Psych Lab Monitoring

Recent Lab Results:

[checkbox name="CBC" value="CBC"]    [comment memo="Date"]    [date name="date_1" default=""]    [checkbox value="Unremarkable"]  [checkbox value="Hgb:"][text name="level10 default=""]    [checkbox value="Hct:"][text name="level11 default=""]       [checkbox value="Plt:"][text name="level12 default=""]    [checkbox value="ANC Level:"][text name="level13 default=""]   

[checkbox name="Metabolic" value="Metabolic    Panel"]    [comment memo="Date"]    [date name="date_2" default=""] [checkbox value="Unremarkable"] [checkbox value="Na:"][text name="level14 default=""]    [checkbox value="K:"][text name="level15 default=""]       [checkbox value="Cl:"][text name="level16 default=""]    [checkbox value="CO2:"][text name="level17 default=""]   [checkbox value="Ca:"][text name="level18 default=""]    [checkbox value="BUN:"][text name="level19 default=""]       [checkbox value="Creat:"][text name="level20 default=""]    [checkbox value="eGFR:"][text name="level21 default=""]   [checkbox value="T Prot:"][text name="level22 default=""]    [checkbox value="Alb:"][text name="level23 default=""]       [checkbox value="T Bili:"][text name="level24 default=""]    [checkbox value="Alk    Phos:"][text name="level25 default=""]   [checkbox value="AST:"][text name="level26 default=""]    [checkbox value="ALT:"][text name="level27 default=""]  


[checkbox name="Lipids" value="Lipids"]    [comment memo="Date"]    [date name="date_3" default=""]    [checkbox value="Unremarkable"]    [checkbox value="TC:"][text name="level28 default=""]    [checkbox value="TG:"][text name="level29 default=""] [checkbox value="HDL:"][text name="level30 default=""]    [checkbox value="LDL:"][text name="level31 default=""]

[checkbox name="Other" value="Other"]        [comment memo="Date"]    [date name="" default=""]     [checkbox value="A1C:"][text name="Level32" default=""]    [checkbox value="TSH:"][text name="Level33" default=""]    [checkbox value="Free T3:"][text name="Level34" default=""]   [checkbox value="Free T4:"][text name="Level35" default=""]   [checkbox value="Vit D:"][text name="Level36" default=""]    [checkbox value="Vit B12":"][text name="Level37" default=""]    [checkbox value="Ammonia:"][text name="Level38" default=""]    [checkbox value="Prolactin Level:"] [text name="level7 default=""]

[checkbox name="Druglevels" value="Drug   Levels"][comment memo="Date"]    [date name="date_4" default=""] [checkbox value="Lithium level:"][text name="level2 default=""]    [checkbox value="Depakote Level:"][text name="level3 default=""]    [checkbox value="Tegretol Level:"][text name="level4 default=""]    [checkbox value="Clozapine Level:"][text name="level5 default=""]    

[checkbox value="EKG:"]    [comment memo="Date"]    [date name="date_5" default=""] [text name="level6 default=""]

[checkbox name="Additional Labs" value="Additional Labs"][textarea name="variable_76" default=""]
Recent Lab Results:

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Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.58, 92 form elements, 3 boilerplate words, 35 text boxes, 1 text areas, 6 dates, 44 checkboxes, 6 comments, 86 total clicks
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