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Model Documentation Shadow Health Cardiovascular Assessment of Tina Jones Model Documentation
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Shadow Health Cardiovascular Assessment of Tina Jones Model Documentation Model Documentation
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10/11/23, 7:13 PM Model Documentationabout:blank 1/3
6/1/22, 9:30 AM | Shadow Health® │ Digital Clinical Experiences™ from Elsevier
https://app.shadowhealth.com/assignment_attempts/12381239 1/3Documentation / Electronic Health Record
Document: Provider Notes
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Subjective Data Collection
Objective Data Collection
Education & Empathy
DocumentationDocument: Provider Notes
6/1/22, 9:30 AM | Shadow Health® │ Digital Clinical Experiences™ from Elsevier
Student Documentation Model Documentation
Ms. Jones is a pleasant 28-year-old African American woman w
presented to the clinic with complaints of 3-4 episodes of rapid rate over the last month. She is a good historian. She describes
episodes as <thumping in her chest= with a heart rate that is <w
faster than usual=. She does not associate the rapid heart rate specific event, but notes that they usually occur about once per
in the morning on her commute to class. The episodes general
between 5 and 10 minutes and resolve spontaneously . She doe
know her normal heart rate or her heart rate during these episo
She denies chest pain during the episodes, but does endorse
discomfort of 3/10 which she attributes to associated anxiety
regarding her rapid heart rate. She denies shortness of breath.
denies any association of symptoms with exertion. She has no cardiac history andhasnever hadepisodes prior tothislastmo
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