<div id="recertstep6" style="display:none;">
	<cfform name="formstep6" id="formstep6">
		<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="$('##recertstep6').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>M1330 Does this patient have Stasis Ulcer?</label>
					<div id="drpM1330d" class="radio-list">
						<label>
						<input type="radio" name="drpM1330" value="0 - No" onclick="hidestasis()"<cfif Recertform.Stasis_Ulcer_M0468 EQ "0 - No">checked</cfif>> <span id="spnM13301">0 - No</span></label>
						<label>
						<input type="radio" name="drpM1330" value="1 - Yes, patient has BOTH observable and unobservable stasis ulcers" onclick="hidestasis()"<cfif Recertform.Stasis_Ulcer_M0468 EQ "1 - Yes, patient has BOTH observable and unobservable stasis ulcers">checked</cfif>> <span id="spnM13302">1 - Yes, patient has BOTH observable and unobservable stasis ulcers</span></label>
						<label>
						<input type="radio" name="drpM1330" value="2 - Yes, patient has observable stasis ulcers ONLY" onclick="hidestasis()"<cfif Recertform.Stasis_Ulcer_M0468 EQ "2 - Yes, patient has observable stasis ulcers ONLY">checked</cfif>> <span id="spnM13303">2 - Yes, patient has observable stasis ulcers ONLY</span></label>
						<label>
						<input type="radio" name="drpM1330" value="3 - Yes, patient has unobservable stasis ulcers ONLY (known but not observable due to non-removable dressing)" onclick="hidestasis()"<cfif Recertform.Stasis_Ulcer_M0468 EQ "3 - Yes, patient has unobservable stasis ulcers ONLY (known but not observable due to non-removable dressing)">checked</cfif>> <span id="spnM13304">3 - Yes, patient has unobservable stasis ulcers ONLY (known but not observable due to non-removable dressing)</span></label>
					</div>
				</div>
			</div>
			<cfif Recertform.Stasis_Ulcer_M0468 EQ "0">
				<p id="tdText" style="color:#FF0000;font-family: Arial;font-size:12px;">Skip M1332 and M1334 and answer M1340. </p>
			<cfelse>
				<p id="tdText" style="color:#FF0000;font-family: Arial;font-size:12px;display:none">Skip M1332 and M1334 and answer M1340.</p>
			</cfif>
			<div class="form-group">
				<div class="label-stable">
					<label>M1332 Current Number of Observable Stasis Ulcer(s)</label>
					<div id="radzerod" class="radio-list">
						<label>
						<input type="radio" name="radzero" value="0 - Zero"<cfif Recertform.Stasis_Ulcer_Num_M0470 EQ "0 - Zero">checked</cfif>> <span id="spnradzero1">0 - Zero</span></label>
						<label>
						<input type="radio" name="radzero" value="1 - One"<cfif Recertform.Stasis_Ulcer_Num_M0470 EQ "1 - One">checked</cfif>> <span id="spnradzero3">1 - One</span></label>
						<label>
						<input type="radio" name="radzero" value="2 - Two"<cfif Recertform.Stasis_Ulcer_Num_M0470 EQ "2 - Two">checked</cfif>> <span id="spnradzero5">2 - Two</span></label>
						<label>
						<input type="radio" name="radzero" value="3 - Three"<cfif Recertform.Stasis_Ulcer_Num_M0470 EQ "3 - Three">checked</cfif>> <span id="spnradzero2">3 - Three</span></label>
						<label>
						<input type="radio" name="radzero" value="4 - Four"<cfif Recertform.Stasis_Ulcer_Num_M0470 EQ "4 - Four">checked</cfif>> <span id="spnradzero4">4 - Four or more</span></label>
					</div>
				</div>
			</div>
			<div class="form-group">
				<div class="label-stable">
					<label>M1334 Status of Most Problematic (Observable) Stasis Ulcer</label>
					<div id="radNewlyd" class="radio-list">
						<label>
						<input type="radio" name="radNewly" value="0 - Newly epithelialized"<cfif Recertform.Stasis_Ulcer_Status_M0476 EQ "0 - Newly epithelialized">checked</cfif>> <span id="spnradNewly1"> 0 - Newly epithelialized</span></label>
						<label>
						<input type="radio" name="radNewly" value="1 - Fully granulating"<cfif Recertform.Stasis_Ulcer_Status_M0476 EQ "1 - Fully granulating">checked</cfif>> <span id="spnradNewly2"> 1 - Fully granulating</span></label>
						<label>
						<input type="radio" name="radNewly" value="2 - Early/partial granulation"<cfif Recertform.Stasis_Ulcer_Status_M0476 EQ "2 - Early/partial granulation">checked</cfif>> <span id="spnradNewly3"> 2 - Early/partial granulation</span></label>
						<label>
						<input type="radio" name="radNewly" value="3 - Not healing"<cfif Recertform.Stasis_Ulcer_Status_M0476 EQ "3 - Not healing">checked</cfif>> <span id="spnradNewly4"> 3 - Not healing</span></label>
					</div>
				</div>
			</div>
			<cfif Recertform.Surgical_Wound_M0482 EQ "0">
				<p id="tdM1340" style="color:#FF0000;font-family:Arial;font-size:12px">Skip M1342 and answer M1350.</p>
			</cfif>
			<p id="tdM1340" style="color:#FF0000;font-family:Arial;font-size:12px;display:none">Skip M1342 and answer M1350.</p>
			<div class="form-group">
				<div class="label-stable">
					<label>M1340 Does patient have a Surgical Wound?</label>
					<div id="drpM1340d" class="radio-list">
						<label>
						<input type="radio" name="drpM1340" value="0 - No" onclick="hideM1340()"<cfif Recertform.Surgical_Wound_M0482 EQ "0 - No">checked</cfif>> <span id="spndrpM13401">0 - No</span></label>
						<label>
						<input type="radio" name="drpM1340" value="1 - Yes, patient has at least one (observable) surgical wound" onclick="hideM1340()"<cfif Recertform.Surgical_Wound_M0482 EQ "1 - Yes, patient has at least one (observable) surgical wound">checked</cfif>> <span id="spndrpM13402">1 - Yes, patient has at least one (observable) surgical wound</span></label>
						<label>
						<input type="radio" name="drpM1340" value=" 2 - Surgical wound known or likely but not observable due to non-removable dressing" onclick="hideM1340()"<cfif Recertform.Surgical_Wound_M0482 EQ " 2 - Surgical wound known or likely but not observable due to non-removable dressing">checked</cfif>> <span id="spndrpM13403"> 2 - Surgical wound known or likely but not observable due to non-removable dressing</span></label>
					</div>
				</div>
			</div>
			<div class="form-group">
				<div class="label-stable">
					<label>M1342 Status of Most Problematic (Observable) Surgical Wound</label>
					<div id="radSurgicalNewlyd" class="radio-list">
						<label>
						<input type="radio" name="radSurgicalNewly" value="0 - Newly epithelialized"<cfif Recertform.Surgical_Wound_Status_M0488 EQ "0 - Newly epithelialized">checked</cfif>> <span id="spnradSurgicalNewly1">0 - Newly epithelialized</span></label>
						<label>
						<input type="radio" name="radSurgicalNewly" value="1 - Fully granulating"<cfif Recertform.Surgical_Wound_Status_M0488 EQ "1 - Fully granulating">checked</cfif>> <span id="spnradSurgicalNewly2">1 - Fully granulating</span></label>
						<label>
						<input type="radio" name="radSurgicalNewly" value="2 - Early/partial granulation"<cfif Recertform.Surgical_Wound_Status_M0488 EQ "2 - Early/partial granulation">checked</cfif>> <span id="spnradSurgicalNewly3">2 - Early/partial granulation</span></label>
						<label>
						<input type="radio" name="radSurgicalNewly" value="3 - Not healing"<cfif Recertform.Surgical_Wound_Status_M0488 EQ "3 - Not healing">checked</cfif>> <span id="spnradSurgicalNewly4">3 - Not healing</span></label>
					</div>
				</div>
			</div>
			<div class="form-group">
				<div class="label-stable">
					<label>M1350 Does patient have a Skin Lesion or Open Wound excluding bowel ostomy other than those described above receiving intervention</label>
					<div id="radNod" class="radio-list">
						<label>
						<input type="radio" name="radNo" value="0 - No"<cfif Recertform.M1350_Other_Wounds contains "0">checked</cfif>> 0 - No</label>
						<label>
						<input type="radio" name="radNo" value="1 - Yes"<cfif Recertform.M1350_Other_Wounds contains "1">checked</cfif>> 1 - Yes</label>
					</div>
				</div>
			</div>
			<p class="btn blue margin-bottom-20" style="cursor:pointer;" onclick="$('#braden_scale').modal('show');">
				<span id="spnBraden4">
					<cfif left(Recertform.Braden_1_Sensory,1) NEQ "" OR
						left(Recertform.Braden_2_Moisture,1) NEQ "" OR
						left(Recertform.Braden_3_Activity,1) NEQ "" OR
						left(Recertform.Braden_4_Mobility,1) NEQ "" OR
						left(Recertform.Braden_5_Nutrition,1) NEQ "" OR
						left(Recertform.Braden_6_Friction,1) NEQ "">
						<cfif PressureRate LTE 12 >
							HIGH RISK
						<cfelseif PressureRate EQ 13 OR PressureRate EQ 14 >
							MODERATE RISK
						<cfelseif PressureRate GTE 15>
							LOW RISK
						</cfif>
						for Pressure Ulcers
					<cfelse>
						Braden Scale incomplete click to edit
					</cfif>
				</span>
			</p>
			<p class="btn blue margin-bottom-20" id="Lnkwound" onclick="WoundClick();" style="cursor:pointer;">
				<span id="spnwound4"><cfoutput>#cookie.WoundCount#</cfoutput></span>  wounds - click to edit
			</p>
			<div class="form-group">
				<label>Comments</label>
				<textarea class="form-control" name="txtComment" id="txtComment" onblur="CommentChangeBlur('formstep6')" rows="3"><cfoutput>#Recertform.Assessment_note#</cfoutput></textarea>
			</div>
			<div class="form-group">
				<label>Add Vital <img name="imgbtnaddvital" id="imgbtnaddvital" src="../../images/icon_add.png" style="cursor:pointer" onclick="$('#Vitaldiv').modal('show');"/></label>
			</div>
		</div>
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