ROS: Musculoskeletal

MUSCULOSKELETAL: [checkbox name="variable_52" value="Deferred"]
Prostheses? [checkbox name="variable_53" value="Yes|No"]
     If yes, describe the location: [checkbox name="variable_54" value="Knee|Hip|Shoulder|Ankle"]
     If yes, date of implantation: 
[text name="variable_12" default=""] 
     If yes, describe any complicating factors: [checkbox name="variable_55" value="Infection|Displacement"]
Joint pain? [checkbox name="variable_56" value="Yes|No"]
     If yes describe the location, [checkbox name="variable_57" value="|Proximal interphalangeal joints|Distal interphalangeal joints|Metacarpophalangeal joints|Wrist|Elbow|Shoulder|Cervical spine|Throacic spine|Lumbar spine|Sacrum|Coccyx|Hip|Knee|Ankle|Metatarsophalangeal joints|Interphalangeal joints"]
Joint swelling? [checkbox name="variable_58" value="Yes|No"]
Joint redness? [checkbox name="variable_59" value="Yes|No"]
Joint effusion? [checkbox name="variable_60" value="Yes|No"]
Joint stiffness? [checkbox name="variable_61" value="Yes|No"]
     If yes describe the duration: 
[text name="variable_13" default=""]
     If yes, describe the progression: 
[checkbox name="variable_62" value="Worse throughout the day|Better throghout the day"]
Exposed bone? [checkbox name="variable_63" value="Yes|No"]
Remodelling? [checkbox name="variable_64" value="Yes|No"]
     If yes, describe the location: 
[text name="variable_14" default=""]
Sinus tract? [checkbox name="variable_65" value="Yes|No"]
     If yes, describe the depth:
[text name="variable_15" default="cm"]
MUSCULOSKELETAL:
Prostheses?
If yes, describe the location:
If yes, date of implantation:

If yes, describe any complicating factors:
Joint pain?
If yes describe the location,
Joint swelling?
Joint redness?
Joint effusion?
Joint stiffness?
If yes describe the duration:

If yes, describe the progression:

Exposed bone?
Remodelling?
If yes, describe the location:

Sinus tract?
If yes, describe the depth:

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.78, 18 form elements, 58 boilerplate words, 4 text boxes, 14 checkboxes, 48 total clicks
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