Pulmonology
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IMPAIRMENT

Daytime Symptom Frequency: [select name="Daytime Symptom Frequency" value="Intermittent: 0-2 days per week|Mild persistent: 2-6 days per week|Moderate persistent: every day|Severe persistent: Throughout the day"]
Nighttime awakenings: [select name="Nighttime awakenings" value="Intermittent: 0-2 nights per month|Mild persistent: 3-4 nights per month|Moderate persistent: 2-6 nights per week|Severe persistent: Every night"]
SABA rescue use (not pre-exercise): [select name="SABA rescue use (not pre-exercise)" value="Intermittent: 0-2 days per week|Mild persistent: 2-6 days per week|Moderate persistent: every day|Severe persistent: Several times per day"]
Activity limitation: [select name="Activity limitation" value="Intermittent: none|Mild persistent: minor|Moderate persistent: some|Severe persistent: extreme"]

RISK
[select name="Exacerbations requiring systemic corticosteroids or higher levels of care (ICU, etc)" value="Intermittent: 0-1 per year|2+ exacerbations per year"]

Assign severity based on WORST symptom level.

TREATMENT APPROACH
1. Intermittent: SABA prn
2. Mild persistent: Low dose ICS or LTRA
3. Moderate persistent: Low dose ICS + LABA/LTRA, OR medium dose ICS
4. Severe persistent (daily): Medium dose ICS + LABA/LTRA
Severe persistent (multiples times per day): High dose ICS + LABA/LTRA
IMPAIRMENT

Daytime Symptom Frequency:
Nighttime awakenings:
SABA rescue use (not pre-exercise):
Activity limitation:

RISK


Assign severity based on WORST symptom level.

TREATMENT APPROACH
1. Intermittent: SABA prn
2. Mild persistent: Low dose ICS or LTRA
3. Moderate persistent: Low dose ICS + LABA/LTRA, OR medium dose ICS
4. Severe persistent (daily): Medium dose ICS + LABA/LTRA
Severe persistent (multiples times per day): High dose ICS + LABA/LTRA

Result - Copy and paste this output:

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