CERNER EHR

Sleep: _ Interest: _ Guilt: _ Energy: _ Concentration: _ Appetite: _ Psychomotor: _ Suicidality/Homicide: _ Treatment: _ Support: _

_ yo _ w/ _ day h/o of _, nasal sx: _ ear pain: _ ST: _ Cough: _ Fever: _ Rhinorrhea: _ Tx: _ Flu shot: _ Tobacco exposure: _ Sick...

WWE: _ yo F G_P_ Menarche _ 1. Pap: Last pap: _ Abnormal pap: _ Menses: _ Vaginal complaints: 2. Breast: Last mammo: _ Abnormal mammo:...

DM2: No dry mouth, polyuria, polydipsia. Medication compliance: _. Blood glucose: Fasting: _ of 7 high (max: _ ) Breakfast: _...

Rheumatologic ROS is negative for: Malar rash, photosensitivity, alopecia, mucosal ulcers, Raynaud's phenomenon, SQ nodules, sense of...

Constitutional: No Weight Change, No Fever, No Chills, No Night Sweats, No Fatigue, No Malaise ENT/Mouth: No Hearing Changes, No Ear...