Covid-19/intake segment update

resources/views/app/patient/segment-templates/covid_intake/edit.blade.php

@@ -112,6 +112,20 @@ $contentData = [
     "ans_plan_ls_explained_exercise_risks" => null, // checkbox
     "ans_plan_ls_instructed_bp_random_times_daily" => null, // checkbox
 
+    "ans_vaccine_status_not_enough_rapport" => null, // checkbox
+    "ans_vaccine_status_declined_to_answer" => null, // checkbox
+    "ans_vaccine_status" => '',
+
+    "ans_booster_status_not_enough_rapport" => null, // checkbox
+    "ans_booster_status_declined_to_answer" => null, // checkbox
+    "ans_booster_status" => '',
+
+    "ans_current_behaviors_to_stay_safe" => '',
+
+    "ans_edu_provided_use_of_smd" => null, // checkbox
+    "ans_edu_provided_asymptomatic_hypoxia" => null, // checkbox
+    "ans_edu_provided_cdc_guidelines" => null, // checkbox
+
 ];
 if (!!@$point->data) {
     $contentData = json_decode($point->data, true);
@@ -501,7 +515,7 @@ if (!!@$point->data) {
 
             <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 class="row">
+                <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">
                 </div>
@@ -707,6 +721,62 @@ if (!!@$point->data) {
 
         </div>
 
+        <hr class="my-3">
+
+        <p><b>Vaccine Status:</b></p>
+
+        <div class="ml-3 mb-3">
+            <label class="mb-2 d-flex align-items-center">
+                <input type="checkbox" data-name="ans_vaccine_status_not_enough_rapport" {{@$contentData['ans_vaccine_status_not_enough_rapport'] ? 'checked' : ''}} class="mr-2">
+                <span class="ml-2">Not enough rapport right now to ask</span>
+            </label>
+            <label class="mb-2 d-flex align-items-center">
+                <input type="checkbox" data-name="ans_vaccine_status_declined_to_answer" {{@$contentData['ans_vaccine_status_declined_to_answer'] ? 'checked' : ''}} class="mr-2">
+                <span class="ml-2">Declined to answer</span>
+            </label>
+            <div>
+                <input type="text" data-name="ans_vaccine_status" value="{{@$contentData['ans_vaccine_status']}}" class="form-control form-control-sm d-inline-block w-auto">
+            </div>
+        </div>
+
+        <p><b>Booster Status:</b></p>
+
+        <div class="ml-3 mb-3">
+            <label class="mb-2 d-flex align-items-center">
+                <input type="checkbox" data-name="ans_booster_status_not_enough_rapport" {{@$contentData['ans_booster_status_not_enough_rapport'] ? 'checked' : ''}} class="mr-2">
+                <span class="ml-2">Not enough rapport right now to ask</span>
+            </label>
+            <label class="mb-2 d-flex align-items-center">
+                <input type="checkbox" data-name="ans_booster_status_declined_to_answer" {{@$contentData['ans_booster_status_declined_to_answer'] ? 'checked' : ''}} class="mr-2">
+                <span class="ml-2">Declined to answer</span>
+            </label>
+            <div>
+                <input type="text" data-name="ans_booster_status" value="{{@$contentData['ans_booster_status']}}" class="form-control form-control-sm d-inline-block w-auto">
+            </div>
+        </div>
+
+        <div class="mb-3">
+            <label class="mb-1">Current Behaviors to Stay Safe:</label>
+            <input type="text" data-name="ans_current_behaviors_to_stay_safe" value="{{@$contentData['ans_current_behaviors_to_stay_safe']}}" class="form-control form-control-sm">
+        </div>
+
+        <p><b>Education Provided:</b></p>
+
+        <div class="ml-3 mb-3">
+            <label class="mb-2 d-flex align-items-center">
+                <input type="checkbox" data-name="ans_edu_provided_use_of_smd" {{@$contentData['ans_edu_provided_use_of_smd'] ? 'checked' : ''}} class="mr-2">
+                <span class="ml-2">Appropriate use of self-monitoring devices</span>
+            </label>
+            <label class="mb-2 d-flex align-items-center">
+                <input type="checkbox" data-name="ans_edu_provided_asymptomatic_hypoxia" {{@$contentData['ans_edu_provided_asymptomatic_hypoxia'] ? 'checked' : ''}} class="mr-2">
+                <span class="ml-2">Asymptomatic hypoxia</span>
+            </label>
+            <label class="mb-2 d-flex align-items-center">
+                <input type="checkbox" data-name="ans_edu_provided_cdc_guidelines" {{@$contentData['ans_edu_provided_cdc_guidelines'] ? 'checked' : ''}} class="mr-2">
+                <span class="ml-2">CDC guidelines</span>
+            </label>
+        </div>
+
         <div class="pt-2">
             <button submit class="btn btn-sm btn-primary mr-2"><i class="fa fa-save"></i></button>
             <div class="d-inline-flex align-self-stretch align-items-center">

resources/views/app/patient/segment-templates/covid_intake/summary.blade.php

@@ -325,7 +325,7 @@ if (!!@$point->data) {
 
     <hr class="my-3">
 
-    <p><b>Blood Oxygen / Pulmonary</b></p>
+    <p class="mb-3"><b>Blood Oxygen / Pulmonary</b></p>
 
     <div class="ml-3">
 
@@ -497,7 +497,7 @@ if (!!@$point->data) {
 
         <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 class="row">
+            <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">
             </div>
@@ -703,4 +703,60 @@ if (!!@$point->data) {
 
     </div>
 
+    <hr class="my-3">
+
+    <p><b>Vaccine Status:</b></p>
+
+    <div class="ml-3 mb-3">
+        <label class="mb-2 d-flex align-items-center">
+            <input type="checkbox" data-name="ans_vaccine_status_not_enough_rapport" {{@$contentData['ans_vaccine_status_not_enough_rapport'] ? 'checked' : ''}} class="mr-2">
+            <span class="ml-2">Not enough rapport right now to ask</span>
+        </label>
+        <label class="mb-2 d-flex align-items-center">
+            <input type="checkbox" data-name="ans_vaccine_status_declined_to_answer" {{@$contentData['ans_vaccine_status_declined_to_answer'] ? 'checked' : ''}} class="mr-2">
+            <span class="ml-2">Declined to answer</span>
+        </label>
+        <div>
+            <input type="text" data-name="ans_vaccine_status" value="{{@$contentData['ans_vaccine_status']}}" class="form-control form-control-sm d-inline-block w-auto">
+        </div>
+    </div>
+
+    <p><b>Booster Status:</b></p>
+
+    <div class="ml-3 mb-3">
+        <label class="mb-2 d-flex align-items-center">
+            <input type="checkbox" data-name="ans_booster_status_not_enough_rapport" {{@$contentData['ans_booster_status_not_enough_rapport'] ? 'checked' : ''}} class="mr-2">
+            <span class="ml-2">Not enough rapport right now to ask</span>
+        </label>
+        <label class="mb-2 d-flex align-items-center">
+            <input type="checkbox" data-name="ans_booster_status_declined_to_answer" {{@$contentData['ans_booster_status_declined_to_answer'] ? 'checked' : ''}} class="mr-2">
+            <span class="ml-2">Declined to answer</span>
+        </label>
+        <div>
+            <input type="text" data-name="ans_booster_status" value="{{@$contentData['ans_booster_status']}}" class="form-control form-control-sm d-inline-block w-auto">
+        </div>
+    </div>
+
+    <div class="mb-3">
+        <label class="mb-1">Current Behaviors to Stay Safe:</label>
+        <input type="text" data-name="ans_current_behaviors_to_stay_safe" value="{{@$contentData['ans_current_behaviors_to_stay_safe']}}" class="form-control form-control-sm">
+    </div>
+
+    <p><b>Education Provided:</b></p>
+
+    <div class="ml-3 mb-3">
+        <label class="mb-2 d-flex align-items-center">
+            <input type="checkbox" data-name="ans_edu_provided_use_of_smd" {{@$contentData['ans_edu_provided_use_of_smd'] ? 'checked' : ''}} class="mr-2">
+            <span class="ml-2">Appropriate use of self-monitoring devices</span>
+        </label>
+        <label class="mb-2 d-flex align-items-center">
+            <input type="checkbox" data-name="ans_edu_provided_asymptomatic_hypoxia" {{@$contentData['ans_edu_provided_asymptomatic_hypoxia'] ? 'checked' : ''}} class="mr-2">
+            <span class="ml-2">Asymptomatic hypoxia</span>
+        </label>
+        <label class="mb-2 d-flex align-items-center">
+            <input type="checkbox" data-name="ans_edu_provided_cdc_guidelines" {{@$contentData['ans_edu_provided_cdc_guidelines'] ? 'checked' : ''}} class="mr-2">
+            <span class="ml-2">CDC guidelines</span>
+        </label>
+    </div>
+
 </div>