Chart Review Peg
[date name="variable_1" default="today" memo="date entered"] [text name="variable_2" default="" memo="id"] [date name="variable_3" default="today" memo="item date"] [select name="variable_4" value="history|social history|family history|medication|exam|lab|imaging|consult|procedure" memo="item"] [textarea name="variable_5" default="" memo="item detail"]
Result - Copy and paste this output:
Sandbox Metrics: Structured Data Index 0.6, 5 form elements, 1 text boxes, 1 text areas, 2 dates, 1 drop downs, 5 total clicks
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