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CC: [text name="CC" size="60"]

SUBJECTIVE:[checkbox memo="Freetext HPI" name="HPI" value=""][checkbox memo="OLD-CARTS" name="OLD-CARTS" value=""][checkbox name="old-carts-2" memo="OLD-CARTS 2.0" value=""][conditional field="OLD-CARTS" condition="(OLD-CARTS).is('')"]HPI: The patient is a [text name="age" size="3"] y.o. [select name="race" value="|White|Black|Hispanic|Asian"] [select name="sex" value="male|female"] who presents with complaint of [var name="CC"].[textarea fillable="true" rows="14"]Symptoms began ***ONSET*** while ***CONTEXT*** and have been ***TIMING*** since onset and are rated as a ***SEVERITY***/10 in severity. Patient reports the symptoms are located ***LOCATION*** and describes the quality as ***QUALITY***. Per patient, there is associated ***POSITIVE SYMPTOMS*** but denies any ***NEGATIVE SYMPTOMS***. Symptoms are improved with ***MODIFYING FACTOR*** and exacerbated by ***MODIFYING FACTOR***. Patient ***REPORTS-DENIES*** history of similar symptoms.[/textarea][/conditional][conditional field="old-carts-2" condition="(old-carts-2).is('')"]HPI: The patient is a [text name="age" size="3"] y.o. [select name="race" value="|White|Black|Hispanic|Asian"] [select name="sex" value="male=0|female=1"] who presents with complaint of [var name="CC"]. [calc memo="He/She" value="sexscore=(sex);sexscore=1?'She':'He'"] additionally reports [text size="50"]. Symptoms started [text size="3"] [select value="hour(s)|day(s)|week(s)|month(s)|year(s)"] ago. [calc memo="He/She" value="sexscore=(sex);sexscore=1?'She':'He'"] reports these symptoms are located [text size="35"]. [calc memo="He/She" value="sexscore=(sex);sexscore=1?'She':'He'"] reports these symptoms are [select value="getting worse|getting better|the same"] since onset. Rates it as [text size="4"]/10 in severity. Describes the character/quality as [checkbox value="sharp|dull|burning|tingling|N/A"][text size="80"]. These sx [select value="do not travel/radiate|travel/radiate to"] [text size="25"]. [select name="Associated" value="Denies any associated symptoms.|Reports these associated symptoms that started around the same time-"][/conditional][conditional field="Associated" condition="(Associated).is('Reports these associated symptoms that started around the same time-')"] [text size="25"][/conditional][conditional field="old-carts-2" condition="(old-carts-2).is('')"] Symptoms are improved with [text size ="80"]. Symptoms are worsened by [text size="80"]. [calc memo="He/She" value="sexscore=(sex);sexscore=1?'She':'He'"] [select value="denies|admits to"] history of similar symptoms previously.[/conditional][conditional field="HPI" condition="(HPI).is('')"]
HPI:[textarea name="HPI" size="60" rows="5"][/textarea][/conditional]

PMH: [text default="Reviewed in Chart" size="40"]
PSH: [text 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: [text default="Reviewed in Chart" size="40"]
Allx: [text name="allx" default="NKDA" size="40"]
SocHx: Tobacco-[select name="Tobacco" value="N|previous-|current-"][conditional field="Tobacco" condition="(Tobacco).is('previous-')"][select value="Tobacco|Vape|Chew"]: [text size="7"] [select value="pack(s)/day|can(s)/wk|recharge(s)/pod(s)/wk"] x [text size="4"]yrs, quit [text size="4"]yrs ago, denies current use.
[/conditional][conditional field="Tobacco" condition="(Tobacco).is('current-')"][select value="Tobacco|Vape|Chew"]: [text size="7"] [select value="pack(s)/day|can(s)/wk|recharge(s)/pod(s)/wk"] x [text size="4"]yrs.
[/conditional] ETOH-[select name="ETOH" value="N|previous-|current-"][conditional field="ETOH" condition="(ETOH).is('current-')"][text size="3"] [select value="cans of beer|glasses of wine|shots of whiskey"] [select value="daily (average)|weekly (average)|on weekends only|rarely on special occasions"] for [text size="4"]yrs.
[/conditional][conditional field="ETOH" condition="(ETOH).is('previous-')"] quit [text size="4"] years ago, denies current use.
[/conditional] Illicit Drugs-[select name="illicitdrugs" value="N|previous-|current-"][conditional field="illicitdrugs" condition="(illicitdrugs).is('previous-')"][text size="50"] x [text size="4"]yrs, quit [text size="4"]yrs ago.
[/conditional][conditional field="illicitdrugs" condition="(illicitdrugs).is('current-')"][text size="50"] x [text size="4"]yrs.[/conditional][checkbox memo="LMP" name="LMP" value=""][conditional field="LMP" condition="(LMP).is('')"]
LMP: [date name="LMP_Date"] [text name="LMP_text"][/conditional]

OBJECTIVE:
[checkbox memo="Ped w/o BP" name="ped-w_o" value=""][conditional field="ped-w_o " condition="(ped-w_o).is('')"]V/S: P [text name="pulse" size="3"], RR [text name="resp" size="3"], T [text name="temp" default="98.6" size="5"]F
Birth Wt: [text name="b-kg" size="3"] kgs, Wt: [text name="kg" size="3"] kgs ([calc memo="lbs" value="lbs=((kg)*2.2).toFixed(1)"] lbs), Length: [text name="ht" size="3"]"[checkbox memo="Weight Change since birth" memo_color="blue" name="wc_b" value=""][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: [text name="dol" size="3"], [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][checkbox memo="Ped w/ BP" name="ped-w" value=""][conditional field="ped-w" condition="(ped-w).is('')"]V/S: BP [text name="SBP" size="3"]/[text name="DBP" size="3"] ([calc memo="MAP" value="score=((DBP)+(((SBP)-(DBP))/3)).toFixed(0)"]), 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"]“, Wt: [text name="wt" size="3"] lbs ([calc memo="kg" value="kg=((wt)/2.2).toFixed(0)"] kg)[/conditional][checkbox memo="Adult" name="adult" value=""][conditional field="adult" condition="(adult).is('')"]V/S: BP [text name="SBP" size="3"]/[text name="DBP" size="3"] ([calc memo="MAP" value="score=((DBP)+(((SBP)-(DBP))/3)).toFixed(0)"]), 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"]“, Wt: [text name="wt" size="3"] lbs ([calc memo="kg" value="kg=((wt)/2.2).toFixed(0)"] kg), 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][checkbox name="briefexam" memo="Brief Exam: Normal" value=""][conditional field="briefexam" condition="(briefexam).is('')"]-GA/LOC: [text default="Awake, alert and oriented. No acute distress. Well developed, hydrated and nourished. Appears stated age." size="80"]
-CV: [text default="Normal S1 and S2. No S3, S4 or murmurs. Rhythm is regular. There is no peripheral edema, cyanosis or pallor. Extremities are warm and well perfused. Capillary refill is less than 2 seconds. No carotid bruits." size="80"]
-LUNGS: [text default="Clear to auscultation and percussion without rales, rhonchi, wheezing or diminished breath sounds." size="80"]
[/conditional][checkbox name="gendetailexam" memo="*" memo_size="small" value="-GA/LOC: "][conditional field="gendetailexam" condition="(gendetailexam).is('-GA/LOC: ')"][checkbox name="examgen" value="Awake, alert and oriented. No acute distress. Well developed, hydrated and nourished. Appears stated age.|Patient is not suicidal|The mental examination revealed the patient was oriented to person, place, and time. The patient was able to demonstrate good judgement and reason, without hallucinations, abnormal affect or abnormal behaviors during the examination|well developed|well nourished|A&Ox4|NAD"];[comment memo="abnormals" memo_size="small" memo_color="orange" value=""][checkbox value="mildly ill|sleepy|appears confused|appears lethargic|cachetic appearance"][textarea rows="2"]
[/conditional][checkbox name="HEADdetailexam" memo="*" memo_size="small" value="-HEAD: "][conditional field="HEADdetailexam" condition="(HEADdetailexam).is('-HEAD: ')"][checkbox name="examHEAD" value="Normocephalic and atraumatic without tenderness, visible or palpable masses, depressions, or scarring|Hair is of normal texture and evenly distributed| normocephalic|atraumatic "]; [comment memo="abnormals" memo_color="orange" memo_size="small"][checkbox value=""] [textarea rows="2"]
[/conditional][checkbox name="EYESdetailexam" memo="*" memo_size="small" value="-EYES: "][conditional field="EYESdetailexam" condition="(EYESdetailexam).is('-EYES: ')"][checkbox name="examEYES" value="PERRL, EOMI. Fundi normal, vision is grossly intact|Conjunctivae are clear without exudates or hemorrhage. Sclera is non-icteric. EOM are intact, PERRLA. No signs of nystagmus. Eyelids are normal in appearance without swelling or lesions|Fundi appear normal including optic discs and vessels|Fundoscopy: + Red Reflex, Disc: round, sharp margins, nl color, vessels: nl caliber, A/V ratio ~1⁄2, Background:no abn pigmentation, hemorrhages or exudates, Macula: visualized|PERRL|EOMI| conjunctiva clear|sclerae aninteric "]; [comment memo="abnormals" memo_color="orange" memo_size="small"][checkbox value=" R conjunctival erythema|L conjunctival erythema "] [textarea rows="2"]
[/conditional][checkbox name="EARSdetailexam" memo="*" memo_size="small" value="-EARS: "][conditional field="EARSdetailexam" condition="(EARSdetailexam).is('-EARS: ')"][checkbox name="examEARS" value="external ear and ear canal are non-tender and without swelling, canal is clear without discharge, tympanic membrane is intact, hearing grossly intact|external auditory canals and tympanic membranes clear, hearing grossly intact|external auditory canals clear|TM clear|hearing grossly intact "]; [comment memo="abnormals" memo_color="orange" memo_size="small"][checkbox value=" R TM opaqueness & loss of landmarks|R TM view obscurred by cerumen|L TM opaqueness & loss of landmarks|L TM view obscurred by cerumen"] [textarea rows="2"]
[/conditional][checkbox name="NOSEdetailexam" memo="*" memo_size="small" value="-NOSE: "][conditional field="NOSEdetailexam" condition="(NOSEdetailexam).is('-NOSE: ')"][checkbox name="examNOSE" value="no nasal discharge, nares patent b/l|no discharge|nares patent b/l|turbinates nonedematous/nonerythematous b/l|mucous membranes moist"]; [comment memo="abnormals" memo_color="orange" memo_size="small"][checkbox value=" nasal septum deviation|R turbinate edema|R turbinate erythema|L turbinate edema|L turbinate erythema|nasal discharge"] [textarea rows="2"]
[/conditional][checkbox name="MOUTHdetailexam" memo="*" memo_size="small" value="-MOUTH: "][conditional field="MOUTHdetailexam" condition="(MOUTHdetailexam).is('-MOUTH: ')"][checkbox name="examMOUTH" value=""]; [comment memo="abnormals" memo_color="orange" memo_size="small"][checkbox value="edentulous|periodontitis"] [textarea rows="2"]
[/conditional][checkbox name="THROATdetailexam" memo="*" memo_size="small" value="-THROAT: "][conditional field="THROATdetailexam" condition="(THROATdetailexam).is('-THROAT: ')"][checkbox name="examTHROAT" value=" oral cavity and pharynx normal. No inflammation, swelling, exudate, or lesions. Teeth and gingiva in good general condition"]; [comment memo="abnormals" memo_color="orange" memo_size="small"][checkbox value="pharyngeal erythema/injection|pharyngeal cobblestoning|tonsils injected/edematous|tonsils with exudate|glossal hypertrophy|uvular deviation"] [textarea rows="2"]
[/conditional][checkbox name="neckdetailexam" memo="*" memo_size="small" value="-NECK: "][conditional field="neckdetailexam" condition="(neckdetailexam).is('-NECK: ')"][checkbox name="examneck" value=" neck supple, non-tender without lymphadenopathy, masses or thyromegaly|soft/supple|no JVD|no thyromegaly|no tender/enlarged lymph nodes"]; [comment memo="abnormals" memo_color="orange" memo_size="small"][checkbox value="R anterior chain lymphadenopathy|R posterior chain lymphadenopathy|L anterior chain lymphadenopathy|L posterior chain lymphadenopathy|jugular venous distension|goiter"] [textarea rows="2"]
[/conditional][checkbox name="chestdetailexam" memo="*" memo_size="small" value="-CHEST: "][conditional field="chestdetailexam" condition="(chestdetailexam).is('-CHEST: ')"][checkbox name="examchest" value="normal rise and fall B/L|no accessory muscle use"]; [comment memo="abnormals" memo_color="orange" memo_size="small"][checkbox value="intercostal retractions|supracostal retractions|infracostal retractions|pectus excavatum|pectus carinatum"] [textarea rows="2"]
[/conditional][checkbox name="breastdetailexam" memo="*" memo_size="small" value="-BREAST: "][conditional field="breastdetailexam" condition="(breastdetailexam).is('-BREAST: ')"][checkbox name="exambreast" value="No masses, tenderness, asymmetry, nipple discharge or axillary lymphadenopathy|no masses|no tendernesss|symmetric|no nipple discharge|no axillary lymphadenopathy"]; [comment memo="abnormals" memo_color="orange" memo_size="small"][checkbox value=""] [textarea rows="2"]
[/conditional][checkbox name="heartdetailexam" memo="*" memo_size="small" value="-CV: "][conditional field="heartdetailexam" condition="(heartdetailexam).is('-CV: ')"][checkbox value=" Normal S1 and S2. No S3, S4 or murmurs. Rhythm is regular. There is no peripheral edema, cyanosis or pallor. Extremities are warm and well perfused. Capillary refill is less than 2 seconds. No carotid bruits.|RRR|normal S1/S2|No M/R/G|No S3/S4 auscultated|no friction rub"]; [comment memo="abnormals" memo_color="orange" memo_size="small"][checkbox name="examheartabn1" value="murmur auscultated"][/conditional][conditional field="examheartabn1" condition="(examheartabn1).is('murmur auscultated')"]: grade [text size="3"]/6 [select value="systolic ejection|systolic|diastolic|holosystolic"] heard best at [select value="R|L"] [select value="upper sternal border|lower sternal border|apex"]
[/conditional][conditional field="heartdetailexam" condition="(heartdetailexam).is('-CV: ')"] [textarea rows="2"]
[/conditional][checkbox name="lungsdetailexam" memo="*" memo_size="small" value="-Lungs: "][conditional field="lungsdetailexam" condition="(lungsdetailexam).is('-Lungs: ')"][checkbox value="Clear to auscultation and percussion without rales, rhonchi, wheezing or diminished breath sounds|CTAB|BSE b/l|no wheezes|no crackles|no rhonchi"], [comment memo="abnormals" memo_color="orange" memo_size="small"][checkbox name="examlungsabn1" value="wheezing-"][/conditional][conditional field="examlungsabn1" condition="(examlungsabn1).is('wheezing-')"] [checkbox value="expiratory|inspiratory|b/l lungs|R lung|L lung|diffuse|lower field(s)|upper field(s)"];[/conditional][conditional field="lungsdetailexam" condition="(lungsdetailexam).is('-Lungs: ')"][checkbox name="examlungsabn2" value="rhonchi-"][/conditional][conditional field="examlungsabn2" condition="(examlungsabn2).is('rhonchi-')"] [checkbox value="expiratory|inspiratory|b/l lungs|R lung|L lung|diffuse|lower field(s)|upper field(s)"];[/conditional][conditional field="lungsdetailexam" condition="(lungsdetailexam).is('-Lungs: ')"][checkbox name="examlungsabn3" value="breath sounds diminished-"][/conditional][conditional field="examlungsabn3" condition="(examlungsabn3).is('breath sounds diminished-')"] [checkbox value="b/l lungs|R lung|L lung|diffuse|lower field(s)|upper field(s)"];[/conditional][conditional field="lungsdetailexam" condition="(lungsdetailexam).is('-Lungs: ')"] [textarea rows="2"]
[/conditional][checkbox name="ABDdetailexam" memo="*" memo_size="small" value="-ABD: "][conditional field="ABDdetailexam" condition="(ABDdetailexam).is('-ABD: ')"][checkbox value="Positive bowel sounds. Soft, nondistended, nontender. No guarding or rebound. No masses|soft|nontender|nondistended|no voluntary/involuntary guarding|no rigidity|no rebound|bowel sounds present in all 4 quadrants"]; [comment memo="abnormals" memo_color="orange" memo_size="small"]
[checkbox name="examABDabn1" value="TTP-" memo="Tender to Palpation"][/conditional][conditional field="examABDabn1" condition="(examABDabn1).is('TTP-')"] [checkbox value="mild|moderate|exquisite|out of proportion to exam|RUQ|epigastric area|LUQ|RLQ|LLQ|periumbilical|suprapubic"];[/conditional][conditional field="ABDdetailexam" condition="(ABDdetailexam).is('-ABD: ')"][checkbox name="examABDabn2" value="Bowel Sounds-"][/conditional][conditional field="examABDabn2" condition="(examABDabn2).is('Bowel Sounds-')"] [checkbox value="hypoactive|hyperactive|RUQ|LUQ|RLQ|LLQ|diffusely"];[/conditional][conditional field="ABDdetailexam" condition="(ABDdetailexam).is('-ABD: ')"][checkbox name="examABDabn3" value="Palpable Mass-"][/conditional][conditional field="examABDabn3" condition="(examABDabn3).is('Palpable Mass-')"] approximate size: [text size="5"] CM, [checkbox value="RUQ|LUQ|RLQ|LLQ|midline|periumbilical|pulsatile"];[/conditional][conditional field="ABDdetailexam" condition="(ABDdetailexam).is('-ABD: ')"][checkbox value="visible scar(s)"] [textarea rows="2"]
[/conditional][checkbox name="GUdetailexam" memo="*" memo_size="small" value="-GU: "][conditional field="GUdetailexam" condition="(GUdetailexam).is('-GU: ')"][checkbox name="GUdetailexamfemale" memo="female" memo_size="small" memo_color="red" value=""][/conditional][conditional field="GUdetailexamfemale" condition="(GUdetailexamfemale).is('')"][checkbox name="examGUF" value="Normally developed external female genitalia with no external lesions or eruptions. Vagina and cervix have no lesions, inflammation, discharge or tenderness. Cervix is nontender. Uterus is within normal limits with no adnexal fullness|normal appearance of external genitalia|normal appearance of vagina|normal appearance of vaginal mucosa|no vaginal discharge|no cervical discharge|no CMT|no uterine tenderness|no adnexal tenderness|IUD string visualized|no tender inguinal lymphadenopathy b/l"]; [comment memo="abnormals" memo_color="orange" memo_size="small"][checkbox name="examGUabnF1" value="vaginal discharge-"][/conditional][conditional field="examGUabnF1" condition="(examGUabnF1).is('vaginal discharge-')"] [text default="color/consistency-" size="80"];[/conditional][conditional field="GUdetailexamfemale" condition="(GUdetailexamfemale).is('')"][checkbox name="examGUabnF2" value="vaginal mucosa-"][/conditional][conditional field="examGUabnF2" condition="(examGUabnF2).is('vaginal mucosa-')"] [text size="80"];[/conditional][conditional field="GUdetailexamfemale" condition="(GUdetailexamfemale).is('')"][checkbox name="examGUabnF3" value="vaginal tenderness|cervical motion tenderness|cervical discharge-"][/conditional][conditional field="examGUabnF3" condition="(examGUabnF3).is('cervical discharge-')"] [text default="color/consistency-" size="80"];[/conditional][conditional field="GUdetailexamfemale" condition="(GUdetailexamfemale).is('')"][checkbox name="examGUabnF4" value="adnexal tenderness|adnexal mass-"][/conditional][conditional field="examGUabnF4" condition="(examGUabnF4).is('adnexal mass-')"] [text default="location-" size="80"];[/conditional][conditional field="GUdetailexam" condition="(GUdetailexam).is('-GU: ')"][checkbox name="GUdetailexamMale" memo="male" memo_size="small" memo_color="blue" value=""][/conditional][conditional field="GUdetailexamMale" condition="(GUdetailexamMale).is('')"][checkbox value="Genital exam revealed appropriately developed male genitalia. No scrotal mass or tenderness, no hernias or inguinal lymphadenopathy. No perineal or perianal abnormalities are seen. No genital lesions or urethral discharge|penis normal appearance|penis normal palpatory texture|no penile discharge|scrotum normal appearance b/l|no scrotal ecchymosis/edema/erythema|scrotum freely mobile b/l|testes descended b/l|no palpatory testicular mass b/l|cremasteric reflex intact b/l|no palpable epididymal mass b/l|no palpable inguinal hernia on exam b/l|no tender inguinal lymphadenopathy b/l"], [checklist name="CIRC" value="Circ"]; [comment memo="abnormals" memo_color="orange" memo_size="small"][checkbox name="examGUabnM1" value="penile discharge-"][/conditional][conditional field="examGUabnM1" condition="(examGUabnM1).is('penile discharge-')"] [text default="color/consistency-" size="80"];[/conditional][conditional field="GUdetailexamMale" condition="(GUdetailexamMale).is('')"][checkbox name="examGUabnM2" value="urethral meatus-"][/conditional][conditional field="examGUabnM2" condition="(examGUabnM2).is('urethral meatus-')"] [text size="80"];[conditional field="GUdetailexamMale" condition="(GUdetailexamMale).is('')"][checkbox name="examGUabnM3" value="penis tenderness to palpation|scrotal tenderness to palpation-"][/conditional][conditional field="examGUabnM3" condition="(examGUabnM3).is('scrotal tenderness to palpation-')"] [text default="location/severity-" size="80"];[/conditional][conditional field="GUdetailexamMale" condition="(GUdetailexamMale).is('')"][checkbox name="examGUabnM4" value="palpable scrotal mass-"][/conditional][conditional field="examGUabnM4" condition="(examGUabnM4).is('palpable scrotal mass-')"] palpable mass located [select value="R|L|B/L"] [text size="80" memo="location/size/texture" memo_size="small"];[/conditional][conditional field="GUdetailexamMale" condition="(GUdetailexamMale).is('')"][checkbox name="examGUabnM4" value="inguinal hernia exam-"][/conditional][conditional field="examGUabnM4" condition="(examGUabnM4).is('inguinal hernia exam-')"] palpable inguinal mass with valsalva on [select value="R side|L side|both sides"]
[/conditional][conditional field="GUdetailexam" condition="(GUdetailexam).is('-GU: ')"] [textarea rows="2"]
[/conditional][checkbox name="rectaldetailexam" memo="*" memo_size="small" value="-RECTAL: "][conditional field="rectaldetailexam" condition="(rectaldetailexam).is('-RECTAL: ')"][checkbox name="examrectal" value=" Good sphincter tone with no anal, perineal or rectal lesions|prostate is not tender, enlarged, boggy, or nodular"]; [comment memo="abnormals" memo_color="orange" memo_size="small"][checkbox value=""] [textarea rows="2"]
[/conditional][checkbox name="skindetailexam" memo="*" memo_size="small" value="-SKIN: "][conditional field="skindetailexam" condition="(skindetailexam).is('-SKIN: ')"][checkbox name="examskin" value="Skin in warm, dry and intact without rashes or lesions. Appropriate color for ethnicity. Nailbeds pink with no cyanosis or clubbing.|Skin in warm, dry and intact without rashes or lesions|Appropriate color for ethnicity|Nailbeds pink with no cyanosis or clubbing|warm|dry|intact|no edema|no erythema|no ecchymosis"]; [comment memo="abnormals" memo_color="orange" memo_size="small"][checkbox name="examskinabn1" value="jaundice|acrocyanosis|diffuse/non-focal lesion(s)-"][/conditional][conditional field="examskinabn1" condition="(examskinabn1).is('diffuse/non-focal lesion(s)-')"] location(s)- [checkbox value="face|forehead|anterior neck|posterior neck|anterior trunk|posterior trunk|r shoulder|l shoulder|r arm|l arm|r elbow|l elbow|r forearm|l forearm|r wrist|l wrist|r hand dorsum|l hand dorsum|r palm|l palm|r inguinal area|l inguinal area|r hip|l hip|r thigh|l thigh|r knee|l knee|r leg|l leg|r ankle|l ankle|r foot dorsum|l foot dorsum|r foot sole|l foot sole"]. description- [checkbox name="examskinabn11" value="macular|papular|lacey appearance|patchy|scattered|clustered|rough texture|erythematous|ecchymosis|skin/flesh colored|hyperpigmented|hypopigmented|non-blanching|scaly|excoriation|ulceration"], [textarea memo="add'l description" memo_color="orange" memo_size="small" rows="2"]
[/conditional][conditional field="skindetailexam" condition="(skindetailexam).is('-SKIN: ')"][checkbox name="examskinabn2" value="focal/isolated lesion(s)-"]
[/conditional][conditional field="examskinabn2" condition="(examskinabn2).is('focal/isolated lesion(s)-')"][checkbox memo="1st Lesion" name="Lesion1" value=""][/conditional][conditional field="Lesion1" condition="(Lesion1).is('')"]--Lesion#1
---Location: [select name="skinexamlocation1" value="|scalp|face|neck|shoulder|chest/trunk|abdomen|buttocks|inguinal|male genital region|female genital region|arm|elbow|forearm|wrist|hand|finger|hip|thigh|knee|leg|ankle|foot|toe"][/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('scalp')"]- [select value="right|left|midline"] [select value="occipital|parietal|temporal|frontal|preauricular|postauricular"] area[/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('face')"]- [select value="right|left|midline"] [select value="preauricular|mandibular angle|cheek|nose|periorbital|perioral|chin|submandibular|submental"] area[/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('neck')"]- [select value="right|left|midline"], [checkbox value="anterior|posterior|medial|lateral"], [select value="superior|inferior|middle"] aspect[/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('shoulder')||(skinexamlocation1).is('elbow')||(skinexamlocation1).is('wrist')||(skinexamlocation1).is('hip')||(skinexamlocation1).is('knee')||(skinexamlocation1).is('ankle')"]- [select value="right|left"], [checkbox value="anterior|posterior|medial|lateral"] aspect[/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('arm')||(skinexamlocation1).is('forearm')||(skinexamlocation1).is('thigh')||(skinexamlocation1).is('leg')"]- [select value="right|left"], [checkbox value="anterior|posterior|medial|lateral"], [select value="superior|inferior|middle"] aspect[/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('chest/trunk')"]- [select value="right|left|midline"], [checkbox value="anterior|posterior|medial|lateral"], [select value="superior|inferior|middle"] aspect[/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('abdomen')"]- [select value="periumbilical|epigastrium|RUQ|LUQ|RLQ|LLQ"] aspect[/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('buttocks')"]- [select value="right|left|midline"] [select value="|medial|lateral"] [select value="perianal|gluteal cleft|cheek|gluteal fold"][/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('inguinal')"]- [select value="right|left"][/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('male genital region')"]- [select value="right|left|midline"] [select value="penile glans|penile shaft|base of penis|scrotum|periscrotal area"][/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('female genital region')"]- [select value="right|left|midline"] [select value="labia majora|labia minora|perilabial area|periclitoral area|mons pubis|perineum"][/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('Hand')||(skinexamlocation1).is('finger')"]- [select value="right|left"], [checkbox value="palmar/volar|dorsal|medial|lateral"] aspect[/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('finger')"], [select value="1st|2nd|3rd|4th|5th"] digit, [select value="MCP|proximal phalanx|middle phalanx|distal phalanx|periungual area"][/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('Foot')||(skinexamlocation1).is('toe')"]- [select value="right|left"], [checkbox value="plantar|dorsal|medial|lateral"] aspect[/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('toe')"], [select value="1st|2nd|3rd|4th|5th"] digit, [select value="MTP|proximal phalanx|middle phalanx|distal phalanx|periungual area"]
[/conditional][conditional field="Lesion1" condition="(Lesion1).is('')"]---Character/Texture: [checkbox name="skinexamlesion1" value="macule|papule|patch|plaque|rough|smooth|firm|soft|mobile|fixed|pedunculated|palpable subdermal lump|palpable subcutaneous lump"]
---Size: [text size="5"] cm
[/conditional][conditional field="skinexamlesion1" condition="(skinexamlesion1).is('macule')||(skinexamlesion1).is('papule')||(skinexamlesion1).is('patch')||(skinexamlesion1).is('plaque')||(skinexamlesion1).is('rough')||(skinexamlesion1).is('pedunculated')"]---Color: [select value="uniform color|non-uniform color"], [select value="erthythematous|flesh-color|brown|black|blue|multicolored"] [text size="20"]
---Borders: [select value="well-circumscribed|ill-defined"]
[/conditional][conditional field="Lesion1" condition="(Lesion1).is('')"][checkbox value="---Other features:"] [text size="40"]
[/conditional][conditional field="examskinabn2" condition="(examskinabn2).is('focal/isolated lesion(s)-')"][checkbox memo="2nd Lesion" name="Lesion2" value=""][/conditional][conditional field="Lesion2" condition="(Lesion2).is('')"]--Lesion#2
---Location: [select name="skinexamlocation2" value="|scalp|face|neck|shoulder|chest/trunk|abdomen|buttocks|inguinal|male genital region|female genital region|arm|elbow|forearm|wrist|hand|finger|hip|thigh|knee|leg|ankle|foot|toe"][/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('scalp')"]- [select value="right|left|midline"] [select value="occipital|parietal|temporal|frontal|preauricular|postauricular"] area[/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('face')"]- [select value="right|left|midline"] [select value="preauricular|mandibular angle|cheek|nose|periorbital|perioral|chin|submandibular|submental"] area[/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('neck')"]- [select value="right|left|midline"], [checkbox value="anterior|posterior|medial|lateral"], [select value="superior|inferior|middle"] aspect[/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('shoulder')||(skinexamlocation2).is('elbow')||(skinexamlocation2).is('wrist')||(skinexamlocation2).is('hip')||(skinexamlocation2).is('knee')||(skinexamlocation2).is('ankle')"]- [select value="right|left"], [checkbox value="anterior|posterior|medial|lateral"] aspect[/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('arm')||(skinexamlocation2).is('forearm')||(skinexamlocation2).is('thigh')||(skinexamlocation2).is('leg')"]- [select value="right|left"], [checkbox value="anterior|posterior|medial|lateral"], [select value="superior|inferior|middle"] aspect[/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('chest/trunk')"]- [select value="right|left|midline"], [checkbox value="anterior|posterior|medial|lateral"], [select value="superior|inferior|middle"] aspect[/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('abdomen')"]- [select value="periumbilical|epigastrium|RUQ|LUQ|RLQ|LLQ"] aspect[/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('buttocks')"]- [select value="right|left|midline"] [select value="|medial|lateral"] [select value="perianal|gluteal cleft|cheek|gluteal fold"][/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('inguinal')"]- [select value="right|left"][/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('male genital region')"]- [select value="right|left|midline"] [select value="penile glans|penile shaft|base of penis|scrotum|periscrotal area"][/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('female genital region')"]- [select value="right|left|midline"] [select value="labia majora|labia minora|perilabial area|periclitoral area|mons pubis|perineum"][/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('hand')||(skinexamlocation2).is('finger')"]- [select value="right|left"], [checkbox value="palmar/volar|dorsal|medial|lateral"] aspect[/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('finger')"], [select value="1st|2nd|3rd|4th|5th"] digit, [select value="MCP|proximal phalanx|middle phalanx|distal phalanx|periungual area"][/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('foot')||(skinexamlocation2).is('toe')"]- [select value="right|left"], [checkbox value="plantar|dorsal|medial|lateral"] aspect[/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('toe')"], [select value="1st|2nd|3rd|4th|5th"] digit, [select value="MTP|proximal phalanx|middle phalanx|distal phalanx|periungual area"]
[/conditional][conditional field="Lesion2" condition="(Lesion2).is('')"]---character/texture: [checkbox name="skinexamlesion2" value="macule|papule|patch|plaque|rough|smooth|firm|soft|mobile|fixed|pedunculated|palpable subdermal lump|palpable subcutaneous lump"]
---Size: [text size="5"] cm
[/conditional][conditional field="skinexamlesion2" condition="(skinexamlesion2).is('macule')||(skinexamlesion2).is('papule')||(skinexamlesion2).is('patch')||(skinexamlesion2).is('plaque')||(skinexamlesion2).is('rough')||(skinexamlesion2).is('pedunculated')"]---Color: [select value="uniform color|non-uniform color"], [select value="erthythematous|flesh-color|brown|black|blue|multicolored"] [text size="20"]
---Borders: [select value="well-circumscribed|ill-defined"]
[/conditional][conditional field="Lesion2" condition="(Lesion2).is('')"][checkbox value="---Other features:"] [text size="40"]
[/conditional][checkbox name="EXTdetailexam" memo="*" memo_size="small" value="-EXT: "][conditional field="EXTdetailexam" condition="(EXTdetailexam).is('-EXT: ')"][checkbox value="No significant deformity or joint abnormality. No edema. Peripheral pulses intact. No varicosities|no gross deformities noted|no cyanosis|no clubbing|peripheral pulses 2/4 x4"]; [comment memo="abnormals" memo_color="orange" memo_size="small"][checkbox name="examEXTabn1" value="clubbing-"][/conditional][conditional field="examEXTabn1" condition="(examEXTabn1).is('clubbing-')"] [checkbox value="digits upper extremity|gross deformity"] [text size="80"];[/conditional][conditional field="EXTdetailexam" condition="(EXTdetailexam).is('-EXT: ')"] [textarea rows="2"]
[/conditional][checkbox name="MSKdetailexam" memo="*" memo_size="small" value="-MSK: "][conditional field="MSKdetailexam" condition="(MSKdetailexam).is('-MSK: ')"][checkbox value=" Adequately aligned spine. ROM intact spine and extremities. No joint erythema or tenderness. Normal muscular development. Normal gait "]; [comment memo="abnormals" memo_color="orange" memo_size="small"][checkbox value=""] [textarea rows="2"]
[/conditional][checkbox name="NEUROdetailexam" memo="*" memo_size="small" value="-NEURO: "][conditional field="NEUROdetailexam" condition="(NEUROdetailexam).is('-NEURO: ')"][checkbox value="CN II-XII intact. Strength and sensation symmetric and intact throughout. Reflexes 2+ throughout. Cerebellar testing normal|mentating well|moves all extremities equally well|CN 2-12 grossly intact b/l|normal sensorium all 4 extremities|no gross motor deficits|Romberg negative|cerebellar testing normal|DTRs 2/4 x4|gait testing without abnormalities"]; [comment memo="abnormals" memo_color="orange" memo_size="small"][checkbox name="examNEUROabn1" value="SENSORY DEFICIT(S)- "][/conditional][conditional field="examNEUROabn1" condition="(examNEUROabn1).is('SENSORY DEFICIT(S)- ')"][checkbox name="examNEUROabn11" value="Scalp "][/conditional][conditional field="examNEUROabn11" condition="(examNEUROabn11).is('Scalp ')"][checkbox value="R occipital|R parietal|R temporal|R frontal|R preauricular|R postauricular|L occipital|L parietal|L temporal|L frontal|L preauricular|L postauricular"] area(s) [textarea rows="2" memo="description if needed"memo_size="small"]; [/conditional][conditional field="examNEUROabn1" condition="(examNEUROabn1).is('SENSORY DEFICIT(S)- ')"][checkbox name="examNEUROabn12" value="Face "][/conditional][conditional field="examNEUROabn12" condition="(examNEUROabn12).is('Face ')"][checkbox value="R preauricular|R mandibular angle|R cheek|R nasal bridge|R periorbital|R perioral|chin|submental|R submandibular|L preauricular|L mandibular angle|L cheek|L nasal bridge|L periorbital|L perioral|L submandibular"] area(s) [textarea rows="2" memo="description if needed"memo_size="small"]; [/conditional][conditional field="examNEUROabn1" condition="(examNEUROabn1).is('SENSORY DEFICIT(S)- ')"][checkbox name="examNEUROabn13" value="Neck "][/conditional][conditional field="examNEUROabn13" condition="(examNEUROabn13).is('Neck ')"][select value="right|left"], [checkbox value="anterior|posterior|medial|lateral"], [select value="superior|inferior|middle"] aspect(s) [textarea rows="2" memo="description if needed" memo_size="small"]; [/conditional][conditional field="examNEUROabn1" condition="(examNEUROabn1).is('SENSORY DEFICIT(S)- ')"][checkbox name="examNEUROabn14" value="Shoulder "][/conditional][conditional field="examNEUROabn14" condition="(examNEUROabn14).is('Shoulder ')"][checkbox value="right|left|anterior|posterior|medial|lateral"] aspect(s) [textarea rows="2" memo="description if needed"memo_size="small"]; [/conditional][conditional field="examNEUROabn1" condition="(examNEUROabn1).is('SENSORY DEFICIT(S)- ')"][checkbox name="examNEUROabn15" value="Chest/Trunk "][/conditional][conditional field="examNEUROabn15" condition="(examNEUROabn15).is('Chest/Trunk ')"][select value="right|left|midline"], [checkbox value="anterior|posterior|medial|lateral"], [select value="superior|inferior"] aspect(s) [textarea rows="2" memo="description if needed"memo_size="small"]; [/conditional][conditional field="examNEUROabn1" condition="(examNEUROabn1).is('SENSORY DEFICIT(S)- ')"][checkbox name="examNEUROabn16" value="Abdomen "][/conditional][conditional field="examNEUROabn16" condition="(examNEUROabn16).is('Abdomen ')"][checkbox value="periumbilical|epigastrium|RUQ|LUQ|RLQ|LLQ"] aspect(s) [textarea rows="2" memo="description if needed"memo_size="small"]; [/conditional][conditional field="examNEUROabn1" condition="(examNEUROabn1).is('SENSORY DEFICIT(S)- ')"][checkbox name="examNEUROabn17" value="Buttocks "][/conditional][conditional field="examNEUROabn17" condition="(examNEUROabn17).is('Buttocks ')"][checkbox value="right|left|midline|medial|lateral|perianal|gluteal cleft|cheek|gluteal fold|saddle"] aspect(s) [textarea rows="2" memo="description if needed"memo_size="small"]; [/conditional][conditional field="examNEUROabn1" condition="(examNEUROabn1).is('SENSORY DEFICIT(S)- ')"][checkbox name="examNEUROabn18" value="Inguinal "][/conditional][conditional field="examNEUROabn18" condition="(examNEUROabn18).is('Inguinal ')"][checkbox value="right|left|superior|inferior|medial|lateral"] aspect(s) [textarea rows="2" memo="description if needed"memo_size="small"]; [/conditional][conditional field="examNEUROabn1" condition="(examNEUROabn1).is('SENSORY DEFICIT(S)- ')"][checkbox name="examNEUROabn19" value="Male Genital "][/conditional][conditional field="examNEUROabn19" condition="(examNEUROabn19).is('Male Genital ')"][checkbox value="right|left|midline|b/l|penile glans|penile shaft|base of penis|scrotum|periscrotal"] aspect(s) [textarea rows="2" memo="description if needed"memo_size="small"]; [/conditional][conditional field="examNEUROabn1" condition="(examNEUROabn1).is('SENSORY DEFICIT(S)- ')"][checkbox name="examNEUROabn111" value="Female Genital "][/conditional][conditional field="examNEUROabn111" condition="(examNEUROabn111).is('Female Genital ')"][checkbox value="right|left|midline|labia majora|labia minora|perilabial area|periclitoral area|mons pubis|perineum"] aspect(s) [textarea rows="2" memo="description if needed"memo_size="small"]; [/conditional][conditional field="examNEUROabn1" condition="(examNEUROabn1).is('SENSORY DEFICIT(S)- ')"][checkbox name="examNEUROabn112" value="Arm "][/conditional][conditional field="examNEUROabn112" condition="(examNEUROabn112).is('Arm ')"][checkbox value="right|left|anterior|posterior|medial|lateral|superior|inferior|middle"] aspect(s) [textarea rows="2" memo="description if needed"memo_size="small"]; [/conditional][conditional field="examNEUROabn1" condition="(examNEUROabn1).is('SENSORY DEFICIT(S)- ')"][checkbox name="examNEUROabn113" value="Elbow "][/conditional][conditional field="examNEUROabn113" condition="(examNEUROabn113).is('Elbow ')"][checkbox value="right|left|anterior|posterior|medial|lateral|antecubital|olecranon|epicondylar"] aspect(s) [textarea rows="2" memo="description if needed" memo_size="small"]; [/conditional][conditional field="examNEUROabn1" condition="(examNEUROabn1).is('SENSORY DEFICIT(S)- ')"][checkbox name="examNEUROabn114" value="Forearm "][/conditional][conditional field="examNEUROabn114" condition="(examNEUROabn114).is('Forearm ')"][checkbox value="right|left|anterior|posterior|medial|lateral|distal|proximal"] aspect(s) [textarea rows="2" memo="description if needed"memo_size="small"]; [/conditional][conditional field="examNEUROabn1" condition="(examNEUROabn1).is('SENSORY DEFICIT(S)- ')"][checkbox name="examNEUROabn115" value="Wrist "][/conditional][conditional field="examNEUROabn115" condition="(examNEUROabn115).is('Wrist ')"][checkbox value="right|left|anterior|posterior|volar|dorsal|medial|lateral"] aspect(s) [textarea rows="2" memo="description if needed"memo_size="small"]; [/conditional][conditional field="examNEUROabn1" condition="(examNEUROabn1).is('SENSORY DEFICIT(S)- ')"][checkbox name="examNEUROabn116" value="Hand/Finger(s) "][/conditional][conditional field="examNEUROabn116" condition="(examNEUROabn116).is('Hand/Finger(s) ')"][checkbox value="right|left|palmar/volar hand|dorsal hand|medial|lateral|thenar|hypothenar|1st digit|2nd digit|3rd digit|4th digit|5th digit|MCP|proximal phalanx|middle phalanx|distal phalanx|periungual|dorsal|volar|medial|lateral"]aspect(s) [textarea rows="2" memo="description if needed"memo_size="small"]; [/conditional][conditional field="examNEUROabn1" condition="(examNEUROabn1).is('SENSORY DEFICIT(S)- ')"][checkbox name="examNEUROabn117" value="Hip "][/conditional][conditional field="examNEUROabn117" condition="(examNEUROabn117).is('Hip ')"][checkbox value="right|left|anterior|posterior|medial|lateral"] aspect(s) [textarea rows="2" memo="description if needed"memo_size="small"]; [/conditional][conditional field="examNEUROabn1" condition="(examNEUROabn1).is('SENSORY DEFICIT(S)- ')"][checkbox name="examNEUROabn118" value="Thigh "][/conditional][conditional field="examNEUROabn118" condition="(examNEUROabn118).is('Thigh ')"][checkbox value="right|left|anterior|posterior|medial|lateral|superior|inferior|middle"] aspect(s) [textarea rows="2" memo="description if needed"memo_size="small"]; [/conditional][conditional field="examNEUROabn1" condition="(examNEUROabn1).is('SENSORY DEFICIT(S)- ')"][checkbox name="examNEUROabn119" value="Knee "][/conditional][conditional field="examNEUROabn119" condition="(examNEUROabn119).is('Knee ')"][checkbox value="right|left|anterior|posterior|medial|lateral"] aspect(s) [textarea rows="2" memo="description if needed"memo_size="small"]; [/conditional][conditional field="examNEUROabn1" condition="(examNEUROabn1).is('SENSORY DEFICIT(S)- ')"][checkbox name="examNEUROabn120" value="Leg "][/conditional][conditional field="examNEUROabn120" condition="(examNEUROabn120).is('Leg ')"][checkbox value="right|left|anterior|posterior|medial|lateral|superior|inferior|middle"] aspect(s) [textarea rows="2" memo="description if needed"memo_size="small"]; [/conditional][conditional field="examNEUROabn1" condition="(examNEUROabn1).is('SENSORY DEFICIT(S)- ')"][checkbox name="examNEUROabn121" value="Ankle "][/conditional][conditional field="examNEUROabn121" condition="(examNEUROabn121).is('Ankle ')"][checkbox value="right|left|anterior|posterior|medial|lateral"] aspect(s) [textarea rows="2" memo="description if needed"memo_size="small"]; [/conditional][conditional field="examNEUROabn1" condition="(examNEUROabn1).is('SENSORY DEFICIT(S)- ')"][checkbox name="examNEUROabn122" value="Foot/Toe(s) "][/conditional][conditional field="examNEUROabn122" condition="(examNEUROabn122).is('Foot/Toe(s) ')"][checkbox value="right|left|plantar|dorsal|medial|lateral|distal|proximal|1st digit|2nd digit|3rd digit|4th digit|5th digit|MTP|proximal phalanx|middle phalanx|distal phalanx|periungual area"] aspect(s) [textarea rows="2" memo="description of deficit" memo_size="small" memo_color="orange"]; [/conditional][conditional field="NEUROdetailexam" condition="(NEUROdetailexam).is('-NEURO: ')"][checkbox name="examNEUROabn2" value="MOTOR DEFICIT(S)- "][/conditional][conditional field="examNEUROabn2" condition="(examNEUROabn2).is('MOTOR DEFICIT(S)- ')"][checkbox name="examNEUROabn21" value="R UPPER EXTREMITY- "][/conditional][conditional field="examNEUROabn21" condition="(examNEUROabn21).is('R UPPER EXTREMITY')"]STRENGTH [text size="5"]/5; [/conditional][conditional field="examNEUROabn2" condition="(examNEUROabn2).is('MOTOR DEFICIT(S)- ')"][checkbox name="examNEUROabn22" value="L UPPER EXTREMITY- "][/conditional][conditional field="examNEUROabn22" condition="(examNEUROabn22).is('L UPPER EXTREMITY')"]STRENGTH [text size="5"]/5; [/conditional][conditional field="examNEUROabn2" condition="(examNEUROabn2).is('MOTOR DEFICIT(S)- ')"][checkbox name="examNEUROabn23" value="R LOWER EXTREMITY- "][/conditional][conditional field="examNEUROabn23" condition="(examNEUROabn23).is('R LOWER EXTREMITY- ')"]STRENGTH [text size="5"]/5; [/conditional][conditional field="examNEUROabn2" condition="(examNEUROabn2).is('MOTOR DEFICIT(S)- ')"]--[checkbox name="examNEUROabn24" value="L LOWER EXTREMITY- "][/conditional][conditional field="examNEUROabn24" condition="(examNEUROabn24).is('L LOWER EXTREMITY- ')"]STRENGTH [text size="5"]/5; [/conditional][conditional field="examNEUROabn2" condition="(examNEUROabn2).is('MOTOR DEFICIT(S)- ')"][text size="80"]; [/conditional][conditional field="NEUROdetailexam" condition="(NEUROdetailexam).is('-NEURO: ')"][checkbox name="examNEUROabn3" value="ABNORMAL REFLEXES- "][/conditional][conditional field="examNEUROabn3" condition="(examNEUROabn3).is('ABNORMAL REFLEXES- ')"][checkbox value="BICEPS|TRICEPS|BRACIORADIALIS|PATELLAR|ACHILLES"] [text size="80"]; [/conditional][conditional field="NEUROdetailexam" condition="(NEUROdetailexam).is('-NEURO: ')"][checkbox name="examNEUROabn4" value="CEREBELLAR DEFICITS- "][/conditional][conditional field="examNEUROabn4" condition="(examNEUROabn4).is('CEREBELLAR DEFICITS- ')"][checkbox value="POSITIVE ROMBERG|PRONATOR DRIFT|IMPAIRED FINGER-TO-NOSE|IMPAIRED HAND PRONATE/SUPINATE|IMPARIED HEEL-TO-SHIN"] [text size="80"]; [/conditional][conditional field="NEUROdetailexam" condition="(NEUROdetailexam).is('-NEURO: ')"][checkbox name="examNEUROabn5" value="GAIT- "][/conditional][conditional field="examNEUROabn5" condition="(examNEUROabn5).is('GAIT- ')"][checkbox value="HEMIPLEGIC|DIPLEGIC|NEUROPATHIC|CHOREIFORM|ATAXIC|PARKINSONIAN"] [text size="80"]; [/conditional][conditional field="NEUROdetailexam" condition="(NEUROdetailexam).is('-NEURO: ')"] [textarea rows="2"]
[/conditional][checkbox name="labs" value="Labs: "][conditional field="labs" condition="(labs).is('Labs: ')"][checkbox value="reviewed with pt
"][checkbox name="LabResults" memo="Results" value=""][/conditional][conditional field="LabResults" condition="(LabResults).is('')"][textarea size="4"]
[/conditional]
A/P: See Above
[checkbox memo="Procedure" name="Procedure" value=""][conditional field="Procedure" condition="(Procedure).is('')"]Procedures: [textarea rows="4"]
[/conditional][checkbox memo="Vaccine" name="Vaccine" value=""][conditional field="Vaccine" condition="(Vaccine).is('')"]Vaccines: [textarea rows="2"]
[/conditional]Plan: [textarea name="plan" rows="8" size="60"]
RTC: [select name="RTC" value="As needed or if no improvement in s/sx|In one year for next wellness visit|In one week for F/U|In two weeks for F/U|In 4 weeks for F/U|"] [text name="rtc_1" size="40"]
Meds: [link url="https://www.soapnote.org/miscellaneous/medications-2/" memo="Medications"][checkbox value="none"]
[textarea size="80" lines="8"]
CC:

SUBJECTIVE: Freetext HPI OLD-CARTS OLD-CARTS 2.0

PMH:
PSH:
FH:
Meds:
Allx:
SocHx: Tobacco- ETOH- Illicit Drugs- LMP

OBJECTIVE:
Ped w/o BP Ped w/ BP Adult Brief Exam: Normal * * * * * * * * * * * * * * * * * * *
A/P: See Above
Procedure VaccinePlan:
RTC:
Meds: Medications

Result - Copy and paste this output:

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