<div id="recertstep4" style="display:none;">
	<cfform name="formstep4" id="formstep4">
		<div class="form-body">
			<div class="margin-top-10 text-center">
				<ul class="pagination nav_pagination" style="margin:0;">
					<cfloop index=ind from="1" to="9">
						<cfoutput>
							<li class="nav_recertstep#ind# <cfif ind eq 1>active</cfif>" onClick="$('##recertstep4').hide(); $('##recertstep#ind#').show(); $('.pagination li').removeClass('active'); $('.nav_recertstep#ind#').addClass('active');">
								<a href="javascript:;">#ind#</a>
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				<div class="dashboard-stat2 progress_div" style="margin: 0px auto; padding-top: 0px; max-width: 320px;">
					<div class="progress-info">
						<div class="progress" style="height: 9px">
							<span class="progress-bar progress-bar-success green-sharp">
								<span class="sr-only ">0% progress</span>
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							<div class="status-title"> progress </div>
							<div class="status-number"> <span class="progressBar">0%</span> </div>
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			<div class="well">
		<cfif Recertform.Assessment_Completed_M0090 gt '2017-01-01'>
		<h4> M1311 Current number of Unhealed Pressure Ulcers at Each Stage</h4>
        <cfelse>
		<h4>M1308 - Current # of Pressure Ulcers</h4>
		</cfif>
					<div class="form-group">
				<label style="display:block;">a. Stage 2: Partial thickness loss of dermis presenting as a shallow open ulcer with red pink wound bed, without slough.</label>
				<div class="spinner1 margin-right-10" style="display:inline-block;">
					<div class="input-group input-small">
						<cfoutput>
							<input type="text" onChange="bindtext('UIstage1');" class="spinner-input form-control" name="UIstage1" id="UIstage1" <cfif Recertform.Pressure_Ulcer_b_M0450 NEQ "">value="#Recertform.Pressure_Ulcer_b_M0450#"<cfelse>value="0"</cfif> maxlength="3">
						</cfoutput>
						<div class="spinner-buttons input-group-btn btn-group-vertical">
							<button type="button" class="btn spinner-up btn-xs blue"> <i class="fa fa-angle-up"></i></button>
							<button type="button" class="btn spinner-down btn-xs blue"> <i class="fa fa-angle-down"></i></button>
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				<div class="spinner1" style="display:inline-block;">
					<div class="input-group input-small">
						<cfoutput>
							<input type="text" onChange="bindtext('UIstage12');" class="spinner-input form-control" name="UIstage12" id="UIstage12" <cfif Recertform.M1308_a_12_Pressure NEQ "">value="#Recertform.M1308_a_12_Pressure#"<cfelse>value="0"</cfif> maxlength="3">
						</cfoutput>
						<div class="spinner-buttons input-group-btn btn-group-vertical">
							<button type="button" class="btn spinner-up btn-xs blue"> <i class="fa fa-angle-up"></i></button>
							<button type="button" class="btn spinner-down btn-xs blue"> <i class="fa fa-angle-down"></i></button>
						</div>
					</div>
				</div>
				<p>* number currently present<br />** number of those currently present that were also present at SOC/ROC</p>
			</div>
			<div class="form-group">
				<label style="display:block;">b. Stage 3: Full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon, or muscles are not exposed.</label>
				<div class="spinner1 margin-right-10" style="display:inline-block;">
					<div class="input-group input-small">
						<cfoutput>
							<input type="text" onChange="bindtext('UIstage31');" class="spinner-input form-control" name="UIstage31" id="UIstage31" <cfif Recertform.Pressure_Ulcer_c_M0450 NEQ "">value="#Recertform.Pressure_Ulcer_c_M0450#"<cfelse>value="0"</cfif> maxlength="3">
						</cfoutput>
						<div class="spinner-buttons input-group-btn btn-group-vertical">
							<button type="button" class="btn spinner-up btn-xs blue"> <i class="fa fa-angle-up"></i></button>
							<button type="button" class="btn spinner-down btn-xs blue"> <i class="fa fa-angle-down"></i></button>
						</div>
					</div>
				</div>
				<div class="spinner1" style="display:inline-block;">
					<div class="input-group input-small">
						<cfoutput>
							<input type="text" onChange="bindtext('UIstage32');" class="spinner-input form-control" name="UIstage32" id="UIstage32" <cfif Recertform.M1308_d_32_Pressure NEQ "">value="#Recertform.M1308_d_32_Pressure#"<cfelse>value="0"</cfif> maxlength="3">
						</cfoutput>
						<div class="spinner-buttons input-group-btn btn-group-vertical">
							<button type="button" class="btn spinner-up btn-xs blue"> <i class="fa fa-angle-up"></i></button>
							<button type="button" class="btn spinner-down btn-xs blue"> <i class="fa fa-angle-down"></i></button>
						</div>
					</div>
				</div>
				<p>* number currently present<br />** number of those currently present that were also present at SOC/ROC</p>
			</div>
			<div class="form-group">
				<label style="display:block;">c. Stage 4: Full thickness tissue loss with visible bone, tendon, or muscle.</label>
				<div class="spinner1 margin-right-10" style="display:inline-block;">
					<div class="input-group input-small">
						<cfoutput>
							<input type="text" onChange="bindtext('UIstage41');" class="spinner-input form-control" name="UIstage41" id="UIstage41" <cfif Recertform.Pressure_Ulcer_d_M0450 NEQ "">value="#Recertform.Pressure_Ulcer_d_M0450#"<cfelse>value="0"</cfif> maxlength="3">
						</cfoutput>
						<div class="spinner-buttons input-group-btn btn-group-vertical">
							<button type="button" class="btn spinner-up btn-xs blue"> <i class="fa fa-angle-up"></i></button>
							<button type="button" class="btn spinner-down btn-xs blue"> <i class="fa fa-angle-down"></i></button>
						</div>
					</div>
				</div>
				<div class="spinner1" style="display:inline-block;">
					<div class="input-group input-small">
						<cfoutput>
							<input type="text" onChange="bindtext('UIstage42');" class="spinner-input form-control" name="UIstage42" id="UIstage42" <cfif Recertform.M1308_c_12_Pressure NEQ "">value="#Recertform.M1308_c_12_Pressure#"<cfelse>value="0"</cfif> maxlength="3">
						</cfoutput>
						<div class="spinner-buttons input-group-btn btn-group-vertical">
							<button type="button" class="btn spinner-up btn-xs blue"> <i class="fa fa-angle-up"></i></button>
							<button type="button" class="btn spinner-down btn-xs blue"> <i class="fa fa-angle-down"></i></button>
						</div>
					</div>
				</div>
				<p>* number currently present<br />** number of those currently present that were also present at SOC/ROC</p>
			</div>
			<div class="form-group">
				<label style="display:block;">d.1. Unstageable: due to non-removable dressing or device</label>
				<div class="spinner1 margin-right-10" style="display:inline-block;">
					<div class="input-group input-small">
						<cfoutput>
							<input type="text" onChange="bindtext('UIstaged1');" class="spinner-input form-control" name="UIstaged1" id="UIstaged1" <cfif Recertform.Pressure_Ulcer_e_M0450 NEQ "">value="#Recertform.Pressure_Ulcer_e_M0450#"<cfelse>value="0"</cfif> maxlength="3">
						</cfoutput>
						<div class="spinner-buttons input-group-btn btn-group-vertical">
							<button type="button" class="btn spinner-up btn-xs blue"> <i class="fa fa-angle-up"></i></button>
							<button type="button" class="btn spinner-down btn-xs blue"> <i class="fa fa-angle-down"></i></button>
						</div>
					</div>
				</div>
				<div class="spinner1" style="display:inline-block;">
					<div class="input-group input-small">
						<cfoutput>
							<input type="text" onChange="bindtext('UIstaged12');" class="spinner-input form-control" name="UIstaged12" id="UIstaged12" <cfif Recertform.M1308_d_12_Pressure NEQ "">value="#Recertform.M1308_d_12_Pressure#"<cfelse>value="0"</cfif> maxlength="3">
						</cfoutput>
						<div class="spinner-buttons input-group-btn btn-group-vertical">
							<button type="button" class="btn spinner-up btn-xs blue"> <i class="fa fa-angle-up"></i></button>
							<button type="button" class="btn spinner-down btn-xs blue"> <i class="fa fa-angle-down"></i></button>
						</div>
					</div>
				</div>
				<p>* number currently present<br />** number of those currently present that were also present at SOC/ROC</p>
			</div>
			<div class="form-group">
				<label style="display:block;">d.2. Unstageable: due to coverage of wound bed by slough and/or eschar.</label>
				<div class="spinner1 margin-right-10" style="display:inline-block;">
					<div class="input-group input-small">
						<cfoutput>
							<input type="text" onChange="bindtext('UIstaged21');" class="spinner-input form-control" name="UIstaged21" id="UIstaged21" <cfif Recertform.M1308_d_2_Pressure NEQ "">value="#Recertform.M1308_d_2_Pressure#"<cfelse>value="0"</cfif> maxlength="3">
						</cfoutput>
						<div class="spinner-buttons input-group-btn btn-group-vertical">
							<button type="button" class="btn spinner-up btn-xs blue"> <i class="fa fa-angle-up"></i></button>
							<button type="button" class="btn spinner-down btn-xs blue"> <i class="fa fa-angle-down"></i></button>
						</div>
					</div>
				</div>
				<div class="spinner1" style="display:inline-block;">
					<div class="input-group input-small">
						<cfoutput>
							<input type="text" onChange="bindtext('UIstaged22');" class="spinner-input form-control" name="UIstaged22" id="UIstaged22" <cfif Recertform.M1308_d_22_Pressure NEQ "">value="#Recertform.M1308_d_22_Pressure#"<cfelse>value="0"</cfif> maxlength="3">
						</cfoutput>
						<div class="spinner-buttons input-group-btn btn-group-vertical">
							<button type="button" class="btn spinner-up btn-xs blue"> <i class="fa fa-angle-up"></i></button>
							<button type="button" class="btn spinner-down btn-xs blue"> <i class="fa fa-angle-down"></i></button>
						</div>
					</div>
				</div>
				<p>* number currently present<br />** number of those currently present that were also present at SOC/ROC</p>
			</div>
			<p class="btn blue margin-bottom-20" style="cursor:pointer;" onclick="$('#braden_scale').modal('show');">
				<span id="spnBraden2">
					<cfif left(Recertform.Braden_1_Sensory,1) NEQ "" AND
						left(Recertform.Braden_2_Moisture,1) NEQ "" AND
						left(Recertform.Braden_3_Activity,1) NEQ "" AND
						left(Recertform.Braden_4_Mobility,1) NEQ "" AND
						left(Recertform.Braden_5_Nutrition,1) NEQ "" AND
						left(Recertform.Braden_6_Friction,1) NEQ "">
						<cfif PressureRate LTE 12 >
							HIGH RISK
						<cfelseif PressureRate EQ 13 OR PressureRate EQ 14 >
							MODERATE RISK
						<cfelseif PressureRate GTE 15>
							LOW RISK
						</cfif>
						for Pressure Ulcers
					<cfelse>
						Braden Scale incomplete click to edit
					</cfif>
				</span>
			</p>
			<p class="btn blue margin-bottom-20" id="Lnkwound" onclick="WoundClick();" style="cursor:pointer;">
				<span id="spnwound2"><cfoutput>#cookie.WoundCount#</cfoutput></span>  wounds - click to edit
			</p>
			<div class="form-group">
				<label style="display:block;">d.3. Unstageable: Suspected deep tissue injury in evolution.</label>
				<div class="spinner1 margin-right-10" style="display:inline-block;">
					<div class="input-group input-small">
						<cfoutput>
							<input type="text" onChange="bindtext('UIstaged31');" class="spinner-input form-control" name="UIstaged31" id="UIstaged31" <cfif Recertform.M1308_d_3_Pressure NEQ "">value="#Recertform.M1308_d_3_Pressure#"<cfelse>value="0"</cfif> maxlength="3">
						</cfoutput>
						<div class="spinner-buttons input-group-btn btn-group-vertical">
							<button type="button" class="btn spinner-up btn-xs blue"> <i class="fa fa-angle-up"></i></button>
							<button type="button" class="btn spinner-down btn-xs blue"> <i class="fa fa-angle-down"></i></button>
						</div>
					</div>
				</div>
				<div class="spinner1" style="display:inline-block;">
					<div class="input-group input-small">
						<cfoutput>
							<input type="text" onChange="bindtext('UIstaged32');" class="spinner-input form-control" name="UIstaged32" id="UIstaged32" <cfif Recertform.M1308_b_12_Pressure NEQ "">value="#Recertform.M1308_b_12_Pressure#"<cfelse>value="0"</cfif> maxlength="3">
						</cfoutput>
						<div class="spinner-buttons input-group-btn btn-group-vertical">
							<button type="button" class="btn spinner-up btn-xs blue"> <i class="fa fa-angle-up"></i></button>
							<button type="button" class="btn spinner-down btn-xs blue"> <i class="fa fa-angle-down"></i></button>
						</div>
					</div>
				</div>
				<p>* number currently present<br />** number of those currently present that were also present at SOC/ROC</p>
			</div>
			
			<div class="hidden">
			<div class="form-group">
				<div class="label-stable">
					<label>Use Wound AutoFill?? <img src="../../images/icon_help.png" alt="top" style="cursor:pointer" onclick="helpSkin();" /></label>
					<div id="spanWoundAutofil2" class="checkbox-list">
						<label>
						<input type="checkbox" name="chkM1010Yes" onclick="woundchkYes('2')" value="Yes"> Yes</label>
					</div>
				</div>
			</div>
			</div>
			
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				<label>Comments</label>
				<textarea class="form-control" name="txtComment" id="txtComment" onblur="CommentChangeBlur('formstep4')" rows="3"><cfoutput>#Recertform.Assessment_note#</cfoutput></textarea>
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				<label>Add Vital <img name="imgbtnaddvital" id="imgbtnaddvital" src="../../images/icon_add.png" style="cursor:pointer" onclick="$('#Vitaldiv').modal('show');"/></label>
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