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@@ -399,6 +399,27 @@
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</div>
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</form>
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</span>
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+ <div moe relative class="mr-2">
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+ <a class="on-hover-opaque" start show title="Edit">
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+ <i class="font-size-11 fa fa-edit"></i>
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+ </a>
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+ <form url="/api/clientInfoLine/updateContent">
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+ <input type="hidden" name="uid" value="{{ $line->uid }}">
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+ <input type="hidden" name="clientUid" value="{{ $patient->uid }}">
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+ <input type="hidden" name="category" value="care_team">
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+ <div class="mb-2"><input type="text" class="form-control form-control-sm" name="contentText" value="{{$line->contentText}}" placeholder="Name"></div>
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+ <div class="mb-2"><input type="text" class="form-control form-control-sm" name="Specialty" value="{{$line->contentDetail->{'Specialty'} }}" placeholder="Specialty"></div>
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+ <div class="mb-2"><input type="text" class="form-control form-control-sm" name="Organization" value="{{$line->contentDetail->{'Organization'} }}" placeholder="Organization"></div>
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+ <div class="mb-2"><input type="text" class="form-control form-control-sm" name="Phone" value="{{$line->contentDetail->{'Phone'} }}" placeholder="Phone"></div>
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+ <div class="mb-2"><input type="text" class="form-control form-control-sm" name="Fax" value="{{$line->contentDetail->{'Fax'} }}" placeholder="Fax"></div>
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+ <div class="mb-2"><input type="date" class="form-control form-control-sm" name="Next Appointment" value="{{$line->contentDetail->{'Next Appointment'} }}" placeholder="Next Appointment"></div>
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+ <div class="mb-2"><input type="text" class="form-control form-control-sm" name="Memo" value="{{$line->contentDetail->{'Memo'} }}" placeholder="Memo"></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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+ </div>
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+ </form>
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+ </div>
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<span class="font-weight-bold">{{$line->contentText}}</span>
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<span class="text-secondary mx-1">/</span>
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<span class="text-secondary">{{ $line->contentDetail->{"Specialty"} }}</span>
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