Endoscopist
{!!comtxt($json,'noteTrack_symptomEndoscopist_text','form-control form-control-sm')!!}
Diagnosis
{!!comtxt($json,'noteTrack_symptomDiagnosis_text','form-control form-control-sm')!!}
Intervention
{!!comtxt($json,'noteTrack_symptomIntervention_text','form-control form-control-sm')!!}
Immediate
{!!combox($json,'noteTrack_Immediate_box')!!}
None
{!!combox($json,'noteTrack_Bleeding_box')!!}
Bleeding
{!!combox($json,'noteTrack_Perforation_box')!!}
Perforation
Delayed
{!!combox($json,'noteTrack_DelayedFever_box')!!}
Fever
{!!combox($json,'noteTrack_DelayedBleeding_box')!!}
Bleeding
{!!combox($json,'noteTrack_DelayedPerforation_box')!!}
Perforation
{!!combox($json,'noteTrack_DelayedAbdominalpain_box')!!}
Abdominal pain
{!!combox($json,'noteTrack_DelayedOther_box')!!}
Other
{!!comtxt($json,'noteTrack_DelayedOther_text','text-x')!!}