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Created July 25, 2009 04:07
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gistfile1.htm
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01//EN" "http://www.w3.org/TR/html4/strict.dtd"><html><head><link rel="shortcut icon" href="http://www.google.com/images/spreadsheets/forms/favicon.ico" type="image/x-icon">
<meta http-equiv="Content-type" content="text/html; charset=utf-8">
<title>FHSIS</title>
<script>
/*
* jQuery JavaScript Library v1.3.2
* http://jquery.com/
*
* Copyright (c) 2009 John Resig
* Dual licensed under the MIT and GPL licenses.
* http://docs.jquery.com/License
*
* Date: 2009-02-19 17:34:21 -0500 (Thu, 19 Feb 2009)
* Revision: 6246
*/
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J=this[0],G=J.offsetParent,F=J,O=J.ownerDocument,M,H=O.documentElement,K=O.body,L=O.defaultView,E=L.getComputedStyle(J,null),N=J.offsetTop,I=J.offsetLeft;while((J=J.parentNode)&&J!==K&&J!==H){M=L.getComputedStyle(J,null);N-=J.scrollTop,I-=J.scrollLeft;if(J===G){N+=J.offsetTop,I+=J.offsetLeft;if(o.offset.doesNotAddBorder&&!(o.offset.doesAddBorderForTableAndCells&&/^t(able|d|h)$/i.test(J.tagName))){N+=parseInt(M.borderTopWidth,10)||0,I+=parseInt(M.borderLeftWidth,10)||0}F=G,G=J.offsetParent}if(o.offset.subtractsBorderForOverflowNotVisible&&M.overflow!=="visible"){N+=parseInt(M.borderTopWidth,10)||0,I+=parseInt(M.borderLeftWidth,10)||0}E=M}if(E.position==="relative"||E.position==="static"){N+=K.offsetTop,I+=K.offsetLeft}if(E.position==="fixed"){N+=Math.max(H.scrollTop,K.scrollTop),I+=Math.max(H.scrollLeft,K.scrollLeft)}return{top:N,left:I}}}o.offset={initialize:function(){if(this.initialized){return}var L=document.body,F=document.createElement("div"),H,G,N,I,M,E,J=L.style.marginTop,K='<div style="position:absolute;top:0;left:0;margin:0;border:5px solid #000;padding:0;width:1px;height:1px;"><div></div></div><table style="position:absolute;top:0;left:0;margin:0;border:5px solid #000;padding:0;width:1px;height:1px;" cellpadding="0" cellspacing="0"><tr><td></td></tr></table>';M={position:"absolute",top:0,left:0,margin:0,border:0,width:"1px",height:"1px",visibility:"hidden"};for(E in M){F.style[E]=M[E]}F.innerHTML=K;L.insertBefore(F,L.firstChild);H=F.firstChild,G=H.firstChild,I=H.nextSibling.firstChild.firstChild;this.doesNotAddBorder=(G.offsetTop!==5);this.doesAddBorderForTableAndCells=(I.offsetTop===5);H.style.overflow="hidden",H.style.position="relative";this.subtractsBorderForOverflowNotVisible=(G.offsetTop===-5);L.style.marginTop="1px";this.doesNotIncludeMarginInBodyOffset=(L.offsetTop===0);L.style.marginTop=J;L.removeChild(F);this.initialized=true},bodyOffset:function(E){o.offset.initialized||o.offset.initialize();var G=E.offsetTop,F=E.offsetLeft;if(o.offset.doesNotIncludeMarginInBodyOffset){G+=parseInt(o.curCSS(E,"marginTop",true),10)||0,F+=parseInt(o.curCSS(E,"marginLeft",true),10)||0}return{top:G,left:F}}};o.fn.extend({position:function(){var I=0,H=0,F;if(this[0]){var G=this.offsetParent(),J=this.offset(),E=/^body|html$/i.test(G[0].tagName)?{top:0,left:0}:G.offset();J.top-=j(this,"marginTop");J.left-=j(this,"marginLeft");E.top+=j(G,"borderTopWidth");E.left+=j(G,"borderLeftWidth");F={top:J.top-E.top,left:J.left-E.left}}return F},offsetParent:function(){var E=this[0].offsetParent||document.body;while(E&&(!/^body|html$/i.test(E.tagName)&&o.css(E,"position")=="static")){E=E.offsetParent}return o(E)}});o.each(["Left","Top"],function(F,E){var G="scroll"+E;o.fn[G]=function(H){if(!this[0]){return null}return H!==g?this.each(function(){this==l||this==document?l.scrollTo(!F?H:o(l).scrollLeft(),F?H:o(l).scrollTop()):this[G]=H}):this[0]==l||this[0]==document?self[F?"pageYOffset":"pageXOffset"]||o.boxModel&&document.documentElement[G]||document.body[G]:this[0][G]}});o.each(["Height","Width"],function(I,G){var E=I?"Left":"Top",H=I?"Right":"Bottom",F=G.toLowerCase();o.fn["inner"+G]=function(){return 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/*
* jQuery validation plug-in 1.5.5
*
* http://bassistance.de/jquery-plugins/jquery-plugin-validation/
* http://docs.jquery.com/Plugins/Validation
*
* Copyright (c) 2006 - 2008 Jörn Zaefferer
*
* $Id: jquery.validate.js 6403 2009-06-17 14:27:16Z joern.zaefferer $
*
* Dual licensed under the MIT and GPL licenses:
* http://www.opensource.org/licenses/mit-license.php
* http://www.gnu.org/licenses/gpl.html
*/
(function($){$.extend($.fn,{validate:function(options){if(!this.length){options&&options.debug&&window.console&&console.warn("nothing selected, can't validate, returning nothing");return;}var validator=$.data(this[0],'validator');if(validator){return validator;}validator=new $.validator(options,this[0]);$.data(this[0],'validator',validator);if(validator.settings.onsubmit){this.find("input, button").filter(".cancel").click(function(){validator.cancelSubmit=true;});if(validator.settings.submitHandler){this.find("input, button").filter(":submit").click(function(){validator.submitButton=this;});}this.submit(function(event){if(validator.settings.debug)event.preventDefault();function handle(){if(validator.settings.submitHandler){if(validator.submitButton){var hidden=$("<input type='hidden'/>").attr("name",validator.submitButton.name).val(validator.submitButton.value).appendTo(validator.currentForm);}validator.settings.submitHandler.call(validator,validator.currentForm);if(validator.submitButton){hidden.remove();}return false;}return true;}if(validator.cancelSubmit){validator.cancelSubmit=false;return handle();}if(validator.form()){if(validator.pendingRequest){validator.formSubmitted=true;return false;}return handle();}else{validator.focusInvalid();return false;}});}return validator;},valid:function(){if($(this[0]).is('form')){return this.validate().form();}else{var valid=true;var validator=$(this[0].form).validate();this.each(function(){valid&=validator.element(this);});return valid;}},removeAttrs:function(attributes){var result={},$element=this;$.each(attributes.split(/\s/),function(index,value){result[value]=$element.attr(value);$element.removeAttr(value);});return result;},rules:function(command,argument){var element=this[0];if(command){var settings=$.data(element.form,'validator').settings;var staticRules=settings.rules;var existingRules=$.validator.staticRules(element);switch(command){case"add":$.extend(existingRules,$.validator.normalizeRule(argument));staticRules[element.name]=existingRules;if(argument.messages)settings.messages[element.name]=$.extend(settings.messages[element.name],argument.messages);break;case"remove":if(!argument){delete staticRules[element.name];return existingRules;}var filtered={};$.each(argument.split(/\s/),function(index,method){filtered[method]=existingRules[method];delete existingRules[method];});return filtered;}}var data=$.validator.normalizeRules($.extend({},$.validator.metadataRules(element),$.validator.classRules(element),$.validator.attributeRules(element),$.validator.staticRules(element)),element);if(data.required){var param=data.required;delete data.required;data=$.extend({required:param},data);}return data;}});$.extend($.expr[":"],{blank:function(a){return!$.trim(a.value);},filled:function(a){return!!$.trim(a.value);},unchecked:function(a){return!a.checked;}});$.validator=function(options,form){this.settings=$.extend({},$.validator.defaults,options);this.currentForm=form;this.init();};$.validator.format=function(source,params){if(arguments.length==1)return function(){var args=$.makeArray(arguments);args.unshift(source);return $.validator.format.apply(this,args);};if(arguments.length>2&&params.constructor!=Array){params=$.makeArray(arguments).slice(1);}if(params.constructor!=Array){params=[params];}$.each(params,function(i,n){source=source.replace(new RegExp("\\{"+i+"\\}","g"),n);});return source;};$.extend($.validator,{defaults:{messages:{},groups:{},rules:{},errorClass:"error",validClass:"valid",errorElement:"label",focusInvalid:true,errorContainer:$([]),errorLabelContainer:$([]),onsubmit:true,ignore:[],ignoreTitle:false,onfocusin:function(element){this.lastActive=element;if(this.settings.focusCleanup&&!this.blockFocusCleanup){this.settings.unhighlight&&this.settings.unhighlight.call(this,element,this.settings.errorClass,this.settings.validClass);this.errorsFor(element).hide();}},onfocusout:function(element){if(!this.checkable(element)&&(element.name in this.submitted||!this.optional(element))){this.element(element);}},onkeyup:function(element){if(element.name in this.submitted||element==this.lastElement){this.element(element);}},onclick:function(element){if(element.name in this.submitted)this.element(element);},highlight:function(element,errorClass,validClass){$(element).addClass(errorClass).removeClass(validClass);},unhighlight:function(element,errorClass,validClass){$(element).removeClass(errorClass).addClass(validClass);}},setDefaults:function(settings){$.extend($.validator.defaults,settings);},messages:{required:"This field is required.",remote:"Please fix this field.",email:"Please enter a valid email address.",url:"Please enter a valid URL.",date:"Please enter a valid date.",dateISO:"Please enter a valid date (ISO).",dateDE:"Bitte geben Sie ein gültiges Datum ein.",number:"Please enter a valid number.",numberDE:"Bitte geben Sie eine Nummer ein.",digits:"Please enter only digits",creditcard:"Please enter a valid credit card number.",equalTo:"Please enter the same value again.",accept:"Please enter a value with a valid extension.",maxlength:$.validator.format("Please enter no more than {0} characters."),minlength:$.validator.format("Please enter at least {0} characters."),rangelength:$.validator.format("Please enter a value between {0} and {1} characters long."),range:$.validator.format("Please enter a value between {0} and {1}."),max:$.validator.format("Please enter a value less than or equal to {0}."),min:$.validator.format("Please enter a value greater than or equal to {0}.")},autoCreateRanges:false,prototype:{init:function(){this.labelContainer=$(this.settings.errorLabelContainer);this.errorContext=this.labelContainer.length&&this.labelContainer||$(this.currentForm);this.containers=$(this.settings.errorContainer).add(this.settings.errorLabelContainer);this.submitted={};this.valueCache={};this.pendingRequest=0;this.pending={};this.invalid={};this.reset();var groups=(this.groups={});$.each(this.settings.groups,function(key,value){$.each(value.split(/\s/),function(index,name){groups[name]=key;});});var rules=this.settings.rules;$.each(rules,function(key,value){rules[key]=$.validator.normalizeRule(value);});function delegate(event){var validator=$.data(this[0].form,"validator");validator.settings["on"+event.type]&&validator.settings["on"+event.type].call(validator,this[0]);}$(this.currentForm).delegate("focusin focusout keyup",":text, :password, :file, select, textarea",delegate).delegate("click",":radio, :checkbox",delegate);if(this.settings.invalidHandler)$(this.currentForm).bind("invalid-form.validate",this.settings.invalidHandler);},form:function(){this.checkForm();$.extend(this.submitted,this.errorMap);this.invalid=$.extend({},this.errorMap);if(!this.valid())$(this.currentForm).triggerHandler("invalid-form",[this]);this.showErrors();return this.valid();},checkForm:function(){this.prepareForm();for(var i=0,elements=(this.currentElements=this.elements());elements[i];i++){this.check(elements[i]);}return this.valid();},element:function(element){element=this.clean(element);this.lastElement=element;this.prepareElement(element);this.currentElements=$(element);var result=this.check(element);if(result){delete this.invalid[element.name];}else{this.invalid[element.name]=true;}if(!this.numberOfInvalids()){this.toHide=this.toHide.add(this.containers);}this.showErrors();return result;},showErrors:function(errors){if(errors){$.extend(this.errorMap,errors);this.errorList=[];for(var name in errors){this.errorList.push({message:errors[name],element:this.findByName(name)[0]});}this.successList=$.grep(this.successList,function(element){return!(element.name in errors);});}this.settings.showErrors?this.settings.showErrors.call(this,this.errorMap,this.errorList):this.defaultShowErrors();},resetForm:function(){if($.fn.resetForm)$(this.currentForm).resetForm();this.submitted={};this.prepareForm();this.hideErrors();this.elements().removeClass(this.settings.errorClass);},numberOfInvalids:function(){return this.objectLength(this.invalid);},objectLength:function(obj){var count=0;for(var i in obj)count++;return count;},hideErrors:function(){this.addWrapper(this.toHide).hide();},valid:function(){return this.size()==0;},size:function(){return this.errorList.length;},focusInvalid:function(){if(this.settings.focusInvalid){try{$(this.findLastActive()||this.errorList.length&&this.errorList[0].element||[]).filter(":visible").focus();}catch(e){}}},findLastActive:function(){var lastActive=this.lastActive;return lastActive&&$.grep(this.errorList,function(n){return n.element.name==lastActive.name;}).length==1&&lastActive;},elements:function(){var validator=this,rulesCache={};return $([]).add(this.currentForm.elements).filter(":input").not(":submit, :reset, :image, [disabled]").not(this.settings.ignore).filter(function(){!this.name&&validator.settings.debug&&window.console&&console.error("%o has no name assigned",this);if(this.name in rulesCache||!validator.objectLength($(this).rules()))return false;rulesCache[this.name]=true;return true;});},clean:function(selector){return $(selector)[0];},errors:function(){return $(this.settings.errorElement+"."+this.settings.errorClass,this.errorContext);},reset:function(){this.successList=[];this.errorList=[];this.errorMap={};this.toShow=$([]);this.toHide=$([]);this.formSubmitted=false;this.currentElements=$([]);},prepareForm:function(){this.reset();this.toHide=this.errors().add(this.containers);},prepareElement:function(element){this.reset();this.toHide=this.errorsFor(element);},check:function(element){element=this.clean(element);if(this.checkable(element)){element=this.findByName(element.name)[0];}var rules=$(element).rules();var dependencyMismatch=false;for(method in rules){var rule={method:method,parameters:rules[method]};try{var result=$.validator.methods[method].call(this,element.value.replace(/\r/g,""),element,rule.parameters);if(result=="dependency-mismatch"){dependencyMismatch=true;continue;}dependencyMismatch=false;if(result=="pending"){this.toHide=this.toHide.not(this.errorsFor(element));return;}if(!result){this.formatAndAdd(element,rule);return false;}}catch(e){this.settings.debug&&window.console&&console.log("exception occured when checking element "+element.id
+", check the '"+rule.method+"' method");throw e;}}if(dependencyMismatch)return;if(this.objectLength(rules))this.successList.push(element);return true;},customMetaMessage:function(element,method){if(!$.metadata)return;var meta=this.settings.meta?$(element).metadata()[this.settings.meta]:$(element).metadata();return meta&&meta.messages&&meta.messages[method];},customMessage:function(name,method){var m=this.settings.messages[name];return m&&(m.constructor==String?m:m[method]);},findDefined:function(){for(var i=0;i<arguments.length;i++){if(arguments[i]!==undefined)return arguments[i];}return undefined;},defaultMessage:function(element,method){return this.findDefined(this.customMessage(element.name,method),this.customMetaMessage(element,method),!this.settings.ignoreTitle&&element.title||undefined,$.validator.messages[method],"<strong>Warning: No message defined for "+element.name+"</strong>");},formatAndAdd:function(element,rule){var message=this.defaultMessage(element,rule.method);if(typeof message=="function")message=message.call(this,rule.parameters,element);this.errorList.push({message:message,element:element});this.errorMap[element.name]=message;this.submitted[element.name]=message;},addWrapper:function(toToggle){if(this.settings.wrapper)toToggle=toToggle.add(toToggle.parent(this.settings.wrapper));return toToggle;},defaultShowErrors:function(){for(var i=0;this.errorList[i];i++){var error=this.errorList[i];this.settings.highlight&&this.settings.highlight.call(this,error.element,this.settings.errorClass,this.settings.validClass);this.showLabel(error.element,error.message);}if(this.errorList.length){this.toShow=this.toShow.add(this.containers);}if(this.settings.success){for(var i=0;this.successList[i];i++){this.showLabel(this.successList[i]);}}if(this.settings.unhighlight){for(var i=0,elements=this.validElements();elements[i];i++){this.settings.unhighlight.call(this,elements[i],this.settings.errorClass,this.settings.validClass);}}this.toHide=this.toHide.not(this.toShow);this.hideErrors();this.addWrapper(this.toShow).show();},validElements:function(){return this.currentElements.not(this.invalidElements());},invalidElements:function(){return $(this.errorList).map(function(){return this.element;});},showLabel:function(element,message){var label=this.errorsFor(element);if(label.length){label.removeClass().addClass(this.settings.errorClass);label.attr("generated")&&label.html(message);}else{label=$("<"+this.settings.errorElement+"/>").attr({"for":this.idOrName(element),generated:true}).addClass(this.settings.errorClass).html(message||"");if(this.settings.wrapper){label=label.hide().show().wrap("<"+this.settings.wrapper+"/>").parent();}if(!this.labelContainer.append(label).length)this.settings.errorPlacement?this.settings.errorPlacement(label,$(element)):label.insertAfter(element);}if(!message&&this.settings.success){label.text("");typeof this.settings.success=="string"?label.addClass(this.settings.success):this.settings.success(label);}this.toShow=this.toShow.add(label);},errorsFor:function(element){return this.errors().filter("[for='"+this.idOrName(element)+"']");},idOrName:function(element){return this.groups[element.name]||(this.checkable(element)?element.name:element.id||element.name);},checkable:function(element){return/radio|checkbox/i.test(element.type);},findByName:function(name){var form=this.currentForm;return $(document.getElementsByName(name)).map(function(index,element){return element.form==form&&element.name==name&&element||null;});},getLength:function(value,element){switch(element.nodeName.toLowerCase()){case'select':return $("option:selected",element).length;case'input':if(this.checkable(element))return this.findByName(element.name).filter(':checked').length;}return value.length;},depend:function(param,element){return this.dependTypes[typeof param]?this.dependTypes[typeof param](param,element):true;},dependTypes:{"boolean":function(param,element){return param;},"string":function(param,element){return!!$(param,element.form).length;},"function":function(param,element){return param(element);}},optional:function(element){return!$.validator.methods.required.call(this,$.trim(element.value),element)&&"dependency-mismatch";},startRequest:function(element){if(!this.pending[element.name]){this.pendingRequest++;this.pending[element.name]=true;}},stopRequest:function(element,valid){this.pendingRequest--;if(this.pendingRequest<0)this.pendingRequest=0;delete this.pending[element.name];if(valid&&this.pendingRequest==0&&this.formSubmitted&&this.form()){$(this.currentForm).submit();}else if(!valid&&this.pendingRequest==0&&this.formSubmitted){$(this.currentForm).triggerHandler("invalid-form",[this]);}},previousValue:function(element){return $.data(element,"previousValue")||$.data(element,"previousValue",previous={old:null,valid:true,message:this.defaultMessage(element,"remote")});}},classRuleSettings:{required:{required:true},email:{email:true},url:{url:true},date:{date:true},dateISO:{dateISO:true},dateDE:{dateDE:true},number:{number:true},numberDE:{numberDE:true},digits:{digits:true},creditcard:{creditcard:true}},addClassRules:function(className,rules){className.constructor==String?this.classRuleSettings[className]=rules:$.extend(this.classRuleSettings,className);},classRules:function(element){var rules={};var classes=$(element).attr('class');classes&&$.each(classes.split(' '),function(){if(this in $.validator.classRuleSettings){$.extend(rules,$.validator.classRuleSettings[this]);}});return rules;},attributeRules:function(element){var rules={};var $element=$(element);for(method in $.validator.methods){var value=$element.attr(method);if(value){rules[method]=value;}}if(rules.maxlength&&/-1|2147483647|524288/.test(rules.maxlength)){delete rules.maxlength;}return rules;},metadataRules:function(element){if(!$.metadata)return{};var meta=$.data(element.form,'validator').settings.meta;return meta?$(element).metadata()[meta]:$(element).metadata();},staticRules:function(element){var rules={};var validator=$.data(element.form,'validator');if(validator.settings.rules){rules=$.validator.normalizeRule(validator.settings.rules[element.name])||{};}return rules;},normalizeRules:function(rules,element){$.each(rules,function(prop,val){if(val===false){delete rules[prop];return;}if(val.param||val.depends){var keepRule=true;switch(typeof val.depends){case"string":keepRule=!!$(val.depends,element.form).length;break;case"function":keepRule=val.depends.call(element,element);break;}if(keepRule){rules[prop]=val.param!==undefined?val.param:true;}else{delete rules[prop];}}});$.each(rules,function(rule,parameter){rules[rule]=$.isFunction(parameter)?parameter(element):parameter;});$.each(['minlength','maxlength','min','max'],function(){if(rules[this]){rules[this]=Number(rules[this]);}});$.each(['rangelength','range'],function(){if(rules[this]){rules[this]=[Number(rules[this][0]),Number(rules[this][1])];}});if($.validator.autoCreateRanges){if(rules.min&&rules.max){rules.range=[rules.min,rules.max];delete rules.min;delete rules.max;}if(rules.minlength&&rules.maxlength){rules.rangelength=[rules.minlength,rules.maxlength];delete rules.minlength;delete rules.maxlength;}}if(rules.messages){delete rules.messages}return rules;},normalizeRule:function(data){if(typeof data=="string"){var transformed={};$.each(data.split(/\s/),function(){transformed[this]=true;});data=transformed;}return data;},addMethod:function(name,method,message){$.validator.methods[name]=method;$.validator.messages[name]=message||$.validator.messages[name];if(method.length<3){$.validator.addClassRules(name,$.validator.normalizeRule(name));}},methods:{required:function(value,element,param){if(!this.depend(param,element))return"dependency-mismatch";switch(element.nodeName.toLowerCase()){case'select':var options=$("option:selected",element);return options.length>0&&(element.type=="select-multiple"||($.browser.msie&&!(options[0].attributes['value'].specified)?options[0].text:options[0].value).length>0);case'input':if(this.checkable(element))return this.getLength(value,element)>0;default:return $.trim(value).length>0;}},remote:function(value,element,param){if(this.optional(element))return"dependency-mismatch";var previous=this.previousValue(element);if(!this.settings.messages[element.name])this.settings.messages[element.name]={};this.settings.messages[element.name].remote=typeof previous.message=="function"?previous.message(value):previous.message;param=typeof param=="string"&&{url:param}||param;if(previous.old!==value){previous.old=value;var validator=this;this.startRequest(element);var data={};data[element.name]=value;$.ajax($.extend(true,{url:param,mode:"abort",port:"validate"+element.name,dataType:"json",data:data,success:function(response){var valid=response===true;if(valid){var submitted=validator.formSubmitted;validator.prepareElement(element);validator.formSubmitted=submitted;validator.successList.push(element);validator.showErrors();}else{var errors={};errors[element.name]=previous.message=response||validator.defaultMessage(element,"remote");validator.showErrors(errors);}previous.valid=valid;validator.stopRequest(element,valid);}},param));return"pending";}else if(this.pending[element.name]){return"pending";}return previous.valid;},minlength:function(value,element,param){return this.optional(element)||this.getLength($.trim(value),element)>=param;},maxlength:function(value,element,param){return this.optional(element)||this.getLength($.trim(value),element)<=param;},rangelength:function(value,element,param){var length=this.getLength($.trim(value),element);return this.optional(element)||(length>=param[0]&&length<=param[1]);},min:function(value,element,param){return this.optional(element)||value>=param;},max:function(value,element,param){return this.optional(element)||value<=param;},range:function(value,element,param){return this.optional(element)||(value>=param[0]&&value<=param[1]);},email:function(value,element){return 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false;this.addEventListener(original,$.event.special[fix].handler,true);},teardown:function(){if($.browser.msie)return false;this.removeEventListener(original,$.event.special[fix].handler,true);},handler:function(e){arguments[0]=$.event.fix(e);arguments[0].type=fix;return $.event.handle.apply(this,arguments);}};});$.extend($.fn,{delegate:function(type,delegate,handler){return this.bind(type,function(event){var target=$(event.target);if(target.is(delegate)){return handler.apply(target,arguments);}});},triggerEvent:function(type,target){return this.triggerHandler(type,[$.event.fix({type:type,target:target})]);}})})(jQuery);
/******** next until > ****************/
$.fn.nextUntil = function(expr) {
var match = [];
// We need to figure out which elements to push onto the array
this.each(function(){
// Traverse through the sibling nodes
for( var i = this.nextSibling; i; i = i.nextSibling ) {
// Make sure that we're only dealing with elements
if ( i.nodeType != 1 ) continue;
// If we find a match then we need to stop
if ( jQuery.filter( expr, [i] ).r.length ) break;
// Otherwise, add it on to the stack
match.push( i );
}
});
return this.pushStack( match, arguments );
};
/******** < next until ****************/
</script>
<script>
$(document).ready(function() {
// Set the year to expected quarter's year TODO need to subtract
$('#entry_3').val(new Date().getFullYear());
// Set the quarter to most likely quarter
month_offset = 1; //Javascript calls January month 0
months_per_quarter = 3;
expected_months_required_to_complete_data = 2;
data_entry_quarter_for_today = Math.ceil((new Date().getMonth()+month_offset-expected_months_required_to_complete_data)/months_per_quarter);
$('#entry_2').val(data_entry_quarter_for_today);
// Set validation classes on fields
first_chits_indicator = 7
$('input').each(function(){
input_id = this['id'].split(/_/).pop()
if (input_id < first_chits_indicator){
$(this).addClass("fhsis_metadata")
$(this).addClass("required")
if ((input_id == 2) || (input_id == 3)){
$(this).addClass("digits")
}
}
else{
$(this).addClass("fhsis_indicator")
$(this).addClass("digits")
}
});
// Perform validation
$("form").validate();
// Load values from globalStorage so that data is always saved and we can resume from last time even when their is no submit
$("input").each(function(){
var saved_value = globalStorage[document.domain][this['id']]
if (saved_value){
this.value = saved_value;
}
});
// Save value in globalStorage every time it is updated
$("input").change(function(){
globalStorage[document.domain][this['id']] = this.value
});
// Setup form to do an ajax submission
// Not possible because of cross site AJAX
/*
$('form').submit(function (){
alert( $('form')[0].action );
$.ajax({
url: $('form')[0].action,
type: "POST",
data: $('form').serialize(),
cache: false,
success: function (response) {
alert($('form').serialize())
}
});
return false;
});
*/
var sections = {
"maternal_care": [
"Pregnant w/4 or more Prenatal visits",
"Lactating mothers given Vitamin A"
],
"family_planning": [
]
};
for(section_name in sections){
section_start = sections[section_name][0];
section_end = sections[section_name][1];
start = $("div.errorbox-good:has(label:contains(" + section_start + "))");
end = $("div.errorbox-good:has(label:contains(" + section_end + "))");
//$("div.errorbox-good:has(label:contains(" + section_start + "))").nextUntil("div.errorbox-good:has(label:contains(" + section_end + "))").wrapAll("<div></div>");
// start.nextUntil(end).wrapAll("<div></div>");
//start.nextUntil(end).wrapAll($('<div>').addClass('fhsis_section').addClass(section_name)));
}
/*
console.log($("label:contains(" + sections['maternal_care'].start + ")"))
start_error_box = $("label:contains(" + sections['maternal_care'].start + ")").parents(".errorbox-good").before("<div class="">");
end_error_box = $("label:contains(" + sections['maternal_care'].end + ")").parents(".errorbox-good");
*/
});
</script>
<style>
input.error{
background: yellow;
}
label.error{
color: red;
}
</style>
</head>
<body class="ss-base-body"><div class="ss-form-container"><div class="ss-form-heading"><h1 class="ss-form-title">FHSIS</h1>
<p></p>
<div id='message'></div>
<hr class="ss-email-break" style="display:none;">
</div>
<div class="ss-form"><form action="http://spreadsheets.google.com/formResponse?formkey=dE1KbXRUUHlkXzI2Tjd6cExPSlhrOHc6MA.." method="POST">
<br>
<div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_0">Prepared By
</label>
<label class="ss-q-help" for="entry_0"></label>
<input type="text" name="entry.0.single" value="" class="ss-q-short" id="entry_0"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_1">BHS/RHU Name
</label>
<label class="ss-q-help" for="entry_1"></label>
<input type="text" name="entry.1.single" value="" class="ss-q-short" id="entry_1"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_2">Quarter
</label>
<label class="ss-q-help" for="entry_2"></label>
<input type="text" name="entry.2.single" value="" class="ss-q-short" id="entry_2"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_3">Year
</label>
<label class="ss-q-help" for="entry_3"></label>
<input type="text" name="entry.3.single" value="" class="ss-q-short" id="entry_3"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_4">Municipality/City
</label>
<label class="ss-q-help" for="entry_4"></label>
<input type="text" name="entry.4.single" value="" class="ss-q-short" id="entry_4"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_5">Region
</label>
<label class="ss-q-help" for="entry_5"></label>
<input type="text" name="entry.5.single" value="" class="ss-q-short" id="entry_5"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_6">Province
</label>
<label class="ss-q-help" for="entry_6"></label>
<input type="text" name="entry.6.single" value="" class="ss-q-short" id="entry_6"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_7">Pregnant w/4 or more Prenatal visits
</label>
<label class="ss-q-help" for="entry_7"></label>
<input type="text" name="entry.7.single" value="" class="ss-q-short" id="entry_7"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_8">Pregnant given TT2 plus
</label>
<label class="ss-q-help" for="entry_8"></label>
<input type="text" name="entry.8.single" value="" class="ss-q-short" id="entry_8"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_9">Pregnant given Complete Iron dosage
</label>
<label class="ss-q-help" for="entry_9"></label>
<input type="text" name="entry.9.single" value="" class="ss-q-short" id="entry_9"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_10">Postpartum (PP) w/ at least 1 PP visit
</label>
<label class="ss-q-help" for="entry_10"></label>
<input type="text" name="entry.10.single" value="" class="ss-q-short" id="entry_10"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_11">PP mothers given Complete Iron dosage
</label>
<label class="ss-q-help" for="entry_11"></label>
<input type="text" name="entry.11.single" value="" class="ss-q-short" id="entry_11"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_12">PP women initiated breastfeeding
</label>
<label class="ss-q-help" for="entry_12"></label>
<input type="text" name="entry.12.single" value="" class="ss-q-short" id="entry_12"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_13">Lactating mothers given Vitamin A
</label>
<label class="ss-q-help" for="entry_13"></label>
<input type="text" name="entry.13.single" value="" class="ss-q-short" id="entry_13"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_14">Condom New Acceptors
</label>
<label class="ss-q-help" for="entry_14"></label>
<input type="text" name="entry.14.single" value="" class="ss-q-short" id="entry_14"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_15">Condom Current Users
</label>
<label class="ss-q-help" for="entry_15"></label>
<input type="text" name="entry.15.single" value="" class="ss-q-short" id="entry_15"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_16">Injection New Acceptors
</label>
<label class="ss-q-help" for="entry_16"></label>
<input type="text" name="entry.16.single" value="" class="ss-q-short" id="entry_16"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_17">Injection Current Users
</label>
<label class="ss-q-help" for="entry_17"></label>
<input type="text" name="entry.17.single" value="" class="ss-q-short" id="entry_17"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_18">IUD New Acceptors
</label>
<label class="ss-q-help" for="entry_18"></label>
<input type="text" name="entry.18.single" value="" class="ss-q-short" id="entry_18"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_19">IUD Current Users
</label>
<label class="ss-q-help" for="entry_19"></label>
<input type="text" name="entry.19.single" value="" class="ss-q-short" id="entry_19"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_20">LAM New Acceptors
</label>
<label class="ss-q-help" for="entry_20"></label>
<input type="text" name="entry.20.single" value="" class="ss-q-short" id="entry_20"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_21">LAM Current Users
</label>
<label class="ss-q-help" for="entry_21"></label>
<input type="text" name="entry.21.single" value="" class="ss-q-short" id="entry_21"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_22">NFP New Acceptors
</label>
<label class="ss-q-help" for="entry_22"></label>
<input type="text" name="entry.22.single" value="" class="ss-q-short" id="entry_22"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_23">NFP Current Users
</label>
<label class="ss-q-help" for="entry_23"></label>
<input type="text" name="entry.23.single" value="" class="ss-q-short" id="entry_23"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_24">BBT New Acceptors
</label>
<label class="ss-q-help" for="entry_24"></label>
<input type="text" name="entry.24.single" value="" class="ss-q-short" id="entry_24"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_25">BBT Current Users
</label>
<label class="ss-q-help" for="entry_25"></label>
<input type="text" name="entry.25.single" value="" class="ss-q-short" id="entry_25"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_26">Cervical Mucus New Acceptors
</label>
<label class="ss-q-help" for="entry_26"></label>
<input type="text" name="entry.26.single" value="" class="ss-q-short" id="entry_26"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_27">Cervical Mucus Current Users
</label>
<label class="ss-q-help" for="entry_27"></label>
<input type="text" name="entry.27.single" value="" class="ss-q-short" id="entry_27"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_28">Sympto-thermal New Acceptors
</label>
<label class="ss-q-help" for="entry_28"></label>
<input type="text" name="entry.28.single" value="" class="ss-q-short" id="entry_28"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_29">Sympto-thermal Current Users
</label>
<label class="ss-q-help" for="entry_29"></label>
<input type="text" name="entry.29.single" value="" class="ss-q-short" id="entry_29"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_30">SDM New Acceptor
</label>
<label class="ss-q-help" for="entry_30"></label>
<input type="text" name="entry.30.single" value="" class="ss-q-short" id="entry_30"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_31">SDM Current Users
</label>
<label class="ss-q-help" for="entry_31"></label>
<input type="text" name="entry.31.single" value="" class="ss-q-short" id="entry_31"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_32">Pills New Acceptors
</label>
<label class="ss-q-help" for="entry_32"></label>
<input type="text" name="entry.32.single" value="" class="ss-q-short" id="entry_32"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_33">Pills Current Users
</label>
<label class="ss-q-help" for="entry_33"></label>
<input type="text" name="entry.33.single" value="" class="ss-q-short" id="entry_33"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_34">Male Ster. New Acceptors
</label>
<label class="ss-q-help" for="entry_34"></label>
<input type="text" name="entry.34.single" value="" class="ss-q-short" id="entry_34"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_35">Male Ster. Current Users
</label>
<label class="ss-q-help" for="entry_35"></label>
<input type="text" name="entry.35.single" value="" class="ss-q-short" id="entry_35"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_36">Female Ster. New Acceptors
</label>
<label class="ss-q-help" for="entry_36"></label>
<input type="text" name="entry.36.single" value="" class="ss-q-short" id="entry_36"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_37">Female Ster. Current Users
</label>
<label class="ss-q-help" for="entry_37"></label>
<input type="text" name="entry.37.single" value="" class="ss-q-short" id="entry_37"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_38">Tetanus Toxoid (Preg) 1
</label>
<label class="ss-q-help" for="entry_38"></label>
<input type="text" name="entry.38.single" value="" class="ss-q-short" id="entry_38"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_39">Tetanus Toxoid (Preg) 2
</label>
<label class="ss-q-help" for="entry_39"></label>
<input type="text" name="entry.39.single" value="" class="ss-q-short" id="entry_39"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_40">Tetanus Toxoid (Preg) 3
</label>
<label class="ss-q-help" for="entry_40"></label>
<input type="text" name="entry.40.single" value="" class="ss-q-short" id="entry_40"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_41">Tetanus Toxoid (Preg) 4
</label>
<label class="ss-q-help" for="entry_41"></label>
<input type="text" name="entry.41.single" value="" class="ss-q-short" id="entry_41"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_42">Tetanus Toxoid (Preg) 5
</label>
<label class="ss-q-help" for="entry_42"></label>
<input type="text" name="entry.42.single" value="" class="ss-q-short" id="entry_42"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_43">Tetanus Toxoid (Preg) L
</label>
<label class="ss-q-help" for="entry_43"></label>
<input type="text" name="entry.43.single" value="" class="ss-q-short" id="entry_43"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_44">Tetanus Toxoid (NP-WRA) 1
</label>
<label class="ss-q-help" for="entry_44"></label>
<input type="text" name="entry.44.single" value="" class="ss-q-short" id="entry_44"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_45">Tetanus Toxoid (NP-WRA) 2
</label>
<label class="ss-q-help" for="entry_45"></label>
<input type="text" name="entry.45.single" value="" class="ss-q-short" id="entry_45"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_46">Tetanus Toxoid (NP-WRA) 3
</label>
<label class="ss-q-help" for="entry_46"></label>
<input type="text" name="entry.46.single" value="" class="ss-q-short" id="entry_46"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_47">Tetanus Toxoid (NP-WRA) 4
</label>
<label class="ss-q-help" for="entry_47"></label>
<input type="text" name="entry.47.single" value="" class="ss-q-short" id="entry_47"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_48">Tetanus Toxoid (NP-WRA) 5
</label>
<label class="ss-q-help" for="entry_48"></label>
<input type="text" name="entry.48.single" value="" class="ss-q-short" id="entry_48"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_49">Tetanus Toxoid (Others) 1
</label>
<label class="ss-q-help" for="entry_49"></label>
<input type="text" name="entry.49.single" value="" class="ss-q-short" id="entry_49"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_50">Tetanus Toxoid (Others) 2
</label>
<label class="ss-q-help" for="entry_50"></label>
<input type="text" name="entry.50.single" value="" class="ss-q-short" id="entry_50"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_51">Tetanus Toxoid (Others) 3
</label>
<label class="ss-q-help" for="entry_51"></label>
<input type="text" name="entry.51.single" value="" class="ss-q-short" id="entry_51"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_52">Fully Immunized Children (9-11 mos.)
</label>
<label class="ss-q-help" for="entry_52"></label>
<input type="text" name="entry.52.single" value="" class="ss-q-short" id="entry_52"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_53">Infants seen at 4th month
</label>
<label class="ss-q-help" for="entry_53"></label>
<input type="text" name="entry.53.single" value="" class="ss-q-short" id="entry_53"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_54">Infants exclusively breastfed up to 4th month
</label>
<label class="ss-q-help" for="entry_54"></label>
<input type="text" name="entry.54.single" value="" class="ss-q-short" id="entry_54"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_55">Diarrhea cases given ORS (0-59 mos.)
</label>
<label class="ss-q-help" for="entry_55"></label>
<input type="text" name="entry.55.single" value="" class="ss-q-short" id="entry_55"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_56">Pneumonia cases seen (0-59 mos.)
</label>
<label class="ss-q-help" for="entry_56"></label>
<input type="text" name="entry.56.single" value="" class="ss-q-short" id="entry_56"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_57">Pneumonia cases given treatment (0-59 mos.)
</label>
<label class="ss-q-help" for="entry_57"></label>
<input type="text" name="entry.57.single" value="" class="ss-q-short" id="entry_57"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_58">Children (6-8 mos.) given Vit A capsules
</label>
<label class="ss-q-help" for="entry_58"></label>
<input type="text" name="entry.58.single" value="" class="ss-q-short" id="entry_58"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_59">Children (9-11 mos.) given Vit A capsules
</label>
<label class="ss-q-help" for="entry_59"></label>
<input type="text" name="entry.59.single" value="" class="ss-q-short" id="entry_59"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_60">Children (12-71 mos.) given Vit A capsules
</label>
<label class="ss-q-help" for="entry_60"></label>
<input type="text" name="entry.60.single" value="" class="ss-q-short" id="entry_60"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_61">Below Normal (Low) Children (6-59 mos.)
</label>
<label class="ss-q-help" for="entry_61"></label>
<input type="text" name="entry.61.single" value="" class="ss-q-short" id="entry_61"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_62">Below Normal (Low) Children (6-59 mos.) Given food supplementation (New)
</label>
<label class="ss-q-help" for="entry_62"></label>
<input type="text" name="entry.62.single" value="" class="ss-q-short" id="entry_62"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_63">Below Normal (Low) Children (6-59 mos.) Receiving food supplementation
</label>
<label class="ss-q-help" for="entry_63"></label>
<input type="text" name="entry.63.single" value="" class="ss-q-short" id="entry_63"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_64">Below Normal (Low) Children (6-59 mos.) Rehabilitated
</label>
<label class="ss-q-help" for="entry_64"></label>
<input type="text" name="entry.64.single" value="" class="ss-q-short" id="entry_64"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_65">Below Normal (Very Low) Children (6-59 mos.)
</label>
<label class="ss-q-help" for="entry_65"></label>
<input type="text" name="entry.65.single" value="" class="ss-q-short" id="entry_65"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_66">Below Normal (Very Low) Children (6-59 mos.) Given food supplementation (New)
</label>
<label class="ss-q-help" for="entry_66"></label>
<input type="text" name="entry.66.single" value="" class="ss-q-short" id="entry_66"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_67">Below Normal (Very Low) Children (6-59 mos.) Receiving food supplementation
</label>
<label class="ss-q-help" for="entry_67"></label>
<input type="text" name="entry.67.single" value="" class="ss-q-short" id="entry_67"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_68">Below Normal (Very Low) Children (6-59 mos.) Rehabilitated
</label>
<label class="ss-q-help" for="entry_68"></label>
<input type="text" name="entry.68.single" value="" class="ss-q-short" id="entry_68"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_69">DPT1
</label>
<label class="ss-q-help" for="entry_69"></label>
<input type="text" name="entry.69.single" value="" class="ss-q-short" id="entry_69"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_70">OPV1
</label>
<label class="ss-q-help" for="entry_70"></label>
<input type="text" name="entry.70.single" value="" class="ss-q-short" id="entry_70"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_71">HepB1
</label>
<label class="ss-q-help" for="entry_71"></label>
<input type="text" name="entry.71.single" value="" class="ss-q-short" id="entry_71"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_72">BCG
</label>
<label class="ss-q-help" for="entry_72"></label>
<input type="text" name="entry.72.single" value="" class="ss-q-short" id="entry_72"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_73">DPT2
</label>
<label class="ss-q-help" for="entry_73"></label>
<input type="text" name="entry.73.single" value="" class="ss-q-short" id="entry_73"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_74">OPV2
</label>
<label class="ss-q-help" for="entry_74"></label>
<input type="text" name="entry.74.single" value="" class="ss-q-short" id="entry_74"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_75">HepB2
</label>
<label class="ss-q-help" for="entry_75"></label>
<input type="text" name="entry.75.single" value="" class="ss-q-short" id="entry_75"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_76">Measles
</label>
<label class="ss-q-help" for="entry_76"></label>
<input type="text" name="entry.76.single" value="" class="ss-q-short" id="entry_76"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_77">DPT3
</label>
<label class="ss-q-help" for="entry_77"></label>
<input type="text" name="entry.77.single" value="" class="ss-q-short" id="entry_77"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_78">OPV3
</label>
<label class="ss-q-help" for="entry_78"></label>
<input type="text" name="entry.78.single" value="" class="ss-q-short" id="entry_78"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_79">HepB3
</label>
<label class="ss-q-help" for="entry_79"></label>
<input type="text" name="entry.79.single" value="" class="ss-q-short" id="entry_79"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_80">LEPROSY: New cases diagnosed (dx)
</label>
<label class="ss-q-help" for="entry_80"></label>
<input type="text" name="entry.80.single" value="" class="ss-q-short" id="entry_80"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_81">LEPROSY: Completed treatment (tx)
</label>
<label class="ss-q-help" for="entry_81"></label>
<input type="text" name="entry.81.single" value="" class="ss-q-short" id="entry_81"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_82">LEPROSY: Continuing tx
</label>
<label class="ss-q-help" for="entry_82"></label>
<input type="text" name="entry.82.single" value="" class="ss-q-short" id="entry_82"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_83">MALARIA: Confirmed
</label>
<label class="ss-q-help" for="entry_83"></label>
<input type="text" name="entry.83.single" value="" class="ss-q-short" id="entry_83"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_84">MALARIA: Clinically dx
</label>
<label class="ss-q-help" for="entry_84"></label>
<input type="text" name="entry.84.single" value="" class="ss-q-short" id="entry_84"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_85">MALARIA: Given tx
</label>
<label class="ss-q-help" for="entry_85"></label>
<input type="text" name="entry.85.single" value="" class="ss-q-short" id="entry_85"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_86">TB: Symptomatics with sputum exam
</label>
<label class="ss-q-help" for="entry_86"></label>
<input type="text" name="entry.86.single" value="" class="ss-q-short" id="entry_86"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_87">TB: New sputum (+) initiated tx
</label>
<label class="ss-q-help" for="entry_87"></label>
<input type="text" name="entry.87.single" value="" class="ss-q-short" id="entry_87"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_88">TB: Old sputum (+) being re-treated
</label>
<label class="ss-q-help" for="entry_88"></label>
<input type="text" name="entry.88.single" value="" class="ss-q-short" id="entry_88"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_89">TB: X-ray (+) initiated tx
</label>
<label class="ss-q-help" for="entry_89"></label>
<input type="text" name="entry.89.single" value="" class="ss-q-short" id="entry_89"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_90">SCHISTOSOMIASIS: Examined
</label>
<label class="ss-q-help" for="entry_90"></label>
<input type="text" name="entry.90.single" value="" class="ss-q-short" id="entry_90"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_91">SCHISTOSOMIASIS: Positive
</label>
<label class="ss-q-help" for="entry_91"></label>
<input type="text" name="entry.91.single" value="" class="ss-q-short" id="entry_91"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_92">SCHISTOSOMIASIS: Given tx
</label>
<label class="ss-q-help" for="entry_92"></label>
<input type="text" name="entry.92.single" value="" class="ss-q-short" id="entry_92"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_93">RABIES: Animal bite cases seen
</label>
<label class="ss-q-help" for="entry_93"></label>
<input type="text" name="entry.93.single" value="" class="ss-q-short" id="entry_93"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_94">RABIES: Given post exposure immunization
</label>
<label class="ss-q-help" for="entry_94"></label>
<input type="text" name="entry.94.single" value="" class="ss-q-short" id="entry_94"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_95">FILARIASIS: Cases
</label>
<label class="ss-q-help" for="entry_95"></label>
<input type="text" name="entry.95.single" value="" class="ss-q-short" id="entry_95"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_96">FILARIASIS: Given tx
</label>
<label class="ss-q-help" for="entry_96"></label>
<input type="text" name="entry.96.single" value="" class="ss-q-short" id="entry_96"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_97">STD: w/ Vaginal Discharge
</label>
<label class="ss-q-help" for="entry_97"></label>
<input type="text" name="entry.97.single" value="" class="ss-q-short" id="entry_97"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_98">STD: w/ Urethral Discharge
</label>
<label class="ss-q-help" for="entry_98"></label>
<input type="text" name="entry.98.single" value="" class="ss-q-short" id="entry_98"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_99">STD: w/ Genital Ulcers
</label>
<label class="ss-q-help" for="entry_99"></label>
<input type="text" name="entry.99.single" value="" class="ss-q-short" id="entry_99"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_100">Preschoolers provided curative dental tx
</label>
<label class="ss-q-help" for="entry_100"></label>
<input type="text" name="entry.100.single" value="" class="ss-q-short" id="entry_100"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_101">Schoolers provided preventive/curative tx
</label>
<label class="ss-q-help" for="entry_101"></label>
<input type="text" name="entry.101.single" value="" class="ss-q-short" id="entry_101"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_102">Pregnant provided preventive/curative tx
</label>
<label class="ss-q-help" for="entry_102"></label>
<input type="text" name="entry.102.single" value="" class="ss-q-short" id="entry_102"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_103">Other adults provided curative tx
</label>
<label class="ss-q-help" for="entry_103"></label>
<input type="text" name="entry.103.single" value="" class="ss-q-short" id="entry_103"></div></div></div>
<br>
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