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Autotext Dot Phrases for Cerner EHR

All templates, "autotexts", procedure notes, and other documents on these pages are intended as examples only for educational purposes.  Your documentation in the medical record should always reflect precisely your specific interaction with an individual patient.  Do not merely copy and paste a prewritten note element into a patient's chart - "cloning" is unethical, unsafe, and potentially fradulent.

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  • venturafamilymed
    • Sep 8, 2021
    • 1 min read

HPI - Diabetes

DM2:

No dry mouth, polyuria, polydipsia. Medication compliance: _.

Blood glucose:

Fasting: _ of 7 high (max: _ )

Breakfast: _ of 7 high (max: _ )

Lunch: _ of 7 high (max: _ )

Dinner: _ of 7 high (max: _ )

Vaccine: _ Pneumovax, _ Tdap, _ Flu.

Foot exam: Date: _ ; Concerns today: _ ; Checks feet at home: _

Retinal scan: Date: _ : Abnormalities: _

Meds: Metformin, _

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