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@@ -117,14 +117,15 @@ $contentData = [
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if (!!@$point->data) {
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$contentData = $point->data;
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}
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+
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?>
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<div class="events-none form-read-mode">
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<p class="mb-2">Hi {{strtolower($patient->sex) === 'M' ? 'Mr.' : 'Mrs.'}} {{$patient->displayName()}}, My name is {{$pro->displayName()}}. I'm a board-certified nurse practitioner.</p>
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<div class="mb-2">
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- <label class="mb-1">How are you?</label>
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- <textarea data-name="ans_how_are_you" class="form-control form-control-sm" rows="2">{{ @$contentData['ans_how_are_you'] }}</textarea>
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+ <label>How are you?</label>
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+ <?= segment_template_summary_value_display(@$contentData['ans_how_are_you']) ?>
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</div>
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<hr class="my-3">
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@@ -133,23 +134,15 @@ if (!!@$point->data) {
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<?php
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$mailingAddress = implode(' ', [$patient->mailing_address_line1, $patient->mailing_address_line2, $patient->mailing_address_city, $patient->mailing_address_state, $patient->mailing_address_zip]);
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?>
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- <label class="mb-1">Let me confirm your mailing address for delivery of the self-monitoring kit: {{$mailingAddress}}</label>
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- <div class="d-inline-flex ml-2 align-items-baseline pt-1">
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_is_address_correct" name="ans_is_address_correct" {{@$contentData['ans_is_address_correct'] && @$contentData['ans_is_address_correct'] === 'yes' ? 'checked' : ''}} value="yes">
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- <span class="ml-1">Yes</span>
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- </label>
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_is_address_correct" name="ans_is_address_correct" {{@$contentData['ans_is_address_correct'] && @$contentData['ans_is_address_correct'] === 'no' ? 'checked' : ''}} value="no">
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- <span class="ml-1">No</span>
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- </label>
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- </div>
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+ <label>Let me confirm your mailing address for delivery of the self-monitoring kit: {{$mailingAddress}}</label>
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+ <?= segment_template_summary_value_display(ucwords(@$contentData['ans_is_address_correct'])) ?>
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</div>
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-
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+ @if(strlen(@$contentData['ans_corrected_address']))
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<div class="mb-2">
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- <label class="mb-1">If different from above:</label>
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- <textarea data-name="ans_corrected_address" class="form-control form-control-sm" rows="1">{{ @$contentData['ans_corrected_address'] }}</textarea>
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+ <label>If different from above:</label>
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+ <?= segment_template_summary_value_display(@$contentData['ans_corrected_address']) ?>
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</div>
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+ @endif
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<hr class="my-3">
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@@ -158,17 +151,8 @@ if (!!@$point->data) {
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</div>
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<div class="mb-2">
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- <label class="mb-1">Have you ever worked with a nurse practitioner before?</label>
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- <div class="d-inline-flex ml-2 align-items-baseline pt-1">
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_has_worked_with_an_np_before" name="ans_has_worked_with_an_np_before" {{@$contentData['ans_has_worked_with_an_np_before'] && @$contentData['ans_has_worked_with_an_np_before'] === 'yes' ? 'checked' : ''}} value="yes">
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- <span class="ml-1">Yes</span>
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- </label>
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_has_worked_with_an_np_before" name="ans_has_worked_with_an_np_before" {{@$contentData['ans_has_worked_with_an_np_before'] && @$contentData['ans_has_worked_with_an_np_before'] === 'no' ? 'checked' : ''}} value="no">
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- <span class="ml-1">No</span>
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- </label>
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- </div>
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+ <label>Have you ever worked with a nurse practitioner before?</label>
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+ <?= segment_template_summary_value_display(ucwords(@$contentData['ans_has_worked_with_an_np_before'])) ?>
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</div>
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<div class="mb-2 ml-3">
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@@ -179,17 +163,8 @@ if (!!@$point->data) {
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<li>And because telemedicine is now covered by Medicare and we're allowed to waive co-pays, it's free of charge for patients.</li>
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<li>You'll never get a bill or anything.</li>
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<li>
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- <label class="mb-1"><b>Ok?</b></label>
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- <div class="d-inline-flex ml-2 align-items-baseline pt-1">
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_has_worked_with_an_np_before_expl_feedback" name="ans_has_worked_with_an_np_before_expl_feedback" {{@$contentData['ans_has_worked_with_an_np_before_expl_feedback'] && @$contentData['ans_has_worked_with_an_np_before_expl_feedback'] === 'yes' ? 'checked' : ''}} value="yes">
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- <span class="ml-1">Yes</span>
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- </label>
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_has_worked_with_an_np_before_expl_feedback" name="ans_has_worked_with_an_np_before_expl_feedback" {{@$contentData['ans_has_worked_with_an_np_before_expl_feedback'] && @$contentData['ans_has_worked_with_an_np_before_expl_feedback'] === 'no' ? 'checked' : ''}} value="no">
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- <span class="ml-1">No</span>
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- </label>
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- </div>
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+ <label><b>Ok?</b></label>
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+ <?= segment_template_summary_value_display(ucwords(@$contentData['ans_has_worked_with_an_np_before_expl_feedback'])) ?>
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</li>
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</ul>
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</div>
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@@ -208,17 +183,8 @@ if (!!@$point->data) {
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<li>So you do need a long-term strategy to protect yourself in addition to vaccines.</li>
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<li>Small changes in your temperature or oxygen levels are extremely helpful in detecting COVID early, and early treatment is extremely effective at preventing hospitalization.</li>
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<li>
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- <label class="mb-1"><b>Does that make sense?</b></label>
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- <div class="d-inline-flex ml-2 align-items-baseline pt-1">
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_goal_expl_feedback" name="ans_goal_expl_feedback" {{@$contentData['ans_goal_expl_feedback'] && @$contentData['ans_goal_expl_feedback'] === 'yes' ? 'checked' : ''}} value="yes">
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- <span class="ml-1">Yes</span>
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- </label>
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_goal_expl_feedback" name="ans_goal_expl_feedback" {{@$contentData['ans_goal_expl_feedback'] && @$contentData['ans_goal_expl_feedback'] === 'no' ? 'checked' : ''}} value="no">
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- <span class="ml-1">No</span>
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- </label>
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- </div>
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+ <label><b>Does that make sense?</b></label>
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+ <?= segment_template_summary_value_display(ucwords(@$contentData['ans_goal_expl_feedback'])) ?>
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</li>
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</ul>
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</li>
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@@ -226,17 +192,8 @@ if (!!@$point->data) {
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</div>
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<div class="mb-2">
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- <label class="mb-1">So today we’re going to conduct a quick intake, I’m going to give you some important information, and then we’ll get you all set up. <b>Ok?</b></label>
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- <div class="d-inline-flex ml-2 align-items-baseline pt-1">
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_quick_intake_expl_feedback" name="ans_quick_intake_expl_feedback" {{@$contentData['ans_quick_intake_expl_feedback'] && @$contentData['ans_quick_intake_expl_feedback'] === 'yes' ? 'checked' : ''}} value="yes">
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- <span class="ml-1">Yes</span>
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- </label>
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_quick_intake_expl_feedback" name="ans_quick_intake_expl_feedback" {{@$contentData['ans_quick_intake_expl_feedback'] && @$contentData['ans_quick_intake_expl_feedback'] === 'no' ? 'checked' : ''}} value="no">
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- <span class="ml-1">No</span>
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- </label>
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- </div>
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+ <label>So today we’re going to conduct a quick intake, I’m going to give you some important information, and then we’ll get you all set up. <b>Ok?</b></label>
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+ <?= segment_template_summary_value_display(ucwords(@$contentData['ans_quick_intake_expl_feedback'])) ?>
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</div>
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<hr class="my-3">
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@@ -251,16 +208,7 @@ if (!!@$point->data) {
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<div class="mb-2">
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<label class="mb-1">For example, have you heard that normal body temperature is 98.6 F?.</label>
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- <div class="d-inline-flex ml-2 align-items-baseline pt-1">
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_normal_temp_is_986" name="ans_normal_temp_is_986" {{@$contentData['ans_normal_temp_is_986'] && @$contentData['ans_normal_temp_is_986'] === 'yes' ? 'checked' : ''}} value="yes">
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- <span class="ml-1">Yes</span>
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- </label>
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_normal_temp_is_986" name="ans_normal_temp_is_986" {{@$contentData['ans_normal_temp_is_986'] && @$contentData['ans_normal_temp_is_986'] === 'no' ? 'checked' : ''}} value="no">
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- <span class="ml-1">No</span>
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- </label>
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- </div>
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+ <?= segment_template_summary_value_display(ucwords(@$contentData['ans_normal_temp_is_986'])) ?>
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</div>
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<div class="mb-2 ml-3">
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@@ -273,33 +221,15 @@ if (!!@$point->data) {
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<li>So, what’s normal for one person could be signs of a fever in another person!</li>
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<li>So if someone with a baseline temperature of 97.7 measures in at 98.6, it could mean that <b>they’re not actually normal</b> - in fact they are starting to run a fever!</li>
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<li>
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- <label class="mb-1"><b>Does that make sense?</b></label>
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- <div class="d-inline-flex ml-2 align-items-baseline pt-1">
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_baseline_expl_feedback_1" name="ans_baseline_expl_feedback_1" {{@$contentData['ans_baseline_expl_feedback_1'] && @$contentData['ans_baseline_expl_feedback_1'] === 'yes' ? 'checked' : ''}} value="yes">
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- <span class="ml-1">Yes</span>
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- </label>
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_baseline_expl_feedback_1" name="ans_baseline_expl_feedback_1" {{@$contentData['ans_baseline_expl_feedback_1'] && @$contentData['ans_baseline_expl_feedback_1'] === 'no' ? 'checked' : ''}} value="no">
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- <span class="ml-1">No</span>
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- </label>
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- </div>
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+ <label><b>Does that make sense?</b></label>
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+ <?= segment_template_summary_value_display(ucwords(@$contentData['ans_baseline_expl_feedback_1'])) ?>
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</li>
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</ul>
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</div>
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<div class="mb-2">
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- <label class="mb-1"><b>So the numbers you read on self-monitoring equipment mean different things to different people.</b> So we’re going to go through your vital signs and each meter one by one, and I’m going to ask you some questions about each of them. <b>OK?</b></label>
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- <div class="d-inline-flex ml-2 align-items-baseline pt-1">
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_baseline_expl_feedback_2" name="ans_baseline_expl_feedback_2" {{@$contentData['ans_baseline_expl_feedback_2'] && @$contentData['ans_baseline_expl_feedback_2'] === 'yes' ? 'checked' : ''}} value="yes">
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- <span class="ml-1">Yes</span>
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- </label>
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_baseline_expl_feedback_2" name="ans_baseline_expl_feedback_2" {{@$contentData['ans_baseline_expl_feedback_2'] && @$contentData['ans_baseline_expl_feedback_2'] === 'no' ? 'checked' : ''}} value="no">
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- <span class="ml-1">No</span>
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- </label>
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- </div>
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+ <label><b>So the numbers you read on self-monitoring equipment mean different things to different people.</b> So we’re going to go through your vital signs and each meter one by one, and I’m going to ask you some questions about each of them. <b>OK?</b></label>
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+ <?= segment_template_summary_value_display(ucwords(@$contentData['ans_baseline_expl_feedback_2'])) ?>
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</div>
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<hr class="my-3">
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@@ -309,8 +239,8 @@ if (!!@$point->data) {
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<div class="ml-3">
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<div class="mb-2">
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- <label class="mb-1">Do you know what your baseline temperature usually reads in at?</label>
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- <input type="text" data-name="ans_baseline_temperature" value="{{@$contentData['ans_baseline_temperature']}}" class="form-control form-control-sm d-inline-block w-auto ml-2">
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+ <label>Do you know what your baseline temperature usually reads in at?</label>
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+ <?= segment_template_summary_value_display(@$contentData['ans_baseline_temperature']) ?>
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</div>
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<div class="mb-2 ml-3">
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@@ -319,7 +249,7 @@ if (!!@$point->data) {
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<div class="mb-2">
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<label class="mb-1">Do you currently feel like you may be running high?</label>
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- <input type="text" data-name="ans_currently_running_high" value="{{@$contentData['ans_currently_running_high']}}" class="form-control form-control-sm d-inline-block w-auto ml-2">
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+ <?= segment_template_summary_value_display(@$contentData['ans_currently_running_high']) ?>
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</div>
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</div>
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@@ -331,24 +261,15 @@ if (!!@$point->data) {
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<div class="ml-3">
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<div class="mb-2">
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- <label class="mb-1">And what about your baseline blood oxygen, do you know what that usually reads in at?</label>
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- <input type="text" data-name="ans_baseline_blood_ox" value="{{@$contentData['ans_baseline_blood_ox']}}" class="form-control form-control-sm d-inline-block w-auto ml-2">
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+ <label>And what about your baseline blood oxygen, do you know what that usually reads in at?</label>
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+ <?= segment_template_summary_value_display(@$contentData['ans_baseline_blood_ox']) ?>
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</div>
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<div class="mb-2 ml-3">
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<ul>
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<li>
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- <label class="mb-1">Have you ever operated a fingertip pulse oxygen meter by yourself?</label>
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- <div class="d-inline-flex ml-2 align-items-baseline pt-1">
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_blood_ox_by_self" name="ans_blood_ox_by_self" {{@$contentData['ans_blood_ox_by_self'] && @$contentData['ans_blood_ox_by_self'] === 'yes' ? 'checked' : ''}} value="yes">
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- <span class="ml-1">Yes</span>
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- </label>
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_blood_ox_by_self" name="ans_blood_ox_by_self" {{@$contentData['ans_blood_ox_by_self'] && @$contentData['ans_blood_ox_by_self'] === 'no' ? 'checked' : ''}} value="no">
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- <span class="ml-1">No</span>
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- </label>
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- </div>
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+ <label>Have you ever operated a fingertip pulse oxygen meter by yourself?</label>
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+ <?= segment_template_summary_value_display(ucwords(@$contentData['ans_blood_ox_by_self'])) ?>
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</li>
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<li>
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Blood oxygen is particularly important to know about these days.
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@@ -358,125 +279,89 @@ if (!!@$point->data) {
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<li>COVID, however, almost always causes a drop in your oxygen level!</li>
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<li>So, if you ever have a fever, and notice a drop in your blood oxygen level as well, it’s more likely to be COVID and you can help you seek appropriate medical attention sooner.</li>
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<li>
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- <label class="mb-1">Does that make sense?</label>
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- <div class="d-inline-flex ml-2 align-items-baseline pt-1">
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_blood_ox_expl_feedback" name="ans_blood_ox_expl_feedback" {{@$contentData['ans_blood_ox_expl_feedback'] && @$contentData['ans_blood_ox_expl_feedback'] === 'yes' ? 'checked' : ''}} value="yes">
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- <span class="ml-1">Yes</span>
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- </label>
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_blood_ox_expl_feedback" name="ans_blood_ox_expl_feedback" {{@$contentData['ans_blood_ox_expl_feedback'] && @$contentData['ans_blood_ox_expl_feedback'] === 'no' ? 'checked' : ''}} value="no">
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- <span class="ml-1">No</span>
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- </label>
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- </div>
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+ <label>Does that make sense?</label>
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+ <?= segment_template_summary_value_display(ucwords(@$contentData['ans_blood_ox_expl_feedback'])) ?>
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</li>
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<li>
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Have you ever been diagnosed with any condition that affects the lungs and may possibly affect your blood oxygen readings, such as COVID, asthma, or COPD?
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<ul>
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<li>
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<div>
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- <label class="mb-1">COVID</label>
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- <div class="d-inline-flex ml-2 align-items-baseline pt-1">
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_blood_ox_condition_covid" name="ans_blood_ox_condition_covid" {{@$contentData['ans_blood_ox_condition_covid'] && @$contentData['ans_blood_ox_condition_covid'] === 'yes' ? 'checked' : ''}} value="yes">
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- <span class="ml-1">Yes</span>
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- </label>
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_blood_ox_condition_covid" name="ans_blood_ox_condition_covid" {{@$contentData['ans_blood_ox_condition_covid'] && @$contentData['ans_blood_ox_condition_covid'] === 'no' ? 'checked' : ''}} value="no">
|
|
|
- <span class="ml-1">No</span>
|
|
|
- </label>
|
|
|
- </div>
|
|
|
+ <label>COVID</label>
|
|
|
+ <?= segment_template_summary_value_display(ucwords(@$contentData['ans_blood_ox_condition_covid'])) ?>
|
|
|
</div>
|
|
|
<ul>
|
|
|
<li class="mb-2">
|
|
|
- <label class="mb-1">How are you feeling now?</label>
|
|
|
- <input type="text" data-name="ans_condition_covid_how_now" value="{{@$contentData['ans_condition_covid_how_now']}}" class="form-control form-control-sm d-inline-block w-auto ml-2">
|
|
|
+ <label>How are you feeling now?</label>
|
|
|
+ <?= segment_template_summary_value_display(@$contentData['ans_condition_covid_how_now']) ?>
|
|
|
</li>
|
|
|
<li class="mb-2">
|
|
|
- <label class="mb-1">Have you recovered completely?</label>
|
|
|
- <input type="text" data-name="ans_condition_covid_recovered" value="{{@$contentData['ans_condition_covid_recovered']}}" class="form-control form-control-sm d-inline-block w-auto ml-2">
|
|
|
+ <label>Have you recovered completely?</label>
|
|
|
+ <?= segment_template_summary_value_display(@$contentData['ans_condition_covid_recovered']) ?>
|
|
|
</li>
|
|
|
<li class="mb-2">
|
|
|
- <label class="mb-1">Do you have any lingering symptoms like Shortness of breath, weakness, or brain fog?</label>
|
|
|
- <input type="text" data-name="ans_condition_covid_lingering_symptoms" value="{{@$contentData['ans_condition_covid_lingering_symptoms']}}" class="form-control form-control-sm d-inline-block w-auto ml-2">
|
|
|
+ <label>Do you have any lingering symptoms like Shortness of breath, weakness, or brain fog?</label>
|
|
|
+ <?= segment_template_summary_value_display(@$contentData['ans_condition_covid_lingering_symptoms']) ?>
|
|
|
</li>
|
|
|
</ul>
|
|
|
</li>
|
|
|
<li>
|
|
|
<div>
|
|
|
- <label class="mb-1">Asthma</label>
|
|
|
- <div class="d-inline-flex ml-2 align-items-baseline pt-1">
|
|
|
- <label class="my-0 mr-3 d-flex align-items-center">
|
|
|
- <input type="radio" data-name="ans_blood_ox_condition_asthma" name="ans_blood_ox_condition_asthma" {{@$contentData['ans_blood_ox_condition_asthma'] && @$contentData['ans_blood_ox_condition_asthma'] === 'yes' ? 'checked' : ''}} value="yes">
|
|
|
- <span class="ml-1">Yes</span>
|
|
|
- </label>
|
|
|
- <label class="my-0 mr-3 d-flex align-items-center">
|
|
|
- <input type="radio" data-name="ans_blood_ox_condition_asthma" name="ans_blood_ox_condition_asthma" {{@$contentData['ans_blood_ox_condition_asthma'] && @$contentData['ans_blood_ox_condition_asthma'] === 'no' ? 'checked' : ''}} value="no">
|
|
|
- <span class="ml-1">No</span>
|
|
|
- </label>
|
|
|
- </div>
|
|
|
+ <label>Asthma</label>
|
|
|
+ <?= segment_template_summary_value_display(ucwords(@$contentData['ans_blood_ox_condition_asthma'] )) ?>
|
|
|
</div>
|
|
|
<ul>
|
|
|
<li class="mb-2">
|
|
|
- <label class="mb-1">How are you feeling now?</label>
|
|
|
- <input type="text" data-name="ans_condition_asthma_how_now" value="{{@$contentData['ans_condition_asthma_how_now']}}" class="form-control form-control-sm d-inline-block w-auto ml-2">
|
|
|
+ <label>How are you feeling now?</label>
|
|
|
+ <?= segment_template_summary_value_display(@$contentData['ans_condition_asthma_how_now']) ?>
|
|
|
</li>
|
|
|
<li class="mb-2">
|
|
|
<label class="mb-1">Have you recovered completely?</label>
|
|
|
- <input type="text" data-name="ans_condition_asthma_recovered" value="{{@$contentData['ans_condition_asthma_recovered']}}" class="form-control form-control-sm d-inline-block w-auto ml-2">
|
|
|
+ <?= segment_template_summary_value_display(@$contentData['ans_condition_asthma_recovered']) ?>
|
|
|
</li>
|
|
|
<li class="mb-2">
|
|
|
- <label class="mb-1">Do you have any lingering symptoms like Shortness of breath, weakness, or brain fog?</label>
|
|
|
- <input type="text" data-name="ans_condition_asthma_lingering_symptoms" value="{{@$contentData['ans_condition_asthma_lingering_symptoms']}}" class="form-control form-control-sm d-inline-block w-auto ml-2">
|
|
|
+ <label>Do you have any lingering symptoms like Shortness of breath, weakness, or brain fog?</label>
|
|
|
+ <?= segment_template_summary_value_display(@$contentData['ans_condition_asthma_lingering_symptoms']) ?>
|
|
|
</li>
|
|
|
</ul>
|
|
|
</li>
|
|
|
<li>
|
|
|
<div>
|
|
|
- <label class="mb-1">COPD</label>
|
|
|
- <div class="d-inline-flex ml-2 align-items-baseline pt-1">
|
|
|
- <label class="my-0 mr-3 d-flex align-items-center">
|
|
|
- <input type="radio" data-name="ans_blood_ox_condition_copd" name="ans_blood_ox_condition_copd" {{@$contentData['ans_blood_ox_condition_copd'] && @$contentData['ans_blood_ox_condition_copd'] === 'yes' ? 'checked' : ''}} value="yes">
|
|
|
- <span class="ml-1">Yes</span>
|
|
|
- </label>
|
|
|
- <label class="my-0 mr-3 d-flex align-items-center">
|
|
|
- <input type="radio" data-name="ans_blood_ox_condition_copd" name="ans_blood_ox_condition_copd" {{@$contentData['ans_blood_ox_condition_copd'] && @$contentData['ans_blood_ox_condition_copd'] === 'no' ? 'checked' : ''}} value="no">
|
|
|
- <span class="ml-1">No</span>
|
|
|
- </label>
|
|
|
- </div>
|
|
|
+ <label>COPD</label>
|
|
|
+ <?= segment_template_summary_value_display(ucwords(@$contentData['ans_blood_ox_condition_copd'])) ?>
|
|
|
</div>
|
|
|
<ul>
|
|
|
<li class="mb-2">
|
|
|
- <label class="mb-1">How are you feeling now?</label>
|
|
|
- <input type="text" data-name="ans_condition_copd_how_now" value="{{@$contentData['ans_condition_copd_how_now']}}" class="form-control form-control-sm d-inline-block w-auto ml-2">
|
|
|
+ <label>How are you feeling now?</label>
|
|
|
+ <?= segment_template_summary_value_display(@$contentData['ans_condition_copd_how_now']) ?>
|
|
|
</li>
|
|
|
<li class="mb-2">
|
|
|
- <label class="mb-1">Have you recovered completely?</label>
|
|
|
- <input type="text" data-name="ans_condition_copd_recovered" value="{{@$contentData['ans_condition_copd_recovered']}}" class="form-control form-control-sm d-inline-block w-auto ml-2">
|
|
|
+ <label>Have you recovered completely?</label>
|
|
|
+ <?= segment_template_summary_value_display(@$contentData['ans_condition_copd_recovered']) ?>
|
|
|
</li>
|
|
|
<li class="mb-2">
|
|
|
- <label class="mb-1">Do you have any lingering symptoms like Shortness of breath, weakness, or brain fog?</label>
|
|
|
- <input type="text" data-name="ans_condition_copd_lingering_symptoms" value="{{@$contentData['ans_condition_copd_lingering_symptoms']}}" class="form-control form-control-sm d-inline-block w-auto ml-2">
|
|
|
+ <label>Do you have any lingering symptoms like Shortness of breath, weakness, or brain fog?</label>
|
|
|
+ <?= segment_template_summary_value_display(@$contentData['ans_condition_copd_lingering_symptoms']) ?>
|
|
|
</li>
|
|
|
</ul>
|
|
|
</li>
|
|
|
<li>
|
|
|
<div>
|
|
|
- <label class="mb-1">Other</label>
|
|
|
- <input type="text" data-name="ans_blood_ox_condition_other" value="{{@$contentData['ans_blood_ox_condition_other']}}" class="form-control form-control-sm d-inline-block w-auto ml-2">
|
|
|
+ <label>Other</label>
|
|
|
+ <?= segment_template_summary_value_display(@$contentData['ans_blood_ox_condition_other']) ?>
|
|
|
</div>
|
|
|
<ul>
|
|
|
<li class="mb-2">
|
|
|
- <label class="mb-1">How are you feeling now?</label>
|
|
|
- <input type="text" data-name="ans_condition_other_how_now" value="{{@$contentData['ans_condition_other_how_now']}}" class="form-control form-control-sm d-inline-block w-auto ml-2">
|
|
|
+ <label>How are you feeling now?</label>
|
|
|
+ <?= segment_template_summary_value_display(@$contentData['ans_condition_other_how_now']) ?>
|
|
|
</li>
|
|
|
<li class="mb-2">
|
|
|
- <label class="mb-1">Have you recovered completely?</label>
|
|
|
- <input type="text" data-name="ans_condition_other_recovered" value="{{@$contentData['ans_condition_other_recovered']}}" class="form-control form-control-sm d-inline-block w-auto ml-2">
|
|
|
+ <label>Have you recovered completely?</label>
|
|
|
+ <?= segment_template_summary_value_display(@$contentData['ans_condition_other_recovered']) ?>
|
|
|
</li>
|
|
|
<li class="mb-2">
|
|
|
- <label class="mb-1">Do you have any lingering symptoms like Shortness of breath, weakness, or brain fog?</label>
|
|
|
- <input type="text" data-name="ans_condition_other_lingering_symptoms" value="{{@$contentData['ans_condition_other_lingering_symptoms']}}" class="form-control form-control-sm d-inline-block w-auto ml-2">
|
|
|
+ <label>Do you have any lingering symptoms like Shortness of breath, weakness, or brain fog?</label>
|
|
|
+ <?= segment_template_summary_value_display(@$contentData['ans_condition_other_lingering_symptoms']) ?>
|
|
|
</li>
|
|
|
</ul>
|
|
|
</li>
|
|
@@ -497,116 +382,73 @@ if (!!@$point->data) {
|
|
|
<div class="ml-3">
|
|
|
|
|
|
<div class="mb-2">
|
|
|
- <label class="mb-1">Do you know what your baseline heart rate and blood pressure usually read in at?</label>
|
|
|
- <div>
|
|
|
- <input type="text" data-name="ans_baseline_heart_rate" value="{{@$contentData['ans_baseline_heart_rate']}}" placeholder="Heart Rate" class="form-control form-control-sm d-inline-block w-auto ml-2">
|
|
|
- <input type="text" data-name="ans_baseline_bp" value="{{@$contentData['ans_baseline_bp']}}" placeholder="BP" class="ml-3 form-control form-control-sm d-inline-block w-auto ml-2">
|
|
|
+ <label>Do you know what your baseline heart rate and blood pressure usually read in at?</label>
|
|
|
+ <div class="pl-3">
|
|
|
+ <div>Heart Rate: <?= segment_template_summary_value_display(@$contentData['ans_baseline_heart_rate']) ?></div>
|
|
|
+ <div>BP: <?= segment_template_summary_value_display(@$contentData['ans_baseline_bp']) ?></div>
|
|
|
</div>
|
|
|
</div>
|
|
|
|
|
|
<div class="mb-2">
|
|
|
- <label class="mb-1">Have you ever operated a digital blood pressure and pulse meter by yourself?</label>
|
|
|
- <div class="d-inline-flex ml-2 align-items-baseline pt-1">
|
|
|
- <label class="my-0 mr-3 d-flex align-items-center">
|
|
|
- <input type="radio" data-name="ans_bp_by_self" name="ans_bp_by_self" {{@$contentData['ans_bp_by_self'] && @$contentData['ans_bp_by_self'] === 'yes' ? 'checked' : ''}} value="yes">
|
|
|
- <span class="ml-1">Yes</span>
|
|
|
- </label>
|
|
|
- <label class="my-0 mr-3 d-flex align-items-center">
|
|
|
- <input type="radio" data-name="ans_bp_by_self" name="ans_bp_by_self" {{@$contentData['ans_bp_by_self'] && @$contentData['ans_bp_by_self'] === 'no' ? 'checked' : ''}} value="no">
|
|
|
- <span class="ml-1">No</span>
|
|
|
- </label>
|
|
|
- </div>
|
|
|
+ <label>Have you ever operated a digital blood pressure and pulse meter by yourself?</label>
|
|
|
+ <?= segment_template_summary_value_display(ucwords(@$contentData['ans_bp_by_self'])) ?>
|
|
|
</div>
|
|
|
|
|
|
<div class="mb-2">
|
|
|
- <label class="mb-1">Have you ever been diagnosed with high blood pressure?</label>
|
|
|
- <div class="d-inline-flex ml-2 align-items-baseline pt-1">
|
|
|
- <label class="my-0 mr-3 d-flex align-items-center">
|
|
|
- <input type="radio" data-name="ans_high_bp_ever" name="ans_high_bp_ever" {{@$contentData['ans_high_bp_ever'] && @$contentData['ans_high_bp_ever'] === 'yes' ? 'checked' : ''}} value="yes">
|
|
|
- <span class="ml-1">Yes</span>
|
|
|
- </label>
|
|
|
- <label class="my-0 mr-3 d-flex align-items-center">
|
|
|
- <input type="radio" data-name="ans_high_bp_ever" name="ans_high_bp_ever" {{@$contentData['ans_high_bp_ever'] && @$contentData['ans_high_bp_ever'] === 'no' ? 'checked' : ''}} value="no">
|
|
|
- <span class="ml-1">No</span>
|
|
|
- </label>
|
|
|
- </div>
|
|
|
+ <label>Have you ever been diagnosed with high blood pressure?</label>
|
|
|
+ <?= segment_template_summary_value_display(ucwords(@$contentData['ans_high_bp_ever'])) ?>
|
|
|
</div>
|
|
|
|
|
|
<div class="mb-2">
|
|
|
- <label class="mb-1">Do you take BP medicine?</label>
|
|
|
- <div class="d-inline-flex ml-2 align-items-baseline pt-1">
|
|
|
- <label class="my-0 mr-3 d-flex align-items-center">
|
|
|
- <input type="radio" data-name="ans_bp_medicine" name="ans_bp_medicine" {{@$contentData['ans_bp_medicine'] && @$contentData['ans_bp_medicine'] === 'yes' ? 'checked' : ''}} value="yes">
|
|
|
- <span class="ml-1">Yes</span>
|
|
|
- </label>
|
|
|
- <label class="my-0 mr-3 d-flex align-items-center">
|
|
|
- <input type="radio" data-name="ans_bp_medicine" name="ans_bp_medicine" {{@$contentData['ans_bp_medicine'] && @$contentData['ans_bp_medicine'] === 'no' ? 'checked' : ''}} value="no">
|
|
|
- <span class="ml-1">No</span>
|
|
|
- </label>
|
|
|
- </div>
|
|
|
+ <label>Do you take BP medicine?</label>
|
|
|
+ <?= segment_template_summary_value_display(ucwords(@$contentData['ans_bp_medicine'])) ?>
|
|
|
</div>
|
|
|
|
|
|
<div class="mb-3 ml-3">
|
|
|
<label class="mb-2">If taking BP medication:</label>
|
|
|
- <div class="mb-2">
|
|
|
- <input type="text" data-name="ans_bp_medicine_1_type" value="{{@$contentData['ans_bp_medicine_1_type']}}" placeholder="Type" class="ml-3 form-control form-control-sm d-inline-block w-auto ml-2">
|
|
|
- <input type="text" data-name="ans_bp_medicine_1_dose" value="{{@$contentData['ans_bp_medicine_1_dose']}}" placeholder="Dose" class="ml-3 form-control form-control-sm d-inline-block w-auto ml-2">
|
|
|
- </div>
|
|
|
- <div class="mb-2">
|
|
|
- <input type="text" data-name="ans_bp_medicine_2_type" value="{{@$contentData['ans_bp_medicine_2_type']}}" placeholder="Type" class="ml-3 form-control form-control-sm d-inline-block w-auto ml-2">
|
|
|
- <input type="text" data-name="ans_bp_medicine_2_dose" value="{{@$contentData['ans_bp_medicine_2_dose']}}" placeholder="Dose" class="ml-3 form-control form-control-sm d-inline-block w-auto ml-2">
|
|
|
- </div>
|
|
|
- <div class="mb-2">
|
|
|
- <input type="text" data-name="ans_bp_medicine_3_type" value="{{@$contentData['ans_bp_medicine_3_type']}}" placeholder="Type" class="ml-3 form-control form-control-sm d-inline-block w-auto ml-2">
|
|
|
- <input type="text" data-name="ans_bp_medicine_3_dose" value="{{@$contentData['ans_bp_medicine_3_dose']}}" placeholder="Dose" class="ml-3 form-control form-control-sm d-inline-block w-auto ml-2">
|
|
|
+ <div class="pl-3">
|
|
|
+ @if(@$contentData['ans_bp_medicine_1_type'])
|
|
|
+ <div class="mb-2">
|
|
|
+ ▸ <?= segment_template_summary_value_display(@$contentData['ans_bp_medicine_1_type']) ?>:
|
|
|
+ <?= segment_template_summary_value_display(@$contentData['ans_bp_medicine_1_dose']) ?>
|
|
|
+ </div>
|
|
|
+ @endif
|
|
|
+
|
|
|
+ @if(@$contentData['ans_bp_medicine_2_type'])
|
|
|
+ <div class="mb-2">
|
|
|
+ ▸ <?= segment_template_summary_value_display(@$contentData['ans_bp_medicine_2_type']) ?>:
|
|
|
+ <?= segment_template_summary_value_display(@$contentData['ans_bp_medicine_2_dose']) ?>
|
|
|
+ </div>
|
|
|
+ @endif
|
|
|
+
|
|
|
+ @if(@$contentData['ans_bp_medicine_3_type'])
|
|
|
+ <div class="mb-2">
|
|
|
+ ▸ <?= segment_template_summary_value_display(@$contentData['ans_bp_medicine_3_type']) ?>:
|
|
|
+ <?= segment_template_summary_value_display(@$contentData['ans_bp_medicine_3_dose']) ?>
|
|
|
+ </div>
|
|
|
+ @endif
|
|
|
</div>
|
|
|
+
|
|
|
</div>
|
|
|
|
|
|
<div class="mb-2">
|
|
|
<label class="mb-1">Have you ever been diagnosed with any cardiac or heart condition that may affect your heart rate or blood pressure, such as....?</label>
|
|
|
<ul>
|
|
|
<li>
|
|
|
- <label class="mb-1">CAD or other atherosclerosis</label>
|
|
|
- <div class="d-inline-flex ml-2 align-items-baseline pt-1">
|
|
|
- <label class="my-0 mr-3 d-flex align-items-center">
|
|
|
- <input type="radio" data-name="ans_cardiac_heart_ever_cad" name="ans_cardiac_heart_ever_cad" {{@$contentData['ans_cardiac_heart_ever_cad'] && @$contentData['ans_cardiac_heart_ever_cad'] === 'yes' ? 'checked' : ''}} value="yes">
|
|
|
- <span class="ml-1">Yes</span>
|
|
|
- </label>
|
|
|
- <label class="my-0 mr-3 d-flex align-items-center">
|
|
|
- <input type="radio" data-name="ans_cardiac_heart_ever_cad" name="ans_cardiac_heart_ever_cad" {{@$contentData['ans_cardiac_heart_ever_cad'] && @$contentData['ans_cardiac_heart_ever_cad'] === 'no' ? 'checked' : ''}} value="no">
|
|
|
- <span class="ml-1">No</span>
|
|
|
- </label>
|
|
|
- </div>
|
|
|
+ <label>CAD or other atherosclerosis</label>
|
|
|
+ <?= segment_template_summary_value_display(ucwords(@$contentData['ans_cardiac_heart_ever_cad'])) ?>
|
|
|
</li>
|
|
|
<li>
|
|
|
- <label class="mb-1">Irregular heart rhythm</label>
|
|
|
- <div class="d-inline-flex ml-2 align-items-baseline pt-1">
|
|
|
- <label class="my-0 mr-3 d-flex align-items-center">
|
|
|
- <input type="radio" data-name="ans_cardiac_heart_ever_irr" name="ans_cardiac_heart_ever_irr" {{@$contentData['ans_cardiac_heart_ever_irr'] && @$contentData['ans_cardiac_heart_ever_irr'] === 'yes' ? 'checked' : ''}} value="yes">
|
|
|
- <span class="ml-1">Yes</span>
|
|
|
- </label>
|
|
|
- <label class="my-0 mr-3 d-flex align-items-center">
|
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|
- <input type="radio" data-name="ans_cardiac_heart_ever_irr" name="ans_cardiac_heart_ever_irr" {{@$contentData['ans_cardiac_heart_ever_irr'] && @$contentData['ans_cardiac_heart_ever_irr'] === 'no' ? 'checked' : ''}} value="no">
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- <span class="ml-1">No</span>
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- </label>
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- </div>
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+ <label>Irregular heart rhythm</label>
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+ <?= segment_template_summary_value_display(ucwords(@$contentData['ans_cardiac_heart_ever_irr'])) ?>
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</li>
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<li>
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- <label class="mb-1">CHF</label>
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- <div class="d-inline-flex ml-2 align-items-baseline pt-1">
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_cardiac_heart_ever_chf" name="ans_cardiac_heart_ever_chf" {{@$contentData['ans_cardiac_heart_ever_chf'] && @$contentData['ans_cardiac_heart_ever_chf'] === 'yes' ? 'checked' : ''}} value="yes">
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- <span class="ml-1">Yes</span>
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- </label>
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_cardiac_heart_ever_chf" name="ans_cardiac_heart_ever_chf" {{@$contentData['ans_cardiac_heart_ever_chf'] && @$contentData['ans_cardiac_heart_ever_chf'] === 'no' ? 'checked' : ''}} value="no">
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- <span class="ml-1">No</span>
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- </label>
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- </div>
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+ <label>CHF</label>
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+ <?= segment_template_summary_value_display(ucwords(@$contentData['ans_cardiac_heart_ever_chf'])) ?>
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</li>
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<li>
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- <label class="mb-1">Other</label>
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- <input type="text" data-name="ans_cardiac_heart_ever_other" value="{{@$contentData['ans_cardiac_heart_ever_other']}}" class="ml-3 form-control form-control-sm d-inline-block w-auto ml-2">
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+ <label>Other</label>
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+ <?= segment_template_summary_value_display(@$contentData['ans_cardiac_heart_ever_other']) ?>
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</li>
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</ul>
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</div>
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@@ -615,89 +457,35 @@ if (!!@$point->data) {
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<label class="mb-1">Do you have any:</label>
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<ul>
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<li>
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- <label class="mb-1">Chest pain</label>
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- <div class="d-inline-flex ml-2 align-items-baseline pt-1">
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_chest_pain" name="ans_chest_pain" {{@$contentData['ans_chest_pain'] && @$contentData['ans_chest_pain'] === 'yes' ? 'checked' : ''}} value="yes">
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- <span class="ml-1">Yes</span>
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- </label>
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_chest_pain" name="ans_chest_pain" {{@$contentData['ans_chest_pain'] && @$contentData['ans_chest_pain'] === 'no' ? 'checked' : ''}} value="no">
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- <span class="ml-1">No</span>
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- </label>
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- </div>
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+ <label>Chest pain</label>
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+ <?= segment_template_summary_value_display(ucwords(@$contentData['ans_chest_pain'])) ?>
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</li>
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<li>
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- <label class="mb-1">Shortness of breath?</label>
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- <div class="d-inline-flex ml-2 align-items-baseline pt-1">
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_shortness_of_breath" name="ans_shortness_of_breath" {{@$contentData['ans_shortness_of_breath'] && @$contentData['ans_shortness_of_breath'] === 'yes' ? 'checked' : ''}} value="yes">
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- <span class="ml-1">Yes</span>
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- </label>
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_shortness_of_breath" name="ans_shortness_of_breath" {{@$contentData['ans_shortness_of_breath'] && @$contentData['ans_shortness_of_breath'] === 'no' ? 'checked' : ''}} value="no">
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- <span class="ml-1">No</span>
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- </label>
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- </div>
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+ <label>Shortness of breath?</label>
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+ <?= segment_template_summary_value_display(ucwords(@$contentData['ans_shortness_of_breath'])) ?>
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</li>
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<li>
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- <label class="mb-1">Fatigue or light-headedness?</label>
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- <div class="d-inline-flex ml-2 align-items-baseline pt-1">
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_fatigue" name="ans_fatigue" {{@$contentData['ans_fatigue'] && @$contentData['ans_fatigue'] === 'yes' ? 'checked' : ''}} value="yes">
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- <span class="ml-1">Yes</span>
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- </label>
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_fatigue" name="ans_fatigue" {{@$contentData['ans_fatigue'] && @$contentData['ans_fatigue'] === 'no' ? 'checked' : ''}} value="no">
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- <span class="ml-1">No</span>
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- </label>
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- </div>
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+ <label>Fatigue or light-headedness?</label>
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+ <?= segment_template_summary_value_display(ucwords(@$contentData['ans_fatigue'])) ?>
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</li>
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<li>
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- <label class="mb-1">Headache?</label>
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- <div class="d-inline-flex ml-2 align-items-baseline pt-1">
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_headache" name="ans_headache" {{@$contentData['ans_headache'] && @$contentData['ans_headache'] === 'yes' ? 'checked' : ''}} value="yes">
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- <span class="ml-1">Yes</span>
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- </label>
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_headache" name="ans_headache" {{@$contentData['ans_headache'] && @$contentData['ans_headache'] === 'no' ? 'checked' : ''}} value="no">
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- <span class="ml-1">No</span>
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- </label>
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- </div>
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+ <label>Headache?</label>
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+ <?= segment_template_summary_value_display(ucwords(@$contentData['ans_headache'])) ?>
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</li>
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</ul>
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</div>
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<div class="mb-2">
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- <label class="mb-1">Do you ever notice an increase in your heart rate?</label>
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- <div class="d-inline-flex ml-2 align-items-baseline pt-1">
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_increase_in_heart_rate" name="ans_increase_in_heart_rate" {{@$contentData['ans_increase_in_heart_rate'] && @$contentData['ans_increase_in_heart_rate'] === 'yes' ? 'checked' : ''}} value="yes">
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- <span class="ml-1">Yes</span>
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- </label>
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_increase_in_heart_rate" name="ans_increase_in_heart_rate" {{@$contentData['ans_increase_in_heart_rate'] && @$contentData['ans_increase_in_heart_rate'] === 'no' ? 'checked' : ''}} value="no">
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- <span class="ml-1">No</span>
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- </label>
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- </div>
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+ <label>Do you ever notice an increase in your heart rate?</label>
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+ <?= segment_template_summary_value_display(ucwords(@$contentData['ans_increase_in_heart_rate'])) ?>
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<ul>
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<li>
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- <label class="mb-1">How ofter?</label>
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- <input type="text" data-name="ans_increase_in_heart_rate_frequency" value="{{@$contentData['ans_increase_in_heart_rate_frequency']}}" class="ml-3 form-control form-control-sm d-inline-block w-auto ml-2">
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+ <label>How ofter?</label>
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+ <?= segment_template_summary_value_display(ucwords(@$contentData['ans_increase_in_heart_rate_frequency'])) ?>
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</li>
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<li>
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- <label class="mb-1">Do you monitor your BP before / after workouts?</label>
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- <div class="d-inline-flex ml-2 align-items-baseline pt-1">
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_monitor_bp_before_after_workouts" name="ans_monitor_bp_before_after_workouts" {{@$contentData['ans_monitor_bp_before_after_workouts'] && @$contentData['ans_monitor_bp_before_after_workouts'] === 'yes' ? 'checked' : ''}} value="yes">
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- <span class="ml-1">Yes</span>
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- </label>
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- <label class="my-0 mr-3 d-flex align-items-center">
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- <input type="radio" data-name="ans_monitor_bp_before_after_workouts" name="ans_monitor_bp_before_after_workouts" {{@$contentData['ans_monitor_bp_before_after_workouts'] && @$contentData['ans_monitor_bp_before_after_workouts'] === 'no' ? 'checked' : ''}} value="no">
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- <span class="ml-1">No</span>
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- </label>
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- </div>
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+ <label>Do you monitor your BP before / after workouts?</label>
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+ <?= segment_template_summary_value_display(ucwords(@$contentData['ans_monitor_bp_before_after_workouts'])) ?>
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</li>
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</ul>
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</div>
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|
@@ -707,57 +495,68 @@ if (!!@$point->data) {
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<hr class="my-3">
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<p><b>Vaccine Status:</b></p>
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-
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- <div class="ml-3 mb-3">
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- <label class="mb-2 d-flex align-items-center">
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- <input type="checkbox" data-name="ans_vaccine_status_not_enough_rapport" {{@$contentData['ans_vaccine_status_not_enough_rapport'] ? 'checked' : ''}} class="mr-2">
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- <span class="ml-2">Not enough rapport right now to ask</span>
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- </label>
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- <label class="mb-2 d-flex align-items-center">
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- <input type="checkbox" data-name="ans_vaccine_status_declined_to_answer" {{@$contentData['ans_vaccine_status_declined_to_answer'] ? 'checked' : ''}} class="mr-2">
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- <span class="ml-2">Declined to answer</span>
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- </label>
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+ <div class="pl-3 mb-3">
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<div>
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- <input type="text" data-name="ans_vaccine_status" value="{{@$contentData['ans_vaccine_status']}}" class="form-control form-control-sm d-inline-block w-auto">
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+ ▸ Not enough rapport right now to ask: <?= @$contentData['ans_monitor_bp_before_after_workouts'] ?
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+ segment_template_summary_value_display('Yes')
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+ :
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+ segment_template_summary_value_display('No') ?>
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+ </div>
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+ <div>
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+ ▸ Declined to answer: <?= @$contentData['ans_vaccine_status_declined_to_answer'] ?
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+ segment_template_summary_value_display('Yes')
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+ :
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+ segment_template_summary_value_display('No') ?>
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+ @if(@$contentData['ans_vaccine_status'])
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+ <small class="ml-3"><i><?= segment_template_summary_value_display(@$contentData['ans_vaccine_status']) ?></i></small>
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+ @endif
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</div>
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</div>
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- <p><b>Booster Status:</b></p>
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- <div class="ml-3 mb-3">
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- <label class="mb-2 d-flex align-items-center">
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- <input type="checkbox" data-name="ans_booster_status_not_enough_rapport" {{@$contentData['ans_booster_status_not_enough_rapport'] ? 'checked' : ''}} class="mr-2">
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- <span class="ml-2">Not enough rapport right now to ask</span>
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- </label>
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- <label class="mb-2 d-flex align-items-center">
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- <input type="checkbox" data-name="ans_booster_status_declined_to_answer" {{@$contentData['ans_booster_status_declined_to_answer'] ? 'checked' : ''}} class="mr-2">
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- <span class="ml-2">Declined to answer</span>
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- </label>
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+ <p><b>Booster Status:</b></p>
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+ <div class="pl-3 mb-3">
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<div>
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- <input type="text" data-name="ans_booster_status" value="{{@$contentData['ans_booster_status']}}" class="form-control form-control-sm d-inline-block w-auto">
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+ ▸ Not enough rapport right now to ask: <?= @$contentData['ans_booster_status_not_enough_rapport'] ?
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+ segment_template_summary_value_display('Yes')
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+ :
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+ segment_template_summary_value_display('No') ?>
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+ </div>
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+ <div>
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+ ▸ Declined to answer: <?= @$contentData['ans_booster_status_declined_to_answer'] ?
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+ segment_template_summary_value_display('Yes')
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+ :
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+ segment_template_summary_value_display('No') ?>
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+ @if(@$contentData['ans_booster_status'])
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+ <small class="ml-3"><i><?= segment_template_summary_value_display(@$contentData['ans_booster_status']) ?></i></small>
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+ @endif
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</div>
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</div>
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<div class="mb-3">
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- <label class="mb-1">Current Behaviors to Stay Safe:</label>
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- <input type="text" data-name="ans_current_behaviors_to_stay_safe" value="{{@$contentData['ans_current_behaviors_to_stay_safe']}}" class="form-control form-control-sm">
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+ <label>Current Behaviors to Stay Safe:</label>
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+ <?= segment_template_summary_value_display(@$contentData['ans_current_behaviors_to_stay_safe']) ?>
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</div>
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<p><b>Education Provided:</b></p>
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-
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- <div class="ml-3 mb-3">
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- <label class="mb-2 d-flex align-items-center">
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- <input type="checkbox" data-name="ans_edu_provided_use_of_smd" {{@$contentData['ans_edu_provided_use_of_smd'] ? 'checked' : ''}} class="mr-2">
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- <span class="ml-2">Appropriate use of self-monitoring devices</span>
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- </label>
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- <label class="mb-2 d-flex align-items-center">
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- <input type="checkbox" data-name="ans_edu_provided_asymptomatic_hypoxia" {{@$contentData['ans_edu_provided_asymptomatic_hypoxia'] ? 'checked' : ''}} class="mr-2">
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- <span class="ml-2">Asymptomatic hypoxia</span>
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- </label>
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- <label class="mb-2 d-flex align-items-center">
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- <input type="checkbox" data-name="ans_edu_provided_cdc_guidelines" {{@$contentData['ans_edu_provided_cdc_guidelines'] ? 'checked' : ''}} class="mr-2">
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- <span class="ml-2">CDC guidelines</span>
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- </label>
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+ <div class="pl-3 mb-3">
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+ <div>
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+ ▸ Appropriate use of self-monitoring devices: <?= @$contentData['ans_edu_provided_use_of_smd'] ?
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+ segment_template_summary_value_display('Yes')
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+ :
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+ segment_template_summary_value_display('No') ?>
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+ </div>
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+ <div>
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+ ▸ Asymptomatic hypoxia: <?= @$contentData['ans_edu_provided_asymptomatic_hypoxia'] ?
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+ segment_template_summary_value_display('Yes')
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+ :
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+ segment_template_summary_value_display('No') ?>
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+ </div>
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+ <div>
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+ ▸ CDC guidelines: <?= @$contentData['ans_edu_provided_cdc_guidelines'] ?
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+ segment_template_summary_value_display('Yes')
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+ :
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+ segment_template_summary_value_display('No') ?>
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+ </div>
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</div>
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-
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</div>
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