MSUCOM Soap Note

MSUCOM Acute Care Clinic Note
Patient Name:[text name="Name"] Age:[text name="AGE" size="2"] Sex: [select name="SEX" value="|Male|Female|Other"] Date:[date name="DATE" default="10/17/2020"] Setting:[text name="SETTING" default=""]
Chief Complaint: 
- [textarea name="CC" default="If possible, use the patient's own words in quotation marks." cols="80" rows="1"]

History of Present Illness:
Onset: 
[textarea name="ONSET" default="sample text" cols="40" rows="1"]
Context: 
[textarea name="CONTEXT" default="sample text" cols="40" rows="1"]
Timing:
[textarea name="TIMING" default="sample text" cols="40" rows="1"]
Severity:
[select name="SEVERITY" value="1|2|3|4|5|6|7|8|9|10"]/10
Location:
[textarea name="LOCATION" default="sample text" cols="40" rows="1"]
Positive Symptoms:
[textarea name="POSITIVE" default="sample text" cols="40" rows="1"]
Negative Symptoms:
[textarea name="NEGATIVE" default="sample text" cols="40" rows="1"]
Palliative:
[textarea name="PALLIATIVE" default="sample text" cols="40" rows="1"]
Exacerbation:
[textarea name="EXACERBATE" default="sample text" cols="40" rows="1"]
History of Similar Symptoms:
[textarea name="SIMILARSYMP" default="sample text" cols="40" rows="1"]
Pertinent PMI:
[textarea name="PERTPMI" default="sample text" cols="40" rows="1"]
Other Details:
[textarea name="OTHER" default="sample text" cols="80" rows="5"]
Quality:
[checklist name="QUALITY" value="Burning|Stinging|Aching|Sharp|Pins and needles"]


- The patient is a [var name="AGE"] year-old [var name="SEX"] who presents to the [var name="SETTING"] complaining of [var name="CC"] that began [var name="ONSET"] while [var name="CONTEXT"]. Symptoms have been [var name="TIMING"] since onset and he/she rates them as [var name="SEVERITY"]/10 in severity. Patient reports the symptoms are located [var name="LOCATION"] and describes the quality as [var name="QUALITY"]. Per patient, he/she has had associated [var name="POSITIVE"] but denies any [var name="NEGATIVE"]. Symptoms are improved with [var name="PALLIATIVE"] and exacerbated by [var name="EXACERBATE"]. Patient [var name="SIMILARSYMP"] history of similar symptoms. Pertinent medical history includes [var name="PERTPMI"]. Patient adds [var name="OTHER"].