ASSESSMENT: [text name="variable_1"] presenting with [text name="variable_3"] for [text name="variable_4"]. Patient is [select name="variable_1" value="well-appearing, and non toxic overall|ill-appearing, in considerable distress|is stable but appears to be in pain"]. [textarea name="variable_5" default=""] Differential diagnosis includes but is not limited to the following: [textarea name="variable_7"] Initial plan of treatment reviewed with patient and includes: [checkbox name="variable_1" value="EKG|Labs|xray|CT|US"] ED Course: [comment memo="Include all pertinent test results, ie CT results, troponin, d-dimer, all re-examinations, all consults - timed, all nursing patient updates and any interventions - meds that were given and response to those meds, new discovered information, ie - family arrived and new information given"] [textarea name="variable_2" default="ED course"]
There are 9 form elements.
Result - Copy and paste this output:
Sandbox Metrics: Structured Data Index 0.25, 9 form elements, 27 boilerplate words, 3 text boxes, 3 text areas, 1 checkboxes, 1 drop downs, 1 comments, 12 total clicks
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