trial_autonotecontrolnum_1 | descript | controltype | controllabel | controloptions |
|---|---|---|---|---|
| 1 | Medications | MultiResponse | Medications | * TRIAL * TRIAL * TRIAL * TRIA |
| 2 | Allergies | MultiResponse | Allergies | * TRIAL * TRIAL * TRIAL * TRIAL * TRIAL * |
| 3 | BP Pulse | Text | * TRIAL | * TRIAL * TRIAL * TRI |
| 4 | Chief Complaint | MultiResponse | Enter Chief Complaint | * TRIAL * TRIAL * TRIAL |
| 5 | * TRI | OneResponse | * TRI | 1 2 3 4 5 6 7 8 9 10 11 12 |
| 6 | * TRIAL * | MultiResponse | Materials | Amalgam Composite L=Pop Curing Light Dycal Wedges Tofflelmire Clear Matrix Stripes |
| 7 | * TRIAL * TRIA | Text | PO Instruction | Do not chew on side where amalgam filling was placed for 24 hrs Possible sensitivity to hot and cold for up to 2 yrs |
| 8 | Anesth | MultiResponse | Anesth | Lido 1:100,000 / manf Septo Carbo Meprivo Topical |
| 9 | Anesthesia | * TRIAL * TRI | Anesthesia | * TRIAL * T |
| 10 | Assess | Text | Assess | |
| 11 | Color | * TRIAL * T | Color | * TRIAL |
| 12 | Deviation | OneResponse | Deviation | Left Right None |
| 13 | Extraoral | MultiResponse | Extraoral | Asymmetry Swelling Erythema Pain Parathesia TMJ |
| 14 | Impression | * TRIAL * T | Impression | * TRIAL * TRIAL * |
| 15 | * TRIAL * | MultiResponse | Intraoral | * TRIAL * TRIAL * TRIAL * TRIAL * TRIAL * TRIAL * TRIAL * TRIAL * |
| 16 | Left Muscle | OneResponse | * TRIAL * T | + ++ +++ |
| 17 | Pain | MultiResponse | Pain | High Low Sharp Throbbing |
| 18 | Patient Response | * TRIAL * TRI | * TRIAL * TRIAL | * TRIAL * TRIAL * |
| 19 | * TR | * TR | * TR | |
| 20 | Quad | MultiResponse | * TR | UR LR UL LL |
| 21 | * TRIAL * | * TRIAL * TRI | * TRIAL * | PA BWX FMX Pano |
| 22 | Responsible party | MultiResponse | Who is legally responsible | * TRIAL * TRIAL * TRIAL * TRIAL * TRIAL * |
| 23 | Right Muscle | OneResponse | Right Muscle | * TRIAL * |
| 24 | Shade | * TR | Shade | |
| 25 | Temp Cement | OneResponse | * TRIA | Blockout Embonte Fregenol Fuji TempBond |
| 26 | Tooth | Text | * TRI | |
| 27 | Vitals | Text | Vitals | * TRIAL * TRIAL * TRIAL * TRIA |
| 28 | Materials_1 | MultiResponse | Materials | Amalgam Composite L=Pop Curing Light Dycal Wedges Tofflelmire Clear Matrix Stripes |
| 29 | Responsible party_1 | MultiResponse | Who is legally responsible | Patient Parent Legal guardian Caretaker |