S:
Patient reports things have been [select name="variable_1" value="getting better|getting worse|just about the same"] since the last visit.
Neurovegetative Symptoms: sleep is [select name="variable_1" value="Good|Fair|Poor|Terrible|Not discussed"]; appetite is [select name="variable_1" value="Good|Fair|Poor|Terrible|Not discussed"]; energy levels are [select name="variable_1" value="Good|Fair|Poor|Terrible|Not discussed"]; concentration is [select name="variable_1" value="Good|Fair|Poor|Terrible|Not discussed"].
[textarea name="variable_1" default="sample text"]
O:
MSE
Alert and Oriented: [select name="variable_1" value="x4|x3|x2|x1"]
Appearance: [select name="variable_1" value="Appropriately dressed/well groomed|disheveled|inappropriately dressed|neglected"].
Attitude toward the therapist: [select name="variable_1" value="cooperative|guarded|suspicious|paranoid|paranoid|warm"].
Eye contact: [select name="variable_1" value="Good|Fair|Poor|Fleeting|Avoidant"].
Psychomotor activity: [select name="variable_1" value="retardation|agitation|none"].
Speech: [select name="variable_1" value="normal rate/normal volume|spontaneous|impoverished|pressured|aphasic|emotional|monotonous"].
Thought process: [select name="variable_1" value="linear, goal-directed, coherent|disorganized|incoherent|flight of ideas|racing thoughts|loose associations|perseverative|tangential|spontaneous"].
Thought Content: [text name="variable_1" default="sample text"].
Mood: [text name="variable_1" default="sample text"].
Affect: [select name="variable_1" value="congruent with mood, stable|blunted|flat|incongruent with mood"].
Perception: [select name="variable_1" value="No Hallucinations|Audio Hallucinations|Visual Hallucinations|Tactile Hallucinations|Olfactory Hallucinations|preocuppied with delusions|preocuppied with thoughts"].
Suicidal Ideation: [select name="variable_1" value="none present|passive ideation, no plans or intent|activally suicidal"].
Homicidal Ideation:[select name="variable_1" value="no homicidal ideation|current homicidal ideation"]
Insight: [select name="variable_1" value="good|fair|poor"].
Judgement: [select name="variable_1" value="good|fair|poor"]

A:
[textarea name="variable_1" default="sample text"]

P:
Patient was scheduled for an appointment on [text name="variable_1" default="sample text"].
Prognosis: At the time of writing, patient's prognosis is [select name="variable_1" value="good|fair|poor|uncertain"] and continued treatment is [select name="variable_1" value="recommended|not recommended|Cdsds"].