Overview
Transcript
Transcript
Started: Apr 24, 2020 | Total Time: 470 min
Subjective Data Collection
All Lines (647) Interview Questions (221) Statements (13) Exam Actions (413)
Objective Data Collection
Documentation Question
Hi. My name is Rachell, your student NP today.
04/24/20 12:53 PM MDT
Plan My Exam
Hello.
Question
How are you today?
04/24/20 12:53 PM MDT
I'm doing really well, thanks!
Question
What brought you to the clinic?
04/24/20 12:54 PM MDT
I came in because I'm required to have a recent physical exam for the health insurance at my
https://app.shadowhealth.com/assignment_attempts/6724321 Page 1 of 27
,Comprehensive Assessment | Completed | Shadow Health 4/26/20, 8:10 PM
new job.
Empathize
Okay. I am here to help.
04/24/20 12:54 PM MDT
Thanks.
Question
Can you tell me your full name, age , date of birth please.
04/24/20 12:56 PM MDT
My name's Tina Jones, and my birthday's February 17th.
Question
04/24/20 12:56 PM MDT
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Um, today's date is . . . [Ms. Jones reports the correct date and year.]
Empathize
Thank you
04/24/20 12:56 PM MDT
Thanks.
Performed pulse oximetry Exam Action
04/24/20 12:56 PM MDT
Performed spirometry
Exam Action
04/24/20 12:56 PM MDT
Question
Can you please tell me your height and weight? (No matching questions found.)
04/24/20 12:58 PM MDT
Question
04/24/20 12:59 PM MDT
Question
04/24/20 12:59 PM MDT
Performed pulse oximetry
Exam Action
Performed spirometry 04/24/20 1:00 PM MDT
Exam Action
04/24/20 1:00 PM MDT
When is the last time you went to see a health care provider?
Question
04/24/20 1:12 PM MDT
Let's see . . . I had two doctor's appointments earlier this year. About five months ago, I came in
here for a check-up, and the nurse practitioner got me on metformin. Then a few weeks later I
Do you
saw know the result
a gynecologist for a for
papyour pap smear?
smear.
Question
04/24/20 1:12 PM MDT
That's good to hear.
Empathize
Thanks.
04/24/20 1:12 PM MDT
Greet
Do you have any chronic illness 04/25/20 12:07 AM MDT
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