Demographic Data
Patient initial (one initial only), age, and gender must be HIPAA compliant
Subjective
Chief Complaint (CC)
History of Present Illness (HPI) in paragraph form (remember OLDCART: Onset, Location, Duration, Characteristics, Aggravating/Alleviating Factors, Relieving Factors, Treatment)
Past Med. Hx (PMH): Medical or surgical problems, hospitalizations, medications, allergies, immunizations, and preventative health maintenance as applicable
Family Hx: As applicable
Social Hx: Including nutrition, exercise, substance use, sexual hx, occupation, school, etc.
Review of Systems (ROS) as appropriate: Include health maintenance (e.g., eye, dental, pap, vaccines, colonoscopy)
Objective
Vital signs
Physical findings listed by body systems, not paragraph form
Assessment (Diagnosis/ICD10 Code)
Include all diagnoses that apply for this visit
Plan
Dx Plan (lab, x-ray)
Tx Plan: (meds)
Pt. Education, including specific medication teaching points
Referral/Follow-up
Health maintenance (including when screenings, immunizations, etc., are next due):
Strengthening Legal Frameworks for Prosecuting Piracy and Related Offenses in the Arabian Sea and Red Sea
Strengthening legal frameworks for prosecuting piracy and related offenses in the Arabian Sea and Red Sea. Piracy in the Arabian Sea and Red Sea poses significant threats to international maritime security and trade. This paper examines the effectiveness of current legal frameworks in prosecuting piracy and related offenses in these regions. By analyzing international conventions, […]
