PrEP Patient Follow up1
HPI: [text name="agesex" default=""][select name="sexpartner" value=" MSM|FSM|MSF|MSM, MSF"][select name="medicalhistory" value=" without a significant medical history| with a history of "][text name="historyof" default=""]. No complaints today. No rectal or penile discharge and no symptoms of acute HIV since last visit.Denies fever,tired feeling,swollen lymph nodes, swollen tonsils,sore throat,joint and muscle aches,diarrhea, a rash. Medication adherence assessment: Missed doses in 7 days:[text name="variable_1" default=""] Missed doses in 30 days:[text name="variable_2" default=""] Missed doses in 90 days:[text name="variable_3" default=""] No medication side effects since last visit.[text name="variable_4" default=""] No medical events since last visit:[text name="variable_5" default=""] No homicidal ideation or suicidal ideation.[text name="variable_6" default=""] No substance use since last visit. [text name="variable_7" default=""]Assessment This is a [text name="age" default=""] with a risk of [select name="partner" value=" MSM|SDC|IVDU|periconception"] here for a PrEP visit. Continue PrEP. Sexual risk reduction counseling provided. Medication adherence counseling provided. Substance use counseling provided. Discussion regarding medication side effects provided. Records will be obtained from [text name="records" default="sample text"] Labs reviewed today: HIV, Cr, BMP, CMP, RPR, oral GC&CT, rectal GC&CT, urine GC&CT, Hepatitis B surface antigen, Hepatitis C, pregnancy test. Please obtain the following labs at the next visit:HIV, Cr, BMP, CMP, RPR, oral GC&CT, rectal GC&CT, urine GC&CT, Hepatitis B surface antigen, Hepatitis C, pregnancy test RTC (telehealth) [select name="RTC" value="3|6"] months to the AHF Wellness PrEP Program Lab visit in 3 months Plan (See above)
Result - Copy and paste this output:
Sandbox Metrics: Structured Data Index 0.27, 15 form elements, 193 boilerplate words, 11 text boxes, 4 drop downs, 15 total clicks
Send Feedback for this SOAPnote
You must be logged in to post a comment.