| Fill Out Chart |
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| v | During
the visit the medical professional will ask the |
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| client
questions and discover information … where |
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| will
this information be recorded? |
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| v | Visits
-- it represents the event of the client seeing |
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| the
medical professional, making it a logical location |
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| v | What
information will be gathered … |
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| o | History
-- what is the relevant past medical data? |
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| o | Symptoms
-- what’s wrong now? |
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| o | Notes
-- observations about the patient, comments |
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| o | Tests
requested |
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