0 pts
7 pts
9 pts
10 pts
Includes all pertinent objective data.
Provides clearly written explanation for patient appointment
How they got to this point in their health?<BR> What Signs and Symptoms? <BR> What tests did they have completed?<BR> How many times have they been hospitalized?<BR> What are the patients concerns?
General Health<BR> Accidents or Injuries<BR> Chronic Illnesses<BR> Hospitalizations<BR> Operations cardiothoracic surgery:<BR> Immunizations:<BR> Last Health Examinations:<BR> Current Medications/Supplments<BR> Allergies
Ask patient questions related to each system and get the patient's impression of their health
Summarizes all the history, physical, and subjective, objective information
Assesses all systems<BR> using Inspection, Palpation, Auscultation.