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Tina jones heent ehr documentation

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Documentation / Electronic Health Record  Document: Provider Notes Document: Provider Notes Student Documentation Model Documentation HPI: Ms. Jones is a pleasant 28-year-old African American woman who presented to the Patiet reports sore and itchy throat and runny clinic with complaints of sore, itchy throat, nose for 1 week Patient itchy eyes for 1 week. itchy eyes, and runny nose for the last week. Patient states blurred vision when reads, denies She states that these symptoms started spontaneously and have been constant in nature. wearing glasses or contacts. Patient states She does not note any specific aggravating throbbing headaches when studying; takes Tylenol to treat headaches; denies any injury Pt symptoms, but states that her throat pain seems denies any change in weight, fatigue, weakness, to be worse in the morning. She rates her throat pain as 4/10 and her throat it ...
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