Medicine Admission HPI Maker

past medical history of [textarea name="PMH" default=""] who presents for [textarea name="CC" default=""].

[textarea name="HPI" default=""]

ER Course:
Vital signs [textarea name="vitals" default="have been stable"]. Initial labs show [textarea name="labs" default=""]

[select name="mod_1" value="CXR|CT|CTA|CT head|CT chest|CT abd/pelvis|MRI|US|XR|EKG"] showed [textarea name="image1" default=""]. [select name="mod_2" value="CXR|CT|CTA|CT head|CT chest|CT abd/pelvis|MRI|US|XR|EKG"] showed [textarea name="image2" default=""].  
Patient was given [textarea name="meds" default=""]
past medical history of
who presents for
.



ER Course:
Vital signs
. Initial labs show


showed
. showed
.
Patient was given

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.2, 10 form elements, 19 boilerplate words, 8 text areas, 2 drop downs, 10 total clicks
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