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input type=dropdown| was default, moet nu expliciet gegeven worden
<noinclude>
* [[Form:CalcBenzo]]
* [[Template:CalculateBenzo]].* [[Template:ConvertBenzoDosage]]* [[Template:ShowBenzoDosage]]* [[Special:Runquery/CalcBenzo]]
</noinclude><includeonly>
==Calculation of a benzodiazepine switch to [[Diazepam]]==
{{{for template|CalculateBenzo}}}
{| class="formtable"
| colspan="4" | <center>''Choose one or more benzodiazepines and dosage expressed as mg/day''</center>
|-
! colspan="2" | <center>Drug</center>
! colspan="2" | <center>Dosage</center>
!
|-
| Benzodiazepine 1
| {{{field|benzo1|mandatory|input type=dropdown|values from category=Benzodiazepine}}} | {{{field|dose1|mandatory|input type=Number|size=5}}} | mg/day
|-
| Benzodiazepine 2
| {{{field|benzo2|input type=dropdown|values from category=Benzodiazepine}}} | {{{field|dose2|input type=Number|size=5}}} | mg/day
|-
| Benzodiazepine 3
| {{{field|benzo3|input type=dropdown|values from category=Benzodiazepine}}} | {{{field|dose3|input type=Number|size=5}}} | mg/day |-| Benzodiazepine 4| {{{field|benzo4|input type=dropdown|values from category=Benzodiazepine}}} | {{{field|dose4|input type=Number|size=5}}} | mg/day |-| Benzodiazepine 5| {{{field|benzo5|input type=dropdown|values from category=Benzodiazepine}}} | {{{field|dose5|input type=Number|size=5}}} | mg/day |-| colspan="4" | |-| '''Conversion drug'''| colspan="3" | {{{field|replacement|mandatory|input type=dropdown|values=diazepam,oxazepam,chlordiazepoxide|default=diazepam }}}
|}
{{{end template}}}
{{{standard input|run query|label=Calculate benzodiazepine conversion}}}
{{EvidenceBenzoConversion}}
</includeonly>
