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@@ -304,7 +304,7 @@
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<form url="/api/clientInfoLine/create">
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<input type="hidden" name="clientUid" value="{{ $patient->uid }}">
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<input type="hidden" name="category" value="history_medical">
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- <div class="mb-2"><input type="text" class="form-control form-control-sm" name="contentText" value="" placeholder="History"></div>
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+ <div class="mb-2"><input type="text" class="form-control form-control-sm" name="contentText" value="" placeholder="Medical History"></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>Save</button>
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<button class="btn btn-sm btn-default mr-2 border" cancel>Cancel</button>
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@@ -381,7 +381,7 @@
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<form url="/api/clientInfoLine/create">
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<input type="hidden" name="clientUid" value="{{ $patient->uid }}">
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<input type="hidden" name="category" value="history_surgical">
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- <div class="mb-2"><input type="text" class="form-control form-control-sm" name="contentText" value="" placeholder="History"></div>
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+ <div class="mb-2"><input type="text" class="form-control form-control-sm" name="contentText" value="" placeholder="Surgical History"></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>Save</button>
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<button class="btn btn-sm btn-default mr-2 border" cancel>Cancel</button>
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@@ -460,7 +460,7 @@
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<form url="/api/clientInfoLine/create">
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<input type="hidden" name="clientUid" value="{{ $patient->uid }}">
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<input type="hidden" name="category" value="history_family">
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- <div class="mb-2"><input type="text" class="form-control form-control-sm" name="contentText" value="" placeholder="History"></div>
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+ <div class="mb-2"><input type="text" class="form-control form-control-sm" name="contentText" value="" placeholder="Family History"></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>Save</button>
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<button class="btn btn-sm btn-default mr-2 border" cancel>Cancel</button>
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@@ -540,7 +540,7 @@
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<form url="/api/clientInfoLine/create">
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<input type="hidden" name="clientUid" value="{{ $patient->uid }}">
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<input type="hidden" name="category" value="history_social">
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- <div class="mb-2"><input type="text" class="form-control form-control-sm" name="contentText" value="" placeholder="History"></div>
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+ <div class="mb-2"><input type="text" class="form-control form-control-sm" name="contentText" value="" placeholder="Social History"></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>Save</button>
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<button class="btn btn-sm btn-default mr-2 border" cancel>Cancel</button>
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@@ -620,7 +620,7 @@
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<form url="/api/clientInfoLine/create">
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<input type="hidden" name="clientUid" value="{{ $patient->uid }}">
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<input type="hidden" name="category" value="history_ob_and_preg">
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- <div class="mb-2"><input type="text" class="form-control form-control-sm" name="contentText" value="" placeholder="History"></div>
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+ <div class="mb-2"><input type="text" class="form-control form-control-sm" name="contentText" value="" placeholder="OB & Pregnancy History"></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>Save</button>
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<button class="btn btn-sm btn-default mr-2 border" cancel>Cancel</button>
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@@ -700,7 +700,7 @@
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<form url="/api/clientInfoLine/create">
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<input type="hidden" name="clientUid" value="{{ $patient->uid }}">
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<input type="hidden" name="category" value="history_hospitalizations_procedures">
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- <div class="mb-2"><input type="text" class="form-control form-control-sm" name="contentText" value="" placeholder="History"></div>
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+ <div class="mb-2"><input type="text" class="form-control form-control-sm" name="contentText" value="" placeholder="Hospitalizations / Procedures History"></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>Save</button>
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<button class="btn btn-sm btn-default mr-2 border" cancel>Cancel</button>
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@@ -780,7 +780,7 @@
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<form url="/api/clientInfoLine/create">
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<input type="hidden" name="clientUid" value="{{ $patient->uid }}">
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<input type="hidden" name="category" value="history_screenings">
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- <div class="mb-2"><input type="text" class="form-control form-control-sm" name="contentText" value="" placeholder="History"></div>
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+ <div class="mb-2"><input type="text" class="form-control form-control-sm" name="contentText" value="" placeholder="Screenings History"></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>Save</button>
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<button class="btn btn-sm btn-default mr-2 border" cancel>Cancel</button>
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@@ -861,7 +861,7 @@
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<form url="/api/clientInfoLine/create">
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<input type="hidden" name="clientUid" value="{{ $patient->uid }}">
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<input type="hidden" name="category" value="history_colonoscopy">
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- <div class="mb-2"><input type="text" class="form-control form-control-sm" name="contentText" value="" placeholder="History"></div>
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+ <div class="mb-2"><input type="text" class="form-control form-control-sm" name="contentText" value="" placeholder="Colonoscopy History"></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>Save</button>
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<button class="btn btn-sm btn-default mr-2 border" cancel>Cancel</button>
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@@ -925,7 +925,7 @@
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<form url="/api/clientInfoLine/create">
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<input type="hidden" name="clientUid" value="{{ $patient->uid }}">
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<input type="hidden" name="category" value="history_mammogram">
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- <div class="mb-2"><input type="text" class="form-control form-control-sm" name="contentText" value="" placeholder="History"></div>
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+ <div class="mb-2"><input type="text" class="form-control form-control-sm" name="contentText" value="" placeholder="Mammogram History"></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>Save</button>
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<button class="btn btn-sm btn-default mr-2 border" cancel>Cancel</button>
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