Editor: MedicalTemplates has developed an internal medicine clinic history and physical form. This form is suitable for internal medicine physicians, family practice physicians, and other health care providers.
The Clinic H&P template contains prompters and space for the following required elements for a E&M encounter -
* Chief complaint
* History of present illness
* Past medical and surgical history
* Social history
* Family history
* Review of systems
* Review of data
* Physical exam (General Multisystem Exam)
* Assessment and plan
Medicare 2007 PQRI Quality Measure reminders included for
* #1 Hemoglobin A1C Poor Control in Diabetics
* #2 Low Density Lipid Control in Diabetics
* #3 High Blood Pressure Control in Diabetics
* #4 Screening for Future Fall Risk
* #5 Heart Failure: ACE or ARB for LVSD
* #7 Beta blocker therapy for CAD
* #8 Beta blocker therapy for LVSD
* #9 Antidepressant medication during new episode major Depression
* #46 Medication Reconciliation
* #47 Advanced Care Plan
* Download the Medicare 2007 PQRI Quality Measures from here.
This MedicalTemplate is suitable for
* History and Physicals
* Consult Notes
