🩺 Record Detail
Patient Info
Name: Unknown
Age: Unknown
Date: 2026-09-30 13:26:44
Transcript
Doctor: Patient has a previous issue with his dental, he's been on some Advil and has some antibiotics recently. He's stating that his tooth is better. Doctor: Patient is on an enhanced watch, denies being actively suicidal. Patient's currently in medical observation. Doctor: Patient has an extensive mental health history with a history of psychosis and insomnia. Patient's been followed by psychiatry. Doctor: Patient's will be continued to be monitored by psychiatry given he's currently on an enhanced watch and denies actively being suicidal.
Clinical Notes
SOAP Clinical Note
Subjective
Patient has a previous issue with his dental health, for which he has been taking Advil and some antibiotics. He reports that his tooth is better.
Objective
Patient is currently on an enhanced watch and is in medical observation. He denies being actively suicidal.
Assessment
Patient has an extensive mental health history, including psychosis and insomnia. He is currently being followed by psychiatry.
Plan
Patient will continue to be monitored by psychiatry, given his current status on an enhanced watch and denial of active suicidal thoughts.