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Subject Index

Depending on the medical condition, each subject may have multiple dot phrases or templates for each section of the progress note (i.e. HPI, PE, A/P, procedure, billing code.)

General Medicine

Advance care planning

Chronic benzodiazepines

Chronic pain

CURES

Diet counseling

Fall elderly

Fatigue

Hospital f/u transitional

Hospital f/u

Marijuana

Morbid-obesity

Naloxone

Obesity

Opioids

OSA screen

Overweight

Preop eval

Stable

Tobacco

Transition of care

Traveler advice

Health Maintenance/Physicals

Health maintenance female

Health maintenance male

Physical Male

Physical Female

Wellness-exam

Well woman check

Physical Exam

Adult xshort-(no-touch)

Abdomen

Cardiopulmonary

ENT

Breast

Pelvic

Rectal

Testicular

Cardiology

ASCVD score

Aortic stenosis

Atrial fibrillation

Atypical chest pain

Chest Pain

Congestive Heart Failure

Coronary Artery Disease

Hyperlipidemia

Hypertension

Lower extremity  edema

Orthostatic hypotension

Peripheral artery disease

Peripheral vascular disease

Dermatology

Accutane

Acne

Actinic keratosis

Alopecia female

Alopecia male

Alopecia areata

Bed bug

Cheilitis

Claravis

Cradle cap

Cryotherapy

Dermatofibroma

Dry skin

Eczema

Folliculitis

Folliculitis scalp

Fragile-nails

Granuloma annulare

Herpes labialis

Hyperhidrosis

Impetigo

Intralesional injection

Keloid injection

Keloid scar

Lichen planus

Melasma

Mole

Onychomycosis

Paronychia

Penile sebaceous hyperplasia

Psoriasis

Punch biopsy

Rash

Rosacea

Scabies

Seborrheic dermatitis

Seborrheic keratosis

Senile purpura

Shave biopsy

Shingles

Skin tag

Solar lentigo

Tinea inguinale

Tinea pedis

Tinea versicolor

Unna boot

Vitiligo

Wart

Endocrinology

Acanthosis nigricans

Diabetes mellitus

Hyperthyroidism

Hypothyroidism

Low testosterone

Osteoporosis

Vitamin D deficiency

ENT & Ophthalmology

Allergic rhinitis

Cataracts

Cerumen impaction

Chalazion

Conjunctivitis

Ear lavage

Epistaxis

Eustachian tube dysfunction

Glaucoma

Hearing loss

Mucocele

Otitis

Pterygium

Sialadenitis

Red eye

Stye

Subconjunctival hemorrhage

Thrush

Tinnitus

Gastroenterology

Asplenia

Celiac disease

Constipation

Crohn’s disease

GERD

Irritable bowel syndrome

Lactose intolerance

Ulcerative colitis

Hematology/Oncology

Anemia

Lymphadenopathy

Infectious Diseases

Cellulitis

Dental clearance

Hepatitis C

Herpes genital

HIV

PrEP

STD

TB clear

TB latent

TB screen

Neurology

Alzheimer

Bell’s palsy

Cognitive impairment

Concussion

Cerebrovascular accident

Dementia

Dizziness

Headache

Hiccups

Migraine

Mild cognitive impairment

Multiple sclerosis

Occipital neuralgia

OSA on CPAP

Paraplegia

Parkinson

Quadriplegia

Restless leg syndrome

Seizures

Spinal cord injury

Syncope

Tremor

OB/GYN

Abnormal vaginal bleeding

Bartholin cyst

Colposcopy

Contraception

Depo

Dysmenorrhea

Endometrial biopsy

Hot flashes

Infertility

IUD procedure

Menopause

Nexplanon procedure

Non-stress test/Amniotic fluid index

PCOS

Pelvic inflammatory disease

Pelvic organ-prolapse

Plan B

Premenstrual syndrome

Postpartum

Pregnancy

Prenatal

Vaginal atrophy

Vaginitis

Musculoskeletal (ortho/sports/podiatry)

Acromioclavicular joint injection

Achilles tendinitis

Ankle pain

Back pain

Bicep tendinitis

Buddy tape

Callus

Carpal tunnel

Coccydynia

Corn

De Quervain tenosynovitis

Dry needling procedure

Epicondylitis

Fibromyalgia

FOOSH injury

Foot pain

Ganglion cyst

Gout

Hallux valgus

Hamstring sprain

Hip pain

Ingrown toenail

Injection

Injection knee

Injection shoulder

IT band syndrome

Knee Aspiration

Knee Injection

Knee Meniscus

Knee Osteoartritis

 Knee Patella tendonitis

 Knee Patellofemoral pain syndrome

Knee exam

Knee Viscosupplementation

Morton neuroma

Mucous cyst

Neck pain

Olecranon bursitis

Patellar bursitis

Pes anserine bursitis injection

Pes planus

Piriformis syndrome

Plantar fasciitis

Rheumatoid arthritis

RICE

Rotator cuff

Shoulder pain

Splint finger

Strapping, ankle

Strapping, knee

Thumb CMC

Temporomandibular joint syndrome

Toenail debridement

Toenail trimming

Triamcinolone NDC

Trigger finger

Trigger point injection

Trochanteric bursitis

Ulnar tunnel syndrome

Wrist pain

Pediatrics

Circumcision

Down syndrome

Hand-foot-mouth disease exam

Obesity childhood

Sports physical

WCC – Well Child Check, Months

0-1

1-2

3-4

5-6

7-9

10-12

13-15

16-23

WCC exam, infant

WCC exam, pub/teen

WCC exam, toddler/child

WCC – Well Child Check, Years

2

3

4-5

6-8

9-12

13-16

17-18

Weight and bilirubin check

Psychiatry

ADHD

Alcohol

Anxiety

Autism

Binge eating

Bipolar disorder

Borderline personality

Bulimia

Buprenorphine

Bulimia

Depression

Grief

Insomnia

Methadone

Psychotherapy

Suboxone

Suicide contract

Pulmonology

Asthma

Asthma exacerbation

Asthma exercise

COPD

COPD exacerbation

Lung nodule incidental

Lung nodule, lung cancer screen

Pulmonary hypertension

Renal/Urology

Balanitis

Benign prostatic hypertrophy

Chronic kidney disease

Erectile dysfunction

Interstitial cystitis

Nephrolithiasis

Overactive bladder

Phimosis

Pearly penile papule

Stress incontinence

Vasectomy

Surgery

Abscess

Anoscopy

Dental abscess

Diastasis recti exam

Excision

Excisional biopsy

Foreign body removal procedure

Global surgery period

Hemorrhoids

Hernia

I&D abscess

Laceration procedure

Lipoma

Pilonidal abscess

Post-op visit

Sebaceous-cyst

Surgical tray

Suture removal

Varicose veins

Wound debridement procedure

Urgent Care

Abdominal pain

Acute gastroenteritis

Asthma exacerbation

Bite

Centor criteria

COPD exacerbation

Influenza

Motor vehicle accident

Pharyngitis

Pneumonia

Puncture wound

Puncture wound

Subungual hematoma

Upper respiratory infection

Urinary tract infection

Inpatient/SNF

Acute coronary syndrome

Atrial fibrillation with RVR

Alcohol withdrawal

Asthma exacerbation

Chest pain

CHF exacerbation

COPD exacerbation

Cerebrovascular accident

Death note

Diabetic foot ulcer

Diabetic ketoacidosis

Diverticulitis

Gastrointestinal bleeding

Hyperglycemic hyperosmolar syndrome

Hypertensive emergency

Inpatient subjective

NSTEMI

Pancreatitis

Physical exam adult ICU

Physical exam adult

Pneumonia

Small bowel obstruction

Sepsis reevaluation

Sepsis

Septic shock

SNF chief complaint

Soft tissue infection

STEMI

Syncope

Messages: Lab, Imaging, Path results

AAA screen

Carotid US

Colon cancer screen

CT lung cancer screen – nodules

INR

Lab results

Cholesterol

Diabetes

Hepatitis

Measles

Microalbuminuria

Normal

Prediabetes

Testosterone

Thyroid

Vasectomy

Lung cancer screen

Mammogram

Pap smear

Pathology

Path vasectomy

Prostate PSA

Strike letter

UDS

Urine culture

Ultrasound

Xray knee

Xray normal

Miscellaneous

Antibiotic delayed rx

B12 injection

Barbiturates

Care plan oversight, home health

Care plan oversight, hospice

Diabetic shoes

Disability paperwork

Face-to-face, Cane

Face-to-face, Home health

Face-to-face, Hospital bed

Face-to-face, Oxygen

Face-to-face, Walker

Face-to-face, Wheelchair

Face-to-face, Wheelchair-powered

Fail

Insulin sliding-scale

Medicare pap/breast

Medicare prostate

Mirena NDC

Nexplanon NDC

Nexus letter VA

Paragard NDC

Pet companion letter

Procedure

Return statement

ROS

School note

Shared decision making

Signature

Survey

Time statement

Triamcinolone NDC

To whom it may concern

UDS statement

Work note

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