Psychiatry
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[comment memo="The ICD-10 codes are here http://apps.who.int/classifications/icd10/browse/2010/en#/V"]

Subjective:

When asked to rate how things have been over the last week, patient name reported that [select name="Q1" value="things have been unremarkable.|there have been some difficulties.|life has been pretty good.|"][conditional field="Q1" condition="(Q1).is('there have been some difficulties.')"] When asked to elaborate, patient name reported concerns with: [conditional field="Q1" condition="(Q1).is('there have been some difficulties.')"][checkbox name="lastweek" value="the primary support group|the social environment|education|work|housing|finances|access to health care services|legal justice system|psycho-social functioning and their environment"].[/conditional] [textarea cols=80 rows=5 default="additional comments"]

sleep was [select value="good|fair|poor|terrible"]; appetite was [select value="good|fair|poor|terrible"]; concentration was [select value="good|fair|poor|terrible"]; and energy levels were [select value="good|fair|poor|terrible"].

Attitude towards treatment -- [select value="unable to rate|it's highly beneficial.|it's occasionally helpful.|it's not helpful."]

Assessment:

Working Diagnosis -- [checkbox name="diagnosis" value="F00-F09 Organic, including symptomatic, mental disorders|F10-F19 Mental and behavioural disorders due to psychoactive substance use|F20-F29 Schizophrenia, schizotypal and delusional disorders|F30-F39 Mood (affective) disorders|F40-F48 Neurotic, stress-related and somatoform disorders|F50-F59 Behavioural syndromes associated with physiological disturbances and physical factors|F60-F69 Disorders of adult personality and behaviour|F80-F89 Disorders of psychological development|F90-F98 Behavioural and emotional disorders with onset usually occurring in childhood and adolescence|F99-F99 Unspecified mental disorder|unable to rate/assessment incomplete"]

[link url="http://apps.who.int/classifications/icd10/browse/2010/en#/V" memo="ICD-10 diagnoses"]
Formulation -- [textarea cols=80 rows=5 default="patient presented today with this problem, because of this reason."]

Plan:

Treatment -- [textarea cols=80 rows=5 default="because of the above formulation I treated the patient with CBT"]

Prognosis -- At the time of writing, patient name's prognosis is [select value="good|fair|poor|uncertain"].

Treatment goals -- In terms of future treatment, [textarea cols="50" rows="5" default="based on todays treatment, I will therefore continue with CBT, or change to another modality, and book apt with the doctor"].

Next appointment -- patient name's next appointment is scheduled for [textarea cols=10 rows=1 default="day"], [textarea cols=10 rows=1 default="date"] at [textarea cols=10 rows=1 default="time"].

[textarea cols="50" rows="5" default="Final notes"]
The ICD-10 codes are here http://apps.who.int/classifications/icd10/browse/2010/en#/V

Subjective:

When asked to rate how things have been over the last week, patient name reported that

sleep was ; appetite was ; concentration was ; and energy levels were .

Attitude towards treatment --

Assessment:

Working Diagnosis --

ICD-10 diagnoses
Formulation --

Plan:

Treatment --

Prognosis -- At the time of writing, patient name's prognosis is .

Treatment goals -- In terms of future treatment, .

Next appointment -- patient name's next appointment is scheduled for , at .

Result - Copy and paste this output: