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+<?php
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+
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+use App\Models\Point;
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+
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+$category = 'DISCLAIMERS';
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+$endPoint = 'upsertNoteSingleton';
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+
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+$point = Point::where('added_in_segment_id', $segment->id)->where('category', $category)->orderBy('id', 'DESC')->first();
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+$contentData = [
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+ "consent_for_telehealth_visit" => false,
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+ "eduction_provided_for_covid" => false,
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+ "communicated_dietary_ls_exercise_risks" => false,
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+ "importance_of_calling_911" => false,
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+ "assessment_is_virtual" => false,
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+ "assessment_based_on_patient_inputs" => false,
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+];
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+if (!!@$point->data) {
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+ $contentData = json_decode($point->data, true);
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+}
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+?>
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+<div visit-moe close-on-save close-on-cancel class="d-block">
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+ <form show url="/api/visitPoint/<?= $endPoint ?>" class="mcp-theme-1 mt-2">
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+ <input type="hidden" name="segmentUid" value="<?= $segment->uid ?>">
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+ <input type="hidden" name="category" value="<?= $category ?>">
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+ <input type="hidden" name="data" value="{{json_encode($contentData)}}">
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+
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+ <label class="d-flex align-items-baseline mb-2">
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+ <div class="mr-2 align-self-stretch" style="padding-top: 2px;">
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+ <input type="checkbox" data-name="consent_for_telehealth_visit" {{@($contentData["consent_for_telehealth_visit"] ? 'checked' : '')}}>
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+ </div>
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+ <span>Patient consent for telehealth visit obtained.</span>
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+ </label>
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+
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+ <label class="d-flex align-items-baseline mb-2">
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+ <div class="mr-2 align-self-stretch" style="padding-top: 2px;">
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+ <input type="checkbox" data-name="eduction_provided_for_covid" {{@($contentData["eduction_provided_for_covid"] ? 'checked' : '')}}>
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+ </div>
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+ <span>Education provided for COVID risks, steps for prevention, and eliminating exposure.</span>
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+ </label>
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+
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+ <label class="d-flex align-items-baseline mb-2">
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+ <div class="mr-2 align-self-stretch" style="padding-top: 2px;">
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+ <input type="checkbox" data-name="communicated_dietary_ls_exercise_risks" {{@($contentData["communicated_dietary_ls_exercise_risks"] ? 'checked' : '')}}>
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+ </div>
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+ <span>Communicated possible risks involved with dietary and lifestyle changes, and in particular with exercise prescription.</span>
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+ </label>
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+
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+ <label class="d-flex align-items-baseline mb-2">
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+ <div class="mr-2 align-self-stretch" style="padding-top: 2px;">
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+ <input type="checkbox" data-name="importance_of_calling_911" {{@($contentData["importance_of_calling_911"] ? 'checked' : '')}}>
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+ </div>
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+ <span>Patient verbalizes the importance of calling 911 if experiencing chest pain, dizziness or lightheadedness while exercising.</span>
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+ </label>
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+
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+ <label class="d-flex align-items-baseline mb-2">
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+ <div class="mr-2 align-self-stretch" style="padding-top: 2px;">
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+ <input type="checkbox" data-name="assessment_is_virtual" {{@($contentData["assessment_is_virtual"] ? 'checked' : '')}}>
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+ </div>
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+ <span>Patient understands that this assessment is done virtually and therefore a complete physical assessment was not completed, and is not a replacement for a visit with their primary care physician.</span>
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+ </label>
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+
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+ <label class="d-flex align-items-baseline mb-2">
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+ <div class="mr-2 align-self-stretch" style="padding-top: 2px;">
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+ <input type="checkbox" data-name="assessment_based_on_patient_inputs" {{@($contentData["assessment_based_on_patient_inputs"] ? 'checked' : '')}}>
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+ </div>
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+ <span>Patient understands this assessment was completed using the information they provided only. All questions addressed.</span>
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+ </label>
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+
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+ @if($note->hcp_pro_id == $patient->mcp_pro_id && $patient->is_enrolled_in_cm)
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+ <p class="mb-2">Patient elects to participate in Chronic Care Management.</p>
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+ @endif
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+
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+ @if($note->hcp_pro_id == $patient->mcp_pro_id && $patient->is_enrolled_in_rm)
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+ <p class="mb-2">Patient elects to participate in Remote Patient Monitoring.</p>
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+ @endif
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+
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+ @if($note->method == 'AUDIO' || $note->method == 'VIDEO')
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+ <p class="mb-2">The visit was conducted with the use of an interactive <b>{{$note->method}}</b> telecommunications system that permits real time communication
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+ between the patient and the provider. Patient consent for telehealth visit was obtained.</p>
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+ <p class="mb-2">Originating Site: <b>{{$note->hcpCompanyPro && $note->hcpCompanyPro->company ? $note->hcpCompanyPro->company->name : '-'}}</b></p>
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+ <p class="mb-2">Distant Site: <b>Patient Home</b></p>
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+ @endif
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+
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+ <div class="pt-2">
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+ <button submit class="btn btn-sm btn-primary mr-2"><i class="fa fa-save"></i></button>
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+ <div class="d-inline-flex align-self-stretch align-items-center">
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+ <span class="autosave-indicator saving text-sm text-secondary">Saving changes …</span>
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+ <span class="autosave-indicator saved text-sm text-secondary">
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+ <i class="fa fa-check"></i>
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+ Saved
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+ </span>
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+ </div>
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+ </div>
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+ </form>
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+</div>
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