{% extends "base.html" %} {% block head %} {# include 'autocomplete_light/static.html' #} {% endblock %} {% block title %} Treatment Form {% endblock %} {% block content %} {% if object %} {{object.patient}} {{object.patient.medical_records}}
{{form.patient.label_tag}}{{form.patient.errors}}
{{form.bed.label_tag}}{{form.bed}}{{form.bed.errors}}
{{form.icd9.label_tag}}{{form.icd9}}{{form.icd9.errors}}
{{form.icd9.label_tag}}{{form.icd9.errors}}
{{form.icd9.label_tag}}
{{form.icd10cm.label_tag}}{{form.icd10cm}}{{form.icd10cm.errors}}
{{form.other_diagnosis.label_tag}}{{form.other_diagnosis}}{{form.other_diagnosis.errors}}
{{form.tracking_mode.label_tag}}{{form.tracking_mode}}{{form.tracking_mode.errors}}
{{form.referral.label_tag}}{{form.referral}}{{form.referral.errors}}
{{form.oncologist.label_tag}}{{form.oncologist}}{{form.oncologist.errors}}
{{form.surgeon.label_tag}}{{form.surgeon}}{{form.surgeon.errors}}
{{form.date_started.label_tag}}{{form.date_started}}{{form.date_started.errors}}
{{form.date_completed.label_tag}}{{form.date_completed}}{{form.date_completed.errors}}
{{form.accounting.label_tag}}{{form.accounting}}{{form.accounting.errors}}
{{form.karnofsky_score.label_tag}}{{form.karnofsky_score}}{{form.karnofsky_score.errors}}
{{form.disease_stage.label_tag}}{{form.disease_stage}}{{form.disease_stage.errors}}
{{form.primary_tumor_site.label_tag}}{{form.primary_tumor_site}}{{form.primary_tumor_site.errors}}
{{form.input.label_tag}}{{form.input}}{{form.input.errors}}
{{form.output.label_tag}}{{form.output}}{{form.output.errors}}
{{form.complications.label_tag}}{{form.complications}}{{form.complications.errors}}
{{form.chief_complaint.label_tag}}{{form.chief_complaint}}{{form.chief_complaint.errors}}
{{form.memo.label_tag}}{{form.memo}}{{form.memo.errors}}