mod_ PMH

  • [3] [b]PMH/PSH/PSFH:[/b]
    • [01] [2] PMH/PSH:   
      • [var_pmh]
      • [01] medical/surgical history pertinent to chief complaint as noted in HPI
      • __
    • [01] [2] SH: 
      • [01] [1] [is,non,;var_ptdomiciled] domiciled, 
      • [2] [denies,endorses,__;var_shtob] tob, 
      • [2] [denies,endorses,__;var_shetoh] etoh use,
        • [daily,occasionally,former alcoholic;var_shetohfreq].    
        • [01] Pt advised not to drink/drive/use concurrent sedating meds/drugs/etoh.
      • [01] [1] [denies,endorses,__;var_shillicits] illicit drug use,
        • specifically __
        • Pt advised not to drink/drive/use concurrent meds/drugs/etoh and offered cessation resources. 
      • __
    • [01] [2] FH: 
      • [01] review and non-contributory to patient’s presenting complaint. 
      • __

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