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Reading through this note felt like the worst case of cutting and pasting I have ever come across. It appears to have come straight from the hospital billing office. The only thing the note was missing were the ICD-9 codes after each unspecified diagnosis. How can a physician produce a history for a patient and label virtually every diagnosis "unspecified"? It makes you wonder if the patient actually has the disease or whether the consultant was too lazy to write more specifically in his note. In other words, this H+P was total garbage. Thanks to our new EMR, this kind of shenanigan is all too common.
Yes we can read doctors' notes more easily now. Unfortunately, what's typed in makes even less sense than before.