User Projects
/
Dataset
/ Patients
Login
Add Patient
A. Date of Visit?
B. Age of patient in years?
Please enter age between 6 and 26
C. Type of Visit? Choose one. [Well Child Check (WCC), Follow-Up Visit (FUV), New Patient Visit (NPV), Consult (CON) ]
WCC
FUV
NPV
CON
D. Sex of patient assigned at birth? [Male (M) or Female (F)]
M
F
E. Gender identity of patient? Choose one. [Male (M), Female (F), Transmale (TM), Transfemale (TF), Non-binary (NB), Didn't ask (DA)]
M
F
TM
TF
NB
DA
F. Did you administer a standardized rating tool to monitor symptoms of anxiety? [Yes (Y) or No (N)]
Y
N
G. Which standard rating tool(s) did you use? (SCARED, GAD-7 Other).
SCARED
GAD
O
H. Who completed this rating tool? [Caregiver (C), Youth (Y), or Both (B)]
C
Y
B
I. What was the SCARED result for the caregiver form? Choose one. [Improved (I), Not improved (NI), or Uncertain (U)]
I
NI
U
J. What was the SCARED or GAD-7 result for the youth form? Choose one. [Improved (I), Not improved (NI), or Uncertain (U)]
I
NI
U
K. Did you use the results to change treatment? [Yes (Y) or No (N)]
Y
N
L. What was the Other result for the caregiver form? Choose one. [Improved (I), Not improved (NI), or Uncertain (U)]
I
NI
U
M. What was the Other result for the youth form? Choose one. [Improved (I), Not improved (NI), or Uncertain (U)]
I
NI
U
N. Did you use the results to change treatment? [Yes (Y) or No (N)]
Y
N
O. Were the rating tool results documented in the medical record? [Yes (Y) or No (N)]
Y
N
P. Do you have additional patients to enter? [Yes (Y) or No (N)]
Y
N
Congratulations!
You have entered patient records. Please enter 20 records more to complete this dataset.
