Upper Back Pain History
Neck/Upper Back Pain/Injury Onset [text] prior to evaluation Onset while: [text] Injury at: [text] Associated Pain (0=none, 10=severe) Location: [text] Radiation: [text] Severity now (0-10): [text] Severity at worst (0-10): [text] Duration: [text] Characterized as [text]. Relieved with [text] Worse with [text] [select value="no|YES"] <-- worse with cough or deep breathing Pitfall evaluation: [select value="no|YES"] <-- fever [select value="no|YES"] <-- chest pain [select value="no|YES"] <-- shortness of breath [select value="no|YES"] <-- extremity weakness [select value="no|YES"] <-- prior neck or back pain history with last episode [select value="no|YES"] <-- intervertebral disc injury [select value="no|YES"] <-- spine surgery history [select value="no|YES"] <-- compression fracture or osteoporosis history [select value="no|YES"] <-- heart disease history [select value="no|YES"] <-- aortic dissection history or risk (hypertension) [select value="no|YES"] <-- peptic ulcer disease history
Result - Copy and paste this output:
Sandbox Metrics: Structured Data Index 0.08, 12 form elements, 138 boilerplate words, 11 text boxes, 1 drop downs, 12 total clicks
More SOAPnotes by this Author:
Send Feedback for this SOAPnote
You must be logged in to post a comment.