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+<div moe wide>
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+ <a href="#" start show class="d-flex align-items-baseline" title="Next FU">Next FU</a>
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+ <form url="/api/client/putClientRepFollowUp" class="mcp-theme-1">
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+ <div id="viewNextFuData" class="{{ $patient->clientRepFollowUp ? '':'d-none' }}">
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+ @if($patient->clientRepFollowUp)
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+ <a id="updateNextFu" class="c-pointer">Update</a>
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+ <table class="table table-sm table-striped table-bordered">
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+ <tr>
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+ <td><b>Created At</b></td>
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+ <td>{{ friendly_date_time($patient->clientRepFollowUp->created_at) }}</td>
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+ </tr>
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+ <tr>
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+ <td><b>Updated At</b></td>
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+ <td>{{ friendly_date_time($patient->clientRepFollowUp->updated_at) }}</td>
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+ </tr>
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+ <tr>
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+ <td><b>Client Rep</b></td>
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+ <td>{{ $patient->clientRepFollowUp->pro->displayName() }}</td>
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+ </tr>
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+ <tr>
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+ <td><b>Next Followup Date</b></td>
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+ <td>{{ friendly_date_time($patient->clientRepFollowUp->next_follow_up_date) }}</td>
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+ </tr>
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+ <tr>
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+ <td><b>Next Followup Reason</b></td>
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+ <td>{{ $patient->clientRepFollowUp->next_follow_up_reason }}</td>
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+ </tr>
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+ <tr>
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+ <td><b>Next Followup Memo</b></td>
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+ <td>{{ $patient->clientRepFollowUp->next_follow_up_memo }}</td>
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+ </tr>
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+ </table>
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+ @endif
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+ </div>
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+ <div id="updateNextFuData" class="{{ $patient->clientRepFollowUp ? 'd-none':'' }}">
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+ <a id="showNextFu" class="c-pointer">Show FU</a>
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+ <input type="hidden" name="uid" value="{{ $patient->uid }}">
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+ <div class="mb-2">
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+ <label for="" class="text-sm text-secondary mb-1">Next Calling Date</label>
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+ <input type="date" class="form-control input-sm" name="nextFollowUpDate" value="{{ $patient->next_follow_up_date }}" />
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+ </div>
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+ <div class="mb-2">
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+ <label for="" class="text-sm text-secondary mb-1">Call Assigned To</label>
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+ <select provider-search name="clientRepProUid" class="form-control input-sm">
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+ </select>
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+ </div>
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+ <div class="mb-2">
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+ <label for="" class="text-sm text-secondary mb-1">Call Reason</label>
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+ <select name="nextFollowUpReason" class="form-control input-sm">
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+ <option value=""></option>
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+ <option>Appointment Confirmation</option>
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+ <option>New Appointment</option>
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+ <option>Missed Appointment</option>
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+ <option>Appointment Reschedule</option>
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+ <option>Appointment Cancellation</option>
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+ <option>Response to Pt's Voicemail</option>
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+ <option>Regarding ERx/Lab/Image Orders</option>
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+ <option>Regarding Supply Orders</option>
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+ <option>Regarding RPM</option>
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+ <option>Pt Profile Related Matters</option>
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+ <option>Pt Insurance Related Matters</option>
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+ <option>Incoming Referrals</option>
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+ <option>Outgoing Referrals</option>
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+ <option>Insurance Verification</option>
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+ <option>Questions Related to Past Visit</option>
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+ <option>Provider Recommended follow-up</option>
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+ <option>Care Coordination</option>
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+ <option>Patient Consent</option>
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+ <option>Patient Feedback</option>
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+ <option>Goals Follow Up</option>
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+ <option>Other-- (check recent memo)</option>
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+ </select>
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+ </div>
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+ <div class="mb-2">
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+ <label for="" class="text-sm text-secondary mb-1">Memo</label>
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+ <textarea class="form-control input-sm" name="nextFollowUpMemo"></textarea>
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+ </div>
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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>Submit</button>
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+ <button class="btn btn-sm btn-default mr-2 border" cancel>Cancel</button>
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+ </div>
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+ </div>
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+ </form>
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+</div>
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+
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+<script>
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+ $(document).ready(function() {
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+ $('#updateNextFu').click(function(){
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+ $('#viewNextFuData').addClass('d-none');
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+ $('#updateNextFuData').removeClass('d-none');
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+ });
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+ $('#showNextFu').click(function(){
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+ $('#viewNextFuData').removeClass('d-none');
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+ $('#updateNextFuData').addClass('d-none');
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+ });
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+ });
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+</script>
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