MAT Note

Patient is a [text name="variable_1" default="sample text"] yrs. old, 
[select name="variable_1" value="male|female|other"] who presents today for MAT. Patient started on opioids [text name="variable_1" default="sample text"]ago. Has been using opioids for [text name="variable_1" default="sample text"] years. Patient stated (s)he uses around [text name="variable_1" default="sample text"] per day. Patient [select name="variable_1" value="does|does not|N/A"]admit to using heroin [text name="variable_1" default="sample text"]times. Here with his/her 
[text name="variable_1" default="sample text"]. Desires to get off opioids because:  
[textarea name="variable_1" default="sample text"]

Patient applied for Medication Assisted Treatment (MAT) and the [clinic] MAT Team
reviewed and approved patient for MAT. Patient has agreed to participate in all aspects of treatment plan including follow-up appointments, counseling, group visits, urine drug testing, and other requirements as noted in the treatment protocol and patient agreement.
 Last opioids [text name="variable_1" default="sample text"] hours ago of 
[select name="variable_1" value="short-acting|long-acting|unsure"] opioid.
 Today, patient feels pretty lousy. Anxious, slight abdominal pain.
 Patient has [select name="variable_1" value="good|limited|unsure"] social supports with family, neighbors, and friends.
Specifically, patient will have support from [text name="variable_1" default="sample text"]

Opioid Use Disorder Criteria. Mark all that apply to this patient. Include in HPI.

 Opioids are often taken in larger amounts or over a longer period of time than
intended.
 There is a persistent desire or unsuccessful efforts to cut down or control opioid use.
 A great deal of time is spent in activities necessary to obtain the opioid, use the
opioid, or recover from its effects.
 Craving, or a strong desire to use opioids.
 Recurrent opioid use resulting in failure to fulfill major role obligations at work, school
or home.
 Continued opioid use despite having persistent or recurrent social or interpersonal
problems caused or exacerbated by the effects of opioids.
 Important social, occupational or recreational activities are given up or reduced
because of opioid use.
 Recurrent opioid use in situations in which it is physically hazardous
 Continued use despite knowledge of having a persistent or recurrent physical or
psychological problem that is likely to have been caused or exacerbated by opioids.
 *Tolerance, as defined by either of the following:
o a need for markedly increased amounts of opioids to achieve intoxication or
desired effect
o markedly diminished effect with continued use of the same amount of an
opioid
 *Withdrawal, as manifested by either of the following: the characteristic opioid
withdrawal syndrome, the same (or a closely related) substance are taken to relieve
or avoid withdrawal symptoms