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CONDITION

1. Chief complaint

ADD NEW

2. HPI (Provide default contents as in FP EMR)

3. ROS Condition specific

When condition specific in the dropdown is selected, display form in


the same format as we have in FP EMR with empty fields and “Add
new” option.

ADD NEW

When Detailed is selected in the dropdown display complete ROS as


in FP EMR.

4. Symptoms

Free Text length- 250 characters

Allow all punctuation marks and numbers

Free Text length- 250 characters

Allow all punctuation marks and numbers

Free Text length- 250 characters

Allow all punctuation marks and numbers

ADD NEW

5. History Family history

For each item in the dropdown provide Condition specific


When condition specific in the dropdown is selected, display form in
the following format.

Free Text length- 250 characters

Allow all punctuation marks and numbers

Free Text length- 250 characters

Allow all punctuation marks and numbers

Free Text length- 250 characters

Allow all punctuation marks and numbers

ADD NEW

When Detailed is selected in the dropdown display complete History


as in FP EMR.

6. Allergies Condition specific

When condition specific in the dropdown is selected, display form in


the following format.

Free Text length- 250 characters

Allow all punctuation marks and numbers

Free Text length- 250 characters

Allow all punctuation marks and numbers

Free Text length- 250 characters

Allow all punctuation marks and numbers

ADD NEW

When Detailed is selected in the dropdown display complete Allergies


form as in FP EMR
7. Physical examination Condition specific

When condition specific in the dropdown is selected, display form in


the same format as we have in FP EMR with empty fields and “Add
new” option.

When Detailed is selected in the dropdown display complete physical


exam as in FP EMR

8. Specific data like grading etc. Item 1 ADD NEW

If any item is selected in the dropdown display in the following format

Item 1

Free Text length- 250 characters

Allow all punctuation marks and numbers

Free Text length- 250 characters

Allow all punctuation marks and numbers

Free Text length- 250 characters

Allow all punctuation marks and numbers

ADD NEW
9. Tests to be ordered

Free Text length- 250 characters

Allow all punctuation marks and numbers

Free Text length- 250 characters

Allow all punctuation marks and numbers

Free Text length- 250 characters

Allow all punctuation marks and numbers

ADD NEW

10. Assessment/Plan: Condition specific

When condition specific in the dropdown is selected, display form in


the following format

Free Text length- 250 characters

Allow all punctuation marks and numbers

Free Text length- 250 characters

Allow all punctuation marks and numbers

Free Text length- 250 characters

Allow all punctuation marks and numbers

ADD NEW

When Detailed is selected in the dropdown display complete


Assessment/Plan as in FP EMR
11. Education

Free Text length- 250 characters

Allow all punctuation marks and numbers

Free Text length- 250 characters

Allow all punctuation marks and numbers

Free Text length- 250 characters

Allow all punctuation marks and numbers

ADD NEW

12. Medication Condition specific

13. Follow up: Day(s)

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