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Last Modified 5/13/2008
Hospital H&P Medical Note Template
The hospital history and physical (hospital H&P) MedicalTemplate is suitable for hospitalists, internal medicine physicians, family practice physicians, and other health care providers.
- E&M Documentation Template
- Digital Health Record
- Reminders
- Follow Up
- Referral
- Labs
- Therapeutic options
- Medicare PQRI
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Move pointer over template for larger image Template updated on 6/18/07 |
Template Features
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E & M Documentation Template
The hospital H&P MedicalTemplate contains prompters and space for all the required elements for a E&M encounter.
- History
- Chief complaint
- History of present illness
- Past medical and surgical history
- Social history
- Family history
- Review of systems
- Examination
- Medical Decision Making
- Review of data (labs, tests, imaging, old records)
- Assessment and plan
- 1997
Documentation Guidelines for Evaluation and Management
Services
- 1995
Documentation Guidelines for Evaluation and Management
Services
Digital Health Record
Filled hospital H&P MedicalTemplates can be printed and saved to a computer, USB drive, CD, DVD, or other storage device to create a digital health record for your patients.
To learn more about how MedicalTemplates can be used as a digital health record, click here.
Back to top>Medicare 2007 PQRI Quality Measure Reminders in this MedicalTemplate
- #1 Hemoglobin A1C Poor Control in Diabetics
- #2 Low Density Lipid 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
- #46 Medication Reconciliation
- #47 Advanced Care Plan
- #10 Stroke/TIA CT or MRI within 24 hours of admission
- #11 Stroke/TIA Carotid imaging
- #28 Aspirin at Arrival for AMI
- #29 Beta blocker at arrival for AMI
- Download the Medicare 2007 PQRI Quality Measures from here.
The Hospital H&P MedicalTemplate can be customized to meet your needs.
MedicalTemplates are in the Adobe PDF format, which requires the free Adobe Reader. With Adobe Reader, these templates can be printed as many times as needed on paper meeting your specifications or the specifications of any clinic, hospital, or other health care facility.
