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Question: Date, Location and Provider are for the 3 special encounter tags in html forms. In these cases, the person creating the form would need to provide a label for the fields, but not other information, right? So, all we would need for those would be a simple pop-up window to enter the item number and item text?

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The following window appears, but nothing happens when the user clicks Ok.

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The user would also want to be able to enter the item number and item text to display with each of these items that they select.

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The user can enter a Placeholder to mark a place in the HTML where an item must be entered by hand because it is not supported by this module.Image Removed

The following windows display, but do nothing when the user clicks Ok.

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