tigerphp
/
stagfe2


			
							123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180181182183184185186187188189190191192193194195196197198199200201202203204205206207208209210211212213214215216217218219220221222223224225226227228229230
							<!doctype html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <meta name="viewport"
          content="width=device-width, user-scalable=no, initial-scale=1.0, maximum-scale=1.0, minimum-scale=1.0">
    <meta http-equiv="X-UA-Compatible" content="ie=edge">
    <meta charset="utf-8">
    <meta name="viewport" content="width=device-width, initial-scale=1">

    <title>{{ config('app.name') }}</title>

    <!-- Fonts -->
    <link href="https://fonts.googleapis.com/css?family=Nunito:200,600" rel="stylesheet">

    <!-- <link href="{{ asset('bootstrap-4.5.0/css/bootstrap.css') }}" rel="stylesheet"> -->
    <link rel="stylesheet" href="/fontawesome-free-5.13.1-web/css/all.min.css">
    <link href="{{ asset('/css/app.css') }}?v={{config('app.asset_version')}}" rel="stylesheet">
    <link href="{{ asset('/css/style.css') }}?v={{config('app.asset_version')}}" rel="stylesheet">
    <link href="{{ asset('/css/yemi.css') }}?v={{config('app.asset_version')}}" rel="stylesheet">
    <link rel="stylesheet" href="{{ asset('/css/toastr.min.css') }}">
    <link href="{{asset('/css/z.css')}}?v={{config('app.asset_version')}}" rel=stylesheet>
    <!-- Styles -->


    {{-- inline bootstrap datepicker --}}
    {{--    <link href='/bootstrap-datepicker/css/bootstrap-datepicker.standalone.min.css' rel="stylesheet">
        <script src='/bootstrap-datepicker/js/bootstrap-datepicker.min.js'></script>--}}

    <link rel="stylesheet" href="https://code.jquery.com/ui/1.12.1/themes/base/jquery-ui.css">

    <script src="/js/jquery-3.5.1.min.js"></script>
    <style>
        /** Define the margins of your page **/
        @page {
            size: letter portrait;
        }

        @page {
            margin: 1cm;
            padding: 100px;
            @bottom-right {
                content: "My book" !important;
                font-size: 9pt;
                color: #333;
            }
        }

        footer {

            bottom: 0;
            left: 0;
            width: 100%;
            display: table-footer-group;
        }
        .page-number:before {
            content: counter(pages);
        }
    </style>
</head>
<body>

<!--<footer>
    <table style="border: 0; width: 100%; font-size: 12px" border="0">
        <tr>
            <td style="vertical-align: top; width: 50%; text-align: left">
                Printed on: {{friendly_date_time(date('Y-m-d H:i:s'))}}
                <br>
                Note created using: Endochart
            </td>
            <td style="vertical-align: top; width: 50%; text-align: right">
                <div class="page-number"></div>
            </td>
        </tr>
    </table>
</footer>-->

<div style="margin: 0; padding: 1rem; font-family: serif">
    <!-- header/smg info -->
    <div style="text-align: right; margin-bottom: 1.5rem; font-family: sans-serif">
        <div style="margin-bottom: 3px; font-weight:bold; font-size: 14px">Scholar Medical Group</div>
        <div style="margin-bottom: 3px; font-size: 13px;">133 Rollins Ave, Suite 3</div>
        <div style="margin-bottom: 3px; font-size: 13px;">Rockville, MD 20852</div>
        <div style="margin-bottom: 3px; font-size: 13px;">Phone: 202-935-1033</div>
        <div style="margin-bottom: 3px; font-size: 13px;">NPI# 1639796428</div>
    </div>

    <!-- header grey bar -->
    <table style="background-color: #d9d9d9; border: 0; width: 100%; font-family: sans-serif" border="0">
        <tr>
            <td style="width: 50%; text-align: left; font-weight:bold; padding: 0.5rem 1rem;">Tele-Audio Visit</td>
            <td style="width: 50%; text-align: right; font-weight:bold; padding: 0.5rem 1rem;">
                @if($note->new_or_fu_or_na === "NEW")
                    New
                @elseif($note->new_or_fu_or_na === "FU")
                    Follow-up
                @else
                    {{$note->new_or_fu_or_na}}
                @endif
                Televisit Note
            </td>
        </tr>
    </table>

    <!-- patient info -->
    <div style="padding: 1rem; border-bottom: 1px solid #ddd;">
        <div style="font-size: 18px; font-weight:bold; padding-bottom: 0.75rem; font-family: sans-serif">
            {{implode(', ', array_filter([$patient->name_last, $patient->name_first]))}}
        </div>
        <table style="border: 0; width: 100%; border: 0" border="0" cellspacing="0" cellpadding="0">
            <tr>
                <td style="width: 60%; text-align: left;">
                    <table style="border: 0; width: 100%;" border="0" cellspacing="0" cellpadding="0">
                        <tr>
                            <td style="padding-bottom: 0.75rem; vertical-align: top" width="100px">Address:</td>
                            <td style="padding-bottom: 0.75rem; vertical-align: top">{{@$patient->mailing_address_line1 ? $patient->mailing_address_line1 : ''}}</td>
                        </tr>
                        <tr>
                            <td style="padding-bottom: 0.75rem; vertical-align: top" width="100px"></td>
                            <td style="padding-bottom: 0.75rem; vertical-align: top">
                                {{@$patient->mailing_address_city ? $patient->mailing_address_city : ''}}
                                {{@$patient->mailing_address_state ? $patient->mailing_address_state : ''}}
                                {{@$patient->mailing_address_zip ? $patient->mailing_address_zip : ''}}
                            </td>
                        </tr>
                        <tr>
                            <td style="padding-bottom: 0.75rem; vertical-align: top" width="100px">Gender:</td>
                            <td style="padding-bottom: 0.75rem; vertical-align: top">{{$patient->sex}}</td>
                        </tr>
                        <tr>
                            <td style="vertical-align: top" width="100px">Visited on:</td>
                            <td style="vertical-align: top">{{friendly_date($note->effective_dateest)}}</td>
                        </tr>
                    </table>
                </td>
                <td style="width: 40%; text-align: left;">
                    <table style="border: 0; width: 100%;" border="0" cellspacing="0" cellpadding="0">
                        <tr>
                            <td style="padding-bottom: 0.75rem; vertical-align: top" width="150px">Birth Date (Age):</td>
                            <td style="padding-bottom: 0.75rem; vertical-align: top">{{friendly_date_time($patient->dob, false,null,true)}} ({{$patient->age_in_years}} Y)</td>
                        </tr>
                        <tr>
                            <td style="padding-bottom: 0.75rem; vertical-align: top" width="150px">Home Phone:</td>
                            <td style="padding-bottom: 0.75rem; vertical-align: top">{{$patient->phone_home}}</td>
                        </tr>
                        <tr>
                            <td style="padding-bottom: 0.75rem; vertical-align: top" width="150px">Cell Phone:</td>
                            <td style="padding-bottom: 0.75rem; vertical-align: top">{{$patient->cell_number}}</td>
                        </tr>
                        <tr>
                            <td style="vertical-align: top" width="150px">Email:</td>
                            <td style="vertical-align: top">{{$patient->email_address}}</td>
                        </tr>
                    </table>
                </td>
            </tr>
        </table>
    </div>

    <main role="main" class="stag-content px-0 mcp-theme-1 py-3">
        @yield('content')

    </main><!-- /.container -->

    <!-- signature -->
    <?php
    $bills = \App\Models\Bill::where('note_id', $note->id)
        ->where('bill_service_type', 'NOTE')
        ->where('code', 'Treatment Services')
        ->where('is_cancelled', false)
        ->where('hcp_pro_id', $note->hcpPro->id)
        ->get();
    $totalSeconds = 0;
    foreach ($bills as $bill) {
        $totalSeconds += $bill->number_of_units * 3600;
    }
    ?>
    <div style="padding: 1rem; padding-bottom: 0;">
        <p><b style="font-size: 18px">Signature</b></p>
        <table style="border: 0; width: 100%;" border="0" cellspacing="0" cellpadding="0">
            <tr style="background-color: #d9d9d9">
                <td style="font-weight:bold;border-top: 1px solid #222; border-bottom: 1px solid #222; padding: 0.25rem 0.5rem; vertical-align: top" width="20%">Date of Service</td>
                <td style="font-weight:bold;border-top: 1px solid #222; border-bottom: 1px solid #222; padding: 0.25rem 0.5rem; vertical-align: top" width="30%">Service</td>
                <td style="font-weight:bold;border-top: 1px solid #222; border-bottom: 1px solid #222; padding: 0.25rem 0.5rem; vertical-align: top" width="50%">Place of Service</td>
            </tr>
            <tr>
                <td style="padding: 0.25rem 0.5rem; vertical-align: top" width="20%">{{friendly_date($note->effective_dateest)}}</td>
                <td style="padding: 0.25rem 0.5rem; vertical-align: top" width="30%">Treatment Services</td>
                <td style="padding: 0.25rem 0.5rem; vertical-align: top" width="50%">133 Rollins Ave, Suite 3, Rockville, MD 20852</td>
            </tr>
            <tr style="background-color: #d9d9d9">
                <td style="font-weight:bold;border-top: 1px solid #222; border-bottom: 1px solid #222; padding: 0.25rem 0.5rem; vertical-align: top" width="20%">Total time spent</td>
                <td style="font-weight:bold;border-top: 1px solid #222; border-bottom: 1px solid #222; padding: 0.25rem 0.5rem; vertical-align: top" width="30%">Provider (HCP)</td>
                <td style="font-weight:bold;border-top: 1px solid #222; border-bottom: 1px solid #222; padding: 0.25rem 0.5rem; vertical-align: top" width="50%">Signature</td>
            </tr>
            <tr>
                <td style="border-bottom: 1px solid #222; padding: 0.25rem 0.5rem; vertical-align: top" width="20%">{{round($totalSeconds/60)}} minutes</td>
                <td style="border-bottom: 1px solid #222; padding: 0.25rem 0.5rem; vertical-align: top" width="30%">{{$note->hcpPro->displayName()}}</td>
                <td style="border-bottom: 1px solid #222; padding: 0.25rem 0.5rem; vertical-align: top" width="50%">
                    @if($note->is_signed_by_hcp)
                        <img src="data:image/png;base64,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"
                             style="height: 10px">
                        Signed
                    @else
                        <span style="color: red; font-weight:bold;">No</span>
                    @endif
                </td>
            </tr>
        </table>
        @if($note->is_signed_by_hcp)
            <table style="border: 0; width: 100%; font-size: 12px" border="0">
                <tr>
                    <td style="vertical-align: top; width: 50%; text-align: left">
                        Printed on: {{friendly_date_time(date('Y-m-d H:i:s'))}}
                        <br>
                        Note created using: Endochart
                    </td>
                    <td style="vertical-align: top; width: 50%; text-align: right">
                        <div style="text-align: right; font-size: 13px; padding-top: 2px">Signed electronically on {{friendlier_date_time($note->signed_by_hcp_at)}}</div>
                    </td>
                </tr>
            </table>
        @endif
    </div>

    <div style="padding-top: 2rem; text-align: center">********</div>

</div>
</body>
</html>