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@@ -1,84 +1,5 @@
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-<span class="mx-2 text-secondary">|</span>
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-<div moe wide relative class="">
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- <a class="" href="" show start>Create {{@$label ? $label : 'Generic'}} Bill</a>
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- <form url="/api/bill/createForGeneric">
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- <div class="mb-2">
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- <label for="" class="text-secondary text-sm">Pro</label>
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- <input type="text" class="form-control form-control-sm" value="{{$pro->displayName()}}" readonly>
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- </div>
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- <input type="hidden" name="genericProUid" value="{{$pro->uid}}">
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- @if(@$note)
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- <input type="hidden" name="optionalNoteUid" value="{{$note->uid}}">
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- @endif
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- @if(@$patient)
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- <input type="hidden" name="optionalClientUid" value="{{$patient->uid}}">
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- @endif
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- @if(@$entityType)
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- <input type="hidden" name="genericTargetEntityType" value="{{$entityType}}">
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- @endif
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- @if(@$entityUid)
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- <input type="hidden" name="genericTargetEntityUid" value="{{$entityUid}}">
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- @endif
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- <div class="mb-2">
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- <label for="" class="text-secondary text-sm">Service</label>
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-<!-- <input type="text" name="code" class="form-control form-control-sm" value="" autofocus required>-->
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- <select autofocus class="form-control" name="code" onchange="switchGenericRate(this)">
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- <option value="">-- Select Code --</option>
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- @foreach($pro->genericRates() as $genericRate)
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- <option data-amount="{{ $genericRate->amount }}" value="{{ $genericRate->code }}">
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- {{ $genericRate->code }} (${{ $genericRate->amount }})
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- </option>
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- @endforeach
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- </select>
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- </div>
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- <div class="mb-2">
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- <?php $maxMinutes = 60; ?>
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- <label for="" class="text-secondary text-sm">Minutes</label>
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- <div class="mb-2">
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- <select name="numberOfUnits" class="form-control form-control-sm"
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- onchange="calculateGenericBillAmount(this)">
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- <option value=""> -- select -- </option>
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- <?php for ($i = 5; $i <= $maxMinutes; $i+=5) { ?>
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- <option value="{{ $i/60 }}" {{ $i === 30 ? 'selected' : '' }}>{{ $i }} minutes</option>
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- <?php } ?>
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- </select>
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- </div>
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- <div class="mb-2" calculated-generic-amount></div>
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- </div>
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- <div class="mb-2">
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- <label for="" class="text-secondary text-sm">Description</label>
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- <input type="text" name="genericDescription" class="form-control form-control-sm" value="">
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- </div>
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- <div class="mb-2">
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- <label for="" class="text-secondary text-sm">Effective Date</label>
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- <input type="date" name="effectiveDate" class="form-control form-control-sm" value="{{date('Y-m-d')}}" required>
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- </div>
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- <div class="">
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- <button class="btn btn-primary btn-sm" submit>Submit</button>
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- <button class="btn btn-default border btn-sm" cancel>Cancel</button>
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- </div>
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- </form>
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-</div>
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-<script>
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- (function() {
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- let selectedGenericRate = 0;
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- window.switchGenericRate = function(_trigger) {
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- selectedGenericRate = 0;
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- if($(_trigger).find('option:selected').first().length) {
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- selectedGenericRate = +($(_trigger).find('option:selected').first().attr('data-amount'));
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- }
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- calculateGenericBillAmount($(_trigger).closest('form').find('[name="numberOfUnits"]'));
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- };
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- window.calculateGenericBillAmount = function(_trigger) {
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- debugger
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- _trigger = $(_trigger);
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- let amountTarget = _trigger.closest('form').find('[calculated-generic-amount]');
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- if(!_trigger.find('option:selected').length) {
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- amountTarget.text('');
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- return;
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- }
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- let hours = +_trigger.find('option:selected').attr('value');
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- amountTarget.html('<b>Reimbursable Amount:</b> $' + (hours * selectedGenericRate).toFixed(2));
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- }
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- }).call(window);
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-</script>
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+@if (!!@$entityType && file_exists(resource_path('views/app/generic-bills/add-bill-form/' . $entityType . '.blade.php')))
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+ @include('app.generic-bills.add-bill-form.' . $entityType)
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+@else
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+ @include('app.generic-bills.add-bill-form.default')
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+@endif
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