MySQL5.5 code fix for .sql files; changed TYPE= to ENGINE=
[openemr.git] / contrib / forms / formmaker / sample.txt
blobe39bc59ce53f673d9f226f148a51cccc7ef57ad4
1 physical_sample
3 chief_complaints::textarea
5 <h3>past surgical history</h3>
6 +surgical history::checkbox_group::cholecystectomy::tonsillectomy::apendectomy::hernia
7 <h4>other</h4>
8 surgical history other::textfield
10 <h3>past medical history</h3>
11 +medical history::scrolling_list_multiples::asthma::diabetes::hypertension::GERD
12 <h4>other</h4>
13 medical history other::textfield
15 <h2>Allergies</h2>
16 +allergies::checkbox_group::penicillin::sulfa::iodine
17 <h4>other</h4>
18 allergies other::textfield
20 <h2>Social History</h2>
21 <h3>smoking</h3>
22 smoke history::radio_group::non-smoker::smoker
23 <h3>alcohol</h3>
24 etoh history::scrolling_list::none::occasional::daily::heavy use
25 <h3>last mammogram</h3>
26 last mammogram::date