@@ -9,6 +9,16 @@ if(!$contentData) {
]
];
}
+
+if(!isset($contentData['items'])){
+ $contentData['items'] = [
+ [
+ "title" => "",
+ "detail" => "",
+ ]
+ ];
+}
$formID = rand(0, 100000);
?>
<div id="allergySection">
@@ -14,6 +14,21 @@ if(!$contentData) {
+ "name" => "",
+ "specialty" => "",
+ "organization" => "",
+ "phone" => "",
+ "fax" => "",
+ "date" => "",
+ "memo" => "",
<div id="careTeamSection">
@@ -12,6 +12,19 @@ if(!$contentData) {
+ "icd" => "",
+ "coa" => "",
+ "plan" => "",
<div id="dxSection">
@@ -11,6 +11,18 @@ if(!$contentData) {
+ "strength" => "",
+ "frequency" => "",
<div id="rxSection">