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+<div class="mt-2">
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+
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+ <!-- coverage -->
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+ <div class="d-flex align-items-baseline">
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+ <label class="m-0 text-secondary font-weight-bold">Covered?</label>
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+ <div class="ml-2">
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+ <div class="d-flex align-items-baseline">
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+ @if($patient->does_insurance_cover_rtm_lung)
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+ <span class="mr-2">{{$patient->does_insurance_cover_rtm_lung}}</span>
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+ @endif
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+ @if($patient->memo_for_does_insurance_cover_rtm_lung)
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+ <span class="mr-2">({{$patient->memo_for_does_insurance_cover_rtm_lung}})</span>
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+ @endif
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+ <div moe relative>
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+ <a href="#" start show>Edit</a>
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+ <form url="/api/clientRtm/updateDoesInsuranceCoverRtmLung">
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+ <input type="hidden" name="uid" value="{{$patient->uid}}">
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+ <div class="mb-2">
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+ <label class="text-secondary text-sm mb-1">RTM Lung Covered?</label>
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+ <select name="doesInsuranceCoverRtmLung" class="form-control form-control-sm" requied>
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+ <option value="">-- select --</option>
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+ <option value="YES" {{$patient->does_insurance_cover_rtm_lung === 'YES' ? 'selected' : ''}}>Yes</option>
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+ <option value="NO" {{$patient->does_insurance_cover_rtm_lung === 'NO' ? 'selected' : ''}}>No</option>
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+ <option value="UNKNOWN" {{$patient->does_insurance_cover_rtm_lung === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
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+ </select>
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+ </div>
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+ <div class="mb-2">
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+ <label class="text-secondary text-sm mb-1">Memo</label>
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+ <textarea type="text" class="form-control form-control-sm" name="memoForDoesInsuranceCoverRtmLung">{{$patient->memo_for_does_insurance_cover_rtm_lung}}</textarea>
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+ </div>
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+ <div class="d-flex align-items-center">
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+ <button class="btn btn-sm btn-primary mr-2" submit>Save</button>
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+ <button class="btn btn-sm btn-default mr-2 border" cancel>Cancel</button>
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+ </div>
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+ </form>
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+ </div>
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+ <span class="mx-1 text-secondary">|</span>
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+ <div moe relative>
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+ <a href="#" start show>Edit Memo</a>
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+ <form url="/api/clientRtm/updateMemoForDoesInsuranceCoverRtmLung">
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+ <input type="hidden" name="uid" value="{{$patient->uid}}">
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+ <div class="mb-2">
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+ <label class="text-secondary text-sm mb-1">Memo</label>
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+ <textarea type="text" class="form-control form-control-sm" name="memoForDoesInsuranceCoverRtmLung">{{$patient->memo_for_does_insurance_cover_rtm_lung}}</textarea>
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+ </div>
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+ <div class="d-flex align-items-center">
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+ <button class="btn btn-sm btn-primary mr-2" submit>Save</button>
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+ <button class="btn btn-sm btn-default mr-2 border" cancel>Cancel</button>
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+ </div>
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+ </form>
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+ </div>
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+ </div>
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+ </div>
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+ </div>
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+
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+ @if($patient->does_insurance_cover_rtm_lung === 'YES')
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+
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+ <!-- medically needed -->
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+ <div class="d-flex align-items-baseline mt-2">
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+ <label class="m-0 text-secondary font-weight-bold">Medically needed?</label>
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+ <div class="ml-2">
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+ <div class="d-flex align-items-baseline">
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+ @if($patient->is_rtm_lung_medically_needed)
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+ <span class="mr-2">{{$patient->is_rtm_lung_medically_needed}}</span>
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+ @endif
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+ <div moe relative>
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+ <a href="#" start show>Edit</a>
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+ <form url="/api/clientRtm/updateIsRtmLungMedicallyNeeded">
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+ <input type="hidden" name="uid" value="{{$patient->uid}}">
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+ <div class="mb-2">
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+ <label class="text-secondary text-sm mb-1 text-nowrap">RTM Lung Medically Needed?</label>
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+ <select name="isRtmLungMedicallyNeeded" class="form-control form-control-sm" requied>
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+ <option value="">-- select --</option>
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+ <option value="YES" {{$patient->is_rtm_lung_medically_needed === 'YES' ? 'selected' : ''}}>Yes</option>
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+ <option value="NO" {{$patient->is_rtm_lung_medically_needed === 'NO' ? 'selected' : ''}}>No</option>
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+ <option value="UNKNOWN" {{$patient->is_rtm_lung_medically_needed === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
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+ </select>
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+ </div>
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+ <div class="mb-2">
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+ <label class="text-sm text-secondary mb-1">Memo:</label>
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+ <textarea type="text" class="form-control form-control-sm" name="rtmLungMedicallyNeededForMemo">{{$patient->rtm_lung_medically_needed_for_memo}}</textarea>
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+ </div>
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+ <div class="mb-2">
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+ <table class="table table-sm table-bordered m-0">
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+ <thead class="bg-light">
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+ <tr>
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+ <th class="text-sm text-secondary font-weight-normal border-bottom-0">ICD</th>
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+ <th class="text-sm text-secondary font-weight-normal border-bottom-0">Description</th>
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+ </tr>
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+ </thead>
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+ <tbody>
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+ <tr>
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+ <td>
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+ <input type="text" class="icd-input search_field" icd-autocomplete-code="" data-target="input[name=rtmLungMedicallyNeededForIcd1Description]" name="rtmLungMedicallyNeededForIcd1" value="{{$patient->rtm_lung_medically_needed_for_icd1}}" placeholder="ICD 1" autocomplete="off" role="combobox" aria-expanded="false">
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+ </td>
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+ <td>
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+ <input id="" type="text" class="form-control form-control-sm" icd-autocomplete-description="" name="rtmLungMedicallyNeededForIcd1Description" value="{{$patient->rtm_lung_medically_needed_for_icd1description}}">
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+ </td>
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+ </tr>
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+ <tr>
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+ <td>
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+ <input type="text" class="icd-input search_field" icd-autocomplete-code="" name="rtmLungMedicallyNeededForIcd2" data-target="input[name=rtmLungMedicallyNeededForIcd2Description]" value="{{$patient->rtm_lung_medically_needed_for_icd2}}" placeholder="ICD 2" autocomplete="off" role="combobox" aria-expanded="false">
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+ </td>
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+ <td>
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+ <input type="text" class="form-control form-control-sm" icd-autocomplete-description="" name="rtmLungMedicallyNeededForIcd2Description" value="{{$patient->rtm_lung_medically_needed_for_icd2description}}">
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+ </td>
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+ </tr>
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+ <tr>
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+ <td>
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+ <input type="text" class="icd-input search_field" icd-autocomplete-code="" name="rtmLungMedicallyNeededForIcd3" data-target="input[name=rtmLungMedicallyNeededForIcd3Description]" value="{{$patient->rtm_lung_medically_needed_for_icd3}}" placeholder="ICD 3" autocomplete="off" role="combobox" aria-expanded="false">
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+ </td>
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+ <td>
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+ <input type="text" class="form-control form-control-sm" icd-autocomplete-description="" name="rtmLungMedicallyNeededForIcd3Description" value="{{$patient->rtm_lung_medically_needed_for_icd3description}}">
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+ </td>
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+ </tr>
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+ <tr>
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+ <td>
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+ <input type="text" class="icd-input search_field" icd-autocomplete-code="" name="rtmLungMedicallyNeededForIcd4" data-target="input[name=rtmLungMedicallyNeededForIcd4Description]" value="{{$patient->rtm_lung_medically_needed_for_icd4}}" placeholder="ICD 4" autocomplete="off" role="combobox" aria-expanded="false">
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+ </td>
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+ <td>
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+ <input type="text" class="form-control form-control-sm" icd-autocomplete-description="" name="rtmLungMedicallyNeededForIcd4Description" value="{{$patient->rtm_lung_medically_needed_for_icd4description}}">
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+ </td>
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+ </tr>
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+ </tbody>
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+ </table>
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+ </div>
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+ <div class="d-flex align-items-center">
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+ <button class="btn btn-sm btn-primary mr-2" submit>Save</button>
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+ <button class="btn btn-sm btn-default mr-2 border" cancel>Cancel</button>
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+ </div>
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+ </form>
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+ </div>
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+ </div>
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+ </div>
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+ </div>
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+
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+ @if($patient->is_rtm_lung_medically_needed === 'YES')
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+
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+ <!-- icds -->
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+ <div class="d-flex align-items-baseline mt-2">
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+ <label class="m-0 text-secondary font-weight-bold text-nowrap">Needed For:</label>
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+ <div class="ml-2">
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+ <div class="d-flex align-items-baseline">
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+ <?php
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+ $displayData = [
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+ 'icd_1' => [
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+ 'title' => 'ICD 1',
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+ 'reason' => $patient->rtm_lung_medically_needed_for_icd1,
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+ 'description' => $patient->rtm_lung_medically_needed_for_icd1description
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+ ],
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+ 'icd_2' => [
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+ 'title' => 'ICD 2',
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+ 'reason' => $patient->rtm_lung_medically_needed_for_icd2,
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+ 'description' => $patient->rtm_lung_medically_needed_for_icd2description
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+ ],
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+ 'icd_3' => [
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+ 'title' => 'ICD 3',
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+ 'reason' => $patient->rtm_lung_medically_needed_for_icd3,
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+ 'description' => $patient->rtm_lung_medically_needed_for_icd3description
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+ ],
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+ 'icd_4' => [
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+ 'title' => 'ICD 4',
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+ 'reason' => $patient->rtm_lung_medically_needed_for_icd4,
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+ 'description' => $patient->rtm_lung_medically_needed_for_icd4description
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+ ],
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+ ];
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+ ?>
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+ <?php $emptyICDs = true; ?>
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+ @foreach($displayData as $rmKey=>$rmData)
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+ <?php
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+ $emptyICD = true;
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+ if (!empty($rmData['reason']) || !empty($rmData['description'])) {
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+ $emptyICDs = false;
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+ $emptyICD = false;
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+ }
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+ ?>
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+ @endforeach
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+ @if(!$emptyICDs)
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+ <div>
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+ <div class="d-flex flex-wrap">
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+ <?php $emptyICDs = true; ?>
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+ @foreach($displayData as $rmKey=>$rmData)
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+ <?php
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+ $emptyICD = true;
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+ if (!empty($rmData['reason']) || !empty($rmData['description'])) {
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+ $emptyICDs = false;
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+ $emptyICD = false;
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+ }
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+ ?>
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+ @if(!$emptyICD)
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+ <span class="mb-1 mr-2 d-flex align-items-center"><i class="fas fa-circle text-muted mr-1" style="font-size: 5px;"></i> {{$rmData['reason']}} @if(!empty($rmData['description']))({{ $rmData['description'] }})@endif</span>
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+ @endif
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+ @endforeach
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+ </div>
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+ </div>
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+ @endif
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+ </div>
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+ <div class="d-flex align-items-baseline">
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+ @if($patient->rtm_lung_medically_needed_for_memo)
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+ <span class="mr-2 mb-1">{{$patient->rtm_lung_medically_needed_for_memo}}</span>
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+ @endif
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+ </div>
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+ <div moe relative>
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+ <a start="" show="" href="#">Edit</a>
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+ <form url="/api/clientRtm/updateRtmLungMedicallyNeededFor" class="mcp-theme-1">
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+ <input type="hidden" name="uid" value="{{$patient->uid}}">
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+ <div class="mb-2">
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+ <label class="font-weight-bold mb-1">Memo:</label>
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+ <textarea type="text" class="form-control form-control-sm" name="rtmLungMedicallyNeededForMemo">{{$patient->rtm_lung_medically_needed_for_memo}}</textarea>
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+ </div>
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+ <div class="mb-2">
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+ <table class="table table-sm table-bordered m-0">
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+ <thead class="bg-light">
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+ <tr>
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+ <th class="border-bottom-0">ICD</th>
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+ <th class="border-bottom-0">Description</th>
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+ </tr>
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+ </thead>
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+ <tbody>
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+ <tr>
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+ <td>
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+ <input type="text" class="icd-input search_field" icd-autocomplete-code="" data-target="input[name=rtmLungMedicallyNeededForIcd1Description]" name="rtmLungMedicallyNeededForIcd1" value="{{$patient->rtm_lung_medically_needed_for_icd1}}" placeholder="ICD 1" autocomplete="off" role="combobox" aria-expanded="false">
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+ </td>
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+ <td>
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+ <input id="" type="text" class="form-control form-control-sm" icd-autocomplete-description="" name="rtmLungMedicallyNeededForIcd1Description" value="{{$patient->rtm_lung_medically_needed_for_icd1description}}">
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+ </td>
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+ </tr>
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+ <tr>
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+ <td>
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+ <input type="text" class="icd-input search_field" icd-autocomplete-code="" name="rtmLungMedicallyNeededForIcd2" data-target="input[name=rtmLungMedicallyNeededForIcd2Description]" value="{{$patient->rtm_lung_medically_needed_for_icd2}}" placeholder="ICD 2" autocomplete="off" role="combobox" aria-expanded="false">
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+ </td>
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+ <td>
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+ <input type="text" class="form-control form-control-sm" icd-autocomplete-description="" name="rtmLungMedicallyNeededForIcd2Description" value="{{$patient->rtm_lung_medically_needed_for_icd2description}}">
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+ </td>
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+ </tr>
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+ <tr>
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+ <td>
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+ <input type="text" class="icd-input search_field" icd-autocomplete-code="" name="rtmLungMedicallyNeededForIcd3" data-target="input[name=rtmLungMedicallyNeededForIcd3Description]" value="{{$patient->rtm_lung_medically_needed_for_icd3}}" placeholder="ICD 3" autocomplete="off" role="combobox" aria-expanded="false">
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+ </td>
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+ <td>
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+ <input type="text" class="form-control form-control-sm" icd-autocomplete-description="" name="rtmLungMedicallyNeededForIcd3Description" value="{{$patient->rtm_lung_medically_needed_for_icd3description}}">
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+ </td>
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+ </tr>
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+ <tr>
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+ <td>
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+ <input type="text" class="icd-input search_field" icd-autocomplete-code="" name="rtmLungMedicallyNeededForIcd4" data-target="input[name=rtmLungMedicallyNeededForIcd4Description]" value="{{$patient->rtm_lung_medically_needed_for_icd4}}" placeholder="ICD 4" autocomplete="off" role="combobox" aria-expanded="false">
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+ </td>
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+ <td>
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+ <input type="text" class="form-control form-control-sm" icd-autocomplete-description="" name="rtmLungMedicallyNeededForIcd4Description" value="{{$patient->rtm_lung_medically_needed_for_icd4description}}">
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+ </td>
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+ </tr>
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+ </tbody>
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+ </table>
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+ </div>
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+ <div>
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+ <button submit="" class="btn btn-sm btn-primary mr-1">Submit</button>
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+ <button cancel="" class="btn btn-sm btn-default border">Cancel</button>
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+ </div>
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+ </form>
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+ </div>
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+ </div>
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+ </div>
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+
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+ <!-- patient interest -->
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+ <div class="d-flex align-items-baseline mt-2">
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+ <label class="m-0 text-secondary font-weight-bold">Patient Interested?</label>
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+ <div class="ml-2">
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+ <div class="d-flex align-items-baseline">
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+ @if($patient->does_patient_want_rtm_lung)
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+ <span class="mr-2">{{$patient->does_patient_want_rtm_lung}}</span>
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+ @endif
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+ @if($patient->memo_for_does_patient_want_rtm_lung)
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+ <span class="mr-2">({{$patient->memo_for_does_patient_want_rtm_lung}})</span>
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+ @endif
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+ <div moe relative>
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+ <a href="#" start show>Edit</a>
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+ <form url="/api/clientRtm/updateDoesPatientWantRtmLung">
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+ <input type="hidden" name="uid" value="{{$patient->uid}}">
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+ <div class="mb-2">
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+ <label class="text-secondary text-sm mb-1">Patient Interested?</label>
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+ <select name="doesPatientWantRtmLung" class="form-control form-control-sm" requied>
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+ <option value="">-- select --</option>
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+ <option value="YES" {{$patient->does_patient_want_rtm_lung === 'YES' ? 'selected' : ''}}>Yes</option>
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+ <option value="NO" {{$patient->does_patient_want_rtm_lung === 'NO' ? 'selected' : ''}}>No</option>
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+ <option value="UNKNOWN" {{$patient->does_patient_want_rtm_lung === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
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+ </select>
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+ </div>
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+ <div class="mb-2">
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+ <label class="text-secondary text-sm mb-1">Memo</label>
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+ <textarea type="text" class="form-control form-control-sm" name="memoForDoesPatientWantRtmLung">{{$patient->memo_for_does_patient_want_rtm_lung}}</textarea>
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+ </div>
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+ <div class="d-flex align-items-center">
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+ <button class="btn btn-sm btn-primary mr-2" submit>Save</button>
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+ <button class="btn btn-sm btn-default mr-2 border" cancel>Cancel</button>
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+ </div>
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+ </form>
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+ </div>
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+ <span class="mx-1 text-secondary">|</span>
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+ <div moe relative>
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+ <a href="#" start show>Edit Memo</a>
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+ <form url="/api/clientRtm/updateMemoForDoesPatientWantRtmLung">
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+ <input type="hidden" name="uid" value="{{$patient->uid}}">
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+ <div class="mb-2">
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+ <label class="text-secondary text-sm mb-1">Memo</label>
|
|
|
+ <textarea type="text" class="form-control form-control-sm" name="memoForDoesPatientWantRtmLung">{{$patient->memo_for_does_patient_want_rtm_lung}}</textarea>
|
|
|
+ </div>
|
|
|
+ <div class="d-flex align-items-center">
|
|
|
+ <button class="btn btn-sm btn-primary mr-2" submit>Save</button>
|
|
|
+ <button class="btn btn-sm btn-default mr-2 border" cancel>Cancel</button>
|
|
|
+ </div>
|
|
|
+ </form>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+
|
|
|
+ <!-- enrollment -->
|
|
|
+ <div class="d-flex align-items-baseline mt-2">
|
|
|
+ <label class="m-0 text-secondary font-weight-bold">Enrolled?</label>
|
|
|
+ <div class="ml-2">
|
|
|
+ <div class="d-flex align-items-baseline">
|
|
|
+ <span class="mr-2">{{$patient->is_enrolled_in_rtm_lung ? 'Yes' : 'No'}}</span>
|
|
|
+ <div moe relative>
|
|
|
+ <a href="#" start show>Edit</a>
|
|
|
+ <form url="/api/clientRtm/updateIsEnrolledInRtmLung">
|
|
|
+ <input type="hidden" name="uid" value="{{$patient->uid}}">
|
|
|
+ <div class="mb-2">
|
|
|
+ <label class="text-secondary text-sm mb-1">Patient Interested?</label>
|
|
|
+ <select name="isEnrolledInRtmLung" class="form-control form-control-sm" requied>
|
|
|
+ <option value="">-- select --</option>
|
|
|
+ <option value="1" {{$patient->is_enrolled_in_rtm_lung ? 'selected' : ''}}>Yes</option>
|
|
|
+ <option value="0" {{!$patient->is_enrolled_in_rtm_lung ? 'selected' : ''}}>No</option>
|
|
|
+ </select>
|
|
|
+ </div>
|
|
|
+ <div class="mb-2">
|
|
|
+ <label class="text-secondary text-sm mb-1">Effective Date</label>
|
|
|
+ <input type="date" class="form-control form-control-sm" name="rtmLungEnrollmentDate" value="{{$patient->rtm_lung_enrollment_date}}">
|
|
|
+ </div>
|
|
|
+ <div class="d-flex align-items-center">
|
|
|
+ <button class="btn btn-sm btn-primary mr-2" submit>Save</button>
|
|
|
+ <button class="btn btn-sm btn-default mr-2 border" cancel>Cancel</button>
|
|
|
+ </div>
|
|
|
+ </form>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+
|
|
|
+ @if($patient->is_enrolled_in_rtm_lung)
|
|
|
+ <div class="d-flex align-items-baseline mt-1 pl-3">
|
|
|
+ <label class="m-0 text-secondary font-weight-bold">Date:</label>
|
|
|
+ <div class="ml-2">
|
|
|
+ <div class="d-flex align-items-baseline">
|
|
|
+ @if($patient->rtm_lung_enrollment_date)
|
|
|
+ <span class="mr-2">{{friendly_date($patient->rtm_lung_enrollment_date)}}</span>
|
|
|
+ @endif
|
|
|
+ <div moe relative>
|
|
|
+ <a href="#" start show>Edit Date</a>
|
|
|
+ <form url="/api/clientRtm/updateRtmLungEnrollmentDate">
|
|
|
+ <input type="hidden" name="uid" value="{{$patient->uid}}">
|
|
|
+ <div class="mb-2">
|
|
|
+ <label class="text-secondary text-sm mb-1">Effective Date</label>
|
|
|
+ <input type="date" class="form-control form-control-sm" name="rtmLungEnrollmentDate" value="{{$patient->rtm_lung_enrollment_date}}">
|
|
|
+ </div>
|
|
|
+ <div class="d-flex align-items-center">
|
|
|
+ <button class="btn btn-sm btn-primary mr-2" submit>Save</button>
|
|
|
+ <button class="btn btn-sm btn-default mr-2 border" cancel>Cancel</button>
|
|
|
+ </div>
|
|
|
+ </form>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ <div class="d-flex align-items-baseline mt-1 pl-3">
|
|
|
+ <label class="m-0 text-secondary font-weight-bold">HCP:</label>
|
|
|
+ <div class="ml-2">
|
|
|
+ <div class="d-flex align-items-baseline">
|
|
|
+ @if($patient->rtmLungHcp)
|
|
|
+ <span class="mr-2">{{$patient->rtmLungHcp->displayName()}}</span>
|
|
|
+ @endif
|
|
|
+ <div moe relative>
|
|
|
+ <a href="#" start show>Edit</a>
|
|
|
+ <form url="/api/clientRtm/updateRtmLungHcpPro">
|
|
|
+ <input type="hidden" name="uid" value="{{$patient->uid}}">
|
|
|
+ <div class="mb-2">
|
|
|
+ <label class="text-secondary text-sm">HCP</label>
|
|
|
+ <select name="rtmLungHcpProUid" provider-search data-pro-uid="{{ @$patient->rtmLungHcp->uid }}" class="form-control form-control-sm">
|
|
|
+ <option value=""> --select--</option>
|
|
|
+ </select>
|
|
|
+ </div>
|
|
|
+ <div class="d-flex align-items-center">
|
|
|
+ <button class="btn btn-sm btn-primary mr-2" submit>Save</button>
|
|
|
+ <button class="btn btn-sm btn-default mr-2 border" cancel>Cancel</button>
|
|
|
+ </div>
|
|
|
+ </form>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ <div class="d-flex align-items-baseline mt-1 pl-3">
|
|
|
+ <label class="m-0 text-secondary font-weight-bold">Coach:</label>
|
|
|
+ <div class="ml-2">
|
|
|
+ <div class="d-flex align-items-baseline">
|
|
|
+ @if($patient->rtmLungCoach)
|
|
|
+ <span class="mr-2">{{$patient->rtmLungCoach->displayName()}}</span>
|
|
|
+ @endif
|
|
|
+ <div moe relative>
|
|
|
+ <a href="#" start show>Edit</a>
|
|
|
+ <form url="/api/clientRtm/updateRtmLungCoachPro">
|
|
|
+ <input type="hidden" name="uid" value="{{$patient->uid}}">
|
|
|
+ <div class="mb-2">
|
|
|
+ <label class="text-secondary text-sm">Coach</label>
|
|
|
+ <select name="rtmLungCoachProUid" provider-search data-pro-uid="{{ @$patient->rtmLungCoach->uid }}" class="form-control form-control-sm">
|
|
|
+ <option value=""> --select--</option>
|
|
|
+ </select>
|
|
|
+ </div>
|
|
|
+ <div class="d-flex align-items-center">
|
|
|
+ <button class="btn btn-sm btn-primary mr-2" submit>Save</button>
|
|
|
+ <button class="btn btn-sm btn-default mr-2 border" cancel>Cancel</button>
|
|
|
+ </div>
|
|
|
+ </form>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ @endif
|
|
|
+
|
|
|
+ {{-- protocol --}}
|
|
|
+ @if($patient->is_enrolled_in_rtm_lung)
|
|
|
+ <div class="d-flex align-items-baseline mt-2">
|
|
|
+ <label class="m-0 text-secondary font-weight-bold">Protocol:</label>
|
|
|
+ <div class="ml-2">
|
|
|
+ <div class="d-flex align-items-baseline">
|
|
|
+ @if($patient->rtm_lung_protocol_detail_json)
|
|
|
+ <span class="mr-2">{{$patient->rtm_lung_protocol_detail_json}}</span>
|
|
|
+ @endif
|
|
|
+ <div moe relative>
|
|
|
+ <a href="#" start show>Edit</a>
|
|
|
+ <form url="/api/clientRtm/updateRtmLungProtocolDetailJson">
|
|
|
+ <input type="hidden" name="uid" value="{{$patient->uid}}">
|
|
|
+ <div class="mb-2">
|
|
|
+ <label class="text-secondary text-sm mb-1">Protocol</label>
|
|
|
+ <textarea class="form-control form-control-sm" name="rtmLungProtocolDetailJson">{{$patient->rtm_lung_protocol_detail_json}}</textarea>
|
|
|
+ </div>
|
|
|
+ <div class="d-flex align-items-center">
|
|
|
+ <button class="btn btn-sm btn-primary mr-2" submit>Save</button>
|
|
|
+ <button class="btn btn-sm btn-default mr-2 border" cancel>Cancel</button>
|
|
|
+ </div>
|
|
|
+ </form>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ @endif
|
|
|
+
|
|
|
+ @endif
|
|
|
+
|
|
|
+ @endif
|
|
|
+
|
|
|
+</div>
|