CD JSON Generator

Discipline

: Emergency

Sub Discipline

: Emergency

Document Title

: ETD General Clerking Note

HISTORY

Chief Complaint

History Of Present Complaints

Systemic Review

Past Medical History

Past Surgical History

Obstetric / Menstrual History

LMP Date

Drug History

ALLERGIES AND ALERT

Allergies

Other Relevant History

GENERAL EXAMINATION

Vital Signs & Other Observations

Physical Examination

PROBLEM LIST

Problem List

DIAGNOSIS

Diagnosis

MANAGEMENT

Plan

Orders

Referral

Outgoing Referrals

Remarks

SIGNATURES