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"].
MSUCOM Acute Care Clinic Note
Patient Name: Age: Sex: Date: Setting:
Chief Complaint:
-

History of Present Illness:
Onset:

Context:

Timing:

Severity:
/10
Location:

Positive Symptoms:

Negative Symptoms:

Palliative:

Exacerbation:

History of Similar Symptoms:

Pertinent PMI:

Other Details:

Quality:



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

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.21, 36 form elements, 105 boilerplate words, 3 text boxes, 12 text areas, 1 dates, 1 check lists, 2 drop downs, 17 variables, 23 total clicks
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