Endo Progress Note

Endocrinology Progress Note 
[select name="Visit" value="Telehealth|In Person Visit"]
Date of Service -[date name="variable_3" default="today"]

History of Presenting Illness 
[comment memo="Copy and paste PMH/HPI from Consult if needed"]
[textarea name="variable5" default=""]

Past Surgical History -[textarea name="Surgery_text" default="See consultation note"]
Family History - [textarea name="Surgery_text" default="See consultation note"]
Social History - [textarea name="Social_text" default="See consultation note"]
Medication - [textarea name="Paintxt1" default="See consultation note"]

Review of Systems
[comment memo="Default will be negative. Click if positive"]
General
[checklist name="ROS1" value="Sleep Disturbances|Fatigue|Skin Changes|Recent Falls"]
[conditional field="ROS1" condition="(ROS1).is('Recent Falls')"]
[textarea name="ROStext1" default=""][/conditional]
Neurological 
[checklist name="ROS2" value="Syncope|Headache|Coordination Changes|Weakness| Numbness"]
Cardiovascular 
[checklist name="ROS4" value="Chest Pain|Palpitations"]
Respiratory
[checklist name="ROS5" value="Dyspnea|Cough|Shortness of Breath"]
Musculoskeletal
[checklist name="ROS10" value="Back pain|Upper extremity weakness|Lower extremity weakness| Range of motion deficits in upper extremity| Range of motion deficits Lower extremity| Joint pain shoulders| Joint Pain Hips| Joint pain Knees| Joint pain ankles|Unable to asses/patient nonverbal"]
[comment memo="Write additional ROS below"]
[textarea name="ROS6" default=""]

[conditional field="Visit" condition="(Visit).is('In Person Visit')"]
Physical Exam [comment memo="Please write in Vitals"]
Vital Signs - [textarea name="VS1" default="BP-  mmgHg T-  °F P-  beats/min R-  breaths/min"]
General - [textarea name="Pe1" default="No acute distress, Well developed, well nourished, Afebrile"]
Neurological  -  [textarea name="Pe2" default="Alert and Oriented, Normal mood and affect, Cranial Nerves II-XII grossly intact"]
Pulmonary  -  [textarea name="Pe4" default="Respiratory effort within normal limits."]  
Cardiovascular  -  [textarea name="Pe5" default="Distal pulses 2+ in all extremeties.  Adequate perfusion. No peripheral signs of cyanosis."]
[comment memo="Write additional PE findings below"]
[textarea name="PE6" default=""] 
Musculoskeletal - [textarea name="Mskphys" default=""][/conditional]

Assessment
[textarea name="Ass1" default=""]

Plan 
[textarea name="Plan1" default=""]