HPI

The patient is a [text default="AGE + GENDER"] who presents to the the clinc complaining of [text default="CHIEF COMPLAINT"] that began [text default="ONSET"] while [text default="CONTEXT"]. Symptoms have been [text default="TIMING"] since onset and pt rates them as [text default="SEVERITY"] in severity. Patient reports the symptoms are located [text default="LOCATION"] and describes the quality as [text default="QUALITY"]. Symptoms associated with [text default="POSITIVE SYMPTOMS"] but denies any [text default="NEGATIVE SYMPTOMS"].

Symptoms are improved with [text default="MODIFYING FACTOR"] and exacerbated by [text default="MODIFYING FACTOR"]. Patient [text default="REPORTS/DENIES"] history of similar symptoms. 
Pertinent medical history includes [text default="PERTINENT PAST MEDICAL HISTORY"]. 

Patient adds [text default="OTHER DETAILS"].
The patient is a who presents to the the clinc complaining of that began while . Symptoms have been since onset and pt rates them as in severity. Patient reports the symptoms are located and describes the quality as . Symptoms associated with but denies any .

Symptoms are improved with and exacerbated by . Patient history of similar symptoms.
Pertinent medical history includes .

Patient adds .

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0, 15 form elements, 62 boilerplate words, 15 text boxes, 15 total clicks
Questions/General site feedback

Send Feedback for this SOAPnote

This site uses Akismet to reduce spam. Learn how your comment data is processed.

More SOAPnotes by this Author: