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wecuro_blog/docs/cpro-forms-alter-sql/07-08-2023/wecuro-sng-home-helth_certification.sql

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-- HOME HELTH CERTIFICATION AND PLAN OF CARE Form in assessment tab
INSERT INTO `forms` (`id`, `form_name`, `form_data`) VALUES
(72, 'hhc-poc-form', '{\"formSections\":[{\"id\":\"user-form-settings\",\"componentType\":\"form\",\"component\":{\"ajax\":\"false\",\"attr\":\"novalidate\",\"framework\":\"bs4\",\"iconFont\":\"fontawesome5\",\"iconFontUrl\":\"//cdnjs.cloudflare.com/ajax/libs/font-awesome/5.3.1/css/all.min.css\",\"id\":\"hhc-poc-form\",\"layout\":\"horizontal\",\"plugins\":[],\"aftervalidation\":\"\",\"redirectUrl\":\"\",\"senderEmail\":\"\",\"recipientEmail\":\"\",\"subject\":\"\",\"senderName\":\"\",\"replyToEmail\":\"\",\"sentMessage\":\"\",\"dbTable\":\"\",\"dbPrimary\":\"\",\"dbFilter\":\"\"}},{\"id\":\"ohtk6lot1d8f6rco60lvgi\",\"componentType\":\"input\",\"component\":{\"componentType\":\"input\",\"helper\":\"\",\"icon\":\"\",\"iconPosition\":\"before\",\"plugins\":[],\"attr\":[],\"clazz\":\"\",\"index\":1,\"label\":\"Patient HI Claim 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Address\",\"name\":\"physician_name_and_address\",\"placeholder\":\"\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"uogiju5gdke016bteh6cqc5e\",\"componentType\":\"input\",\"component\":{\"componentType\":\"input\",\"helper\":\"\",\"icon\":\"\",\"iconPosition\":\"before\",\"plugins\":[],\"attr\":[],\"clazz\":\"\",\"index\":26,\"label\":\"I certify this patient is confined to his/her home and needs intermittent skilled nursing care, physical therapy and/or speech therapy, or Continues to need occupational therapy. This patient is under my care, and I have authorized the services on this plan of care, and will periodically review the plan. I further certify this patient hade face-to-face encounter that was performed on xx/xx/xxxx by a physician or Medicare allowed non-physician practitioner that was related to the primary reason the patient requires home health services\",\"name\":\"i_certify_this_patient_is_confined\",\"placeholder\":\"\",\"type\":\"date\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"plvwx1twyqrekt1fuac9gg\",\"componentType\":\"textarea\",\"component\":{\"componentType\":\"textarea\",\"helper\":\"\",\"plugins\":[],\"attr\":[],\"clazz\":\"\",\"index\":4,\"label\":\"Attending Physician(s) Signature and Date Signed\",\"name\":\"attending_shysician_signature_and_date_signed\",\"placeholder\":\"\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"user-form-settings\",\"componentType\":\"form\",\"component\":{\"ajax\":\"false\",\"attr\":\"novalidate\",\"framework\":\"bs4\",\"iconFont\":\"fontawesome5\",\"iconFontUrl\":\"//cdnjs.cloudflare.com/ajax/libs/font-awesome/5.3.1/css/all.min.css\",\"id\":\"fg-form\",\"layout\":\"horizontal\",\"plugins\":[],\"aftervalidation\":\"\",\"redirectUrl\":\"\",\"senderEmail\":\"\",\"recipientEmail\":\"\",\"subject\":\"\",\"senderName\":\"\",\"replyToEmail\":\"\",\"sentMessage\":\"\",\"dbTable\":\"\",\"dbPrimary\":\"\",\"dbFilter\":\"\"}}],\"uiForm\":{\"attr\":\"novalidate\",\"id\":\"fg-form\",\"layout\":\"horizontal\"},\"userForm\":{\"ajax\":\"false\",\"attr\":\"novalidate\",\"framework\":\"bs4\",\"iconFont\":\"fontawesome5\",\"iconFontUrl\":\"//cdnjs.cloudflare.com/ajax/libs/font-awesome/5.3.1/css/all.min.css\",\"id\":\"fg-form\",\"layout\":\"horizontal\",\"plugins\":[],\"aftervalidation\":\"\",\"redirectUrl\":\"\",\"senderEmail\":\"\",\"recipientEmail\":\"\",\"subject\":\"\",\"senderName\":\"\",\"replyToEmail\":\"\",\"sentMessage\":\"\",\"dbTable\":\"\",\"dbPrimary\":\"\",\"dbFilter\":\"\"}}');
INSERT INTO `form_template_mapping` (`id`, `form_name`, `template_id`) VALUES (NULL, 'hhc-poc-form', '72');
ALTER TABLE `patient_report` ADD `hhc_poc_record` TEXT NOT NULL AFTER `emergency_preparedness_plan`;
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