isaacclad
6c9051d2c6
Deploy Ladill Care / deploy (push) Successful in 1m22s
Replace internal design jargon (Layer 1, narrative source of truth, pathway instruments) with plain clinical language on consultations, patient charts, settings, and nav.
469 lines
30 KiB
PHP
469 lines
30 KiB
PHP
<x-app-layout :title="'Consultation · '.$consultation->patient->fullName()">
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<div class="flex flex-col gap-4 sm:flex-row sm:items-start sm:justify-between">
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<div>
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<p class="text-xs font-medium uppercase tracking-wide {{ $isCompleted ? 'text-emerald-600' : 'text-amber-600' }}">
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{{ $isCompleted ? 'Completed' : 'In progress' }}
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</p>
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<h1 class="text-2xl font-semibold text-slate-900">{{ $consultation->patient->fullName() }}</h1>
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<p class="mt-1 text-sm text-slate-500">
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{{ $consultation->patient->patient_number }}
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@if ($consultation->practitioner) · {{ $consultation->practitioner->name }} @endif
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</p>
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</div>
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@if ($canManage && ! $isCompleted)
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<x-confirm-dialog
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:name="'complete-consultation-'.$consultation->id"
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title="Complete this consultation?"
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message="Mark the consultation as finished. You can still prescribe or generate a bill afterward."
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:action="route('care.consultations.complete', $consultation)"
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confirm-label="Complete consultation"
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variant="primary"
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>
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<x-slot:trigger>
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<button type="button" class="btn-primary">Complete consultation</button>
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</x-slot:trigger>
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</x-confirm-dialog>
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@endif
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@if ($canPrescribe)
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<a href="{{ route('care.prescriptions.create', $consultation) }}" class="rounded-lg border border-slate-200 bg-white px-4 py-2 text-sm font-medium text-slate-700 hover:bg-slate-50">Prescribe</a>
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@endif
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@if ($canGenerateBill && $isCompleted && $consultation->visit)
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<form method="POST" action="{{ route('care.bills.generate', $consultation->visit) }}">
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@csrf
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<button type="submit" class="rounded-lg bg-slate-800 px-4 py-2 text-sm font-medium text-white hover:bg-slate-900">Generate bill</button>
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</form>
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@endif
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</div>
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@if ($canRequestInvestigations && $investigationTypes->isNotEmpty())
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<section class="mt-6 rounded-2xl border border-slate-200 bg-white p-6">
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<h2 class="text-sm font-semibold uppercase tracking-wide text-slate-500">Request investigations</h2>
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<form method="POST" action="{{ route('care.lab.requests.store', $consultation) }}" class="mt-4 space-y-4">
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@csrf
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<div class="grid gap-2 sm:grid-cols-2 lg:grid-cols-3">
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@foreach ($investigationTypes as $type)
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<label class="flex items-center gap-2 rounded-lg border border-slate-100 bg-slate-50 px-3 py-2 text-sm">
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<input type="checkbox" name="investigation_type_ids[]" value="{{ $type->id }}" class="rounded border-slate-300">
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<span>{{ $type->name }} <span class="text-slate-400">({{ config('care.investigation_categories')[$type->category] ?? $type->category }})</span></span>
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</label>
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@endforeach
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</div>
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<div class="grid gap-4 sm:grid-cols-2">
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<input type="text" name="clinical_notes" placeholder="Clinical notes for lab" class="rounded-lg border-slate-300 text-sm">
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<select name="priority" class="rounded-lg border-slate-300 text-sm">
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<option value="routine">Routine</option>
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<option value="urgent">Urgent</option>
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</select>
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</div>
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<button type="submit" class="btn-primary">Submit requests</button>
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</form>
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@if ($consultation->investigationRequests->isNotEmpty())
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<div class="mt-4 border-t border-slate-100 pt-4 text-sm">
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<p class="font-medium text-slate-700">Requested tests</p>
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@foreach ($consultation->investigationRequests as $req)
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<p class="mt-1">
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<a href="{{ route('care.lab.requests.show', $req) }}" class="text-sky-600">{{ $req->investigationType->name }}</a>
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· {{ config('care.investigation_statuses')[$req->status] ?? $req->status }}
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</p>
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@endforeach
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</div>
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@endif
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</section>
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@endif
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@if ($consultation->prescriptions->isNotEmpty())
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<section class="mt-6 rounded-2xl border border-slate-200 bg-white p-6">
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<h2 class="text-sm font-semibold uppercase tracking-wide text-slate-500">Prescriptions</h2>
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<ul class="mt-4 space-y-2 text-sm">
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@foreach ($consultation->prescriptions as $rx)
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<li>
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<a href="{{ route('care.prescriptions.show', $rx) }}" class="text-sky-600 hover:text-sky-700">
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{{ $rx->created_at->format('d M Y H:i') }}
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</a>
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· {{ config('care.prescription_statuses')[$rx->status] ?? $rx->status }}
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· {{ $rx->items->pluck('name')->join(', ') }}
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</li>
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@endforeach
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</ul>
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</section>
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@endif
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@if ($canViewAssessments ?? false)
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@if ($universalTemplate)
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<section class="mt-6 rounded-2xl border border-sky-100 bg-sky-50/40 p-6">
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<div class="flex flex-wrap items-start justify-between gap-3">
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<div>
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<h2 class="text-sm font-semibold uppercase tracking-wide text-sky-800">Patient history form</h2>
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<p class="mt-1 text-xs text-slate-500">
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Optional checklist for chief complaint, social history, and day-to-day function.
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You can still write freely in Symptoms and Clinical notes below — the two are separate and do not overwrite each other.
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</p>
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</div>
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@if ($universalAssessment)
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<a href="{{ route('care.assessments.show', $universalAssessment) }}" class="rounded-lg bg-sky-600 px-3 py-2 text-sm font-medium text-white hover:bg-sky-700">
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{{ $universalAssessment->isDraft() ? 'Continue form' : 'View form' }}
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</a>
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@elseif (($canCaptureUniversal ?? false) && ! $isCompleted)
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<form method="POST" action="{{ route('care.consultations.assessments.store', $consultation) }}">
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@csrf
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<input type="hidden" name="template_code" value="universal_intake">
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<button type="submit" class="rounded-lg bg-sky-600 px-3 py-2 text-sm font-medium text-white hover:bg-sky-700">Start patient history form</button>
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</form>
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@endif
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</div>
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@if ($universalAssessment)
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<p class="mt-3 text-sm text-slate-600">
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Status:
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<span class="font-medium">{{ $assessmentStatuses[$universalAssessment->status] ?? $universalAssessment->status }}</span>
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@if ($universalAssessment->consultation_id !== $consultation->id)
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<span class="text-slate-400">(from an earlier visit — open to review)</span>
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@endif
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</p>
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@php
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$cc = $universalAssessment->answers->first(fn ($a) => $a->question?->code === 'chief_complaint');
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$pain = $universalAssessment->answers->first(fn ($a) => $a->question?->code === 'pain_score');
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@endphp
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@if ($cc || $pain)
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<dl class="mt-3 grid gap-2 text-sm sm:grid-cols-2">
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@if ($cc)
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<div>
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<dt class="text-slate-500">Chief complaint</dt>
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<dd class="font-medium text-slate-800">{{ \Illuminate\Support\Str::limit((string) $cc->authoritativeValue(), 160) }}</dd>
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</div>
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@endif
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@if ($pain)
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<div>
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<dt class="text-slate-500">Pain score</dt>
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<dd class="font-medium text-slate-800">{{ $pain->authoritativeValue() ?? '—' }}</dd>
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</div>
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@endif
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</dl>
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@endif
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@elseif (! ($canCaptureUniversal ?? false))
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<p class="mt-3 text-sm text-slate-400">No patient history form recorded yet.</p>
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@endif
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</section>
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@endif
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<section class="mt-6 rounded-2xl border border-slate-200 bg-white p-6">
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<div class="flex flex-wrap items-center justify-between gap-2">
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<h2 class="text-sm font-semibold uppercase tracking-wide text-slate-500">Condition pathways</h2>
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<a href="{{ route('care.pathways.index', $consultation->patient) }}" class="text-sm text-sky-600 hover:text-sky-700">View all</a>
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</div>
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@if (($activePathways ?? collect())->isNotEmpty())
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<div class="mt-3 flex flex-wrap gap-2">
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@foreach ($activePathways as $pp)
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<span class="inline-flex items-center rounded-full bg-emerald-50 px-3 py-1 text-xs font-medium text-emerald-800 ring-1 ring-emerald-100">
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{{ $pp->pathway->name }}
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</span>
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@endforeach
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</div>
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@endif
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@if (($pathwayInstruments ?? collect())->isNotEmpty())
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<div class="mt-4 overflow-hidden rounded-xl border border-slate-100">
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<div class="bg-slate-50 px-3 py-2 text-xs font-semibold uppercase tracking-wide text-slate-500">
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Recommended forms
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</div>
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<ul class="divide-y divide-slate-100 text-sm">
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@foreach ($pathwayInstruments as $instrument)
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<li class="flex flex-wrap items-center justify-between gap-2 px-3 py-2.5">
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<div>
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<span class="font-medium text-slate-900">{{ $instrument['template_name'] }}</span>
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<span class="text-xs text-slate-400">
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· {{ $instrument['pathway_name'] }}
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@if ($instrument['required']) · recommended for this condition @endif
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</span>
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@if ($instrument['assessment']?->score)
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<span class="ml-1 text-xs font-medium text-emerald-700">
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score {{ $instrument['assessment']->score->total_score }}@if($instrument['assessment']->score->max_score !== null)/{{ $instrument['assessment']->score->max_score }}@endif
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</span>
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@endif
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</div>
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<div class="flex items-center gap-2">
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@if ($instrument['pack_missing'])
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<span class="text-xs text-amber-600">Form not available yet</span>
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@elseif ($instrument['assessment'])
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<span class="text-xs text-slate-500">{{ $assessmentStatuses[$instrument['assessment']->status] ?? $instrument['assessment']->status }}</span>
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<a href="{{ route('care.assessments.show', $instrument['assessment']) }}" class="text-sky-600 hover:text-sky-700">
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{{ $instrument['assessment']->isDraft() ? 'Continue' : 'View' }}
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</a>
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@elseif (($canCaptureAssessment ?? false) && ! $isCompleted)
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<form method="POST" action="{{ route('care.consultations.assessments.store', $consultation) }}">
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@csrf
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<input type="hidden" name="template_code" value="{{ $instrument['template_code'] }}">
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<button type="submit" class="text-sm font-medium text-sky-600 hover:text-sky-700">Start</button>
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</form>
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@else
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<span class="text-xs text-slate-400">Not started</span>
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@endif
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</div>
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</li>
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@endforeach
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</ul>
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</div>
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@endif
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@if (($pathwaySuggestions ?? collect())->isNotEmpty())
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<ul class="mt-4 space-y-2 text-sm">
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@foreach ($pathwaySuggestions as $suggestion)
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<li class="flex flex-wrap items-center justify-between gap-2 rounded-xl border border-slate-100 bg-slate-50 px-3 py-2">
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<div>
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<span class="font-medium text-slate-900">{{ $suggestion['pathway_name'] }}</span>
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<span class="text-xs text-slate-400">
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· {{ $suggestion['match_reason'] }}
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@if ($suggestion['already_active']) · already active @endif
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</span>
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</div>
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@if (($canManagePathways ?? false) && ! $suggestion['already_active'] && ! $isCompleted)
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<form method="POST" action="{{ route('care.pathways.store', $consultation->patient) }}">
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@csrf
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<input type="hidden" name="pathway_code" value="{{ $suggestion['pathway_code'] }}">
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<input type="hidden" name="consultation_uuid" value="{{ $consultation->uuid }}">
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<button type="submit" class="text-sm font-medium text-sky-600 hover:text-sky-700">Activate</button>
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</form>
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@endif
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</li>
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@endforeach
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</ul>
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@else
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<p class="mt-3 text-sm text-slate-400">
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@if ($consultation->diagnoses->isEmpty())
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Save diagnoses to see suggested condition pathways.
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@else
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No matching condition pathways for the saved diagnoses.
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@endif
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</p>
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@endif
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</section>
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<section class="mt-6 rounded-2xl border border-slate-200 bg-white p-6">
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<div class="flex flex-wrap items-center justify-between gap-2">
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<h2 class="text-sm font-semibold uppercase tracking-wide text-slate-500">Clinical forms this visit</h2>
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<a href="{{ route('care.assessments.index', $consultation->patient) }}" class="text-sm text-sky-600 hover:text-sky-700">All patient forms</a>
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</div>
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@if (($consultationAssessments ?? collect())->isNotEmpty())
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<ul class="mt-4 space-y-2 text-sm">
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@foreach ($consultationAssessments as $item)
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<li>
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<a href="{{ route('care.assessments.show', $item) }}" class="text-sky-600 hover:text-sky-700">
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{{ $item->template->name }}
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</a>
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· {{ ($assessmentStatuses[$item->status] ?? $item->status) }}
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</li>
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@endforeach
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</ul>
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@else
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<p class="mt-4 text-sm text-slate-400">No extra forms started for this visit yet.</p>
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@endif
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@if (($canCaptureAssessment ?? false) && ! $isCompleted && ($startableTemplates ?? collect())->isNotEmpty())
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<form method="POST" action="{{ route('care.consultations.assessments.store', $consultation) }}" class="mt-4 flex flex-wrap items-end gap-3 border-t border-slate-100 pt-4">
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@csrf
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<div class="min-w-[12rem] flex-1">
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<label class="block text-xs text-slate-500">Add another form</label>
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<select name="template_code" required class="mt-1 w-full rounded-lg border-slate-300 text-sm">
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<option value="">Select a form…</option>
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@foreach ($startableTemplates as $template)
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<option value="{{ $template->code }}">{{ $template->name }}</option>
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@endforeach
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</select>
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</div>
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<button type="submit" class="btn-primary">Start</button>
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</form>
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@endif
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</section>
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@endif
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@if (! $isCompleted && ($canManage || $canVitals))
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<form method="POST" action="{{ route('care.consultations.update', $consultation) }}" enctype="multipart/form-data" class="mt-6 space-y-6">
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@csrf @method('PUT')
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@if ($canVitals)
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<section class="rounded-2xl border border-slate-200 bg-white p-6">
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<h2 class="text-sm font-semibold uppercase tracking-wide text-slate-500">Vital signs</h2>
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@php $latestVitals = $consultation->vitalSigns->last(); @endphp
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<div class="mt-4 grid gap-4 sm:grid-cols-2 lg:grid-cols-4">
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<div>
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<label class="block text-xs text-slate-500">BP systolic</label>
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<input type="number" name="vitals[bp_systolic]" value="{{ old('vitals.bp_systolic', $latestVitals?->bp_systolic) }}" class="mt-1 w-full rounded-lg border-slate-300 text-sm">
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</div>
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<div>
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<label class="block text-xs text-slate-500">BP diastolic</label>
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<input type="number" name="vitals[bp_diastolic]" value="{{ old('vitals.bp_diastolic', $latestVitals?->bp_diastolic) }}" class="mt-1 w-full rounded-lg border-slate-300 text-sm">
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</div>
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<div>
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<label class="block text-xs text-slate-500">Pulse</label>
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<input type="number" name="vitals[pulse]" value="{{ old('vitals.pulse', $latestVitals?->pulse) }}" class="mt-1 w-full rounded-lg border-slate-300 text-sm">
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</div>
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<div>
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<label class="block text-xs text-slate-500">Temperature (°C)</label>
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<input type="number" step="0.1" name="vitals[temperature]" value="{{ old('vitals.temperature', $latestVitals?->temperature) }}" class="mt-1 w-full rounded-lg border-slate-300 text-sm">
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</div>
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<div>
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<label class="block text-xs text-slate-500">Weight (kg)</label>
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<input type="number" step="0.01" name="vitals[weight_kg]" value="{{ old('vitals.weight_kg', $latestVitals?->weight_kg) }}" class="mt-1 w-full rounded-lg border-slate-300 text-sm">
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</div>
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<div>
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<label class="block text-xs text-slate-500">Height (cm)</label>
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<input type="number" step="0.1" name="vitals[height_cm]" value="{{ old('vitals.height_cm', $latestVitals?->height_cm) }}" class="mt-1 w-full rounded-lg border-slate-300 text-sm">
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</div>
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<div>
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<label class="block text-xs text-slate-500">SpO₂ (%)</label>
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<input type="number" name="vitals[spo2]" value="{{ old('vitals.spo2', $latestVitals?->spo2) }}" class="mt-1 w-full rounded-lg border-slate-300 text-sm">
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</div>
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<div>
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<label class="block text-xs text-slate-500">Resp. rate</label>
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<input type="number" name="vitals[respiratory_rate]" value="{{ old('vitals.respiratory_rate', $latestVitals?->respiratory_rate) }}" class="mt-1 w-full rounded-lg border-slate-300 text-sm">
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</div>
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</div>
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</section>
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@endif
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@if ($canManage)
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<section class="rounded-2xl border border-slate-200 bg-white p-6">
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<h2 class="text-sm font-semibold uppercase tracking-wide text-slate-500">Clinical notes</h2>
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@if ($canViewAssessments ?? false)
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<p class="mt-1 text-xs text-slate-400">
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Free-text notes for this visit. The patient history form above is optional and will not replace what you write here.
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</p>
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@endif
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<div class="mt-4 space-y-4">
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<div>
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<label class="block text-sm font-medium text-slate-700">Symptoms</label>
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<textarea name="symptoms" rows="3" class="mt-1 w-full rounded-lg border-slate-300 text-sm">{{ old('symptoms', $consultation->symptoms) }}</textarea>
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</div>
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<div>
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<label class="block text-sm font-medium text-slate-700">Clinical notes</label>
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<textarea name="clinical_notes" rows="5" class="mt-1 w-full rounded-lg border-slate-300 text-sm">{{ old('clinical_notes', $consultation->clinical_notes) }}</textarea>
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</div>
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<div>
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<label class="block text-sm font-medium text-slate-700">Practitioner</label>
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<select name="practitioner_id" class="mt-1 w-full rounded-lg border-slate-300 text-sm">
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<option value="">—</option>
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@foreach ($practitioners as $practitioner)
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<option value="{{ $practitioner->id }}" @selected(old('practitioner_id', $consultation->practitioner_id) == $practitioner->id)>{{ $practitioner->name }}</option>
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@endforeach
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</select>
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</div>
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</div>
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</section>
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<section class="rounded-2xl border border-slate-200 bg-white p-6" x-data="{ diagnoses: {{ json_encode(old('diagnoses', $consultation->diagnoses->map(fn ($d) => ['code' => $d->code, 'description' => $d->description, 'is_primary' => $d->is_primary, 'notes' => $d->notes])->values()->all() ?: [['code' => '', 'description' => '', 'is_primary' => true, 'notes' => '']])) }} }">
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<div class="flex items-center justify-between">
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<h2 class="text-sm font-semibold uppercase tracking-wide text-slate-500">Diagnoses</h2>
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<button type="button" @click="diagnoses.push({code:'',description:'',is_primary:false,notes:''})" class="text-sm text-sky-600 hover:text-sky-700">Add diagnosis</button>
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</div>
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<template x-for="(dx, index) in diagnoses" :key="index">
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<div class="mt-4 grid gap-3 rounded-xl border border-slate-100 bg-slate-50 p-4 sm:grid-cols-2">
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<div>
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<label class="block text-xs text-slate-500">ICD code</label>
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<input type="text" :name="'diagnoses['+index+'][code]'" x-model="dx.code" class="mt-1 w-full rounded-lg border-slate-300 text-sm">
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</div>
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|
<div>
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<label class="block text-xs text-slate-500">Description</label>
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|
<input type="text" :name="'diagnoses['+index+'][description]'" x-model="dx.description" class="mt-1 w-full rounded-lg border-slate-300 text-sm">
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|
</div>
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|
<div class="sm:col-span-2">
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|
<label class="inline-flex items-center gap-2 text-sm">
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|
<input type="checkbox" :name="'diagnoses['+index+'][is_primary]'" value="1" x-model="dx.is_primary" class="rounded border-slate-300">
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Primary diagnosis
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</label>
|
|
</div>
|
|
</div>
|
|
</template>
|
|
</section>
|
|
|
|
<section class="rounded-2xl border border-slate-200 bg-white p-6">
|
|
<h2 class="text-sm font-semibold uppercase tracking-wide text-slate-500">Documents</h2>
|
|
<input type="file" name="documents[]" multiple accept=".pdf,.jpg,.jpeg,.png,.webp" class="mt-4 block w-full text-sm text-slate-500">
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|
</section>
|
|
@endif
|
|
|
|
<div class="flex flex-wrap gap-3">
|
|
<button type="submit" class="btn-primary">Save</button>
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|
@if ($canManage && ($canViewAssessments ?? false))
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|
<button type="submit" name="suggest_pathways" value="1" class="rounded-lg border border-sky-200 bg-sky-50 px-4 py-2 text-sm font-medium text-sky-800 hover:bg-sky-100">
|
|
Save diagnoses & show condition suggestions
|
|
</button>
|
|
@endif
|
|
<a href="{{ route('care.queue.index') }}" class="rounded-lg border border-slate-200 px-4 py-2 text-sm text-slate-600">Back to queue</a>
|
|
</div>
|
|
</form>
|
|
@else
|
|
<div class="mt-6 space-y-6">
|
|
@if ($consultation->vitalSigns->isNotEmpty())
|
|
<section class="rounded-2xl border border-slate-200 bg-white p-6">
|
|
<h2 class="text-sm font-semibold uppercase tracking-wide text-slate-500">Vital signs</h2>
|
|
@foreach ($consultation->vitalSigns as $vitals)
|
|
<dl class="mt-4 grid gap-3 text-sm sm:grid-cols-4">
|
|
<div><dt class="text-slate-500">BP</dt><dd class="font-medium">{{ $vitals->bp_systolic }}/{{ $vitals->bp_diastolic }}</dd></div>
|
|
<div><dt class="text-slate-500">Pulse</dt><dd class="font-medium">{{ $vitals->pulse ?? '—' }}</dd></div>
|
|
<div><dt class="text-slate-500">Temp</dt><dd class="font-medium">{{ $vitals->temperature ?? '—' }}°C</dd></div>
|
|
<div><dt class="text-slate-500">SpO₂</dt><dd class="font-medium">{{ $vitals->spo2 ? $vitals->spo2.'%' : '—' }}</dd></div>
|
|
</dl>
|
|
@endforeach
|
|
</section>
|
|
@endif
|
|
|
|
@if ($consultation->symptoms || $consultation->clinical_notes)
|
|
<section class="rounded-2xl border border-slate-200 bg-white p-6">
|
|
<h2 class="text-sm font-semibold uppercase tracking-wide text-slate-500">Clinical notes</h2>
|
|
@if ($consultation->symptoms)
|
|
<p class="mt-4 text-sm"><span class="font-medium text-slate-700">Symptoms:</span> {{ $consultation->symptoms }}</p>
|
|
@endif
|
|
@if ($consultation->clinical_notes)
|
|
<p class="mt-2 whitespace-pre-wrap text-sm text-slate-600">{{ $consultation->clinical_notes }}</p>
|
|
@endif
|
|
</section>
|
|
@endif
|
|
|
|
@if (($canViewAssessments ?? false) && ($universalAssessment ?? null)?->isCompleted())
|
|
<section class="rounded-2xl border border-sky-100 bg-white p-6">
|
|
<div class="flex items-center justify-between gap-2">
|
|
<h2 class="text-sm font-semibold uppercase tracking-wide text-slate-500">Patient history form</h2>
|
|
<a href="{{ route('care.assessments.show', $universalAssessment) }}" class="text-sm text-sky-600 hover:text-sky-700">Open</a>
|
|
</div>
|
|
<dl class="mt-4 space-y-2 text-sm">
|
|
@foreach ($universalAssessment->answers->sortBy(fn ($a) => $a->question?->sort_order ?? 0) as $answer)
|
|
@if ($answer->question)
|
|
<div class="grid gap-1 sm:grid-cols-3">
|
|
<dt class="text-slate-500">{{ $answer->question->label }}</dt>
|
|
<dd class="sm:col-span-2 font-medium text-slate-800">
|
|
@php $v = $answer->authoritativeValue(); @endphp
|
|
@if (is_array($v))
|
|
{{ implode(', ', $v) }}
|
|
@elseif (is_bool($v))
|
|
{{ $v ? 'Yes' : 'No' }}
|
|
@else
|
|
{{ $v ?? '—' }}
|
|
@endif
|
|
</dd>
|
|
</div>
|
|
@endif
|
|
@endforeach
|
|
</dl>
|
|
</section>
|
|
@endif
|
|
|
|
@if ($consultation->diagnoses->isNotEmpty())
|
|
<section class="rounded-2xl border border-slate-200 bg-white p-6">
|
|
<h2 class="text-sm font-semibold uppercase tracking-wide text-slate-500">Diagnoses</h2>
|
|
<ul class="mt-4 space-y-2 text-sm">
|
|
@foreach ($consultation->diagnoses as $diagnosis)
|
|
<li>
|
|
<span class="font-medium">{{ $diagnosis->description }}</span>
|
|
@if ($diagnosis->code) <span class="text-slate-400">({{ $diagnosis->code }})</span> @endif
|
|
@if ($diagnosis->is_primary) <span class="text-sky-600">primary</span> @endif
|
|
</li>
|
|
@endforeach
|
|
</ul>
|
|
</section>
|
|
@endif
|
|
</div>
|
|
@endif
|
|
</x-app-layout>
|