Table 1.

Note sections and subsections for use

Patient History ○ Chief Complaint ○ History of Present Illness ○ Past Medical History ○ Medications ○ Review of Systems ○ Code Status ○ Health Maintenance ○ Personal and Social History ○ Family Medical History Objective Data ○ Laboratory and Radiology Data ○ Physical Examination Assessment and Plan Problem List Reference Follow Up None

Note: “None” represents the location of words or concepts outside section boundaries.