52 lines
2.0 KiB
PHP
52 lines
2.0 KiB
PHP
<x-app-layout>
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<x-slot name="header">
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<h2 class="font-semibold text-xl text-gray-800 leading-tight">
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{{ __('History') }}
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</h2>
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</x-slot>
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<div>
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<div class="max-w-7xl mx-auto py-10 sm:px-6 lg:px-8">
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<div class="mt-10 sm:mt-0">
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<h4>Clinical Information</h4>
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<form action="{{ route('staff.history.save', $details->hash) }}" method="post">
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@csrf
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<input type="hidden" name="study_id" value="{{ $details->hash }}">
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<h5>Clinical History</h5>
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<div class="p-4 border-gray-100">
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<textarea name="clinical_history" id="clinical_history" cols="90"
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rows="10">{!! $details->clinical_history !!}</textarea>
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</div>
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<x-section-border/>
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<h5>surgical history</h5>
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<div class="p-4 border-gray-100">
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<textarea name="surgical_history" id="surgical_history" cols="90"
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rows="10">{!! $details->surgical_history !!}</textarea>
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</div>
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<x-section-border/>
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<h5>lab results</h5>
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<div class="p-4 border-gray-100">
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<textarea name="lab_results" id="lab_results" cols="90"
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rows="10">{!! $details->lab_results !!}</textarea>
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</div>
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<x-section-border/>
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<h5>clinical diagnosis</h5>
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<div class="p-4 border-gray-100">
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<textarea name="clinical_diagnosis" id="clinical_diagnosis" cols="90"
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rows="10">{!! $details->clinical_diagnosis !!}</textarea>
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</div>
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<button type="submit">Save</button>
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</form>
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</div>
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</div>
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</div>
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</x-app-layout>
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