MR soap week 4
MentorsMR soap week 4
years
Biological Sex:
Male
Race:
White, Non Hispanic
Clinical Information
Time with Patient:
30 minutes
Consult with Preceptor:
15 minutes
Type of Decision-Making:
Moderate complexity
Student Participation:
Shared (50-50)
Reason for Visit:
Follow-up (Routine)
Chief Complaint:
major depressive disorder
Social Problems Addressed:
Safety
Role Change
Procedures/Skills (Observed/Assisted/Performed) (Critical in Bold)
General Skills - Calculate BMI (Perf)
General Skills - Measurement of height (Perf)
General Skills - Wellness/health maintenance coaching (Perf)
ICD-10 Diagnosis Codes
#1 - f32.9 - MAJOR DEPRESSIVE DISORDER, SINGLE EPISODE, UNSPECIFIED
6 months ago
10
