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@@ -49,47 +49,46 @@ foreach($patient->measurements as $measurement) {
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<a start show class="py-0 font-weight-normal">Update</a>
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<form url="/api/measurement/updateVitals">
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<input type="hidden" name="clientUid" value="{{ $patient->uid }}">
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+ <label class="text-secondary text-sm mb-1">Ht. (in.)</label>
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<div class="mb-2">
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- Ht. (in.)<br>
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<input type="text" class="form-control form-control-sm" name="heightInches" value="{{$vitalValues['Ht. (in.)']['value']}}" placeholder="">
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</div>
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+ <label class="text-secondary text-sm mb-1">Wt. (lbs.)</label>
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<div class="mb-2">
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- Wt. (lbs.)<br>
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<input type="text" class="form-control form-control-sm" name="weightPounds" value="{{$vitalValues['Wt. (lbs.)']['value']}}" placeholder="">
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</div>
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+ <label class="text-secondary text-sm mb-1">Temp. (F)</label>
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<div class="mb-2">
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- Temp. (F)<br/>
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<input type="text" class="form-control form-control-sm" name="temperatureF" value="{{$vitalValues['Temp. (F)']['value']}}" placeholder="">
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</div>
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+ <label class="text-secondary text-sm mb-1">Pulse</label>
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<div class="mb-2">
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- Pulse<br/>
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<input type="text" class="form-control form-control-sm" name="pulseRatePerMinute" value="{{$vitalValues['Pulse']['value']}}" placeholder="">
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</div>
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+ <label class="text-secondary text-sm mb-1">Resp.</label>
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<div class="mb-2">
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- Resp.<br/>
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<input type="text" class="form-control form-control-sm" name="respirationRatePerMinute" value="{{$vitalValues['Resp.']['value']}}" placeholder="">
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</div>
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+ <label class="text-secondary text-sm mb-1">Pulse Ox.</label>
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<div class="mb-2">
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- Pulse Ox.<br/>
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<input type="text" class="form-control form-control-sm" name="pulseOx" value="{{$vitalValues['Pulse Ox.']['value']}}" placeholder="">
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</div>
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+ <label class="text-secondary text-sm mb-1">SBP</label>
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<div class="mb-2">
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- SBP<br/>
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<input type="text" class="form-control form-control-sm" name="systolicBP" value="{{$vitalValues['SBP']['value']}}" placeholder="">
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</div>
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+ <label class="text-secondary text-sm mb-1">DBP</label>
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<div class="mb-2">
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- DBP<br/>
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<input type="text" class="form-control form-control-sm" name="diastolicBP" value="{{$vitalValues['DBP']['value']}}" placeholder="">
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</div>
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+ <label class="text-secondary text-sm mb-1">Smoking Status</label>
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<div class="mb-2">
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- Smoking Status<br/>
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<input type="text" class="form-control form-control-sm" name="smokingStatus" value="{{$vitalValues['Smoking Status']['value']}}" placeholder="">
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</div>
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+ <label class="text-secondary text-sm mb-1">BMI</label>
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<div class="mb-2">
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- BMI<br/>
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<input type="text" class="form-control form-control-sm" name="bmi" value="{{$vitalValues['BMI']['value']}}" placeholder="">
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</div>
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-
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<div class="d-flex align-items-center">
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<button class="btn btn-sm btn-primary mr-2" submit>Save</button>
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<button class="btn btn-sm btn-default mr-2 border" cancel>Cancel</button>
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@@ -123,12 +122,12 @@ foreach($patient->measurements as $measurement) {
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</a>
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<form url="/api/measurement/create">
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<input type="hidden" name="clientUid" value="{{ $patient->uid }}">
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- <div class="mb-2">
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- <input required type="text" class="form-control form-control-sm" name="label" value="{{ $label }}" placeholder="Type">
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- </div>
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+ <input type="hidden" name="label" value="{{ $label }}">
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+ <label class="text-secondary text-sm mb-1">{{ $label }}</label>
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<div class="mb-2">
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<input required autofocus type="text" class="form-control form-control-sm" name="value" value="{{ $vitalValues[$label]['value'] }}" placeholder="Value">
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</div>
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+ <label class="text-secondary text-sm mb-1">Effective Date</label>
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<div class="mb-2">
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<input required type="date" class="form-control form-control-sm" name="effectiveDate" max="{{ date('Y-m-d') }}" value="{{ date('Y-m-d') }}">
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</div>
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