Browse Source

Merge branch 'dev' of rav.triplestart.com:jmudaka/stagfe2

= 3 years ago
parent
commit
8fd88a8a3e

+ 3 - 3
app/Helpers/helpers.php

@@ -737,9 +737,9 @@ if(!function_exists('friendly_timezone')) {
     }
 }
 
-if(!function_exists('segment_template_summary_value')) {
-    function segment_template_summary_value_display($value, $default='________') {
-        if($value && strlen($value)) return '<span class="segment-template-summary-value">' . $value . '</span>';
+if(!function_exists('segment_template_summary_value_display')) {
+    function segment_template_summary_value_display($value, $default='________', $class = '') {
+        if($value && strlen($value)) return '<span class="segment-template-summary-value '.$class.'">' . $value . '</span>';
         return $default;
     }
 }

+ 7 - 0
resources/views/app/patient/segment-templates/covid_intake/edit.blade.php

@@ -121,6 +121,7 @@ $contentData = [
     "ans_booster_status" => '',
 
     "ans_current_behaviors_to_stay_safe" => '',
+    "ans_total_mins_spent" => '',
 
     "ans_edu_provided_use_of_smd" => null, // checkbox
     "ans_edu_provided_asymptomatic_hypoxia" => null, // checkbox
@@ -793,6 +794,12 @@ if (!!@$point->data) {
             </label>
         </div>
 
+        <div class="mb-3">
+            <label class="mb-1"><strong>Total minutes  spent on this visit counseling or educating a patient or caregiver, documentation, and care coordination.</label>
+            <input type="text" data-name="ans_total_mins_spent" value="{{@$contentData['ans_total_mins_spent']}}" class="form-control form-control-sm">
+            <small>Over 50% of this time was directed towards counseling and education.</small>
+        </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">

+ 293 - 245
resources/views/app/patient/segment-templates/covid_intake/summary.blade.php

@@ -111,7 +111,8 @@ $contentData = [
     "ans_plan_ls_patient_confirms_understanding_ls_mods" => null, // checkbox
     "ans_plan_ls_patient_elects_supervised_ls_mods" => null, // checkbox
     "ans_plan_ls_explained_exercise_risks" => null, // checkbox
-    "ans_plan_ls_instructed_bp_random_times_daily" => null, // checkbox
+    "ans_plan_ls_instructed_bp_random_times_daily" => null, // checkbox,
+    "ans_total_mins_spent" => ''
 
 ];
 if (!!@$point->data) {
@@ -121,90 +122,159 @@ if (!!@$point->data) {
 ?>
 
 <div class="p-3 mb-0">
-	<ul class="mb-0">
-		<li><strong>For the second visit</strong>, every patient is so unique. Please complete a standard SOAP note. Here are key points:</strong></li>
-		<li>How are you?</li>
-		<li>Did you receive the meters? Any issues?</li>
-		<li>Reiterate education about asymptomatic hypoxia and guidelines to check regularly.</li>
-		<li>If SpO2 drops slightly, call us or your PCP.</li>
-		<li>If SpO2 drops to 94, go straight to the ER, even if you feel fine.</li>
-		<li>How are you doing with your other conditions?</li>
-		<li>How are you doing with stress? Stress really affects your blood pressure and even your blood sugar. COVID-19 has created so much stress in our lives, 7 in 10 adults now report anxiety or feelings of depression and isolation.</li>
-		<li><a href="https://press.aarp.org/AARP-Survey-7-in-10-Older-Adults-Report-Increased-Feelings-of-Anxiety-Sadness-and-Depression-Due-to-Coronavirus">AARP Link</a></li>
-	</ul>
+    <ul class="mb-0">
+        <li><strong>For the second visit</strong>, every patient is so unique. Please complete a standard SOAP note. Here are key points:</strong></li>
+        <li>How are you?</li>
+        <li>Did you receive the meters? Any issues?</li>
+        <li>Reiterate education about asymptomatic hypoxia and guidelines to check regularly.</li>
+        <li>If SpO2 drops slightly, call us or your PCP.</li>
+        <li>If SpO2 drops to 94, go straight to the ER, even if you feel fine.</li>
+        <li>How are you doing with your other conditions?</li>
+        <li>How are you doing with stress? Stress really affects your blood pressure and even your blood sugar. COVID-19 has created so much stress in our lives, 7 in 10 adults now report anxiety or feelings of depression and isolation.</li>
+        <li><a href="https://press.aarp.org/AARP-Survey-7-in-10-Older-Adults-Report-Increased-Feelings-of-Anxiety-Sadness-and-Depression-Due-to-Coronavirus">AARP Link</a></li>
+    </ul>
 </div>
 
-<hr class="m-1">
+<hr class="mt-1 mb-4">
 
 <div class="events-none form-read-mode">
 
     <div class="mb-2">
-        <label>How are you?</label> 
+        <label>Asked patient how they were doing, to which they responded:</label>
         <?= segment_template_summary_value_display(@$contentData['ans_how_are_you']) ?>
     </div>
 
-    <hr class="my-3 d-none">
-
-    <div class="mb-2 d-none">
+    <div class="mb-2">
         <?php
         $mailingAddress = implode(' ', [$patient->mailing_address_line1, $patient->mailing_address_line2, $patient->mailing_address_city, $patient->mailing_address_state, $patient->mailing_address_zip]);
         ?>
-        <label>Let me confirm your mailing address: {{$mailingAddress}}</label>
-        <?= segment_template_summary_value_display(ucwords(@$contentData['ans_is_address_correct'])) ?>
+        @if(!ctype_space($mailingAddress))
+        <hr class="my-3">
+        <label>Asked patient to confirm if <b><i><u>{{$mailingAddress}}</u></i></b> was their mailing address, to which they:</label>
+        @if(@$contentData['ans_is_address_correct'] == 'yes')
+        <?= segment_template_summary_value_display('confirmed to be correct.') ?>
+        @elseif(@$contentData['ans_is_address_correct'] == 'no')
+        <?= segment_template_summary_value_display('denied to be correct.') ?>
+        @if(strlen(@$contentData['ans_corrected_address']))
+        <div class="mb-2">
+            <label>The patient provided <i><?= segment_template_summary_value_display(@$contentData['ans_corrected_address']) ?></i> <span class="ml-2">as the correct mailing address.</span></label>
+
+        </div>
+        @endif
+        @else
+        <?= segment_template_summary_value_display('') ?>
+        @endif
+        @endif
+
     </div>
-    
-    @if(strlen(@$contentData['ans_corrected_address']))
+
+    <hr class="my-3">
+    <label>Asked patient if they have ever worked with a nurse practitioner before, to which they responded:</label>
+    @if(@$contentData['ans_has_worked_with_an_np_before'] == 'yes')
+    <?= segment_template_summary_value_display('YES.') ?>
+    @elseif(@$contentData['ans_has_worked_with_an_np_before'] == 'no')
+    <?= segment_template_summary_value_display('No.') ?>
+    @else
+    <?= segment_template_summary_value_display('') ?>
+    @endif
+
     <div class="mb-2">
-        <label>If different from above:</label>
-        <?= segment_template_summary_value_display(@$contentData['ans_corrected_address']) ?>
+        <label><b>Explained to patient that:</b></label>
+    </div>
+    <div class="mb-2 ml-3">
+        <ul>
+            <li><strong>I'M NOT HERE TO REPLACE YOUR CURRENT DOCTORS.</strong></li>
+            <li>This is a telehealth service that you can rely on in addition to your existing care team if you ever need support after hours or have a question about one of your vital signs.</li>
+            <li>Like medical doctors, we have the authority to write prescriptions and order labs.</li>
+            <li>So if you ever need anything (medical advice, prescriptions, labs, etc.), you can always call me via phone.</li>
+            <li>Or we can do video calls over Zoom if that's ever helpful.</li>
+            <li>And because telemedicine is now covered by Medicare and we're allowed to waive co-pays, it's free of charge for patients.</li>
+            <li>You'll never get a bill or anything.</li>
+        </ul>
     </div>
+    @if(@$contentData['ans_has_worked_with_an_np_before_expl_feedback'] == 'yes')
+    <?= segment_template_summary_value_display('Patient verbalized understanding.') ?>
+    @elseif(@$contentData['ans_has_worked_with_an_np_before_expl_feedback'] == 'no')
+    <?= segment_template_summary_value_display('Patient verbalized lack of understanding.') ?>
+    @else
+    <?= segment_template_summary_value_display('') ?>
     @endif
 
     <hr class="my-3">
 
     <div class="mb-2">
-        Our goal right now is to help you stay healthy and monitor your most important vital signs at home during this pandemic.
+        <label><b>{{ $patient->displayName() }}</b> is a <b>{{$patient->age_in_years }} year(s) </b> 
+            @if($patient->sex == 'M')
+                <b>Male</b>
+            @elseif($patient->sex == 'F')
+                <b>Female</b>
+            @else
+                <b>(Unspecified Gender)</b>
+            @endif
+         presenting via telehealth for consultation regarding COVID-19 prevention and early detection.</label>
     </div>
     <div class="mb-2 ml-3">
+        <div class="mb-2">
+        Points discussed:
+        </div>
         <ul>
-            <li>So as you might know, last week Governor Hogan declared a state of emergency.</li>
-            <li>Right now, there are more individuals hospitalized in Maryland due to COVID-19 than at any previous point in the entire pandemic.</li>
-            <li>
-                So self-monitoring your vitals is more important than ever these days because even though vaccines are really effective, there’s an ongoing risk of getting COVID even after vaccination.
-                <ul>
-                    <li>It’s likely that COVID is going to become ‘endemic’ like the flu, where the virus is here to stay and change season to season.</li>
-                    <li>So you do need a long-term strategy to protect yourself in addition to vaccines.</li>
-                    <li>Small changes in your temperature or oxygen levels are extremely helpful in detecting COVID early, and early treatment is extremely effective at preventing hospitalization.</li>
-                    <li>
-                        <label><b>Does that make sense?</b></label>
-                        <?= segment_template_summary_value_display(ucwords(@$contentData['ans_goal_expl_feedback'])) ?>
-                    </li>
-                </ul>
-            </li>
+            <li>Recent surge in cases and hospitalizations.</li>
+            <li>Importance of self-monitoring and vigilance of vital signs.</li>
+            <li>Importance of vaccination.</li>
+            <li>Ongoing risk of breakthrough COVID as COVID becomes endemic like flu.</li>
+            <li>Early warning signs of COVID relating to temperature and hypoxia.</li>
         </ul>
     </div>
+    @if(@$contentData['ans_goal_expl_feedback'] == 'yes')
+    <div class="mb-2">
+        <?= segment_template_summary_value_display('Patient verbalized understanding.') ?>
+    </div>
+    @elseif(@$contentData['ans_goal_expl_feedback'] == 'no')
+    <div class="mb-2">
+        <?= segment_template_summary_value_display('Patient verbalized lack of understanding.') ?>
+    </div>
+    @else
+    <div class="mb-2">
+        <?= segment_template_summary_value_display('') ?>
+    </div>
+    @endif
 
     <div class="mb-2">
-        <label>So today we’re going to conduct a quick intake, I’m going to give you some important information, and then we’ll get you all set up. <b>Ok?</b></label>
-        <?= segment_template_summary_value_display(ucwords(@$contentData['ans_quick_intake_expl_feedback'])) ?>
+        <label class="d-inline">Explained to patient that today we’re going to conduct a quick intake, I’m going to give you some important information, and then we’ll get you all set up. <b>to which the patient: </b></label>
+        @if(@$contentData['ans_quick_intake_expl_feedback'] == 'yes')
+        <?= segment_template_summary_value_display('Acknowledged') ?>
+        @elseif(@$contentData['ans_quick_intake_expl_feedback'] == 'no')
+        <?= segment_template_summary_value_display('Declined') ?>
+        @else
+        <?= segment_template_summary_value_display('') ?>
+        @endif
     </div>
 
     <hr class="my-3">
 
     <div class="mb-1">
-        So first we’re going to talk a little bit about the <b>baseline</b> numbers of your vital signs.
+        <b>Explained to patient that:</b>
     </div>
+    <div class="mb-2 ml-3">
+        <div class="mb-1">
+            First we’re going to talk a little bit about the <b>baseline</b> numbers of your vital signs.
+        </div>
+        <div class="mb-1">
+            Baseline means what is normal for <b>you</b>.
+        </div>
 
-    <div class="mb-1">
-        Baseline means what is normal for <b>you</b>.
-    </div>
+        <div class="mb-2">
+            <label class="mb-1">Asked patient if they have heard that normal body temperature is 98.6 F?. To which they responded:</label>
+            @if(@$contentData['ans_normal_temp_is_986'] == 'yes')
+            <?= segment_template_summary_value_display('Yes') ?>
+            @elseif(@$contentData['ans_normal_temp_is_986'] == 'no')
+            <?= segment_template_summary_value_display('No') ?>
+            @else
+            <?= segment_template_summary_value_display('') ?>
+            @endif
 
-    <div class="mb-2">
-        <label class="mb-1">For example, have you heard that normal body temperature is 98.6 F?.</label>
-        <?= segment_template_summary_value_display(ucwords(@$contentData['ans_normal_temp_is_986'])) ?>
-    </div>
 
-    <div class="mb-2 ml-3">
+        </div>
         <ul>
             <li>So, that’s the <b>average</b> for all humans.</li>
             <li>But everyone is unique. Some people run hotter and some run colder.</li>
@@ -213,35 +283,50 @@ if (!!@$point->data) {
             <li>So when you were 18, your baseline body temperature might have been 98.6, but today it might in fact be 97!</li>
             <li>So, what’s normal for one person could be signs of a fever in another person!</li>
             <li>So if someone with a baseline temperature of 97.7 measures in at 98.6, it could mean that <b>they’re not actually normal</b> - in fact they are starting to run a fever!</li>
-            <li>
-                <label><b>Does that make sense?</b></label>
-                <?= segment_template_summary_value_display(ucwords(@$contentData['ans_baseline_expl_feedback_1'])) ?>
-            </li>
         </ul>
     </div>
-
+    @if(@$contentData['ans_baseline_expl_feedback_1'] == 'yes')
+    <div class="mb-2">
+        <?= segment_template_summary_value_display('Patient verbalized understanding.') ?>
+    </div>
+    @elseif(@$contentData['ans_baseline_expl_feedback_1'] == 'no')
     <div class="mb-2">
-        <label><b>So the numbers you read on self-monitoring equipment mean different things to different people.</b> So we’re going to go through your vital signs and each meter one by one, and I’m going to ask you some questions about each of them. <b>OK?</b></label>
-        <?= segment_template_summary_value_display(ucwords(@$contentData['ans_baseline_expl_feedback_2'])) ?>
+        <?= segment_template_summary_value_display('Patient verbalized lack of understanding.') ?>
+    </div>
+    @else
+    <div class="mb-2">
+        <?= segment_template_summary_value_display('') ?>
+    </div>
+    @endif
+
+    <div class="mt-3 mb-2">
+        <label><b>Explained to patient that the numbers they read on self-monitoring equipment mean different things to different people.</b> So we’re going to go through patient's vital signs and each meter one by one, and ask you some questions about each of them.</label>
+        @if(@$contentData['ans_baseline_expl_feedback_2'] == 'yes')
+        <?= segment_template_summary_value_display('Patient verbalized understanding.') ?>
+        @elseif(@$contentData['ans_baseline_expl_feedback_2'] == 'no')
+        <?= segment_template_summary_value_display('Patient verbalized lack of understanding.') ?>
+        @else
+        <?= segment_template_summary_value_display('') ?>
+        @endif
+
     </div>
 
     <hr class="my-3">
 
     <p><b>Temperature</b></p>
+    <div class="mb-2">
+        Asked patient the following:
+    </div>
 
     <div class="ml-3">
 
         <div class="mb-2">
-            <label>Do you know what your baseline temperature usually reads in at?</label>
+            <label>-Baseline temperature, to which they replied: </label>
             <?= segment_template_summary_value_display(@$contentData['ans_baseline_temperature']) ?>
         </div>
 
-        <div class="mb-2 ml-3">
-            If you don't, don’t worry, we can measure that once you get the thermometer.
-        </div>
-
         <div class="mb-2">
-            <label class="mb-1">Do you currently feel like you may be running high?</label>
+            <label class="mb-1">-If they currently feel like they're running a fever, to which they replied:</label>
             <?= segment_template_summary_value_display(@$contentData['ans_currently_running_high']) ?>
         </div>
 
@@ -250,121 +335,89 @@ if (!!@$point->data) {
     <hr class="my-3">
 
     <p class="mb-3"><b>Blood Oxygen / Pulmonary</b></p>
-
+    <div class="mb-2">
+        Asked patient the following:
+    </div>
     <div class="ml-3">
-
         <div class="mb-2">
-            <label>And what about your baseline blood oxygen, do you know what that usually reads in at?</label>
+            <label>-Baseline SpO2, to which they replied:</label>
             <?= segment_template_summary_value_display(@$contentData['ans_baseline_blood_ox']) ?>
         </div>
-
-        <div class="mb-2 ml-3">
-            <ul>
-                <li>
-                    <label>Have you ever operated a fingertip pulse oxygen meter by yourself?</label>
-                    <?= segment_template_summary_value_display(ucwords(@$contentData['ans_blood_ox_by_self'])) ?>
-                </li>
-                <li>
-                    Blood oxygen is particularly important to know about these days.
-                    <ul>
-                        <li>There are many causes of fever.</li>
-                        <li>Most of them, like the normal flu, don’t affect your oxygen level.</li>
-                        <li>COVID, however, almost always causes a drop in your oxygen level!</li>
-                        <li>So, if you ever have a fever, and notice a drop in your blood oxygen level as well, it’s more likely to be COVID and you can help you seek appropriate medical attention sooner.</li>
-                        <li>
-                            <label>Does that make sense?</label>
-                            <?= segment_template_summary_value_display(ucwords(@$contentData['ans_blood_ox_expl_feedback'])) ?>
-                        </li>
-                        <li>
-                            Have you ever been diagnosed with any condition that affects the lungs and may possibly affect your blood oxygen readings, such as COVID, asthma, or COPD?
-                            <ul>
-                                <li>
-                                    <div>
-                                        <label>COVID</label>
-                                        <?= segment_template_summary_value_display(ucwords(@$contentData['ans_blood_ox_condition_covid'])) ?>
-                                    </div>
-                                    <ul>
-                                        <li class="mb-2">
-                                            <label>How are you feeling now?</label>
-                                            <?= segment_template_summary_value_display(@$contentData['ans_condition_covid_how_now']) ?>
-                                        </li>
-                                        <li class="mb-2">
-                                            <label>Have you recovered completely?</label>
-                                            <?= segment_template_summary_value_display(@$contentData['ans_condition_covid_recovered']) ?>
-                                        </li>
-                                        <li class="mb-2">
-                                            <label>Do you have any lingering symptoms like Shortness of breath, weakness, or brain fog?</label>
-                                            <?= segment_template_summary_value_display(@$contentData['ans_condition_covid_lingering_symptoms']) ?>
-                                        </li>
-                                    </ul>
-                                </li>
-                                <li>
-                                    <div>
-                                        <label>Asthma</label>
-                                        <?= segment_template_summary_value_display(ucwords(@$contentData['ans_blood_ox_condition_asthma'] )) ?>
-                                    </div>
-                                    <ul>
-                                        <li class="mb-2">
-                                            <label>How are you feeling now?</label>
-                                            <?= segment_template_summary_value_display(@$contentData['ans_condition_asthma_how_now']) ?>
-                                        </li>
-                                        <li class="mb-2">
-                                            <label class="mb-1">Have you recovered completely?</label>
-                                            <?= segment_template_summary_value_display(@$contentData['ans_condition_asthma_recovered']) ?>
-                                        </li>
-                                        <li class="mb-2">
-                                            <label>Do you have any lingering symptoms like Shortness of breath, weakness, or brain fog?</label>
-                                            <?= segment_template_summary_value_display(@$contentData['ans_condition_asthma_lingering_symptoms']) ?>
-                                        </li>
-                                    </ul>
-                                </li>
-                                <li>
-                                    <div>
-                                        <label>COPD</label>
-                                        <?= segment_template_summary_value_display(ucwords(@$contentData['ans_blood_ox_condition_copd'])) ?>
-                                    </div>
-                                    <ul>
-                                        <li class="mb-2">
-                                            <label>How are you feeling now?</label>
-                                            <?= segment_template_summary_value_display(@$contentData['ans_condition_copd_how_now']) ?>
-                                        </li>
-                                        <li class="mb-2">
-                                            <label>Have you recovered completely?</label>
-                                            <?= segment_template_summary_value_display(@$contentData['ans_condition_copd_recovered']) ?>
-                                        </li>
-                                        <li class="mb-2">
-                                            <label>Do you have any lingering symptoms like Shortness of breath, weakness, or brain fog?</label>
-                                            <?= segment_template_summary_value_display(@$contentData['ans_condition_copd_lingering_symptoms']) ?>
-                                        </li>
-                                    </ul>
-                                </li>
-                                <li>
-                                    <div>
-                                        <label>Other</label>
-                                        <?= segment_template_summary_value_display(@$contentData['ans_blood_ox_condition_other']) ?>
-                                    </div>
-                                    <ul>
-                                        <li class="mb-2">
-                                            <label>How are you feeling now?</label>
-                                            <?= segment_template_summary_value_display(@$contentData['ans_condition_other_how_now']) ?>
-                                        </li>
-                                        <li class="mb-2">
-                                            <label>Have you recovered completely?</label>
-                                            <?= segment_template_summary_value_display(@$contentData['ans_condition_other_recovered']) ?>
-                                        </li>
-                                        <li class="mb-2">
-                                            <label>Do you have any lingering symptoms like Shortness of breath, weakness, or brain fog?</label>
-                                            <?= segment_template_summary_value_display(@$contentData['ans_condition_other_lingering_symptoms']) ?>
-                                        </li>
-                                    </ul>
-                                </li>
-                            </ul>
-                        </li>
-
-                    </ul>
-                </li>
-            </ul>
+        <div class="mb-2">
+            <label>-Baseline SpO2, to which they replied:</label>
+            <?= segment_template_summary_value_display(@$contentData['ans_blood_ox_by_self']) ?>
         </div>
+    </div>
+    <div class="mb-2">
+        <label>Discussed risk of asymptomatic hypoxia during COVID.</label>
+        @if(@$contentData['ans_blood_ox_expl_feedback'] == 'yes')
+        <?= segment_template_summary_value_display('Patient verbalized understanding.') ?>
+        @elseif(@$contentData['ans_blood_ox_expl_feedback'] == 'no')
+        <?= segment_template_summary_value_display('Patient verbalized lack of understanding.') ?>
+        @else
+        <?= segment_template_summary_value_display('') ?>
+        @endif
+    </div>
+    <div class="mb-2 ml-3">
+        <ul>
+            <li>
+                <div>
+                    <label>Asked patient if they have ever had COVID, to which:</label>
+                    @if(@$contentData['ans_blood_ox_condition_covid'] == 'yes')
+                        <?= segment_template_summary_value_display('Patient reports having COVID.') ?>
+                    @elseif(@$contentData['ans_blood_ox_condition_covid'] == 'no')
+                        <?= segment_template_summary_value_display('Patient denies having COVID.') ?>
+                    @else
+                        <?= segment_template_summary_value_display('') ?>
+                    @endif
+                    
+                </div>
+                <ul>
+                    <li class="mb-2">
+                        <label>Asked patient how they are feeling now, to which they replied</label>
+                        <?= segment_template_summary_value_display(@$contentData['ans_condition_covid_how_now']) ?>
+                    </li>
+                    <li class="mb-2">
+                        <label> Asked patient if they've recovered completely, to which they replied</label>
+                        <?= segment_template_summary_value_display(@$contentData['ans_condition_covid_recovered']) ?>
+                    </li>
+                    <li class="mb-2">
+                        <label>Asked patient if they have any lingering symptoms like shortness of breath, weakness, or brain fog, to which they replied</label>
+                        <?= segment_template_summary_value_display(@$contentData['ans_condition_covid_lingering_symptoms']) ?>
+                    </li>
+                </ul>
+            </li>
+            <li>
+                <div>
+                    <label>Asked patient if they have ever had asthma, to which:</label>
+                    @if(@$contentData['ans_blood_ox_condition_asthma'] == 'yes')
+                        <?= segment_template_summary_value_display('Patient reports having Asthma.') ?>
+                    @elseif(@$contentData['ans_blood_ox_condition_asthma'] == 'no')
+                        <?= segment_template_summary_value_display('Patient denies having Asthma.') ?>
+                    @else
+                        <?= segment_template_summary_value_display('') ?>
+                    @endif
+                </div>
+            </li>
+            <li>
+                <div>
+                    <label>Asked patient if they have ever had COPD, to which:</label>
+                    @if(@$contentData['ans_blood_ox_condition_copd'] == 'yes')
+                        <?= segment_template_summary_value_display('Patient reports having COPD.') ?>
+                    @elseif(@$contentData['ans_blood_ox_condition_copd'] == 'no')
+                        <?= segment_template_summary_value_display('Patient denies having COPD.') ?>
+                    @else
+                        <?= segment_template_summary_value_display('') ?>
+                    @endif
+                </div>
+            </li>
+            <li>
+                <div>
+                    <label>Asked patient if they have ever had any other lung condition that affects oxygen, to which they replied</label>
+                    <?= segment_template_summary_value_display(@$contentData['ans_blood_ox_condition_other']) ?>
+                </div>
+            </li>
+        </ul>
 
     </div>
 
@@ -375,60 +428,62 @@ if (!!@$point->data) {
     <div class="ml-3">
 
         <div class="mb-2">
-            <label>Do you know what your baseline heart rate and blood pressure usually read in at?</label>
-            <div class="pl-3">
-                <div>Heart Rate: <?= segment_template_summary_value_display(@$contentData['ans_baseline_heart_rate']) ?></div>
+            <label>Asked patient their baseline heart rate and BP:</label>
+            <div class="d-flex align-items-center pl-3">
+                <div class="mr-3">Heart Rate: <?= segment_template_summary_value_display(@$contentData['ans_baseline_heart_rate']) ?></div>
                 <div>BP: <?= segment_template_summary_value_display(@$contentData['ans_baseline_bp']) ?></div>
             </div>
         </div>
 
         <div class="mb-2">
-            <label>Have you ever operated a digital blood pressure and pulse meter by yourself?</label>
+            <label>Asked patient if they have ever operated a digital BP / pulse meter. Patient response:</label>
             <?= segment_template_summary_value_display(ucwords(@$contentData['ans_bp_by_self'])) ?>
         </div>
 
         <div class="mb-2">
-            <label>Have you ever been diagnosed with high blood pressure?</label>
+            <label>Asked patient if ever Dx of HTN, patient response:</label>
             <?= segment_template_summary_value_display(ucwords(@$contentData['ans_high_bp_ever'])) ?>
         </div>
 
         <div class="mb-2">
-            <label>Do you take BP medicine?</label>
+            <label>Asked patient if they have ever taken BP medicine, patient response:</label>
             <?= segment_template_summary_value_display(ucwords(@$contentData['ans_bp_medicine'])) ?>
         </div>
 
         <div class="mb-3 ml-3">
-            <label class="mb-2">If taking BP medication:</label>
+            <label class="mb-2">BP medicine reported:</label>
+            @if(!strlen(@$contentData['ans_bp_medicine_1_type']) && !strlen(@$contentData['ans_bp_medicine_2_type']) && !strlen(@$contentData['ans_bp_medicine_3_type']))
+                <?= segment_template_summary_value_display('None') ?>
+            @endif
             <div class="pl-3">
                 @if(@$contentData['ans_bp_medicine_1_type'])
                 <div class="mb-2">
-                    ▸ <?= segment_template_summary_value_display(@$contentData['ans_bp_medicine_1_type']) ?>: 
-                    <?= segment_template_summary_value_display(@$contentData['ans_bp_medicine_1_dose']) ?>                
+                    ▸ <?= segment_template_summary_value_display(@$contentData['ans_bp_medicine_1_type']) ?>:
+                    <?= segment_template_summary_value_display(@$contentData['ans_bp_medicine_1_dose']) ?>
                 </div>
                 @endif
 
                 @if(@$contentData['ans_bp_medicine_2_type'])
                 <div class="mb-2">
-                    ▸ <?= segment_template_summary_value_display(@$contentData['ans_bp_medicine_2_type']) ?>: 
-                    <?= segment_template_summary_value_display(@$contentData['ans_bp_medicine_2_dose']) ?>                
+                    ▸ <?= segment_template_summary_value_display(@$contentData['ans_bp_medicine_2_type']) ?>:
+                    <?= segment_template_summary_value_display(@$contentData['ans_bp_medicine_2_dose']) ?>
                 </div>
                 @endif
 
                 @if(@$contentData['ans_bp_medicine_3_type'])
                 <div class="mb-2">
-                    ▸ <?= segment_template_summary_value_display(@$contentData['ans_bp_medicine_3_type']) ?>: 
-                    <?= segment_template_summary_value_display(@$contentData['ans_bp_medicine_3_dose']) ?>                
+                    ▸ <?= segment_template_summary_value_display(@$contentData['ans_bp_medicine_3_type']) ?>:
+                    <?= segment_template_summary_value_display(@$contentData['ans_bp_medicine_3_dose']) ?>
                 </div>
                 @endif
             </div>
-            
+
         </div>
 
         <div class="mb-2">
-            <label class="mb-1">Have you ever been diagnosed with any cardiac or heart condition that may affect your heart rate or blood pressure, such as....?</label>
             <ul>
                 <li>
-                    <label>CAD or other atherosclerosis</label>
+                    <label>CAD or other atherosclerosis:</label>
                     <?= segment_template_summary_value_display(ucwords(@$contentData['ans_cardiac_heart_ever_cad'])) ?>
                 </li>
                 <li>
@@ -447,37 +502,40 @@ if (!!@$point->data) {
         </div>
 
         <div class="mb-2">
-            <label class="mb-1">Do you have any:</label>
+            <label class="mb-1">Asked patient following:</label>
             <ul>
                 <li>
-                    <label>Chest pain</label>
+                    <label> Chest pain, patient response:</label>
                     <?= segment_template_summary_value_display(ucwords(@$contentData['ans_chest_pain'])) ?>
                 </li>
                 <li>
-                    <label>Shortness of breath?</label>
+                    <label>Shortness of breath,patient response:</label>
                     <?= segment_template_summary_value_display(ucwords(@$contentData['ans_shortness_of_breath'])) ?>
                 </li>
                 <li>
-                    <label>Fatigue or light-headedness?</label>
+                    <label>Fatigue or light-headedness, patient response:</label>
                     <?= segment_template_summary_value_display(ucwords(@$contentData['ans_fatigue'])) ?>
                 </li>
                 <li>
-                    <label>Headache?</label>
+                    <label>Headache, patient response:</label>
                     <?= segment_template_summary_value_display(ucwords(@$contentData['ans_headache'])) ?>
                 </li>
             </ul>
         </div>
 
         <div class="mb-2">
-            <label>Do you ever notice an increase in your heart rate?</label>
+        <label class="mb-1">Asked patient following:</label>
+        </div>
+        <div class="mb-2  ml-3">
+            <label>Ever feels increase in heart rate, patient response:</label>
             <?= segment_template_summary_value_display(ucwords(@$contentData['ans_increase_in_heart_rate'])) ?>
             <ul>
                 <li>
-                    <label>How ofter?</label>
+                    <label>How often, patient response:</label>
                     <?= segment_template_summary_value_display(ucwords(@$contentData['ans_increase_in_heart_rate_frequency'])) ?>
                 </li>
                 <li>
-                    <label>Do you monitor your BP before / after workouts?</label>
+                    <label>Do you monitor your BP before / after workouts? Patient response:</label>
                     <?= segment_template_summary_value_display(ucwords(@$contentData['ans_monitor_bp_before_after_workouts'])) ?>
                 </li>
             </ul>
@@ -487,69 +545,59 @@ if (!!@$point->data) {
 
     <hr class="my-3">
 
-    <p><b>Vaccine Status:</b></p>
-    <div class="pl-3 mb-3">
-        <div>
-        ▸ Not enough rapport right now to ask: <?= @$contentData['ans_monitor_bp_before_after_workouts'] ? 
-            segment_template_summary_value_display('Yes')
-            :
-            segment_template_summary_value_display('No') ?>
-        </div>
-        <div>
-        ▸ Declined to answer: <?= @$contentData['ans_vaccine_status_declined_to_answer'] ? 
-            segment_template_summary_value_display('Yes')
-            :
-            segment_template_summary_value_display('No') ?>
+    <p>Regarding vaccine status:
+        @if(@$contentData['ans_vaccine_status_declined_to_answer'] == 'yes')
+            <?= segment_template_summary_value_display('Patient declined to provide vaccine status.') ?>
+        @else
             @if(@$contentData['ans_vaccine_status'])
-            <small class="ml-3"><i><?= segment_template_summary_value_display(@$contentData['ans_vaccine_status']) ?></i></small>
+                <small class="ml-3"><i><?= segment_template_summary_value_display(@$contentData['ans_vaccine_status']) ?></i></small>
+            @else:
+                <?= segment_template_summary_value_display('') ?>
             @endif
-        </div>
-    </div>
+        @endif
+    </p>
 
-
-    <p><b>Booster Status:</b></p>
-    <div class="pl-3 mb-3">
-        <div>
-        ▸ Not enough rapport right now to ask: <?= @$contentData['ans_booster_status_not_enough_rapport'] ? 
-            segment_template_summary_value_display('Yes')
-            :
-            segment_template_summary_value_display('No') ?>
-        </div>
-        <div>
-        ▸ Declined to answer: <?= @$contentData['ans_booster_status_declined_to_answer'] ? 
-            segment_template_summary_value_display('Yes')
-            :
-            segment_template_summary_value_display('No') ?>
+    <p>Regarding booster status:
+        @if(@$contentData['ans_booster_status_declined_to_answer'] == 'yes')
+            <?= segment_template_summary_value_display('Patient declined to provide booster status.') ?>
+        @else
             @if(@$contentData['ans_booster_status'])
-            <small class="ml-3"><i><?= segment_template_summary_value_display(@$contentData['ans_booster_status']) ?></i></small>
+                <small class="ml-3"><i><?= segment_template_summary_value_display(@$contentData['ans_booster_status']) ?></i></small>
+            @else:
+                <?= segment_template_summary_value_display('') ?>
             @endif
-        </div>
-    </div>
+        @endif
+    </p>
 
     <div class="mb-3">
-        <label>Current Behaviors to Stay Safe:</label>
+        <label>Asked patient about current behaviors they are partaking to stay safe, to which they replied:</label>
         <?= segment_template_summary_value_display(@$contentData['ans_current_behaviors_to_stay_safe']) ?>
     </div>
 
-    <p><b>Education Provided:</b></p>
+    <p>Education Provided:
+    @if(!strlen(@$contentData['ans_edu_provided_use_of_smd']) && !strlen(@$contentData['ans_edu_provided_asymptomatic_hypoxia']) && !strlen(@$contentData['ans_edu_provided_cdc_guidelines']))
+        <?= segment_template_summary_value_display('') ?>
+    @endif
+    </p>
     <div class="pl-3 mb-3">
+        @if(@$contentData['ans_edu_provided_use_of_smd'] == 'yes')
         <div>
-        ▸ Appropriate use of self-monitoring devices: <?= @$contentData['ans_edu_provided_use_of_smd'] ? 
-            segment_template_summary_value_display('Yes')
-            :
-            segment_template_summary_value_display('No') ?>
+            ▸ Appropriate use of self-monitoring devices
         </div>
+        @endif
+        @if(@$contentData['ans_edu_provided_asymptomatic_hypoxia'] == 'yes')
         <div>
-        ▸ Asymptomatic hypoxia: <?= @$contentData['ans_edu_provided_asymptomatic_hypoxia'] ? 
-            segment_template_summary_value_display('Yes')
-            :
-            segment_template_summary_value_display('No') ?>
+            ▸ Asymptomatic hypoxia
         </div>
+        @endif
+        @if(@$contentData['ans_edu_provided_cdc_guidelines'] == 'yes')
         <div>
-        ▸ CDC guidelines: <?= @$contentData['ans_edu_provided_cdc_guidelines'] ? 
-            segment_template_summary_value_display('Yes')
-            :
-            segment_template_summary_value_display('No') ?>
-        </div>        
+            ▸ CDC guidelines
+        </div>
+        @endif
     </div>
-</div>
+    <div class="mb-3">
+        <label>A total of <?= segment_template_summary_value_display(@$contentData['ans_total_mins_spent'], '', 'ml-0') ?> minutes was spent on this visit counseling or educating a patient or caregiver, documentation, and care coordination. Over 50% of this time was directed towards counseling and education.</label>
+        
+    </div>
+</div>