347 lines
24 KiB
PHP
Executable File
347 lines
24 KiB
PHP
Executable File
<!--sidebar end-->
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<!--main content start-->
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<style type="text/css">
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#patient-profile .patient-img {
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width: 75px;
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}
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#patient-profile .patient-info-heading {
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font-weight: 900;
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display: inline-block;
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width: 130px;
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}
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.edit_btn i.fa.fa-pencil{
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position: absolute;
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right: 15px;
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top: 10px;
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color: #2e9cf1;
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cursor: pointer;
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font-size: 16px;
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}
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.edit_btn.bg-white i.fa.fa-pencil{
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color: #fff !important;
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}
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</style>
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<div class="app-content content">
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<section class="content-wrapper">
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<div class="content-body">
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<section id="patient-profile">
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<div class="row match-height">
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<div class="col-lg-6 col-md-12">
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<div class="card" style="height: 160px;">
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<div class="card-body">
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<div class="edit_btn">
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<i class="fa fa-pencil" aria-hidden="true"></i>
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</div>
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<div class="row">
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<div class="col-lg-4 col-md-4 d-flex justify-content-around">
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<div class="patient-img-name text-center">
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<img src="uploads/cardiology-patient-icon-vector-6244713.jpg" id="img1" alt="" class="card-img-top mb-1 patient-img img-fluid rounded-circle">
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<h4><label for="exampleInputEmail1">Patient ID: <span class="patientIdClass">
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<?php
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echo $datas->patient_id;
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?>
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</span></label></h4>
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</div>
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</div>
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<div class="col-lg-8 col-md-8 d-flex justify-content-around">
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<div class="patient-info">
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<ul class="list-unstyled">
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<li>
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<div class="patient-info-heading">Name:</div> <?=$datas->first_name.' '.$datas->last_name?>
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</li>
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<li>
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<div class="patient-info-heading">Birth:</div> <?=$datas->dob?>
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</li>
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<li>
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<div class="patient-info-heading">Email: </div> <?=$datas->patient_email?>
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</li>
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</ul>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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<div class="col-lg-3 col-md-6">
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<div class="card bg-gradient-y-info" style="height: 160px;">
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<div class="edit_btn bg-white">
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<i class="fa fa-pencil" aria-hidden="true"></i>
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</div>
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<div class="card-body">
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<ul class="list-unstyled text-white patient-info-card">
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<li><span class="patient-info-heading">Gender :</span> <?=$datas->gender?></li>
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<li><span class="patient-info-heading">Merital :</span> <?=$datas->marital_stat?></li>
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<li><span class="patient-info-heading">Weight :</span> <?=$datas->weight?></li>
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<li><span class="patient-info-heading">Direction :</span> <?=$datas->direction?></li>
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</ul>
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</div>
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</div>
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</div>
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<div class="col-lg-3 col-md-6">
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<div class="card bg-gradient-y-warning" style="height: 160px;">
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<div class="edit_btn">
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<i class="fa fa-pencil" aria-hidden="true"></i>
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</div>
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<div class="card-body">
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<ul class="list-unstyled text-white patient-info-card">
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<li><span class="patient-info-heading">#Soc Sec No :</span> <?=$datas->soc_sec_no?></li>
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<li> <div class="patient-info-heading">Address:</div> <?=$datas->address?></li>
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<li><span class="patient-info-heading">Height :</span> <?=$datas->height?></li>
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</ul>
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</div>
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</div>
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</div>
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</div>
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<div class="row">
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<div class="col-lg-6 col-md-6 col-sm-6">
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<div class="row">
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<div class="col-lg-12 col-md-12">
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<div class="card pull-up">
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<div class="card-content">
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<div class="card-body">
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<h2 class="card-title">Patients Info</h2>
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<div class="edit_btn">
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<i class="fa fa-pencil" aria-hidden="true"></i>
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</div>
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<div class="row">
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<div class="col-6 text-left">
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<ul class="list-unstyled patient-info-card">
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<li><span class="patient-info-heading">Level of Care :</span> <?=$datas->level_of_care?></li>
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<li><span class="patient-info-heading">Designate First Name</span> <?=$datas->designate_first_name?></li>
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<li><span class="patient-info-heading">EVV Verification</span> <?=$datas->evv_verification?></li>
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<li><span class="patient-info-heading">Coardinator</span> <?=$datas->coordinator?> </li>
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<li><span class="patient-info-heading">Primary Nurse</span> <?=$datas->primary_nurse?> </li>
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</ul>
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</div>
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<div class="col-6 ">
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<ul class="list-unstyled patient-info-card">
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<li><span class="patient-info-heading">Designate Last Name</span> <?=$datas->designate_last_name?></li>
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<li><span class="patient-info-heading">Designate Telephone</span> <?=$datas->designate_telephone?></li>
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<li><span class="patient-info-heading">Designate Cell</span> <?=$datas->designate_last_name?></li>
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<li><span class="patient-info-heading">Intake Nurse</span> <?=$datas->intake_nurse?></li>
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<li><span class="patient-info-heading">Referal Source</span> <?=$datas->referral_source?></li>
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</ul>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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<!-- </div>
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<div class="row"> -->
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<div class="col-lg-6 col-md-6 col-sm-6">
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<div class="row">
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<div class="col-lg-12 col-md-12">
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<div class="card pull-up">
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<div class="card-content">
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<div class="card-body">
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<h2 class="card-title">Care Info</h2>
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<div class="edit_btn">
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<i class="fa fa-pencil" aria-hidden="true"></i>
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</div>
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<div class="row">
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<div class="col-6 text-left">
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<ul class="list-unstyled patient-info-card">
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<li><span class="patient-info-heading">Level of Service Need</span><?=$datas->level_service?></li>
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<li><span class="patient-info-heading">New Order</span><?=$datas->new_order?></li>
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<li><span class="patient-info-heading">Service Activity Needed</span><?=$datas->service_activity?></li>
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<li><span class="patient-info-heading">Therapy Type</span><?=$datas->therapy_type?></li>
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<li><span class="patient-info-heading">Type Of Access</span><?=$datas->type_access?></li>
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<li><span class="patient-info-heading">Patient Seen By Md</span><?=$datas->patient_seen_by_MD?></li>
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<li><span class="patient-info-heading">Current Lab Work</span><?=$datas->current_lab_work?></li>
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<li><span class="patient-info-heading">Lab Order</span><?=$datas->lab_order ?></li>
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</ul>
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</div>
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<div class="col-6">
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<ul class="list-unstyled patient-info-card">
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<li><span class="patient-info-heading">Additional Lab Order</span><?=$datas->other_lab_frequency?></li>
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<li><span class="patient-info-heading">Lab Frequency</span><?=$datas->lab_frequency?></li>
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<li><span class="patient-info-heading">Other Lab Frequency</span><?=$datas->other_lab_frequency?></li>
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<li><span class="patient-info-heading">Tube</span><?=$datas->tube_type?></li>
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<li><span class="patient-info-heading">Formula</span><?=$datas->formula?></li>
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<li><span class="patient-info-heading">Schedule</span><?=$datas->schedule?></li>
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<li><span class="patient-info-heading">Flush With</span><?=$datas->flush_with?></li>
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<li><span class="patient-info-heading">Daily Intake Requirment</span><?=$datas->daily_intake_requirment?></li>
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<li><span class="patient-info-heading">Flush Frequency</span><?=$datas->flush_frequency?></li>
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<li><span class="patient-info-heading">Flush Restrictions</span><?=$datas->referral_source?></li>
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<li><span class="patient-info-heading">Flush Restriction Amount</span><?=$datas->fluide_restric_amount?></li>
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</ul>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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<div class="col-lg-12 col-md-12 col-sm-12">
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<div class="row">
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<div class="col-lg-12 col-md-12">
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<div class="card pull-up">
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<div class="card-content">
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<div class="card-body">
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<h2 class="card-title">Patients Insurance Info</h2>
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<div class="edit_btn">
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<i class="fa fa-pencil" aria-hidden="true"></i>
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</div>
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<div class="row">
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<div class="col-4 text-left">
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<ul class="list-unstyled patient-info-card">
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<li><span class="patient-info-heading">Insurance Type :</span> <?=$dataIns->insurance_type?></li>
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<li><span class="patient-info-heading">Insurance Plan :</span> <?=$dataIns->insurance_plan?></li>
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<?php if($dataIns->insurance_type == 'Madicaid') { ?>
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<li><span class="patient-info-heading">Medicaid Id :</span> <?=$dataIns->medicaid_id?></li>
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<li><span class="patient-info-heading">Medicaid Pedriatic :</span> <?=$dataIns->medicaid_pedriatic?></li>
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<li><span class="patient-info-heading">Medicaid Adult :</span> <?=$dataIns->medicaid_adult?> </li>
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<li><span class="patient-info-heading">Type :</span> <?=$dataIns->primaryOrSecondary?> </li>
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<?php }else{ ?>
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<li><span class="patient-info-heading">Policy NO :</span> <?=$dataIns->Pvt_Ins_PlanId_Policy_no?></li>
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<li><span class="patient-info-heading">Claim No :</span> <?=$dataIns->claim_no?></li>
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<?php } ?>
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<li><h5 class="font-weight-bold">Emergency contact</h5></li>
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<li><span class="patient-info-heading">Name</span> <?=$dataIns->emgContactName?></li>
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<li><span class="patient-info-heading">Relationship to the Pathient</span> <?=$dataIns->emgContactRelation?></li>
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<li><span class="patient-info-heading">Address</span> <?=$dataIns->emgContactAddress?></li>
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<li><span class="patient-info-heading">Telephone</span> <?=$dataIns->emgContactTelephone?></li>
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<li><span class="patient-info-heading">Cell phone number</span> <?=$dataIns->emgContactCellNo?></li>
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<li><span class="patient-info-heading">Other Number</span> <?=$dataIns->emgContactOteNo?></li>
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<li><span class="patient-info-heading">Email</span> <?=$dataIns->emgContactEmail?></li>
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<li><span class="patient-info-heading">Lives with Patient</span> <?=$dataIns->emgContactLiveswithPatient?></li>
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<li><span class="patient-info-heading">Home access</span> <?=$dataIns->emgContactAccessToHome?></li>
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</ul>
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</div>
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<div class="col-4 ">
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<ul class="list-unstyled patient-info-card">
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<li><h5 class="font-weight-bold">Emergency Preparedness</h5></li>
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<li><span class="patient-info-heading">Evacutaion zone</span> <?=$dataIns->EmgPrepdEvacZone?></li>
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<li><span class="patient-info-heading">Mobility Status</span> <?=$dataIns->EmgPrepdMobilityStat?></li>
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<li><span class="patient-info-heading">Evacuation Location</span> <?=$dataIns->EmgPrepdLocation?></li>
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<li><span class="patient-info-heading">Electrical Equipment Dependency</span> <?=$dataIns->EmgPrepdEleDependency?></li>
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</ul>
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<ul class="list-unstyled patient-info-card">
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<li><h5 class="font-weight-bold">Diaganosis</h5></li>
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<li><span class="patient-info-heading">ICD</span> <?=$dataIns->diagonosisICD?></li>
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<li><span class="patient-info-heading">Date</span> <?=$dataIns->diagonosisHistoricalDate?></li>
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<li><span class="patient-info-heading">Historical data Diaganosis</span> <?=$dataIns->diagonosisData?></li>
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<li><span class="patient-info-heading">Type</span> <?=$dataIns->diagonosisPrimary?></li>
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</ul>
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</div>
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<div class="col-4 ">
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<ul class="list-unstyled patient-info-card">
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<li><h5 class="font-weight-bold">Clinical Information</h5></li>
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<li><span class="patient-info-heading">Start Of Care</span> <?=$dataIns->ClinicalStartOfCare?></li>
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<li><span class="patient-info-heading">Allergies</span> <?=$dataIns->ClinicalAllergies?></li>
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<li><span class="patient-info-heading">Allergic Reaction</span> <?=$dataIns->ClinicalAllergiesReaction?></li>
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<li><span class="patient-info-heading">Notes</span> <?=$dataIns->ClinicalNotes?></li>
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</ul>
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<ul class="list-unstyled patient-info-card">
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<li><h5 class="font-weight-bold">Physican and MD information</h5></li>
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<li><span class="patient-info-heading">Name</span> <?=$dataIns->PhysicanName?></li>
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<li><span class="patient-info-heading">Address</span> <?=$dataIns->PhysicanAddress?></li>
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<li><span class="patient-info-heading">Telephone</span> <?=$dataIns->PhysicanTelephone?></li>
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<li><span class="patient-info-heading">Email</span> <?=$dataIns->PhysicanEmail?></li>
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<li><span class="patient-info-heading">Affiliation</span> <?=$dataIns->PhysicanAffiliation?></li>
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<li><span class="patient-info-heading">FAX</span> <?=$dataIns->PhysicanFax?></li>
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<li><span class="patient-info-heading">NPI</span> <?=$dataIns->PhysicanNPI?></li>
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<li><span class="patient-info-heading">Lisence</span> <?=$dataIns->PhysicanLisence?></li>
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<li><span class="patient-info-heading">Note</span> <?=$dataIns->PhysicanNote?></li>
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</ul>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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<div class="row">
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<div class="col-lg-12 col-md-12 col-sm-12">
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<div class="card">
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<div class="card-body">
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<div class="edit_btn">
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<i class="fa fa-pencil" aria-hidden="true"></i>
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</div>
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<h2 class="card-title">Assessment History</h2>
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<div class="table-responsive">
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<table class="table patient-wrapper">
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<tbody>
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<tr>
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<th>Assessment type</th>
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<th>Date</th>
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<th>Day</th>
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<th>Actions</th>
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</tr>
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<tr>
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<td class="align-middle border-top-0"><i class="la la-circle text-danger"></i>Initial Assessment</td>
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<td class="align-middle border-top-0"><?php echo $asmData->date; ?></td>
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<td class="align-middle border-top-0">
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<i class="la la-calendar-check-o"></i> <?php echo $asmData->day; ?>
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</td>
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<td class="align-middle border-top-0">
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<div class="action">
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<a href="patient/viewInitialAssessment/<?=$datas->id?>"><i class="ft-eye text-success"></i></a>
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<!-- <a href="#"><i class="ft-edit text-success"></i></a> -->
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<!-- <a href="#"><i class="ft-trash-2 text-warning"></i></a> -->
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</div>
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</td>
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</tr>
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</tbody>
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</table>
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</div>
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</div>
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</div>
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</div>
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</div>
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</section>
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</div>
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</section>
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</div>
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