OB-Dynamic-Full.2

SUBJECTIVE:
Pt:[text name="Pt Name" default="Name"]
DOB:[date name="DOB" default="09/24/2020"]
Day of Visit:[date name="DOV" default="09/24/2020"]
Reason for Visit: [radio name="Chief Complaint" value="Prenatal Checkup|Abnormal Bleeding|Abdominal Pain|Low Fetal Movement"]

[conditional field="Chief Complaint" condition="(Chief Complaint).is('Abdominal Pain')"]
Pregnancy-Related Symptoms
Onset[text name="onset" default="sample text"] prior to evaluation

Associated Pain (0=none, 10=severe)
Location: [text name="loc" default="sample text"]
Radiation: [text name="rad" default="sample text"]
Severity now (0-10): [select name="Sev" value="1|2|3|4|5|6|7|8|9|10"]
Severity at worst (0-10): [select name="Sevw" value="1|2|3|4|5|6|7|8|9|10"]
Frequency: [text name="frequency" default="sample text"] ( 
[checkbox name="freqopt" value="not|is"] regular)
Duration: [text name="Duration" default="sample text"]
Characterized as: 
[text name="Character" default="sample text"] (is [text] contraction-like)

Pain modifiers
Relieved with [text name="relv" default="sample text"]
Worse with [text name="worse" default="sample text"]
[/conditional]
[conditional field="Chief Complaint" condition="(Chief Complaint).is('Prenatal Checkup')"]
The patient has no new health concerns at this time.
[/conditional]

Pertinent PMH:
[checklist name="PMH" value="Preterm Labor|Pregnancy Induced Hypertension (PIH)|Gestational Diabetes|STD|Urinary tract infections|None"]

OBJECTIVE

Pregnancy History:
Gravida: [text name="Grav" default="#"]
Para: [text name="Para" default="#"]
Ab: [text name="Ab" default="#"]
LMP:[date name="LMP" default="09/24/2020"]
EDC:[date name="EDC" default="09/24/2020"] determined by [radio name="EDCMethod" value="LMP|Ultrasound"]
Gestational Age: [text name="Weeks" default=""] Weeks [text name="Days" default=""] Days

ROS:
Specific Genitourinary Symptoms:
[checkbox name="GUS" value="Leakage of Fluid|Vaginal Bleeding|Vaginal Discharge|Dysuria|Hematuria"]


Associated Symptoms:
[checkbox name="ASS" value="nausea A|vomiting|headache|fever"]


ASSESMENT/PLAN:
[textarea name="variable_1" default="sample text"]