DCE (Shadow Health) Documentation Template for Focused Exam

  • Review the DCE (Shadow Health) Documentation Template for Focused Exam: Chest Pain base in this week’s Learning Resources and use this template to consummate your Documentation Notes for this DCE Assignment.
  • Consider what truth would be needful to infer from the enduring.
  • Consider what visible exams and feature tests would be divert to infer more knowledge about the enduring's case. How would the results be used to fabricate a speciality?

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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