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Clerks' Mock Chart: ASMPH Year Level 8 Internal Medicine Rotation

This document contains a mock chart for an internal medicine rotation. The chart includes sections for patient information, problem list, healthcare provider notes, and orders. It appears to be a template for documenting patient visits and care.

Uploaded by

Mark Mumar
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
83 views

Clerks' Mock Chart: ASMPH Year Level 8 Internal Medicine Rotation

This document contains a mock chart for an internal medicine rotation. The chart includes sections for patient information, problem list, healthcare provider notes, and orders. It appears to be a template for documenting patient visits and care.

Uploaded by

Mark Mumar
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Clerks’

Mock Chart
ASMPH Year Level 8 Internal Medicine Rotation

Name: PIN:
Birth Date: Age:
Sex: Visit Type:
Physician: Room No.:

PATIENT’S PROBLEM LIST
Date/Time Problem/Issue Date Detected Date Resolved Signature






DATE / HEALTH CARE PROVIDER’S NOTES


ORDERS
TIME (Subjective, Objective, Assessment/Analysis, Plan of Care)

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