AIM Eval
Facial and Oral Movements: 1. Muscles of Facial Expression: [comment memo="e.g. movements of forehead, eyebrows periorbital area, cheeks, including frowning blinking, smiling, grimacing"] [radio name="MusclesofFacialExpression" value="0|1|2|3|4"] 2. Lips and Perioral Area: [comment memo="e.g., puckering, pouting, smacking"] [radio name="LipsandPerioralArea" value="0|1|2|3|4"] 3. Jaw: [comment memo="e.g. biting, clenching, chewing, mouth opening, lateral movement"] [radio name="Jaw" value="0|1|2|3|4"] 4. Tongue: [comment memo="Rate only increases in movement both in and out of mouth. NOT inability to sustain movement. Darting in and out of mouth."] [radio name="Tongue" value="0|1|2|3|4"] Extremity Movements: 5. Upper (arms, wrists, hands, fingers): [comment memo="Include choreic movements (i.e., rapid, objectively purposeless, irregular, spontaneous) athetoid movements (i.e., slow, irregular, complex, serpentine). Do not include tremor (i.e., repetitive, regular, rhythmic)"] [radio name="Upper" value="0|1|2|3|4"] 6. Lower (legs, knees, ankles, toes): [comment memo="e.g., lateral knee movement, foot tapping, heel dropping, foot squirming, inversion and eversion of foot."] [radio name="Lower" value="0|1|2|3|4"] Trunk Movements: 7. Neck, shoulders, hips: [comment memo="e.g., rocking, twisting, squirming, pelvic gyrations"] [radio name="Trunk" value="0|1|2|3|4"] Global Judgments 8. Overall severity of abnormal movements: [radio name="Overall" value="0|1|2|3|4"] 9. Incapacitation due to abnormal movements: [radio name="Incapacitation" value="0|1|2|3|4"] 10. Patient’s awareness of abnormal movements: [comment memo="Rate only patient’s report. No awareness=0. Aware, no distress=1. Aware, mild distress=2. Aware, moderate distress=3. Aware, severe distress=4."] [radio name="Awareness" value="0|1|2|3|4"] Dental Status 11. Current problems with teeth and/or dentures: [radio name="Teethproblems" value="No|Yes"] 12. Are dentures usually worn? [radio name="Dentures" value="No|Yes"] 13. Edentia? [radio name="Endentia" value="No|Yes"]
Result - Copy and paste this output:
Sandbox Metrics: Structured Data Index 1, 21 form elements, 63 boilerplate words, 13 radio buttons, 8 comments, 13 total clicks
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