Widget:IMPROVEDDScore: Difference between revisions
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Gerald Chi (talk | contribs) mNo edit summary |
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} | } | ||
</script> | </script> | ||
<form name="IMPROVEDDScore"> | <B><form name="IMPROVEDDScore"> | ||
<table> | |||
<tr><td>Previous VTE</td><td><input type="checkbox" name="input1" value="3.0" onchange="calcScore();" /></td></tr> | <tr><td>Previous VTE</td><td><input type="checkbox" name="input1" value="3.0" onchange="calcScore();" /></td></tr> | ||
<tr><td>Known thrombophilia</td><td><input type="checkbox" name="input2" value="2.0" onchange="calcScore();" /></td></tr> | <tr><td>Known thrombophilia</td><td><input type="checkbox" name="input2" value="2.0" onchange="calcScore();" /></td></tr> | ||
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<tr><td>Admission to intensive care unit</td><td><input type="checkbox" name="input7" value="1.0" onchange="calcScore();" /></td></tr> | <tr><td>Admission to intensive care unit</td><td><input type="checkbox" name="input7" value="1.0" onchange="calcScore();" /></td></tr> | ||
<tr><td>Age >60 years</td><td><input type="checkbox" name="input8" value="1.0" onchange="calcScore();" /></td></tr> | <tr><td>Age >60 years</td><td><input type="checkbox" name="input8" value="1.0" onchange="calcScore();" /></td></tr> | ||
</table> | |||
Score: <input type="text" name="result" /><br /> | Score: <input type="text" name="result" /><br /> | ||
<input type="text" size="80" name="longanswer" /> | <input type="text" size="80" name="longanswer" /> | ||
</form> | </form></B> | ||
</includeonly> | </includeonly> | ||