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H&P
History and Physical (comprehensive medical documentation)
CC
Chief Compliant- primary reason the patient is seeking care
HPI
History of Present illness- detailed account of the current problems
PHM
Past Medical History- patients previous illnesses, hospitalizations and surgeries
PSH
Past surgical history- surgical operations and dates
FH
Family History- health of immediate relatives, genetic predispositions
SH
Social History- lifestyle, occupation, habits, exposures
ROS
Review of Systems- system by system patient symptom review
NKDA
no known drug allergies
NKA
no known allergies