Tina Jones

Seen 1 month ago to establish care.

S.

CC “My throat has been sore…and itchy. And my nose won’t stop running. These symptoms are

driving me nuts.”

HPI: include all the information regarding the CC using the OLDCART format. If the CC was

“Unintentional weight loss”, the OLDCART for the HPI might look like the following example:

Onset: “2-7 days”

Location: Throat, 4/10

Duration: Steady weight loss, 3-5 pounds per week

Characteristics: “sore” throat…”jus...