Well Child Check

[select name="Q1" value="newborn|1 month|2 month|4 month|6 month|9 month|12 month|15 month|18 month|24 month|30 month|3 year|4 year|5 year|6 year|7 year|8 year|9 year|10 year|11 year|12 year|13 year|14 year|15 year|16 year|17 year|18 year"] [select name="Q2" value="female|male"]

CC: [var name="Q1" memo="age"] visit [text size="20"]

SUBJECTIVE:
[conditional field="Q1" condition="(Q1).is('newborn')"]HPI: This is a [text name="dol" size="2"]-day-old [var name="Q2" memo="sex"] [textarea size="80" rows="7" fillable="true"]delivered by ***vag/sec*** at ***weeks*** weeks. The mother is a ***age***-year-old G****** female with blood type ******. She is HBsAg (***+/-***), rubella immune, GBS (***+/-***), other labs are unremarkable. There was no pregnancy or delivery problems. In the hospital, the patient received the initial HepB vaccine, passed the hearing screen, and had normal pulse ox screening. Since going home, the patient has been feeding well (***Formula/BM*** 2oz every 2-3 hours), stooling/voiding normally, and behaving normally. The mother has no concerns or questions today. Mother is doing well.[/textarea][/conditional][conditional field="Q1" condition="(Q1).is('1 month')"]HPI: This is a [var name="Q1" memo="age"] old [var name="Q2" memo="sex"] [textarea size="80" rows="5" fillable="true"]infant born to a ***age*** year old G****** at ****** weeks. Per parent, the patient has been feeding well (******), stooling/voiding without issue, and has a routine sleep/wake cycle. No parental concerns or questions today. Mother is doing well. Daytime care is with parents. [/textarea][/conditional][conditional field="Q1" condition="((Q1).is('2 month')||(Q1).is('4 month'))"]HPI: This is a [var name="Q1" memo="age"] old [var name="Q2" memo="sex"] infant here for a routine well child check and vaccines. [textarea size="80" rows="5" fillable="true"]Per parent, the patient has been feeding well (******), stooling/voiding without issue, and has a routine sleep/wake cycle. No parental concerns or questions today. Mother is doing well. Daytime care is with Parents / Daycare.[/textarea][/conditional][conditional field="Q1" condition="(Q1).is('6 month')"]HPI: This is a [var name="Q1" memo="age"] old [var name="Q2" memo="sex"] infant here for a routine well child check and vaccines. [textarea size="80" rows="5" fillable="true"]Per parent, the patient has been feeding well (******), stooling/voiding without issue, and has a routine sleep/wake cycle. No parental concerns or questions today. Mother is doing well. Daytime care is with Parents / Daycare.[/textarea][/conditional][conditional field="Q1" condition="(Q1).is('9 month')"]HPI: This is a [var name="Q1" memo="age"] old [var name="Q2" memo="sex"] infant here for a routine well child check. [textarea size="80" rows="5" fillable="true"]Per parent, no concern with diet, stooling, voiding, or behavior, trying solids, and sleeps through the night without feeding. No parental concerns at this time. Mother is doing well. Daytime care is with Parents / Daycare.[/textarea][/conditional][conditional field="Q1" condition="(Q1).is('12 month')"]HPI: This is a [var name="Q1" memo="age"] old [var name="Q2" memo="sex"] here for well child check. [textarea size="80" rows="5" fillable="true"]Per parent, no concern with diet, stooling, voiding, or behavior, eating solids, and sleeps through the night without feeding. Screen/TV time is limited to less than 2 hrs/day. No parental concerns at this time.Mother is doing well. Daytime care is with Parents / Daycare.[/textarea][/conditional][conditional field="Q1" condition="(Q1).is('15 month')"]HPI: This is a [var name="Q1" memo="age"] old [var name="Q2" memo="sex"] here for well child check. [textarea size="80" rows="5" fillable="true"]Per parent, no concern with diet, stooling, voiding, or behavior, pt sleeps through the night without feeding. Screen/TV time is limited to less than 2 hrs/day. No parental concerns at this time. Daytime care is with Parents / Daycare.[/textarea][/conditional][conditional field="Q1" condition="(Q1).is('18 month')"]HPI: This is a [var name="Q1" memo="age"] old [var name="Q2" memo="sex"] here for well child check. [textarea size="80" rows="5" fillable="true"]Per parent, no concern with diet (weaned from bottle), stooling, voiding, or behavior, pt sleeps through the night without feeding. Pt is showing interest in potty. Screen/TV time is limited to less than 2 hrs/day. No parental concerns at this time. Daytime care is with Parents / Daycare.[/textarea][/conditional][conditional field="Q1" condition="(Q1).is('24 month')"]HPI: This is a [var name="Q1" memo="age"] old [var name="Q2" memo="sex"] here for well child check. [textarea size="80" rows="5" fillable="true"]Per parent, no concern with diet (weaned from bottle), stooling, voiding, or behavior, pt sleeps through the night without feeding. Pt is working on toilet training. Screen/TV time is limited to less than 2 hrs/day. No parental concerns at this time. Daytime care is with Parents / Daycare.[/textarea][/conditional][conditional field="Q1" condition="(Q1).is('30 month')"]HPI: This is a [var name="Q1" memo="age"] old [var name="Q2" memo="sex"] here for well child check. [textarea size="80" rows="5" fillable="true"]Per parent, no concern with diet, stooling, voiding, or behavior, pt has a regular bedtime routine and sleeps through the night. Pt is working on toilet training. Pt is able to brush teeth with help. Screen/TV time is limited to less than 2 hrs/day. No parental concerns at this time. Daytime care is with Parents / Daycare.[/textarea][/conditional][conditional field="Q1" condition="(Q1).is('3 year')"]HPI: This is a [var name="Q1" memo="age"] old [var name="Q2" memo="sex"] here for well child check. [textarea size="80" rows="5" fillable="true"]Per parent, no concern with diet, stooling, voiding, or behavior, pt has a regular bedtime routine and sleeps through the night. Pt is able to brush teeth.  Screen/TV time is limited to less than 2 hrs/day, gets time outside every day. No parental concerns at this time. Daytime care is with Parents / Daycare.[/textarea][/conditional][conditional field="Q1" condition="(Q1).is('4 year')"]HPI: This is a [var name="Q1" memo="age"] old [var name="Q2" memo="sex"] here for well child check. [textarea size="80" rows="5" fillable="true"]Per parent, no concern with diet, stooling, voiding, or behavior, pt has a regular bedtime routine and sleeps through the night. Pt is able to brush teeth.  Screen/TV time is limited to less than 2 hrs/day, gets time outside every day. No parental concerns at this time. Daytime care is with Parents / Daycare.[/textarea][/conditional][conditional field="Q1" condition="(Q1).is('5 year')"]HPI: This is a [var name="Q1" memo="age"] old [var name="Q2" memo="sex"] here for well child check. [textarea size="80" rows="5" fillable="true"]Per parent, no concern with diet, stooling, voiding, or behavior, pt has a regular bedtime routine and sleeps through the night. Pt is able to brush teeth.  Screen/TV time is limited to less than 2 hrs/day, gets time outside every day. No parental concerns at this time.[/textarea][/conditional][conditional field="Q1" condition="((Q1).is('6 year')||(Q1).is('7 year')||(Q1).is('8 year')||(Q1).is('9 year')||(Q1).is('10 year')||(Q1).is('11 year'))"]HPI: This is a [var name="Q1" memo="age"] old [var name="Q2" memo="sex"] here for well child check. [textarea size="80" rows="5" fillable="true"]Per parent, no concern with diet, stooling, voiding, or behavior, pt has a regular bedtime routine and sleeps through the night. Pt brushes teeth regularly. Plays outside every day. No parental concerns at this time.[/textarea][/conditional][conditional field="Q1" condition="((Q1).is('12 year')||(Q1).is('13 year')||(Q1).is('14 year')||(Q1).is('15 year')||(Q1).is('16 year')||(Q1).is('17 year')||(Q1).is('18 year'))"]HPI: This is a [var name="Q1" memo="age"] old [var name="Q2" memo="sex"] here for well child check. [textarea size="80" rows="5" fillable="true"]No concern with diet, stooling, voiding, or behavior, pt has a regular bedtime routine and sleeps through the night. Pt brushes teeth regularly. Plays outside every day. No parental concerns at this time.[/textarea][/conditional]

PMH: [text name="PMH" default="Reviewed in Chart" size="40"]
PSH: [text name="PSH" default="Reviewed in Chart" size="40"]
FH: [select name="FH" value="M- Denies; F- Denies|" ][conditional field="FH" condition="(FH).is('')"]M– [checkbox name="FH-M" value="Denies|HTN|DM|HLD"] [text name="field_name" default=""]; F– [checkbox name="FH-F" value="Denies|HTN|DM|HLD"] [text name="field_name" default=""][/conditional]
Meds: Reviewed in chart
Allx: [text name="allx" default="NKDA"]
SocHx:[textarea size="60" rows="2" default=" No smokers in the home. Stable, tranquil family. No major social stressors at home."][/textarea]
Immunizations: [text default="UTD"]
Dev:[conditional field="Q1" condition="(Q1).is('newborn')"][textarea size="80" rows="7" fillable="true"]- Gross motor: Lifts head.
- Fine motor: Moving all limbs equally.
- Cognitive: Eyes appear to fix on objects/lights.
- Social/Emotional: Appears to regard faces of others (at about 12 inches).
- Communication: Behaving normally.[/textarea][/conditional][conditional field="Q1" condition="(Q1).is('1 month')"][textarea size="80" rows="5" fillable="true"]- Gross motor: Lifts head when on tummy.
- Fine motor: Moving all limbs equally.
- Cognitive: Starting to smile. Eyes are tracking objects/bright lights.
- Social/Emotional: Consolable. Appears to regard faces of others (at about 12 inches).
- Communication: Coos.[/textarea][/conditional][conditional field="Q1" condition="(Q1).is('2 month')"][textarea size="80" rows="5" fillable="true"]- Gross motor: Able to hold head somewhat steady when pulled to a sitting position. Able to push body up when prone.
- Fine motor: Moving all extremities symmetrically. Can hold an object briefly.
- Cognitive: Indicates boredom when minimal stimulation. Eyes track well, and can fix on objects.
- Social/Emotional: Smiles, looks at parents, able to comfort self.
- Communication: Coos, vocalizes. Has different cries for different needs.[/textarea][/conditional][conditional field="Q1" condition="(Q1).is('4 month')"][textarea size="80" rows="5" fillable="true"]- Gross motor: Good head control, including when prone. Good head control when pulled to a sitting position.
- Fine motor: Able to roll from front to back. Reaches for objects, and holds them briefly.
- Cognitive: Responds to affection. Indicates pleasure and displeasure.
- Social/Emotional: Laughs, squeals. Can self-calm.
- Communication: Babbles, smiles.[/textarea][/conditional][conditional field="Q1" condition="(Q1).is('6 month')"][textarea size="80" rows="5" fillable="true"]- Gross and fine motor: Head flexed forward when pulled to a sitting position. Is able to sit up, rolls over both ways. Reaches and grabs; raking grasps.
- Cognitive: Responds to affection. Turns towards sounds.
- Social/Emotional/Communication: Smiles, laughs, likes to talk and play.[/textarea][/conditional][conditional field="Q1" condition="(Q1).is('9 month')"][textarea size="80" rows="5" fillable="true"]- Gross motor: Sits well on own, crawls, cruises, pulls self to stand (with help)
- Fine motor: Uses pincer grasp, takes finger foods.
- Cognitive: +object permanence, likes to look at books.
- Social/Emotional: Laughs, likes to play games (e.g. “peek-a-boo”), early signs of stranger anxiety, seeks parents for comfort.
- Communication: Understands a few words, babbles, imitates sounds, says nonspecific syllables (“mama,” “dada”), points out objects.[/textarea][/conditional][conditional field="Q1" condition="(Q1).is('12 month')"][textarea size="80" rows="5" fillable="true"]- Gross motor: Pulls self to a stand, cruises. Starting to walk.
- Fine motor: Uses pincer grasp, feeds self, bangs toys together, drinks from a cup.
- Cognitive: Follows simple directions, hands adults books to read.
- Social/Emotional: Laughs, likes to play games (e.g. “peek-a-boo”), + stranger anxiety, looks at parent when name is called, waves bye-bye, tries to copy adults and older children.
- Communication: Knows 1-2 words, babbles, imitates sounds, uses gestures.[/textarea][/conditional][conditional field="Q1" condition="(Q1).is('15 month')"][textarea size="80" rows="5" fillable="true"]- Gross motor: Walking, starting to run, bends down without falling.
- Fine motor: Feeds self with a spoon, puts blocks in a cup, drinks from a cup with very little spilling.
- Cognitive: Follows simple directions, scribbles.
- Social/Emotional: Pretend play (e.g. phone), stranger anxiety, likes to copy older children and adults, tries to help.
- Communication: Knows at least 4 words, points to body parts, brings toys over to show you.[/textarea][/conditional][conditional field="Q1" condition="(Q1).is('18 month')"][textarea size="80" rows="5" fillable="true"]- Gross motor: Runs, walks up steps, able to kick a ball.
- Fine motor: Feeds self with a spoon, removes clothes, stacks 2 blocks, uses spoon and cup
without spilling most of the time.
- Cognitive: Follows simple directions, scribbles, knows name of favorite book.
- Social/Emotional: Helps in the house, laughs in response to others, points out things of interest.
- Communication: Knows at least 4-10 words, points to at least one body part.
- Autism Screening: MCHAT score: ******. Seems to interact with others well. Makes eye contact.
- Enjoys pretend play. Orients to name. Points and gestures socially. Using 2-word phrases.[/textarea][/conditional][conditional field="Q1" condition="(Q1).is('24 month')"][textarea size="80" rows="5" fillable="true"]- Gross motor: Walks up/down steps, able to kick a ball, jumps in place, throws a ball overhand.
- Fine motor: Turns a page one at a time, removes clothes, stacks 5-6 blocks.
- Cognitive: Follows 2-step commands, scribbles, names items in pictures, uses spoon and cup well.
- Social/Emotional: Copies adults, plays pretend, plays well alongside other children.
- Communication: Able to put 2 words together, knows 20+ words.
- Autism Screening: MCHAT score: ******. Seems to interact with others well. Makes eye contact.
- Enjoys pretend play. Orients to name. Points and gestures socially. Using 2-word phrases.[/textarea][/conditional][conditional field="Q1" condition="(Q1).is('30 month')"][textarea size="80" rows="5" fillable="true"]- Gross motor: Walks up/down steps, able to kick a ball, jumps in place, throws a ball overhand.
- Fine motor: Turns a page one at a time, removes clothes, stacks 5-6 blocks.
- Cognitive: Follows 2-step commands, scribbles, names items in pictures, uses spoon and cup well.
- Social/Emotional: Copies adults, plays pretend, plays well alongside other children.
- Communication: Able to put 2 words together, knows 20+ words.
- Enjoys pretend play. Orients to name. Points and gestures socially. Using 2-word phrases.[/textarea][/conditional][conditional field="Q1" condition="(Q1).is('3 year')"][textarea size="80" rows="5" fillable="true"]- Gross and fine motor: Can stack 6-8 blocks, stand on one foot, pedal a tricycle, throw a ball overhand, walk up stairs with alternating feet, copy a circle, draw a person with two body parts, dress self (may need some help).
- Cognitive: Knows name, age, sex. Counts to 3 or more.
- Social/Emotional: Joins other children in play. Asks questions. Able to name friends.
- Communication: Others can understand at least 3/4 of what is said. Speaks in 3-4 word sentences.[/textarea][/conditional][conditional field="Q1" condition="(Q1).is('4 year')"][textarea size="80" rows="5" fillable="true"]- Gross and fine motor: Hops/balances on one foot, can stack 8 blocks, brushes own teeth, dresses self (including buttons), uses scissors, walk up stairs with alternating feet, copies a cross.
- Cognitive: Knows first and last name, age, sex; draws person with at least 3 body parts; names at least 4 colors.
- Social/Emotional: Plays cooperatively, plays board/card games, plays make-believe.
- Communication: Strangers can understand speech, recognizes most letters. Speaks in 3-4 word sentences.[/textarea][/conditional][conditional field="Q1" condition="(Q1).is('5 year')"][textarea size="80" rows="5" fillable="true"]- Gross and fine motor: Hops and skips, holds crayon or pencil well, rides a bike, able to tie a knot; copies squares and triangles.
- Cognitive: Draws a person with head, body, and limbs (6+ body parts); knows at least 4 colors; counts to 5 or 10; can explain the use of a ball or shoe.
- Social/Emotional: Plays cooperatively, plays board/card games, plays make-believe, listens and attends.
- Communication: Can speak in full sentences and tell a story, recognizes most letters, prints some letters and numbers.[/textarea][/conditional][conditional field="Q1" condition="(Q1).is('6 year')"][textarea size="80" rows="10" fillable="true"]- In 1st grade. School is going well.
- Has friends.
- After-school activities: ******
- Physical activity (and safety): ******
- Screen time: ******
- Does chores when asked.
- Knows address and home phone number.
- Can name 4-5 things to eat in 20 seconds.
- Prints letters without problems.
- Dresses self without supervision.[/textarea][/conditional][conditional field="Q1" condition="((Q1).is('7 year')||(Q1).is('8 year'))"][textarea size="80" rows="5" fillable="true"]- School is going well.
- Has friends.
- After-school activities: ******
- Physical activity (and safety): ******
- Screen time: ******
- Does chores when asked.
- Knows address and home phone number.
- Prints letters without problems.[/textarea][/conditional][conditional field="Q1" condition="((Q1).is('8 year')||(Q1).is('9 year')||(Q1).is('10 year'))"][textarea size="80" rows="5" fillable="true"]- School is going well. No parental or teacher concerns about behavior.
- Friends/hobbies: ******
- Physical activity (and safety): ******
- Screen time: ******[/textarea][/conditional][conditional field="Q1" condition="((Q1).is('11 year')||(Q1).is('12 year')||(Q1).is('13 year')||(Q1).is('14 year')||(Q1).is('15 year'))"][textarea size="80" rows="5" fillable="true"]- School is going well. No parental or teacher concerns about behavior.
- Friends/hobbies: ******
- Physical activity (and safety): ******
- Screen time: ******[/textarea][/conditional][conditional field="Q1" condition="(Q1).is('12+ year')"][textarea size="80" rows="15" fillable="true"]RISK ASSESSMENT (non-confidential):
- Has never fainted before.
- No h/o cough, chest pain, or shortness of breath with exercise.
- Has never had a significant head injury.
- No family history of someone dying suddenly while exercising.
- No family history of MI or stroke before age 55.
RISK ASSESSMENT (confidential):
- Home: Safe, peaceful home environment. Family members all get along, more or less.
- Education/Employment: School is going ******. No problems with safety or bullying at school.
- Eating: No concerns about body appearance. Getting sufficient calcium in diet (at least 4 servings per day). No dietary restrictions.
- Activities: Enjoys hanging out with friends. Screen time ******. Is involved in ******
- Drugs: No history of tobacco, EtOH, or drug use. No friends are using these substances.
- Safety: No history of violent relationships at home or elsewhere.
- Sex: Prefers ******. Has not been sexually active (oral or genital) yet.
- Suicidality/Mental Health: No concerns. No history of physical or sexual abuse. Sleeps well at night.[/textarea][/conditional][conditional field="Q1" condition="((Q1).is('16 year')||(Q1).is('17 year')||(Q1).is('18 year'))"][textarea size="80" rows="15" fillable="true"]RISK ASSESSMENT (non-confidential):
- Has never fainted before.
- No h/o cough, chest pain, or shortness of breath with exercise.
- Has never had a significant head injury.
- No family history of someone dying suddenly while exercising.
- No family history of MI or stroke before age 55.
RISK ASSESSMENT (confidential):
- Home: Safe, peaceful home environment. Family members all get along, more or less.
- Education/Employment: School is going ******. No problems with safety or bullying at school.
- Eating: No concerns about body appearance. Getting sufficient calcium in diet (at least 4 servings per day). No dietary restrictions.
- Activities: Enjoys hanging out with friends. Screen time ******. Is involved in ******
- Drugs: No history of tobacco, EtOH, or drug use. No friends are using these substances.
- Safety: No history of violent relationships at home or elsewhere.
- Sex: Prefers ******. Has not been sexually active (oral or genital) yet.
- Suicidality/Mental Health: No concerns. No history of physical or sexual abuse. Sleeps well at night.[/textarea][/conditional][conditional field="Q1|Q2" condition="((Q1).is('11 year')||(Q1).is('12 year')||(Q1).is('13 year')||(Q1).is('14 year')||(Q1).is('15 year')||(Q1).is('16 year')||(Q1).is('17 year')||(Q1).is('18 year'))&&(Q2).is('female')"]
LMP: [date name="LMP_Date"], [text size="60" default="Menses started at age ******, and is regular."][/conditional]

OBJECTIVE:
[conditional field="Q1" condition="((Q1).is('4 year')||(Q1).is('5 year')||(Q1).is('6 year')||(Q1).is('7 year')||(Q1).is('8 year')||(Q1).is('9 year')||(Q1).is('10 year')||(Q1).is('11 year')||(Q1).is('12 year')||(Q1).is('13 year')||(Q1).is('14 year')||(Q1).is('15 year')||(Q1).is('16 year')||(Q1).is('17 year')||(Q1).is('18 year'))"]BP [text name="SBP" size="3"]/[text name="DBP" size="3"] ([calc memo="MAP" value="score=((DBP)+(((SBP)-(DBP))/3)).toFixed(0)"]), [/conditional]P [text name="pulse" size="3"], RR [text name="resp" size="3"], T [text name="temp" default="98.6" size="5"]°F
Ht: [text name="ht" size="3"]", [conditional field="Q1" condition="((Q1).is('newborn')||(Q1).is('1 month')||(Q1).is('2 month')||(Q1).is('4 month')||(Q1).is('6 month')||(Q1).is('9 month')||(Q1).is('12 month')||(Q1).is('15 month')||(Q1).is('18 month')||(Q1).is('24 month'))"]Birth Wt: [text name="b-kg" size="3"] kgs ([calc memo="b-lbs" value="lbs=((b-kg)*2.2).toFixed(1)"] lbs), [/conditional]Wt: [text name="kg" size="3"] kgs ([calc memo="lbs" value="wt=((kg)*2.2).toFixed(1)"] lbs)[conditional field="Q1" condition="((Q1).is('13 year')||(Q1).is('14 year')||(Q1).is('15 year')||(Q1).is('16 year')||(Q1).is('17 year')||(Q1).is('18 year'))"], BMI: [calc memo="BMI" value="score=((wt)*(703)/((ht)*(ht))).toFixed(1)"] ([calc memo="class" value="score=(wt)*(703)/((ht)*(ht));score>49.9999?'Obesity class IV':score>39.9999?'Obesity class III':score>34.9999?'Obesity class II':score>29.9999?'Obesity class I':score>24.9999?'Overweight':score>18.4999?'Normal':score>16.4999?'Underweight':'Severely underweight'"])[/conditional][conditional field="Q1" condition="((Q1).is('newborn')||(Q1).is('1 month')||(Q1).is('2 month'))"][checkbox memo="Weight Change since birth" memo_color="blue" name="wc_b" value=""][/conditional][conditional field="Q1" condition="((Q1).is('newborn')||(Q1).is('1 month')||(Q1).is('2 month')||(Q1).is('4 month')||(Q1).is('6 month')||(Q1).is('9 month')||(Q1).is('12 month'))"][checkbox memo="Weight Change since visit" memo_color="blue" name="wc_v" value=""][/conditional][conditional field="wc_b" condition="(wc_b).is('')"]
Wt Change: [calc value="wtchg_b=(((kg)-(b-kg))*1000).toFixed(0)"] grams, [calc value="wtchg_b_percent=(((wtchg_b)/((b-kg)*1000))*100).toFixed(1)"]%, DOL: [var name="dol"], [calc value="((wtchg_b)/(dol)).toFixed(0)"] g/day[/conditional][conditional field="wc_v" condition="(wc_v).is('')"]
Last Visit Wt: [text name="v-kg" size="5"] kg, Wt Change: [calc value="wtchg_v=(((kg)-(v-kg))*1000).toFixed(0)"] grams, [calc value="wtchg_v_percent=(((wtchg_v)/((v-kg)*1000))*100).toFixed(1)"]%, Days since visit: [text name="dsv" size="3"], [calc value="((wtchg_v)/(dsv)).toFixed(0)"] g/day[/conditional]
[conditional field="Q1" condition="(Q1).is('newborn')"]GROWTH CHART: [text size=80 default="Following growth curve well in all parameters."]
-GA: [text size=80 default="NAD"]
-HEAD: [text size=80 default="NCAT, no cephalohematoma. AFOSF."]
-EENT: [text size=80 default="MMM, EOMI, PERRLA, b/l TM intact & reactive to light, b/l sclera anicteric, no conjunctival injection, + red reflex"]
-NECK: [text size=80 default="Supple"]
-CV: [text size=80 default="RRR, S1S2nl, no MRG, PMI nondisplaced, CR <2secs, no BLE Edema"]
-LUNGS: [text size=80 default="BBS, CTAB, no RRW, nl percussion"]
-ABD: [text size=80 default="no pulsatile masses, +BS nl x4, no high pitched or tinkling sounds, resonant to percussion, Soft, ND/NT, no rebound/guarding, no CVA tenderness, no HSM, Nl umbilical stump w/o surrounding erythema, no hernias"]
-NEURO: [text size=80 default="MAE symmetrically. + moro, + suck reflexes"]
-SKIN: [text size=80 default="WWP, Intact, no rashes, no lesions, no erythema, no jaundice, no sacral dimple"]
-GU: [/conditional][conditional field="Q1|Q2" condition="(Q1).is('newborn')&&(Q2).is('female')"][text size=80 default="no rashes, no inguinal hernia, no inguinal LAD"][/conditional][conditional field="Q1|Q2" condition="(Q1).is('newborn')&&(Q2).is('male')"][text size=80 default="no rashes, no penile discharge, penile shaft w/o masses or lesions, no inguinal hernia, no inguinal LAD, b/l testicles descended & nl in consistency, no hydrocele or varicocele, no hypospadias/epispadias, "]([select value="+|-"]) Circ[/conditional][conditional field="Q1" condition="(Q1).is('newborn')"]
-RECTAL: [text size=80 default="nl anus & perineum"]
-MSK: [text size=80 default="nl ROM, no joint swelling or erythema, clavicle intact, (-) Barlow, (-) Ortolani"][/conditional][conditional field="Q1" condition="((Q1).is('1 month')||(Q1).is('2 month'))"]GROWTH CHART: [text size=80 default="Following growth curve well in all parameters."]
-GA: [text size=80 default="NAD"]
-HEAD: [text size=80 default="NCAT, no cephalohematoma. AFOSF."]
-EENT: [text size=80 default="MMM, EOMI, PERRLA, b/l TM intact & reactive to light, b/l sclera anicteric, no conjunctival injection, + red reflex"]
-NECK: [text size=80 default="Supple"]
-CV: [text size=80 default="RRR, S1S2nl, no MRG, PMI nondisplaced, CR <2secs, no BLE Edema"]
-LUNGS: [text size=80 default="BBS, CTAB, no RRW, nl percussion"]
-ABD: [text size=80 default="no pulsatile masses, +BS nl x4, no high pitched or tinkling sounds, resonant to percussion, Soft, ND/NT, no rebound/guarding, no CVA tenderness, no HSM, no hernias"]
-NEURO: [text size=80 default="MAE symmetrically. + moro, + suck reflexes"]
-SKIN: [text size=80 default="WWP, Intact, no rashes, no lesions, no erythema, no jaundice, no sacral dimple"]
-GU: [/conditional][conditional field="Q1|Q2" condition="((Q1).is('1 month')||(Q1).is('2 month'))&&(Q2).is('female')"][text size=80 default="no rashes, no inguinal hernia, no inguinal LAD"][/conditional][conditional field="Q1|Q2" condition="((Q1).is('1 month')||(Q1).is('2 month'))&&(Q2).is('male')"][text size=80 default="no rashes, no penile discharge, penile shaft w/o masses or lesions, no inguinal hernia, no inguinal LAD, b/l testicles descended & nl in consistency, no hydrocele or varicocele, no hypospadias/epispadias, "]([select value="+|-"]) Circ[/conditional][conditional field="Q1" condition="((Q1).is('1 month')||(Q1).is('2 month'))"]
-RECTAL: [text size=80 default="nl anus & perineum"]
-MSK: [text size=80 default="nl ROM, no joint swelling or erythema, clavicle intact, (-) Barlow, (-) Ortolani"][/conditional][conditional field="Q1" condition="((Q1).is('4 month')||(Q1).is('6 month')||(Q1).is('9 month'))"]GROWTH CHART: [text size=80 default="Following growth curve well in all parameters."]
-GA: [text size=80 default="NAD"]
-HEAD: [text size=80 default="NCAT, AFOSF."]
-EENT: [text size=80 default="MMM, EOMI, PERRLA, b/l TM intact & reactive to light, b/l sclera anicteric, no conjunctival injection, + red reflex"]
-NECK: [text size=80 default="supple, no masses"]
-CV: [text size=80 default="RRR, S1S2nl, no MRG, PMI nondisplaced, CR <2secs, no BLE Edema"]
-LUNGS: [text size=80 default="BBS, CTAB, no RRW, nl percussion"]
-ABD: [text size=80 default="no pulsatile masses, +BS nl x4, no high pitched or tinkling sounds, resonant to percussion, Soft, ND/NT, no rebound/guarding, no CVA tenderness, no HSM, no hernias"]
-NEURO: [text size=80 default="MAE symmetrically."]
-SKIN: [text size=80 default="WWP, Intact, no rashes, no lesions, no erythema"]
-GU: [/conditional][conditional field="Q1|Q2" condition="((Q1).is('4 month')||(Q1).is('6 month')||(Q1).is('9 month'))&&(Q2).is('female')"][text size=80 default="no rashes, no inguinal hernia, no inguinal LAD"][/conditional][conditional field="Q1|Q2" condition="((Q1).is('4 month')||(Q1).is('6 month')||(Q1).is('9 month'))&&(Q2).is('male')"][text size=80 default="no rashes, no penile discharge, penile shaft w/o masses or lesions, no inguinal hernia, no inguinal LAD, b/l testicles descended, no hydrocele or varicocele, no hypospadias/epispadias, "]([select value="+|-"]) Circ[/conditional][conditional field="Q1" condition="((Q1).is('4 month')||(Q1).is('6 month')||(Q1).is('9 month'))"]
-RECTAL: [text size=80 default="nl anus & perineum"]
-MSK: [text size=80 default="nl ROM, no joint swelling or erythema, (-) Barlow, (-) Ortolani"][/conditional][conditional field="Q1" condition="((Q1).is('12 month')||(Q1).is('15 month')||(Q1).is('18 month')||(Q1).is('24 month'))"]GROWTH CHART: [text size=80 default="Following growth curve well in all parameters."]
-GA: [text size=80 default="NAD"]
-HEAD: [text size=80 default="NCAT"]
-EENT: [text size=80 default="MMM, EOMI, PERRLA, b/l TM intact & reactive to light, b/l sclera anicteric, no conjunctival injection, + red reflex"]
-NECK: [text size=80 default="supple, no masses"]
-CV: [text size=80 default="RRR, S1S2nl, no MRG, PMI nondisplaced, CR <2secs, no BLE Edema"]
-LUNGS: [text size=80 default="BBS, CTAB, no RRW, nl percussion"]
-ABD: [text size=80 default="no pulsatile masses, +BS nl x4, no high pitched or tinkling sounds, resonant to percussion, Soft, ND/NT, no rebound/guarding, no CVA tenderness, no HSM, no hernias"]
-NEURO: [text size=80 default="MAE symmetrically."]
-SKIN: [text size=80 default="WWP, Intact, no rashes, no lesions, no erythema"]
-GU: [/conditional][conditional field="Q1|Q2" condition="((Q1).is('12 month')||(Q1).is('15 month')||(Q1).is('18 month')||(Q1).is('24 month'))&&(Q2).is('female')"][text size=80 default="no rashes, no inguinal hernia, no inguinal LAD"][/conditional][conditional field="Q1|Q2" condition="((Q1).is('12 month')||(Q1).is('15 month')||(Q1).is('18 month')||(Q1).is('24 month'))&&(Q2).is('male')"][text size=80 default="no rashes, no penile discharge, penile shaft w/o masses or lesions, no inguinal hernia, no inguinal LAD, b/l testicles descended, no hydrocele or varicocele, no hypospadias/epispadias, "]([select value="+|-"]) Circ[/conditional][conditional field="Q1" condition="((Q1).is('12 month')||(Q1).is('15 month')||(Q1).is('18 month')||(Q1).is('24 month'))"]
-RECTAL: [text size=80 default="nl anus & perineum"]
-MSK: [text size=80 default="nl ROM, no joint swelling or erythema, (-) Barlow, (-) Ortolani"][/conditional][conditional field="Q1" condition="(Q1).is('30 month')"]GROWTH CHART: [text size=80 default="Following growth curve well in all parameters."]
-GA: [text size=80 default="NAD"]
-HEAD: [text size=80 default="NCAT"]
-EENT: [text size=80 default="MMM, EOMI, PERRLA, b/l TM intact & reactive to light, b/l sclera anicteric, no conjunctival injection, + red reflex"]
-NECK: [text size=80 default="supple, no masses"]
-CV: [text size=80 default="RRR, S1S2nl, no MRG, PMI nondisplaced, CR <2secs, no BLE Edema"]
-LUNGS: [text size=80 default="BBS, CTAB, no RRW, nl percussion"]
-ABD: [text size=80 default="no pulsatile masses, +BS nl x4, no high pitched or tinkling sounds, resonant to percussion, Soft, ND/NT, no rebound/guarding, no CVA tenderness, no HSM, no hernias"]
-NEURO: [text size=80 default="MAE symmetrically."]
-SKIN: [text size=80 default="WWP, Intact, no rashes, no lesions, no erythema"]
-GU: [/conditional][conditional field="Q1|Q2" condition="(Q1).is('30 month')&&(Q2).is('female')"][text size=80 default="no rashes, no inguinal hernia, no inguinal LAD"][/conditional][conditional field="Q1|Q2" condition="(Q1).is('30 month')&&(Q2).is('male')"][text size=80 default="no rashes, no penile discharge, penile shaft w/o masses or lesions, no inguinal hernia, no inguinal LAD, b/l testicles descended, no hydrocele or varicocele, no hypospadias/epispadias, "]([select value="+|-"]) Circ[/conditional][conditional field="Q1" condition="(Q1).is('30 month')"]
-RECTAL: [text size=80 default="nl anus & perineum"]
-MSK: [text size=80 default="nl ROM, no joint swelling or erythema"][/conditional][conditional field="Q1" condition="(Q1).is('3 year')"]GROWTH CHART: [text size=80 default="Following growth curve well in all parameters."]
-GA: [text size=80 default="NAD"]
-HEAD: [text size=80 default="NCAT"]
-EENT: [text size=80 default="MMM, EOMI, PERRLA, b/l TM intact & reactive to light, b/l sclera anicteric, no conjunctival injection, + red reflex"]
--Vision Screen: [select value="Passed|Failed"]
-NECK: [text size=80 default="supple, no masses"]
-CV: [text size=80 default="RRR, S1S2nl, no MRG, PMI nondisplaced, CR <2secs, no BLE Edema"]
-LUNGS: [text size=80 default="BBS, CTAB, no RRW, nl percussion"]
-ABD: [text size=80 default="no pulsatile masses, +BS nl x4, no high pitched or tinkling sounds, resonant to percussion, Soft, ND/NT, no rebound/guarding, no CVA tenderness, no HSM, no hernias"]
-NEURO: [text size=80 default="MAE symmetrically."]
-SKIN: [text size=80 default="WWP, Intact, no rashes, no lesions, no erythema"]
-GU: [/conditional][conditional field="Q1|Q2" condition="(Q1).is('3 year')&&(Q2).is('female')"][text size=80 default="no rashes, no inguinal hernia, no inguinal LAD"][/conditional][conditional field="Q1|Q2" condition="(Q1).is('3 year')&&(Q2).is('male')"][text size=80 default="no rashes, no penile discharge, penile shaft w/o masses or lesions, no inguinal hernia, no inguinal LAD, b/l testicles descended, no hydrocele or varicocele, no hypospadias/epispadias, "]([select value="+|-"]) Circ[/conditional][conditional field="Q1" condition="(Q1).is('3 year')"]
-RECTAL: [text size=80 default="nl anus & perineum"]
-MSK: [text size=80 default="nl ROM, no joint swelling or erythema"][/conditional][conditional field="Q1" condition="((Q1).is('4 year')||(Q1).is('5 year')||(Q1).is('6 year')||(Q1).is('7 year'))"]GROWTH CHART: [text size=80 default="Following growth curve well in all parameters."]
-GA: [text size=80 default="NAD"]
-HEAD: [text size=80 default="NCAT"]
-EENT: [text size=80 default="MMM, EOMI, PERRLA, b/l TM intact & reactive to light, b/l sclera anicteric, no conjunctival injection, + red reflex"]
--Vision Screen: [select value="Passed|Failed"]
--Hearing Screen: [select value="Passed|Failed"]
-NECK: [text size=80 default="supple, no masses"]
-CV: [text size=80 default="RRR, S1S2nl, no MRG, PMI nondisplaced, CR <2secs, no BLE Edema"]
-LUNGS: [text size=80 default="BBS, CTAB, no RRW, nl percussion"]
-ABD: [text size=80 default="no pulsatile masses, +BS nl x4, no high pitched or tinkling sounds, resonant to percussion, Soft, ND/NT, no rebound/guarding, no CVA tenderness, no HSM, no hernias"]
-NEURO: [text size=80 default="MAE symmetrically."]
-SKIN: [text size=80 default="WWP, Intact, no rashes, no lesions, no erythema"]
-GU: [/conditional][conditional field="Q1|Q2" condition="((Q1).is('4 year')||(Q1).is('5 year')||(Q1).is('6 year')||(Q1).is('7 year'))&&(Q2).is('female')"][text size=80 default="no rashes, no inguinal hernia, no inguinal LAD"][/conditional][conditional field="Q1|Q2" condition="((Q1).is('4 year')||(Q1).is('5 year')||(Q1).is('6 year')||(Q1).is('7 year'))&&(Q2).is('male')"][text size=80 default="no rashes, no penile discharge, penile shaft w/o masses or lesions, no inguinal hernia, no inguinal LAD, b/l testicles descended, no hydrocele or varicocele, no hypospadias/epispadias, "]([select value="+|-"]) Circ[/conditional][conditional field="Q1" condition="((Q1).is('4 year')||(Q1).is('5 year')||(Q1).is('6 year')||(Q1).is('7 year'))"]
-RECTAL: [text size=80 default="nl anus & perineum"]
-MSK: [text size=80 default="nl ROM, no joint swelling or erythema"][/conditional][conditional field="Q1" condition="((Q1).is('8 year')||(Q1).is('9 year')||(Q1).is('10 year')||(Q1).is('11 year')||(Q1).is('12 year')||(Q1).is('13 year')||(Q1).is('14 year')||(Q1).is('15 year')||(Q1).is('16 year')||(Q1).is('17 year')||(Q1).is('18 year'))"]GROWTH CHART: [text size=80 default="Following growth curve well in all parameters."]
-GA: [text size=80 default="NAD"]
-HEAD: [text size=80 default="NCAT"]
-EENT: [text size=80 default="MMM, EOMI, PERRLA, b/l TM intact & reactive to light, b/l sclera anicteric, no conjunctival injection, + red reflex"]
--Vision Screen: [select value="Passed|Failed"]
--Hearing Screen: [select value="Passed|Failed"]
-NECK: [text size=80 default="supple, no masses"]
-CV: [text size=80 default="RRR, S1S2nl, no MRG, PMI nondisplaced, CR <2secs, no BLE Edema"]
-LUNGS: [text size=80 default="BBS, CTAB, no RRW, nl percussion"]
-ABD: [text size=80 default="no pulsatile masses, +BS nl x4, no high pitched or tinkling sounds, resonant to percussion, Soft, ND/NT, no rebound/guarding, no CVA tenderness, no HSM, no hernias"]
-NEURO: [text size=80 default="MAE symmetrically."]
-SKIN: [text size=80 default="WWP, Intact, no rashes, no lesions, no erythema"]
-GU: [/conditional][conditional field="Q1|Q2" condition="((Q1).is('8 year')||(Q1).is('9 year')||(Q1).is('10 year')||(Q1).is('11 year')||(Q1).is('12 year')||(Q1).is('13 year')||(Q1).is('14 year')||(Q1).is('15 year')||(Q1).is('16 year')||(Q1).is('17 year')||(Q1).is('18 year'))&&(Q2).is('female')"][text size=80 default="no rashes, no inguinal hernia, no inguinal LAD"], Tanner Stage: [select value="1|2|3|4"][/conditional][conditional field="Q1|Q2" condition="((Q1).is('8 year')||(Q1).is('9 year')||(Q1).is('10 year')||(Q1).is('11 year')||(Q1).is('12 year')||(Q1).is('13 year')||(Q1).is('14 year')||(Q1).is('15 year')||(Q1).is('16 year')||(Q1).is('17 year')||(Q1).is('18 year'))&&(Q2).is('male')"][text size=80 default="no rashes, no penile discharge, penile shaft w/o masses or lesions, no inguinal hernia, no inguinal LAD, b/l testicles descended, no hydrocele or varicocele, no hypospadias/epispadias, "]([select value="+|-"]) Circ, Tanner Stage: [select value="1|2|3|4"][/conditional][conditional field="Q1" condition="((Q1).is('8 year')||(Q1).is('9 year')||(Q1).is('10 year')||(Q1).is('11 year')||(Q1).is('12 year')||(Q1).is('13 year')||(Q1).is('14 year')||(Q1).is('15 year')||(Q1).is('16 year')||(Q1).is('17 year')||(Q1).is('18 year'))"]
-RECTAL: [text size=80 default="nl anus & perineum"]
-MSK: [text size=80 default="nl ROM, no joint swelling or erythema, no signs of scoliosis, nl gait"][/conditional]


[conditional field="Q1" condition="(Q1).is('newborn')"]A/P: See Above[textarea size="80" rows="2"]Healthy newborn, doing well.[/textarea]
Labs Ordered Today: [text size=80 default="None"]
Vaccines: [text size=80 default="None"]
Teaching: [textarea size="80" rows="7"]Normal newborn feeding and sleep patterns. Infant should always sleep on their backs to prevent SIDS. Tummy time. No smoking in home: risk for SIDS and asthma. Safest to sleep in the crib or bassinet. Car seat facing backward until 2 years of age and 20 pounds. Working smoke alarms and carbon dioxide monitors in home. Hot water heater to less than 120 degrees. Normal crying versus colic, and what to expect. Warning signs for postpartum depression versus baby blues. Signs of jaundice. Sibling envy. Poly-Vi-Sol to supplement with iron if mostly breastfeeding. Encouraged breastfeeding.[/textarea]
RTC: [text size=80 default="F/U at 2 weeks of age, or sooner PRN"][/conditional][conditional field="Q1" condition="(Q1).is('1 month')"]A/P: See Above[textarea size="80" rows="2" fillable="true"]Healthy 1 month old infant, doing well.[/textarea]
Labs Ordered Today: [text size=80 default="None"]
Vaccines: [text size=80 default="None"]
Teaching: [textarea size="80" rows="7"]Normal newborn feeding and sleep patterns. Infant should always sleep on back to prevent SIDS. Tummy time. Range of normal bowel habits. No smoking in home: risk for SIDS and asthma. Safest to sleep in crib or bassinet. Car seat facing backward until 2 years of age and 20 pounds. Working smoke alarms and carbon dioxide monitors in home. No smokers in the home. Hot water heater to less than 120 degrees. Fall prevention. Normal crying versus colic, and what to expect. Warning signs for postpartum depression versus baby blues. Sibling envy. No honey, corn syrup, cows milk until 1 year. Formula mixing. Poly-Vi-Sol supplement with iron if mostly breast feeding (less than 32 oz/day of formula).[/textarea]
RTC: [text size=80 default="F/U at 8 weeks of age, or sooner PRN"][/conditional][conditional field="Q1" condition="(Q1).is('2 month')"]A/P: See Above[textarea size="80" rows="2" fillable="true"]Healthy 2 month old infant, doing well.[/textarea]
Labs Ordered Today: [text size=80 default="None"]
Vaccines: [text size=80 default="Pentacel #1 (DTaP, IPV, Hib), PCV-13 #1, Rota #1, HepB #2"]
Teaching: [textarea size="80" rows="7"]Nutrition and feeding; growth spurts. Normal sleep patterns. Infant should always sleep on back to prevent SIDS. Tummy time. Range of normal bowel habits. No smoking in home: risk for SIDS and asthma. Safest to sleep in crib or bassinet. Car seat facing backward until 2 years of age (ideally 2) and 20 pounds. Working smoke alarms and carbon dioxide monitors in home. No smokers in the home. Hot water heater to less than 120 degrees. Fall prevention. Normal crying versus colic, and what to expect. Warning signs for postpartum depression versus baby blues. Sibling adjustment. No honey, corn syrup, cows milk until 1 year. Formula mixing. Poly-Vi-Sol supplement with iron if mostly breast feeding (less than 32 oz/day of formula).[/textarea]
RTC: [text size=80 default="F/U at 4 months of age, or sooner PRN"][/conditional][conditional field="Q1" condition="(Q1).is('4 month')"]A/P: See Above[textarea size="80" rows="2" fillable="true"]Healthy 4 month old infant, doing well.[/textarea]
Labs Ordered Today: [text size=80 default="None"]
Vaccines: [text size=80 default="Pentacel #2 (DTaP, IPV, Hib), PCV #2, Rota #2"]
Teaching: [textarea size="80" rows="7"]Common immunization SE’s. How and when to introduce solids. Normal sleep patterns (decreased nighttime feeds, more regular sleep patterns). Infant should always sleep on back to prevent SIDS (first 6 months, at least). Teething (first tooth at 3-12 months, average 7 months). Tummy time; prevention of plagiocephaly. Range of normal bowel habits. Warning signs for postpartum depression versus baby blues. No smoking in home: risk for SIDS and asthma. Safest to sleep in crib or bassinet. Car seat facing backward until 2 years of age and 20 pounds. Working smoke alarms and carbon dioxide monitors in home. Hot water heater to less than 120 degrees. Fall prevention. Normal crying versus colic, and what to expect. No honey, corn syrup, cows milk until 1 year. Poly-Vi-Sol supplement with iron if mostly breastfeeding (less than 32 oz/day of formula)[/textarea]
RTC: [text size=80 default="F/U at 6 months of age, or sooner PRN"][/conditional][conditional field="Q1" condition="(Q1).is('6 month')"]A/P: See Above[textarea size="80" rows="2" fillable="true"]Healthy 6 month old infant, doing well.[/textarea]
Labs Ordered Today: [text size=80 default="None"]
Vaccines: [text size=80 default="Pentacel #3 (DTaP, IPV, Hib), PCV #3, HepB #3"]
Teaching: [textarea size="80" rows="7"]Common immunization SE’s. Avoiding use of walkers and door swings/jumpers.Child proofing the home: Gates for stairs, burn prevention, kitchen safety, water safety. Poison Control number (800-222-1222). Car seat facing backward until 2 years of age and 20 pounds. Teething and fluoride (first tooth at 3-12 months, average 7 months). How and when to introduce solids: Iron-fortified foods, delaying sweet foods and fruits, no honey/corn syrup/cow’s milk until one year old, finger foods. Choking hazards. No juice from bottle; no bottle in bed; early use of sippy cup. Speech development (importance of reading and talking). Sleep: Separation anxiety, night awakening, sleep training, lower crib mattress, side rales up. Warning signs for postpartum depression versus baby blues.[/textarea]
RTC: [text size=80 default="F/U at 9 months of age, or sooner PRN"][/conditional][conditional field="Q1" condition="(Q1).is('9 month')"]A/P: See Above[textarea size="80" rows="2" fillable="true"]Healthy 9-month old infant. Structured Developmental Screening performed.[/textarea]
Labs Ordered Today: [text size=80 default="None"]
Vaccines: [text size=80 default="None"]
Teaching: [textarea size="80" rows="7"]Avoiding use of walkers and door swings/jumpers. Child proofing the home: Gates for stairs, burn prevention, kitchen safety, water safety. Poison Control number (800-222-1222). Car seat facing backward until 2 years of age and 20 pounds. Dental care and fluoride (first tooth at 3-12 months, average 7 months). Food: Iron-fortified foods, no honey/corn syrup/cow’s milk until one year old, finger foods, no/minimal juice. Choking hazards. No juice from bottle; no bottle in bed; introducing a sippy cup. Speech development (importance of reading and talking). Sleep: Separation anxiety, night awakening, sleep training, lower crib mattress, side rales up[/textarea]
RTC: [text size=80 default="F/U at 12 months of age, or sooner PRN"][/conditional][conditional field="Q1" condition="(Q1).is('12 month')"]A/P: See Above[textarea size="80" rows="2" fillable="true"]Healthy 12-month old toddler[/textarea]
Labs Ordered Today: [text size=80 default="CBC, Blood Lead Test"]
Vaccines: [text size=80 default="MMR #1, Varicella #1, HepA #1"]
Teaching: [textarea size="80" rows="7"]Common immunization SE’s. Safety: Child-proofed home, burn prevention, kitchen safety, water safety, firearms, sunscreen, Poison Control number (800-222-1222). Car seat facing backward until 2 years of age and 20 pounds. Dental care and fluoride; dental visits. Food: Fortified whole milk (2 cups/day), limiting juice and sweets, finger foods, picky eating. Transitioning from bottle to cups; no bottle in bed. Choking hazards. Discipline: Praising wanted behaviors, distraction, setting limits, routines. Emerging independence (offer choices). Speech development (importance of reading and talking). Sleep: Sleep hygiene, dreams[/textarea]
RTC: [text size=80 default="F/U at 15 months of age, or sooner PRN"]
[/conditional]
Meds: [link url="https://www.soapnote.org/miscellaneous/medications-2/" memo="Medications"][checkbox memo="Acetaminophen (Ped)" name="Acet" value=""][conditional field="Acet" condition="(Acet).is('')"]
--Acetaminophen (160 mg/5 mL) (Ped), [text name="Acet_dose" default="15" memo="10-15" size="3"] mg/kg ([calc memo="dose" value="acetaminophen=(kg)*(Acet_dose)"] mg/dose), Take [calc memo="mL" value="score1=((acetaminophen)*(5/160)).toFixed(1)"] mL by mouth every 6 hours as needed for pain/discomfort/temp >100.4F[/conditional][checkbox memo="Ibuprofen (Ped)" name="Ibup" value=""][conditional field="Ibup" condition="(Ibup).is('')"]
--Ibuprofen (100mg/5mL), [text name="Ibup_dose" default="10" memo="" size="2"] mg/kg ([calc memo="dose" value="Ibup_dose2=(kg)*(Ibup_dose)"] mg/dose), Take [calc memo="mL" value="Ibup_mL=((Ibup_dose2)*(5/100)).toFixed(1)"] mL every 6-8 hours as needed for pain/discomfort/temp >100.4F[/conditional][checkbox memo="Amoxycillin (Q8H) (Ped)" name="Amox" value=""][conditional field="Amox" condition="(Amox).is('')"]
--Amoxycillin (250mg/5mL), [text name="Amox_dose" default="25" memo="25-60" size="2"] mg/kg ([calc memo="dose" value="Amox_dose2=(kg)*(Amox_dose)"] mg), Take [calc memo="mL" value="Amox_mL=((Amox_dose2)*(5/250)).toFixed(1)"] mL every 8 hours for [text name="Amox_dur" default="10" size="2"] days, disp: [calc value="Amox_disp=(Amox_mL)*8*(Amox_dur)"] mL, refill: 0[/conditional][textarea size="80" lines="8"]


CC: age visit

SUBJECTIVE:


PMH:
PSH:
FH:
Meds: Reviewed in chart
Allx:
SocHx:

Immunizations:
Dev:

OBJECTIVE:
P , RR , T °F
Ht: ", Wt: kgs (lbswt=((kg)*2.2).toFixed(1) lbs)




Meds: Medications Acetaminophen (Ped) Ibuprofen (Ped) Amoxycillin (Q8H) (Ped)

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.11, 369 form elements, 24 boilerplate words, 156 text boxes, 51 text areas, 1 dates, 7 checkboxes, 18 drop downs, 1 links, 31 variables, 18 calculations, 86 conditionals, 239 total clicks
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