-
Notifications
You must be signed in to change notification settings - Fork 3
/
q1.html
184 lines (145 loc) · 9.47 KB
/
q1.html
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
<!DOCTYPE html>
<!-- saved from url=(0063)https://www.registertovote.service.gov.uk/register-to-vote/name -->
<html lang="en"><!--<![endif]--><head><meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<title>
Enter Patient ID number
</title>
<script type="text/javascript">
(function(){if(navigator.userAgent.match(/IEMobile\/10\.0/)){var d=document,c="appendChild",a=d.createElement("style");a[c](d.createTextNode("@-ms-viewport{width:auto!important}"));d.getElementsByTagName("head")[0][c](a);}})();
</script>
<!--[if gt IE 8]><!--><link href="./gov-uk-files/govuk-template.css" media="screen" rel="stylesheet" type="text/css"><!--<![endif]-->
<!--[if IE 6]><link href="https://assets.registertovote.service.gov.uk/assets/d530da8d6263992e9a60e8558776c1b251b60165/template/stylesheets/govuk-template-ie6.css" media="screen" rel="stylesheet" type="text/css" /><![endif]-->
<!--[if IE 7]><link href="https://assets.registertovote.service.gov.uk/assets/d530da8d6263992e9a60e8558776c1b251b60165/template/stylesheets/govuk-template-ie7.css" media="screen" rel="stylesheet" type="text/css" /><![endif]-->
<!--[if IE 8]><link href="https://assets.registertovote.service.gov.uk/assets/d530da8d6263992e9a60e8558776c1b251b60165/template/stylesheets/govuk-template-ie8.css" media="screen" rel="stylesheet" type="text/css" /><![endif]-->
<link href="./gov-uk-files/govuk-template-print.css" media="print" rel="stylesheet" type="text/css">
<!--[if IE 8]>
<script type="text/javascript">
(function(){if(window.opera){return;}
setTimeout(function(){var a=document,g,b={families:(g=
["nta"]),urls:["https://assets.registertovote.service.gov.uk/assets/d530da8d6263992e9a60e8558776c1b251b60165/template/stylesheets/fonts-ie8.css"]},
c="https://assets.registertovote.service.gov.uk/assets/d530da8d6263992e9a60e8558776c1b251b60165/template/javascripts/vendor/goog/webfont-debug.js",d="script",
e=a.createElement(d),f=a.getElementsByTagName(d)[0],h=g.length;WebFontConfig
={custom:b},e.src=c,f.parentNode.insertBefore(e,f);for(;h=h-1;a.documentElement
.className+=' wf-'+g[h].replace(/\s/g,'').toLowerCase()+'-n4-loading');},0)
})()
</script>
<![endif]-->
<!--[if gte IE 9]><!-->
<link href="./gov-uk-files/fonts.css" media="all" rel="stylesheet" type="text/css">
<!--<![endif]-->
<!--[if lt IE 9]>
<script src="https://assets.registertovote.service.gov.uk/assets/d530da8d6263992e9a60e8558776c1b251b60165/template/javascripts/ie.js" type="text/javascript"></script>
<![endif]-->
<link rel="shortcut icon" href="https://assets.registertovote.service.gov.uk/assets/d530da8d6263992e9a60e8558776c1b251b60165/template/images/favicon.ico" type="image/x-icon">
<!-- For third-generation iPad with high-resolution Retina display: -->
<link rel="apple-touch-icon-precomposed" sizes="144x144" href="https://assets.registertovote.service.gov.uk/assets/d530da8d6263992e9a60e8558776c1b251b60165/template/images/apple-touch-icon-144x144.png">
<!-- For iPhone with high-resolution Retina display: -->
<link rel="apple-touch-icon-precomposed" sizes="114x114" href="https://assets.registertovote.service.gov.uk/assets/d530da8d6263992e9a60e8558776c1b251b60165/template/images/apple-touch-icon-114x114.png">
<!-- For first- and second-generation iPad: -->
<link rel="apple-touch-icon-precomposed" sizes="72x72" href="https://assets.registertovote.service.gov.uk/assets/d530da8d6263992e9a60e8558776c1b251b60165/template/images/apple-touch-icon-72x72.png">
<!-- For non-Retina iPhone, iPod Touch, and Android 2.1+ devices: -->
<link rel="apple-touch-icon-precomposed" href="https://assets.registertovote.service.gov.uk/assets/d530da8d6263992e9a60e8558776c1b251b60165/template/images/apple-touch-icon-57x57.png">
<meta name="viewport" content="width=device-width, initial-scale=1">
<meta property="og:image" content="https://assets.registertovote.service.gov.uk/assets/d530da8d6263992e9a60e8558776c1b251b60165/template/images/opengraph-image.png">
<!--[if gt IE 8]><!--><link href="./gov-uk-files/application.css" media="screen" rel="stylesheet" type="text/css"><!--<![endif]-->
<!--[if IE 6]><link href="https://assets.registertovote.service.gov.uk/assets/d530da8d6263992e9a60e8558776c1b251b60165/stylesheets/application-ie6.css" media="screen" rel="stylesheet" type="text/css" /><![endif]-->
<!--[if IE 7]><link href="https://assets.registertovote.service.gov.uk/assets/d530da8d6263992e9a60e8558776c1b251b60165/stylesheets/application-ie7.css" media="screen" rel="stylesheet" type="text/css" /><![endif]-->
<!--[if IE 8]><link href="https://assets.registertovote.service.gov.uk/assets/d530da8d6263992e9a60e8558776c1b251b60165/stylesheets/application-ie8.css" media="screen" rel="stylesheet" type="text/css" /><![endif]-->
<link href="./gov-uk-files/print.css" media="print" rel="stylesheet" type="text/css">
<link href="./marys-custom/marys.css" media="screen" rel="stylesheet" type="text/css">
</head>
<body class="js-enabled">
<script type="text/javascript">document.body.className = ((document.body.className) ? document.body.className + ' js-enabled' : 'js-enabled');</script>
<div id="skiplink-container">
<div>
<a href="https://www.registertovote.service.gov.uk/register-to-vote/name#content" class="skiplink">Skip to main content</a>
</div>
</div>
<header role="banner" id="global-header" class="with-proposition">
<div class="header-wrapper">
<div class="header-global">
<div class="header-logo">
<a href="q1.html" title="Go to the GOV.UK homepage" id="logo" class="content">
<img src="./marys-custom/checklist-on-white.png" width="35" height="31" alt=""> Ward watcher
</a>
</div>
</div>
<div class="header-proposition">
<div class="content">
<nav id="proposition-menu">
<a href="q1.html" id="proposition-name">
Adverse events reporting
</a>
</nav>
</div>
</div>
</div>
</header>
<!--end header-->
<div id="global-header-bar">
<div class="inner-block">
<div class="header-bar"></div>
</div>
</div>
<!--end global-header-bar-->
<main id="content" class="">
<form action="q2.html" method="GET">
<header class="question-one">
<p>Question 1</p>
<h1>What would you like to report?</h1>
</header>
<fieldset class="validate " data-validation-name="country" data-validation-type="fieldset" data-validation-rules="atLeastOneNonEmpty" data-validation-children="england scotland wales northernIreland britishIslands abroad">
<label for="medical_complications" class="selectable">
<input type="radio" id="medical_complications" name="country.residence" value="medical complications" class="radio validate" data-validation-name="england" data-validation-type="field" data-validation-rules="nonEmpty">
Medical complications
</label>
<label for="healthcare_process_problems" class="selectable">
<input type="radio" id="healthcare_process_problems" name="country.residence" value="Healthcare process problems" class="radio validate" data-validation-name="scotland" data-validation-type="field" data-validation-rules="nonEmpty">
Healthcare process problems
</label>
<label for="medication_related_problems" class="selectable">
<input type="radio" id="medication_related_problems" name="country.residence" value="Medication-related problems" class="radio validate" data-validation-name="wales" data-validation-type="field" data-validation-rules="nonEmpty">
Medication-related problems
</label>
<label for="interpersonal_problems" class="selectable">
<input type="radio" id="interpersonal_problems" name="country.residence" value="Interpersonal problems" class="radio validate" data-validation-name="northernIreland" data-validation-type="field" data-validation-rules="nonEmpty">
Interpersonal problems
</label>
</fieldset>
<button type="submit" id="continue" class="button next validation-submit" data-validation-sources="country">
Continue
</button>
</form>
</main>
<footer class="group js-footer" id="footer" role="contentinfo">
<div class="footer-wrapper">
<div class="footer-meta">
<div>
<h2 class="visuallyhidden">
Support links
</h2>
<p>
© copyright
<a href="http://sastrugisoftware.com/">
Sastrugi Software
</a>
</p>
</div>
</div>
</div>
</footer>
<!--end footer-->
<div id="global-app-error" class="app-error hidden"></div>
<script src="./gov-uk-files/govuk-template.js" type="text/javascript"></script>
<script src="./gov-uk-files/cache-busting.js"></script>
<script src="./gov-uk-files/jquery-1.10.1.min.js"></script>
<script src="./gov-uk-files/mustache.js"></script>
<script src="./gov-uk-files/typeahead.js"></script>
<script src="./gov-uk-files/core.js"></script>
<script src="./gov-uk-files/countries.js"></script>
<script src="./gov-uk-files/messages.js"></script>
<script src="./gov-uk-files/validation.js"></script>
<script src="./gov-uk-files/forms.js"></script>
<script src="./gov-uk-files/onready.js"></script>
<script src="./gov-uk-files/local-fix.js"></script>
</body></html>