sdfasdf
CARDIOLOGY INPATIENT CONSULT NOTE Reason for Consult/CC: [text name="variable_1" default="sample text"] Consulting Provider: [text name="variable_1" default="sample text"] HISTORY OF PRESENT ILLNESS [textarea name="variable_1" default="sample text"] Review of Systems: [textarea name="variable_1" default="14 point ROS reviewed. Pertinent positives and negatives discussed in the HPI. All other ROS negative. "] ========================================================================================== HISTORY Problem List/Medical History [textarea name="variable_1" default="sample text"] Family History [textarea name="variable_1" default="sample text"] Social History [textarea name="variable_1" default="sample text"] Medications [textarea name="variable_1" default="sample text"] ========================================================================================== OBJECTIVE [textarea name="variable_1" default="Vitals: General: [NAD. Alert and oriented.] Eyes: [EOM intact. No Scleral icterus.] HEENT: [Normocephalic. atraumatic.] Neck: [No JVD. No Thyromegaly.] CV: [Regular Rate and rhythm. S1 and S2. No murmurs. PMI not displaced.] Lungs: [CTAB, no increased work of breathing.] Abdomen: [Bowel sounds present. Non tender to palpation.] MSK: [No gross deformities. No LE edema.] Neuro: [No focal neurologic deficits. Alert and oriented.] Skin: [No erythema or rashes.] Psych: [Normal mood and affect."] ECG: [] Echocardiogram: [] Prior cardiac Invasive procedures (if any): [] Cardiac Biomarkers: [] Other Labs: [] I have reviewed the patients labs/radiology findings in the EMR. Pertinent positives and negatives discussed above and in the assessment/plan. ========================================================================================== ASSESSMENT AND RECOMMENDATIONS [] Joseph Nicolazzi, DO Cardiology Fellow Pager 1815
Result - Copy and paste this output:
Sandbox Metrics: Structured Data Index 0, 9 form elements, 138 boilerplate words, 2 text boxes, 7 text areas, 9 total clicks
More SOAPnotes by this Author:
Send Feedback for this SOAPnote
You must be logged in to post a comment.