<div id="recertstep5" style="display:none;">
	<cfform name="formstep5" id="formstep5">
		<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="$('##recertstep5').hide(); $('##recertstep#ind#').show(); $('.pagination li').removeClass('active'); $('.nav_recertstep#ind#').addClass('active');">
								<a href="javascript:;">#ind#</a>
							</li>
						</cfoutput>
					</cfloop>
				</ul>

				<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>
							</span>
						</div>
						<div class="status">
							<div class="status-title"> progress </div>
							<div class="status-number"> <span class="progressBar">0%</span> </div>
						</div>
					</div>
				</div>
			</div>
			<div class="well">
			<div class="form-group">
				<div class="label-stable">
					<label>M1322 Current Number of Stage I Presure Ulcers: Intact skin with non-blanchable redness over a bony area. May be a painful, firm, soft, warmer or cooler.<cfif Recertform.Assessment_Completed_M0090 gt '2017-01-01'>Darkly pigmented skin may not have a visible blanching; in dark skin tones only it may appear with persistent blue or purple hues.</cfif></label>
					<div id="1M0450d" class="radio-list">
						<label>
						<input type="radio" name="1M0450" value="0 - Zero"<cfif Recertform.Pressure_Ulcer_a_M0450 EQ "0 - Zero">checked</cfif>> <span id="spn1M04501">0 - Zero</span></label>
						<label>
						<input type="radio" name="1M0450" value="1 - One"<cfif Recertform.Pressure_Ulcer_a_M0450 EQ "1 - One">checked</cfif>> <span id="spn1M04502">1 - One</span></label>
						<label>
						<input type="radio" name="1M0450" value="2 - Two"<cfif Recertform.Pressure_Ulcer_a_M0450 EQ "2 - Two">checked</cfif>> <span id="spn1M04503">2 - Two</span></label>
						<label>
						<input type="radio" name="1M0450" value="3 - Three"<cfif Recertform.Pressure_Ulcer_a_M0450 EQ "3 - Three">checked</cfif>> <span id="spn1M04504">3 - Three</span></label>
						<label>
						<input type="radio" name="1M0450" value="4 - Four or more"<cfif Recertform.Pressure_Ulcer_a_M0450 EQ "4 - Four or more">checked</cfif>> <span id="spn1M04505">4 - Four or more</span></label>
					</div>
				</div>
			</div>
			<div class="form-group">
				<div class="label-stable">
					<label>M1324 Stage of Most Problematic (Observable) Pressure Ulcer</label>
					<div id="1M0460d" class="radio-list">
						<label>
						<input type="radio" name="1M0460" value="1 - Stage I"<cfif Recertform.Pressure_Ulcer_Stage_M0460 EQ "1 - Stage I">checked</cfif>> <span id="spn1M04601">1 - Stage I</span></label>
						<label>
						<input type="radio" name="1M0460" value="2 - Stage II"<cfif Recertform.Pressure_Ulcer_Stage_M0460 EQ "2 - Stage II">checked</cfif>> <span id="spn1M04602">2 - Stage II</span></label>
						<label>
						<input type="radio" name="1M0460" value="3 - Stage III"<cfif Recertform.Pressure_Ulcer_Stage_M0460 EQ "3 - Stage III">checked</cfif>> <span id="spn1M04603">3 - Stage III</span></label>
						<label>
						<input type="radio" name="1M0460" value="4-Stage IV"<cfif Recertform.Pressure_Ulcer_Stage_M0460 EQ "4 - Stage IV">checked</cfif>> <span id="spn1M04604">4 - Stage IV</span></label>
						<label>
						<input type="radio" name="1M0460" value="NA - No observable pressure ulcer"<cfif Recertform.Pressure_Ulcer_Stage_M0460 EQ "NA - No observable pressure ulcer">checked</cfif>> <span id="spn1M04605">NA - No observable pressure ulcer or unhealed pressure ulcer</span></label>
					</div>
				</div>
			</div>
			<p class="btn blue margin-bottom-20" style="cursor:pointer;" onclick="$('#braden_scale').modal('show');">
				<span id="spnBraden3">
					<cfif left(Recertform.Braden_1_Sensory,1) NEQ "" OR
						left(Recertform.Braden_2_Moisture,1) NEQ "" OR
						left(Recertform.Braden_3_Activity,1) NEQ "" OR
						left(Recertform.Braden_4_Mobility,1) NEQ "" OR
						left(Recertform.Braden_5_Nutrition,1) NEQ "" OR
						left(Recertform.Braden_6_Friction,1) NEQ "">
						<cfif PressureRate LTE 12 >
							HIGH RISK
						<cfelseif PressureRate EQ 13 OR PressureRate EQ 14 >
							MODERATE RISK
						<cfelseif PressureRate GTE 15>
							LOW RISK
						</cfif>
						for Pressure Ulcers
					<cfelse>
						Braden Scale incomplete click to edit
					</cfif>
				</span>
			</p>
			<p class="btn blue margin-bottom-20" id="Lnkwound" onclick="WoundClick();" style="cursor:pointer;">
				<span id="spnwound3"><cfoutput>#cookie.WoundCount#</cfoutput></span>   wounds - click to edit
			</p>
			<div class="form-group">
				<label>Comments</label>
				<textarea class="form-control" name="txtComment" id="txtComment" onblur="CommentChangeBlur('formstep5')" rows="3"><cfoutput>#Recertform.Assessment_note#</cfoutput></textarea>
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			<div class="form-group">
				<label>Add Vital <img name="imgbtnaddvital" id="imgbtnaddvital" src="../../images/icon_add.png" style="cursor:pointer" onclick="$('#Vitaldiv').modal('show');"/></label>
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