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- <div moe normal>
- <a start show href="#" class="text-primary">+Create</a>
- <form url="/api/testResult/create">
- <input type="hidden" name="orderUid" value="{{ $order->uid }}">
- <div class="mb-2">
- <label>Test Name</label>
- <input type="text" name="testName" class="form-control form-control-sm" value="" />
- </div>
- <div class="mb-2">
- <label>Result Category</label>
- <select name="resultCategory" class="form-control form-control-sm">
- <option></option>
- <option value="Normal">Normal</option>
- <option value="Abnormal">Abnormal</option>
- <option value="Not Detected">Not Detected</option>
- </select>
- </div>
- <div class="mb-2">
- <label>Result Color</label>
- <select name="resultColor" class="form-control form-control-sm">
- <option></option>
- <option value="GREEN">Green</option>
- <option value="RED">Red</option>
- </select>
- </div>
- <div class="mb-2">
- <label>Numeric Value and Units</label>
- <input type="text" name="numericValueAndUnits" class="form-control form-control-sm" value="" />
- </div>
- <div class="mb-2">
- <label>Numeric Value Label</label>
- <input type="text" name="numericValueLabel" class="form-control form-control-sm" value="" />
- </div>
- <div class="mb-2">
- <label>Numeric Value Memo</label>
- <input type="text" name="numericValueMemo" class="form-control form-control-sm" value="" />
- </div>
- <div class="mb-2">
- <label>Commentary</label>
- <input type="text" name="commentary" class="form-control form-control-sm" value="" />
- </div>
- <div>
- <button submit class="btn btn-sm btn-primary me-2">Create</button>
- <button cancel class="btn btn-sm btn-default border">Cancel</button>
- </div>
- </form>
- </div>
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