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Omissions from notes identified by raters
| Scribed (%) | Non-Scribed (%) | |
|---|---|---|
| History of presenting complaint | 0 | 12 |
| Medical history, medications or allergies | 4 | 25 |
| Examination findings | 6 | 13 |
| Differential diagnosis | 5 | 2 |
| Results or outcomes of procedure | 60 | 31 |
| Final disposition on discharge from ED | 24 | 17 |
| Spelling errors | 1 | 0 |
