MOZAMBICO/App/Views/Elements/Request/wizard-objective.part.php

<div class="modal fade" tabindex="-1" role="dialog" id="modal-wizard-objective-dialog">
  <div class="modal-dialog modal-lg" role="document">
    <div class="modal-content">
      <div class="modal-header">
        <h5 class="modal-title"><?php echo _('Wizard Physical Examination'); ?></h5>
        <button type="button" class="close" data-dismiss="modal" aria-label="Close">
          <span aria-hidden="true">&times;</span>
        </button>
      </div>
      <div class="modal-body">
			<div class="row">
				<div class="col">
					<?php echo $this->helper->getRequestExam($this->view->exams, 'Fever', 'generic'); ?>
				</div>
			</div>
			<hr>
			<div class="row">
				<div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Nausea and vomit', 'generic'); ?></div>
				<div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Constipation', 'generic'); ?></div>
			</div>
			<div class="row">
				<div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Diarrhea', 'generic'); ?></div>
				<div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Gastritis', 'generic'); ?></div>
			</div>
			<div class="row">
				<div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Gastric ulcer', 'generic'); ?></div>
				<div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Hepatomegaly and unclassified splenomegaly', 'generic'); ?></div>
			</div>
			<hr>
			<div class="row">
				<div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Unspecified renal insufficiency', 'generic'); ?></div>
				<div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Essential hypertension (primitive)', 'generic'); ?></div>
			</div>
			<div class="row">
				<div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Asthenia', 'generic'); ?></div>
				<div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Confusion of mind', 'generic'); ?></div>
			</div>
			<div class="row">
				<div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Hallucinations', 'generic'); ?></div>
			</div>
			<hr>
			<div class="row">
				<div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Cough', 'generic'); ?></div>
				<div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Sputum', 'generic'); ?></div>
			</div>
			<div class="row">
				<div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Hemoptysis', 'generic'); ?></div>
			</div>
			<hr>
			<div class="row">
				<div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Respiratory abnormalities', 'generic'); ?></div>
				<div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Other skin changes', 'generic'); ?></div>
			</div>
			<hr>
			<div class="row">
				<div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Bases wheeze', 'generic'); ?></div>
			</div>
			<hr>
			<div class="row">
				<div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Visible jugular', 'generic'); ?></div>
			</div>
			<div class="row">
				<div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Edema not classified elsewhere', 'generic'); ?></div>
				<div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Ascites', 'generic'); ?></div>
			</div>
			<div class="row">
				<div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Dyslipidemia', 'generic'); ?></div>
				<div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Diabetes mellitus', 'generic'); ?></div>
			</div>
      </div>
      <div class="modal-footer">
      	<button type="button" class="btn btn-primary" data-dismiss="modal"><?php echo _('Done'); ?></button>
      </div>
    </div>
  </div>
</div>