source: FOIAVistA/trunk/r/AUTOMATED_MED_INFO_EXCHANGE-DVBA-DVBC/DVBCWHY1.m@ 1757

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1DVBCWHY1 ;ALB/JFP HYPERTENSION WKS TEXT - 1 ; 12 FEB 1998
2 ;;2.7;AMIE;**16**;Apr 10, 1995
3 ;
4 ;
5TXT ;
6 ;;A. Review of Medical Records:
7 ;;
8 ;;B. Medical History (Subjective Complaints):
9 ;; Comment on:
10 ;; 1. Date of diagnosis.
11 ;; 2. Symptoms, if any.
12 ;; 3. Treatment - type, dosage, side effects.
13 ;;
14 ;;C. Physical Examination (Objective Findings):
15 ;; Address each of the following and fully describe current findings:
16 ;; 1. Blood pressure - If the diagnosis of hypertension has not been
17 ;; previously established, readings must be taken two or more
18 ;; times on at least three different days. If hypertension has
19 ;; been previously diagnosed, take three blood pressure readings
20 ;; on the day of examination.
21 ;; 2. Cardiac status - size, function. If there is evidence of
22 ;; hypertensive heart disease, use Heart Worksheet.
23 ;; 3. If arteriosclerotic complications of hypertension are present,
24 ;; use worksheet for the specific condition(s) found.
25 ;;
26 ;;D. Diagnostic and Clinical Tests:
27 ;; 1. X-rays or other tests, as indicated.
28 ;; 2. Include results of all diagnostic and clinical tests conducted
29 ;; in the examination report.
30 ;;
31 ;;
32 ;;E. Diagnosis:
33 ;;
34 ;;Signature: Date:
35 ;;END
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