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+<div class="d-flex px-3 py-2 bg-light align-items-baseline border-bottom">
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+ <h4 class="font-weight-bold text-nowrap m-0">Results Communicated to Other Doctors</h4>
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+ <div moe wide class="ml-3">
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+ <a start show href="#"><i class="fa fa-edit"></i> Edit</a>
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+ <form url="/api/client/updateWatchPatResultsCommunicatedToOtherDoctors" hook="refreshSleepStudyStep">
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+ <input type="hidden" name="uid" value="{{$patient->uid}}">
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+ <div class="font-weight-bold font-size-14 text-secondary border-bottom pb-2 mb-2 text-nowrap">Results Communicated to Other Doctors</div>
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+
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+ <div class="mb-2">
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+ <div class="mb-1">Does Patient Want WatchPat Results Communicated To Other Doctors:</div>
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+ <select name="doesPatientWantWatchPatResultsCommunicatedToOtherDoctors" class="form-control form-control-sm">
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+ <option value="">-- select --</option>
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+ <option value="YES" {{$patient->does_patient_want_watch_pat_results_communicated_to_other_doctors === 'YES' ? 'selected' : ''}}>Yes</option>
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+ <option value="NO" {{$patient->does_patient_want_watch_pat_results_communicated_to_other_doctors === 'NO' ? 'selected' : ''}}>No</option>
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+ <option value="UNKNOWN" {{$patient->does_patient_want_watch_pat_results_communicated_to_other_doctors === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
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+ </select>
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+ </div>
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+
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+ <div class="mb-2">
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+ <div class="mb-1">Does Patient Want WatchPat Results Communicated To Other Doctors Memo:</div>
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+ <input type="text" value="{{$patient->does_patient_want_watch_pat_results_communicated_to_other_doctors_memo}}" name="doesPatientWantWatchPatResultsCommunicatedToOtherDoctorsMemo" class="form-control form-control-sm d-inline-block flex-grow-1">
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+ </div>
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+
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+ <div class="mb-2">
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+ <div class="mb-1">Has WatchPat Results Been Communicated To Other Doctors:</div>
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+ <select name="hasWatchPatResultsBeenCommunicatedToOtherDoctors" class="form-control form-control-sm">
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+ <option value="">-- select --</option>
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+ <option value="YES" {{$patient->has_watch_pat_results_been_communicated_to_other_doctors === 'YES' ? 'selected' : ''}}>Yes</option>
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+ <option value="NO" {{$patient->has_watch_pat_results_been_communicated_to_other_doctors === 'NO' ? 'selected' : ''}}>No</option>
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+ <option value="UNKNOWN" {{$patient->has_watch_pat_results_been_communicated_to_other_doctors === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
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+ </select>
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+ </div>
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+
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+ <div class="mb-2">
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+ <div class="mb-1">WatchPat Results Communicated To Other Doctors Memo:</div>
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+ <input type="text" value="{{$patient->watch_pat_results_communicated_to_other_doctors_memo}}" name="watchPatResultsCommunicatedToOtherDoctorsMemo" class="form-control form-control-sm d-inline-block flex-grow-1">
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+ </div>
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+
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+ <div class="mb-2">
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+ <div class="mb-1">Effective As Of:</div>
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+ <input type="date" value="{{$patient->watch_pat_results_communicated_to_other_doctors_effective_as_of}}" name="watchPatResultsCommunicatedToOtherDoctorsEffectiveAsOf" class="form-control form-control-sm d-inline-block flex-grow-1">
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+ </div>
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+
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+ <div class="mt-2 border-top pt-2 text-center">
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+ <button class="btn btn-primary btn-sm" submit>Submit</button>
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+ <button class="btn btn-default border btn-sm" cancel>Cancel</button>
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+ </div>
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+ </form>
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+ </div>
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+</div>
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+
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+<div class="px-3 pt-2 pb-1">
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+ Does Patient Want WatchPat Results Communicated To Other Doctors: <b>{{$patient->does_patient_want_watch_pat_results_communicated_to_other_doctors ?: '-'}}</b>
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+</div>
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+
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+<div class="px-3 py-1">
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+ Does Patient Want WatchPat Results Communicated To Other Doctors Memo: <b>{{$patient->does_patient_want_watch_pat_results_communicated_to_other_doctors_memo ?: '-'}}</b>
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+</div>
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+
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+<div class="px-3 py-1">
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+ Has WatchPat Results Been Communicated To Other Doctors: <b>{{$patient->has_watch_pat_results_been_communicated_to_other_doctors ?: '-'}}</b>
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+</div>
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+
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+<div class="px-3 py-1">
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+ WatchPat Results Communicated To Other Doctors Memo: <b>{{$patient->watch_pat_results_communicated_to_other_doctors_memo ?: '-'}}</b>
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+</div>
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+
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+<div class="px-3 py-1">
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+ Effective As Of: <b>{{$patient->watch_pat_results_communicated_to_other_doctors_effective_as_of ?: '-'}}</b>
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+</div>
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