Subjective/History Elements
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[comment memo="Customizable ROS"]
ROS: [comment memo="Use freetext to explain {+}s if needed"]
[checkbox memo="Constitutional" name="Constitutional" value=""][conditional field="Constitutional" condition="(Constitutional).is('')"]Constitutional- [select value="(-)|{+}"]fever, [select value="(-)|{+}"]chills, [select value="(-)|{+}"], [select value="(-)|{+}"]malaise, [select value="(-)|{+}"]unexplained wt gain/loss [text size="60"][/conditional]
[checkbox memo="HEENT" name="HEENT" value=""][conditional field="HEENT" condition="(HEENT).is('')"]HEENT- [select value="(-)|{+}"]vision/hearing/smell changes, [select value="(-)|{+}"]nose/throat/neck symptoms [text size="60"][/conditional]
[checkbox memo="Resp" name="Resp" value=""][conditional field="Resp" condition="(Resp).is('')"]Resp- [select value="(-)|{+}"]cough, [select value="(-)|{+}"]SOB [text size="60"][/conditional]
[checkbox memo="CV" name="CV" value=""][conditional field="CV" condition="(CV).is('')"]CV- [select value="(-)|{+}"]chest pain, [select value="(-)|{+}"]palpitations [text size="60"][/conditional]
[checkbox memo="GI" name="GI" value=""][conditional field="GI" condition="(GI).is('')"]GI- [select value="(-)|{+}"]abd pain/[select value="(-)|{+}"]N/[select value="(-)|{+}"]V/[select value="(-)|{+}"]diarrhea/[select value="(-)|{+}"]constipation [text size="60"][/conditional]
[checkbox memo="GU" name="GU" value=""][conditional field="GU" condition="(GU).is('')"]GU- [select value="(-)|{+}"]urinary frequency/urgency/pain [text size="60"][/conditional]
[checkbox memo="MSK" name="MSK" value=""][conditional field="MSK" condition="(MSK).is('')"]MSK- [select value="(-)|{+}"]new/unusual muscle aches/pains [text size="60"][/conditional]
Customizable ROS
ROS: Use freetext to explain {+}s if needed
Constitutional
HEENT
Resp
CV
GI
GU
MSK
Result - Copy and paste this output: