Case

ID

CC

Onset

Location

Duration

Quality/Quentity

Aggressive

Reletive

Setting

MH

DH

FH

SH

PHY.EX.

VS

TEST

DX.

CHOICE OF TREATMENT

CHOICE OF PHARMECEUTICAL CATEGORY

CHOICE OF DRUG

CHOICE OF DOSAGE FORM

CHOICE OF DOSAGE

CHOICE OF BRAND

ORDER

MONITORING

HOSPITALIZATION

DISCHARGE HOME AND EDUCATION