Subjective/History Elements
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[comment memo="Default HPI template for any complaint"]
cc: [text size="50"]
HPI:
[text size="3"] yo [select value="male|female"] presents to the clinic with [text size="50"][comment memo="Symptoms"].
-Symptoms started [text size="3"] [select value="hour(s)|day(s)|week(s)|month(s)|year(s)"] ago.
-Patient reports these symptoms are located [text size="35"].
-Patient reports these symptoms are [select value="getting worse|getting better|the same"] since onset.
-Rates it as [text size="5"]/10 in severity.
-Describes the character/quality as [checkbox value="sharp|dull|burning|tingling|N/A"][text size="30"].[comment memo="Other comments on character/quality"]
-Above symptom(s) [select value="do not travel/radiate|travel/radiate to"] [text size="25"].
-[select name="Associated" value="Denies any associated symptoms.|Reports these associated symptoms that started around the same time-"][conditional field="Associated" condition="(Associated).is('Reports these associated symptoms that started around the same time-')"] [text size="25"].[/conditional]
-Related activities or events that occured at or right before symptoms started: [text size="80"].
-Therapies attempted: [text size="80"].
-Symptoms are improved with [text size ="50"].
-Symptoms are worsened by [text size="50"].
-Patient [select value="denies|admits to"] history of similar symptoms previously.
[comment memo="Additional explanation and context:"][textarea]
[comment memo="For use in CRDAMC FM Clinic"]
Default HPI template for any complaint
cc:
HPI:
yo presents to the clinic with Symptoms.
-Symptoms started ago.
-Patient reports these symptoms are located .
-Patient reports these symptoms are since onset.
-Rates it as /10 in severity.
-Describes the character/quality as .Other comments on character/quality
-Above symptom(s) .
-
-Related activities or events that occured at or right before symptoms started: .
-Therapies attempted: .
-Symptoms are improved with .
-Symptoms are worsened by .
-Patient history of similar symptoms previously.
Additional explanation and context:
For use in CRDAMC FM Clinic

Result - Copy and paste this output: