"CHIEF COMPLAINT:
Patient is a 38 year old male employee of Conagra Foods who complains about his arm which was injured on 01/26/2009 9:30:00 AM.
PATIENT STATEMENT:
Patient states :""Cut with razor knife.""
Statements above auto populate from electronic data entry by ancillary staff.
Allergies: No known allergies.. Current Medications:
Norvasc by: L A D.
HISTORY OF PRESENT ILLNESS:
Patient seen immediately due to the emergent nature of the injury. Patient cut his right thumb at work today on a clean, new razor blade knife. The patient is left handed.
PAST MEDICAL, SOCIAL, FAMILY HISTORY: Noncontributory based upon review of comprehensive questionnaire.
Current Medications: The medication list was reviewed.
Allergies: Denies known allergies.
Immunizations: Not up to date.
ROS:
GENERAL: Denies fever, chills and recent weight loss/gain
CHEST: Denies DOE, cyanosis, wheezing, cough and sputum production.
CARDIOVASCULAR: Denies chest pain, PND, orthopnea or reduced exercise tolerance.
Also curious if you would count Chief Complaint/Patient Statement as Chief Complaint since entered by ancillary staff.