ED Initial Note

PT presented to ED VIA 
[select name="variable_1" value="Private Vehicle |EMS| Unknown"], complaining of [text name="variable_1" default="Chief Complaint"], Upon arrival PT was [select name="variable_1" value="Ambulatory |Ambulatory with assistance |Non-ambulatory"] to room [text name="variable_1" default="ED Room number"]
PT presented to ED VIA
, complaining of , Upon arrival PT was to room

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.5, 4 form elements, 13 boilerplate words, 2 text boxes, 2 drop downs, 4 total clicks
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