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q2.html
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<!DOCTYPE html>
<!-- saved from url=(0063)https://www.registertovote.service.gov.uk/register-to-vote/name -->
<html lang="en"><!--<![endif]--><head><meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<title>
Enter Patient ID number
</title>
<script type="text/javascript">
(function(){if(navigator.userAgent.match(/IEMobile\/10\.0/)){var d=document,c="appendChild",a=d.createElement("style");a[c](d.createTextNode("@-ms-viewport{width:auto!important}"));d.getElementsByTagName("head")[0][c](a);}})();
</script>
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<link href="./gov-uk-files/govuk-template-print.css" media="print" rel="stylesheet" type="text/css">
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<script type="text/javascript">
(function(){if(window.opera){return;}
setTimeout(function(){var a=document,g,b={families:(g=
["nta"]),urls:["https://assets.registertovote.service.gov.uk/assets/d530da8d6263992e9a60e8558776c1b251b60165/template/stylesheets/fonts-ie8.css"]},
c="https://assets.registertovote.service.gov.uk/assets/d530da8d6263992e9a60e8558776c1b251b60165/template/javascripts/vendor/goog/webfont-debug.js",d="script",
e=a.createElement(d),f=a.getElementsByTagName(d)[0],h=g.length;WebFontConfig
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.className+=' wf-'+g[h].replace(/\s/g,'').toLowerCase()+'-n4-loading');},0)
})()
</script>
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<![endif]-->
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<link rel="apple-touch-icon-precomposed" sizes="72x72" href="https://assets.registertovote.service.gov.uk/assets/d530da8d6263992e9a60e8558776c1b251b60165/template/images/apple-touch-icon-72x72.png">
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<link href="./gov-uk-files/print.css" media="print" rel="stylesheet" type="text/css">
<link href="./marys-custom/marys.css" media="screen" rel="stylesheet" type="text/css">
</head>
<body class="js-enabled">
<script type="text/javascript">document.body.className = ((document.body.className) ? document.body.className + ' js-enabled' : 'js-enabled');</script>
<div id="skiplink-container">
<div>
<a href="https://www.registertovote.service.gov.uk/register-to-vote/name#content" class="skiplink">Skip to main content</a>
</div>
</div>
<header role="banner" id="global-header" class="with-proposition">
<div class="header-wrapper">
<div class="header-global">
<div class="header-logo">
<a href="q1.html" title="Go to the GOV.UK homepage" id="logo" class="content">
<img src="./marys-custom/checklist-on-white.png" width="35" height="31" alt=""> Ward watcher
</a>
</div>
</div>
<div class="header-proposition">
<div class="content">
<nav id="proposition-menu">
<a href="q1.html" id="proposition-name">
Adverse events reporting
</a>
</nav>
</div>
</div>
</div>
</header>
<!--end header-->
<div id="global-header-bar">
<div class="inner-block">
<div class="header-bar"></div>
</div>
</div>
<!--end global-header-bar-->
<main id="content" class="">
<form action="free-text.html" method="GET">
<header class="question-one">
<p>Question 2</p>
<h1>Medical complications</h1>
</header>
<fieldset class="validate " data-validation-name="country" data-validation-type="fieldset" data-validation-rules="atLeastOneNonEmpty" data-validation-children="england scotland wales northernIreland britishIslands abroad">
<label for="sore_at_IV_line" class="selectable">
<input type="radio" id="sore_at_IV_line" name="country.residence" value="sore at IV line" class="radio validate" data-validation-name="england" data-validation-type="field" data-validation-rules="nonEmpty">
You developed a sore arm or inflammation because of a drip (intravenous line)
</label>
<label for="drug_reaction" class="selectable">
<input type="radio" id="drug_reaction" name="country.residence" value="Drug reaction" class="radio validate" data-validation-name="scotland" data-validation-type="field" data-validation-rules="nonEmpty">
You experienced a reaction to a drug
</label>
<label for="bled-a-lot" class="selectable">
<input type="radio" id="bled-a-lot" name="country.residence" value="Wales" class="radio validate" data-validation-name="bledALot" data-validation-type="field" data-validation-rules="nonEmpty">
You bled a lot after an operation or after a tube or drain was inserted into you
</label>
<label for="country_residence_Northern_Ireland" class="selectable">
<input type="radio" id="country_residence_Northern_Ireland" name="country.residence" value="Northern Ireland" class="radio validate" data-validation-name="northernIreland" data-validation-type="field" data-validation-rules="nonEmpty">
You developed a collection of blood (haematoma) or fluid (seroma) at the site of an operation or procedure
</label>
<p>or</p>
<label for="infection" class="selectable">
<input type="radio" id="infection" name="country.residence" value="Infection" class="radio validate" data-validation-name="infection" data-validation-type="field" data-validation-rules="nonEmpty">
You caught an infection in the hospital
</label>
</fieldset>
<fieldset class="">
<div class="optional-section sub-section validate" data-condition="infection">
<h2>What kind of infection did you catch?</h2>
<label for="pneumonia" class="selectable">
<input type="radio" id="pneumonia" name="country.origin" value="Pneumonia" class="radio validate" data-validation-name="englandOrigin" data-validation-type="field" data-validation-rules="nonEmpty">
Pneumonia
</label>
<label for="c_diff_colitis" class="selectable">
<input type="radio" id="c_diff_colitis" name="country.origin" value="C.diff colitis" class="radio validate" data-validation-name="scotlandOrigin" data-validation-type="field" data-validation-rules="nonEmpty">
C.diff colitis
</label>
<label for="sepsis_bacteraemia" class="selectable">
<input type="radio" id="sepsis_bacteraemia" name="country.origin" value="Sepsis / bacteraemia" class="radio validate" data-validation-name="walesOrigin" data-validation-type="field" data-validation-rules="nonEmpty">
Sepsis / bacteraemia
</label>
<label for="uti" class="selectable">
<input type="radio" id="uti" name="country.origin" value="Urinary tract infection" class="radio validate" data-validation-name="northernIreland" data-validation-type="field" data-validation-rules="nonEmpty">
Urinary tract infection
</label>
<label for="phlebitis" class="selectable">
<input type="radio" id="phlebitis" name="country.origin" value="Phlebitis" class="radio validate" data-validation-name="phlebitis" data-validation-type="field" data-validation-rules="nonEmpty">
Phlebitis
</label>
<label for="wound_infection" class="selectable">
<input type="radio" id="wound_infection" name="country.origin" value="Wound infection" class="radio validate" data-validation-name="woundInfection" data-validation-type="field" data-validation-rules="nonEmpty">
Wound infection
</label>
<label for="intra_abdominal_abscess" class="selectable">
<input type="radio" id="intra_abdominal_abscess" name="country.origin" value="Intra-abdominal abscess" class="radio validate" data-validation-name="intraAbdominalAbscess" data-validation-type="field" data-validation-rules="nonEmpty">
Intra-abdominal abscess
</label>
<label for="cellulitis" class="selectable">
<input type="radio" id="cellulitis" name="country.origin" value="Cellulitis" class="radio validate" data-validation-name="cellulitis" data-validation-type="field" data-validation-rules="nonEmpty">
Cellulitis
</label>
</div>
</fieldset>
<button type="submit" id="continue" class="button next validation-submit" data-validation-sources="country">
Continue
</button>
</form>
</main>
<footer class="group js-footer" id="footer" role="contentinfo">
<div class="footer-wrapper">
<div class="footer-meta">
<div>
<h2 class="visuallyhidden">
Support links
</h2>
<p>
© copyright
<a href="http://sastrugisoftware.com/">
Sastrugi Software
</a>
</p>
</div>
</div>
</div>
</footer>
<!--end footer-->
<div id="global-app-error" class="app-error hidden"></div>
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</body></html>