PSI ePCR

[select name="variable_1" value="Bristol Rescue|Mutual Aid Rescue"] and Medic-1 dispatched to 
[text name="variable_1" default="location type"] for a 
[text name="age" default="age"] y/o 
[checkbox name="variable_1" value="male|female|trans"] pt c/o 
[text name="dispatch reason" default="dispatch reason"]


HPI: ATF pt 
[text name="variable_1" default="how pt found"] in 
[checklist name="variable_1" value="no acute|mild|moderate|severe"] 
[checkbox name="variable_1" value="respiratory|anxious/emotional|painful"] distress. Pt c/o 
[text name="variable_1" default="symptoms"] since 
[text name="variable_1" default="time started"].

ROS: Pt denies 
[checklist name="variable_1" value="Fever|Chills|Nausea|Vomiting|Diarrhea|Dizziness|Visual Changes|Weakness|Numbness|Tingling|Chest Pain|Shortness of Breath|Abdominal Pain|Changes in Bladder/Bowel Habits"]
and Medic-1 dispatched to
for a
y/o
pt c/o



HPI: ATF pt
in

distress. Pt c/o
since
.

ROS: Pt denies

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.45, 11 form elements, 23 boilerplate words, 6 text boxes, 2 checkboxes, 2 check lists, 1 drop downs, 31 total clicks
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