{"id":5594,"date":"2020-05-20T21:10:57","date_gmt":"2020-05-20T21:10:57","guid":{"rendered":"https:\/\/scholbach.de\/?page_id=5594"},"modified":"2020-05-24T14:56:15","modified_gmt":"2020-05-24T14:56:15","slug":"telemedical-lung-auscultation-form","status":"publish","type":"page","link":"https:\/\/scholbach.de\/el\/scientific-cooperation\/telemedical-lung-auscultation-form","title":{"rendered":"Telemedical lung auscultation form"},"content":{"rendered":"<p class=\"qtranxs-available-languages-message qtranxs-available-languages-message-el\">\u03a3\u03c5\u03b3\u03b3\u03bd\u03ce\u03bc\u03b7,\u03b1\u03c5\u03c4\u03ae \u03b7 \u03b5\u03b3\u03b3\u03c1\u03b1\u03c6\u03ae \u03b5\u03af\u03bd\u03b1\u03b9 \u03b4\u03b9\u03b1\u03b8\u03ad\u03c3\u03b9\u03bc\u03b7 \u03bc\u03cc\u03bd\u03bf \u03c3\u03c4\u03b1 <a href=\"https:\/\/scholbach.de\/en\/wp-json\/wp\/v2\/pages\/5594\" class=\"qtranxs-available-language-link qtranxs-available-language-link-en\" title=\"English\">English<\/a>.<\/p><p>\t\t\t<link rel=\"stylesheet\" property=\"stylesheet\" href=\"https:\/\/scholbach.de\/wp-content\/plugins\/happyforms\/bundles\/css\/frontend.css\" \/>\n\t\t\t\t<!-- HappyForms CSS variables -->\n\t<style>\n\t#happyforms-5592 {\n\t\t--happyforms-part-title-font-size: 16px;\n--happyforms-part-description-font-size: 14px;\n--happyforms-part-value-font-size: 16px;\n--happyforms-submit-button-font-size: 16px;\n--happyforms-color-primary: #000000;\n--happyforms-color-success-notice: #ebf9f0;\n--happyforms-color-success-notice-text: #1eb452;\n--happyforms-color-error: #f23000;\n--happyforms-color-error-notice: #ffeeea;\n--happyforms-color-error-notice-text: #f23000;\n--happyforms-color-part-title: #000000;\n--happyforms-color-part-value: #000000;\n--happyforms-color-part-placeholder: #888888;\n--happyforms-color-part-description: #454545;\n--happyforms-color-part-border: #dbdbdb;\n--happyforms-color-part-border-focus: #7aa4ff;\n--happyforms-color-part-background: #ffffff;\n--happyforms-color-part-background-focus: #ffffff;\n--happyforms-color-submit-background: #000000;\n--happyforms-color-submit-background-hover: #000000;\n--happyforms-color-submit-border: transparent;\n--happyforms-color-submit-text: #ffffff;\n--happyforms-color-submit-text-hover: #ffffff;\n--happyforms-color-table-row-odd: #fcfcfc;\n--happyforms-color-table-row-even: #efefef;\n--happyforms-color-table-row-odd-text: #000000;\n--happyforms-color-table-row-even-text: #000000;\n--happyforms-color-dropdown-item-bg: #ffffff;\n--happyforms-color-dropdown-item-text: #000000;\n--happyforms-color-dropdown-item-bg-hover: #f4f4f5;\n--happyforms-color-dropdown-item-text-hover: #000000;\n--happyforms-color-divider-hr: #cccccc;\n--happyforms-color-choice-checkmark-bg: #ffffff;\n--happyforms-color-choice-checkmark-bg-focus: #000000;\n--happyforms-color-choice-checkmark-color: #ffffff;\n\t}\n\t<\/style>\n\t<!-- End of HappyForms CSS variables -->\n\t\t<!-- HappyForms Additional CSS -->\n\t<style data-happyforms-additional-css>\n\t\t<\/style>\n\t<!-- End of HappyForms Additional CSS -->\n\t\t\t<link rel=\"stylesheet\" type=\"text\/css\" href=\"https:\/\/scholbach.de\/wp-content\/plugins\/happyforms\/core\/assets\/css\/no-interaction.css\">\n\t\t<div class=\"happyforms-form happyforms-styles\" id=\"happyforms-5592\">\n\t\t\n\t<form action=\"\" id=\"happyforms-form-5592\" method=\"post\" novalidate=\"true\" autocomplete=\"off\">\n\t\t\t\t<input type=\"hidden\" name=\"happyforms_random_seed\" value=\"1646519108\" \/>\n\t\t\n\t\t\t<input type=\"hidden\" name=\"action\" value=\"happyforms_message\">\n\t\t\t\t<input type=\"hidden\" name=\"client_referer\" value=\"\">\n\t\t\t\t<input type=\"hidden\" name=\"current_post_id\" value=\"\">\n\t\t\t\t<input type=\"hidden\" name=\"happyforms_form_id\" value=\"5592\" \/>\n\t\t\t\t<input type=\"hidden\" name=\"happyforms_step\" value=\"0\" \/>\n\t\n\t\t<div class=\"happyforms-flex\">\n\t\t\t\t<label for=\"5592-number\" class=\"screen-reader-text\">Leave this field blank<\/label>\n\t<input type=\"text\" id=\"5592-number\" name=\"5592-number\" style=\"display: none;\" tabindex=\"-1\" autocomplete=\"off\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part--choice display-type--block happyforms-form__part happyforms-part happyforms-part--radio happyforms-part--width-full happyforms-part--label-above\" id=\"happyforms-5592_radio_18-part\" data-happyforms-type=\"radio\" data-happyforms-id=\"radio_18\" data-happyforms-required=\"\">\n\t<div class=\"happyforms-part-wrap\">\n\t\t\t<div class=\"happyforms-part__label-container\">\n\t\t\t\t<label for=\"happyforms-5592_radio_18\" class=\"happyforms-part__label\">\n\t\t\t<span class=\"label\">Confidential use of all data<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-required\"><\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-optional\">(optional)<\/span>\n\t\t\t\t\t<\/label>\n\t\t\t<\/div>\n\t\n\t\t<span class=\"happyforms-part__description\">I, Prof. Dr. Thomas Scholbach, declare that all data submitted in this form remain confidential, are not transferred to third parties (please see cookie declaration and deselct all not necessary cookies), are used solely to develop the method and a patient app for telemedical auscultation, and to scientifically publish the results.<\/span>\n\t\t\n\t\t<div class=\"happyforms-part__el\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"radio_18_option_1589923916665\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"radio\" class=\"happyforms-visuallyhidden\" name=\"5592_radio_18\" value=\"0\"  autocomplete=\"off\" spellcheck=\"false\" >\n\t\t\t\t\t<span class=\"checkmark\"><span class=\"happyforms-radio-circle\"><\/span><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">I acknowledge and agree to the use of the data submitted below for the following purpose under these precautions:<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"happyforms-form__part happyforms-part happyforms-part--single_line_text happyforms-part--width-auto happyforms-part--label-above\" id=\"happyforms-5592_single_line_text_7-part\" data-happyforms-type=\"single_line_text\" data-happyforms-id=\"single_line_text_7\" data-happyforms-required=\"\">\n\t<div class=\"happyforms-part-wrap\">\n\t\t\n\t\t\t\t\t\t<div class=\"happyforms-part__label-container\">\n\t\t\t\t<label for=\"happyforms-5592_single_line_text_7\" class=\"happyforms-part__label\">\n\t\t\t<span class=\"label\">Your given name, family name, medical degree<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-required\"><\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-optional\">(optional)<\/span>\n\t\t\t\t\t<\/label>\n\t\t\t<\/div>\n\t\t\t\n\t\t\n\t\t<div class=\"happyforms-part__el\">\n\t\t\t\n\t\t\t\n\t\t\t<div class=\"happyforms-input\">\n\t\t\t\t\n\t\t\t\t<input id=\"happyforms-5592_single_line_text_7\" type=\"text\" name=\"5592_single_line_text_7\" value=\"\" placeholder=\"\" autocomplete=\"off\" spellcheck=\"false\"  autocorrect=\"off\" \/>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"happyforms-part--choice happyforms-form__part happyforms-part happyforms-part--checkbox happyforms-part--width-auto happyforms-part--label-above\" id=\"happyforms-5592_checkbox_13-part\" data-happyforms-type=\"checkbox\" data-happyforms-id=\"checkbox_13\">\n\t<div class=\"happyforms-part-wrap\">\n\t\t\t<div class=\"happyforms-part__label-container\">\n\t\t\t\t<label for=\"happyforms-5592_checkbox_13\" class=\"happyforms-part__label\">\n\t\t\t<span class=\"label\">Do you want to become a future co-author or develop the method further ?<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-required\"><\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-optional\">(optional)<\/span>\n\t\t\t\t\t<\/label>\n\t\t\t<\/div>\n\t\n\t\t<span class=\"happyforms-part__description\">click the appropriate check-box<\/span>\n\t\t\n\t\t<div class=\"happyforms-part__el\">\n\t\t\t\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_13_option_1589922916984\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_13[]\" value=\"0\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">yes<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_13_option_1589922926200\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_13[]\" value=\"1\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">no<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"happyforms-part--with-autocomplete happyforms-form__part happyforms-part happyforms-part--email happyforms-part--width-half happyforms-part--label-above\" id=\"happyforms-5592_email_9-part\" data-happyforms-type=\"email\" data-happyforms-id=\"email_9\" data-happyforms-required=\"\">\n\t\t<div class=\"happyforms-part-wrap\">\n\t\t\t\t\t\t<div class=\"happyforms-part__label-container\">\n\t\t\t\t<label for=\"happyforms-5592_email_9\" class=\"happyforms-part__label\">\n\t\t\t<span class=\"label\">Your E-mail address<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-required\"><\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-optional\">(optional)<\/span>\n\t\t\t\t\t<\/label>\n\t\t\t<\/div>\n\t\t\t\n\t\t\n\t\t<div class=\"happyforms-part__el\">\n\t\t\t\n\t\t\t\n\t\t\t<div class=\"happyforms-input\">\n\t\t\t\t<input type=\"email\" name=\"5592_email_9\" id=\"happyforms-5592_email_9\" value=\"\" placeholder=\"\" autocomplete=\"off\" spellcheck=\"false\"  autocorrect=\"off\" \/>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"happyforms-form__part happyforms-part happyforms-part--single_line_text happyforms-part--width-half happyforms-part--label-above\" id=\"happyforms-5592_single_line_text_10-part\" data-happyforms-type=\"single_line_text\" data-happyforms-id=\"single_line_text_10\" data-happyforms-required=\"\">\n\t<div class=\"happyforms-part-wrap\">\n\t\t\n\t\t\t\t\t\t<div class=\"happyforms-part__label-container\">\n\t\t\t\t<label for=\"happyforms-5592_single_line_text_10\" class=\"happyforms-part__label\">\n\t\t\t<span class=\"label\">Your work address<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-required\"><\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-optional\">(optional)<\/span>\n\t\t\t\t\t<\/label>\n\t\t\t<\/div>\n\t\t\t\n\t\t\n\t\t<div class=\"happyforms-part__el\">\n\t\t\t\n\t\t\t\n\t\t\t<div class=\"happyforms-input\">\n\t\t\t\t\n\t\t\t\t<input id=\"happyforms-5592_single_line_text_10\" type=\"text\" name=\"5592_single_line_text_10\" value=\"\" placeholder=\"\" autocomplete=\"off\" spellcheck=\"false\"  autocorrect=\"off\" \/>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"happyforms-form__part happyforms-part happyforms-part--number happyforms-part--width-quarter happyforms-part--label-above\" id=\"happyforms-5592_number_3-part\" data-happyforms-type=\"number\" data-happyforms-id=\"number_3\" data-happyforms-required=\"\">\n\t<div class=\"happyforms-part-wrap\">\n\t\t\n\t\t\t\t\t\t<div class=\"happyforms-part__label-container\">\n\t\t\t\t<label for=\"happyforms-5592_number_3\" class=\"happyforms-part__label\">\n\t\t\t<span class=\"label\">Weight of patient<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-required\"><\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-optional\">(optional)<\/span>\n\t\t\t\t\t<\/label>\n\t\t\t<\/div>\n\t\t\t\n\t\t\n\t\t<div class=\"happyforms-part__el\">\n\t\t\t\n\t\t\t\n\t\t\t<div class=\"happyforms-input\">\n\t\t\t\t\t\t\t\t<input id=\"happyforms-5592_number_3\" type=\"number\" value=\"\" name=\"5592_number_3\" placeholder=\"\" min=\"0\" max=\"300\" step=\"1\" autocomplete=\"off\" spellcheck=\"false\" \/>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"happyforms-form__part happyforms-part happyforms-part--number happyforms-part--width-quarter happyforms-part--label-above\" id=\"happyforms-5592_number_5-part\" data-happyforms-type=\"number\" data-happyforms-id=\"number_5\" data-happyforms-required=\"\">\n\t<div class=\"happyforms-part-wrap\">\n\t\t\n\t\t\t\t\t\t<div class=\"happyforms-part__label-container\">\n\t\t\t\t<label for=\"happyforms-5592_number_5\" class=\"happyforms-part__label\">\n\t\t\t<span class=\"label\">Height of patient<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-required\"><\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-optional\">(optional)<\/span>\n\t\t\t\t\t<\/label>\n\t\t\t<\/div>\n\t\t\t\n\t\t\n\t\t<div class=\"happyforms-part__el\">\n\t\t\t\n\t\t\t\n\t\t\t<div class=\"happyforms-input\">\n\t\t\t\t\t\t\t\t<input id=\"happyforms-5592_number_5\" type=\"number\" value=\"\" name=\"5592_number_5\" placeholder=\"\" min=\"0\" max=\"220\" step=\"1\" autocomplete=\"off\" spellcheck=\"false\" \/>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"happyforms-part--choice happyforms-form__part happyforms-part happyforms-part--radio happyforms-part--width-half happyforms-part--label-above\" id=\"happyforms-5592_radio_25-part\" data-happyforms-type=\"radio\" data-happyforms-id=\"radio_25\" data-happyforms-required=\"\">\n\t<div class=\"happyforms-part-wrap\">\n\t\t\t<div class=\"happyforms-part__label-container\">\n\t\t\t\t<label for=\"happyforms-5592_radio_25\" class=\"happyforms-part__label\">\n\t\t\t<span class=\"label\">Units for weight and height<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-required\"><\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-optional\">(optional)<\/span>\n\t\t\t\t\t<\/label>\n\t\t\t<\/div>\n\t\n\t\t\n\t\t\n\t\t<div class=\"happyforms-part__el\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"radio_25_option_1590006815636\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"radio\" class=\"happyforms-visuallyhidden\" name=\"5592_radio_25\" value=\"0\" checked=\"checked\" autocomplete=\"off\" spellcheck=\"false\" >\n\t\t\t\t\t<span class=\"checkmark\"><span class=\"happyforms-radio-circle\"><\/span><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">kg for weight \/ cm for height<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"radio_25_option_1590006841955\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"radio\" class=\"happyforms-visuallyhidden\" name=\"5592_radio_25\" value=\"1\"  autocomplete=\"off\" spellcheck=\"false\" >\n\t\t\t\t\t<span class=\"checkmark\"><span class=\"happyforms-radio-circle\"><\/span><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">lb for weight \/ in for height<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"happyforms-part-select--required happyforms-form__part happyforms-part happyforms-part--select happyforms-part--width-quarter happyforms-part--label-above\" id=\"happyforms-5592_select_1-part\" data-happyforms-type=\"select\" data-happyforms-id=\"select_1\" data-happyforms-required=\"\">\n\t<div class=\"happyforms-part-wrap\">\n\t\t\t<div class=\"happyforms-part__label-container\">\n\t\t\t\t<label for=\"happyforms-5592_select_1\" class=\"happyforms-part__label\">\n\t\t\t<span class=\"label\">Patient&#039;s gender<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-required\"><\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-optional\">(optional)<\/span>\n\t\t\t\t\t<\/label>\n\t\t\t<\/div>\n\t\n\t\t\n\t\t\t\t<div class=\"happyforms-part__el\">\n\t\t\t\t\t\t<div class=\"happyforms-custom-select\">\n\t\t\t\t<div class=\"happyforms-part__select-wrap\">\n\t\t\t\t\t\t\t\t\t\t<select name=\"5592_select_1\" data-serialize class='happyforms-select' required>\n\t\t\t\t\t\t\t<option disabled hidden  value='' class=\"happyforms-placeholder-option\"><\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"0\"  selected  id=\"select_1_option_1589921234545\">female <\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1\"   id=\"select_1_option_1589921247968\">male <\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"2\"   id=\"select_1_option_1589921256993\">other <\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/select>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\n\t\t\t\n\t\t\t\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"happyforms-form__part happyforms-part happyforms-part--number happyforms-part--width-quarter happyforms-part--label-above\" id=\"happyforms-5592_number_2-part\" data-happyforms-type=\"number\" data-happyforms-id=\"number_2\" data-happyforms-required=\"\">\n\t<div class=\"happyforms-part-wrap\">\n\t\t\n\t\t\t\t\t\t<div class=\"happyforms-part__label-container\">\n\t\t\t\t<label for=\"happyforms-5592_number_2\" class=\"happyforms-part__label\">\n\t\t\t<span class=\"label\">Age (years)<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-required\"><\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-optional\">(optional)<\/span>\n\t\t\t\t\t<\/label>\n\t\t\t<\/div>\n\t\t\t\n\t\t\n\t\t<div class=\"happyforms-part__el\">\n\t\t\t\n\t\t\t\n\t\t\t<div class=\"happyforms-input\">\n\t\t\t\t\t\t\t\t<input id=\"happyforms-5592_number_2\" type=\"number\" value=\"\" name=\"5592_number_2\" placeholder=\"\" min=\"0\" max=\"110\" step=\"1\" autocomplete=\"off\" spellcheck=\"false\" \/>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"happyforms-part--choice happyforms-form__part happyforms-part happyforms-part--checkbox happyforms-part--width-third happyforms-part--label-above\" id=\"happyforms-5592_checkbox_11-part\" data-happyforms-type=\"checkbox\" data-happyforms-id=\"checkbox_11\" data-happyforms-required=\"\">\n\t<div class=\"happyforms-part-wrap\">\n\t\t\t<div class=\"happyforms-part__label-container\">\n\t\t\t\t<label for=\"happyforms-5592_checkbox_11\" class=\"happyforms-part__label\">\n\t\t\t<span class=\"label\">Side of recording<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-required\"><\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-optional\">(optional)<\/span>\n\t\t\t\t\t<\/label>\n\t\t\t<\/div>\n\t\n\t\t\n\t\t\n\t\t<div class=\"happyforms-part__el\">\n\t\t\t\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_11_option_1589922458424\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_11[]\" value=\"0\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">left<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_11_option_1589922467656\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_11[]\" value=\"1\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">right<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_11_option_1589922475640\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_11[]\" value=\"2\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">ventral<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_11_option_1589922483008\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_11[]\" value=\"3\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">dorsal<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"happyforms-form__part happyforms-part happyforms-part--number happyforms-part--width-half happyforms-part--label-above\" id=\"happyforms-5592_number_14-part\" data-happyforms-type=\"number\" data-happyforms-id=\"number_14\" data-happyforms-required=\"\">\n\t<div class=\"happyforms-part-wrap\">\n\t\t\n\t\t\t\t\t\t<div class=\"happyforms-part__label-container\">\n\t\t\t\t<label for=\"happyforms-5592_number_14\" class=\"happyforms-part__label\">\n\t\t\t<span class=\"label\">Intercostal space<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-required\"><\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-optional\">(optional)<\/span>\n\t\t\t\t\t<\/label>\n\t\t\t<\/div>\n\t\t\t\n\t\t\n\t\t<div class=\"happyforms-part__el\">\n\t\t\t\n\t\t\t\n\t\t\t<div class=\"happyforms-input\">\n\t\t\t\t\t\t\t\t<input id=\"happyforms-5592_number_14\" type=\"number\" value=\"\" name=\"5592_number_14\" placeholder=\"\" min=\"1\" max=\"9\" step=\"1\" autocomplete=\"off\" spellcheck=\"false\" \/>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"happyforms-form__part happyforms-part happyforms-part--number happyforms-part--width-half happyforms-part--label-above\" id=\"happyforms-5592_number_15-part\" data-happyforms-type=\"number\" data-happyforms-id=\"number_15\" data-happyforms-required=\"\">\n\t<div class=\"happyforms-part-wrap\">\n\t\t\n\t\t\t\t\t\t<div class=\"happyforms-part__label-container\">\n\t\t\t\t<label for=\"happyforms-5592_number_15\" class=\"happyforms-part__label\">\n\t\t\t<span class=\"label\">Distance to sternum or spine<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-required\"><\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-optional\">(optional)<\/span>\n\t\t\t\t\t<\/label>\n\t\t\t<\/div>\n\t\t\t\n\t\t\n\t\t<div class=\"happyforms-part__el\">\n\t\t\t\n\t\t\t\n\t\t\t<div class=\"happyforms-input\">\n\t\t\t\t\t\t\t\t<input id=\"happyforms-5592_number_15\" type=\"number\" value=\"\" name=\"5592_number_15\" placeholder=\"units as for height of patient\" min=\"0\" max=\"10\" step=\"1\" autocomplete=\"off\" spellcheck=\"false\" \/>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"happyforms-part--choice happyforms-form__part happyforms-part happyforms-part--radio happyforms-part--width-full happyforms-part--label-above\" id=\"happyforms-5592_radio_29-part\" data-happyforms-type=\"radio\" data-happyforms-id=\"radio_29\">\n\t<div class=\"happyforms-part-wrap\">\n\t\t\t<div class=\"happyforms-part__label-container\">\n\t\t\t\t<label for=\"happyforms-5592_radio_29\" class=\"happyforms-part__label\">\n\t\t\t<span class=\"label\">not intercostal recordings<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-required\"><\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-optional\">(optional)<\/span>\n\t\t\t\t\t<\/label>\n\t\t\t<\/div>\n\t\n\t\t\n\t\t\n\t\t<div class=\"happyforms-part__el\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"radio_29_option_1590007961068\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"radio\" class=\"happyforms-visuallyhidden\" name=\"5592_radio_29\" value=\"0\"  autocomplete=\"off\" spellcheck=\"false\" >\n\t\t\t\t\t<span class=\"checkmark\"><span class=\"happyforms-radio-circle\"><\/span><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">supraclavicular<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"radio_29_option_1590007972988\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"radio\" class=\"happyforms-visuallyhidden\" name=\"5592_radio_29\" value=\"1\"  autocomplete=\"off\" spellcheck=\"false\" >\n\t\t\t\t\t<span class=\"checkmark\"><span class=\"happyforms-radio-circle\"><\/span><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">cervical<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"radio_29_option_1590007983237\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"radio\" class=\"happyforms-visuallyhidden\" name=\"5592_radio_29\" value=\"2\"  autocomplete=\"off\" spellcheck=\"false\" >\n\t\t\t\t\t<span class=\"checkmark\"><span class=\"happyforms-radio-circle\"><\/span><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">abdominal<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"happyforms-part--choice happyforms-form__part happyforms-part happyforms-part--checkbox happyforms-part--width-full happyforms-part--label-above\" id=\"happyforms-5592_checkbox_19-part\" data-happyforms-type=\"checkbox\" data-happyforms-id=\"checkbox_19\" data-happyforms-required=\"\">\n\t<div class=\"happyforms-part-wrap\">\n\t\t\t<div class=\"happyforms-part__label-container\">\n\t\t\t\t<label for=\"happyforms-5592_checkbox_19\" class=\"happyforms-part__label\">\n\t\t\t<span class=\"label\">Diagnosis of the patient in alphabetical order<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-required\"><\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-optional\">(optional)<\/span>\n\t\t\t\t\t<\/label>\n\t\t\t<\/div>\n\t\n\t\t<span class=\"happyforms-part__description\">please select a diagnosis or describe not listet diagnoses in the underneath box<\/span>\n\t\t\n\t\t<div class=\"happyforms-part__el\">\n\t\t\t\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_19_option_1589924747769\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_19[]\" value=\"0\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">asthma, acute<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_19_option_1589924762480\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_19[]\" value=\"1\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">asthma, chronic<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_19_option_1589924769704\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_19[]\" value=\"2\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">bronchitis, acute<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_19_option_1589924826792\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_19[]\" value=\"3\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">bronchits, chronic<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_19_option_1589924859040\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_19[]\" value=\"4\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">bronchitis, obstructive <\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_19_option_1589924880024\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_19[]\" value=\"5\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">COPD<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_19_option_1589924732535\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_19[]\" value=\"6\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">healthy lung<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_19_option_1589954762226\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_19[]\" value=\"7\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">laryngitis<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_19_option_1589925055440\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_19[]\" value=\"8\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">lung edema<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_19_option_1589925003217\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_19[]\" value=\"9\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">pneumothorax<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_19_option_1589925014704\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_19[]\" value=\"10\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">lung embolism<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_19_option_1589925033872\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_19[]\" value=\"11\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">lung cancer<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_19_option_1589925047000\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_19[]\" value=\"12\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">lung metastasis<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_19_option_1589954902563\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_19[]\" value=\"13\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">pharyngitis<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_19_option_1589924995752\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_19[]\" value=\"14\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">pleural effusion<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_19_option_1589954748179\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_19[]\" value=\"15\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">pleuritis, without effusion<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_19_option_1589924946984\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_19[]\" value=\"16\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">pneumonia, bronchopneumonia<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_19_option_1589924888320\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_19[]\" value=\"17\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">pneumonia, lobar<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_19_option_1589924914369\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_19[]\" value=\"18\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">pneumonia, segmental<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_19_option_1589954895784\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_19[]\" value=\"19\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">tracheitis<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_19_option_1589924986721\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_19[]\" value=\"20\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">tuberculosis<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_19_option_1589955104563\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_19[]\" value=\"21\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">other -  please describe in the next box<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"happyforms-form__part happyforms-part happyforms-part--single_line_text happyforms-part--width-full happyforms-part--label-above\" id=\"happyforms-5592_single_line_text_28-part\" data-happyforms-type=\"single_line_text\" data-happyforms-id=\"single_line_text_28\">\n\t<div class=\"happyforms-part-wrap\">\n\t\t\n\t\t\t\t\t\t<div class=\"happyforms-part__label-container\">\n\t\t\t\t<label for=\"happyforms-5592_single_line_text_28\" class=\"happyforms-part__label\">\n\t\t\t<span class=\"label\">Additional diagnoses not listed above<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-required\"><\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-optional\">(optional)<\/span>\n\t\t\t\t\t<\/label>\n\t\t\t<\/div>\n\t\t\t\n\t\t\n\t\t<div class=\"happyforms-part__el\">\n\t\t\t\n\t\t\t\n\t\t\t<div class=\"happyforms-input\">\n\t\t\t\t\n\t\t\t\t<input id=\"happyforms-5592_single_line_text_28\" type=\"text\" name=\"5592_single_line_text_28\" value=\"\" placeholder=\"\" autocomplete=\"off\" spellcheck=\"false\"  autocorrect=\"off\" \/>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"happyforms-part--choice happyforms-form__part happyforms-part happyforms-part--checkbox happyforms-part--width-full happyforms-part--label-above\" id=\"happyforms-5592_checkbox_24-part\" data-happyforms-type=\"checkbox\" data-happyforms-id=\"checkbox_24\" data-happyforms-required=\"\">\n\t<div class=\"happyforms-part-wrap\">\n\t\t\t<div class=\"happyforms-part__label-container\">\n\t\t\t\t<label for=\"happyforms-5592_checkbox_24\" class=\"happyforms-part__label\">\n\t\t\t<span class=\"label\">Auscultation findings with the classical sthetoscope at the site of the audio recording<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-required\"><\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-optional\">(optional)<\/span>\n\t\t\t\t\t<\/label>\n\t\t\t<\/div>\n\t\n\t\t<span class=\"happyforms-part__description\">please select your findings or describe not listet ones in the box below<\/span>\n\t\t\n\t\t<div class=\"happyforms-part__el\">\n\t\t\t\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_24_option_1590005368748\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_24[]\" value=\"0\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">vesicular breath sounds<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_24_option_1590005368753\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_24[]\" value=\"1\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">bronchial breath sounds<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_24_option_1590005368756\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_24[]\" value=\"2\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">bronchovesicular breath sounds<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_24_option_1590005368758\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_24[]\" value=\"3\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">wheezing, polyphoe high-pitched<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_24_option_1590005422324\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_24[]\" value=\"4\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">wheezing, monophone low-pitched<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_24_option_1590005368759\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_24[]\" value=\"5\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">crackles, coarse<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_24_option_1590005368762\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_24[]\" value=\"6\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">crackles, fine<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_24_option_1590005368765\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_24[]\" value=\"7\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">pleural friction rub<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_24_option_1590005368767\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_24[]\" value=\"8\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">stridor, inspiratory<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_24_option_1590005368770\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_24[]\" value=\"9\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">diminished breath sounds<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"happyforms-part__option happyforms-part-option\" id=\"checkbox_24_option_1590005368772\">\n\t\t\t\t<label class=\"option-label\">\n\t\t\t\t\t<input type=\"checkbox\" class=\"happyforms-visuallyhidden happyforms-checkbox\" name=\"5592_checkbox_24[]\" value=\"10\" data-serialize  autocomplete=\"off\" spellcheck=\"false\"  >\n\t\t\t\t\t<span class=\"checkmark\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" viewBox=\"0 0 24 24\"><path fill=\"currentColor\" d=\"M20.285 2l-11.285 11.567-5.286-5.011-3.714 3.716 9 8.728 15-15.285z\"\/><\/svg><\/span>\n\t\t\t\t\t<span class=\"label-wrap\">\n\t\t\t\t\t\t<span class=\"label\">absent breath sounds<\/span>\t\t\t\t\t<\/span>\n\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"happyforms-form__part happyforms-part happyforms-part--single_line_text happyforms-part--width-full happyforms-part--label-above\" id=\"happyforms-5592_single_line_text_27-part\" data-happyforms-type=\"single_line_text\" data-happyforms-id=\"single_line_text_27\">\n\t<div class=\"happyforms-part-wrap\">\n\t\t\n\t\t\t\t\t\t<div class=\"happyforms-part__label-container\">\n\t\t\t\t<label for=\"happyforms-5592_single_line_text_27\" class=\"happyforms-part__label\">\n\t\t\t<span class=\"label\">Additional auscultation findings, not listed above<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-required\"><\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-optional\">(optional)<\/span>\n\t\t\t\t\t<\/label>\n\t\t\t<\/div>\n\t\t\t\n\t\t\n\t\t<div class=\"happyforms-part__el\">\n\t\t\t\n\t\t\t\n\t\t\t<div class=\"happyforms-input\">\n\t\t\t\t\n\t\t\t\t<input id=\"happyforms-5592_single_line_text_27\" type=\"text\" name=\"5592_single_line_text_27\" value=\"\" placeholder=\"\" autocomplete=\"off\" spellcheck=\"false\"  autocorrect=\"off\" \/>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"happyforms-form__part happyforms-part happyforms-part--single_line_text happyforms-part--width-full happyforms-part--label-above\" id=\"happyforms-5592_single_line_text_30-part\" data-happyforms-type=\"single_line_text\" data-happyforms-id=\"single_line_text_30\" data-happyforms-required=\"\">\n\t<div class=\"happyforms-part-wrap\">\n\t\t\n\t\t\t\t\t\t<div class=\"happyforms-part__label-container\">\n\t\t\t\t<label for=\"happyforms-5592_single_line_text_30\" class=\"happyforms-part__label\">\n\t\t\t<span class=\"label\">Date and number of your recording<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-required\"><\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-optional\">(optional)<\/span>\n\t\t\t\t\t<\/label>\n\t\t\t<\/div>\n\t\t\t\n\t\t\n\t\t<div class=\"happyforms-part__el\">\n\t\t\t\n\t\t\t\n\t\t\t<div class=\"happyforms-input\">\n\t\t\t\t\n\t\t\t\t<input id=\"happyforms-5592_single_line_text_30\" type=\"text\" name=\"5592_single_line_text_30\" value=\"\" placeholder=\"[YYYY\/MM\/DD] and a consecutive number for the recording at that specific date\" autocomplete=\"off\" spellcheck=\"false\"  autocorrect=\"off\" \/>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"happyforms-form__part happyforms-part happyforms-part--single_line_text happyforms-part--width-full happyforms-part--label-above\" id=\"happyforms-5592_single_line_text_31-part\" data-happyforms-type=\"single_line_text\" data-happyforms-id=\"single_line_text_31\" data-happyforms-required=\"\">\n\t<div class=\"happyforms-part-wrap\">\n\t\t\n\t\t\t\t\t\t<div class=\"happyforms-part__label-container\">\n\t\t\t\t<label for=\"happyforms-5592_single_line_text_31\" class=\"happyforms-part__label\">\n\t\t\t<span class=\"label\">type of your mobile phone<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-required\"><\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"happyforms-optional\">(optional)<\/span>\n\t\t\t\t\t<\/label>\n\t\t\t<\/div>\n\t\t\t\n\t\t\n\t\t<div class=\"happyforms-part__el\">\n\t\t\t\n\t\t\t\n\t\t\t<div class=\"happyforms-input\">\n\t\t\t\t\n\t\t\t\t<input id=\"happyforms-5592_single_line_text_31\" type=\"text\" name=\"5592_single_line_text_31\" value=\"\" placeholder=\"\" autocomplete=\"off\" spellcheck=\"false\"  autocorrect=\"off\" \/>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\t\t\t\t\t<div class=\"happyforms-form__part happyforms-part happyforms-part--submit\">\n\t\t<button type=\"submit\" class=\"happyforms-submit happyforms-button--submit \">Absenden<\/button>\n\t<\/div>\t\t<\/div>\n\n\t\t\t<\/form>\n\n\t<\/div>\n<\/p>\n<p>Please send your recording as an <a href=\"mailto:praxis.scholbach@posteo.de\">E-mail attachment<\/a> with the subheading [YYYY\/MM\/DD] of recording and a consecutive number for the recording at that specific date<\/p>","protected":false},"excerpt":{"rendered":"<p>\u03a3\u03c5\u03b3\u03b3\u03bd\u03ce\u03bc\u03b7,\u03b1\u03c5\u03c4\u03ae \u03b7 \u03b5\u03b3\u03b3\u03c1\u03b1\u03c6\u03ae \u03b5\u03af\u03bd\u03b1\u03b9 \u03b4\u03b9\u03b1\u03b8\u03ad\u03c3\u03b9\u03bc\u03b7 \u03bc\u03cc\u03bd\u03bf \u03c3\u03c4\u03b1 English. Please send your recording as an E-mail attachment with the subheading [YYYY\/MM\/DD] of recording and a consecutive number for the recording at that specific date<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":5587,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"footnotes":""},"class_list":["post-5594","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/scholbach.de\/el\/wp-json\/wp\/v2\/pages\/5594","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/scholbach.de\/el\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/scholbach.de\/el\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/scholbach.de\/el\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/scholbach.de\/el\/wp-json\/wp\/v2\/comments?post=5594"}],"version-history":[{"count":3,"href":"https:\/\/scholbach.de\/el\/wp-json\/wp\/v2\/pages\/5594\/revisions"}],"predecessor-version":[{"id":5611,"href":"https:\/\/scholbach.de\/el\/wp-json\/wp\/v2\/pages\/5594\/revisions\/5611"}],"up":[{"embeddable":true,"href":"https:\/\/scholbach.de\/el\/wp-json\/wp\/v2\/pages\/5587"}],"wp:attachment":[{"href":"https:\/\/scholbach.de\/el\/wp-json\/wp\/v2\/media?parent=5594"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}