Form:Drug Project Form: Difference between revisions

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Bureaucrats, exportpages, nocaptcha, Administrators
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Christopher Popma (talk | contribs)
Bureaucrats, exportpages, nocaptcha, Administrators
2,750 edits
No edit summary
 
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{{#forminput:form=Drug_Project_Form|size=60|button text=Create or edit a Drug Page.}}
{{#forminput:form=Drug_Project_Form|size=60|button text=Create or edit a Drug Page.}}
</noinclude><includeonly>
</noinclude><includeonly>
{{{for template|Label template}}}
=Overview Statement=
{{FormHelpGeneral}}
{|
! Please indicate the Class to which the drug belongs:
| {{{field|drugClass|input type=textarea|size=35}}}
|-
! Please describe which indications the FDA has approved the use of the drug:
| {{{field|indication|input type=textarea|size=35}}}
|-
! Is there a Black Box warning associated with the drug?:
| {{{field|blackBoxWarning|input type=dropdown|values=,Yes}}}
|-
! Please list the most common adverse reactions associate with the drug:
| {{{field|adverseReactions|input type=textarea|size=35}}}
|}
{{{end template}}}


=Black Box Warning=
=Instructions=
{{{for template|DrugProjectForm}}}
Instructions for how to use this from will go here.
{{{for template|DrugProjectFormSinglePage}}}
=Images=
{|
{|
!Please enter the title of the Black Box Warning
!Please enter information pertaining to the Drug Images here
| {{{field|blackBoxWarningTitle|input type=text|size=40}}}
|{{{field|drugImages|input type=textarea|size=35}}}
|-
|-
!Please enter the body of the Black Box Warning
!Please enter information pertaining to the FDA Package Label here
|{{{field|blackBoxWarningTitle|input type=textarea|size=35}}}
|{{{field|packLabel|input type=textarea|size=35}}}
|}
|}


=Adult Indications and Dosage=
{{{end template}}}
{|
!Please enter the FDA-Labeled Indications and Dosage information for Adults
| {{{field|fdaLIADAdult|input type=text|size=40}}}
|-
!Please enter any established Off-Label Use and Dosage for Adults
|{{{field|offLabelAdult|input type=textarea|size=35}}}
|}
 
 
=Pediatric Indications and Dosage=
{|
!Please enter the FDA-Labeled Indications and Dosage information for Adults
| {{{field|fdaLIADPed|input type=text|size=40}}}
|-
!Please enter any established Off-Label Use and Dosage for Adults
|{{{field|offLabePed|input type=textarea|size=35}}}
|}
 
=Help=
{{FormHelpTab}}
<headertabs/>
<headertabs/>
{{{standard input|save}}} {{{standard input|preview}}} {{{standard input|changes}}} {{{standard input|cancel}}}
{{{standard input|save}}} {{{standard input|preview}}} {{{standard input|changes}}} {{{standard input|cancel}}}
</includeonly>
</includeonly>

Latest revision as of 21:07, 3 April 2014


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