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@@ -7,52 +7,78 @@
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<span class="mx-2 text-secondary">|</span>
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<div moe large>
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<a start show href="#">Add</a>
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- <form url="/api/supplyOrder/create" redir="/patients/view/{{ $patient->uid }}/supply-orders/[data]">
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- <input type="hidden" name="clientUid" value="{{ $patient->uid }}">
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- <input type="hidden" name="noteUid" value="{{ request()->input('note-uid') }}">
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- <label class="text-secondary font-weight-bold">Add Supply Order</label>
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- <div class="mb-2">
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- <label class="text-secondary text-sm">Product</label>
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- <select name="productUid" class="form-control form-control-sm">
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- <option value=""> --select--</option>
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- @foreach($products as $product)
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- <option
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- value="{{$product->uid}}">{{$product->title}}</option>
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- @endforeach
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- </select>
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- </div>
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- <div class="mb-2">
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- <label class="text-secondary text-sm">Address Line1</label>
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- <input type="text" class="form-control form-control-sm" name="mailingAddressLine1" value="{{$patient->mailing_address_line1}}">
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- </div>
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- <div class="mb-2">
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- <label class="text-secondary text-sm">Address Line2</label>
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- <input type="text" class="form-control form-control-sm" name="mailingAddressLine2" value="{{$patient->mailing_address_line2}}">
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- </div>
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- <div class="mb-2">
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- <label class="text-secondary text-sm">Address City</label>
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- <input type="text" class="form-control form-control-sm" name="mailingAddressCity" value="{{$patient->mailing_address_city}}">
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- </div>
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- <div class="mb-2">
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- <label class="text-secondary text-sm">Address State</label>
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- <input type="text" class="form-control form-control-sm" name="mailingAddressState" value="{{$patient->mailing_address_state}}">
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- </div>
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- <div class="mb-2">
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- <label class="text-secondary text-sm">Address Zip</label>
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- <input type="text" class="form-control form-control-sm" name="mailingAddressZip" value="{{$patient->mailing_address_zip}}">
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- </div>
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- <div class="mb-2">
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- <label class="text-secondary text-sm">Reason</label>
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- <input type="text" class="form-control form-control-sm" name="reason">
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- </div>
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- <div class="mb-2">
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- <label class="text-secondary text-sm">Client Understanding Memo</label>
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- <input type="text" class="form-control form-control-sm" name="clientUnderstandingMemo">
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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" type="button" submit>Save</button>
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- </div>
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- </form>
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+ @if(($patient->is_eligible_for_cm === 'YES' || ($patient->was_medicare_validation_successful && $patient->is_part_b_primary == 'YES')) && $patient->is_enrolled_in_cm !== 'YES')
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+ <form url="/api/client/setIsEnrolledInCmToTrue">
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+ <p class="font-weight-bold">You need to enroll this patient into CM before adding supply orders.</p>
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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">CM Enrollment Consent Method</label>
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+ <input type="text" class="form-control form-control-sm" name="cmEnrollmentConsentMethod">
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+ </div>
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+ <div class="mb-2">
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+ <label class="text-secondary text-sm">CM Enrollment Consent Method Memo</label>
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+ <input type="text" class="form-control form-control-sm" name="cmEnrollmentConsentMethodMemo">
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+ </div>
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+ <div class="mb-2">
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+ <label class="text-secondary text-sm">CM Reason 1</label>
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+ <input type="text" class="form-control form-control-sm" name="cmReason1">
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+ </div>
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+ <div class="mb-2">
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+ <label class="text-secondary text-sm">CM Reason 2</label>
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+ <input type="text" class="form-control form-control-sm" name="cmReason2">
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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" type="button" submit>Enroll</button>
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+ </div>
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+ </form>
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+ @else
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+ <form url="/api/supplyOrder/create" redir="/patients/view/{{ $patient->uid }}/supply-orders/[data]">
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+ <input type="hidden" name="clientUid" value="{{ $patient->uid }}">
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+ <input type="hidden" name="noteUid" value="{{ request()->input('note-uid') }}">
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+ <label class="text-secondary font-weight-bold">Add Supply Order</label>
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+ <div class="mb-2">
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+ <label class="text-secondary text-sm">Product</label>
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+ <select name="productUid" class="form-control form-control-sm">
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+ <option value=""> --select--</option>
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+ @foreach($products as $product)
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+ <option
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+ value="{{$product->uid}}">{{$product->title}}</option>
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+ @endforeach
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+ </select>
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+ </div>
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+ <div class="mb-2">
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+ <label class="text-secondary text-sm">Address Line1</label>
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+ <input type="text" class="form-control form-control-sm" name="mailingAddressLine1" value="{{$patient->mailing_address_line1}}">
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+ </div>
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+ <div class="mb-2">
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+ <label class="text-secondary text-sm">Address Line2</label>
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+ <input type="text" class="form-control form-control-sm" name="mailingAddressLine2" value="{{$patient->mailing_address_line2}}">
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+ </div>
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+ <div class="mb-2">
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+ <label class="text-secondary text-sm">Address City</label>
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+ <input type="text" class="form-control form-control-sm" name="mailingAddressCity" value="{{$patient->mailing_address_city}}">
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+ </div>
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+ <div class="mb-2">
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+ <label class="text-secondary text-sm">Address State</label>
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+ <input type="text" class="form-control form-control-sm" name="mailingAddressState" value="{{$patient->mailing_address_state}}">
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+ </div>
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+ <div class="mb-2">
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+ <label class="text-secondary text-sm">Address Zip</label>
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+ <input type="text" class="form-control form-control-sm" name="mailingAddressZip" value="{{$patient->mailing_address_zip}}">
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+ </div>
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+ <div class="mb-2">
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+ <label class="text-secondary text-sm">Reason</label>
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+ <input type="text" class="form-control form-control-sm" name="reason">
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+ </div>
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+ <div class="mb-2">
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+ <label class="text-secondary text-sm">Client Understanding Memo</label>
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+ <input type="text" class="form-control form-control-sm" name="clientUnderstandingMemo">
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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" type="button" submit>Save</button>
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+ </div>
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+ </form>
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+ @endif
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</div>
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@endif
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<select class="ml-auto max-width-300px form-control form-control-sm supply-orders-filter">
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