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This outline can obviously be edited for ease of use, coding, billing, as software formats are periodically revised.
Chief Complaint
Present Illness
Prior Diagnoses
Allergies
Operations
Injuries
Medicines
Family History
Social History
Lab:
Diagnoses:
1.
2.
.......
Treatments:
1.
2.
......
etc.
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Encryption For Privacy As The Patient Wishes. The patient
signs a waiver regarding liability regarding non-availability of the record in an emergency. The record is electronically
recorded on a plastic card for ease of use by the doctor, as is done in France (See "The Healing of America" by T.R. Reid).
Unavailable
For Use By Anyone Not Specified By The Patient: No Government, No "Researcher" or Relative, etc.:
This Record Is Owned and Controlled By The
Patient.
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