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. 2014 Nov 14;2014:636–644.

Table 2:

Section topic selected for analysis.

Section Concept Case Count
Allergies 1269
Ancillary Data 1189
Anesthesia 417
Assessment 1865
Chief Complaint 1286
Course of Care 407
Diagnoses 817
Discharge Diagnoses 538
Discharge Disposition 418
Discharge Medications 378
Family History 934
History of Present Illness 2933
Indications 341
Intraoperative Pathology Exam 502
Medications 1355
Microscopic Exam 448
Other 2319
Past Medical History 2020
Pathologic Specimens 564
Physical Exam 1455
Plan 703
Post-Operative Diagnoses 473
Pre-Operative Diagnoses 695
Procedural Findings 663
Procedure Description 538
Procedures Performed 723
Review of Systems 1180
Social History 1215