WV Complete Note

[frontload soapnote="shorthand/shorthand-base"]

CC: 
[text name="variable_1"]

HPI: 
[textarea name="variable_2"]

ROS:

   - CONSTITUTIONAL: [checkbox name="constitutional" value="Denies weight loss|Denies fever|Denies chills"]

   - HEENT: [checkbox name="heent" value="Denies changes in vision|Denies changes in hearing"]

   - RESPIRATORY: [checkbox name="respiratory" value="Denies SOB|Denies cough"]

   - CV: [checkbox name="cv" value="Denies palpitations|Denies CP"]

   - GI: [checkbox name="gi" value="Denies abdominal pain|Denies nausea|Denies vomiting|Denies diarrhea"]

   - GU: [checkbox name="gu" value="Denies dysuria|Denies urinary frequency"]

   - MSK: [checkbox name="msk" value="Denies myalgia|Denies joint pain"]

   - SKIN: [checkbox name="skin" value="Denies rash|Denies pruritus"]

   - NEUROLOGICAL: [checkbox name="neurological" value="Denies headache|Denies syncope"]

   - PSYCHIATRIC: [checkbox name="psychiatric" value="Denies recent changes in mood|Denies anxiety|Denies depression"]



Current Meds: 
[textarea name="variable_4"]

Past Medical & Surgical History: 
[textarea name="variable_5"]

Allergies: [text name="variable_6"]

Family History: 
[textarea name="variable_7"]
Social History: 
[textarea name="variable_8"]



Vitals: 
[textarea name="variable_9"]

PHYSICAL EXAM:
   General: WDWN, NAD [text]
   HEENT: Normocephalic, EOMI, no LAD [text]
   Heart: RRR, no murmurs, rubs or gallops [text]
   Lungs: CTAB [text]
   [textarea default="sample text"]


Labs/Imaging/Other Studies: 
[textarea name="variable_11"]



Assessment 1: 
[text name="variable_12"]
Plan: 
[textarea name="variable_13"]

Assessment 2: 
[text name="variable_14"]
Plan: 
[textarea name="variable_15"]

Assessment 3: 
[text name="variable_16"]
Plan: 
[textarea name="variable_17"]

Assessment 4: 
[text name="variable_18"]
Plan: 
[textarea name="variable_19"]

Assessment 5: 
[text name="variable_20"]
Plan: 
[textarea name="variable_21"]
This is the first Shorthand library. When you enter the letters of a Shorthand code, they are expanded after you click ‘Calculate Result’. It currently includes ‘%ros’ (review of systems), ‘%exam’ (exam), ‘%edu’ (education), and ‘%mseall’ (a condensed normal mental status exam). To use this, you can either copy it to your own SOAPnote or you can use the ‘frontload’ feature. To frontload this to your own templates, put [frontload soapnote="shorthand/shorthand-base/"] at the very beginning of your note.

CC:


HPI:


ROS:

- CONSTITUTIONAL:

- HEENT:

- RESPIRATORY:

- CV:

- GI:

- GU:

- MSK:

- SKIN:

- NEUROLOGICAL:

- PSYCHIATRIC:



Current Meds:


Past Medical & Surgical History:


Allergies:

Family History:

Social History:




Vitals:


PHYSICAL EXAM:
General: WDWN, NAD
HEENT: Normocephalic, EOMI, no LAD
Heart: RRR, no murmurs, rubs or gallops
Lungs: CTAB



Labs/Imaging/Other Studies:




Assessment 1:

Plan:


Assessment 2:

Plan:


Assessment 3:

Plan:


Assessment 4:

Plan:


Assessment 5:

Plan:

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.29, 40 form elements, 68 boilerplate words, 11 text boxes, 13 text areas, 10 checkboxes, 1 comments, 4 shorthands, 1 frontloads, 48 total clicks
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