cmhredcap.cmh.edu
Open in
urlscan Pro
13.66.84.130
Public Scan
URL:
https://cmhredcap.cmh.edu/surveys/?s=8sAo7Q3URcWmxd6o
Submission: On February 14 via manual from US — Scanned from DE
Submission: On February 14 via manual from US — Scanned from DE
Form analysis
1 forms found in the DOMName: form — POST /surveys/index.php?s=8sAo7Q3URcWmxd6o
<form action="/surveys/index.php?s=8sAo7Q3URcWmxd6o" enctype="multipart/form-data" target="_self" method="post" name="form" id="form"><input type="hidden" name="redcap_csrf_token" value="">
<div>
<script type="text/javascript">
if (typeof lang == 'undefined') {
var lang = {}
};
lang.global_143 = 'Checked';
lang.global_144 = 'Unchecked';
</script>
<script type="text/javascript">
var missing_data_replacement_js = '______';
var piping_receiver_class_field_js = '.piping_receiver.piperec-';
</script>
<span id="maxchecked_tag_label" class="" style="display:none;z-index:1000;" data-rc-lang="data_entry_421">Cannot select choice! The maximum number of choices has been selected.</span><span id="matrix_rank_remove_label" class="opacity75"
style="display:none;" data-rc-lang="data_entry_203">Value removed!</span>
<script type="text/javascript">
// PIPING
// List of piping transmitters
var piping_transmitter_fields = new Array();
// Update drop-down options that are piping receivers via ajax. Returns json of drop-down options to replace on page.
function updatePipingDropdowns(transmitter_field, transmitter_field_value) {}
// Piping transmitter field triggers
$(function() {
// Text fields
updatePipingTextFields(
"form#form :input[name='firstname'], form#form input#firstname-autosuggest, form#form :input[name='lastname'], form#form input#lastname-autosuggest, form#form textarea[name='su_name_2'], form#form :input[name='su_dates_2'], form#form input#su_dates_2-autosuggest"
);
});
</script>
<div id="questiontable_loading" style="display: none; visibility: visible;">
<img alt="Loading..." src="/redcap_v14.0.4/Resources/images/progress_circle.gif"> <span data-rc-lang="data_entry_64">Loading...</span>
</div>
<script type="text/javascript">
setTimeout(function() {
document.getElementById('questiontable_loading').style.visibility = 'visible';
}, 750);
</script>
<table role="presentation" class="form_border container-fluid" style="display: table;" id="questiontable">
<tbody class="formtbody">
<tr id="superuser_form_v2-tr" sq_id="superuser_form_v2" req="1">
<td class="labelrc questionnum col-1" valign="top">1)</td>
<td class="labelrc col-11" colspan="2"><label class="fl" id="label-superuser_form_v2">
<div data-kind="field-label">
<div data-mlm-field="superuser_form_v2" data-mlm-type="label"> Do you confirm Audrey Basgall was a super-user for Bite Block superuser on 1/1/24?</div>
<div class="requiredlabel" aria-label="Question required.">* <span data-rc-lang="data_entry_39">must provide value</span></div>
</div>
</label>
<div class="space"></div><span data-kind="field-value"><input name="superuser_form_v2" value="" tabindex="-1" class="hiddenradio" aria-labelledby="label-superuser_form_v2">
<div class="choicevert hidden"><input type="radio" id="opt-superuser_form_v2_1" tabindex="-1" name="superuser_form_v2___radio" aria-labelledby="label-superuser_form_v2 label-superuser_form_v2-1"
onclick="document.forms['form'].superuser_form_v2.value=this.value;" value="1"> <label data-mlm-field="superuser_form_v2" data-mlm-type="enum" data-mlm-value="1" id="label-superuser_form_v2-1" for="opt-superuser_form_v2_1"
class="mc">Yes</label></div>
<div class="choicevert hidden"><input type="radio" id="opt-superuser_form_v2_0" tabindex="-1" name="superuser_form_v2___radio" aria-labelledby="label-superuser_form_v2 label-superuser_form_v2-0"
onclick="document.forms['form'].superuser_form_v2.value=this.value;" value="0"> <label data-mlm-field="superuser_form_v2" data-mlm-type="enum" data-mlm-value="0" id="label-superuser_form_v2-0" for="opt-superuser_form_v2_0"
class="mc">No</label></div>
<div class="enhancedchoice_wrapper">
<div class="enhancedchoice col-12 col-md-12 "><label tabindex="0" for="opt-superuser_form_v2_1" onkeydown="if(event.keyCode==32){ enhanceChoiceSelect(this,event,null); }" onclick="enhanceChoiceSelect(this,event,null);"
comps="superuser_form_v2,value,1" class="hover "><span class="ec" aria-labelledby="label-superuser_form_v2 label-superuser_form_v2-1" data-mlm-field="superuser_form_v2" data-mlm-type="enum" data-mlm-value="1">Yes</span></label>
</div>
<div class="enhancedchoice col-12 col-md-12 "><label tabindex="0" for="opt-superuser_form_v2_0" onkeydown="if(event.keyCode==32){ enhanceChoiceSelect(this,event,null); }" onclick="enhanceChoiceSelect(this,event,null);"
comps="superuser_form_v2,value,0" class="hover "><span class="ec" aria-labelledby="label-superuser_form_v2 label-superuser_form_v2-0" data-mlm-field="superuser_form_v2" data-mlm-type="enum" data-mlm-value="0">No</span></label>
</div>
</div>
</span>
<div data-kind="reset-link" class="resetLinkParent d-print-none">
<a href="javascript:;" class="smalllink " tabindex="0" style="display:;" onclick="radioResetVal('superuser_form_v2','form');return false;"><span data-rc-lang="form_renderer_20">reset</span></a></div>
<div id="superuser_form_v2_MDLabel" class="MDLabel" style="display:none" code="" label=""></div>
</td>
</tr>
<tr id="superuser_comments_v2-tr" sq_id="superuser_comments_v2">
<td class="labelrc questionnum col-1" valign="top">2)</td>
<td class="labelrc col-11" colspan="2"><label class="fl" id="label-superuser_comments_v2">
<div data-kind="field-label">
<div data-mlm-field="superuser_comments_v2" data-mlm-type="label"> Additional comments</div>
</div>
</label>
<div class="space"></div><span data-kind="field-value">
<textarea autocomplete="new-password" class="x-form-field notesbox" aria-labelledby="label-superuser_comments_v2" id="superuser_comments_v2" name="superuser_comments_v2" rc-align="left" tabindex="0"></textarea></span>
<div id="superuser_comments_v2-expand" class="expandLinkParent d-print-none">
<a href="javascript:;" tabindex="-1" class="expandLink" onclick="growTextarea('superuser_comments_v2')"><span data-rc-lang="form_renderer_19">Expand</span></a>
</div>
<div id="superuser_comments_v2_MDLabel" class="MDLabel" style="display:none" code="" label=""></div>
</td>
</tr>
<input type="hidden" name="submit-action" id="submit-action" value="<span data-rc-lang="data_entry_206">Save Record</span>">
<input type="hidden" name="__start_time__" id="__start_time__" value="2024-02-14 12:12:07">
<input type="hidden" name="record_id" id="record_id" value="620">
<input type="hidden" name="__page__" value="1">
<input type="hidden" name="__page_hash__" value="cc768a967351535808718cff8e8ff4e7">
<input type="hidden" name="__response_hash__"
value="ef5a96648cdf5e899c19b358d81372b7b42d13b3d373bb22d1a8703f23c4922e0c42d130876d6308497e174bca74bdaf7cf58d2904f683ce84a19f7208a84655b1fff18f23996a6be35e5abcf6a30606024335d0efe8ea7ba25d3b517b50aab5389dfa7cfa1c295fc37fd1364c8fe04e8db85e1b870cc565b71301e6d40e49a5">
<input type="hidden" name="super_user2_complete" value="">
<tr class="surveysubmit">
<td class="labelrc col-12" style="padding:5px;" colspan="3">
<table cellspacing="0">
<tbody>
<tr>
<td colspan="2" style="text-align:center;padding:15px 0;">
<button name="submit-btn-saverecord" tabindex="0" class="jqbutton nowrap ui-button ui-corner-all ui-widget" style="color:#800000;min-width:140px;"
onclick="$(this).button("disable");dataEntrySubmit(this);return false;">Save</button>
</td>
</tr>
<tr>
<td colspan="2" style="text-align:center;padding: 1px 0 10px;">
<button name="submit-btn-savereturnlater" tabindex="0" class="jqbutton ui-button ui-corner-all ui-widget" onclick="$(this).button("disable");dataEntrySubmit(this);return false;" style="display: none;"><span
data-rc-lang="data_entry_215">Save & Return Later</span></button>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</div>
</form>
Text Content
The code block below illustrates how one might use # and // as comments in your logic and calculations. # Text can be put here to explain what the logic/calculation does and why. if ([field1] = '1' and [field2] > 7, // This comment can explain what the next line does. [score] * [factor], // Return '0' if the condition is False. 0 ) Working... 0% means 50% means 100% means This value you provided is not a number. Please try again. This value you provided is not an integer. Please try again. The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again. The value you provided must be within the suggested range The value you provided is outside the suggested range This value is admissible, but you may wish to double check it. The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19). This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now. This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now. This field must be a valid email address (like joe@user.com). Please re-enter it now. The value you provided could not be validated because it does not follow the expected format. Please try again. Required format: T8gu5 SUPER USER2 A A A Please complete the survey below. Thank you! Cannot select choice! The maximum number of choices has been selected.Value removed! Loading... 1) Do you confirm Audrey Basgall was a super-user for Bite Block superuser on 1/1/24? * must provide value Yes No Yes No reset 2) Additional comments Expand Save Save & Return Later YOU HAVE SELECTED AN OPTION THAT TRIGGERS THIS SURVEY TO END RIGHT NOW. To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button. Powered by REDCap Searching...