SMT Note Temp

MSE: 
Appearance - [checklist name="variable_5" value="adequately groomed|hair unkempt|beard unkempt|bald|shaved head|short hair|medium hair|long hair|poor hygiene|adequate hygiene|casually dressed - appropriate|casually dressed - inappropriate|missing teeth|tattoos"]. 
Behavior -[checklist name="variable_6" value="cooperative|uncooperative|calm|rude|annoyed|restricted|malingering"]. 
Eye contact -[select name="variable_20" value="good|adequate|poor"]. 
Speech/Tone -[checklist name="variable_7" value="coherent|incoherent|fluent|hesitant|country accent|mumbling|slurred|stuttering|logorrhea|poverty|euthymic|monotone|flat|labile|annoyed"],
Speech Rate/Volume-[checklist name="variable_8" value="normal rate|rapid|pressured|labile|slow|normal volume|loud|soft|slightly"]. 
Thought process-[checklist name="variable_9" value="normal|tangential|circumstantial|flight of ideas|thought blocking|mild|moderate|severe"]. 
Thought content-[checklist name="variable_10" value="normal|perseveration|worries|obsessions/compulsions"]. 
Attention/Concentration-[checklist name="variable_11" value="adequate|distracted|easily redirectable|difficulty redirecting|not redirectable|responding to internal stimuli|"]. 
Memory-[checklist name="variable_12" value="intact|UTA|deficit|recent|remote|STM"]. 
Abstract thinking-[select name="variable_21" value="intact||concrete|poor|UTA"]. 
Psychomotor movement-[checklist name="variable_13" value="none|restless|agitation|slow|UTA"].
AIMS score: [text name="variable_15" default="not due"]. 
Affect-[checklist name="variable_14" value="congruent with mood|incongruent with mood|full|labile|blunted|flat"].
Insight-[select name="variable_22" value="fair|limited|poor"].
Judgment-[select name="variable_23" value="fair|poor"].
MSE:
Appearance - .
Behavior - .
Eye contact -.
Speech/Tone - ,
Speech Rate/Volume- .
Thought process- .
Thought content- .
Attention/Concentration- .
Memory- .
Abstract thinking-.
Psychomotor movement- .
AIMS score: .
Affect- .
Insight-.
Judgment-.

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.93, 15 form elements, 30 boilerplate words, 1 text boxes, 10 check lists, 4 drop downs, 86 total clicks
Questions/General site feedback · Help Ticket

Send Feedback for this SOAPnote

Your email address will not be published. Required fields are marked *

More SOAPnotes by this Author: