The words contained in this file might help you see if this file matches what you are looking for:

...Evaluation and management progress note based on the elements client name psp date em code face to time total psychotherapy add therapy interactivity complexity only with two of three criteria for i iii history exam or medical decision making must be met score key hx present illness hpi past family social pfsh review systems ros completed status chronic conditions chief complaint reason encounter required a location quality severity duration timing context modifying factors associated signs symptoms if unable gather from others indicate describe condition preventing collection one brief four more extended b may collected by staff information form reivewed so prescriber element pertinent established new complete check no change see dated detail diagnoses medications surgeries allergies not c active problems problem nine ten document notes positive changes indicated below constitutional pos neg eyes ears nose mouth throat cardiovascular respiratory gastrointestinal genitourinary muscular...