Form:DrugProjectForm: Difference between revisions

VisualWikitext

@@ Line 4: / Line 4: @@
 =Instructions=
+</headertabs>
 Instructions for how to use this from will go here.
@@ Line 208: / Line 209: @@
 |{{{field|distBy|input type=text|size=40}}}
 |}
+=Images=
+{|
+!Please enter information pertaining to the Drug Images here
+|{{{field|drugImages|input type=textarea|size=35|editor}}}
+|-
+!Please enter information pertaining to the FDA Package Label here
+|{{{field|packLabel|input type=textarea|size=35|editor}}}
+|}
+=Pill Characteristics=
+{{{field|imageFreeText|input type=textarea|size=35|editor}}}
+Is the the drug provided in pill form?
+{{{field|isPill|input type=dropdown|values=Yes}}}
+Dosage:  {{{field|dosageValue|input type=text|size=40}}} {{{field|dosageUnit| input type=dropdown|values=ug,mg,g,kg,,uL,mL (cc),dL,L,,gtt(s),AU,IU,umol,mmol,U}}}
+If the dosage does not fit the above format, you may enter it here: {{{field|dosageFreeText|input type=text|size=40}}}
+----
+Please enter the following pill characteristics as provided by the FDA:
+Pill Imprint:
+{{{field|pillImprint|input type=text|size=40}}}
+Pill Size (in mm):
+{{{field|pillSize|input type=text|size=40}}}
+Pill Shape:
+{{{field|pillShape|input type=dropdrown|values=Round,Oval,Square,Rectangular,Triangular,Capsule,Pentagon,Hexagon,Diamond,Gear,DoubleCircle,Clover,TearDrop,Octagon,SemiCircle,Bullet,Trapezoid,FreeForm}}}
+Pill Color:
+{{{field|pillColor|input type=dropdown|values=Brown,Red,Orange,Yellow,Green,Turquoise,Blue,Purple,Pink,Black,Grey,White}}}
+Pill Scoring:
+{{{field|pillScoring|input type=dropdown|values=1,2,3,4,5,6,7,8,9,10}}}
+Please provide to the static link to the drug image you previously uploaded. {{{field|pillImage|input type=text|size=40}}}
+The URL should be similar to the following example:
+Static URL: <pre>http://static.wikidoc.org/0/0e/No_image.jpg</pre>
 =Patient Information=
@@ Line 237: / Line 285: @@
 |{{{field|drugShortage|input type=textarea|size=35|editor}}}
 |}
-{{{end template}}}
-=Images=
-<headertabs />
-{{{for template|PillImage|multiple|add button text=Add Another Image}}}
-File Name:
-{{{field|fileName|uploadable|input type=text|size=40}}}
-Drug Name:
-{{{field|drugName|input type=text|size=40}}}}
-Ingredients:
-{{{field|ingredients|input type=textarea|size=35|editor}}}
-Pill Imprint:
-{{{field|pillImprint|input type=text|size=40}}}
-Dosage:
-{{{field|dosage|input type=text|size=40}}}
-Pill Color:
-{{{field|pillColor|input type=dropdown|values=Brown,Red,Orange,Yellow,Green,Turquoise,Blue,Purple,Pink,Black,Grey,White}}}
-Pill Shape:
-{{{field|pillShape|input  type=dropdrown|values=Round,Oval,Square,Rectangular,Triangular,Capsule,Pentagon,Hexagon,Diamond,Gear,DoubleCircle,Clover,TearDrop,Octagon,SemiCircle,Bullet,Trapezoid,FreeForm}}}
-Pill Size (in mm):
-{{{field|pillSize|input type=text|size=40}}}
-Pill Scoring:
-{{{field|pillScoring|input type=dropdown|values=1,2,3,4,5,6,7,8,9,10}}}
-Please provide to the static link to the drug image you previously uploaded. {{{field|pillImage|input type=text|size=40}}}
-The URL should be similar to the following example:
-Static URL: <pre>http://static.wikidoc.org/0/0e/No_image.jpg</pre>
-NDC:
-{{{field|NCD|input type=text|size=40}}}
-Label Author:
-{{{field|drugAuthor|input type=text|size=40}}}
 {{{end template}}}
 {{{standard input|save}}} {{{standard input|preview}}} {{{standard input|changes}}} {{{standard input|cancel}}}
 </includeonly>

Form:DrugProjectForm: Difference between revisions

Revision as of 21:03, 3 April 2014

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