Transfer Narrative

Dispatch:
[select name="variable_1" value="EC 1|EC 2|EC 3|EC 4|EC 5|EC 6|EC 7|EC 8|EC 9|EC 10|EC 11|EC 12|EC 13|EC 14"] was dispatched and responded [select name="variable_2" value="emergently|non-emergently"] to the above location for [checkbox name="variable_3" value="an emergency interfacility transfer|a non-emergency interfacility transfer|a medical transport"] of a [text name="variable_4" default="*age*"] [select name=”variable_5” value="male|female"] going to [text name="variable_6" default="*destination*"].

Arrival:
[textarea name="variable_7" default=""]

Chief Complaint: 
[textarea name="variable_8" default=""]

History:
The patient's past pertinent medical history, allergies, and medications are noted in the patient's Demographics Tab above.

Assessment:
[checkbox name="variable_9" value="The patient is alert and oriented to person, place, time, and event.|The patient is alert, but disoriented.|The patient is arousable by verbal stimuli.|The patient arousable by painful stimuli.|The patient is unresponsive."] [textarea name="variable_10" default="The patient’s airway is open and patent. Breathing is non-labored, at a regular rate and depth. Circulation is of a normal rate and quality. The patient does not appear to be in acute distress. Detailed assessment was obtained and noted in Assessment Tab above."]

Rx (Treatment):
[textarea name="variable_11" default="The patient was placed on hemodynamic diagnostics for continuous monitoring. Treatments can be found in the Flowchart above."]

Transport:
The patient was transported to the above destination for further evaluation and care. The patient was moved to EMS stretcher and secured via safety restraints. The patient was transported in [select ="variable_12" value="an emergent|a non-emergent"] manner due to condition. At destination, the patient was moved to bedside via EMS stretcher. Patient care was given to the nursing staff at bedside via verbal report. EMS was cleared and returned to service.

Medical Necessity Statement: [link url="https://mnc.smartdocsolutions.com/node" memo="SmartDoc Solutions"]
[textarea name="variable_13" default=""]
Dispatch:
was dispatched and responded to the above location for of a going to .

Arrival:


Chief Complaint:


History:
The patient's past pertinent medical history, allergies, and medications are noted in the patient's Demographics Tab above.

Assessment:


Rx (Treatment):


Transport:
The patient was transported to the above destination for further evaluation and care. The patient was moved to EMS stretcher and secured via safety restraints. The patient was transported in manner due to condition. At destination, the patient was moved to bedside via EMS stretcher. Patient care was given to the nursing staff at bedside via verbal report. EMS was cleared and returned to service.

Medical Necessity Statement: SmartDoc Solutions

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.46, 14 form elements, 107 boilerplate words, 2 text boxes, 5 text areas, 2 checkboxes, 4 drop downs, 1 links, 19 total clicks
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