{% extends "base.html" %} {% block head %} {% endblock %} {% block title %} Treatment Form {% endblock %} {% block content %} {% if object %}
{{object.patient.name}}
病床號 {{ form.bed }} {% if form.bed.errors %}{{ form.bed.errors }}{% endif %}
ICD9診斷 {% if form.icd9.errors %}*** {{ form.icd9.errors|join:", " }}{% endif %}
其他診斷 {{ form.other_diagnosis }} {% if form.other_diagnosis.errors %}{{ form.other_diagnosis.errors }}{% endif %}
Date started {% if form.date_started.errors %}{{ form.date_started.errors }}{% endif %}
Date completed {% if form.date_completed.errors %}{{ form.date_completed.errors }}{% endif %}
Tracking Mode {{ form.tracking_mode }} {% if form.tracking_mode.errors %}{{ form.tracking_mode.errors }}{% endif %}
轉介醫師 {{ form.referral }} {% if form.referral.errors %}{{ form.referral.errors }}{% endif %}
Oncologist {{ form.oncologist }} {% if form.oncologist.errors %}{{ form.oncologist.errors }}{% endif %}
Surgeon {{ form.surgeon }} {% if form.surgeon.errors %}{{ form.surgeon.errors }}{% endif %}
記帳別 {{ form.accounting }} {% if form.accounting.errors %}{{ form.accounting.errors }}{% endif %}
Karnofsky Score {{ form.karnofsky_score }} {% if form.karnofsky_score.errors %}{{ form.karnofsky_score.errors }}{% endif %}
Disease Stage {{ form.disease_stage }} {% if form.disease_stage.errors %}{{ form.disease_stage.errors }}{% endif %}
Primary Tumor Site {{ form.primary_tumor_site }} {% if form.primary_tumor_site.errors %}{{ form.primary_tumor_site.errors }}{% endif %}
已 {{ form.input }} {% if form.input.errors %}{{ form.input.errors }}{% endif %}
待 {{ form.output }} {% if form.output.errors %}{{ form.output.errors }}{% endif %}
併發症 {{ form.complications }} {% if form.complications.errors %}{{ form.complications.errors }}{% endif %}
Chief complaint {{ form.chief_complaint }} {% if form.chief_complaint.errors %}{{ form.chief_complaint.errors }}{% endif %}
Memo {{ form.memo }} {% if form.memo.errors %}{{ form.memo.errors }}{% endif %}