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Pt [patient] reports h/o [history of] diagnosis of T2 DM [type 2 diabetes mellitus] and is trying to improve w/ lifestyle modification and does not like to take medications.
In contrast, for traditional notes, the only documented priorities or goals related to the patient wanting to leave the hospital: “She wants to go home.” [Traditional note, Student N]
Patient understanding of health was documented in 51% (23/45) of H&P 360 notes and in 30% (16/54) of traditional notes.
JMIR Med Educ 2023;9:e42364
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