Gastroenteritis

[date name="variable_1" default="08/23/2019"]S: [text name="variable_1" default="age"] yo [select name="variable_1" value="male|female|"] presents with new onset of the following:
[checkbox name="variable_1" value="nausea|vomiting|diarrhea|fever|chills"]

Symptom onset: [date name="variable_1" default="08/23/2019"] at [text name="variable_1" default="time"]
Severity: [select name="variable_1" value="mild|moderate|severe"]
[checkbox name="variable_1" value="Diarrhea today|vomitting today"]
Number of times: [text name="variable_1" default=""]
Last time: [text name="variable_1" default=""]

Medications used: [text name="variable_1" default=""]

Living accommodation: [select name="accommodation" value="camp|other"]
[conditional field="accommodation" condition="other"] If other, where?[text name="location" default=""][/conditional] 
Trade: [text name="variable_1" default=""]
Work site: [text name="variable_1" default=""]
Activities over the past 48hrs: [text name="variable_1" default=""]
72hr Food recall:
[date name="variable_1" default="Today"]: [textarea name="variable_1" default="Breakfast, lunch, dinner as applicable"]
[date name="variable_1" default="T-1"]: [textarea name="variable_1" default="Breakfast, lunch, dinner as applicable"]
[date name="variable_1" default="T-2"]: [textarea name="variable_1" default="Breakfast, lunch, dinner as applicable"]
Lunchroom used: [text name="variable_1" default=""]

Allergies: [select name="allergy" value="NKDA|yes"]. [text name="variable_1" default="sample text"]
Medications: [select name="meds" value="no|yes"]. [text name="variable_1" default="sample text"]
PmHx: [select name="PH" value="no|yes"]. [text name="variable_1" default="sample text"]

O:
Gen: Looks well. NAD. 
Skin: No pallor.
Abdo: Abdomen soft and non-distedended. BS x 4. No tenderness on palpation of all four quadrants.

A: Gastroenteritis - [select name="variable_1" value="norovirus suspected|foodborne pathogen suspected"]

P:
Pharm: Gravol 25-100mg PO q4hrs. Max 400mg/24hhrs. Reviewed indications, effects, regime.
Non-Pharm: Fluids, electrolytes discussed
DI/Labs: None today
Education: 
- Hand hygiene
- Symptoms typically last 12-24hrs
- Contagious for up to 48hrs after last episode of vomitting or diarrhea
Resources: GI Rx provided and reviewed with patient
Sent back to camp on self-isolation x [text name="variable_1" default=""] days
Pt to call front desk to arrange for meal trays to be sent to room
F/U: To be reassessed in clinic prior to return to work.
Pt agrees with plan. All questions answered. RTC PRN.