C/o cough
Vital signs: T [text size="4"] F, HR [text size="4"] bpm, RR [text size="4"], BP [text size="4"]/[text size="4"], SpO2 [text size="2"]% [select value="RA|2LNC|"] Resident [checkbox value="alert|responds to voice|responds to pain|unresponsive|confused|awake|quiet|crying|drowsy|easily aroused|easily consoled|eyes do not open to stimulation|"] [checkbox value="Oriented X4|Oriented to place|Oriented to time|Oriented to situation|Oriented to person|Oriented X 0|"]. The resident has had cough for [text size="2"] days. Cough [select value="has not been productive|has been productive"]. Frequency is [select value="infrequent|intermittent|constant"]. Severity is [select value="minimal|moderate|severe"]. Fever [select value="is not present|is present"] [select value="Sputum is clear.|Sputum is purulent.|Sputum is thick.|Hemoptysis noted.|Harsh and barking quality.|Dry cough.|"] Other symptoms: [checkbox value="sore throat|nasal congestion|earache|headache|myalgias"]. Respiratory pattern: [checkbox value="regular|irregular|symmetric|shallow|deep|labored|unlabored|dyspnea at rest|dyspnea at lying flat|dyspnea with exertion"] Breath sounds [checkbox value="Clear|Diminished|Rales|Expiratory wheezes|Absent|Crackles|Inspiratory wheezes|Even|Stridor"]. Denies [checkbox value="SOB|coughing|congestion"]. Respiratory interventions [checkbox value="cough and deep breathe|incentive spirometry|oral suction"] History of pulmonary problems: [checkbox name="pulmhx" value="no respiratory problems|frequent pneumonia|frequent bronchitis|asthma|other"][conditional field="pulmhx" condition="(pulmhx).is('other')"][text size=72 memo="<--describe other"][/conditional].
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Sandbox Metrics: Structured Data Index 0.64, 23 form elements, 36 boilerplate words, 8 text boxes, 8 checkboxes, 6 drop downs, 1 conditionals, 69 total clicks
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