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PATIENT INFORMATION Name: Date of Birth: Date of service: CHIEF COMPLAINT chief_complaint Summarize the patient's primary reason for seeking medical care in a concise sentence. Quote the patient's own words when necessary. chief_complaint HPI hpi Write a detailed, chronological narrative of the history of present illness. Include the onset, duration, location, quality, severity, timing, context, modifying factors, and associated signs/symptoms. Use medical terminology and include pertinent positives and negatives from the transcript. hpi REVIEW OF SYSTEMS ros Provide a brief review of systems, covering all relevant organ systems. Focus on pertinent positives and negatives related to the chief complaint, using information from the transcript. Use medical terminology and a consistent format for each system. ros PAST MEDICAL HISTORY past_medical_history List the patient's significant past medical conditions, surgeries, and hospitalizations. Use a consistent format and medical terminology, pulling information from the transcript. past_medical_history FAMILY HISTORY family_history List the patient’s family history pulling information from the transcript. If not mentioned in the transcript, omit this section. family_history SOCIAL HISTORY social_history List the patient’s relevant social history including any smoking, alcohol use, drug use, employment, and living situation, pulling information from the transcript. If not mentioned in the transcript, omit this section. social_history MEDICATIONS medications List the patient's current medications, including dose, route, and frequency. If not mentioned in the transcript, omit this section. medications ALLERGIES allergies List any drug allergies or intolerances, including the reaction. If none, state "No known drug allergies." If not mentioned in the transcript, omit this section. allergies-