VistA-WorldVistAEHR/r/AUTOMATED_MED_INFO_EXCHANGE.../DVBCWHY1.m

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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