freemedforms-emr-resources 0.9.4-1 / usr / share / freemedforms / forms / subforms / cardiology / riskfactors / html / xx / padtools_print_export_mask.html

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<html>
<body>
<style type="text/css">
.__cvrf__formContent {
  font-size: 12pt;
  color: black;
  border: 2px solid gray;
}

.__cvrf__formContent .formHeader {
}

.__cvrf__formContent .formLabel {
  font-weight: 600;
  text-transform: uppercase;
  background-color: gray;/* #6d8526; #7f9a2c #6d8526 #A7C942*/
  color: white;
  padding: 2px;
  text-align: center;
}

.__cvrf__formContent .episodeHeader {
  margin: 0 2em 0 0;
  padding: 0px;
}

.__cvrf__formContent .episodeContent {
  margin-left: 3em;
}

.__cvrf__formContent .episodeLabel {
  font-weight: 600;
  /* text-transform: uppercase;
  background-color: gray;
  color: white; */
  padding: 5px;
  margin-bottom: 0.2em;
}

.__cvrf__formContent .episodeUserCreator {
  font-size: 9pt;
  color: gray;
  margin-left: 1em;
}

.__cvrf__formContent .episodeUserDate {
  font-size: 9pt;
  color: gray;
  margin-left: 1em;
}

.__cvrf__formContent .textContainer {
  font-size: 12pt;
  color: black;
}

.__cvrf__formContent .textContainer #textContent {
}

.__cvrf__formContent ul {
  list-style-type:none;
  padding:0px;
  margin-left:10px;
}
</style>

<div class="__cvrf__formContent">

    <div class="formHeader">
        <div class="formLabel">[[EpisodeFullFormLabel]]</div>
    </div> <!-- formHeader -->

    <div class="episodeHeader">
        [<div class="episodeLabel">[EpisodeUserLabel] </div> ]
        [<span class="episodeUserCreator">[EpisodeUserName.createdBy]</span>]
        [&nbsp;<span class="episodeUserDate">[EpisodeUserDate]</span>]
    </div> <!-- episodeHeader -->

    <div class="episodeContent">
        <div class="textContainer">
            <div id="textContent">
            <ul>
            {{<li>~Form.Data.Print.Subs::Cardiology::RiskFactors::Modifiable::PhysicalInactivity~</li>}}
            {{<li>~Form.Data.Print.Subs::Cardiology::RiskFactors::Modifiable::FamilyHistory~</li>}}
            {{<li>~Form.Data.Print.Subs::Cardiology::RiskFactors::Modifiable::Stress~</li>}}
            {{<li>~Form.Data.Print.Subs::Cardiology::RiskFactors::Modifiable::Obesity~</li>}}
            {{<li>~Form.Data.Print.Subs::Cardiology::RiskFactors::Modifiable::Smoking~</li>}}
            {{<li>~Form.Data.Print.Subs::Cardiology::RiskFactors::Modifiable::Diet~</li>}}
            {{<li>~Form.Data.Print.Subs::Cardiology::RiskFactors::Modifiable::Cholesterol~</li>}}
            {{<li>~Form.Data.Print.Subs::Cardiology::RiskFactors::Modifiable::Hypertension~</li>}}
            {{<li>~Form.Data.Print.Subs::Cardiology::RiskFactors::Modifiable::Diabetes~</li>}}
            </ul>
            </div>
        </div> <!-- textContainer -->
    </div> <!-- episodeContent -->

</div> <!-- __cvrf__formContent -->

</body>
</html>

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