|
@@ -0,0 +1,100 @@
|
|
|
+<div id="add-cgm-measurement-container">
|
|
|
+ <div moe>
|
|
|
+ <a start show class="py-0 font-weight-normal">Add Glucose Measurement</a>
|
|
|
+ <form url="/api/measurement/createForCGM">
|
|
|
+ <input type="hidden" name="clientUid" value="{{ $patient->uid }}">
|
|
|
+ <p class="font-weight-bold text-secondary mb-2">Add BP Measurement</p>
|
|
|
+
|
|
|
+ <div class="mb-2">
|
|
|
+ <label class="text-secondary text-sm mb-1">Type:</label>
|
|
|
+ <select class="form-control form-control-sm" name="cgmReadingType" required>
|
|
|
+ <option value="">-- select --</option>
|
|
|
+ <option value="day-average">Daily Average</option>
|
|
|
+ <option value="single">Single Measurement</option>
|
|
|
+ </select>
|
|
|
+ </div>
|
|
|
+
|
|
|
+ <input type="checkbox" class="d-none" name="cgmIsDailyAverage">
|
|
|
+
|
|
|
+ <div if-type-any class="d-none">
|
|
|
+
|
|
|
+ <div if-type-single class="d-none">
|
|
|
+ <div class="mb-2">
|
|
|
+ <label class="text-secondary text-sm mb-1">Blood Glucose Min (mg/dL):</label>
|
|
|
+ <input type="number" class="form-control form-control-sm" name="cgmMin" value="">
|
|
|
+ </div>
|
|
|
+ <div class="mb-2">
|
|
|
+ <label class="text-secondary text-sm mb-1">Blood Glucose Max (mg/dL):</label>
|
|
|
+ <input type="number" class="form-control form-control-sm" name="cgmMax" value="">
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+
|
|
|
+ <div if-type-day-average class="d-none">
|
|
|
+ <div class="mb-2">
|
|
|
+ <label class="text-secondary text-sm mb-1">Blood Glucose Day Average (mg/dL):</label>
|
|
|
+ <input type="number" class="form-control form-control-sm" name="cgmDailyAverage" value="">
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+
|
|
|
+ <div class="mb-2">
|
|
|
+ <label class="text-secondary text-sm mb-1">Date:</label>
|
|
|
+ <input type="date" class="form-control form-control-sm" name="effectiveDate" max="{{ date('Y-m-d') }}" value="{{ date('Y-m-d') }}">
|
|
|
+ </div>
|
|
|
+
|
|
|
+ <div if-type-single class="d-none">
|
|
|
+ <div class="mb-2">
|
|
|
+ <label class="text-secondary text-sm mb-1">Time:</label>
|
|
|
+ <input type="time" class="form-control form-control-sm" name="timeOfDay" max="{{ date('H:m') }}" value="{{ date('H:m') }}">
|
|
|
+ </div>
|
|
|
+ <div class="mb-2">
|
|
|
+ <label class="text-secondary text-sm mb-1">Timezone:</label>
|
|
|
+ <select class="form-control form-control-sm" name="timeZone">
|
|
|
+ <option value="EASTERN">EASTERN</option>
|
|
|
+ <option value="CENTRAL">CENTRAL</option>
|
|
|
+ <option value="MOUNTAIN">MOUNTAIN</option>
|
|
|
+ <option value="PACIFIC">PACIFIC</option>
|
|
|
+ <option value="ALASKA">ALASKA</option>
|
|
|
+ <option value="HAWAII">HAWAII</option>
|
|
|
+ <option value="PUERTO_RICO">PUERTO_RICO</option>
|
|
|
+ </select>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+
|
|
|
+ <div class="mb-2">
|
|
|
+ <label class="text-secondary text-sm mb-1">Memo:</label>
|
|
|
+ <textarea name="reasonMemo" class="form-control input-sm"></textarea>
|
|
|
+ </div>
|
|
|
+ </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>
|
|
|
+
|
|
|
+<script>
|
|
|
+ (function() {
|
|
|
+ function init() {
|
|
|
+ let form = $('#add-cgm-measurement-container').find('form').first();
|
|
|
+ form.find('[name="cgmReadingType"]')
|
|
|
+ .off('change')
|
|
|
+ .on('change', function() {
|
|
|
+ form.find('[if-type-any]').addClass('d-none');
|
|
|
+ form.find('[if-type-day-average]').addClass('d-none');
|
|
|
+ form.find('[if-type-single]').addClass('d-none');
|
|
|
+ let val = $(this).val();
|
|
|
+ if(!!val) {
|
|
|
+ form.find('[if-type-any]').removeClass('d-none');
|
|
|
+ }
|
|
|
+ if(val === 'day-average' || val === 'single') {
|
|
|
+ form.find('[if-type-'+ val +']').removeClass('d-none');
|
|
|
+ form.find('[name="cgmIsDailyAverage"]').prop('checked', val === 'day-average' ? true : false);
|
|
|
+ }
|
|
|
+ return false;
|
|
|
+ })
|
|
|
+ }
|
|
|
+ addMCInitializer('add-cgm-measurement', init, '#add-cgm-measurement-container')
|
|
|
+ }).call(window);
|
|
|
+</script>
|