|
|
@@ -445,6 +445,254 @@
|
|
|
|
|
|
</div>
|
|
|
</div>
|
|
|
+ <hr class="m-negator-3 my-3">
|
|
|
+ <div>
|
|
|
+ <p>Is Eligible For Cm: {{$patient->is_eligible_for_cm}}</p>
|
|
|
+ <p>Why Not Eligible For Cm Category: {{$patient->why_not_eligible_for_cm_category}}</p>
|
|
|
+ <p>Why Not Eligible For Cm Memo: {{$patient->why_not_eligible_for_cm_memo}}</p>
|
|
|
+ </div>
|
|
|
+ <div moe class="ml-2">
|
|
|
+ <a start show><i class="fa fa-edit"></i>Update CM Eligibility</a>
|
|
|
+ <form url="/api/client/updateCmEligibility" class="mcp-theme-1">
|
|
|
+ <input type="hidden" name="uid" value="{{$patient->uid}}">
|
|
|
+ <div class="form-group">
|
|
|
+ <label class="control-label">Is Eligible For Cm </label>
|
|
|
+ <select name="isEligibleForCm" class="form-control">
|
|
|
+ <option value="">--</option>
|
|
|
+ <option value="YES">Yes</option>
|
|
|
+ <option value="NO">No</option>
|
|
|
+ <option value="UNKNOWN">Unknown</option>
|
|
|
+ </select>
|
|
|
+ </div>
|
|
|
+ <div class="form-group">
|
|
|
+ <label class="control-label">Why Not Eligible For Cm Category</label>
|
|
|
+ <input type="text" name="whyNotEligibleForCmCategory" class="form-control">
|
|
|
+ </div>
|
|
|
+ <div class="form-group">
|
|
|
+ <label class="control-label">Why Not Eligible For Cm Memo</label>
|
|
|
+ <input type="text" name="whyNotEligibleForCmMemo" class="form-control">
|
|
|
+ </div>
|
|
|
+ <div>
|
|
|
+ <button submit class="btn btn-sm btn-primary mr-1">Submit
|
|
|
+ </button>
|
|
|
+ <button cancel class="btn btn-sm btn-default border">
|
|
|
+ Cancel
|
|
|
+ </button>
|
|
|
+ </div>
|
|
|
+ </form>
|
|
|
+ </div>
|
|
|
+
|
|
|
+ <hr class="m-negator-3 my-3">
|
|
|
+ <div>
|
|
|
+ <p>Is enrolled to CM: {{$patient->is_enrolled_in_cm}}</p>
|
|
|
+ @if($patient->is_enrolled_in_cm == 'YES')
|
|
|
+ <p>Cm Enrollment Consent Method Memo: {{$patient->cm_enrollment_consent_method}}</p>
|
|
|
+ <p>Cm Enrollment Consent Method Memo: {{$patient->cm_enrollment_consent_method_memo}}</p>
|
|
|
+ @else
|
|
|
+ <p>Why Not Enrolled In Cm Category: {{$patient->why_not_enrolled_in_cm_category}}</p>
|
|
|
+ <p>Why Not Enrolled In Cm Memo: {{$patient->why_not_enrolled_in_cm_memo}}</p>
|
|
|
+ @endif
|
|
|
+ </div>
|
|
|
+ @if($patient->is_enrolled_in_cm == 'YES')
|
|
|
+ <div moe class="ml-2">
|
|
|
+ <a start show><i class="fa fa-edit"></i>Set is enrolled to CM to false</a>
|
|
|
+ <form url="/api/client/setIsEnrolledInCmToFalse" class="mcp-theme-1">
|
|
|
+ <input type="hidden" name="uid" value="{{$patient->uid}}">
|
|
|
+ <div class="form-group">
|
|
|
+ <label class="control-label">Why Not Enrolled In Cm Category</label>
|
|
|
+ <input type="text" name="whyNotEnrolledInCmCategory" class="form-control">
|
|
|
+ </div>
|
|
|
+ <div class="form-group">
|
|
|
+ <label class="control-label">Why Not Enrolled In Cm Memo</label>
|
|
|
+ <input type="text" name="whyNotEnrolledInCmMemo" class="form-control">
|
|
|
+ </div>
|
|
|
+ <div>
|
|
|
+ <button submit class="btn btn-sm btn-primary mr-1">Submit
|
|
|
+ </button>
|
|
|
+ <button cancel class="btn btn-sm btn-default border">
|
|
|
+ Cancel
|
|
|
+ </button>
|
|
|
+ </div>
|
|
|
+ </form>
|
|
|
+ </div>
|
|
|
+
|
|
|
+ <div moe class="ml-2">
|
|
|
+ <a start show><i class="fa fa-edit"></i>Update CM Enrollemnt Consent Info</a>
|
|
|
+ <form url="/api/client/updateCmEnrollmentConsentInfo" class="mcp-theme-1">
|
|
|
+ <input type="hidden" name="uid" value="{{$patient->uid}}">
|
|
|
+ <div class="form-group">
|
|
|
+ <label class="control-label">Cm Enrollment Consent Method</label>
|
|
|
+ <input type="text" name="cmEnrollmentConsentMethod" value="{{$patient->cm_enrollment_consent_method}}" class="form-control">
|
|
|
+ </div>
|
|
|
+ <div class="form-group">
|
|
|
+ <label class="control-label">Cm Enrollment Consent Method Memo</label>
|
|
|
+ <input type="text" name="cmEnrollmentConsentMethodMemo" value="{{$patient->cm_enrollment_consent_method_memo}}" class="form-control">
|
|
|
+ </div>
|
|
|
+ <div>
|
|
|
+ <button submit class="btn btn-sm btn-primary mr-1">Submit
|
|
|
+ </button>
|
|
|
+ <button cancel class="btn btn-sm btn-default border">
|
|
|
+ Cancel
|
|
|
+ </button>
|
|
|
+ </div>
|
|
|
+ </form>
|
|
|
+ </div>
|
|
|
+
|
|
|
+ @else
|
|
|
+ <div moe class="ml-2">
|
|
|
+ <a start show><i class="fa fa-edit"></i>Set is enrolled to CM to YES</a>
|
|
|
+ <form url="/api/client/setIsEnrolledInCmToTrue" class="mcp-theme-1">
|
|
|
+ <input type="hidden" name="uid" value="{{$patient->uid}}">
|
|
|
+ <div class="form-group">
|
|
|
+ <label class="control-label">Cm Enrollment Consent Method</label>
|
|
|
+ <input type="text" name="cmEnrollmentConsentMethod" class="form-control">
|
|
|
+ </div>
|
|
|
+ <div class="form-group">
|
|
|
+ <label class="control-label">Cm Enrollment Consent Method Memo</label>
|
|
|
+ <input type="text" name="cmEnrollmentConsentMethodMemo" class="form-control">
|
|
|
+ </div>
|
|
|
+ <div>
|
|
|
+ <button submit class="btn btn-sm btn-primary mr-1">Submit
|
|
|
+ </button>
|
|
|
+ <button cancel class="btn btn-sm btn-default border">
|
|
|
+ Cancel
|
|
|
+ </button>
|
|
|
+ </div>
|
|
|
+ </form>
|
|
|
+ </div>
|
|
|
+
|
|
|
+ <div moe class="ml-2">
|
|
|
+ <a start show><i class="fa fa-edit"></i>Update Why Not Enrolled In CM</a>
|
|
|
+ <form url="/api/client/updateWhyNotEnrolledInCm" class="mcp-theme-1">
|
|
|
+ <input type="hidden" name="uid" value="{{$patient->uid}}">
|
|
|
+ <div class="form-group">
|
|
|
+ <label class="control-label">Why Not Enrolled In Cm Category</label>
|
|
|
+ <input type="text" name="whyNotEnrolledInCmCategory" value="{{$patient->why_not_enrolled_in_cm_category}}" class="form-control">
|
|
|
+ </div>
|
|
|
+ <div class="form-group">
|
|
|
+ <label class="control-label">Why Not Enrolled In Cm Memo</label>
|
|
|
+ <input type="text" name="whyNotEnrolledInCmMemo" value="{{$patient->why_not_enrolled_in_cm_memo}}" class="form-control">
|
|
|
+ </div>
|
|
|
+ <div>
|
|
|
+ <button submit class="btn btn-sm btn-primary mr-1">Submit
|
|
|
+ </button>
|
|
|
+ <button cancel class="btn btn-sm btn-default border">
|
|
|
+ Cancel
|
|
|
+ </button>
|
|
|
+ </div>
|
|
|
+ </form>
|
|
|
+ </div>
|
|
|
+ @endif
|
|
|
+ <hr class="m-negator-3 my-3">
|
|
|
+ <div>
|
|
|
+ <p>Is Eligible For RM: {{$patient->is_eligible_for_rm}}</p>
|
|
|
+ <p>Why Not Eligible For RM Category: {{$patient->why_not_eligible_for_rm_category}}</p>
|
|
|
+ <p>Why Not Eligible For RM Memo: {{$patient->why_not_eligible_for_rm_memo}}</p>
|
|
|
+ </div>
|
|
|
+ <div moe class="ml-2">
|
|
|
+ <a start show><i class="fa fa-edit"></i>Update RM Eligiblity</a>
|
|
|
+ <form url="/api/client/updateRmEligibility" class="mcp-theme-1">
|
|
|
+ <input type="hidden" name="uid" value="{{$patient->uid}}">
|
|
|
+ <div class="form-group">
|
|
|
+ <label class="control-label">Is Eligible For RM </label>
|
|
|
+ <select name="isEligibleForRm" class="form-control">
|
|
|
+ <option value="">-- </option>
|
|
|
+ <option value="YES">Yes</option>
|
|
|
+ <option value="NO">No</option>
|
|
|
+ <option value="UNKNOWN">Unknown</option>
|
|
|
+ </select>
|
|
|
+ </div>
|
|
|
+ <div class="form-group">
|
|
|
+ <label class="control-label">Why Not Eligible For RM Category</label>
|
|
|
+ <input type="text" name="whyNotEligibleForRmCategory" class="form-control">
|
|
|
+ </div>
|
|
|
+ <div class="form-group">
|
|
|
+ <label class="control-label">Why Not Eligible For RM Memo</label>
|
|
|
+ <input type="text" name="whyNotEligibleForRmMemo" class="form-control">
|
|
|
+ </div>
|
|
|
+ <div>
|
|
|
+ <button submit class="btn btn-sm btn-primary mr-1">Submit
|
|
|
+ </button>
|
|
|
+ <button cancel class="btn btn-sm btn-default border">
|
|
|
+ Cancel
|
|
|
+ </button>
|
|
|
+ </div>
|
|
|
+ </form>
|
|
|
+ </div>
|
|
|
+
|
|
|
+ <hr class="m-negator-3 my-3">
|
|
|
+ <div>
|
|
|
+ <p>Is enrolled to RM: {{$patient->is_enrolled_in_rm}}</p>
|
|
|
+ @if($patient->is_enrolled_in_rm == 'NO')
|
|
|
+ <p>Why Not Enrolled In RM Category: {{$patient->why_not_enrolled_in_rm_category}}</p>
|
|
|
+ <p>Why Not Enrolled In RM Memo: {{$patient->why_not_enrolled_in_rm_memo}}</p>
|
|
|
+ @endif
|
|
|
+ </div>
|
|
|
+ @if($patient->is_enrolled_in_rm == 'YES')
|
|
|
+ <div moe class="ml-2">
|
|
|
+ <a start show><i class="fa fa-edit"></i>Set is enrolled to RM to false</a>
|
|
|
+ <form url="/api/client/setIsEnrolledInRmToFalse" class="mcp-theme-1">
|
|
|
+ <input type="hidden" name="uid" value="{{$patient->uid}}">
|
|
|
+ <div class="form-group">
|
|
|
+ <label class="control-label">Why Not Enrolled In Rm Category</label>
|
|
|
+ <input type="text" name="whyNotEnrolledInRmCategory" class="form-control">
|
|
|
+ </div>
|
|
|
+ <div class="form-group">
|
|
|
+ <label class="control-label">Why Not Enrolled In Rm Memo</label>
|
|
|
+ <input type="text" name="whyNotEnrolledInRmMemo" class="form-control">
|
|
|
+ </div>
|
|
|
+ <div>
|
|
|
+ <button submit class="btn btn-sm btn-primary mr-1">Submit
|
|
|
+ </button>
|
|
|
+ <button cancel class="btn btn-sm btn-default border">
|
|
|
+ Cancel
|
|
|
+ </button>
|
|
|
+ </div>
|
|
|
+ </form>
|
|
|
+ </div>
|
|
|
+
|
|
|
+ @else
|
|
|
+ <div moe class="ml-2">
|
|
|
+ <a start show><i class="fa fa-edit"></i>Set is enrolled to RM to YES</a>
|
|
|
+ <form url="/api/client/setIsEnrolledInRmToTrue" class="mcp-theme-1">
|
|
|
+ <input type="hidden" name="uid" value="{{$patient->uid}}">
|
|
|
+ <div class="form-group">
|
|
|
+ <label class="control-label">Are you sure?</label>
|
|
|
+ </div>
|
|
|
+
|
|
|
+ <div>
|
|
|
+ <button submit class="btn btn-sm btn-primary mr-1">Submit
|
|
|
+ </button>
|
|
|
+ <button cancel class="btn btn-sm btn-default border">
|
|
|
+ Cancel
|
|
|
+ </button>
|
|
|
+ </div>
|
|
|
+ </form>
|
|
|
+ </div>
|
|
|
+
|
|
|
+ <div moe class="ml-2">
|
|
|
+ <a start show><i class="fa fa-edit"></i>Update Why Not Enrolled In RM</a>
|
|
|
+ <form url="/api/client/updateWhyNotEnrolledInRm" class="mcp-theme-1">
|
|
|
+ <input type="hidden" name="uid" value="{{$patient->uid}}">
|
|
|
+ <div class="form-group">
|
|
|
+ <label class="control-label">Why Not Enrolled In RM Category</label>
|
|
|
+ <input type="text" name="whyNotEnrolledInRmCategory" value="{{$patient->why_not_enrolled_in_rm_category}}" class="form-control">
|
|
|
+ </div>
|
|
|
+ <div class="form-group">
|
|
|
+ <label class="control-label">Why Not Enrolled In RM Memo</label>
|
|
|
+ <input type="text" name="whyNotEnrolledInRmMemo" value="{{$patient->why_not_enrolled_in_rm_memo}}" class="form-control">
|
|
|
+ </div>
|
|
|
+ <div>
|
|
|
+ <button submit class="btn btn-sm btn-primary mr-1">Submit
|
|
|
+ </button>
|
|
|
+ <button cancel class="btn btn-sm btn-default border">
|
|
|
+ Cancel
|
|
|
+ </button>
|
|
|
+ </div>
|
|
|
+ </form>
|
|
|
+ </div>
|
|
|
+ @endif
|
|
|
+
|
|
|
|
|
|
</div>
|
|
|
<div class="col-6 border-left">
|
=