Overview
Lead Capsule offers a pre-configured Yaz/Yasmin/Ocella lead vertical template, which allows you
to be up and running with your Yaz/Yasmin/Ocella lead vertical in a few mouse clicks. The Yaz/Yasmin/Ocella template creates all the necessary fields for up a basic Yaz/Yasmin/Ocella lead. The fields created, when setting up a Yaz/Yasmin/Ocella vertical using
the vertical template, will create the following Yaz/Yasmin/Ocella lead fields
automatically.
Yaz/Yasmin/Ocella Template Fields
- First Name
- Last Name
- Home Phone
- Work Phone
- Email Address
- Address 1
- Address 2
- City
- State
- Zip Code
- Date Of Birth
- IP Address
- SubId
- Which drug used?
- Year started on drug
- Has Attorney?
- Side Effect?
- Treatment received for side effect?
- Notes
- Timestamp
- Symptoms
- Symptoms started?
- Doctor or hospital?
- Any treatment received?
- Quit taking drug?
- Medical records?
- Were you hospitalized?
- How long were you hospitalized?
- Who prescribed you the medication?
- Where was the prescription filled?
- Who did diagnosis?
- Were you prescribed a blood thinner?
- Name of blood thinner?
- Verified?
Please note: Even though these Yaz/Yasmin/Ocella lead fields are
created, they do not have to be used. You may also add in your own custom Yaz/Yasmin/Ocella lead
fields.