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Admit Sheet

The document appears to be a template or form for patient information, including sections for history of present illness (HPI), past medical history (PMH), surgical history (Psurg), family history (FH), medications, allergies, substance use, vital signs, physical examination (PE), labs, and imaging. It contains repeated headings and placeholders for data entry. The structure suggests it is intended for use in a medical context to gather comprehensive patient information.

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fohatos551
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0% found this document useful (0 votes)
9 views

Admit Sheet

The document appears to be a template or form for patient information, including sections for history of present illness (HPI), past medical history (PMH), surgical history (Psurg), family history (FH), medications, allergies, substance use, vital signs, physical examination (PE), labs, and imaging. It contains repeated headings and placeholders for data entry. The structure suggests it is intended for use in a medical context to gather comprehensive patient information.

Uploaded by

fohatos551
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Name: AP

Code

HPI

Name:
Code

HPI

PMH
Psurg FH

PMH
Psurg FH

Meds
Allergy

Alc/Tob/Drug
Meds
Allergy

Alc/Tob/Drug

Vitals
CP/SOB/F/Ch/N/V/C/D

PE
BM/Urine/Neuro/LMP
Vitals
CP/SOB/F/Ch/N/V/C/D
Labs
PE
BM/Urine/Neuro/LMP

Labs

Imaging

Imaging
Imaging

AP

Name: AP
Code

HPI

Name:
Code

HPI

PMH
Psurg FH

PMH
Psurg FH

Meds
Allergy

Alc/Tob/Drug
Meds
Allergy

Alc/Tob/Drug

Vitals
CP/SOB/F/Ch/N/V/C/D

PE
BM/Urine/Neuro/LMP
Vitals
CP/SOB/F/Ch/N/V/C/D
Labs
PE
BM/Urine/Neuro/LMP
Labs

Imaging

AP

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