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Medical Decision Making
Complexity/Problems Addressed
Low Complexity
minor problems
stable chronic
acute, uncomplicated
Moderate Complexity
chronic, exac
multiple chronic
acute with systemic sx
complicated injury
High Complexity
chronic w/ severe exac
acute/chronic with life/bodily threat
Data Reviewed
External Notes
inpt/outpt notes
rad reports
EKG
labs
Ordered/Reviewed Tests
See chart for details
Independent Historian
EMS
spouse
parent
family
outpatient provider
Independent Radiology Review
see chart
see below
Consultant Discussion
hospitalist admit
PCP f/u
consultant
mental health
pharmacy
PT/CM
Risk of Patient Management
rx management
parenteral controlled substance
IV drug therapy
hospitalization decision
surgery
SDOH
de-escalation
clinical decision tools
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Clear
Macros
Chest Pain
Sepsis