UoSAHN Emergency Department Visit

Emergency Department Visit Note:
Provider: [text name="variable_1" default="Dr. John Doe, MD"]
Visit Date: [text name="variable_2" default="10/23/2023"]
Facility: [select name="variable_3" value="Sandy Shores Medical Center|Paleto Bay Medical Center|Pillbox Hill Medical Center|Mount Zonah Medical Center|Central Los Santos Medical Center"]

Patient brought to emergency department by [select name="variable_4" value="private vehicle|EMS|family member|bystander|friend"], with a chief complaint of [text name="variable_5" default="chest pain"]

Upon initial assessment, patient is [select name="variable_6" value="conscious|unconscious"], breathing [select name="variable_7" value="spontaneously|assisted|apenic (not breathing)"], with a(n) [select name="variable_8" value="present|absent"] pulse.

[textarea name="variable_9" default="History of Present Illness (OPQRST)"]
Emergency Department Visit Note:
Provider:
Visit Date:
Facility:

Patient brought to emergency department by , with a chief complaint of

Upon initial assessment, patient is , breathing , with a(n) pulse.

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.56, 9 form elements, 29 boilerplate words, 3 text boxes, 1 text areas, 5 drop downs, 9 total clicks
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