General symptoms
Improving Physician Documentation Specificity
Abdominal pain
Altered mental status
Chest pain - link to underlying cause (e.g., GERD, anxiety, coronary artery disease, unstable angina)
Dizziness and vertigo - link to underlying cause (e.g., Meniere's, vestibular, carotid stenosis, arrhythmia, neurologic)
Hypotension
Fever - link to underlying cause (e.g., infection).
Nausea - link to underlying cause.
Seizures - link to underlying cause (e.g., febrile, alcoholic, recurrent, post-traumatic, neoplasm).
Shortness of breath
Swelling - link to underlying cause (e.g., traumatic injury, DVT, infection).
Syncope
Adult (main)|Pediatrics (main)
Thanks to Advocate's Clinical Documentation Improvement and Coding teams for their assistance with this content.
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Advocate Physician Informatics
Increasing physician knowledge and proficiency with Advocate Health Care's clinical information systems.