source: FOIAVistA/trunk/r/AUTOMATED_MED_INFO_EXCHANGE-DVBA-DVBC/DVBCWHY1.m@ 969

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