4","",":0:0:0:Period lasts"
2,630,400,810,430,1448,268445441," |||||||19|80|YCNH|0|0|Y|N|4","","Relationship Problem with Parent"
3,20,270,270,290,6577,13057," |||||||19|80|YCBN|0|0|A|N|0","","Vision "
3,550,490,810,510,208847,8193," |||||||19|80||0|0|||0","|B=T|L=","To Enter Additional PE Click Here -------->~Additional Physical Findings: "
3,550,510,810,530,6000,4097," |||||7||19|80||0|0|||0","|B=T|U=T|L=","Access to Full Physical Exam Medcin Tree"
3,160,510,180,530,155154,257," |||||||1|80|YCNH|0|0|R|N|0","|K=13172680|T=T|L=",""
3,240,490,260,510,67413,257," |||||||1|80|YCNH|0|0|B|N|0","|K=13172680|T=T|L=",""
3,20,290,270,310,206277,8961," |||||||19|80|YCN|0|0|A|N|0","|O=257|L=","PERRLA"
3,20,190,270,210,10008,8961," |||||||19|80|YCN|0|0|Y|N|0","","Oriented x3 (Time Place and Person)"
3,140,170,270,190,10009,8960," |||||||19|80||0|0|Y|N|0","","Well-Hydrated"
3,290,510,540,530,10297,8961," |||||||19|80|YCN|0|0|Y|N|0","","Inguinal Hernia present"
3,20,410,270,430,62448,13057," |||||||19|80|YCBN|0|0|A|N|0","","Oropharynx"
3,290,110,410,130,264110,8961," |||||||19|80|YCN|0|0|A|N|0","","Chest"
3,560,410,810,430,9035,8961," |||||||19|80|YCN|0|0|A|N|0","","Gait and Stance"
3,290,490,540,510,7505,8961," |||||||19|80|YCN|0|0|A|N|0","","Testes"
3,560,30,810,50,7630,8961," |||||||19|80|YCN|0|0|A|N|0","","Anus"
3,560,90,810,110,6079,8961," |||||||19|80|YCN|0|0|A|N|0","","Skin Color and Pigmentation"
3,560,350,810,370,8913,8961," |||||||19|80|YCN|0|0|Y|N|0","","Motor Exam Dysfunction"
3,280,430,540,450,7447,12289," |||||||19|80|CBN|0|0|||0","|B=T|U=T|L=","Examination of the Lower Urinary Tract"
3,550,50,810,70,6142,12289," |||||||19|80|CBN|0|0|||0","|B=T|U=T|L=","Examination of the Skin"
3,550,130,810,150,7649,12289," |||||||19|80|CBN|0|0|||0","|B=T|U=T|L=","Examination of Musculoskeletal System"
3,10,210,270,230,6369,12289," |||||||19|80|CBN|0|0|||0","|B=T|U=T|L=","Examination of the Head"
3,280,310,540,330,7459,12289," |||||||19|80|CBN|0|0|||0","|B=T|U=T|L=","Examination of the Male Genitalia"
3,280,370,540,390,7523,12289," |||||||19|80|CBN|0|0|||0","|B=T|U=T|L=","Examination of the Female Genitalia"
3,550,10,810,30,11525,12289," |||||||19|80|CBN|0|0|||0","|B=T|U=T|L=","Examination of the Rectum"
3,550,330,810,350,8202,12289," |||||||19|80|CBN|0|0|||0","|B=T|U=T|L=","Examination of the Neurological System"
3,140,150,270,170,10026,8960," |||||||19|80||0|0|Y|N|0","","Well-Nourished"
3,20,150,130,170,10011,8961," |||||||19|80|YCN|0|0|Y|N|0","","Alert"
3,20,30,270,50,195992,8449," |||||||19|80|YCN|0|0|Y|N|0","","Reviewed Vital Signs"
3,560,110,810,130,6321,8961," |||||||19|80|YCN|0|0|A|N|0","","Skin Turgor"
3,20,170,130,190,9308,8961," |||||||19|80|YCN|0|0|Y|N|0","","Healthy"
3,20,70,270,90,9300,12545," |||||||19|80|YCBN|0|0|Y|N|0","","Reviewed Body Mass Index~: Reviewed"
3,10,250,270,270,6425,4097," |||||||19|80||0|0|||0","|B=T|U=T|L=","Examination of the Eyes"
3,10,350,270,370,6368,12289," |||||||19|80|CBN|0|0|||0","|B=T|U=T|L=","Examination of the Ears Nose Throat"
3,280,10,540,30,6908,12289," |||||||19|80|CBN|0|0|||0","|B=T|U=T|L=","Examination of the Neck"
3,560,70,810,90,6143,8961," |||||||19|80|YCN|0|0|Y|N|0","","Skin Lesions present~: "
3,280,90,540,110,7010,12289," |||||||19|80|CBN|0|0|||0","|B=T|U=T|L=","Examination of the Lungs"
3,280,130,540,150,7105,12289," |||||||19|80|CBN|0|0|||0","|B=T|U=T|L=","Examination of Cardiovascular System"
3,280,190,540,210,7358,12289," |||||||19|80|CBN|0|0|||0","|B=T|U=T|L=","Examination of the Abdomen"
3,290,50,540,70,6964,8961," |||||||19|80|YCN|0|0|Y|N|0","","Lymph Nodes Enlarged"
3,420,110,540,130,7041,8961," |||||||19|80|YCN|0|0|A|N|0","","Auscultation"
3,290,30,540,50,6909,8961," |||||||19|80|YCN|0|0|Y|N|0","","Decrease in Suppleness"
3,290,170,540,190,7180,8961," |||||||19|80|YCN|0|0|Y|N|0","","Murmur present"
3,290,250,540,270,7413,8961," |||||||19|80|YCN|0|0|Y|N|0","","Abdominal Mass palpated"
3,290,230,540,250,206271,8961," |||||||19|80|YCN|0|0|Y|N|0","|O=257|L=","Abdomen Rigid"
3,290,270,540,290,7428,8961," |||||||19|80|YCN|0|0|Y|N|0","","Liver Enlarged"
3,290,450,540,470,165517,8961," |||||||19|80|YCN|0|0|A|N|0","","Urethral Meatus"
3,290,290,540,310,7434,8961," |||||||19|80|YCN|0|0|Y|N|0","","Spleen Enlarged"
3,290,150,540,170,206245,8961," |||||||19|80|YCN|0|0|A|N|0","","Rate and Rhythm"
3,290,330,540,350,7460,8961," |||||||19|80|YCN|0|0|A|N|0","","Penis"
3,160,450,180,470,62215,257," |||||||19|80|YCNH|0|0|R|N|0","|K=13172680|T=T|L=",""
3,20,370,270,390,62430,8961," |||||||19|80|YCN|0|0|A|N|0","|O=257|L=","Nasal Mucosa"
3,20,390,270,410,6793,13057," |||||||19|80|YCBN|0|0|A|N|0","","Buccal Mucosa"
3,290,70,540,90,6939,76545," ||||||cm|19|80|YCUVN|0|0|Y|N|0","",":0:0:0:Cervical Mass present"
3,290,210,540,230,7377,8961," |||||||19|80|YCN|0|0|A|N|0","","Bowel Sounds"
3,290,470,540,490,7497,8961," |||||||19|80|YCN|0|0|A|N|0","","Scrotum"
3,240,450,260,470,62217,257," |||||||19|80|YCNH|0|0|B|N|0","|K=13172680|T=T|L=",""
3,160,470,180,490,62233,257," |||||||19|80|YCNH|0|0|R|N|0","|K=13172735|T=T|L=",""
3,240,470,260,490,62235,257," |||||||19|80|YCNH|0|0|B|N|0","|K=13172680|T=T|L=",""
3,160,490,180,510,67411,257," |||||||1|80|YCNH|0|0|R|N|0","|K=13172680|T=T|L=",""
3,240,510,260,530,155156,257," |||||||1|80|YCNH|0|0|B|N|0","|K=13172680|T=T|L=",""
3,40,430,270,530,0,8,"110|150|190","|K=-2147483633|O=13172680|E=13172735|R=20|W=1","Tympanic Membrane|Right|Left|Bilat"
3,40,430,0,0,1,8,"","","Erythema Present|Loss of Light Reflex|Loss of Landmarks|Mobillity Decreased||||"
3,200,490,220,510,67412,257," |||||||1|80|YCNH|0|0|L|N|0","|K=13172680|T=T|L=",""
3,290,390,540,410,7524,8961," |||||||19|80|YCN|0|0|A|N|0","","External Female Genitalia"
3,560,370,810,390,8942,8961," |||||||19|80|YCN|0|0|A|N|0","","Muscle Tone"
3,560,390,810,410,9050,8961," |||||||19|80|YCN|0|0|A|N|0","","Reflexes"
3,570,290,690,310,9306,13057," |||||||19|80|YCBN|0|0|A|N|0","","Hands"
3,570,250,690,270,7852,13057," |||||||19|80|YCBN|0|0|A|N|0","","Elbows"
3,570,230,690,250,7901,13057," |||||||19|80|YCBN|0|0|A|N|0","","Shoulders"
3,560,170,810,190,7964,13057," |||||||19|80|YCBN|0|0|A|N|0","","Cervical Spine Abnormal"
3,560,150,810,170,7985,13057," |||||||19|80|YCBN|0|0|A|N|0","","Thoracolumbar Spine"
3,690,250,810,270,8179,13057," |||||||19|80|YCBN|0|0|A|N|0","","Hips"
3,690,270,810,290,8121,13057," |||||||19|80|YCBN|0|0|A|N|0","","Knees"
3,690,290,810,310,8072,13057," |||||||19|80|YCBN|0|0|A|N|0","","Ankles"
3,690,310,810,330,8029,13057," |||||||19|80|YCBN|0|0|A|N|0","","Feet"
3,560,210,810,230,248705,8449," |||||||19|80|YCN|0|0|Y|N|0","","Grossly normal movement"
3,560,190,810,210,169812,13057," |||||||19|80|YCBN|0|0|A|N|0","","Lumbar/lumbosacral Spine"
3,570,270,690,290,7813,13057," |||||||19|80|YCBN|0|0|A|N|0","","Wrists"
3,690,230,810,250,60771,13057," |||||||19|80|YCBN|0|0|A|N|0","","Fingers"
3,20,310,270,330,6461,13057," |||||||19|80|YCBN|0|0|A|N|0","","Conjunctiva"
3,20,330,270,350,260095,13057," |||||||19|80|YCBN|0|0|Y|N|0","","Conjunctival Discharge present"
5,10,225,390,285,0,32769," |||||||0|0||0|0|||0","|T=T","You can enter up to 2000 characters of free text associated with each finding. With some items you click this button and then type into the window that appears. The look of the button then changes to indicate that text has been added to that finding."
5,10,414,390,445,0,32769," |||||||0|215||0|0|||0","","For items that look like this if the finding is True click the 'Y' then type a word or phrase to describe the details in the blank text field."
5,10,10,390,50,0,32769," |||||||0|0||0|0|||0","","We want to improve Medcin Forms! If we have left off what you consider to be an essential clinical finding send us a note and let us know. Be sure to tell us which Form. Or if you have ideas for future Forms let us know that too! "
5,95,192,293,212,0,32769," |||||||0|0||0|0|||0","|T=T","Rapid or Irregular Heartbeat (Palpitations)"
5,430,10,790,30,0,32769," |||||||0|0||0|0|||0","C=16711680|B=T","Click to Request Forms Help or Comment on Forms by Email -->"
5,20,90,20,200,0,1," |||||||0|80||0|0|||0","","0:0:1:2:"
5,467,358,762,386,0,2," |||||||0|0||0|0|||0","27:","16711680:0:1:2:Caption"
5,20,200,40,200,0,1," |||||||0|0||0|0|||0","","0:0:4:1:"
5,700,106,729,122,0,2," |||||||0|0||0|0|||0","28:","16777215:0:0:1:"
5,57,284,353,331,0,2," |||||||0|0||0|0|||0","29:","16711680:0:1:2:Caption"
5,430,145,810,205,0,32769," |||||||2|80||0|0|||0","","Medcin has thousands of terms organized as a hierarchical tree with 'parent' and 'children' terms. Forms show a fraction of what's available. When using Forms you'll notice that passing your cursor over some items changes the cursor to a question mark."
5,450,40,790,70,0,32768," |||||||0|80||0|0|||0","C=255|B=T","Do not use this button to report system 'bugs.' Please use your local bug-reporting procedures for that!"
5,10,60,370,90,0,32769," |||||||0|0||0|0|||0","|T=T","The 'Y' and 'N' checkboxes indicate whether the item is True or False. If left unchecked the finding will not be shown in the encounter note."
5,50,130,390,170,0,32769," |||||||0|0||0|0|||0","|T=T","Signs & Symptoms will have a button that sayseither HPI or ROS. Clicking this button alternates from HPI to ROS or ROS to HPI. (This makes a difference in coding and billing.)"
5,52,185,348,213,0,2," |||||||0|0||0|0|||0","30:","16711680:0:1:2:"
5,310,167,310,179,0,1," |||||||0|0||0|0|||0","","0:0:4:1:"
5,56,381,352,407,0,2," |||||||0|0||0|0|||0","31:","16711680:0:1:2:Caption"
5,10,335,390,375,0,32769," |||||||0|80||0|0|||0","|T=T","Some items have a free text area immediately available (the white areas in these examples). In that case just click in the white space and start typing. Double- clicking any white area will open a small window for entering information."
5,410,10,410,525,0,1," |||||||0|0||0|0|||0","","11513775:0:1:5:"
5,430,295,810,335,0,32769," |||||||0|80||0|0|||0","","Similarly the question mark cursor which appears when rolling over bold underlined headings can be a gateway to the underlying details in Medcin. Can't find the HPI item you want? Right-click the 'History of Present Illness' heading!"
5,561,328,561,352,0,1," |||||||0|0||0|0|||0","","986895:0:4:1:"
5,467,207,763,235,0,2," |||||||0|0||0|0|||0","32:","16711680:0:1:2:Caption"
5,10,445,390,485,0,32769," |||||||0|80||0|0|||0","","Type up to 2000 characters of text here and it will all emit to your note but you'll only see a short line of text on the Form. Double-click white areas to show all your text. What you type will appear in your note even if it won't all fit on screen."
5,470,364,625,384,0,32769," ||||||cm|0|80||0|0|||0","|B=T|U=T|T=T","History of Present Illness"
5,430,444,810,486,0,32769," |||||||0|80||0|0|||0","","What's that? The Form doesn't contain the cardiovascular finding your want? Right click the heading and you will have access to all of the Medcin findings related to the cardiovascular exam! This trick works for almost all headings."
5,430,244,810,284,0,32769," |||||||0|80||0|0|||0","","The question mark means the item is a parent term and that there are sub-ordinate children findings available for further describing this clinical concept. If you RIGHT click the item you may use these children items in your note."
5,467,395,762,423,0,2," |||||||0|0||0|0|||0","33:","16711680:0:1:2:Caption"
5,743,366,753,376,0,2," |||||||0|0||0|0|||0","34:","16777215:0:0:1:"
5,677,430,677,470,0,1," |||||||0|0||0|0|||0","","986895:0:5:1:"
5,430,490,810,531,0,32769," ||||||cm|0|80||0|0|||0","","Right clicking brings up what we call the 'browse tree' of Medcin findings. To add dates free text or other details to the browse tree item click the 'Details' button above the Form window."
5,571,95,671,135,0,32768," |||||||0|0||0|0|||0","|T=T","Click or Double-click to enter numbers and calendar dates"
5,432,102,544,128,0,2," |||||||0|0||0|0|||0","35:","16711680:0:1:2:Caption"
5,696,102,809,128,0,2," |||||||0|0||0|0|||0","36:","16711680:0:1:2:Caption"
5,674,115,690,115,0,1," |||||||0|0||0|0|||0","","0:0:4:1:"
5,551,115,567,115,0,1," |||||||0|0||0|0|||0","","0:0:5:1:"
5,508,106,537,122,0,2," |||||||0|0||0|0|||0","37:","16777215:0:0:1:"
5,507,105,507,123,0,1," |||||||0|0||0|0|||0","","7303023:0:0:1:"
5,508,105,539,105,0,1," |||||||0|0||0|0|||0","","7303023:0:0:1:"
5,509,124,539,124,0,1," |||||||0|0||0|0|||0","","16777215:0:0:1:"
5,58,193,67,204,0,2," |||||||0|0||0|0|||0","38:","16777215:0:0:1:"
5,56,192,70,205,0,32768," |||||||0|0||0|0|||0","C=9408399|T=T","Y"
5,56,191,56,206,0,1," |||||||0|0||0|0|||0","","7303023:0:0:1:"
5,56,190,70,190,0,1," |||||||0|10||0|0|||0","","7303023:0:0:1:"
5,57,206,70,206,0,1," |||||||0|0||0|0|||0","","16777215:0:0:1:"
5,78,193,87,204,0,2," |||||||0|0||0|0|||0","39:","16777215:0:0:1:"
5,57,191,70,191,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,57,191,70,191,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,57,191,70,191,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,57,191,70,191,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,57,192,57,205,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,70,191,70,206,0,1," |||||||0|0||0|0|||0","","16777215:0:0:1:"
5,76,192,90,205,0,32768," |||||||0|0||0|0|||0","C=9408399|T=T","N"
5,76,191,76,206,0,1," |||||||0|0||0|0|||0","","7303023:0:0:1:"
5,76,190,90,190,0,1," |||||||0|0||0|0|||0","","7303023:0:0:1:"
5,77,206,90,206,0,1," |||||||0|0||0|0|||0","","16777215:0:0:1:"
5,359,200,374,200,0,1," |||||||0|0||0|0|||0","","0:0:5:1:"
5,77,191,90,191,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,77,191,90,191,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,77,191,90,191,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,77,191,90,191,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,77,192,77,205,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,90,191,90,206,0,1," |||||||0|0||0|0|||0","","16777215:0:0:1:"
5,509,106,538,106,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,508,106,508,123,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,61,289,347,325,0,2," |||||||0|0||0|0|||0","40:","16777215:0:0:1:"
5,540,105,540,124,0,1," |||||||0|0||0|0|||0","","16777215:0:1:1:"
5,374,200,374,227,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,127,388,136,399,0,2," |||||||0|0||0|0|||0","41:","16777215:0:0:1:"
5,125,387,139,400,0,32768," |||||||0|0||0|0|||0","C=9408399|T=T","Y"
5,125,386,125,401,0,1," |||||||0|0||0|0|||0","","7303023:0:0:1:"
5,125,385,139,385,0,1," |||||||0|10||0|0|||0","","7303023:0:0:1:"
5,126,401,139,401,0,1," |||||||0|0||0|0|||0","","16777215:0:0:1:"
5,147,388,156,399,0,2," |||||||0|0||0|0|||0","42:","16777215:0:0:1:"
5,126,386,139,386,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,126,386,139,386,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,126,386,139,386,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,126,386,139,386,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,126,387,126,400,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,139,386,139,401,0,1," |||||||0|0||0|0|||0","","16777215:0:0:1:"
5,145,387,159,400,0,32768," |||||||0|0||0|0|||0","C=9408399|T=T","N"
5,145,386,145,401,0,1," |||||||0|0||0|0|||0","","7303023:0:0:1:"
5,145,385,159,385,0,1," |||||||0|0||0|0|||0","","7303023:0:0:1:"
5,146,401,159,401,0,1," |||||||0|0||0|0|||0","","16777215:0:0:1:"
5,146,386,159,386,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,146,386,159,386,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,146,386,159,386,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,146,386,159,386,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,146,387,146,400,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,159,386,159,401,0,1," |||||||0|0||0|0|||0","","16777215:0:0:1:"
5,328,193,338,203,0,2," |||||||0|0||0|0|||0","43:","16777215:0:0:1:"
5,343,189,343,209,0,1," |||||||0|0||0|0|||0","","7303023:0:0:1:"
5,324,208,344,208,0,1," |||||||0|10||0|0|||0","","7303023:0:0:1:"
5,323,188,343,188,0,1," |||||||0|0||0|0|||0","","16777215:0:0:1:"
5,324,209,344,209,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,344,188,344,209,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,323,189,323,209,0,1," |||||||0|0||0|0|||0","","16777215:0:0:1:"
5,328,194,339,194,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,328,203,339,203,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,339,193,339,204,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,328,193,328,203,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,328,193,339,193,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,62,289,348,325,0,32769," |||||||0|0||0|0|||0","|T=T"," Additional History of Present Illness:"
5,60,287,60,327,0,1," |||||||0|0||0|0|||0","","7303023:0:0:1:"
5,60,287,350,287,0,1," |||||||0|0||0|0|||0","","7303023:0:0:1:"
5,61,327,350,327,0,1," |||||||0|0||0|0|||0","","16777215:0:0:1:"
5,61,288,349,288,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,61,288,61,326,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,350,287,350,327,0,1," |||||||0|0||0|0|||0","","16777215:0:1:1:"
5,60,387,124,403,0,32769," |||||||0|10||0|0|||0","|U=T|T=T","Alcohol Use"
5,493,215,502,226,0,2," |||||||0|0||0|0|||0","44:","16777215:0:0:1:"
5,743,215,753,225,0,2," |||||||0|0||0|0|||0","45:","16777215:0:0:1:"
5,758,211,758,231,0,1," |||||||0|0||0|0|||0","","7303023:0:0:1:"
5,303,191,316,205,0,2," |||||||0|0||0|0|||0","46:","16777215:0:0:1:"
5,308,192,308,197,0,1," |||||||0|0||0|0|||0","","16711935:0:0:1:"
5,305,192,305,197,0,1," |||||||0|0||0|0|||0","","16711935:0:0:1:"
5,305,194,308,194,0,1," |||||||0|0||0|0|||0","","16711935:0:0:1:"
5,310,196,310,201,0,1," |||||||0|0||0|0|||0","","16711935:0:0:1:"
5,310,196,313,196,0,1," |||||||0|0||0|0|||0","","16711935:0:0:1:"
5,310,198,313,198,0,1," |||||||0|0||0|0|||0","","16711935:0:0:1:"
5,313,197,313,198,0,1," |||||||0|0||0|0|||0","","16711935:0:0:1:"
5,315,200,315,205,0,1," |||||||0|0||0|0|||0","","16711935:0:0:1:"
5,313,200,317,200,0,1," |||||||0|0||0|0|||0","","16711935:0:0:1:"
5,313,205,317,205,0,1," |||||||0|0||0|0|||0","","16711935:0:0:1:"
5,320,189,320,209,0,1," |||||||0|0||0|0|||0","","7303023:0:0:1:"
5,301,208,321,208,0,1," |||||||0|10||0|0|||0","","7303023:0:0:1:"
5,300,188,320,188,0,1," |||||||0|0||0|0|||0","","16777215:0:0:1:"
5,301,209,321,209,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,321,188,321,209,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,300,189,300,209,0,1," |||||||0|0||0|0|||0","","16777215:0:0:1:"
5,739,230,759,230,0,1," |||||||0|10||0|0|||0","","7303023:0:0:1:"
5,738,210,758,210,0,1," |||||||0|0||0|0|||0","","16777215:0:0:1:"
5,491,214,505,227,0,32768," |||||||0|0||0|0|||0","C=9408399|T=T","N"
5,491,213,491,228,0,1," |||||||0|0||0|0|||0","","7303023:0:0:1:"
5,491,212,505,212,0,1," |||||||0|0||0|0|||0","","7303023:0:0:1:"
5,492,228,505,228,0,1," |||||||0|0||0|0|||0","","16777215:0:0:1:"
5,492,213,505,213,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,492,213,505,213,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,492,213,505,213,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,492,213,505,213,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,492,214,492,227,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,505,213,505,228,0,1," |||||||0|0||0|0|||0","","16777215:0:0:1:"
5,169,385,346,401,0,2," |||||||0|0||0|0|||0","47:","16777215:0:0:1:"
5,168,384,168,402,0,1," |||||||0|0||0|0|||0","","7303023:0:0:1:"
5,169,384,348,384,0,1," |||||||0|0||0|0|||0","","7303023:0:0:1:"
5,170,403,349,403,0,1," |||||||0|0||0|0|||0","","16777215:0:0:1:"
5,170,385,348,385,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,169,385,169,402,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,349,384,349,403,0,1," |||||||0|0||0|0|||0","","16777215:0:1:1:"
5,739,231,759,231,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,759,210,759,231,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,738,211,738,231,0,1," |||||||0|0||0|0|||0","","16777215:0:0:1:"
5,743,216,754,216,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,743,225,754,225,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,754,215,754,226,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,743,215,743,225,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,473,215,482,226,0,2," |||||||0|0||0|0|||0","48:","16777215:0:0:1:"
5,471,214,485,227,0,32768," |||||||0|0||0|0|||0","C=9408399|T=T","Y"
5,471,213,471,228,0,1," |||||||0|0||0|0|||0","","7303023:0:0:1:"
5,471,212,485,212,0,1," |||||||0|10||0|0|||0","","7303023:0:0:1:"
5,472,228,485,228,0,1," |||||||0|0||0|0|||0","","16777215:0:0:1:"
5,472,213,485,213,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,472,213,485,213,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,472,213,485,213,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,472,213,485,213,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,472,214,472,227,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,485,213,485,228,0,1," |||||||0|0||0|0|||0","","16777215:0:0:1:"
5,11,490,391,533,0,32769," |||||||0|0||0|0|||0","C=16711680","IMPORTANT! To ensure maximum readability of your note always start the free text phrase with a colon (' : ') then a space then capitalize the first letter. If you don't follow this advice your free text will sometimes read awkwardly."
5,743,215,754,215,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,511,213,701,233,0,32769," |||||||0|0||0|0|||0","|T=T","Lungs Clear to Auscultation"
5,699,105,699,123,0,1," |||||||0|0||0|0|||0","","7303023:0:0:1:"
5,700,105,731,105,0,1," |||||||0|0||0|0|||0","","7303023:0:0:1:"
5,701,124,731,124,0,1," |||||||0|0||0|0|||0","","16777215:0:0:1:"
5,701,106,730,106,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,700,106,700,123,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,732,105,732,124,0,1," |||||||0|0||0|0|||0","","16777215:0:1:1:"
5,738,106,800,126,0,32769," |||||||0|0||0|0|||0","|T=T","Mass (cm)"
5,435,108,483,121,0,32769," |||||||0|0||0|0|||0","|T=T","Admitted:"
5,511,109,538,123,0,32769," ||||||cm|0|80||0|0|||0","C=9408399|T=T","Date"
5,653,208,672,228,0,32769," |||||||0|0||0|0|||0","|B=T|T=T","?"
5,470,401,733,421,0,32769," ||||||cm|0|80||0|0|||0","|B=T|U=T|T=T","Examination of the Cardiovascular System"
5,743,403,753,413,0,2," |||||||0|0||0|0|||0","49:","16777215:0:0:1:"
5,758,399,758,419,0,1," |||||||0|0||0|0|||0","","7303023:0:0:1:"
5,739,418,759,418,0,1," |||||||0|10||0|0|||0","","7303023:0:0:1:"
5,738,398,758,398,0,1," |||||||0|0||0|0|||0","","16777215:0:0:1:"
5,739,419,759,419,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,759,398,759,419,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,738,399,738,419,0,1," |||||||0|0||0|0|||0","","16777215:0:0:1:"
5,743,404,754,404,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,743,413,754,413,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,754,403,754,414,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,743,403,743,413,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,743,403,754,403,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,758,362,758,382,0,1," |||||||0|0||0|0|||0","","7303023:0:0:1:"
5,739,381,759,381,0,1," |||||||0|10||0|0|||0","","7303023:0:0:1:"
5,738,361,758,361,0,1," |||||||0|0||0|0|||0","","16777215:0:0:1:"
5,739,382,759,382,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,759,361,759,382,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,738,362,738,382,0,1," |||||||0|0||0|0|||0","","16777215:0:0:1:"
5,743,367,754,367,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,743,376,754,376,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,754,366,754,377,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,743,366,743,376,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,743,366,754,366,0,1," |||||||0|0||0|0|||0","","0:0:0:1:"
5,-50,10,810,30,250326,262913," |||||||19|80|YCR|10|0|||0","C=16711680|T=T|L=",""
1,10,120,270,160,112343,4203265," |||||||19|80|YCN|0|0|Y|N|0","|B=T|L=","Thisis a new consult visit~Referred by: "
1,10,160,270,190,0,32768," |||||||0|0||0|0|||0","C=255|B=T","NOTE: Change 'Service Type' to 'Consult' in Disposition Module"
1,300,120,540,140,120052,12545," |||||||19|150|YCBN|0|0|Y|N|0","","Reviewed Dietary Hx"
1,290,10,540,30,5101,12289," |||||||14|80|CBN|0|0|||0","|B=T|U=T|L=","Past Medical / Surgical History"
1,300,30,540,50,112381,12545," |||||||19|150|YCBN|0|0|Y|N|0","","Reviewed Past Medical Hx~: Reviewed Autocite Content "
1,290,290,540,330,0,32768," |||||||0|150||0|0|T|F|0","C=255","TIP: If you enter past medical and surgical info in the patient 'Problems List' the items will be autocited into future visits and available in Dx pick-lists."
1,290,240,540,280,4415,4202497," |||||||19|80||0|0|||0","","~Other concerns/Subjective information: "
1,300,90,540,120,3390,13057," |||||||19|150|YCBN|0|0|Y|N|0","","Reviewed Allergy Hx (N indicates no known drug allergies)~: Reviewed Allergy Information in CHCS"
1,560,230,810,250,0,32769," |||||||0|80||0|0|T|F|0","|B=T|U=T","Disability"
5,790,10,810,30,250326,262145," |||||||19|80|CR|10|0|||0","",""
3,200,450,220,470,62216,257," |||||||19|80|YCNH|0|0|L|N|0","|K=13172680|T=T|L=",""
3,200,470,220,490,62234,257," |||||||19|80|YCNH|0|0|L|N|0","|K=13172680|T=T|L=",""
3,200,510,220,530,155155,257," |||||||1|80|YCNH|0|0|L|N|0","|K=13172680|T=T|L=",""
5,30,90,380,130,0,32769," |||||||0|0||0|0|||0","","Some terms have 'A' and 'N' checkboxes for Abnormal and Normal states. Again unchecked terms will not appear in the note. ~In general checkmarks on the left side are 'bad'."
5,790,10,810,30,250326,262145," |||||||19|80|CR|10|0|||0","",""
3,20,50,270,70,208832,12545," |||||||19|80|YCBN|0|0|Y|N|0","","Reviewed Pain Level~: Reviewed"
3,10,130,270,150,9307,12289," |||||||19|80|CBN|0|0|||0","|B=T|U=T|Y=0|L=","General"
3,10,10,270,30,6001,12289," |||||||19|80|CBN|0|0|||0","|B=T|U=T|Y=0|L=","Vital Signs"
1,20,330,270,350,2421,257," |||||||19|80|YC|0|0|Y|N|0","","Mother"
1,20,350,270,370,2422,257," |||||||19|80|YC|0|0|Y|N|0","","Father"
1,20,310,270,330,2063,257," |||||1||19|80|YC|0|0|Y|N|0","","Patient"
1,580,410,810,430,33288,8961,"F|||||||19|80|YCN|0|0|Y|N|0","","Hypertension"
1,580,430,810,450,32881,8961,"F|||||||19|80|YCN|0|0|Y|N|0","","Asthma"
1,580,450,810,470,214032,8961,"F|||||||19|80|YCN|0|0|Y|N|0","","Hyperlipidemia"
1,580,470,810,490,30479,8961,"F|||||||19|80|YCN|0|0|Y|N|0","","Diabetes Mellitus"
1,580,490,810,510,32401,8961,"F|||||||19|80|YCN|0|0|Y|N|0","","Alcoholism"
1,570,130,810,150,120048,13057," |||||||19|80|YCBN|0|0|Y|N|0","","Sleep Habits"
1,570,30,810,50,4810,8961," |||||||19|80|YCN|0|0|Y|N|0","","Cared for at Home"
1,570,50,810,70,4811,8961," |||||||19|80|YCN|0|0|Y|N|0","","Cared for by a Babysitter"
1,570,70,810,90,4172,8961," |||||||19|80|YCN|0|0|Y|N|0","","Cared for by a Relative"
1,570,110,810,130,120931,13057," |||||||19|80|YCBN|0|0|Y|N|0","","Reg. Exercise"
1,290,340,540,360,39448,4096,"H|||||||19|80||0|0|||0","|B=T|U=T|L=","Previous Diagnoses"
1,570,90,810,110,4169,8961," |||||||19|80|YCN|0|0|Y|N|0","","Child Enrolled In Day-care"
1,570,150,810,170,3008,80641," ||||||years|19|80|YCUVBN|0|0|Y|N|0","",":0:0:0:Smoking"
1,570,170,810,190,3012,13057," |||||||19|80|YCBN|0|0|Y|N|0","","Drug Use"
1,300,420,540,450,32642,8961,"H|||||||19|80|YCN|0|0|Y|N|0","","Hx of Attention-deficit Disorder With Hyperactivity"
1,300,360,540,380,33847,13057,"H|||||||19|80|YCBN|0|0|Y|N|0","","Hx of Abuse"
1,300,380,540,400,32881,13057,"H|||||||19|80|YCBN|0|0|Y|N|0","","Hx of Asthma"
1,570,190,810,210,604,13057," |||||||19|80|YCBN|0|0|Y|N|0","","Birth Control"
1,570,210,810,230,3026,13057," |||||||19|80|YCBN|0|0|Y|N|0","","Sexually Active"
1,300,400,540,420,33153,13057,"H|||||||19|80|YCBN|0|0|Y|N|0","","Hx of Acne"
2,630,430,810,460,1215,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","No Desire to Continue Living"
2,420,40,610,60,0,32769," |||||||0|80||0|0|T|F|4","|B=T|U=T","Genitourinary Sx(cont)"
2,230,200,410,220,341,268449537," |||||||19|80|YCBNH|0|0|Y|N|4","","Palpitations"
1,290,460,540,480,40142,33566720,"H|||||||19|80||0|0|||0","|B=T|U=T|L=","Vaccines"
3,150,110,270,130,10022,67585," ||||||cm|19|80|UVC|0|0|||0","",":33:38:1:HC"
3,20,90,140,110,209268,67585," |||||||19|80|UVCN|0|0|||0","",":0:0:0: Weight %ile"
3,20,110,140,130,209270,67585," |||||||19|80|UVCN|0|0|||0","",":0:0:0: Height %ile"
3,560,450,810,470,209275,8960," |||||||19|80||0|0|A|F|0","","Growth Parameters"
3,340,350,430,370,240479,67585," ||||1|||19|80|CUV|0|0|||0","",":0:0:0:Genital"
3,280,350,330,370,0,32769," |||||||19|80||0|0|||0","|B=T|U=T","Tanner:"
3,280,410,330,430,0,32769," |||||||19|80||0|0|||0","|B=T|U=T","Tanner:"
3,440,350,540,370,209272,67585," |||||||19|80|CUV|0|0|||0","",":0:0:0:Pubic Hair"
3,560,470,810,490,11174,8960," |||||||19|80||0|0|A|N|0","","Sexual Maturation for Age"
3,550,430,810,450,64675,4096," |||||||19|80||0|0|||0","|B=T|U=T|L=","Growth and Development"
3,440,410,540,430,209274,67585," |||||||19|80|CUV|0|0|||0","",":0:0:0:Pubic Hair"
3,340,410,430,430,209273,67585," |||||||19|80|CUV|0|0|||0","",":0:0:0:Breast"
3,20,230,270,250,6744,13057," |||||||19|80|YCBN|0|0|Y|N|0","","Sinus Tenderness"
3,150,90,270,110,248723,67585," |||||||19|80|UVCN|0|0|||0","",":0:0:0: Length %ile"
1,300,200,540,220,120842,8961," |||||||19|80|YCN|0|0|Y|N|0","","Cardiac Risk Factors~: Risk Factors Present -- ~___ Age~___ Male Sex~___ Post-menapausal~___ Family History~___ Tobacco Use~___ Hypertension~___ Diabetes~___ Hyperlipidemia~___ Sedentary Lifestyle"
4,180,240,410,260,71239,8449," |||||||19|80|YCN|0|0|||0","","Shaving Of Lesion"
4,10,240,180,260,41746,8449," |||||||19|80|YCN|0|0|||0","","Excision Of Skin Lesion"
4,10,330,410,350,71067,33562881," |||||||19|180|YCN|0|0|||0","","Permanent Excision Of Nail And Matrix"
4,420,330,800,350,4642,8961," |||||||19|80|YCN|0|0|||0","","Complications~: (Complications)"
4,420,20,800,40,0,32769," |||||||0|0||0|0|||0","|B=T|U=T","Procedure Details"
4,10,370,180,390,42687,8449," |||||||19|80|YCN|0|0|||0","","IUD Insertion"
4,180,370,350,390,42688,8449," |||||||19|80|YCN|0|0|||0","","IUD Removal"
4,10,390,180,410,133187,8449," |||||||19|80|YCN|0|0|||0","","IUD Reinsertion"
4,180,390,350,410,16528,8449," |||||||19|80|YCN|0|27|||0","","Endometrial Biopsy~ -- See Details under 'Therapy'"
4,10,260,410,310,78150,4202753," |||||||19|220|YCN|0|0|||0","","Destruction Of Benign Lesion~: Method To Be Used: ___Cryo___Electrocautery___Other:"
4,10,170,410,190,0,32769," |||||||0|80||0|0|||0","|B=T|U=T","Procedure to be performed"
4,10,190,410,220,252233,33563393," |||||||19|220|YCN|0|0|||0","","Diagnosis Reviewed -- Indication for Procedure:~ -- indication for procedure:"
4,10,120,410,140,252662,33563393," |||||||19|80|YCN|0|0|||0","","Parent / Patient's Proxy Holder Authorized Proceeding"
4,10,350,170,370,0,32769," |||||||0|80||0|0|||0","|B=T","GYN Related"
4,10,220,180,240,0,32769," |||||||0|80||0|0|||0","|B=T","Derm Related"
4,230,80,410,100,77845,8449," |||||||19|80|YCN|0|0|||0","","Complications from Steroids"
4,230,60,410,80,77838,8449," |||||||19|80|YCN|0|0|||0","","Repeat Procedure"
4,30,80,230,100,77847,8449," |||||||19|80|YCN|0|0|||0","","Complications from Anesthesia"
4,130,60,230,80,77839,8449," |||||||19|80|YCN|0|0|||0","","Scarring"
4,10,100,410,120,252661,8961,"PR|||||||19|80|YCN|0|0|||0","","Risks benefits discussed and understood - Patient Wishes To Proceed"
4,10,20,210,40,77830,12289," |||||||19|80|CBN|0|0|||0","","Limitations And Risks~ of procedure:"
4,10,0,210,20,0,32769," |||||||0|0||0|0|||0","|B=T|U=T","Counseling and Education"
4,420,210,800,320,193316,4202753," |||||||19|80|YCN|0|0|||0","|B=T|U=T|L=","Details of Procedure"
4,420,420,800,440,258453,33562881," |||||||19|220|YCN|0|0|||0","","Patient Discharged Home~in good condition."
4,420,440,800,490,257248,4202753," |||||||19|80|YCN|0|0|||0","","Follow-Up For Post-Op~as indicated for evidence of swelling infection increasing pain bleeding."
4,420,400,800,420,256883,33562881," |||||||19|160|YCN|0|0|||0","","Post-procedure Assessment~: Time Released ___"
4,420,130,800,150,40230,33566977,"AD|||||||19|200|YCBN|0|0|||0","","Local Anesthetic~: Type and Amount:__"
4,420,150,800,170,40244,33562881,"AD|||||||19|200|YCN|0|0|||0","","Digital Block~: Location:___"
4,420,170,800,190,199092,33566977,"AD|||||||19|200|YCBN|0|0|||0","","Local Anesthetic Combinations~: "
4,420,190,800,210,75137,33566977," |||||||19|350|YCNB|0|0|||0","","~Patient prepped and draped in sterile fashion"
4,30,60,130,80,252467,8449," |||||||19|80|YCN|0|0|||0","","Pain"
4,230,40,410,60,77841,8449," |||||||19|80|YCN|0|0|||0","","Recurrence"
4,30,40,130,60,77848,8449," |||||||19|80|YCN|0|0|||0","","Infection"
4,130,40,230,60,77849,8449," |||||||19|80|YCN|0|0|||0","","Bleeding"
4,420,40,800,130,75131,4202753," |||||||19|80|YCN|0|0|||0","","Confirmation of patient; procedure; and laterality~--  Patient ID planned procedure verbally confirmed by nurse patient and physician/provider performing procedure."
4,10,310,410,330,45674,33562881," |||||||19|180|YCN|0|0|||0","","Incision Of Soft Tissue Abscess"
4,420,350,800,440,257539,4202753," |||||||19|80|YCN|0|0|||0","","        Specimen(s) sent to Pathology~: See Tissue Request associated with procedure visit for details"
4,10,140,410,160,253813,8961," |||||||19|80|YCN|0|0|||0","","Consent Form Signed"
4,420,90,800,110,193309,8449," |||||||19|80|YCN|0|0|||0","","Verified Signed Consent Form In Chart"
4,440,350,460,370,252329,513," |||||||19|80||0|0|||0","|O=257|L=","~: No Specimens Sent to Pathology"
2,20,30,210,50,111836,268444929," |||||||19|80|YCNH|0|0|Y|N|4","|B=T|L=","ROS Unobtainable~ due to: altered LOC/PT cond/other"
0,0,0,0,0,0,262144,"","#10	mailto:david.freeman@se.amedd.army.mil	Patient reference","Medcin Help"