Difference between revisions of "Form:CalcBenzo"
From Psychiatrienet
(input type=dropdown| was default, moet nu expliciet gegeven worden) |
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| Line 16: | Line 16: | ||
|- | |- | ||
| Benzodiazepine 1 | | Benzodiazepine 1 | ||
| − | | {{{field|benzo1|mandatory|values from category=Benzodiazepine}}} | + | | {{{field|benzo1|mandatory|input type=dropdown|values from category=Benzodiazepine}}} |
| {{{field|dose1|mandatory|input type=Number|size=5}}} | | {{{field|dose1|mandatory|input type=Number|size=5}}} | ||
| mg/day | | mg/day | ||
|- | |- | ||
| Benzodiazepine 2 | | Benzodiazepine 2 | ||
| − | | {{{field|benzo2|values from category=Benzodiazepine}}} | + | | {{{field|benzo2|input type=dropdown|values from category=Benzodiazepine}}} |
| {{{field|dose2|input type=Number|size=5}}} | | {{{field|dose2|input type=Number|size=5}}} | ||
| mg/day | | mg/day | ||
|- | |- | ||
| Benzodiazepine 3 | | Benzodiazepine 3 | ||
| − | | {{{field|benzo3|values from category=Benzodiazepine}}} | + | | {{{field|benzo3|input type=dropdown|values from category=Benzodiazepine}}} |
| {{{field|dose3|input type=Number|size=5}}} | | {{{field|dose3|input type=Number|size=5}}} | ||
| mg/day | | mg/day | ||
|- | |- | ||
| Benzodiazepine 4 | | Benzodiazepine 4 | ||
| − | | {{{field|benzo4|values from category=Benzodiazepine}}} | + | | {{{field|benzo4|input type=dropdown|values from category=Benzodiazepine}}} |
| {{{field|dose4|input type=Number|size=5}}} | | {{{field|dose4|input type=Number|size=5}}} | ||
| mg/day | | mg/day | ||
|- | |- | ||
| Benzodiazepine 5 | | Benzodiazepine 5 | ||
| − | | {{{field|benzo5|values from category=Benzodiazepine}}} | + | | {{{field|benzo5|input type=dropdown|values from category=Benzodiazepine}}} |
| {{{field|dose5|input type=Number|size=5}}} | | {{{field|dose5|input type=Number|size=5}}} | ||
| mg/day | | mg/day | ||
|- | |- | ||
| − | | colspan="4" | | + | | colspan="4" | |
|- | |- | ||
| − | + | | '''Conversion drug''' | |
| − | | colspan=" | + | | colspan="3" | {{{field|replacement|mandatory|input type=dropdown|values=diazepam,oxazepam,chlordiazepoxide|default=diazepam }}} |
|} | |} | ||
{{{end template}}} | {{{end template}}} | ||
