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@@ -160,7 +160,6 @@
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<input type="hidden" name="clientUid" value="{{ $patient->uid }}">
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<input type="hidden" name="category" value="rx">
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<div class="mb-2"><input type="text" class="form-control form-control-sm" name="contentText" value="" placeholder="Medication"></div>
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- {{--<div class="mb-2"><input type="text" name="customField" value="" placeholder="Custom Field"></div>--}}
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<div class="d-flex align-items-center">
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<button class="btn btn-sm btn-primary mr-2" submit>Save</button>
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<button class="btn btn-sm btn-default mr-2 border" cancel>Cancel</button>
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@@ -196,6 +195,25 @@
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</div>
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</form>
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</span>
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+ <div moe relative class="mr-2">
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+ <a class="on-hover-opaque" start show title="Edit">
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+ <i class="font-size-11 fa fa-edit"></i>
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+ </a>
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+ <form url="/api/clientInfoLine/updateContent">
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+ <input type="hidden" name="uid" value="{{ $line->uid }}">
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+ <input type="hidden" name="clientUid" value="{{ $patient->uid }}">
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+ <input type="hidden" name="category" value="rx">
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+ <div class="mb-2">
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+ <input type="text" class="form-control form-control-sm"
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+ name="contentText"
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+ placeholder="Medication"
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+ value="{{$line->contentText}}"></div>
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+ <div class="d-flex align-items-center">
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+ <button class="btn btn-sm btn-primary mr-2" submit>Save</button>
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+ <button class="btn btn-sm btn-default mr-2 border" cancel>Cancel</button>
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+ </div>
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+ </form>
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+ </div>
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<span class="font-weight-bold">{{$line->contentText}}</span>
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</div>
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</td>
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@@ -271,6 +289,42 @@
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</div>
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</form>
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</span>
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+ <div moe relative class="mr-2">
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+ <a class="on-hover-opaque" start show title="Edit">
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+ <i class="font-size-11 fa fa-edit"></i>
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+ </a>
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+ <form url="/api/clientInfoLine/updateContent">
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+ <input type="hidden" name="uid" value="{{ $line->uid }}">
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+ <input type="hidden" name="clientUid" value="{{ $patient->uid }}">
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+ <input type="hidden" name="category" value="dx">
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+ <div class="mb-2">
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+ <input type="text" class="form-control form-control-sm" name="contentText" value="{{$line->contentText}}" placeholder="Title">
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+ </div>
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+ <div class="mb-2">
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+ <input type="text" class="form-control form-control-sm" name="ICD" value="{{ $line->contentDetail->{"ICD"} }}" placeholder="ICD">
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+ </div>
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+ <div class="mb-2">
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+ <select name="Chronic or Acute" class="form-control form-control-sm pl-1">
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+ <option>Chronic or Acute (select one)</option>
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+ <option {{ $line->contentDetail->{"Chronic or Acute"} === 'Chronic' ? 'selected' : '' }} value="Chronic">Chronic</option>
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+ <option {{ $line->contentDetail->{"Chronic or Acute"} === 'Acute' ? 'selected' : '' }} value="Acute">Acute</option>
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+ </select>
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+ </div>
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+ <div class="mb-2">
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+ <input type="text" class="form-control form-control-sm" name="Prognosis" value="{{ $line->contentDetail->{"Prognosis"} }}" placeholder="Prognosis">
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+ </div>
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+ <div class="mb-2">
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+ <textarea type="text" class="form-control form-control-sm" name="Treatment Goal" placeholder="Treatment Goal">{{ $line->contentDetail->{"Treatment Goal"} }}</textarea>
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+ </div>
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+ <div class="mb-2">
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+ <textarea type="text" class="form-control form-control-sm" name="Treatment Plan" placeholder="Treatment Plan">{{ $line->contentDetail->{"Treatment Plan"} }}</textarea>
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+ </div>
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+ <div class="d-flex align-items-center">
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+ <button class="btn btn-sm btn-primary mr-2" submit>Save</button>
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+ <button class="btn btn-sm btn-default mr-2 border" cancel>Cancel</button>
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+ </div>
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+ </form>
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+ </div>
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<span class="font-weight-bold">{{$line->contentText}}</span>
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<span class="text-secondary mx-1">/</span>
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<span class="text-secondary">{{ $line->contentDetail->{"Chronic or Acute"} }}</span>
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