Po bej prova per te rregullluar
[text size="3"]yo [select name="Sex" value="M|F"] with gastrointestinal symptoms: [comment memo="Initial questions"] -Sx include: [checkbox name="GI" value="decreased appetite|bloating sensation|pain with defecation|constipation|diarrhea|abdominal pain|nausea/vomiting|other-"][conditional field="GI" condition="(GI).is('other-')"] [text size="50"][/conditional] [conditional field="GI" condition="(GI).is('abdominal pain')"][comment memo="Pain specific questions"] -Location: [text size="50"] -Radiation: [text size="50"] -Severity currently: [select value="1|2|3|4|5|6|7|8|9|10"]/10 -Severity at worst: [select value="1|2|3|4|5|6|7|8|9|10"]/10 -Timing: [select value="constant|comes and goes"] Duration of pain if episodic: [text default="n/a" size="50"] -Described as: [select value="both sharp and dull|sharp/knifelike|dull/pressure|other-"] [text size="50"] [/conditional][conditional field="GI" condition="(GI).is('nausea/vomiting')"][comment memo="N/V specific questions"] -[select value="no|YES"] <-- nausea -[select value="no|YES"] <-- vomiting [text][comment memo="if yes, indicate color"] [comment memo="Exposures"] -[select value="no|YES"] <-- Recent intake of questionable/new food -[select value="no|YES"] <-- Recent antibiotics -[select value="no|YES"] <-- Recent travel [/conditional][comment memo="Add'l questions"] -Other Associated Symptoms: --[select value="no|YES"] <-- Chest pain or chest/belly pain with breathing --[select value="no|YES"] <-- Black or bloody stool --[select value="no|YES"] <-- Fever --[select value="no|YES"] <-- Dysuria --[select value="no|YES"] <-- Urinary frequency --[select value="no|YES"] <-- Urinary urgency --[select value="no|YES"] <-- Hematuria
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Sandbox Metrics: Structured Data Index 0.72, 34 form elements, 49 boilerplate words, 7 text boxes, 1 checkboxes, 17 drop downs, 6 comments, 3 conditionals, 32 total clicks
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