MSE- JH2

Mental Status Examination:
General: [select name="variable_2" value="alert and oriented|obtunded|disoriented"].
Appearance: [select name="variable_3" value="well kempt|immaculately kempt|unkempt|appropriately dressed|inappropriately dressed"].
Behavior - general: [select name="variable_4" value="in no acute distress|in acute psychological distress"].
Behavior - stability: [select name="variable_5" value="calm|agitated"].
Behavior - interactivity: [select name="variable_6" value="warm with comments and behavior|interactive|withdrawn|guarded|contempt|hostile|defensive|oppositional"].
Behavior - eye contact: [select name="variable_7" value="eye contact good|eye contact fair|eye contact avoidant"].
Affect - emotional range: [select name="variable_8" value="full/broad|restricted/blunted"].
Affect - congruence: [select name="variable_9" value="|congruent - appropriate emotional expression to the content being discussed.|inappropriate emotional expression to the content being discussed."].
Mood - stated: [select name="variable_10" value="Euthymic-normal|Euphoric-elated|Dysphoric-depressed|Labile-unstable"].
Thought form and content: [select name="variable_11" value="logical-coherent|circumstantial|tangential|flight of ideas|past oriented and somber"]
Attention: [select name="variable_12" value="no difficulty with attention or concentration|had some attentional and concentration problems during the exam|had extreme attentional and concentration problems during the exam"].
Perception - insight: [select name="variable_13" value="normal insight|limited/poor insight|no insight"]
Perception - general: [select name="variable_14" value="normal|normal - denied any preoccupations, obsessions, delusions, hallucinations or perceptual disturbances|delusions|hallucinations"]
Cognition/Memory: [select name="variable_15" value="normal|grossly intact|below average|above average|unable to assess"].
Cognition/Memory - abstraction: [select name="variable_16" value="normal ability to abstract|difficulty with abstract thought|inability for abstract thought|unable to assess"]
Judgment: [select name="variable_17" value="normal|poor|good"].
Suicide/Assault: [select name="variable_18" value="no current or past ideation or intent|denies an active sense of wanting to harm self or others|present but without intent or plan|resolved"].
Patient is currently assessed to be at [select name="variable_19" value="low|moderate|high"] risk for self harm or harm to others as evidenced by ideation and behavior on today's exam.
Mental Status Examination:
General: .
Appearance: .
Behavior - general: .
Behavior - stability: .
Behavior - interactivity: .
Behavior - eye contact: .
Affect - emotional range: .
Affect - congruence: .
Mood - stated: .
Thought form and content:
Attention: .
Perception - insight:
Perception - general:
Cognition/Memory: .
Cognition/Memory - abstraction:
Judgment: .
Suicide/Assault: .
Patient is currently assessed to be at risk for self harm or harm to others as evidenced by ideation and behavior on today's exam.

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 1, 18 form elements, 72 boilerplate words, 18 drop downs, 18 total clicks
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