<div id="step3" style="display:none">
    <div class="form-body">
            <div class="margin-top-10 text-center">
                <ul class="pagination" style="margin:0;">
                    <cfoutput>
                        <cfloop index=ind list="1,2,3,4,5,6">
                            <li onClick="$('##step3').hide(); $('##step#ind#').show(); $('.pagination li').removeClass('active'); $('.nav_recertstep#ind#').addClass('active');" class="nav_recertstep#ind# <cfif ind eq 1>active</cfif>" id="tdstep#ind#">
                                <a href="javascript:;">#ind# </a>
                            </li>
                        </cfloop>
                        </cfoutput>
                </ul>
                <div class="dashboard-stat2 progress_" style="margin: 0px auto; padding-top: 0px; max-width: 225px;">
                        <div class="progress-info">
                            <div class="progress" style="height: 9px" id="navList">
                                <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" id="element2">0%</span>
                                </div>
                            </div>
                        </div>
                    </div>
    
                    <script type="text/javascript">
                        $('#progress').css("max-width", $('#navList').width());
                   </script>
            </div>
			
			<div class="well">
            
            
            <div class="form-group">
                <div class="label-stable">
				<label><cfif AssForm.Assessment_Completed_M0090 gt '2017-01-01'>M2005 Medication Intervention: Did the agency contact and complete physician(or physician-designee) prescribed/recommended actions by midnight 	of the next calender day each time potential clinically significant medication issues were identified since ROC/SOC?<cfelse>M2004 Medication Intervention: If there were any clinically significant medication issues since the previous OASIS assessment, was a physician or the physician-designee contacted within one calendar day of the assessment to resolve clinically significant medication issues?</cfif>
				</label>
                    <div class="radio-list">
                        <label>
                            <input name="RadM2004"  type="radio" value="0 - No" <cfif AssForm.M2004_Med_Int EQ "0 - No">checked</cfif>>
                            0 - No
                        </label>
                        <label>
                            <input name="RadM2004" type="radio" value="1 - Yes" <cfif AssForm.M2004_Med_Int EQ "1 - Yes">checked</cfif>>
                            1 - Yes
                        </label>
                        <label>
						<cfif AssForm.Assessment_Completed_M0090 gt '2017-01-01'>
                            <input name="RadM2004" type="radio" value="NA - There were no potential clinically significant medication issues identified since SOC/ROC or patient is not taking any medications" <cfif AssForm.M2004_Med_Int EQ "NA - There were no potential clinically significant medication issues identified since SOC/ROC or patient is not taking any medications">checked</cfif>>
                            9 - NA - There were no potential clinically significant medication issues identified since SOC/ROC or patient is not taking any medications
						<cfelse>
							 <input name="RadM2004" type="radio" value="NA - No clinically significant medication" <cfif AssForm.M2004_Med_Int EQ "NA - No clinically significant medication">checked</cfif>>
                             NA - No clinically significant medication issues
						</cfif>
                        </label>
                        <input type="hidden" name="hdnRadM2004" id="hdnRadM2004" value=""/>
                    </div>
                </div>
            </div>
           
            <div class="form-group">
                <div class="label-stable">
				<label><cfif AssForm.Assessment_Completed_M0090 gt '2017-01-01'>M2016 - Patient/Caregiver Drug Education Intervention: At the time of,or at any time since the most recent SOC/ROC assessment,was the patient/cargiver instructed by agency staff or other health care provider to moniter the effectiveness drug therapy,adverse drug reactions,and significant side effects,and how and when to report problems that may occur?<cfelse>M2015 - Patient/Caregiver Drug Education Intervention: Since the previous OASIS assessment, was the pt/caregiver instructed by health care provider to monitor the effectiveness of drug therapy, drug reactions, and side effects, how, when to report problems?</cfif></label>
                    <div class="radio-list">
                        <label>
                            <input name="RadM2015" type="radio" <cfif AssForm.M2015_Drug_Edu EQ "0 - No">checked</cfif> value="0 - No" />
                            0 - No
                        </label>
                        <label>
                            <input name="RadM2015" type="radio" <cfif AssForm.M2015_Drug_Edu EQ "1 - Yes">checked</cfif> value="1 - Yes" />
                            1 - Yes
                        </label>
                        <label>
                            <input name="RadM2015" type="radio" <cfif AssForm.M2015_Drug_Edu EQ "NA - Patient not taking any drugs">checked</cfif> value="NA - Patient not taking any drugs" />
                            NA - Patient not taking any drugs
                        </label>
                        <input type="hidden" name="hdnRadM2015" id="hdnRadM2015" value=""/>
                    </div>
                </div>
            </div>
            
			<div class="hidden">
            <h5>
                <b>M2020 - Management of  Oral Medications: Current ability to prepare and take all prescribed oral medications reliably and safely</b>
            </h5>
            
            <div class="form-group">
                <div class="label-stable">
                    <div class="radio-list">
                        <label>
                            <input name="drpM2020independently" type="radio" value="0 - Able to independently take the correct oral medication(s) and proper dosage(s) at the correct times." <cfif AssForm.Oral_Meds_M0780 EQ "0 - Able to independently take the correct oral medication(s) and proper dosage(s) at the correct times.">checked</cfif> />
                            0 - Able to independently take the correct oral medication(s) and proper dosage(s) at the correct times.
                            
                        </label>
                        <label>
                            <input name="drpM2020independently" type="radio" value="1 - Able to take medication(s) at the correct times if: (a) individual dosages are prepared in advance by another person; OR (b) another person develops a drug diary or chart." <cfif AssForm.Oral_Meds_M0780 EQ "1 - Able to take medication(s) at the correct times if: (a) individual dosages are prepared in advance by another person; OR (b) another person develops a drug diary or chart.">checked</cfif>  />
                            1 - Able to take medication(s) at the correct times if: (a) individual dosages are prepared in advance by another person; OR (b) another person develops a drug diary or chart.
                        </label>
                        <label>
                            <input name="drpM2020independently" type="radio" value="2 - Able to take medication(s) at the correct times if given reminders by another person at the appropriate times" <cfif AssForm.Oral_Meds_M0780 EQ "2 - Able to take medication(s) at the correct times if given reminders by another person at the appropriate times">checked</cfif> />
                            2 - Able to take medication(s) at the correct times if given reminders by another person at the appropriate times
                        </label>
                        <label>
                            <input name="drpM2020independently" type="radio" value="3 - Unable to take medication unless administered by another person." <cfif AssForm.Oral_Meds_M0780 EQ "3 - Unable to take medication unless administered by another person.">checked</cfif> />
                            3 - Unable to take medication unless administered by another person.
                        </label>
                        <label>
                            <input name="drpM2020independently" type="radio" value="NA - No oral medications prescribed." <cfif AssForm.Oral_Meds_M0780 EQ "NA - No oral medications prescribed.">checked</cfif> />
                            NA - No oral medications prescribed.
                        </label>
                    </div>
                </div>
            </div>
            <h5>
                <b>M2030 - Management of Injectable Medications:Current ability to prepare and take prescribed injectable medications reliably/safely</b>
            </h5>
            
            <div class="form-group">
                <div class="label-stable">
                    <div class="radio-list">
                        <label>
                            <input name="drpM2030" type="radio" value="0 - Able to independently take the correct medication(s) and proper dosage(s) sat the correct times." <cfif AssForm.Inject_Meds_M0800 EQ "0 - Able to independently take the correct medication(s) and proper dosage(s) sat the correct times.">checked</cfif> />
                            0 - Able to independently take the correct medication(s) and proper dosage(s) sat the correct times.
                        </label>
                        <label>
                            <input name="drpM2030" type="radio" value="1 - Able to take injectable medication(s) at the correct times if: (a) individual syringes are prepared in advance by another person; OR (b) another person develops a drug diary or chart" <cfif AssForm.Inject_Meds_M0800 EQ "1 - Able to take injectable medication(s) at the correct times if: (a) individual syringes are prepared in advance by another person; OR (b) another person develops a drug diary or chart">checked</cfif> />
                            1 - Able to take injectable medication(s) at the correct times if: (a) individual syringes are prepared in advance by another person; OR (b) another person develops a drug diary or chart
                        </label>
                        <label>
                            <input name="drpM2030" type="radio" value="2 - Able to take medication(s) at the correct times if given reminders by another person based on the frequency of the injection" <cfif AssForm.Inject_Meds_M0800 EQ "2 - Able to take medication(s) at the correct times if given reminders by another person based on the frequency of the injection">checked</cfif> />
                            2 - Able to take medication(s) at the correct times if given reminders by another person based on the frequency of the injection
                        </label>
                        <label>
                            <input name="drpM2030" type="radio" value="3 - Unable to take injectable medication unless administered by another person." <cfif AssForm.Inject_Meds_M0800 EQ "3 - Unable to take injectable medication unless administered by another person.">checked</cfif> />
                            3 - Unable to take injectable medication unless administered by another person.
                        </label>
                        <label>
                            <input name="drpM2030" type="radio" value="NA - No injectable medications prescribed." <cfif AssForm.Inject_Meds_M0800 EQ "NA - No injectable medications prescribed.">checked</cfif> />
                            NA - No injectable medications prescribed.
                        </label>
                    </div>
                </div>
            </div>
			</div>
            
            <div class="form-group">
                <label>Comments</label>
                <textarea name="txtComment3" id="txtComment3" class="form-control" onblur="CommentChangeBlur('txtComment3')" rows="3"><cfoutput>#AssForm.Assessment_note#</cfoutput></textarea>
            </div>
        </div>
		</div>
		
    <div class="form-actions">
        <input class="btn blue" type="button" value="Previous" onClick="$('#step3').hide(); $('#step2').show();$('.pagination li').removeClass('active'); $('.nav_recertstep2').addClass('active'); $('html, body').animate({scrollTop: '0px'}, 300);">
        <input class="btn green" type="button" value="Next" onClick="return shownextdiv(3);">
		<button type="button" id="imgclose" class="btn default" onclick="closediv();">Cancel</button>
    </div>
</div>
