[remark]
======================
Condition 1
======================
[/remark][checkbox memo="History for condition #1" memo_size="small" name="chr1" value=""][conditional field="chr1" condition="(chr1).is('')"][comment memo="-------------BEGIN CONDITION 1-------------"][remark]
Condition Status
[/remark][select name="sex" value="=0|Mr. =0|Ms. =1|Miss =1"][text name="patientname" memo="<-- patient name, or pronoun -->"][select name="pronoun" value="=0|He=0|She=1"][checkbox name="sex" value="=1" memo="if no pronoun or titile selected, check for female leave black for male"] reports that [calc memo="his or her" value="score=(sex)+(pronoun);score>0?'her':'his'"] [comment memo_size="small" memo_color="blue" memo="select one ▼▼"][frontload soapnote="sample/drgfms-include-condition-dropdown/"][text memo="◀︎◀︎ and/or freetext" memo_size="small" memo_color="blue" size=50] is [select name="control1" value="well controlled|not well controlled|stable|unchanged from last visit|improved from last visit|worse than at last visit"]. Currently, [calc memo="he or she" value="score=(sex)+(pronoun);score>0?'she':'he'"] [select name="symptoms1" value="notes there are no symptoms. |notes symptoms are present including"][/conditional][conditional field="symptoms1" condition="(symptoms1).is('symptoms are present including')"] [checkbox value="pain|fatigue|shortness of breath|palpitations|nausea|vomiting|abdominal pain|urinary symptoms"][text default="."]
[/conditional][conditional field="chr1" condition="(chr1).is('')"][checkbox name="currenttx1" memo="current treatment" value=""][/conditional][conditional field="currenttx1" condition="(currenttx1).is('')"][calc memo="his or her" value="score=(sex)+(pronoun);score>0?'Her':'His'"] current treatments include [select name="medtx1" value="no medications|medications including "][/conditional][conditional field="medtx1" condition="(medtx1).is('medications including ')"][text size=50]. [select name="MedSideEffects1" value="The patient denies side effects|The patient complains of side effects including "][/conditional][conditional field="MedSideEffects1" condition="(MedSideEffects1).is('The patient complains of side effects including ')"][checkbox value="constipation|skin rash|diarrhea|diaphoresis|dizziness|drowsiness|dry mouth|headache|insomnia|nausea|suicidal thoughts|palpitations|anxiety|depression|malaise"][text size=50 memo_size="small" memo_color="blue" memo="◀︎◀︎ include more here."][comment memo_size="small" memo_color="blue" memo=" Add a space/comma/period in front, as appropriate, if any above are selected"].[/conditional][conditional field="currenttx1" condition="(currenttx1).is('')"] [select name="othertx1" value="No other treatments are noted.|Additional treatments include "] [/conditional][conditional field="othertx1" condition="(othertx1).is('Additional treatments include ')"][textarea cols="50" rows="2"].
[/conditional][conditional field="chr1" condition="(chr1).is('')"][remark]
Previous treatments
[/remark][checkbox name="prevtx1" memo="previous treatments" value=""][/conditional][conditional field="prevtx1" condition="(prevtx1).is('')"]
[calc memo="He or She" value="score=(sex)+(pronoun);score>0?'She':'He'"] has been treated previously with [checkbox name="ptx" value="" memo="prev. treatment 1"][/conditional][conditional field="ptx" condition="(ptx).is('')"][text size="60"]. However this was discontinued due to [checkbox value="intolerable side effects|a lack of improvement"][textarea memo="other reason" memo_size="small" memo_color="blue"].[/conditional][conditional field="prevtx1" condition="(prevtx1).is('')"][checkbox name="ptx" value="" memo="prev. treatment 2"][/conditional][conditional field="ptx" condition="(ptx).is('')"] Additionally, [calc memo="he or she" value="score=(sex)+(pronoun);score>0?'She':'He'"] was previously treated with [text size="60"], but this was discontinued because of [checkbox value="intolerable side effects|no improvement"][textarea memo="other reason" memo_size="small" memo_color="blue"].[/conditional][conditional field="prevtx1" condition="(prevtx1).is('')"][checkbox name="ptx" value="" memo="prev. treatment 3"][/conditional][conditional field="ptx" condition="(ptx).is('')"] Finally, [calc memo="he or she" value="score=(sex)+(pronoun);score>0?'she':'he'"] has been treated previously with [text size="60"], but this was discontinued because of [checkbox value="intolerable side effects|no improvement"][textarea memo="other reason" memo_size="small" memo_color="blue"][/conditional][remark]
Diagnostic tests
[/remark][conditional field="chr1" condition="(chr1).is('')"][checkbox memo="patient requests/needs diagnostic or lab tests" name="dxreq1" value=""][/conditional][conditional field="dxreq1" condition="(dxreq1).is('')"][calc memo="He or She" value="score=(sex)+(pronoun);score>0?'She':'He'"] [select value="needs|is due for|requests"] diagnostic testing including [comment memo_size="small" memo_color="blue" memo="select any number from below ▼▼"][checkbox value="CBC|CMP|Fasting Lipids|A1c|gout/uric acid labs|Thyroid labs|TSH|Free T4|Vitamin B12|Vitamin D|lupus labs|rheumatoid arthritis labs|lyme disease labs|RMSF labs|COVID-19 antibodies|COVID-19 nasopharyngeal swab|STI testing|X-ray|CT|MRI|Ultrasound"][text size=50 memo_size="small" memo_color="blue" memo="◀︎◀︎ include more here."][comment memo_size="small" memo_color="blue" memo=" Add a space/comma/period in front, as appropriate, if any above are selected"].[/conditional][remark]
Other specialists
[/remark][conditional field="chr1" condition="(chr1).is('')"][checkbox memo="other specialists comanage the condition" name="OtherSpecs1" value=""][/conditional][conditional field="OtherSpecs1" condition="(OtherSpecs1).is('')"][calc memo="he or she" value="score=(sex)+(pronoun);score>0?'She':'He'"] notes that [text size="50" memo="<--other specialist(s)"] co-manages this condition.[/conditional][remark]
Other details
[/remark][conditional field="chr1" condition="(chr1).is('')"][checkbox memo="other details" name="OtherDetails1" value=""][/conditional][conditional field="OtherDetails1" condition="(OtherDetails1).is('')"][textarea default=""][/conditional][remark]
Patient sartisfaction with management
[/remark][conditional field="chr1" condition="(chr1).is('')"][checkbox memo="patient satisfied with treatment" name="PtSatisfied1" value=""][/conditional][conditional field="PtSatisfied1" condition="(PtSatisfied1).is('')"][calc memo="he or she" value="score=(sex)+(pronoun);score>0?'She':'He'"] states that [select name="Satisfied1" value="|is|is not"] satisfied with current management[/conditional][conditional field="Satisfied1" condition="(Satisfied1).is('is not')"]; [text size=60].[/conditional][conditional field="Satisfied1" condition="(Satisfied1).is('is')"].[/conditional][conditional field="chr1" condition="(chr1).is('')"][comment memo="--------------END CONDITION 1--------------"][/conditional]
[remark]
======================
Condition 2
======================
[/remark][checkbox memo="History for condition #2" memo_size="small" name="chr2" value=""][conditional field="chr2" condition="(chr2).is('')"][comment memo="-------------BEGIN CONDITION 2-------------"][remark]
Condition Status
[/remark][select name="sex" value="=0|Mr. =0|Ms. =1|Miss =1"][text name="patientname" memo="<-- patient name, or pronoun -->"][select name="pronoun" value="=0|He=0|She=1"][checkbox name="sex" value="=1" memo="if no pronoun or titile selected, check for female leave black for male"] reports that [calc memo="his or her" value="score=(sex)+(pronoun);score>0?'her':'his'"] [comment memo_size="small" memo_color="blue" memo="select one ▼▼"][frontload soapnote="sample/drgfms-include-condition-dropdown/"][text memo="◀︎◀︎ and/or freetext" memo_size="small" memo_color="blue" size=50] is [select name="control2" value="well controlled|not well controlled|stable|unchanged from last visit|improved from last visit|worse than at last visit"]. Currently, [calc memo="he or she" value="score=(sex)+(pronoun);score>0?'she':'he'"] [select name="symptoms2" value="notes there are no symptoms. |notes symptoms are present including"][/conditional][conditional field="symptoms2" condition="(symptoms2).is('symptoms are present including')"] [checkbox value="pain|fatigue|shortness of breath|palpitations|nausea|vomiting|abdominal pain|urinary symptoms"][text default="."]
[/conditional][conditional field="chr2" condition="(chr2).is('')"][checkbox name="currenttx2" memo="current treatment" value=""][/conditional][conditional field="currenttx2" condition="(currenttx2).is('')"][calc memo="his or her" value="score=(sex)+(pronoun);score>0?'Her':'His'"] current treatments include [select name="medtx2" value="no medications|medications including "][/conditional][conditional field="medtx2" condition="(medtx2).is('medications including ')"][text size=50]. [select name="MedSideEffects2" value="The patient denies side effects|The patient complains of side effects including "][/conditional][conditional field="MedSideEffects2" condition="(MedSideEffects2).is('The patient complains of side effects including ')"][checkbox value="constipation|skin rash|diarrhea|diaphoresis|dizziness|drowsiness|dry mouth|headache|insomnia|nausea|suicidal thoughts|palpitations|anxiety|depression|malaise"][text size=50 memo_size="small" memo_color="blue" memo="◀︎◀︎ include more here."][comment memo_size="small" memo_color="blue" memo=" Add a space/comma/period in front, as appropriate, if any above are selected"].[/conditional][conditional field="currenttx2" condition="(currenttx2).is('')"] [select name="othertx2" value="No other treatments are noted.|Additional treatments include "] [/conditional][conditional field="othertx2" condition="(othertx2).is('Additional treatments include ')"][textarea cols="50" rows="2"].
[/conditional][conditional field="chr2" condition="(chr2).is('')"][remark]
Previous treatments
[/remark][checkbox name="prevtx2" memo="previous treatments" value=""][/conditional][conditional field="prevtx2" condition="(prevtx2).is('')"]
[calc memo="He or She" value="score=(sex)+(pronoun);score>0?'She':'He'"] has been treated previously with [checkbox name="ptx" value="" memo="prev. treatment 1"][/conditional][conditional field="ptx" condition="(ptx).is('')"][text size="60"]. However this was discontinued due to [checkbox value="intolerable side effects|a lack of improvement"][textarea memo="other reason" memo_size="small" memo_color="blue"].[/conditional][conditional field="prevtx2" condition="(prevtx2).is('')"][checkbox name="ptx" value="" memo="prev. treatment 2"][/conditional][conditional field="ptx" condition="(ptx).is('')"] Additionally, [calc memo="he or she" value="score=(sex)+(pronoun);score>0?'She':'He'"] was previously treated with [text size="60"], but this was discontinued because of [checkbox value="intolerable side effects|no improvement"][textarea memo="other reason" memo_size="small" memo_color="blue"].[/conditional][conditional field="prevtx2" condition="(prevtx2).is('')"][checkbox name="ptx" value="" memo="prev. treatment 3"][/conditional][conditional field="ptx" condition="(ptx).is('')"] Finally, [calc memo="he or she" value="score=(sex)+(pronoun);score>0?'she':'he'"] has been treated previously with [text size="60"], but this was discontinued because of [checkbox value="intolerable side effects|no improvement"][textarea memo="other reason" memo_size="small" memo_color="blue"][/conditional][remark]
Diagnostic tests
[/remark][conditional field="chr2" condition="(chr2).is('')"][checkbox memo="patient requests/needs diagnostic or lab tests" name="dxreq2" value=""][/conditional][conditional field="dxreq2" condition="(dxreq2).is('')"][calc memo="He or She" value="score=(sex)+(pronoun);score>0?'She':'He'"] [select value="needs|is due for|requests"] diagnostic testing including [comment memo_size="small" memo_color="blue" memo="select any number from below ▼▼"][checkbox value="CBC|CMP|Fasting Lipids|A1c|gout/uric acid labs|Thyroid labs|TSH|Free T4|Vitamin B12|Vitamin D|lupus labs|rheumatoid arthritis labs|lyme disease labs|RMSF labs|COVID-19 antibodies|COVID-19 nasopharyngeal swab|STI testing|X-ray|CT|MRI|Ultrasound"][text size=50 memo_size="small" memo_color="blue" memo="◀︎◀︎ include more here."][comment memo_size="small" memo_color="blue" memo=" Add a space/comma/period in front, as appropriate, if any above are selected"].[/conditional][remark]
Other specialists
[/remark][conditional field="chr2" condition="(chr2).is('')"][checkbox memo="other specialists comanage the condition" name="OtherSpecs2" value=""][/conditional][conditional field="OtherSpecs2" condition="(OtherSpecs2).is('')"][calc memo="he or she" value="score=(sex)+(pronoun);score>0?'She':'He'"] notes that [text size="50" memo="<--other specialist(s)"] co-manages this condition.[/conditional][remark]
Other details
[/remark][conditional field="chr2" condition="(chr2).is('')"][checkbox memo="other details" name="OtherDetails2" value=""][/conditional][conditional field="OtherDetails2" condition="(OtherDetails2).is('')"][textarea default=""][/conditional][remark]
Patient sartisfaction with management
[/remark][conditional field="chr2" condition="(chr2).is('')"][checkbox memo="patient satisfied with treatment" name="PtSatisfied2" value=""][/conditional][conditional field="PtSatisfied2" condition="(PtSatisfied2).is('')"][calc memo="he or she" value="score=(sex)+(pronoun);score>0?'She':'He'"] states that [select name="Satisfied2" value="|is|is not"] satisfied with current management[/conditional][conditional field="Satisfied2" condition="(Satisfied2).is('is not')"]; [text size=60].[/conditional][conditional field="Satisfied2" condition="(Satisfied2).is('is')"].[/conditional][conditional field="chr2" condition="(chr2).is('')"][comment memo="--------------END CONDITION 2--------------"][/conditional]
[remark]
======================
Condition 3
======================
[/remark][checkbox memo="History for condition #3" memo_size="small" name="chr3" value=""][conditional field="chr3" condition="(chr3).is('')"][comment memo="-------------BEGIN CONDITION 3-------------"][remark]
Condition Status
[/remark][select name="sex" value="=0|Mr. =0|Ms. =1|Miss =1"][text name="patientname" memo="<-- patient name, or pronoun -->"][select name="pronoun" value="=0|He=0|She=1"][checkbox name="sex" value="=1" memo="if no pronoun or titile selected, check for female leave black for male"] reports that [calc memo="his or her" value="score=(sex)+(pronoun);score>0?'her':'his'"] [comment memo_size="small" memo_color="blue" memo="select one ▼▼"][frontload soapnote="sample/drgfms-include-condition-dropdown/"][text memo="◀︎◀︎ and/or freetext" memo_size="small" memo_color="blue" size=50] is [select name="control3" value="well controlled|not well controlled|stable|unchanged from last visit|improved from last visit|worse than at last visit"]. Currently, [calc memo="he or she" value="score=(sex)+(pronoun);score>0?'she':'he'"] [select name="symptoms3" value="notes there are no symptoms. |notes symptoms are present including"][/conditional][conditional field="symptoms3" condition="(symptoms3).is('symptoms are present including')"] [checkbox value="pain|fatigue|shortness of breath|palpitations|nausea|vomiting|abdominal pain|urinary symptoms"][text default="."]
[/conditional][conditional field="chr3" condition="(chr3).is('')"][checkbox name="currenttx3" memo="current treatment" value=""][/conditional][conditional field="currenttx3" condition="(currenttx3).is('')"][calc memo="his or her" value="score=(sex)+(pronoun);score>0?'Her':'His'"] current treatments include [select name="medtx3" value="no medications|medications including "][/conditional][conditional field="medtx3" condition="(medtx3).is('medications including ')"][text size=50]. [select name="MedSideEffects3" value="The patient denies side effects|The patient complains of side effects including "][/conditional][conditional field="MedSideEffects3" condition="(MedSideEffects3).is('The patient complains of side effects including ')"][checkbox value="constipation|skin rash|diarrhea|diaphoresis|dizziness|drowsiness|dry mouth|headache|insomnia|nausea|suicidal thoughts|palpitations|anxiety|depression|malaise"][text size=50 memo_size="small" memo_color="blue" memo="◀︎◀︎ include more here."][comment memo_size="small" memo_color="blue" memo=" Add a space/comma/period in front, as appropriate, if any above are selected"].[/conditional][conditional field="currenttx3" condition="(currenttx3).is('')"] [select name="othertx3" value="No other treatments are noted.|Additional treatments include "] [/conditional][conditional field="othertx3" condition="(othertx3).is('Additional treatments include ')"][textarea cols="50" rows="2"].
[/conditional][conditional field="chr3" condition="(chr3).is('')"][remark]
Previous treatments
[/remark][checkbox name="prevtx3" memo="previous treatments" value=""][/conditional][conditional field="prevtx3" condition="(prevtx3).is('')"]
[calc memo="He or She" value="score=(sex)+(pronoun);score>0?'She':'He'"] has been treated previously with [checkbox name="ptx" value="" memo="prev. treatment 1"][/conditional][conditional field="ptx" condition="(ptx).is('')"][text size="60"]. However this was discontinued due to [checkbox value="intolerable side effects|a lack of improvement"][textarea memo="other reason" memo_size="small" memo_color="blue"].[/conditional][conditional field="prevtx3" condition="(prevtx3).is('')"][checkbox name="ptx" value="" memo="prev. treatment 2"][/conditional][conditional field="ptx" condition="(ptx).is('')"] Additionally, [calc memo="he or she" value="score=(sex)+(pronoun);score>0?'She':'He'"] was previously treated with [text size="60"], but this was discontinued because of [checkbox value="intolerable side effects|no improvement"][textarea memo="other reason" memo_size="small" memo_color="blue"].[/conditional][conditional field="prevtx3" condition="(prevtx3).is('')"][checkbox name="ptx" value="" memo="prev. treatment 3"][/conditional][conditional field="ptx" condition="(ptx).is('')"] Finally, [calc memo="he or she" value="score=(sex)+(pronoun);score>0?'she':'he'"] has been treated previously with [text size="60"], but this was discontinued because of [checkbox value="intolerable side effects|no improvement"][textarea memo="other reason" memo_size="small" memo_color="blue"][/conditional][remark]
Diagnostic tests
[/remark][conditional field="chr3" condition="(chr3).is('')"][checkbox memo="patient requests/needs diagnostic or lab tests" name="dxreq3" value=""][/conditional][conditional field="dxreq3" condition="(dxreq3).is('')"][calc memo="He or She" value="score=(sex)+(pronoun);score>0?'She':'He'"] [select value="needs|is due for|requests"] diagnostic testing including [comment memo_size="small" memo_color="blue" memo="select any number from below ▼▼"][checkbox value="CBC|CMP|Fasting Lipids|A1c|gout/uric acid labs|Thyroid labs|TSH|Free T4|Vitamin B12|Vitamin D|lupus labs|rheumatoid arthritis labs|lyme disease labs|RMSF labs|COVID-19 antibodies|COVID-19 nasopharyngeal swab|STI testing|X-ray|CT|MRI|Ultrasound"][text size=50 memo_size="small" memo_color="blue" memo="◀︎◀︎ include more here."][comment memo_size="small" memo_color="blue" memo=" Add a space/comma/period in front, as appropriate, if any above are selected"].[/conditional][remark]
Other specialists
[/remark][conditional field="chr3" condition="(chr3).is('')"][checkbox memo="other specialists comanage the condition" name="OtherSpecs3" value=""][/conditional][conditional field="OtherSpecs3" condition="(OtherSpecs3).is('')"][calc memo="he or she" value="score=(sex)+(pronoun);score>0?'She':'He'"] notes that [text size="50" memo="<--other specialist(s)"] co-manages this condition.[/conditional][remark]
Other details
[/remark][conditional field="chr3" condition="(chr3).is('')"][checkbox memo="other details" name="OtherDetails3" value=""][/conditional][conditional field="OtherDetails3" condition="(OtherDetails3).is('')"][textarea default=""][/conditional][remark]
Patient sartisfaction with management
[/remark][conditional field="chr3" condition="(chr3).is('')"][checkbox memo="patient satisfied with treatment" name="PtSatisfied3" value=""][/conditional][conditional field="PtSatisfied3" condition="(PtSatisfied3).is('')"][calc memo="he or she" value="score=(sex)+(pronoun);score>0?'She':'He'"] states that [select name="Satisfied3" value="|is|is not"] satisfied with current management[/conditional][conditional field="Satisfied3" condition="(Satisfied3).is('is not')"]; [text size=60].[/conditional][conditional field="Satisfied3" condition="(Satisfied3).is('is')"].[/conditional][conditional field="chr3" condition="(chr3).is('')"][comment memo="--------------END CONDITION 3--------------"][/conditional]
[remark]
======================
Condition 4
======================
[/remark][checkbox memo="History for condition #4" memo_size="small" name="chr4" value=""][conditional field="chr4" condition="(chr4).is('')"][comment memo="-------------BEGIN CONDITION 4-------------"][remark]
Condition Status
[/remark][select name="sex" value="=0|Mr. =0|Ms. =1|Miss =1"][text name="patientname" memo="<-- patient name, or pronoun -->"][select name="pronoun" value="=0|He=0|She=1"][checkbox name="sex" value="=1" memo="if no pronoun or titile selected, check for female leave black for male"] reports that [calc memo="his or her" value="score=(sex)+(pronoun);score>0?'her':'his'"] [comment memo_size="small" memo_color="blue" memo="select one ▼▼"][frontload soapnote="sample/drgfms-include-condition-dropdown/"][text memo="◀︎◀︎ and/or freetext" memo_size="small" memo_color="blue" size=50] is [select name="control4" value="well controlled|not well controlled|stable|unchanged from last visit|improved from last visit|worse than at last visit"]. Currently, [calc memo="he or she" value="score=(sex)+(pronoun);score>0?'she':'he'"] [select name="symptoms4" value="notes there are no symptoms. |notes symptoms are present including"][/conditional][conditional field="symptoms4" condition="(symptoms4).is('symptoms are present including')"] [checkbox value="pain|fatigue|shortness of breath|palpitations|nausea|vomiting|abdominal pain|urinary symptoms"][text default="."]
[/conditional][conditional field="chr4" condition="(chr4).is('')"][checkbox name="currenttx4" memo="current treatment" value=""][/conditional][conditional field="currenttx4" condition="(currenttx4).is('')"][calc memo="his or her" value="score=(sex)+(pronoun);score>0?'Her':'His'"] current treatments include [select name="medtx4" value="no medications|medications including "][/conditional][conditional field="medtx4" condition="(medtx4).is('medications including ')"][text size=50]. [select name="MedSideEffects4" value="The patient denies side effects|The patient complains of side effects including "][/conditional][conditional field="MedSideEffects4" condition="(MedSideEffects4).is('The patient complains of side effects including ')"][checkbox value="constipation|skin rash|diarrhea|diaphoresis|dizziness|drowsiness|dry mouth|headache|insomnia|nausea|suicidal thoughts|palpitations|anxiety|depression|malaise"][text size=50 memo_size="small" memo_color="blue" memo="◀︎◀︎ include more here."][comment memo_size="small" memo_color="blue" memo=" Add a space/comma/period in front, as appropriate, if any above are selected"].[/conditional][conditional field="currenttx4" condition="(currenttx4).is('')"] [select name="othertx4" value="No other treatments are noted.|Additional treatments include "] [/conditional][conditional field="othertx4" condition="(othertx4).is('Additional treatments include ')"][textarea cols="50" rows="2"].
[/conditional][conditional field="chr4" condition="(chr4).is('')"][remark]
Previous treatments
[/remark][checkbox name="prevtx4" memo="previous treatments" value=""][/conditional][conditional field="prevtx4" condition="(prevtx4).is('')"]
[calc memo="He or She" value="score=(sex)+(pronoun);score>0?'She':'He'"] has been treated previously with [checkbox name="ptx" value="" memo="prev. treatment 1"][/conditional][conditional field="ptx" condition="(ptx).is('')"][text size="60"]. However this was discontinued due to [checkbox value="intolerable side effects|a lack of improvement"][textarea memo="other reason" memo_size="small" memo_color="blue"].[/conditional][conditional field="prevtx4" condition="(prevtx4).is('')"][checkbox name="ptx" value="" memo="prev. treatment 2"][/conditional][conditional field="ptx" condition="(ptx).is('')"] Additionally, [calc memo="he or she" value="score=(sex)+(pronoun);score>0?'She':'He'"] was previously treated with [text size="60"], but this was discontinued because of [checkbox value="intolerable side effects|no improvement"][textarea memo="other reason" memo_size="small" memo_color="blue"].[/conditional][conditional field="prevtx4" condition="(prevtx4).is('')"][checkbox name="ptx" value="" memo="prev. treatment 3"][/conditional][conditional field="ptx" condition="(ptx).is('')"] Finally, [calc memo="he or she" value="score=(sex)+(pronoun);score>0?'she':'he'"] has been treated previously with [text size="60"], but this was discontinued because of [checkbox value="intolerable side effects|no improvement"][textarea memo="other reason" memo_size="small" memo_color="blue"][/conditional][remark]
Diagnostic tests
[/remark][conditional field="chr4" condition="(chr4).is('')"][checkbox memo="patient requests/needs diagnostic or lab tests" name="dxreq4" value=""][/conditional][conditional field="dxreq4" condition="(dxreq4).is('')"][calc memo="He or She" value="score=(sex)+(pronoun);score>0?'She':'He'"] [select value="needs|is due for|requests"] diagnostic testing including [comment memo_size="small" memo_color="blue" memo="select any number from below ▼▼"][checkbox value="CBC|CMP|Fasting Lipids|A1c|gout/uric acid labs|Thyroid labs|TSH|Free T4|Vitamin B12|Vitamin D|lupus labs|rheumatoid arthritis labs|lyme disease labs|RMSF labs|COVID-19 antibodies|COVID-19 nasopharyngeal swab|STI testing|X-ray|CT|MRI|Ultrasound"][text size=50 memo_size="small" memo_color="blue" memo="◀︎◀︎ include more here."][comment memo_size="small" memo_color="blue" memo=" Add a space/comma/period in front, as appropriate, if any above are selected"].[/conditional][remark]
Other specialists
[/remark][conditional field="chr4" condition="(chr4).is('')"][checkbox memo="other specialists comanage the condition" name="OtherSpecs4" value=""][/conditional][conditional field="OtherSpecs4" condition="(OtherSpecs4).is('')"][calc memo="he or she" value="score=(sex)+(pronoun);score>0?'She':'He'"] notes that [text size="50" memo="<--other specialist(s)"] co-manages this condition.[/conditional][remark]
Other details
[/remark][conditional field="chr4" condition="(chr4).is('')"][checkbox memo="other details" name="OtherDetails4" value=""][/conditional][conditional field="OtherDetails4" condition="(OtherDetails4).is('')"][textarea default=""][/conditional][remark]
Patient sartisfaction with management
[/remark][conditional field="chr4" condition="(chr4).is('')"][checkbox memo="patient satisfied with treatment" name="PtSatisfied4" value=""][/conditional][conditional field="PtSatisfied4" condition="(PtSatisfied4).is('')"][calc memo="he or she" value="score=(sex)+(pronoun);score>0?'She':'He'"] states that [select name="Satisfied4" value="|is|is not"] satisfied with current management[/conditional][conditional field="Satisfied4" condition="(Satisfied4).is('is not')"]; [text size=60].[/conditional][conditional field="Satisfied4" condition="(Satisfied4).is('is')"].[/conditional][conditional field="chr4" condition="(chr4).is('')"][comment memo="--------------END CONDITION 4--------------"][/conditional]
[remark]
======================
Condition 5
======================
[/remark][checkbox memo="History for condition #5" memo_size="small" name="chr5" value=""][conditional field="chr5" condition="(chr5).is('')"][comment memo="-------------BEGIN CONDITION 5-------------"][remark]
Condition Status
[/remark][select name="sex" value="=0|Mr. =0|Ms. =1|Miss =1"][text name="patientname" memo="<-- patient name, or pronoun -->"][select name="pronoun" value="=0|He=0|She=1"][checkbox name="sex" value="=1" memo="if no pronoun or titile selected, check for female leave black for male"] reports that [calc memo="his or her" value="score=(sex)+(pronoun);score>0?'her':'his'"] [comment memo_size="small" memo_color="blue" memo="select one ▼▼"][frontload soapnote="sample/drgfms-include-condition-dropdown/"][text memo="◀︎◀︎ and/or freetext" memo_size="small" memo_color="blue" size=50] is [select name="control5" value="well controlled|not well controlled|stable|unchanged from last visit|improved from last visit|worse than at last visit"]. Currently, [calc memo="he or she" value="score=(sex)+(pronoun);score>0?'she':'he'"] [select name="symptoms5" value="notes there are no symptoms. |notes symptoms are present including"][/conditional][conditional field="symptoms5" condition="(symptoms5).is('symptoms are present including')"] [checkbox value="pain|fatigue|shortness of breath|palpitations|nausea|vomiting|abdominal pain|urinary symptoms"][text default="."]
[/conditional][conditional field="chr5" condition="(chr5).is('')"][checkbox name="currenttx5" memo="current treatment" value=""][/conditional][conditional field="currenttx5" condition="(currenttx5).is('')"][calc memo="his or her" value="score=(sex)+(pronoun);score>0?'Her':'His'"] current treatments include [select name="medtx5" value="no medications|medications including "][/conditional][conditional field="medtx5" condition="(medtx5).is('medications including ')"][text size=50]. [select name="MedSideEffects5" value="The patient denies side effects|The patient complains of side effects including "][/conditional][conditional field="MedSideEffects5" condition="(MedSideEffects5).is('The patient complains of side effects including ')"][checkbox value="constipation|skin rash|diarrhea|diaphoresis|dizziness|drowsiness|dry mouth|headache|insomnia|nausea|suicidal thoughts|palpitations|anxiety|depression|malaise"][text size=50 memo_size="small" memo_color="blue" memo="◀︎◀︎ include more here."][comment memo_size="small" memo_color="blue" memo=" Add a space/comma/period in front, as appropriate, if any above are selected"].[/conditional][conditional field="currenttx5" condition="(currenttx5).is('')"] [select name="othertx5" value="No other treatments are noted.|Additional treatments include "] [/conditional][conditional field="othertx5" condition="(othertx5).is('Additional treatments include ')"][textarea cols="50" rows="2"].
[/conditional][conditional field="chr5" condition="(chr5).is('')"][remark]
Previous treatments
[/remark][checkbox name="prevtx5" memo="previous treatments" value=""][/conditional][conditional field="prevtx5" condition="(prevtx5).is('')"]
[calc memo="He or She" value="score=(sex)+(pronoun);score>0?'She':'He'"] has been treated previously with [checkbox name="ptx" value="" memo="prev. treatment 1"][/conditional][conditional field="ptx" condition="(ptx).is('')"][text size="60"]. However this was discontinued due to [checkbox value="intolerable side effects|a lack of improvement"][textarea memo="other reason" memo_size="small" memo_color="blue"].[/conditional][conditional field="prevtx5" condition="(prevtx5).is('')"][checkbox name="ptx" value="" memo="prev. treatment 2"][/conditional][conditional field="ptx" condition="(ptx).is('')"] Additionally, [calc memo="he or she" value="score=(sex)+(pronoun);score>0?'She':'He'"] was previously treated with [text size="60"], but this was discontinued because of [checkbox value="intolerable side effects|no improvement"][textarea memo="other reason" memo_size="small" memo_color="blue"].[/conditional][conditional field="prevtx5" condition="(prevtx5).is('')"][checkbox name="ptx" value="" memo="prev. treatment 3"][/conditional][conditional field="ptx" condition="(ptx).is('')"] Finally, [calc memo="he or she" value="score=(sex)+(pronoun);score>0?'she':'he'"] has been treated previously with [text size="60"], but this was discontinued because of [checkbox value="intolerable side effects|no improvement"][textarea memo="other reason" memo_size="small" memo_color="blue"][/conditional][remark]
Diagnostic tests
[/remark][conditional field="chr5" condition="(chr5).is('')"][checkbox memo="patient requests/needs diagnostic or lab tests" name="dxreq5" value=""][/conditional][conditional field="dxreq5" condition="(dxreq5).is('')"][calc memo="He or She" value="score=(sex)+(pronoun);score>0?'She':'He'"] [select value="needs|is due for|requests"] diagnostic testing including [comment memo_size="small" memo_color="blue" memo="select any number from below ▼▼"][checkbox value="CBC|CMP|Fasting Lipids|A1c|gout/uric acid labs|Thyroid labs|TSH|Free T4|Vitamin B12|Vitamin D|lupus labs|rheumatoid arthritis labs|lyme disease labs|RMSF labs|COVID-19 antibodies|COVID-19 nasopharyngeal swab|STI testing|X-ray|CT|MRI|Ultrasound"][text size=50 memo_size="small" memo_color="blue" memo="◀︎◀︎ include more here."][comment memo_size="small" memo_color="blue" memo=" Add a space/comma/period in front, as appropriate, if any above are selected"].[/conditional][remark]
Other specialists
[/remark][conditional field="chr5" condition="(chr5).is('')"][checkbox memo="other specialists comanage the condition" name="OtherSpecs5" value=""][/conditional][conditional field="OtherSpecs5" condition="(OtherSpecs5).is('')"][calc memo="he or she" value="score=(sex)+(pronoun);score>0?'She':'He'"] notes that [text size="50" memo="<--other specialist(s)"] co-manages this condition.[/conditional][remark]
Other details
[/remark][conditional field="chr5" condition="(chr5).is('')"][checkbox memo="other details" name="OtherDetails5" value=""][/conditional][conditional field="OtherDetails5" condition="(OtherDetails5).is('')"][textarea default=""][/conditional][remark]
Patient sartisfaction with management
[/remark][conditional field="chr5" condition="(chr5).is('')"][checkbox memo="patient satisfied with treatment" name="PtSatisfied5" value=""][/conditional][conditional field="PtSatisfied5" condition="(PtSatisfied5).is('')"][calc memo="he or she" value="score=(sex)+(pronoun);score>0?'She':'He'"] states that [select name="Satisfied5" value="|is|is not"] satisfied with current management[/conditional][conditional field="Satisfied5" condition="(Satisfied5).is('is not')"]; [text size=60].[/conditional][conditional field="Satisfied5" condition="(Satisfied5).is('is')"].[/conditional][conditional field="chr5" condition="(chr5).is('')"][comment memo="--------------END CONDITION 5--------------"][/conditional]
[remark]
======================
Condition 6
======================
[/remark][checkbox memo="History for condition #6" memo_size="small" name="chr6" value=""][conditional field="chr6" condition="(chr6).is('')"][comment memo="-------------BEGIN CONDITION 6-------------"][remark]
Condition Status
[/remark][select name="sex" value="=0|Mr. =0|Ms. =1|Miss =1"][text name="patientname" memo="<-- patient name, or pronoun -->"][select name="pronoun" value="=0|He=0|She=1"][checkbox name="sex" value="=1" memo="if no pronoun or titile selected, check for female leave black for male"] reports that [calc memo="his or her" value="score=(sex)+(pronoun);score>0?'her':'his'"] [comment memo_size="small" memo_color="blue" memo="select one ▼▼"][frontload soapnote="sample/drgfms-include-condition-dropdown/"][text memo="◀︎◀︎ and/or freetext" memo_size="small" memo_color="blue" size=50] is [select name="control6" value="well controlled|not well controlled|stable|unchanged from last visit|improved from last visit|worse than at last visit"]. Currently, [calc memo="he or she" value="score=(sex)+(pronoun);score>0?'she':'he'"] [select name="symptoms6" value="notes there are no symptoms. |notes symptoms are present including"][/conditional][conditional field="symptoms6" condition="(symptoms6).is('symptoms are present including')"] [checkbox value="pain|fatigue|shortness of breath|palpitations|nausea|vomiting|abdominal pain|urinary symptoms"][text default="."]
[/conditional][conditional field="chr6" condition="(chr6).is('')"][checkbox name="currenttx6" memo="current treatment" value=""][/conditional][conditional field="currenttx6" condition="(currenttx6).is('')"][calc memo="his or her" value="score=(sex)+(pronoun);score>0?'Her':'His'"] current treatments include [select name="medtx6" value="no medications|medications including "][/conditional][conditional field="medtx6" condition="(medtx6).is('medications including ')"][text size=50]. [select name="MedSideEffects6" value="The patient denies side effects|The patient complains of side effects including "][/conditional][conditional field="MedSideEffects6" condition="(MedSideEffects6).is('The patient complains of side effects including ')"][checkbox value="constipation|skin rash|diarrhea|diaphoresis|dizziness|drowsiness|dry mouth|headache|insomnia|nausea|suicidal thoughts|palpitations|anxiety|depression|malaise"][text size=50 memo_size="small" memo_color="blue" memo="◀︎◀︎ include more here."][comment memo_size="small" memo_color="blue" memo=" Add a space/comma/period in front, as appropriate, if any above are selected"].[/conditional][conditional field="currenttx6" condition="(currenttx6).is('')"] [select name="othertx6" value="No other treatments are noted.|Additional treatments include "] [/conditional][conditional field="othertx6" condition="(othertx6).is('Additional treatments include ')"][textarea cols="50" rows="2"].
[/conditional][conditional field="chr6" condition="(chr6).is('')"][remark]
Previous treatments
[/remark][checkbox name="prevtx6" memo="previous treatments" value=""][/conditional][conditional field="prevtx6" condition="(prevtx6).is('')"]
[calc memo="He or She" value="score=(sex)+(pronoun);score>0?'She':'He'"] has been treated previously with [checkbox name="ptx" value="" memo="prev. treatment 1"][/conditional][conditional field="ptx" condition="(ptx).is('')"][text size="60"]. However this was discontinued due to [checkbox value="intolerable side effects|a lack of improvement"][textarea memo="other reason" memo_size="small" memo_color="blue"].[/conditional][conditional field="prevtx6" condition="(prevtx6).is('')"][checkbox name="ptx" value="" memo="prev. treatment 2"][/conditional][conditional field="ptx" condition="(ptx).is('')"] Additionally, [calc memo="he or she" value="score=(sex)+(pronoun);score>0?'She':'He'"] was previously treated with [text size="60"], but this was discontinued because of [checkbox value="intolerable side effects|no improvement"][textarea memo="other reason" memo_size="small" memo_color="blue"].[/conditional][conditional field="prevtx6" condition="(prevtx6).is('')"][checkbox name="ptx" value="" memo="prev. treatment 3"][/conditional][conditional field="ptx" condition="(ptx).is('')"] Finally, [calc memo="he or she" value="score=(sex)+(pronoun);score>0?'she':'he'"] has been treated previously with [text size="60"], but this was discontinued because of [checkbox value="intolerable side effects|no improvement"][textarea memo="other reason" memo_size="small" memo_color="blue"][/conditional][remark]
Diagnostic tests
[/remark][conditional field="chr6" condition="(chr6).is('')"][checkbox memo="patient requests/needs diagnostic or lab tests" name="dxreq6" value=""][/conditional][conditional field="dxreq6" condition="(dxreq6).is('')"][calc memo="He or She" value="score=(sex)+(pronoun);score>0?'She':'He'"] [select value="needs|is due for|requests"] diagnostic testing including [comment memo_size="small" memo_color="blue" memo="select any number from below ▼▼"][checkbox value="CBC|CMP|Fasting Lipids|A1c|gout/uric acid labs|Thyroid labs|TSH|Free T4|Vitamin B12|Vitamin D|lupus labs|rheumatoid arthritis labs|lyme disease labs|RMSF labs|COVID-19 antibodies|COVID-19 nasopharyngeal swab|STI testing|X-ray|CT|MRI|Ultrasound"][text size=50 memo_size="small" memo_color="blue" memo="◀︎◀︎ include more here."][comment memo_size="small" memo_color="blue" memo=" Add a space/comma/period in front, as appropriate, if any above are selected"].[/conditional][remark]
Other specialists
[/remark][conditional field="chr6" condition="(chr6).is('')"][checkbox memo="other specialists comanage the condition" name="OtherSpecs6" value=""][/conditional][conditional field="OtherSpecs6" condition="(OtherSpecs6).is('')"][calc memo="he or she" value="score=(sex)+(pronoun);score>0?'She':'He'"] notes that [text size="50" memo="<--other specialist(s)"] co-manages this condition.[/conditional][remark]
Other details
[/remark][conditional field="chr6" condition="(chr6).is('')"][checkbox memo="other details" name="OtherDetails6" value=""][/conditional][conditional field="OtherDetails6" condition="(OtherDetails6).is('')"][textarea default=""][/conditional][remark]
Patient sartisfaction with management
[/remark][conditional field="chr6" condition="(chr6).is('')"][checkbox memo="patient satisfied with treatment" name="PtSatisfied6" value=""][/conditional][conditional field="PtSatisfied6" condition="(PtSatisfied6).is('')"][calc memo="he or she" value="score=(sex)+(pronoun);score>0?'She':'He'"] states that [select name="Satisfied6" value="|is|is not"] satisfied with current management[/conditional][conditional field="Satisfied6" condition="(Satisfied6).is('is not')"]; [text size=60].[/conditional][conditional field="Satisfied6" condition="(Satisfied6).is('is')"].[/conditional][conditional field="chr6" condition="(chr6).is('')"][comment memo="--------------END CONDITION 6--------------"][/conditional]