Documentation Medical History Physical Exams 
Valant
JULY 24, 2024
The information recorded may include symptoms, medical history, test results, diagnoses, treatment plans, prescription medications, and progress made at appointments. Check out Valant’s clinical documentation features to learn more. This information is shared with insurance companies to justify claims.
Sensible Medicine
AUGUST 11, 2023
There is a differential diagnosis for the patient who cannot describe the history of their medical concerns. Often, the inability of a doctor to obtain a history is actually a physical exam finding – an extremely non-specific finding, but a finding nonetheless.
Sensible Medicine
OCTOBER 4, 2024
I expect you to have the best grasp of your patients’ history of present illness, past medical history, and relevant social history. Data from the history and physical exam are critical and free. 2 When you present the physical exam, vital signs should be given in even numbers.
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