<div id="StartOfCare10" style="display:none">
	
	<form name="formstep10" id="formstep10">
		<div class="form-body">
		
<!---<cfif Session.EmployeeId eq 3124 >--->

<ul class="pagination nav_pagination" style="margin-left:0px;">
					<cfloop index=ind from="1" to="21">
						<cfoutput>
							<li class="nav_StartOfCare#ind# <cfif ind eq 1>active</cfif>" onClick="$('##StartOfCare10').hide(); $('##StartOfCare#ind#').show(); $('.pagination li').removeClass('active'); $('.nav_StartOfCare#ind#').addClass('active');">
								<a href="javascript:;">#ind#</a>
							</li>
						</cfoutput>
					</cfloop>
					
					<a href="#form_modal2" data-toggle="modal"> <img alt="" src="/img/smartdx.png" style=" width:17%"></a><span id="live_score_10" style="color:red; font-weight:bold; font-size:18px;">100%</span>
					<div class="label-stable">
					<label style="background-color:#B5FBB6;">What does green mean? <img src="../../images/icon_help.png" alt="top" style="cursor:pointer" onclick="green_help();" /></label><br />
					<label style="background-color:#FBB2FB;">What does pink mean? <img src="../../images/icon_help.png" alt="top" style="cursor:pointer" onclick="pink_help();" /></label>
				   </div>
				</ul>
			<div class="dashboard-stat2 progress_div" style="margin-left:0px; padding-top: 0px; max-width:450px; width:80%">
					<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>

<!---<cfelse>

			<div class="margin-top-10 text-center">
				<ul class="pagination nav_pagination" style="margin:0;">
					<cfloop index=ind from="1" to="21">
						<cfoutput>
							<li class="nav_StartOfCare#ind# <cfif ind eq 1>active</cfif>" onClick="$('##StartOfCare10').hide(); $('##StartOfCare#ind#').show(); $('.pagination li').removeClass('active'); $('.nav_StartOfCare#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: 560px;">
					<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>
		
</cfif>--->
          
			
			 <div class="well">
			<input type="text" style="width:0px;height:0px;border:0" name="txtfocus10" id="txtfocus10" value=""/>
				<!---<div class="form-group">
					<label>M1310 Pressure Ulcer Length: Longest length in any direction(in cm)</label>
					<div class="spinner1">
						<div class="input-group input-small">
							<cfoutput>
								<input type="text" onChange="bindtext('drpdM1310Length');" class="spinner-input form-control" name="drpdM1310Length" id="drpdM1310Length" value="<cfif AssForm.M1310_Length NEQ "">#AssForm.M1310_Length#<cfelse>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>
				<div class="form-group">
					<label>cm Direction for M1310 and M1314: if>=1 unhealed (non-epithelialized) Stage III or IV pressure ulcers,identify the pressure ulcer with the longest dimension and record in cm.</label>
					<div class="spinner1">
						<div class="input-group input-small">
							<cfoutput>
								<input type="text" onChange="bindtext('drpdM1310');" class="spinner-input form-control" name="drpdM1310" id="drpdM1310" value="<cfif AssForm.M1310_1 NEQ "">#AssForm.M1310_1#<cfelse>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>
				<div class="form-group">
					<label>M1312 Pressure Ulcer Width: Width of the same pressure ulcer, greatest width measured at right angles to length(in cm)</label>
					<br>
					<div class="spinner1 margin-right-10" style="display: inline-block; clear: both; vertical-align: middle;">
						<div class="input-group input-small">
							<cfoutput>
								<input type="text" onChange="bindtext('drpdM1312Width');" class="spinner-input form-control" name="drpdM1312Width" id="drpdM1312Width" value="<cfif AssForm.M1312_Width NEQ "">#AssForm.M1312_Width#<cfelse>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 margin-right-10" style="display: inline-block; vertical-align: middle;">
						<div class="input-group input-small">
							<cfoutput>
								<input type="text" onChange="bindtext('drpdM1312');" class="spinner-input form-control" name="drpdM1312" id="drpdM1312Width" value="<cfif AssForm.M1312_1 NEQ "">#AssForm.M1312_1#<cfelse>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>
					<span style="display: inline-block; vertical-align: middle;"><b>cm</b></span>
				</div>
				<div class="form-group">
					<label>M1314 Pressure Ulcer Depth: Longest length in any direction(in cm)</label>
					<br>
					<div class="spinner1 margin-right-10" style="display: inline-block; clear: both; vertical-align: middle;">
						<div class="input-group input-small">
							<cfoutput>
								<input type="text" onChange="bindtext('drpdM1314Depth');" class="spinner-input form-control" name="drpdM1314Depth" id="drpdM1314Depth" value="<cfif AssForm.M1314_Depth NEQ "">#AssForm.M1314_Depth#<cfelse>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 margin-right-10" style="display: inline-block; vertical-align: middle;">
						<div class="input-group input-small">
							<cfoutput>
								<input type="text" onChange="bindtext('drpdM1314');" class="spinner-input form-control" name="drpdM1314" id="drpdM1314" value="<cfif AssForm.M1314_1 NEQ "">#AssForm.M1314_1#<cfelse>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>
					<span style="display: inline-block; vertical-align: middle;"><b>cm</b></span>
				</div>--->
                	<div class="form-group">
                        <div class="label-stable">
                            <label>M1320 Status of Most Problematic (observable) Pressure Ulcer.</label>
                            <div id="0ulcerpressured" class="radio-list">
                                <label>
                                <input type="radio" name="0ulcerpressure" id="0ulcerpressure" value="0 - Newly epithelialized" <cfif AssForm.Pressure_Ulcer_Status_M0464 EQ "0 - Newly epithelialized">checked</cfif>> <span id="spn0ulcerpressure1">0 - Newly epithelialized</span> </label>
                                <label>
                                <input type="radio" name="0ulcerpressure" id="0ulcerpressure" value="1 - Fully granulating" <cfif AssForm.Pressure_Ulcer_Status_M0464 EQ "1 - Fully granulating">checked</cfif>> <span id="spn0ulcerpressure2">1 - Fully granulating</span> </label>
                                <label>
                                <input type="radio" name="0ulcerpressure" id="0ulcerpressure" value="2 - Earty/partial granulation" <cfif AssForm.Pressure_Ulcer_Status_M0464 EQ "2 - Earty/partial granulation">checked</cfif>> <span id="spn0ulcerpressure3">2 - Earty/partial granulation</span> </label>
                                <label>
                                <input type="radio" name="0ulcerpressure" id="0ulcerpressure" value="3 - Not healing" <cfif AssForm.Pressure_Ulcer_Status_M0464 EQ "3 - Not healing">checked</cfif>> <span id="spn0ulcerpressure4">3 - Not healing</span> </label>
                                <label>
                                <input type="radio" name="0ulcerpressure" id="0ulcerpressure" value="NA - No observable pressure ulcer" <cfif AssForm.Pressure_Ulcer_Status_M0464 EQ "NA - No observable pressure ulcer">checked</cfif>> <span id="spn0ulcerpressure5">NA - No observable pressure ulcer</span> </label>
                            </div>
                        </div>
                    </div>
                	
			<div class="form-group">
				<div class="label-stable">
					<label>M1322 Current Number of Stage I Pressure Ulcers:<cfif AssForm.Assessment_Completed_M0090 gte '2017-01-01'>Intact skin with nonblanchable redness of a localized area usually over a bony prominence. The area may be painful, firm, soft, warmer, or cooler as compared to adjacent tissue.Darkly pigmented skin may not have a visible blanching; in dark skin tones only it may appear with persistent blue or purple hues.<cfelse>Intact skin with non-blanchable redness over a bony area. May be painful, firm, soft, warmer or cooler.</cfif></label>
					<div id="1M0450d" class="radio-list">
						<label>
						<input type="radio" name="1M0450" value="0 - Zero" <cfif AssForm.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 AssForm.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 AssForm.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 AssForm.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 AssForm.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 id="1M0460d" style="background-color:#FBB2FB">
                        <div class="label-stable">
                            <label><b>M1324 Stage of Most Problematic (Observable) Pressure Ulcer.</b></label>
                            <div class="radio-list">
                                <label>
                                <input type="radio" name="1M0460" onclick="color_change()" value="1 - Stage I" <cfif AssForm.Pressure_Ulcer_Stage_M0460 EQ "1 - Stage I">checked</cfif>> <span id="spn1M04601">1 - Stage I</span> </label>
                                <label>
                                <input type="radio" name="1M0460" onclick="color_change()" value="2 - Stage II" <cfif AssForm.Pressure_Ulcer_Stage_M0460 EQ "2 - Stage II">checked</cfif>> <span id="spn1M04602">2 - Stage II</span> </label>
                                <label>
                                <input type="radio" name="1M0460" onclick="color_change()" value="3 - Stage III" <cfif AssForm.Pressure_Ulcer_Stage_M0460 EQ "3 - Stage III">checked</cfif>> <span id="spn1M04603">3 - Stage III</span> </label>
                                <label>
                                <input type="radio" name="1M0460" onclick="color_change()" value="4 - Stage IV" <cfif AssForm.Pressure_Ulcer_Stage_M0460 EQ "4 - Stage IV">checked</cfif>> <span id="spn1M04604">4 - Stage IV</span> </label>
                                <label>
                                <input type="radio" name="1M0460" onclick="color_change()" value="NA - No observable pressure ulcer or unhealed pressure ulcer" <cfif AssForm.Pressure_Ulcer_Stage_M0460 contains "NA -">checked</cfif>> <span id="spn1M04605">NA - No observable pressure ulcer or unhealed pressure ulcer</span> </label>
                            </div>
                        </div>
                    </div>
					</div>
			<p class="btn blue margin-bottom-20" onclick="ColdFusion.Window.show('risk')" style="cursor:pointer;">
				<span id="spnBraden4">
					<cfif left(AssForm.Braden_1_Sensory,1) NEQ "" AND
						left(AssForm.Braden_2_Moisture,1) NEQ "" AND
						left(AssForm.Braden_3_Activity,1) NEQ "" AND
						left(AssForm.Braden_4_Mobility,1) NEQ "" AND
						left(AssForm.Braden_5_Nutrition,1) NEQ "" AND
						left(AssForm.Braden_6_Friction,1) NEQ "">
						Braden Scale complete
					<cfelse>
						Braden Scale incomplete
					</cfif>
				</span>
			</p>
            <p id="Lnkwound" onclick="WoundClick();" class="btn blue margin-bottom-20" style="cursor:pointer;">
				<span id="spnwound3"><cfoutput>#cookie.WoundCount#</cfoutput></span> wounds - Click to enter/edit
			</p>
			<div class="form-group">
				<label>Comments</label>
				<textarea class="form-control" name="txtComment" id="txtComment" onblur="CommentChangeBlur('formstep10')" rows="3" ><cfoutput>#AssForm.Assessment_note#</cfoutput></textarea>
			</div>
			 <h4>Patient's Own Words:</h4>
			  <div class="row">
			   <div class="col-md-4">
			     <div class="form-group">
				<label>Strengths</label>
				<textarea class="form-control" name="Strengths" id="Strengths" onblur="StrengthsChangeBlur('formstep10')" rows="3"><cfoutput>#AssForm.Strengths#</cfoutput></textarea>
				</div>
			</div>
			<div class="col-md-4">
			     <div class="form-group">
				<label>Goals</label>
				<textarea class="form-control" name="Goals" id="Goals" onblur="GoalsChangeBlur('formstep10')" rows="3"><cfoutput>#AssForm.Goals#</cfoutput></textarea>
				</div>
			</div>
			<div class="col-md-4">
			     <div class="form-group">
				<label>Care Preference</label>
				<textarea class="form-control" name="Care_Preference" id="Care_Preference" onblur="Care_PreferenceChangeBlur('formstep10')" rows="3"><cfoutput>#AssForm.Care_Preference#</cfoutput></textarea>
				</div>
			</div>
			  
			  
			</div>
			
		<div class="row">
		  <div class="col-md-4">
			     <div class="form-group">
				<label>Risk Factor</label>
				<textarea class="form-control" name="Risk_Factor" id="Risk_Factor" onblur="Risk_FactorChangeBlur('formstep10')" rows="3"><cfoutput>#AssForm.Risk_Factor#</cfoutput></textarea>
				</div>
			</div>
			<div class="col-md-4">
			     <div class="form-group">
				<label>Interventions</label>
				<textarea class="form-control" name="Interventions" id="Interventions" onblur="InterventionsChangeBlur('formstep10')" rows="3"><cfoutput>#AssForm.Interventions#</cfoutput></textarea>
				</div>
			</div>
			
			<div class="col-md-4" style="padding:4%;">
			<div class="form-group">
				<label>Add Vital <img name="imgbtnaddvital" id="imgbtnaddvital" src="../../images/icon_add.png" style="cursor:pointer" onclick="ColdFusion.Window.show('Vitaldiv')"/></label>
				<input type="hidden" name="AssTrackID" id="AssTrackID" value="<cfoutput>#AssForm.Assessment_Tracker_ID#</cfoutput>">
			</div>
			</div>
			</div>
					
			<!---<div class="form-group">
				<label>Add Vital <img name="imgbtnaddvital" id="imgbtnaddvital" src="../../images/icon_add.png" style="cursor:pointer" onclick="ColdFusion.Window.show('Vitaldiv')"/></label>
			</div>--->
		</div>
		</div>
		<div class="form-actions">
			<input class="btn blue" type="button" value="Previous" onClick="$('#StartOfCare10').hide(); $('#StartOfCare9').show(); $('.pagination li').removeClass('active'); $('.nav_StartOfCare9').addClass('active'); $('html, body').animate({scrollTop: '0px'}, 300);">
			<input class="btn green" type="button" name="BtnStep3" value="Next" onClick="UpdateSoc('10');" >
			<button type="button" id="imgclose" class="btn default" onclick="StepClose(10);">Cancel</button>
		</div>
	</form>
</div>
