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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

Unintended weight loss

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

Deep vein thrombosis

Hyperlipidemia

Hypertension

Lower extremity  edema

Orthostatic hypotension

Peripheral artery disease

Peripheral vascular disease

Presyncope

Dermatology

Accutane

Acne

Actinic keratosis

Alopecia female

Alopecia male

Alopecia areata

Baby acne

Basal cell carcinoma

Bed bug

Cheilitis

Cholinergic urticaria

Claravis

Cradle cap

Cryotherapy

Dermatofibroma

Dermatographism

Dry skin

Eczema

Folliculitis

Folliculitis scalp

Fragile-nails

Granuloma annulare

Herpes labialis

Hidradenitis suppurativa

Hyperhidrosis

Impetigo

Intralesional injection

Keloid injection

Keloid scar

Keratosis pilaris

Lichen planus

Melasma

Mole

Nail melanonychia

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 corporis

Tinea inguinale

Tinea pedis

Tinea versicolor

Unna boot

Vitiligo

Wart

Wart, genital

Wart, plantar

Endocrinology

Acanthosis nigricans

Diabetes mellitus

Graves disease

Hyperthyroidism

Hypothyroidism

Low testosterone

Osteopenia

Osteoporosis

Vitamin D deficiency

ENT & Ophthalmology

Allergic rhinitis

Amblyopia

Blepharitis

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

Tonsilolith

Gastroenterology

Asplenia

Celiac disease

Constipation

Crohn’s disease

GERD

Irritable bowel syndrome

Lactose intolerance

Transaminitis

Ulcerative colitis

Hematology/Oncology

Anemia

Anemia, iron deficiency

Anemia of chronic disease

Lymphadenopathy

Thrombocytosis

Infectious Diseases

Cellulitis

Coronavirus

Dental clearance

Hepatitis C

Hepatosteatosis

Herpes genital

HIV

PrEP

STD

TB clear

TB latent

TB screen

Neurology

Alzheimer

Bell’s palsy

Cognitive impairment

Concussion

Cerebrovascular accident (stroke)

Dementia

Dizziness

Dizziness, benign paroxysmal vertigo

Dizziness, Meniere

Dizziness, vestibular

Headache

Hiccups

Migraine

Mild cognitive impairment

Multiple sclerosis

Occipital neuralgia

OSA (obstructive sleep apnea) on CPAP

Paraplegia

Parkinson

Postherpetic neuralgia

Quadriplegia

Restless leg syndrome

Seizures

Spinal cord injury

Syncope

Tremor

OB/GYN

Abnormal vaginal bleeding

Bartholin cyst

Colposcopy

Contraception

Depo

Dysmenorrhea

Endometrial biopsy

Fibrocystic disease

Hot flashes

Infertility

IUD procedure

Menopause

Menopause, hormonal replacement

Nexplanon procedure

Non-stress test/Amniotic fluid index

PCOS (polycystic ovarian syndrome)

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

Ankle sprain

Back pain

Bicep tendinitis

Buddy tape

Callus

Carpal tunnel

Coccydynia

Corn

Corn pairing

De Quervain tenosynovitis

Dry needling procedure

Dupuytren

Epicondylitis

Fibromyalgia

FOOSH injury

Foot pain

Ganglion cyst

Gout

Gout flare

Hallux valgus

Hamstring sprain

Hip pain

Hip osteoarthritis

Ingrown toenail

Injection, joint

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, carpometacarpal joint osteoarthritis

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, adult

ADHD, children

ADHD, f/u

ADHD, letter for school

ADHD, letter for work

Alcohol

Anxiety

Autism

Binge eating

Bipolar disorder

Borderline personality

Bulimia

Buprenorphine

Bulimia

Capacity evaluation

Depression

Gender identity disorder

Grief

Insomnia

Methadone

PHQ-9

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

End-stage renal disease

Erectile dysfunction

Hydrocele

Interstitial cystitis

Nephrolithiasis

Overactive bladder

Phimosis

Pearly penile papule

Stress incontinence

Urge incontinence

Varicocele

Vasectomy

Surgery

Abscess

Anal fissure

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, cat

Bite, dog

Centor criteria

COPD exacerbation

Influenza

Motor vehicle accident

Pharyngitis

Pneumonia

Puncture wound

Puncture wound

Sinusitis

Subungual hematoma

Upper respiratory infection, adult

Upper respiratory infection, pediatric

Urinary tract infection

Inpatient/SNF

Acute coronary syndrome

Atrial fibrillation with RVR

Alcohol withdrawal

Against medical advice (AMA)

Altered mental status

Appendicitis

Asthma exacerbation

Cardiopulmonary arrest

Chest pain

Cholecystitis

CHF exacerbation

COPD exacerbation

Cerebrovascular accident (stroke)

Cerebrovascular accident, tPA (stroke)

Death note

Diabetic foot ulcer

Diabetic ketoacidosis

Diverticulitis

Gastrointestinal bleeding, upper

Gastrointestinal bleeding, lower

Hepatic encephalopathy

Hip fracture

Hyperglycemic hyperosmolar syndrome

Hypertensive emergency

Inpatient subjective

Intracerebral hemorrhage

Nephrolithiasis, non-obstructive

Nephrolithiasis, obstructive

Neutropenic fever

NSTEMI

Pancreatitis

Physical exam adult ICU

Physical exam adult

Pneumonia

Pulmonary embolism

Pyelonephritis

Small bowel obstruction

Seizure

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

DEXA scan

INR

Lab results

Cholesterol

Diabetes

Hepatitis

H. pylori

Kidneys

Liver enzymes

Measles

Microalbuminuria

Normal

Prediabetes

Testosterone

Thyroid

Tuberculosis

Vasectomy

Lung cancer screen

Mammogram

MRI, spine

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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