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CAUTION: This page needs to be reviewed and categorized.Objective: [radio name="MMS" value="WNL"] [conditional field="MMS" condition="(MMS).isNot('WNL')"]Orientation:[checkbox name="MSE_1" value="Alert and oriented X4|Unable to assess due to cognitive impairment"] Time:[checkbox name="time" value= "On time|Late|Left early"] Appearance:[checkbox name="appearance" value="Appropriate|Clean/Neat|Casual|Desheveled"] Affect:[checkbox name="MSE2" value="Full range|Flat|Blunted|Labile|Tearful at times|Flat, tearful & congruent with depressed & anxious mood|Appropriate to mood and thoughts|Inappropriate to mood and thoughts|Restricted in range|Mood congruent"] Mood:[checkbox name="mood" value="Euthymic|Depressed|Anxious|Irritable|Angry|Sad|Elevated|Other"][text name="other2" default=""] Speech:[checkbox name="MSE4" value="Normal rate and rhythm|Pressured|Rapid|Slow|Expansive|Rambling|Monotonous|Clear|Soft"] Behavior:[checkbox name="MSE5" value="Appropriate|Inappropriate|Cooperative|Hostile|Suspicous|Guarded|Withdrawn"] Intelligence:[checkbox name= "MSE6" value= "Average|Above average|Below average"] Eye contact:[checkbox name="MSE7" value="Appropriate|Indirect|Fixed|Fleeting|Glaring|No contact"] Thought content and process:[checkbox name="MSE8" value="Logical, linear, goal directed|Circumstantial|Circumstantial but redirectable|Tangential|Flight of ideas|Perserveration|Blocking|Delusions|Preoccupations|Paranoid|Persecutory"] Insight/Judgement:[checkbox name="insight" value="Good|Fair|Limited|Poor"] Perceptions:[checkbox name= "MSE9" value= "Normal|Illusions|Depersonalization/Derealization|Hallucinations"] A/V Hallucinations:[checkbox name="MSE10" value="No history|Denied A/V hallucinations|Endorsed auditory hallucinations|Denied auditory hallucinations| Denied visual hallucinations|Endorsed visual hallucinations"] Memory impairment: None Attention:[checkbox name= "MSE11" value="Normal|Distracted"][/conditional]
Result - Copy and paste this output:
Sandbox Metrics: Structured Data Index 0.94, 17 form elements, 1 boilerplate words, 1 text boxes, 14 checkboxes, 1 radio buttons, 1 conditionals, 81 total clicks
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