Cardiac H&P and SOAP

[date name="variable_1" default="12/03/2020"]
Chief Complaint: [text name="variable_1" default=""]
[text name="variable_1" default=""] yr old [select name="variable_1" value="male|female"] presents to [select name="variable_1" value="clinic|ED"] for [textarea name="variable_1" default=""]

PMHx: 
[checkbox name="variable_1" value="Reviewed|Noncontributory"][textarea name="variable_1" default=""]
PSHx:[checkbox name="variable_1" value="Reviewed|Noncontributory"][textarea name="variable_1" default=""]
FMHx: [checkbox name="variable_1" value="Reviewed|Noncontributory"][textarea name="variable_1" default=""]
Allergies: 
[checkbox name="variable_1" value="NKDA|NKFA"][textarea name="variable_1" default=""]
Physical Exam: 
GEN - [text name="variable_1" default=""]
[checkbox name="variable_1" value="well developed|well nourished|A&Ox4"]
HEENT - [text name="variable_1" default=""]
[checkbox name="variable_1" value="Normocephalic |atraumatic|conjunctiva clear|sclerae aninteric|TMs with clearly visible landmarks|nares patent|mucous membranes moist|throat nonerythematous/noninjected|good dentition"]
Neck - [text name="variable_1" default=""]
[checkbox name="variable_1" value="soft/supple|no JVD|no thyromegaly|no tender/enlarged lymph nodes"]
Chest - [text name="variable_1" default=""]
[checkbox name="variable_1" value="normal rise and fall B/L|No accessory muscle use"]
Heart - [text name="variable_1" default=""]
[checkbox name="variable_1" value="RRR|no murmur|normal S1/S2|no friction rub|no S3/S4 ausculatated"]
Skin - [text name="variable_1" default=""]
[checkbox name="variable_1" value="warm|pink|dry|no edema"]

EKG
[select name="variable_1" value="none|reviewed-"]
[text name="variable_1" default="findings"]
Labs 
[select name="variable_1" value="none|reviewed-"]
[text name="variable_1" default="findings"]
Radiology

Chief Complaint:
yr old presents to for


PMHx:

PSHx:

FMHx:

Allergies:

Physical Exam:
GEN -

HEENT -

Neck -

Chest -

Heart -

Skin -


EKG


Labs


Radiology

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.5, 30 form elements, 28 boilerplate words, 10 text boxes, 5 text areas, 1 dates, 10 checkboxes, 4 drop downs, 55 total clicks
Questions/General site feedback · Help Ticket

Send Feedback for this SOAPnote

Your email address will not be published. Required fields are marked *

More SOAPnotes by this Author: