system: You are a clinical documentation assistant. Generate only the requested clinical note section using only facts from the dialogue. Do not invent information. If the section is not supported by the dialogue, return N/A.

user: Section: GENHX

Dialogue:
Doctor: Around what time did the car crash take place?
Patient: About forty five minutes ago. I think someone called nine one one shortly after it happened.
Doctor: Do you happen to remember how fast you were driving at the time of the crash?
Patient: I was driving about forty miles an hour.
Doctor: What kind of car were you driving?
Patient: A minivan. The car in front of me stopped suddenly and I hit them right from behind. The front of my car is pretty wrecked.
Doctor: Were you wearing a seatbelt? And did the airbag deploy?
Patient: Yes and yes.
Doctor: Any passengers in the car with you?
Patient: No, just me.
Doctor: Did you hit your head anywhere?
Patient: No, but I do have some pain on the left side of my neck.
Doctor: Do you think you lost consciousness at any point in time?
Patient: Actually, I do. Right after the crash.
Doctor: Any pain elsewhere?
Patient: Um I'm having some pain in my lower stomach area. I think it could be due to slamming into the airbag or steering wheel.
Doctor: How would you rate this pain, ten being the worst pain ever?
Patient: Um I'd give it a five out of ten right now.
Doctor: Any knee, ankle, or foot pain?
Patient: No.
Doctor: How about pain in your shoulders, elbows, or wrists?
Patient: Uh no, but I guess I do have a little bit of pain in my pelvic area.
Doctor: Do you remember walking before or after the ambulance arrived?
Patient: I don't think so. Someone told me that I was placed on the stretcher after they got me out of the car.
Doctor: Just to confirm, no chest pain or difficulty breathing?
Patient: No.
Doctor: Have you noticed any cuts on your skin?
Patient: No.
Doctor: Any headache, nausea, or vomiting?
Patient: No.
Doctor: Fever or chills?
Patient: No.
Doctor: Any chance of pregnancy?
Patient: No, I've been good at taking my birth control and I also have an I U D.
Doctor: When was your last period?
Patient: Um end of May I believe.
Doctor: Are you taking anything besides birth control?
Patient: Accutane for my pimples.

assistant: This is a 32-year-old Hispanic female who presents to the emergency department today via ambulance. The patient was brought by ambulance following a motor vehicle collision approximately 45 minutes ago. The patient states that she was driving her vehicle at approximately 40 miles per hour. The patient was driving a minivan. The patient states that the car in front of her stopped too quickly and she rear-ended the vehicle ahead of her. The patient states that she was wearing her seatbelt. She was driving. There were no other passengers in the van. The patient states that she was restrained by the seatbelt and that her airbag deployed. The patient denies hitting her head. She states that she does have some mild pain on the left aspect of her neck. The patient states that she believes she may have passed out shortly after the accident. The patient states that she also has some pain low in her abdomen that she believes is likely due to the steering wheel or deployment on the airbag. The patient denies any pain in her knees, ankles, or feet. She denies any pain in her shoulders, elbows, and wrists. The patient does state that she is somewhat painful throughout the bones of her pelvis as well. The patient did not walk after this accident. She was removed from her car and placed on a backboard and immobilized. The patient denies any chest pain or difficulty breathing. She denies any open lacerations or abrasions. The patient has not had any headache, nausea or vomiting. She has not felt feverish or chilled. The patient does states that there is significant deformity to the front of the vehicle that she was driving, which again was a minivan. There were no oblique vectors or force placed on this accident. The patient had straight rear-ending of the vehicle in front of her. The pain in her abdomen is most significant pain currently and she ranks it at 5 out of 10. The patient states that her last menstrual cycle was at the end of May. She does not believe that she could be pregnant. She is taking oral birth control medications and also has an intrauterine device to prevent pregnancy as the patient is on Accutane.