@{{ form_title }}

@{{field.name}} @{{field.name}} *

Min: @{{field.input.min_number.value}}

@{{field.input.value ? field.input.value.toString().length : 0}} / @{{field.input.max_number.value || 'No limit'}}

Min: @{{field.input.min_characters.value}}

@{{field.input.value ? field.input.value.length : 0}} / @{{field.input.max_characters.value || 'No limit'}}

Select a user below or type to search all users

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House Number / Building Name

Street Address

Locality / Town

Post Code

Don't know

@{{(o.label == '') || (o.label == undefined) ? o.val : o.label}}

@{{o.example_title}}

No Information found

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No Information found

Type to search (e.g. typing 'Amox 500 caps' will display 'Amoxicillin 500mg capsules')

Search manufacturers for this medicine (e.g., type 'GSK') *

Please enter the manufacturer name

Then select the relevant product from the list.

Or specify other

Name	Value	Actions
Medicine @{{ $index + 1 }}	@{{ record.vtm.vtm_string }} @{{ record.vmp.vp_string }} @{{ record.other }} \| \|

No Information found

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No Information found

Upload Files

Uploading Files

@{{ upload.name }} (@{{ (upload.size / 1024).toFixed(2) }} KB)

@{{ upload.status === 'uploading' ? upload.progress + '%' : upload.status === 'error' ? 'Error: ' + upload.error : upload.status === 'success' ? 'Upload complete!' : 'Waiting...' }}

Uploaded Files

@{{ file.name }}

@{{ (file.size / 1024).toFixed(2) }} KB

@{{field.input.validation_error}}

@{{field.input.error.msg}}

The answers you provided are shown below. Please check your answers before submitting.

@{{ preview_item.formatted_summary_label }}

Change

@{{ event_type == 2 ? 'What was the date of the Good Care?' : 'What was the date of Incident?' }}

@{{ form.today | date: 'dd MMM yyyy' }}

Change

@{{ event_type == 2 ? 'Good care location' : 'Which organisation did the incident happen in?' }}

@{{ form.ods }}

Change

What was the time of the incident?

I don't know

Change

@{{ form.task_list.tasks[code].title }}

@{{ preview_item.formatted_summary_label }}

Patient @{{ $index + 1 }}

Update | Remove

@{{ field.label }}

@{{ field.value }} @{{ getDisplayValue(ageRanges, field.value) }} @{{ getDisplayValue(genders, field.value) }} @{{ getDisplayValue(ethnicities, field.value) }} @{{ getDisplayValue(physicalHarmLevels, field.value) }} @{{ getDisplayValue(psychologicalHarmLevels, field.value) }} @{{ getDisplayValue(outcomeRanges, field.value) }} @{{ getDisplayValue(genderIdentity, field.value) }} @{{ field.value }}

@{{form.main_section == undefined || form.main_section == '' ? "Mandatory Questions" : form.main_section}}

Completed

@{{form.task_list.tasks[taskId].title}}

Click here to complete

Completed

@{{form.task_list.tasks[code].title}}

Click here to complete

Completed

Patient @{{ $index + 1 }}

@{{ p.sex }}

@{{ p.age }}

Update

Remove

Was another patient involved in the incident?

If the event you are recording affects 10 or more patients, please record only the single most severe actual or anticipated harm here, and provide fuller details of the event's impact within the free text field labelled "Describe what happened"

Yes
No

Please select an option before continuing.

@{{ error_msg }}

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