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@@ -1,493 +1,522 @@
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-<div class="d-flex px-3 py-2 bg-light align-items-baseline border-bottom">
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- <h4 class="font-weight-bold text-nowrap m-0">Sleep Apnea Background</h4>
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- <div moe center huge-1100 class="ml-3">
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- <a start show href="#"><i class="fa fa-edit"></i> Edit</a>
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- <form url="/api/client/updateSleepApneaBackground">
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- <input type="hidden" name="uid" value="{{$patient->uid}}">
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- <div class="font-weight-bold font-size-14 text-secondary border-bottom px-2 pb-2 mb-2">Sleep Apnea Background</div>
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- <div class="row mx-0">
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- <div class="col-5 px-0 pb-4">
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- <div class="px-3 pt-2 pb-1">
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- <span class="d-inline-block width-200px">Diagnosed with Sleep Apnea:</span>
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- <select name="hasSleepApneaDiagnosis" class="form-control form-control-sm min-width-unset d-inline w-auto">
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- <option value="">-- select --</option>
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- <option value="CURRENTLY" {{$patient->has_sleep_apnea_diagnosis === 'CURRENTLY' ? 'selected' : ''}}>Currently</option>
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- <option value="PREVIOUSLY" {{$patient->has_sleep_apnea_diagnosis === 'PREVIOUSLY' ? 'selected' : ''}}>Previously</option>
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- <option value="NEVER" {{$patient->has_sleep_apnea_diagnosis === 'NEVER' ? 'selected' : ''}}>Never</option>
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- <option value="UNKNOWN" {{$patient->has_sleep_apnea_diagnosis === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
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- </select>
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- </div>
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-
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- <div class="px-3 py-1">
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- <span class="d-inline-block width-200px">Has CPAP Machine:</span>
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- <select name="hasCpapMachine" class="form-control form-control-sm min-width-unset d-inline w-auto">
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- <option value="">-- select --</option>
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- <option value="CURRENTLY" {{$patient->has_cpap_machine === 'CURRENTLY' ? 'selected' : ''}}>Currently</option>
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- <option value="PREVIOUSLY" {{$patient->has_cpap_machine === 'PREVIOUSLY' ? 'selected' : ''}}>Previously</option>
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- <option value="NEVER" {{$patient->has_cpap_machine === 'NEVER' ? 'selected' : ''}}>Never</option>
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- <option value="UNKNOWN" {{$patient->has_cpap_machine === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
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- </select>
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- </div>
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-
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- <div class="px-3 py-1">
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- <span class="d-inline-block width-200px">Has Sleep Apnea Oral Appliance:</span>
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- <select name="hasSleepApneaOralAppliance" class="form-control form-control-sm min-width-unset d-inline w-auto">
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- <option value="">-- select --</option>
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- <option value="CURRENTLY" {{$patient->has_sleep_apnea_oral_appliance === 'CURRENTLY' ? 'selected' : ''}}>Currently</option>
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- <option value="PREVIOUSLY" {{$patient->has_sleep_apnea_oral_appliance === 'PREVIOUSLY' ? 'selected' : ''}}>Previously</option>
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- <option value="NEVER" {{$patient->has_sleep_apnea_oral_appliance === 'NEVER' ? 'selected' : ''}}>Never</option>
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- <option value="UNKNOWN" {{$patient->has_sleep_apnea_oral_appliance === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
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- </select>
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- </div>
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-
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- <div class="px-3 py-1">
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- <span class="d-inline-block width-200px">Has Sleep Physician:</span>
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- <select name="hasSleepPhysician" class="form-control form-control-sm min-width-unset d-inline w-auto">
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- <option value="">-- select --</option>
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- <option value="CURRENTLY" {{$patient->has_sleep_physician === 'CURRENTLY' ? 'selected' : ''}}>Currently</option>
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- <option value="PREVIOUSLY" {{$patient->has_sleep_physician === 'PREVIOUSLY' ? 'selected' : ''}}>Previously</option>
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- <option value="NEVER" {{$patient->has_sleep_physician === 'NEVER' ? 'selected' : ''}}>Never</option>
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- <option value="UNKNOWN" {{$patient->has_sleep_physician === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
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- </select>
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- </div>
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-
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- <div class="px-3 py-1">
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- <span class="d-inline-block width-200px">Has Sleep Dentist:</span>
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- <select name="hasSleepDentist" class="form-control form-control-sm min-width-unset d-inline w-auto">
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- <option value="">-- select --</option>
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- <option value="CURRENTLY" {{$patient->has_sleep_dentist === 'CURRENTLY' ? 'selected' : ''}}>Currently</option>
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- <option value="PREVIOUSLY" {{$patient->has_sleep_dentist === 'PREVIOUSLY' ? 'selected' : ''}}>Previously</option>
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- <option value="NEVER" {{$patient->has_sleep_dentist === 'NEVER' ? 'selected' : ''}}>Never</option>
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- <option value="UNKNOWN" {{$patient->has_sleep_dentist === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
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- </select>
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- </div>
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-
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- <hr class="my-2">
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+<div id="sleep-apnea-background">
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+
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+ <div class="d-flex px-3 py-2 bg-light align-items-baseline border-bottom">
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+ <h4 class="font-weight-bold text-nowrap m-0">Sleep Apnea Background</h4>
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+ <div moe center huge-1100 class="ml-3">
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+ <a start show href="#"><i class="fa fa-edit"></i> Edit</a>
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+ <form url="/api/client/updateSleepApneaBackground" hook="refreshSleepStudyStep">
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+ <input type="hidden" name="uid" value="{{$patient->uid}}">
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+ <div class="font-weight-bold font-size-14 text-secondary border-bottom px-2 pb-2 mb-2">Sleep Apnea Background</div>
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+ <div class="row mx-0">
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+ <div class="col-5 px-0 pb-4">
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+ <div class="px-3 pt-2 pb-1">
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+ <span class="d-inline-block width-200px">Diagnosed with Sleep Apnea:</span>
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+ <select name="hasSleepApneaDiagnosis" class="form-control form-control-sm min-width-unset d-inline w-auto">
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+ <option value="">-- select --</option>
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+ <option value="CURRENTLY" {{$patient->has_sleep_apnea_diagnosis === 'CURRENTLY' ? 'selected' : ''}}>Currently</option>
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+ <option value="PREVIOUSLY" {{$patient->has_sleep_apnea_diagnosis === 'PREVIOUSLY' ? 'selected' : ''}}>Previously</option>
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+ <option value="NEVER" {{$patient->has_sleep_apnea_diagnosis === 'NEVER' ? 'selected' : ''}}>Never</option>
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+ <option value="UNKNOWN" {{$patient->has_sleep_apnea_diagnosis === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
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+ </select>
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+ </div>
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- <div class="px-3 py-1">
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- Has Had Home Sleep Study:
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- <select name="hasHadHomeSleepStudy" class="form-control form-control-sm min-width-unset d-inline w-auto">
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- <option value="">-- select --</option>
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- <option value="YES" {{$patient->has_had_home_sleep_study === 'YES' ? 'selected' : ''}}>Yes</option>
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- <option value="NO" {{$patient->has_had_home_sleep_study === 'NO' ? 'selected' : ''}}>No</option>
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- <option value="UNKNOWN" {{$patient->has_had_home_sleep_study === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
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- </select>
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- </div>
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- @if(1 || $patient->has_had_home_sleep_study === 'YES')
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- <div class="ml-3 border-left">
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- <div class="px-3 py-1 d-flex align-items-baseline">
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- <span class="width-150px mr-2">Memo</span>
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- <input type="text" value="{{$patient->has_had_home_sleep_study_memo}}" name="hasHadHomeSleepStudyMemo" class="form-control form-control-sm d-inline-block flex-grow-1">
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- </div>
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- <div class="px-3 py-1 d-flex align-items-baseline">
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- <span class="width-150px mr-2">Findings</span>
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- <input type="text" value="{{$patient->has_had_home_sleep_study_findings}}" name="hasHadHomeSleepStudyFindings" class="form-control form-control-sm d-inline-block flex-grow-1">
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- </div>
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- <div class="px-3 py-1 d-flex align-items-baseline">
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- <span class="width-150px mr-2">Approx. Date</span>
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- <input type="date" value="{{$patient->has_had_home_sleep_study_approximate_date}}" name="hasHadHomeSleepStudyApproximateDate" class="form-control form-control-sm d-inline-block flex-grow-1">
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- </div>
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- <div class="px-3 py-1 d-flex align-items-baseline">
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- <span class="width-150px mr-2">Value As Of</span>
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- <input type="date" value="{{$patient->has_had_home_sleep_study_value_as_of}}" name="hasHadHomeSleepStudyValueAsOf" class="form-control form-control-sm d-inline-block flex-grow-1">
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- </div>
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+ <div class="px-3 py-1">
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+ <span class="d-inline-block width-200px">Has CPAP Machine:</span>
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+ <select name="hasCpapMachine" class="form-control form-control-sm min-width-unset d-inline w-auto">
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+ <option value="">-- select --</option>
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+ <option value="CURRENTLY" {{$patient->has_cpap_machine === 'CURRENTLY' ? 'selected' : ''}}>Currently</option>
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+ <option value="PREVIOUSLY" {{$patient->has_cpap_machine === 'PREVIOUSLY' ? 'selected' : ''}}>Previously</option>
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+ <option value="NEVER" {{$patient->has_cpap_machine === 'NEVER' ? 'selected' : ''}}>Never</option>
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+ <option value="UNKNOWN" {{$patient->has_cpap_machine === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
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+ </select>
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</div>
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</div>
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- @endif
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- <hr class="my-2">
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+ <div class="px-3 py-1">
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+ <span class="d-inline-block width-200px">Has Sleep Apnea Oral Appliance:</span>
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+ <select name="hasSleepApneaOralAppliance" class="form-control form-control-sm min-width-unset d-inline w-auto">
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+ <option value="">-- select --</option>
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+ <option value="CURRENTLY" {{$patient->has_sleep_apnea_oral_appliance === 'CURRENTLY' ? 'selected' : ''}}>Currently</option>
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+ <option value="PREVIOUSLY" {{$patient->has_sleep_apnea_oral_appliance === 'PREVIOUSLY' ? 'selected' : ''}}>Previously</option>
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+ <option value="NEVER" {{$patient->has_sleep_apnea_oral_appliance === 'NEVER' ? 'selected' : ''}}>Never</option>
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+ <option value="UNKNOWN" {{$patient->has_sleep_apnea_oral_appliance === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
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+ </select>
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+ </div>
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- <div class="px-3 py-1">
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- Has Had Lab Sleep Study:
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- <select name="hasHadLabSleepStudy" class="form-control form-control-sm min-width-unset d-inline w-auto">
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- <option value="">-- select --</option>
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- <option value="YES" {{$patient->has_had_lab_sleep_study === 'YES' ? 'selected' : ''}}>Yes</option>
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- <option value="NO" {{$patient->has_had_lab_sleep_study === 'NO' ? 'selected' : ''}}>No</option>
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- <option value="UNKNOWN" {{$patient->has_had_lab_sleep_study === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
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- </select>
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- </div>
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- @if(1 || $patient->has_had_lab_sleep_study === 'YES')
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- <div class="ml-3 border-left">
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- <div class="px-3 py-1 d-flex align-items-baseline">
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- <span class="width-150px mr-2">Memo</span>
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- <input type="text" value="{{$patient->has_had_lab_sleep_study_memo}}" name="hasHadLabSleepStudyMemo" class="form-control form-control-sm d-inline-block flex-grow-1">
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- </div>
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- <div class="px-3 py-1 d-flex align-items-baseline">
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- <span class="width-150px mr-2">Findings</span>
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- <input type="text" value="{{$patient->has_had_lab_sleep_study_findings}}" name="hasHadLabSleepStudyFindings" class="form-control form-control-sm d-inline-block flex-grow-1">
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- </div>
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- <div class="px-3 py-1 d-flex align-items-baseline">
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- <span class="width-150px mr-2">Approx. Date</span>
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- <input type="date" value="{{$patient->has_had_lab_sleep_study_approximate_date}}" name="hasHadLabSleepStudyApproximateDate" class="form-control form-control-sm d-inline-block flex-grow-1">
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- </div>
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- <div class="px-3 py-1 d-flex align-items-baseline">
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- <span class="width-150px mr-2">Value As Of</span>
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- <input type="date" value="{{$patient->has_had_lab_sleep_study_value_as_of}}" name="hasHadLabSleepStudyValueAsOf" class="form-control form-control-sm d-inline-block flex-grow-1">
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- </div>
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+ <div class="px-3 py-1">
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+ <span class="d-inline-block width-200px">Has Sleep Physician:</span>
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+ <select name="hasSleepPhysician" class="form-control form-control-sm min-width-unset d-inline w-auto">
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+ <option value="">-- select --</option>
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+ <option value="CURRENTLY" {{$patient->has_sleep_physician === 'CURRENTLY' ? 'selected' : ''}}>Currently</option>
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+ <option value="PREVIOUSLY" {{$patient->has_sleep_physician === 'PREVIOUSLY' ? 'selected' : ''}}>Previously</option>
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+ <option value="NEVER" {{$patient->has_sleep_physician === 'NEVER' ? 'selected' : ''}}>Never</option>
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+ <option value="UNKNOWN" {{$patient->has_sleep_physician === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
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+ </select>
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</div>
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</div>
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- @endif
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- </div>
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- <div class="col-7 border-left px-0 pb-4">
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- <div class="px-3 pt-2 pb-1 font-weight-bold text-secondary">STOPBANG Questionnaire</div>
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- <hr class="my-2">
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+ <div class="px-3 py-1">
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+ <span class="d-inline-block width-200px">Has Sleep Dentist:</span>
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+ <select name="hasSleepDentist" class="form-control form-control-sm min-width-unset d-inline w-auto">
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+ <option value="">-- select --</option>
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+ <option value="CURRENTLY" {{$patient->has_sleep_dentist === 'CURRENTLY' ? 'selected' : ''}}>Currently</option>
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+ <option value="PREVIOUSLY" {{$patient->has_sleep_dentist === 'PREVIOUSLY' ? 'selected' : ''}}>Previously</option>
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+ <option value="NEVER" {{$patient->has_sleep_dentist === 'NEVER' ? 'selected' : ''}}>Never</option>
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+ <option value="UNKNOWN" {{$patient->has_sleep_dentist === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
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+ </select>
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+ </div>
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- <div class="px-3 py-1 d-flex align-items-baseline">
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- <span class="mr-3">Value As Of</span>
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- <input type="date" value="{{$patient->stop_bang_value_as_of}}" name="stopBangValueAsOf" class="form-control form-control-sm d-inline-block w-auto min-width-unset">
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- </div>
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+ <hr class="my-2">
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- <hr class="my-2">
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-
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- <div class="row mx-0">
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- <div class="col-6 px-0">
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- <div class="px-3 py-1 d-flex align-items-baseline">
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- <span class="mr-2 font-weight-bold">Snore:</span>
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- <select name="stopBangSnore" class="form-control form-control-sm min-width-unset d-inline w-auto">
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- <option value="">-- select --</option>
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- <option value="YES" {{$patient->stop_bang_snore === 'YES' ? 'selected' : ''}}>Yes</option>
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- <option value="NO" {{$patient->stop_bang_snore === 'NO' ? 'selected' : ''}}>No</option>
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- <option value="UNKNOWN" {{$patient->stop_bang_snore === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
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- </select>
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- </div>
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- <div class="">
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+ <div class="px-3 py-1">
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+ Has Had Home Sleep Study:
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+ <select name="hasHadHomeSleepStudy" class="form-control form-control-sm min-width-unset d-inline w-auto">
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+ <option value="">-- select --</option>
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+ <option value="YES" {{$patient->has_had_home_sleep_study === 'YES' ? 'selected' : ''}}>Yes</option>
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+ <option value="NO" {{$patient->has_had_home_sleep_study === 'NO' ? 'selected' : ''}}>No</option>
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+ <option value="UNKNOWN" {{$patient->has_had_home_sleep_study === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
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+ </select>
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+ </div>
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+ @if(1 || $patient->has_had_home_sleep_study === 'YES')
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+ <div class="ml-3 border-left">
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<div class="px-3 py-1 d-flex align-items-baseline">
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<div class="px-3 py-1 d-flex align-items-baseline">
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- <span class="mr-2">Memo</span>
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- <input type="text" value="{{$patient->stop_bang_snore_memo}}" name="stopBangSnoreMemo" class="form-control form-control-sm d-inline-block flex-grow-1 min-width-unset">
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+ <span class="width-150px mr-2">Memo</span>
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+ <input type="text" value="{{$patient->has_had_home_sleep_study_memo}}" name="hasHadHomeSleepStudyMemo" class="form-control form-control-sm d-inline-block flex-grow-1">
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</div>
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</div>
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- </div>
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-
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- <hr class="my-2">
|
|
|
|
-
|
|
|
|
- <div class="px-3 py-1 d-flex align-items-baseline">
|
|
|
|
- <span class="mr-2 font-weight-bold">Tired:</span>
|
|
|
|
- <select name="stopBangTired" class="form-control form-control-sm min-width-unset d-inline w-auto">
|
|
|
|
- <option value="">-- select --</option>
|
|
|
|
- <option value="YES" {{$patient->stop_bang_tired === 'YES' ? 'selected' : ''}}>Yes</option>
|
|
|
|
- <option value="NO" {{$patient->stop_bang_tired === 'NO' ? 'selected' : ''}}>No</option>
|
|
|
|
- <option value="UNKNOWN" {{$patient->stop_bang_tired === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
|
|
|
|
- </select>
|
|
|
|
- </div>
|
|
|
|
- <div class="">
|
|
|
|
<div class="px-3 py-1 d-flex align-items-baseline">
|
|
<div class="px-3 py-1 d-flex align-items-baseline">
|
|
- <span class="mr-2">Memo</span>
|
|
|
|
- <input type="text" value="{{$patient->stop_bang_tired_memo}}" name="stopBangTiredMemo" class="form-control form-control-sm d-inline-block flex-grow-1 min-width-unset">
|
|
|
|
|
|
+ <span class="width-150px mr-2">Findings</span>
|
|
|
|
+ <input type="text" value="{{$patient->has_had_home_sleep_study_findings}}" name="hasHadHomeSleepStudyFindings" class="form-control form-control-sm d-inline-block flex-grow-1">
|
|
</div>
|
|
</div>
|
|
- </div>
|
|
|
|
-
|
|
|
|
- <hr class="my-2">
|
|
|
|
-
|
|
|
|
- <div class="px-3 py-1 d-flex align-items-baseline">
|
|
|
|
- <span class="mr-2 font-weight-bold">Observed Apnea:</span>
|
|
|
|
- <select name="stopBangObservedApnea" class="form-control form-control-sm min-width-unset d-inline w-auto">
|
|
|
|
- <option value="">-- select --</option>
|
|
|
|
- <option value="YES" {{$patient->stop_bang_observed_apnea === 'YES' ? 'selected' : ''}}>Yes</option>
|
|
|
|
- <option value="NO" {{$patient->stop_bang_observed_apnea === 'NO' ? 'selected' : ''}}>No</option>
|
|
|
|
- <option value="UNKNOWN" {{$patient->stop_bang_observed_apnea === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
|
|
|
|
- </select>
|
|
|
|
- </div>
|
|
|
|
- <div class="">
|
|
|
|
<div class="px-3 py-1 d-flex align-items-baseline">
|
|
<div class="px-3 py-1 d-flex align-items-baseline">
|
|
- <span class="mr-2">Memo</span>
|
|
|
|
- <input type="text" value="{{$patient->stop_bang_observed_apnea_memo}}" name="stopBangObservedApneaMemo" class="form-control form-control-sm d-inline-block flex-grow-1 min-width-unset">
|
|
|
|
|
|
+ <span class="width-150px mr-2">Approx. Date</span>
|
|
|
|
+ <input type="date" value="{{$patient->has_had_home_sleep_study_approximate_date}}" name="hasHadHomeSleepStudyApproximateDate" class="form-control form-control-sm d-inline-block flex-grow-1">
|
|
</div>
|
|
</div>
|
|
- </div>
|
|
|
|
-
|
|
|
|
- <hr class="my-2">
|
|
|
|
-
|
|
|
|
- <div class="px-3 py-1 d-flex align-items-baseline">
|
|
|
|
- <span class="mr-2 font-weight-bold">High BP:</span>
|
|
|
|
- <select name="stopBangHighBloodPressure" class="form-control form-control-sm min-width-unset d-inline w-auto">
|
|
|
|
- <option value="">-- select --</option>
|
|
|
|
- <option value="YES" {{$patient->stop_bang_high_blood_pressure === 'YES' ? 'selected' : ''}}>Yes</option>
|
|
|
|
- <option value="NO" {{$patient->stop_bang_high_blood_pressure === 'NO' ? 'selected' : ''}}>No</option>
|
|
|
|
- <option value="UNKNOWN" {{$patient->stop_bang_high_blood_pressure === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
|
|
|
|
- </select>
|
|
|
|
- </div>
|
|
|
|
- <div class="">
|
|
|
|
<div class="px-3 py-1 d-flex align-items-baseline">
|
|
<div class="px-3 py-1 d-flex align-items-baseline">
|
|
- <span class="mr-2">Memo</span>
|
|
|
|
- <input type="text" value="{{$patient->stop_bang_high_blood_pressure_memo}}" name="stopBangHighBloodPressureMemo" class="form-control form-control-sm d-inline-block flex-grow-1 min-width-unset">
|
|
|
|
|
|
+ <span class="width-150px mr-2">Value As Of</span>
|
|
|
|
+ <input type="date" value="{{$patient->has_had_home_sleep_study_value_as_of}}" name="hasHadHomeSleepStudyValueAsOf" class="form-control form-control-sm d-inline-block flex-grow-1">
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
+ @endif
|
|
|
|
+
|
|
|
|
+ <hr class="my-2">
|
|
|
|
+
|
|
|
|
+ <div class="px-3 py-1">
|
|
|
|
+ Has Had Lab Sleep Study:
|
|
|
|
+ <select name="hasHadLabSleepStudy" class="form-control form-control-sm min-width-unset d-inline w-auto">
|
|
|
|
+ <option value="">-- select --</option>
|
|
|
|
+ <option value="YES" {{$patient->has_had_lab_sleep_study === 'YES' ? 'selected' : ''}}>Yes</option>
|
|
|
|
+ <option value="NO" {{$patient->has_had_lab_sleep_study === 'NO' ? 'selected' : ''}}>No</option>
|
|
|
|
+ <option value="UNKNOWN" {{$patient->has_had_lab_sleep_study === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
|
|
|
|
+ </select>
|
|
</div>
|
|
</div>
|
|
- <div class="col-6 px-0 border-left">
|
|
|
|
-
|
|
|
|
- <div class="px-3 py-1 d-flex align-items-baseline">
|
|
|
|
- <span class="mr-2 font-weight-bold">BMI > 35:</span>
|
|
|
|
- <select name="stopBangBmiOver35" class="form-control form-control-sm min-width-unset d-inline w-auto">
|
|
|
|
- <option value="">-- select --</option>
|
|
|
|
- <option value="YES" {{$patient->stop_bang_bmi_over35 === 'YES' ? 'selected' : ''}}>Yes</option>
|
|
|
|
- <option value="NO" {{$patient->stop_bang_bmi_over35 === 'NO' ? 'selected' : ''}}>No</option>
|
|
|
|
- <option value="UNKNOWN" {{$patient->stop_bang_bmi_over35 === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
|
|
|
|
- </select>
|
|
|
|
- </div>
|
|
|
|
-
|
|
|
|
- <div class="">
|
|
|
|
|
|
+ @if(1 || $patient->has_had_lab_sleep_study === 'YES')
|
|
|
|
+ <div class="ml-3 border-left">
|
|
<div class="px-3 py-1 d-flex align-items-baseline">
|
|
<div class="px-3 py-1 d-flex align-items-baseline">
|
|
- <span class="mr-2 width-50px">Memo</span>
|
|
|
|
- <input type="text" value="{{$patient->stop_bang_bmi_over35_memo}}" name="stopBangBmiOver35Memo" class="form-control form-control-sm d-inline-block flex-grow-1 min-width-unset">
|
|
|
|
|
|
+ <span class="width-150px mr-2">Memo</span>
|
|
|
|
+ <input type="text" value="{{$patient->has_had_lab_sleep_study_memo}}" name="hasHadLabSleepStudyMemo" class="form-control form-control-sm d-inline-block flex-grow-1">
|
|
</div>
|
|
</div>
|
|
<div class="px-3 py-1 d-flex align-items-baseline">
|
|
<div class="px-3 py-1 d-flex align-items-baseline">
|
|
- <span class="mr-2 width-50px">Weight</span>
|
|
|
|
- <input type="text" value="{{$patient->stop_bang_weight_in_pounds}}" name="stopBangWeightInPounds" class="form-control form-control-sm d-inline-block flex-grow-1 min-width-unset">
|
|
|
|
|
|
+ <span class="width-150px mr-2">Findings</span>
|
|
|
|
+ <input type="text" value="{{$patient->has_had_lab_sleep_study_findings}}" name="hasHadLabSleepStudyFindings" class="form-control form-control-sm d-inline-block flex-grow-1">
|
|
</div>
|
|
</div>
|
|
<div class="px-3 py-1 d-flex align-items-baseline">
|
|
<div class="px-3 py-1 d-flex align-items-baseline">
|
|
- <span class="mr-2 width-50px">Height</span>
|
|
|
|
- <input type="text" value="{{$patient->stop_bang_height_in_inches}}" name="stopBangHeightInInches" class="form-control form-control-sm d-inline-block flex-grow-1 min-width-unset">
|
|
|
|
|
|
+ <span class="width-150px mr-2">Approx. Date</span>
|
|
|
|
+ <input type="date" value="{{$patient->has_had_lab_sleep_study_approximate_date}}" name="hasHadLabSleepStudyApproximateDate" class="form-control form-control-sm d-inline-block flex-grow-1">
|
|
</div>
|
|
</div>
|
|
<div class="px-3 py-1 d-flex align-items-baseline">
|
|
<div class="px-3 py-1 d-flex align-items-baseline">
|
|
- <span class="mr-2 width-50px">BMI</span>
|
|
|
|
- <input type="text" value="{{$patient->stop_bang_bmi}}" name="stopBangBmi" class="form-control form-control-sm d-inline-block flex-grow-1 min-width-unset">
|
|
|
|
|
|
+ <span class="width-150px mr-2">Value As Of</span>
|
|
|
|
+ <input type="date" value="{{$patient->has_had_lab_sleep_study_value_as_of}}" name="hasHadLabSleepStudyValueAsOf" class="form-control form-control-sm d-inline-block flex-grow-1">
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
+ @endif
|
|
|
|
+ </div>
|
|
|
|
+ <div class="col-7 border-left px-0 pb-4">
|
|
|
|
+ <div class="px-3 pt-2 pb-1 font-weight-bold text-secondary">STOPBANG Questionnaire</div>
|
|
|
|
|
|
- <hr class="my-2">
|
|
|
|
|
|
+ <hr class="my-2">
|
|
|
|
|
|
- <div class="px-3 py-1 d-flex align-items-baseline">
|
|
|
|
- <span class="mr-2 font-weight-bold">Age > 50:</span>
|
|
|
|
- <select name="stopBangAgeOver50" class="form-control form-control-sm min-width-unset d-inline w-auto">
|
|
|
|
- <option value="">-- select --</option>
|
|
|
|
- <option value="YES" {{$patient->stop_bang_age_over50 === 'YES' ? 'selected' : ''}}>Yes</option>
|
|
|
|
- <option value="NO" {{$patient->stop_bang_age_over50 === 'NO' ? 'selected' : ''}}>No</option>
|
|
|
|
- <option value="UNKNOWN" {{$patient->stop_bang_age_over50 === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
|
|
|
|
- </select>
|
|
|
|
- </div>
|
|
|
|
- <div class="">
|
|
|
|
|
|
+ <div class="px-3 py-1 d-flex align-items-baseline">
|
|
|
|
+ <span class="mr-3">Value As Of</span>
|
|
|
|
+ <input type="date" value="{{$patient->stop_bang_value_as_of}}" name="stopBangValueAsOf" class="form-control form-control-sm d-inline-block w-auto min-width-unset">
|
|
|
|
+ </div>
|
|
|
|
+
|
|
|
|
+ <hr class="my-2">
|
|
|
|
+
|
|
|
|
+ <div class="row mx-0">
|
|
|
|
+ <div class="col-6 px-0">
|
|
<div class="px-3 py-1 d-flex align-items-baseline">
|
|
<div class="px-3 py-1 d-flex align-items-baseline">
|
|
- <span class="mr-2">Memo</span>
|
|
|
|
- <input type="text" value="{{$patient->stop_bang_age_over50_memo}}" name="stopBangAgeOver50Memo" class="form-control form-control-sm d-inline-block flex-grow-1 min-width-unset">
|
|
|
|
|
|
+ <span class="mr-2 font-weight-bold">Snore:</span>
|
|
|
|
+ <select name="stopBangSnore" class="form-control form-control-sm min-width-unset d-inline w-auto">
|
|
|
|
+ <option value="">-- select --</option>
|
|
|
|
+ <option value="YES" {{$patient->stop_bang_snore === 'YES' ? 'selected' : ''}}>Yes</option>
|
|
|
|
+ <option value="NO" {{$patient->stop_bang_snore === 'NO' ? 'selected' : ''}}>No</option>
|
|
|
|
+ <option value="UNKNOWN" {{$patient->stop_bang_snore === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
|
|
|
|
+ </select>
|
|
|
|
+ </div>
|
|
|
|
+ <div class="">
|
|
|
|
+ <div class="px-3 py-1 d-flex align-items-baseline">
|
|
|
|
+ <span class="mr-2">Memo</span>
|
|
|
|
+ <input type="text" value="{{$patient->stop_bang_snore_memo}}" name="stopBangSnoreMemo" class="form-control form-control-sm d-inline-block flex-grow-1 min-width-unset">
|
|
|
|
+ </div>
|
|
</div>
|
|
</div>
|
|
- </div>
|
|
|
|
|
|
|
|
- <hr class="my-2">
|
|
|
|
|
|
+ <hr class="my-2">
|
|
|
|
|
|
- <div class="px-3 py-1 d-flex align-items-baseline">
|
|
|
|
- <span class="mr-2 font-weight-bold">Neck Circumf. > 16 in.:</span>
|
|
|
|
- <select name="stopBangNeckCircumferenceOver16Inches" class="form-control form-control-sm min-width-unset d-inline w-auto">
|
|
|
|
- <option value="">-- select --</option>
|
|
|
|
- <option value="YES" {{$patient->stop_bang_neck_circumference_over16_inches === 'YES' ? 'selected' : ''}}>Yes</option>
|
|
|
|
- <option value="NO" {{$patient->stop_bang_neck_circumference_over16_inches === 'NO' ? 'selected' : ''}}>No</option>
|
|
|
|
- <option value="UNKNOWN" {{$patient->stop_bang_neck_circumference_over16_inches === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
|
|
|
|
- </select>
|
|
|
|
- </div>
|
|
|
|
- <div class="">
|
|
|
|
<div class="px-3 py-1 d-flex align-items-baseline">
|
|
<div class="px-3 py-1 d-flex align-items-baseline">
|
|
- <span class="mr-2">Memo</span>
|
|
|
|
- <input type="text" value="{{$patient->stop_bang_neck_circumference_over16_inches_memo}}" name="stopBangNeckCircumferenceOver16InchesMemo" class="form-control form-control-sm d-inline-block flex-grow-1 min-width-unset">
|
|
|
|
|
|
+ <span class="mr-2 font-weight-bold">Tired:</span>
|
|
|
|
+ <select name="stopBangTired" class="form-control form-control-sm min-width-unset d-inline w-auto">
|
|
|
|
+ <option value="">-- select --</option>
|
|
|
|
+ <option value="YES" {{$patient->stop_bang_tired === 'YES' ? 'selected' : ''}}>Yes</option>
|
|
|
|
+ <option value="NO" {{$patient->stop_bang_tired === 'NO' ? 'selected' : ''}}>No</option>
|
|
|
|
+ <option value="UNKNOWN" {{$patient->stop_bang_tired === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
|
|
|
|
+ </select>
|
|
</div>
|
|
</div>
|
|
- </div>
|
|
|
|
- <div class="">
|
|
|
|
|
|
+ <div class="">
|
|
|
|
+ <div class="px-3 py-1 d-flex align-items-baseline">
|
|
|
|
+ <span class="mr-2">Memo</span>
|
|
|
|
+ <input type="text" value="{{$patient->stop_bang_tired_memo}}" name="stopBangTiredMemo" class="form-control form-control-sm d-inline-block flex-grow-1 min-width-unset">
|
|
|
|
+ </div>
|
|
|
|
+ </div>
|
|
|
|
+
|
|
|
|
+ <hr class="my-2">
|
|
|
|
+
|
|
<div class="px-3 py-1 d-flex align-items-baseline">
|
|
<div class="px-3 py-1 d-flex align-items-baseline">
|
|
- <span class="mr-2">Neck Circumference</span>
|
|
|
|
- <input type="text" value="{{$patient->neck_circumference_in_inches}}" name="neckCircumferenceInInches" class="form-control form-control-sm d-inline-block flex-grow-1 min-width-unset">
|
|
|
|
|
|
+ <span class="mr-2 font-weight-bold">Observed Apnea:</span>
|
|
|
|
+ <select name="stopBangObservedApnea" class="form-control form-control-sm min-width-unset d-inline w-auto">
|
|
|
|
+ <option value="">-- select --</option>
|
|
|
|
+ <option value="YES" {{$patient->stop_bang_observed_apnea === 'YES' ? 'selected' : ''}}>Yes</option>
|
|
|
|
+ <option value="NO" {{$patient->stop_bang_observed_apnea === 'NO' ? 'selected' : ''}}>No</option>
|
|
|
|
+ <option value="UNKNOWN" {{$patient->stop_bang_observed_apnea === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
|
|
|
|
+ </select>
|
|
|
|
+ </div>
|
|
|
|
+ <div class="">
|
|
|
|
+ <div class="px-3 py-1 d-flex align-items-baseline">
|
|
|
|
+ <span class="mr-2">Memo</span>
|
|
|
|
+ <input type="text" value="{{$patient->stop_bang_observed_apnea_memo}}" name="stopBangObservedApneaMemo" class="form-control form-control-sm d-inline-block flex-grow-1 min-width-unset">
|
|
|
|
+ </div>
|
|
</div>
|
|
</div>
|
|
- </div>
|
|
|
|
|
|
|
|
- <hr class="my-2">
|
|
|
|
|
|
+ <hr class="my-2">
|
|
|
|
|
|
- <div class="px-3 py-1 d-flex align-items-baseline">
|
|
|
|
- <span class="mr-2 font-weight-bold">Gender is Male:</span>
|
|
|
|
- <select name="stopBangGenderMale" class="form-control form-control-sm min-width-unset d-inline w-auto">
|
|
|
|
- <option value="">-- select --</option>
|
|
|
|
- <option value="YES" {{$patient->stop_bang_gender_male === 'YES' ? 'selected' : ''}}>Yes</option>
|
|
|
|
- <option value="NO" {{$patient->stop_bang_gender_male === 'NO' ? 'selected' : ''}}>No</option>
|
|
|
|
- <option value="UNKNOWN" {{$patient->stop_bang_gender_male === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
|
|
|
|
- </select>
|
|
|
|
|
|
+ <div class="px-3 py-1 d-flex align-items-baseline">
|
|
|
|
+ <span class="mr-2 font-weight-bold">High BP:</span>
|
|
|
|
+ <select name="stopBangHighBloodPressure" class="form-control form-control-sm min-width-unset d-inline w-auto">
|
|
|
|
+ <option value="">-- select --</option>
|
|
|
|
+ <option value="YES" {{$patient->stop_bang_high_blood_pressure === 'YES' ? 'selected' : ''}}>Yes</option>
|
|
|
|
+ <option value="NO" {{$patient->stop_bang_high_blood_pressure === 'NO' ? 'selected' : ''}}>No</option>
|
|
|
|
+ <option value="UNKNOWN" {{$patient->stop_bang_high_blood_pressure === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
|
|
|
|
+ </select>
|
|
|
|
+ </div>
|
|
|
|
+ <div class="">
|
|
|
|
+ <div class="px-3 py-1 d-flex align-items-baseline">
|
|
|
|
+ <span class="mr-2">Memo</span>
|
|
|
|
+ <input type="text" value="{{$patient->stop_bang_high_blood_pressure_memo}}" name="stopBangHighBloodPressureMemo" class="form-control form-control-sm d-inline-block flex-grow-1 min-width-unset">
|
|
|
|
+ </div>
|
|
|
|
+ </div>
|
|
</div>
|
|
</div>
|
|
|
|
+ <div class="col-6 px-0 border-left">
|
|
|
|
|
|
- </div>
|
|
|
|
- </div>
|
|
|
|
-
|
|
|
|
- <hr class="my-2">
|
|
|
|
|
|
+ <div class="px-3 py-1 d-flex align-items-baseline">
|
|
|
|
+ <span class="mr-2 font-weight-bold">BMI > 35:</span>
|
|
|
|
+ <select name="stopBangBmiOver35" class="form-control form-control-sm min-width-unset d-inline w-auto">
|
|
|
|
+ <option value="">-- select --</option>
|
|
|
|
+ <option value="YES" {{$patient->stop_bang_bmi_over35 === 'YES' ? 'selected' : ''}}>Yes</option>
|
|
|
|
+ <option value="NO" {{$patient->stop_bang_bmi_over35 === 'NO' ? 'selected' : ''}}>No</option>
|
|
|
|
+ <option value="UNKNOWN" {{$patient->stop_bang_bmi_over35 === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
|
|
|
|
+ </select>
|
|
|
|
+ </div>
|
|
|
|
|
|
- @if($patient->stop_bang_calculated_risk_category)
|
|
|
|
- <div class="px-3 py-1 bg-aliceblue font-weight-bold">
|
|
|
|
- Risk Category: {{$patient->stop_bang_calculated_risk_category ?: '-'}}
|
|
|
|
- </div>
|
|
|
|
- @endif
|
|
|
|
|
|
+ <div class="">
|
|
|
|
+ <div class="px-3 py-1 d-flex align-items-baseline">
|
|
|
|
+ <span class="mr-2 width-50px">Memo</span>
|
|
|
|
+ <input type="text" value="{{$patient->stop_bang_bmi_over35memo}}" name="stopBangBmiOver35Memo" class="form-control form-control-sm d-inline-block flex-grow-1 min-width-unset">
|
|
|
|
+ </div>
|
|
|
|
+ <div class="px-3 py-1 d-flex align-items-baseline">
|
|
|
|
+ <span class="mr-2 width-50px">Weight</span>
|
|
|
|
+ <input type="text" value="{{$patient->stop_bang_weight_in_pounds}}" refresh-bmi name="stopBangWeightInPounds" class="form-control form-control-sm d-inline-block flex-grow-1 min-width-unset">
|
|
|
|
+ </div>
|
|
|
|
+ <div class="px-3 py-1 d-flex align-items-baseline">
|
|
|
|
+ <span class="mr-2 width-50px">Height</span>
|
|
|
|
+ <input type="text" value="{{$patient->stop_bang_height_in_inches}}" refresh-bmi name="stopBangHeightInInches" class="form-control form-control-sm d-inline-block flex-grow-1 min-width-unset">
|
|
|
|
+ </div>
|
|
|
|
+ <div class="px-3 py-1 d-flex align-items-baseline">
|
|
|
|
+ <span class="mr-2 width-50px">BMI</span>
|
|
|
|
+ <input type="text" readonly value="{{$patient->stop_bang_bmi}}" name="stopBangBmi" class="form-control form-control-sm d-inline-block flex-grow-1 min-width-unset">
|
|
|
|
+ </div>
|
|
|
|
+ </div>
|
|
|
|
|
|
- </div>
|
|
|
|
- </div>
|
|
|
|
|
|
+ <hr class="my-2">
|
|
|
|
|
|
- <div class="mt-2 border-top pt-2 text-center">
|
|
|
|
- <button class="btn btn-primary btn-sm" submit>Submit</button>
|
|
|
|
- <button class="btn btn-default border btn-sm" cancel>Cancel</button>
|
|
|
|
- </div>
|
|
|
|
|
|
+ <div class="px-3 py-1 d-flex align-items-baseline">
|
|
|
|
+ <span class="mr-2 font-weight-bold">Age > 50:</span>
|
|
|
|
+ <select name="stopBangAgeOver50" class="form-control form-control-sm min-width-unset d-inline w-auto">
|
|
|
|
+ <option value="">-- select --</option>
|
|
|
|
+ <option value="YES" {{$patient->stop_bang_age_over50 === 'YES' ? 'selected' : ''}}>Yes</option>
|
|
|
|
+ <option value="NO" {{$patient->stop_bang_age_over50 === 'NO' ? 'selected' : ''}}>No</option>
|
|
|
|
+ <option value="UNKNOWN" {{$patient->stop_bang_age_over50 === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
|
|
|
|
+ </select>
|
|
|
|
+ </div>
|
|
|
|
+ <div class="">
|
|
|
|
+ <div class="px-3 py-1 d-flex align-items-baseline">
|
|
|
|
+ <span class="mr-2">Memo</span>
|
|
|
|
+ <input type="text" value="{{$patient->stop_bang_age_over50memo}}" name="stopBangAgeOver50Memo" class="form-control form-control-sm d-inline-block flex-grow-1 min-width-unset">
|
|
|
|
+ </div>
|
|
|
|
+ </div>
|
|
|
|
|
|
- </form>
|
|
|
|
- </div>
|
|
|
|
-</div>
|
|
|
|
|
|
+ <hr class="my-2">
|
|
|
|
|
|
-<div class="row mx-0">
|
|
|
|
- <div class="col-5 px-0 pb-4">
|
|
|
|
- <div class="px-3 pt-2 pb-1">
|
|
|
|
- Diagnosed with Sleep Apnea: <b>{{$patient->has_sleep_apnea_diagnosis ?: '-'}}</b>
|
|
|
|
- </div>
|
|
|
|
|
|
+ <div class="px-3 py-1 d-flex align-items-baseline">
|
|
|
|
+ <span class="mr-2 font-weight-bold">Neck Circumf. > 16 in.:</span>
|
|
|
|
+ <select name="stopBangNeckCircumferenceOver16Inches" class="form-control form-control-sm min-width-unset d-inline w-auto">
|
|
|
|
+ <option value="">-- select --</option>
|
|
|
|
+ <option value="YES" {{$patient->stop_bang_neck_circumference_over16inches === 'YES' ? 'selected' : ''}}>Yes</option>
|
|
|
|
+ <option value="NO" {{$patient->stop_bang_neck_circumference_over16inches === 'NO' ? 'selected' : ''}}>No</option>
|
|
|
|
+ <option value="UNKNOWN" {{$patient->stop_bang_neck_circumference_over16inches === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
|
|
|
|
+ </select>
|
|
|
|
+ </div>
|
|
|
|
+ <div class="">
|
|
|
|
+ <div class="px-3 py-1 d-flex align-items-baseline">
|
|
|
|
+ <span class="mr-2">Memo</span>
|
|
|
|
+ <input type="text" value="{{$patient->stop_bang_neck_circumference_over16inches_memo}}" name="stopBangNeckCircumferenceOver16InchesMemo" class="form-control form-control-sm d-inline-block flex-grow-1 min-width-unset">
|
|
|
|
+ </div>
|
|
|
|
+ </div>
|
|
|
|
+ <div class="">
|
|
|
|
+ <div class="px-3 py-1 d-flex align-items-baseline">
|
|
|
|
+ <span class="mr-2">Neck Circumference</span>
|
|
|
|
+ <input type="text" value="{{$patient->neck_circumference_in_inches}}" name="neckCircumferenceInInches" class="form-control form-control-sm d-inline-block flex-grow-1 min-width-unset">
|
|
|
|
+ </div>
|
|
|
|
+ </div>
|
|
|
|
|
|
- <div class="px-3 py-1">
|
|
|
|
- Has CPAP Machine: <b>{{$patient->has_cpap_machine ?: '-'}}</b>
|
|
|
|
- </div>
|
|
|
|
|
|
+ <hr class="my-2">
|
|
|
|
|
|
- <div class="px-3 py-1">
|
|
|
|
- Has Sleep Apnea Oral Appliance: <b>{{$patient->has_sleep_apnea_oral_appliance ?: '-'}}</b>
|
|
|
|
- </div>
|
|
|
|
|
|
+ <div class="px-3 py-1 d-flex align-items-baseline">
|
|
|
|
+ <span class="mr-2 font-weight-bold">Gender is Male:</span>
|
|
|
|
+ <select name="stopBangGenderMale" class="form-control form-control-sm min-width-unset d-inline w-auto">
|
|
|
|
+ <option value="">-- select --</option>
|
|
|
|
+ <option value="YES" {{$patient->stop_bang_gender_male === 'YES' ? 'selected' : ''}}>Yes</option>
|
|
|
|
+ <option value="NO" {{$patient->stop_bang_gender_male === 'NO' ? 'selected' : ''}}>No</option>
|
|
|
|
+ <option value="UNKNOWN" {{$patient->stop_bang_gender_male === 'UNKNOWN' ? 'selected' : ''}}>Unknown</option>
|
|
|
|
+ </select>
|
|
|
|
+ </div>
|
|
|
|
|
|
- <div class="px-3 py-1">
|
|
|
|
- Has Sleep Physician: <b>{{$patient->has_sleep_physician ?: '-'}}</b>
|
|
|
|
- </div>
|
|
|
|
|
|
+ </div>
|
|
|
|
+ </div>
|
|
|
|
|
|
- <div class="px-3 py-1">
|
|
|
|
- Has Sleep Dentist: <b>{{$patient->has_sleep_dentist ?: '-'}}</b>
|
|
|
|
- </div>
|
|
|
|
|
|
+ <hr class="my-2">
|
|
|
|
|
|
- <hr class="my-2">
|
|
|
|
|
|
+ @if($patient->stop_bang_calculated_risk_category)
|
|
|
|
+ <div class="px-3 py-1 bg-aliceblue font-weight-bold">
|
|
|
|
+ Risk Category: {{$patient->stop_bang_calculated_risk_category ?: '-'}}
|
|
|
|
+ </div>
|
|
|
|
+ @endif
|
|
|
|
|
|
- <div class="px-3 py-1">
|
|
|
|
- Has Had Home Sleep Study: <b>{{$patient->has_had_home_sleep_study ?: '-'}}</b>
|
|
|
|
- </div>
|
|
|
|
- @if(1 || $patient->has_had_home_sleep_study === 'YES')
|
|
|
|
- <div class="ml-3 border-left">
|
|
|
|
- <div class="px-3 py-1">
|
|
|
|
- Memo: <b>{{$patient->has_had_home_sleep_study_memo ?: '-'}}</b>
|
|
|
|
- </div>
|
|
|
|
- <div class="px-3 py-1">
|
|
|
|
- Findings: <b>{{$patient->has_had_home_sleep_study_findings ?: '-'}}</b>
|
|
|
|
- </div>
|
|
|
|
- <div class="px-3 py-1">
|
|
|
|
- Approximate Date: <b>{{$patient->has_had_home_sleep_study_approximate_date ?: '-'}}</b>
|
|
|
|
|
|
+ </div>
|
|
</div>
|
|
</div>
|
|
- <div class="px-3 py-1">
|
|
|
|
- Value As Of: <b>{{$patient->has_had_home_sleep_study_value_as_of ?: '-'}}</b>
|
|
|
|
|
|
+
|
|
|
|
+ <div class="mt-2 border-top pt-2 text-center">
|
|
|
|
+ <button class="btn btn-primary btn-sm" submit>Submit</button>
|
|
|
|
+ <button class="btn btn-default border btn-sm" cancel>Cancel</button>
|
|
</div>
|
|
</div>
|
|
|
|
+
|
|
|
|
+ </form>
|
|
|
|
+ </div>
|
|
|
|
+ </div>
|
|
|
|
+
|
|
|
|
+ <div class="row mx-0">
|
|
|
|
+ <div class="col-5 px-0 pb-4">
|
|
|
|
+ <div class="px-3 pt-2 pb-1">
|
|
|
|
+ Diagnosed with Sleep Apnea: <b>{{$patient->has_sleep_apnea_diagnosis ?: '-'}}</b>
|
|
</div>
|
|
</div>
|
|
- @endif
|
|
|
|
|
|
|
|
- <hr class="my-2">
|
|
|
|
|
|
+ <div class="px-3 py-1">
|
|
|
|
+ Has CPAP Machine: <b>{{$patient->has_cpap_machine ?: '-'}}</b>
|
|
|
|
+ </div>
|
|
|
|
|
|
- <div class="px-3 py-1">
|
|
|
|
- Has Had Lab Sleep Study: <b>{{$patient->has_had_lab_sleep_study ?: '-'}}</b>
|
|
|
|
- </div>
|
|
|
|
- @if(1 || $patient->has_had_lab_sleep_study === 'YES')
|
|
|
|
- <div class="ml-3 border-left">
|
|
|
|
- <div class="px-3 py-1">
|
|
|
|
- Memo: <b>{{$patient->has_had_lab_sleep_study_memo ?: '-'}}</b>
|
|
|
|
- </div>
|
|
|
|
- <div class="px-3 py-1">
|
|
|
|
- Findings: <b>{{$patient->has_had_lab_sleep_study_findings ?: '-'}}</b>
|
|
|
|
- </div>
|
|
|
|
- <div class="px-3 py-1">
|
|
|
|
- Approximate Date: <b>{{$patient->has_had_lab_sleep_study_approximate_date ?: '-'}}</b>
|
|
|
|
- </div>
|
|
|
|
- <div class="px-3 py-1">
|
|
|
|
- Value As Of: <b>{{$patient->has_had_lab_sleep_study_value_as_of ?: '-'}}</b>
|
|
|
|
- </div>
|
|
|
|
|
|
+ <div class="px-3 py-1">
|
|
|
|
+ Has Sleep Apnea Oral Appliance: <b>{{$patient->has_sleep_apnea_oral_appliance ?: '-'}}</b>
|
|
</div>
|
|
</div>
|
|
- @endif
|
|
|
|
- </div>
|
|
|
|
- <div class="col-7 border-left px-0 pb-4">
|
|
|
|
- <div class="px-3 pt-2 pb-1 font-weight-bold text-secondary">STOPBANG Questionnaire</div>
|
|
|
|
|
|
|
|
- <hr class="my-2">
|
|
|
|
|
|
+ <div class="px-3 py-1">
|
|
|
|
+ Has Sleep Physician: <b>{{$patient->has_sleep_physician ?: '-'}}</b>
|
|
|
|
+ </div>
|
|
|
|
|
|
- <div class="px-3 py-1">
|
|
|
|
- Value As Of: <b>{{$patient->stop_bang_value_as_of ?: '-'}}</b>
|
|
|
|
- </div>
|
|
|
|
|
|
+ <div class="px-3 py-1">
|
|
|
|
+ Has Sleep Dentist: <b>{{$patient->has_sleep_dentist ?: '-'}}</b>
|
|
|
|
+ </div>
|
|
|
|
|
|
- <hr class="my-2">
|
|
|
|
|
|
+ <hr class="my-2">
|
|
|
|
|
|
- <div class="row mx-0">
|
|
|
|
- <div class="col-6 px-0">
|
|
|
|
- <div class="px-3 py-1">
|
|
|
|
- Snore: <b>{{$patient->stop_bang_snore ?: '-'}}</b>
|
|
|
|
- </div>
|
|
|
|
|
|
+ <div class="px-3 py-1">
|
|
|
|
+ Has Had Home Sleep Study: <b>{{$patient->has_had_home_sleep_study ?: '-'}}</b>
|
|
|
|
+ </div>
|
|
|
|
+ @if(1 || $patient->has_had_home_sleep_study === 'YES')
|
|
<div class="ml-3 border-left">
|
|
<div class="ml-3 border-left">
|
|
<div class="px-3 py-1">
|
|
<div class="px-3 py-1">
|
|
- Memo: <b>{{$patient->stop_bang_snore_memo ?: '-'}}</b>
|
|
|
|
|
|
+ Memo: <b>{{$patient->has_had_home_sleep_study_memo ?: '-'}}</b>
|
|
</div>
|
|
</div>
|
|
- </div>
|
|
|
|
-
|
|
|
|
- <div class="px-3 py-1">
|
|
|
|
- Tired: <b>{{$patient->stop_bang_tired ?: '-'}}</b>
|
|
|
|
- </div>
|
|
|
|
- <div class="ml-3 border-left">
|
|
|
|
<div class="px-3 py-1">
|
|
<div class="px-3 py-1">
|
|
- Memo: <b>{{$patient->stop_bang_tired_memo ?: '-'}}</b>
|
|
|
|
|
|
+ Findings: <b>{{$patient->has_had_home_sleep_study_findings ?: '-'}}</b>
|
|
</div>
|
|
</div>
|
|
- </div>
|
|
|
|
-
|
|
|
|
- <div class="px-3 py-1">
|
|
|
|
- Observed Apnea: <b>{{$patient->stop_bang_observed_apnea ?: '-'}}</b>
|
|
|
|
- </div>
|
|
|
|
- <div class="ml-3 border-left">
|
|
|
|
<div class="px-3 py-1">
|
|
<div class="px-3 py-1">
|
|
- Memo: <b>{{$patient->stop_bang_observed_apnea_memo ?: '-'}}</b>
|
|
|
|
|
|
+ Approximate Date: <b>{{$patient->has_had_home_sleep_study_approximate_date ?: '-'}}</b>
|
|
</div>
|
|
</div>
|
|
- </div>
|
|
|
|
-
|
|
|
|
- <div class="px-3 py-1">
|
|
|
|
- High BP: <b>{{$patient->stop_bang_high_blood_pressure ?: '-'}}</b>
|
|
|
|
- </div>
|
|
|
|
- <div class="ml-3 border-left">
|
|
|
|
<div class="px-3 py-1">
|
|
<div class="px-3 py-1">
|
|
- Memo: <b>{{$patient->stop_bang_high_blood_pressure_memo ?: '-'}}</b>
|
|
|
|
|
|
+ Value As Of: <b>{{$patient->has_had_home_sleep_study_value_as_of ?: '-'}}</b>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
+ @endif
|
|
|
|
+
|
|
|
|
+ <hr class="my-2">
|
|
|
|
+
|
|
|
|
+ <div class="px-3 py-1">
|
|
|
|
+ Has Had Lab Sleep Study: <b>{{$patient->has_had_lab_sleep_study ?: '-'}}</b>
|
|
</div>
|
|
</div>
|
|
- <div class="col-6 px-0 border-left">
|
|
|
|
- <div class="px-3 py-1">
|
|
|
|
- BMI > 35: <b>{{$patient->stop_bang_bmi_over35 ?: '-'}}</b>
|
|
|
|
- </div>
|
|
|
|
|
|
+ @if(1 || $patient->has_had_lab_sleep_study === 'YES')
|
|
<div class="ml-3 border-left">
|
|
<div class="ml-3 border-left">
|
|
<div class="px-3 py-1">
|
|
<div class="px-3 py-1">
|
|
- Memo: <b>{{$patient->stop_bang_bmi_over35_memo ?: '-'}}</b>
|
|
|
|
|
|
+ Memo: <b>{{$patient->has_had_lab_sleep_study_memo ?: '-'}}</b>
|
|
</div>
|
|
</div>
|
|
<div class="px-3 py-1">
|
|
<div class="px-3 py-1">
|
|
- Weight: <b>{{$patient->stop_bang_weight_in_pounds ?: '-'}}</b>
|
|
|
|
|
|
+ Findings: <b>{{$patient->has_had_lab_sleep_study_findings ?: '-'}}</b>
|
|
</div>
|
|
</div>
|
|
<div class="px-3 py-1">
|
|
<div class="px-3 py-1">
|
|
- Height: <b>{{$patient->stop_bang_height_in_inches ?: '-'}}</b>
|
|
|
|
|
|
+ Approximate Date: <b>{{$patient->has_had_lab_sleep_study_approximate_date ?: '-'}}</b>
|
|
</div>
|
|
</div>
|
|
<div class="px-3 py-1">
|
|
<div class="px-3 py-1">
|
|
- BMI: <b>{{$patient->stop_bang_bmi ?: '-'}}</b>
|
|
|
|
|
|
+ Value As Of: <b>{{$patient->has_had_lab_sleep_study_value_as_of ?: '-'}}</b>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
+ @endif
|
|
|
|
+ </div>
|
|
|
|
+ <div class="col-7 border-left px-0 pb-4">
|
|
|
|
+ <div class="px-3 pt-2 pb-1 font-weight-bold text-secondary">STOPBANG Questionnaire</div>
|
|
|
|
|
|
- <div class="px-3 py-1">
|
|
|
|
- Age > 50: <b>{{$patient->stop_bang_age_over50 ?: '-'}}</b>
|
|
|
|
- </div>
|
|
|
|
- <div class="ml-3 border-left">
|
|
|
|
|
|
+ <hr class="my-2">
|
|
|
|
+
|
|
|
|
+ <div class="px-3 py-1">
|
|
|
|
+ Value As Of: <b>{{$patient->stop_bang_value_as_of ?: '-'}}</b>
|
|
|
|
+ </div>
|
|
|
|
+
|
|
|
|
+ <hr class="my-2">
|
|
|
|
+
|
|
|
|
+ <div class="row mx-0">
|
|
|
|
+ <div class="col-6 px-0">
|
|
<div class="px-3 py-1">
|
|
<div class="px-3 py-1">
|
|
- Memo: <b>{{$patient->stop_bang_age_over50_memo ?: '-'}}</b>
|
|
|
|
|
|
+ Snore: <b>{{$patient->stop_bang_snore ?: '-'}}</b>
|
|
|
|
+ </div>
|
|
|
|
+ <div class="ml-3 border-left">
|
|
|
|
+ <div class="px-3 py-1">
|
|
|
|
+ Memo: <b>{{$patient->stop_bang_snore_memo ?: '-'}}</b>
|
|
|
|
+ </div>
|
|
|
|
+ </div>
|
|
|
|
+
|
|
|
|
+ <div class="px-3 py-1">
|
|
|
|
+ Tired: <b>{{$patient->stop_bang_tired ?: '-'}}</b>
|
|
|
|
+ </div>
|
|
|
|
+ <div class="ml-3 border-left">
|
|
|
|
+ <div class="px-3 py-1">
|
|
|
|
+ Memo: <b>{{$patient->stop_bang_tired_memo ?: '-'}}</b>
|
|
|
|
+ </div>
|
|
</div>
|
|
</div>
|
|
- </div>
|
|
|
|
|
|
|
|
- <div class="px-3 py-1">
|
|
|
|
- Neck Circumference > 16 in.: <b>{{$patient->stop_bang_neck_circumference_over16_inches ?: '-'}}</b>
|
|
|
|
- </div>
|
|
|
|
- <div class="ml-3 border-left">
|
|
|
|
<div class="px-3 py-1">
|
|
<div class="px-3 py-1">
|
|
- Memo: <b>{{$patient->stop_bang_neck_circumference_over16_inches_memo ?: '-'}}</b>
|
|
|
|
|
|
+ Observed Apnea: <b>{{$patient->stop_bang_observed_apnea ?: '-'}}</b>
|
|
|
|
+ </div>
|
|
|
|
+ <div class="ml-3 border-left">
|
|
|
|
+ <div class="px-3 py-1">
|
|
|
|
+ Memo: <b>{{$patient->stop_bang_observed_apnea_memo ?: '-'}}</b>
|
|
|
|
+ </div>
|
|
</div>
|
|
</div>
|
|
|
|
+
|
|
<div class="px-3 py-1">
|
|
<div class="px-3 py-1">
|
|
- Neck Circumference: <b>{{$patient->neck_circumference_in_inches ?: '-'}}</b>
|
|
|
|
|
|
+ High BP: <b>{{$patient->stop_bang_high_blood_pressure ?: '-'}}</b>
|
|
|
|
+ </div>
|
|
|
|
+ <div class="ml-3 border-left">
|
|
|
|
+ <div class="px-3 py-1">
|
|
|
|
+ Memo: <b>{{$patient->stop_bang_high_blood_pressure_memo ?: '-'}}</b>
|
|
|
|
+ </div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
+ <div class="col-6 px-0 border-left">
|
|
|
|
+ <div class="px-3 py-1">
|
|
|
|
+ BMI > 35: <b>{{$patient->stop_bang_bmi_over35 ?: '-'}}</b>
|
|
|
|
+ </div>
|
|
|
|
+ <div class="ml-3 border-left">
|
|
|
|
+ <div class="px-3 py-1">
|
|
|
|
+ Memo: <b>{{$patient->stop_bang_bmi_over35memo ?: '-'}}</b>
|
|
|
|
+ </div>
|
|
|
|
+ <div class="px-3 py-1">
|
|
|
|
+ Weight: <b>{{$patient->stop_bang_weight_in_pounds ?: '-'}}</b>
|
|
|
|
+ </div>
|
|
|
|
+ <div class="px-3 py-1">
|
|
|
|
+ Height: <b>{{$patient->stop_bang_height_in_inches ?: '-'}}</b>
|
|
|
|
+ </div>
|
|
|
|
+ <div class="px-3 py-1">
|
|
|
|
+ BMI: <b>{{$patient->stop_bang_bmi ?: '-'}}</b>
|
|
|
|
+ </div>
|
|
|
|
+ </div>
|
|
|
|
+
|
|
|
|
+ <div class="px-3 py-1">
|
|
|
|
+ Age > 50: <b>{{$patient->stop_bang_age_over50 ?: '-'}}</b>
|
|
|
|
+ </div>
|
|
|
|
+ <div class="ml-3 border-left">
|
|
|
|
+ <div class="px-3 py-1">
|
|
|
|
+ Memo: <b>{{$patient->stop_bang_age_over50memo ?: '-'}}</b>
|
|
|
|
+ </div>
|
|
|
|
+ </div>
|
|
|
|
+
|
|
|
|
+ <div class="px-3 py-1">
|
|
|
|
+ Neck Circumference > 16 in.: <b>{{$patient->stop_bang_neck_circumference_over16inches ?: '-'}}</b>
|
|
|
|
+ </div>
|
|
|
|
+ <div class="ml-3 border-left">
|
|
|
|
+ <div class="px-3 py-1">
|
|
|
|
+ Memo: <b>{{$patient->stop_bang_neck_circumference_over16inches_memo ?: '-'}}</b>
|
|
|
|
+ </div>
|
|
|
|
+ <div class="px-3 py-1">
|
|
|
|
+ Neck Circumference: <b>{{$patient->neck_circumference_in_inches ?: '-'}}</b>
|
|
|
|
+ </div>
|
|
|
|
+ </div>
|
|
|
|
|
|
- <div class="px-3 py-1">
|
|
|
|
- Gender is Male: <b>{{$patient->stop_bang_gender_male ?: '-'}}</b>
|
|
|
|
|
|
+ <div class="px-3 py-1">
|
|
|
|
+ Gender is Male: <b>{{$patient->stop_bang_gender_male ?: '-'}}</b>
|
|
|
|
+ </div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
- </div>
|
|
|
|
|
|
|
|
- <hr class="my-2">
|
|
|
|
|
|
+ <hr class="my-2">
|
|
|
|
|
|
- @if($patient->stop_bang_calculated_risk_category)
|
|
|
|
- <div class="px-3 py-1 bg-aliceblue font-weight-bold">
|
|
|
|
- Risk Category: {{$patient->stop_bang_calculated_risk_category ?: '-'}}
|
|
|
|
- </div>
|
|
|
|
- @endif
|
|
|
|
|
|
+ @if($patient->stop_bang_calculated_risk_category)
|
|
|
|
+ <div class="px-3 py-1 bg-aliceblue font-weight-bold">
|
|
|
|
+ Risk Category: {{$patient->stop_bang_calculated_risk_category ?: '-'}}
|
|
|
|
+ </div>
|
|
|
|
+ @endif
|
|
|
|
|
|
|
|
+ </div>
|
|
</div>
|
|
</div>
|
|
-</div>
|
|
|
|
|
|
|
|
|
|
+</div>
|
|
|
|
|
|
|
|
+<script>
|
|
|
|
+ (function() {
|
|
|
|
+ function init() {
|
|
|
|
+ let parentSegment = $('#sleep-apnea-background');
|
|
|
|
+ parentSegment.find('[refresh-bmi]').off('change input');
|
|
|
|
+ parentSegment.find('[refresh-bmi]').on('change input', function () {
|
|
|
|
+ refreshBMI();
|
|
|
|
+ });
|
|
|
|
+ refreshBMI();
|
|
|
|
+ }
|
|
|
|
+ function refreshBMI() {
|
|
|
|
+ let parentSegment = $('#sleep-apnea-background');
|
|
|
|
+ let w = parentSegment.find('[name="stopBangWeightInPounds"]').val(),
|
|
|
|
+ h = parentSegment.find('[name="stopBangHeightInInches"]').val();
|
|
|
|
+ let bmi = '';
|
|
|
|
+ try {
|
|
|
|
+ w = parseInt(w);
|
|
|
|
+ h = parseInt(h);
|
|
|
|
+ bmi = Math.round((w / (h * h)) * 703.06957964);
|
|
|
|
+ parentSegment.find('[name="stopBangBmi"]').val(!isNaN(bmi) ? bmi : '');
|
|
|
|
+ }
|
|
|
|
+ catch (e) {}
|
|
|
|
+ }
|
|
|
|
+ addMCInitializer('sleep-apnea-background', init, '#sleep-apnea-background');
|
|
|
|
+ }).call(window);
|
|
|
|
+</script>
|