enc100-2-3.encounter
PAPADOPOYLOS NICKOLAOS (NICK) < Age 47 > 12/3/1978
VISIT - - Clinical Case - Patient Record Summary
Reason for Encounter:
Review of Symptoms
Primary Symptom/Condition
Other Symptoms
General Review
| #_ehrtable | |
|---|---|
| Weight | |
| Height | |
| Posture and Gait | |
| Cooperative | |
| Communication | |
| Mood | |
| Other | |
Vital Signs
| #_ehrtable | |
|---|---|
| Systolic | mmHg |
| Diastolic | mmHg |
| Heart Rate | bpm |
| Respiratory Rate | breaths/min |
| Temperature | |
| Oxygen Saturation (SpO2) | % |
| Notes/Remarks | |
Review of Systems (ROS)
| #_ehrtable | |
|---|---|
| Skin | |
| Head/Neck | |
| Breast | |
| Respiratory | |
| Cardiovascular | |
| Gastrointestinal | |
| Urinary | |
| Genital | |
| Peripheral | |
| Musculoskeletal | |
| Neurological | |
| Hematologic | |
| Endocrine | |
Medication Administered
| DRUG | DOSE | STARTS | ENDS | OTHER | |
|---|---|---|---|---|---|
Clinical Course
Stages of Progression
Medical Instructions
...