Summary Table

Categories Total Count
PII 0
URL 0
DNS 0
EKL 0
IP 0
PORT 0
VsID 0
CF 0
AI 0
VPD 0
PL 0
Other 0

File Content

<div class="medications evaluation-page" scroll-indicator ng-swipe-left="swipeLeft()" ng-swipe-right="swipeRight()" ng-swipe-disable-mouse>
<div class="evaluation-content">
<p>Which types of treatment are you using for your skin problem(s)? Select all that apply. You will provide details on the next screen.</p>

<form name="medicationSelectionForm" novalidate="novalidate" error-handling="errorHandling">
<validation-summary></validation-summary>
<div class="full-button-wrapper">
<div ng-repeat="medType in medTypes">
<button class="btn btn-default" id="{{medType}}-btn" ng-click="setMedTypes(medType)" ng-class="{active: isSelected(medType)}" role="checkbox" aria-checked="{{isSelected(medType)}}" aria-label="{{medType + ' Medication (e.g. ' + medExamples[medType] + ')'}}">
<span class="glyphicon" ng-class="[{'glyphicon-check': isSelected('{{medType}}')}, {'glyphicon-unchecked': !isSelected('{{medType}}')}]"></span>
{{toTitleCase(medType)}} Medication (e.g. {{medExamples[medType]}})
</button>
</div>
<button class="btn btn-default" id="OTHER-btn" ng-click="setMedTypes('OTHER')" ng-class="{active: isSelected('OTHER')}" role="checkbox" aria-checked="{{isSelected('OTHER')}}" aria-label="{{'OTHER Medication'}}">
<span class="glyphicon" ng-class="[{'glyphicon-check': isSelected('OTHER')}, {'glyphicon-unchecked': !isSelected('OTHER')}]"></span>Other Medication
</button>

<div ng-if="isSelected('OTHER')">
<p required-field is-required="true" class="required-text pull-right">required field</p>
<input-text ng-id="other-medication" name="otherMedication" label="Other Medication Details" ng-required="true" use-text-area="true" maxlength="250" ng-model="evaluation.otherMedication" character-counter='true' />
</div>
</div>
</form>
</div>
</div>
<progress-bar previous="previous()" next="next()" />