Seol Presentation Format

DATE OF ADMISSION
[date name=""]

Floor
[select name="Floor" value="10|1|2|3-ICU|4-M|4-DOU|5|6|7|8|9|ED"]

Bed
[select name="Room" value="1|2|3|4|5|6|7|8|9|10|11|12|13|14|15|16|17|18|19|20|21|22|23|24|25|26|27|28|29|30"]

MRN     
[text name="variable_3" default=""]

CODE STATUS 
[select name="code_status" value="Full Code|DNR DNI|DNR|DNI"]

PCP     
[text name="variable_5" default=""]

ID/CC    
[textarea name="variable_6" default=""]

Overnight Events in Hospital:
[checkbox name="overnight_events" value="Patient slept well|Patient was restless|Patient required pain medication|Patient had a fever|Patient experienced nausea/vomiting|Patient had a fall|Patient required supplemental oxygen|Patient experienced breathing difficulties|Patient had an allergic reaction|Patient required emergency intervention"]

Overnight Events in Hospital:
[checkbox name="overnight_events" value="Slept well|Restless|Required pain medication|Had a fever|Experienced nausea/vomiting|Had a fall|Required supplemental oxygen|Experienced breathing difficulties|Had an allergic reaction|Required emergency intervention|Administered IV fluids|Changed wound dressings|Monitored for infection signs|Received blood transfusion|Underwent diagnostic testing|Assisted with mobility|Provided psychological support|Experienced agitation or confusion|Received nutrition support (e.g., feeding tube, IV nutrition)|Observed for cardiac events"]

[textarea name="other_overnight_events"]

Overnight Events in Hospital:
[checkbox name="slept_well" value="Slept well"] Duration of sleep: [text name="sleep_duration"]

[checkbox name="restless" value="Restless"] Describe (e.g., frequency, interventions): [text name="restlessness_details"]

[checkbox name="pain_medication" value="Required pain medication"] Type of medication: [text name="pain_medication_type"]
[checkbox name="fever" value="Had a fever"] Peak temperature: [text name="peak_temperature"]
[checkbox name="nausea_vomiting" value="Experienced nausea/vomiting"] Interventions: [text name="nausea_vomiting_interventions"]
[checkbox name="fall" value="Had a fall"] Details of the incident: [text name="fall_details"]
[checkbox name="supplemental_oxygen" value="Required supplemental oxygen"] Oxygen level: [text name="oxygen_level"]
[checkbox name="breathing_difficulties" value="Experienced breathing difficulties"] Description: [text name="breathing_difficulties_description"]
[checkbox name="allergic_reaction" value="Had an allergic reaction"] Allergen/Reaction: [text name="allergic_reaction_details"]
[checkbox name="emergency_intervention" value="Required emergency intervention"] Details: [text name="emergency_intervention_details"]
[checkbox name="iv_fluids" value="Administered IV fluids"] Type/Volume: [text name="iv_fluids_details"]
[checkbox name="wound_dressing" value="Changed wound dressings"] Wound location: [text name="wound_location"]
[checkbox name="infection_monitoring" value="Monitored for infection signs"] Observations: [text name="infection_observations"]
[checkbox name="blood_transfusion" value="Received blood transfusion"] Blood type/Volume: [text name="blood_transfusion_details"]
[checkbox name="diagnostic_testing" value="Underwent diagnostic testing"] Test type/Results: [text name="diagnostic_test_details"]
[checkbox name="mobility_assistance" value="Assisted with mobility"] Assistance type: [text name="mobility_assistance_type"]
[checkbox name="psychological_support" value="Provided psychological support"] Details: [text name="psychological_support_details"]
[checkbox name="agitation_confusion" value="Experienced agitation or confusion"] Details/Duration: [text name="agitation_confusion_details"]
[checkbox name="nutrition_support" value="Received nutrition support (e.g., feeding tube, IV nutrition)"] Type/Amount: [text name="nutrition_support_details"]
[checkbox name="cardiac_events" value="Observed for cardiac events"] Details: [text name="cardiac_events_details"]

Please specify any other significant events not listed above: 
[textarea name="other_overnight_events"]

Telemetry Monitoring Data:
[checkbox name="telemetry_rhythm" value="Normal Sinus Rhythm"] 
[checkbox name="arrhythmia" value="Arrhythmia"] Type of arrhythmia: [text name="arrhythmia_type"]
[checkbox name="bradycardia" value="Bradycardia"] Heart rate (bpm): [text name="bradycardia_hr"]
[checkbox name="tachycardia" value="Tachycardia"] Heart rate (bpm): [text name="tachycardia_hr"]
[checkbox name="atrial_fibrillation" value="Atrial Fibrillation"] 
[checkbox name="ventricular_tachycardia" value="Ventricular Tachycardia"] 
[checkbox name="premature_ventricular_contractions" value="Premature Ventricular Contractions (PVCs)"] Frequency: [text name="pvcs_frequency"]
[checkbox name="premature_atrial_contractions" value="Premature Atrial Contractions (PACs)"] Frequency: [text name="pacs_frequency"]
[checkbox name="st_elevation" value="ST Elevation"] Location/Leads involved: [text name="st_elevation_details"]
[checkbox name="st_depression" value="ST Depression"] Location/Leads involved: [text name="st_depression_details"]
[checkbox name="qt_prolongation" value="QT Prolongation"] QT interval: [text name="qt_interval"]
 
[textarea name="other_telemetry_observations"]
Telemetry Monitoring Data:
[checkbox name="normal_rhythm" value="Normal Sinus Rhythm"]
[checkbox name="arrhythmias" value="Arrhythmias"] Specify type (e.g., AFib, VTach, SVT): [text name="arrhythmia_type"]

Heart Rate:
- [checkbox name="bradycardia" value="Bradycardia"] BPM: [text name="bradycardia_bpm"]
- [checkbox name="tachycardia" value="Tachycardia"] BPM: [text name="tachycardia_bpm"]

Conduction Abnormalities:
- [checkbox name="first_degree_block" value="First-Degree AV Block"]
- [checkbox name="second_degree_block" value="Second-Degree AV Block"] Type (I/II): [text name="second_degree_block_type"]
- [checkbox name="third_degree_block" value="Third-Degree AV Block"]

Ventricular Activity:
- [checkbox name="pvc" value="PVCs"] Frequency: [text name="pvc_frequency"]
- [checkbox name="vtach" value="Ventricular Tachycardia"]
- [checkbox name="torsades" value="Torsades de Pointes"]

Atrial Activity:
- [checkbox name="pac" value="PACs"] Frequency: [text name="pac_frequency"]
- [checkbox name="atrial_flutter" value="Atrial Flutter"]
- [checkbox name="atrial_fibrillation" value="Atrial Fibrillation"] Rate control: [text name="afib_rate_control"]

ST Segment and T-wave Changes:
- [checkbox name="st_elevation" value="ST Elevation"] Leads affected: [text name="st_elevation_leads"]
- [checkbox name="st_depression" value="ST Depression"] Leads affected: [text name="st_depression_leads"]
- [checkbox name="t_wave_inversion" value="T-wave Inversion"] Leads affected: [text name="t_wave_inversion_leads"]

QT Interval:
- [checkbox name="qt_prolongation" value="QT Prolongation"] Duration: [text name="qt_duration"]

Please specify any other significant telemetry observations not listed above: 
[textarea name="other_telemetry_observations"]


HPI     

The patient is a [text default=""] complaining of [text default="CHIEF COMPLAINT"] that began [text default="ONSET"] while [text default="CONTEXT"]. Symptoms have been [text default="TIMING"] since onset and pt rates them as [text default="SEVERITY"] in severity. Patient reports the symptoms are located [text default="LOCATION"] and describes the quality as [text default="QUALITY"]. Symptoms associated with [text default="POSITIVE SYMPTOMS"] but denies any [text default="NEGATIVE SYMPTOMS"].

Symptoms are improved with [text default="MODIFYING FACTOR"] and exacerbated by [text default="MODIFYING FACTOR"]. Patient [text default="REPORTS/DENIES"] history of similar symptoms. 
Pertinent medical history includes [text default="PERTINENT PAST MEDICAL HISTORY"]. 

Patient adds [text default="OTHER DETAILS"].

Patient [select name="variable_05" value="
*** denies any acute complaints***|
*** denies any acute complaints and is tolerating the current therapeutic regimen without any difficulty.|
*** endorses acute complaints to include: ****"].
Patient [select name="variable_06" value="
***|
denies any general improvement
denies any general improvement in symptoms
denies any general improvement since admission|
denies any general improvement since yesterday|
endorses a general improvement
endorses a general improvement in symptoms
endorses a general improvement since admission|
endorses a general improvement since yesterday|
continues to deny any general improvement since admission|
continues to endorse a general improvement from admission|
continues to endorse generalized pain without any significant improvement from yesterday|
states they feel they have returned to their usual state of health.|
states they feel they their health has returned to their baseline."]. 

Patient states that they were was in their usual state of health until "[textarea="variable_10" default=""]"
Patient seen and examined this morning. [select name="variable_26" value="***|No overnight events.|Patient was in their usual state of health until ***| "]. 


Patient [checkbox name="variable_19" value="***SARS-CoV-2|ATTESTS TO|ABDOMINAL PAIN|CHEST PAIN|NAUSEA|SHORTNESS OF BREATH|VOMITING|"][checkbox name="variable_08" value="***|Patient denies any|abdominal pain|chest pain|nausea|shortness of breath|vomiting|"]. 

Patient is currently is *** in pain**"[text name="variable_11" default=""]" and rated a "[text name="variable_12" default=""]" out of 10. 
- The pain is described as " dull "
- The pain is described as " sharp "
- The pain is described as " crampy "
- The pain is described as " an ache "
- The pain is described as " X "



BSx:   
[checklist name="" value="Fever|Chills|Weight Loss|Fatigue"]

Skin:  
[checklist name="" value="Rash|Itching"]

HEENT: 
[checklist name="" value="Hearing Loss|Tinnitus|Congestion|Sore Throat|Blurreed Vision|Diplopia|Photophobia"]

CV: 
[checklist name="" value="Chest Pain|Palps|Orthop|Claudication|LE Edema|PND"]

Pulm: 
[checklist name="" value="Cough|Hemoptysis|SOB|Wheezing"]

GI: 
[checklist name="" value="Nausea|Vomit|diarrhea|constipation|BRBPR|Melena|Abd Pain"] 

GU: 
[checklist name="" value="Dysuria|Urge|Freq|Hematuria|Flank Pain"]

MSK: 
[checklist name="" value="Myalgia|Back Pain|Joint Pain|Falls"] 

Heme: 
[checklist name="" value="Easy bruising|bleeding"] 

Neuro: 
[checklist name="" value="Dizzy|numbness|tremors|weakness|seizure|LOC|HA"]

Psy: 
[checklist name="" value="Depression|SI|HI|PSA|Hallucination|Delurium|Insomnia"]




PMH/ PSH

MEDS/ALL

Outpatient
[textarea name="" default=""]

Inpatient
[textarea name="" default=""]

Social History/Family History (SHX/FHX):
[textarea name="shx_fhx" default="Enter details of patient's social and family history here."]

Heart Disease (e.g., coronary artery disease, heart attack):
[checkbox name="family_history_heart_disease" value="Yes"]
Relation to Patient: [select name="relation_heart_disease" value="Parent|Sibling|Child|Grandparent|Aunt/Uncle|Cousin"]

Cancer (specify type below):
[checkbox name="family_history_cancer" value="Yes"]
Cancer Type: [text name="cancer_type"]
Relation to Patient: [select name="relation_cancer" value="Parent|Sibling|Child|Grandparent|Aunt/Uncle|Cousin"]

Stroke:
[checkbox name="family_history_stroke" value="Yes"]
Relation to Patient: [select name="relation_stroke" value="Parent|Sibling|Child|Grandparent|Aunt/Uncle|Cousin"]

Diabetes (Type 1 or Type 2):
[checkbox name="family_history_diabetes" value="Yes"]
Relation to Patient: [select name="relation_diabetes" value="Parent|Sibling|Child|Grandparent|Aunt/Uncle|Cousin"]

Chronic Lower Respiratory Diseases (e.g., COPD, asthma):
[checkbox name="family_history_respiratory_diseases" value="Yes"]
Relation to Patient: [select name="relation_respiratory_diseases" value="Parent|Sibling|Child|Grandparent|Aunt/Uncle|Cousin"]

Alzheimer's Disease:
[checkbox name="family_history_alzheimers" value="Yes"]
Relation to Patient: [select name="relation_alzheimers" value="Parent|Sibling|Child|Grandparent|Aunt/Uncle|Cousin"]

Kidney Diseases:
[checkbox name="family_history_kidney_disease" value="Yes"]
Relation to Patient: [select name="relation_kidney_disease" value="Parent|Sibling|Child|Grandparent|Aunt/Uncle|Cousin"]

Hypertension (High Blood Pressure):
[checkbox name="family_history_hypertension" value="Yes"]
Relation to Patient: [select name="relation_hypertension" value="Parent|Sibling|Child|Grandparent|Aunt/Uncle|Cousin"]

Obesity:
[checkbox name="family_history_obesity" value="Yes"]
Relation to Patient: [select name="relation_obesity" value="Parent|Sibling|Child|Grandparent|Aunt/Uncle|Cousin"]

Arthritis:
[checkbox name="family_history_arthritis" value="Yes"]
Relation to Patient: [select name="relation_arthritis" value="Parent|Sibling|Child|Grandparent|Aunt/Uncle|Cousin"]

Family Contact:
[textarea name="family_contact" default="Enter family contact details here."]

Tobacco Use:
[checklist name="tobacco_use" value="Never smoked|Former smoker|Current smoker - less than 1 pack/day|Current smoker - 1 or more packs/day|Occasional smoker|Other"]
If other, specify: [text name="tobacco_other"]

Alcohol Use (ETOH):
[checklist name="alcohol_use" value="Abstinent|Social drinker|Regular drinker|Heavy drinker|Other"]
If other, specify: [text name="alcohol_other"]

Drug Use:
[checklist name="drug_use" value="No known drug use|Prescription medications|Recreational drug use|Other"]
If other, specify: [text name="drug_other"]


Sex: [checkbox name="" value="male|female"]

Occupation:
[text name="occupation" default="Enter patient's occupation"]

Housing:
[checkbox name="housing" value="Private home|Apartment|Assisted living|Nursing home|Homeless|Other"]
If other, specify: [text name="housing_other"]

Activities of Daily Living (ADLs):
[checkbox name="adls" value="Independent in all ADLs|Requires assistance with bathing|Requires assistance with dressing|Requires assistance with toileting|Requires assistance with transferring|Requires assistance with feeding|Other"]
If other, specify: [text name="adls_other"]

Ambulation:
[checkbox name="ambulation" value="Independent|Uses cane|Uses walker|Wheelchair-bound|Bedbound|Other"]
If other, specify: [text name="ambulation_other"]



VS


Tm [text name="" default=""]

BP [text name="" default=""]

HR [text name="" default=""]

RR [text name="" default=""]

O2S[text name="" default=""]

Wt [text name="" default=""]

I/O [text name="" default=""]

Physical Exam

HEENT:  [checkbox name="heent" value="Normocephalic, Atraumatic|PERRLA|EOMI|Anicteric sclerae|No oral lesions|Throat erythema|Conjunctival injection|Pallor|Jaundice|Oral ulcerations|Other"]
Neck:   [checkbox name="neck" value="Supple|No lymphadenopathy|No thyroid enlargement|Lymphadenopathy|Thyroid mass|Jugular vein distension|Other"]
CVS:    [checkbox name="cardiovascular" value="Regular rhythm|No murmurs|Peripheral pulses intact|No edema|Murmurs|Irregular rhythm|Peripheral edema|Other"]
Pulm:   [checkbox name="respiratory" value="Clear to auscultation bilaterally|No wheezes, rales, or rhonchi|Wheezing|Rales|Rhonchi|Decreased breath sounds|Other"]
Abd:    [checkbox name="abdomen" value="Soft|Non-tender|No guarding, rebound, or rigidity|Normal bowel sounds|Tender|Guarding|Rebound tenderness|Distension|Mass palpable|Other"]
Ext:    [checkbox name="extremities" value="No cyanosis or clubbing|Full range of motion|No swelling or deformity|Cyanosis|Clubbing|Swelling|Deformity|Reduced range of motion|Other"]
Neuro:  [checkbox name="neurological" value="Alert and oriented x3|Normal strength and tone|Sensation intact|Confusion|Focal weakness|Sensory loss|Other"]
Skin:   [checkbox name="skin" value="No rashes or lesions|Warm and dry|Rash|Lesions|Cool|Clammy|Other"]

ASSSESSMENT AND PLAN

Problem Representation:
[select name="problem_representation" value="Stable chronic condition|Acute on chronic exacerbation|New acute issue|Post-surgical complication|Medication-related problem|Infection|Injury or trauma|Routine follow-up|Screening or preventive care|Other"]
Specify if other: [text name="problem_specify_other"]

H&P
ADMISSIONS ORDERS
Med Rec
AM Labs
Work Up
PT/OT
FEN
GI
PPx
DVT ppx
Diet
IVF
Handoff Updated
Sign Out 
Consults Placed

Dispo Planning
PCP Contact
Follow Up Appointment
Transportation
Med Rec/Pharmacy Recs
PT/OT Recs
Walk Patient
Consult Recs
Home Health Orders
Discharge Summary

Teaching Points
DATE OF ADMISSION


Floor


Bed


MRN


CODE STATUS


PCP


ID/CC


Overnight Events in Hospital:


Overnight Events in Hospital:




Overnight Events in Hospital:
Duration of sleep:

Describe (e.g., frequency, interventions):

Type of medication:
Peak temperature:
Interventions:
Details of the incident:
Oxygen level:
Description:
Allergen/Reaction:
Details:
Type/Volume:
Wound location:
Observations:
Blood type/Volume:
Test type/Results:
Assistance type:
Details:
Details/Duration:
Type/Amount:
Details:

Please specify any other significant events not listed above:


Telemetry Monitoring Data:

Type of arrhythmia:
Heart rate (bpm):
Heart rate (bpm):


Frequency:
Frequency:
Location/Leads involved:
Location/Leads involved:
QT interval:


Telemetry Monitoring Data:

Specify type (e.g., AFib, VTach, SVT):

Heart Rate:
- BPM:
- BPM:

Conduction Abnormalities:
-
- Type (I/II):
-

Ventricular Activity:
- Frequency:
-
-

Atrial Activity:
- Frequency:
-
- Rate control:

ST Segment and T-wave Changes:
- Leads affected:
- Leads affected:
- Leads affected:

QT Interval:
- Duration:

Please specify any other significant telemetry observations not listed above:



HPI

The patient is a complaining of that began while . Symptoms have been since onset and pt rates them as in severity. Patient reports the symptoms are located and describes the quality as . Symptoms associated with but denies any .

Symptoms are improved with and exacerbated by . Patient history of similar symptoms.
Pertinent medical history includes .

Patient adds .

Patient .
Patient .

Patient states that they were was in their usual state of health until "
"
Patient seen and examined this morning. .


Patient .

Patient is currently is *** in pain**"" and rated a "" out of 10.
- The pain is described as " dull "
- The pain is described as " sharp "
- The pain is described as " crampy "
- The pain is described as " an ache "
- The pain is described as " X "



BSx:


Skin:


HEENT:


CV:


Pulm:


GI:


GU:


MSK:


Heme:


Neuro:


Psy:





PMH/ PSH

MEDS/ALL

Outpatient


Inpatient


Social History/Family History (SHX/FHX):


Heart Disease (e.g., coronary artery disease, heart attack):

Relation to Patient:

Cancer (specify type below):

Cancer Type:
Relation to Patient:

Stroke:

Relation to Patient:

Diabetes (Type 1 or Type 2):

Relation to Patient:

Chronic Lower Respiratory Diseases (e.g., COPD, asthma):

Relation to Patient:

Alzheimer's Disease:

Relation to Patient:

Kidney Diseases:

Relation to Patient:

Hypertension (High Blood Pressure):

Relation to Patient:

Obesity:

Relation to Patient:

Arthritis:

Relation to Patient:

Family Contact:


Tobacco Use:

If other, specify:

Alcohol Use (ETOH):

If other, specify:

Drug Use:

If other, specify:


Sex:

Occupation:


Housing:

If other, specify:

Activities of Daily Living (ADLs):

If other, specify:

Ambulation:

If other, specify:



VS


Tm

BP

HR

RR

O2S

Wt

I/O

Physical Exam

HEENT:
Neck:
CVS:
Pulm:
Abd:
Ext:
Neuro:
Skin:

ASSSESSMENT AND PLAN

Problem Representation:

Specify if other:

H&P
ADMISSIONS ORDERS
Med Rec
AM Labs
Work Up
PT/OT
FEN
GI
PPx
DVT ppx
Diet
IVF
Handoff Updated
Sign Out
Consults Placed

Dispo Planning
PCP Contact
Follow Up Appointment
Transportation
Med Rec/Pharmacy Recs
PT/OT Recs
Walk Patient
Consult Recs
Home Health Orders
Discharge Summary

Teaching Points

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.56, 190 form elements, 495 boilerplate words, 74 text boxes, 10 text areas, 1 dates, 74 checkboxes, 14 check lists, 17 drop downs, 363 total clicks
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