Subjective Documentation in Provider Notes
Subjective fact documentation in Provider Notes is constructive and arranged and includes:
Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social Truth and Review of Systems (ROS)
ROS: covers all substance rules that may succor you formulate a schedule of differential diagnoses. You should schedule each rule as follows:
General: Head: EENT: etc.
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