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- <div class="modal fade" tabindex="-1" role="dialog" id="modal-wizard-oto-dialog">
- <div class="modal-dialog modal-lg modal-95" role="document">
- <div class="modal-content">
- <div class="modal-header">
- <h5 class="modal-title"><?php echo _('Wizard Ear'); ?></h5>
- <button type="button" class="close" data-dismiss="modal" aria-label="Close">
- <span aria-hidden="true">×</span>
- </button>
- </div>
- <div class="modal-body">
- <div class="row">
- <div class="col-lg-6">
- <div class="row">
-
- <div class="col-lg-6 text-center">
- <div data-wrappertype="images-wrapper-oto" data-checkboxclass="oto-desease-check" class="derma-image-wrapper text-center <?php echo isset($this->view->otoImages['oto_myringitis']) ? 'wizard-images-selected' : ''; ?>" data-type="oto_myringitis">
- <div class="derma-title"><?php echo $this->view->otoPositionLabels['oto_myringitis']; ?></div>
- <img src="/images/wizards/oto/bullous-myringitis.jpg" alt="">
- <input type="checkbox" name="data[ear_desease][value][]" class="oto-desease-check" id="derma-position-check-oto_myringitis" class="derma-position-check" data-label="<?php echo $this->view->otoPositionLabels['oto_myringitis']; ?>" value="oto_myringitis" <?php echo isset($this->view->otoImages['oto_myringitis']) ? 'checked' : ''; ?>>
- </div>
- </div>
- <div class="col-lg-6 text-center">
- <div data-wrappertype="images-wrapper-oto" data-checkboxclass="oto-desease-check" class="derma-image-wrapper text-center <?php echo isset($this->view->otoImages['oto_polip']) ? 'wizard-images-selected' : ''; ?>" data-type="oto_polip">
- <div class="derma-title"><?php echo $this->view->otoPositionLabels['oto_polip']; ?></div>
- <img src="/images/wizards/oto/polyp-of-the-eac.jpg" alt="">
- <input type="checkbox" name="data[ear_desease][value][]" class="oto-desease-check" id="derma-position-check-oto_polip" class="derma-position-check" data-label="<?php echo $this->view->otoPositionLabels['oto_polip']; ?>" value="oto_polip" <?php echo isset($this->view->otoImages['oto_polip']) ? 'checked' : ''; ?>>
- </div>
- </div>
- </div>
-
- <div class="row">
- <div class="col-lg-6 text-center">
- <div data-wrappertype="images-wrapper-oto" data-checkboxclass="oto-desease-check" class="derma-image-wrapper text-center <?php echo isset($this->view->otoImages['oto_atelectasis']) ? 'wizard-images-selected' : ''; ?>" data-type="oto_atelectasis">
- <div class="derma-title"><?php echo $this->view->otoPositionLabels['oto_atelectasis']; ?></div>
- <img src="/images/wizards/oto/tympanic-atelectatis.jpg" alt="">
- <input type="checkbox" name="data[ear_desease][value][]" class="oto-desease-check" id="derma-position-check-oto_atelectasis" class="derma-position-check" data-label="<?php echo $this->view->otoPositionLabels['oto_atelectasis']; ?>" value="oto_atelectasis" <?php echo isset($this->view->otoImages['oto_atelectasis']) ? 'checked' : ''; ?>>
- </div>
- </div>
- <div class="col-lg-6 text-center">
- <div data-wrappertype="images-wrapper-oto" data-checkboxclass="oto-desease-check" class="derma-image-wrapper text-center <?php echo isset($this->view->otoImages['oto_perforation']) ? 'wizard-images-selected' : ''; ?>" data-type="oto_perforation">
- <div class="derma-title"><?php echo $this->view->otoPositionLabels['oto_perforation']; ?></div>
- <img src="/images/wizards/oto/perforation.jpg" alt="">
- <input type="checkbox" name="data[ear_desease][value][]" class="oto-desease-check" id="derma-position-check-oto_perforation" class="derma-position-check" data-label="<?php echo $this->view->otoPositionLabels['oto_perforation']; ?>" value="oto_perforation" <?php echo isset($this->view->otoImages['oto_perforation']) ? 'checked' : ''; ?>>
- </div>
- </div>
- </div>
- <div class="row">
- <div class="col-lg-6 text-center">
- <div data-wrappertype="images-wrapper-oto" data-checkboxclass="oto-desease-check" class="derma-image-wrapper text-center <?php echo isset($this->view->otoImages['oto_chole']) ? 'wizard-images-selected' : ''; ?>" data-type="oto_chole">
- <div class="derma-title"><?php echo $this->view->otoPositionLabels['oto_chole']; ?></div>
- <img src="/images/wizards/oto/cholesteatomatous-otitis-media.jpg" alt="">
- <input type="checkbox" name="data[ear_desease][value][]" class="oto-desease-check" id="derma-position-check-oto_chole" class="derma-position-check" data-label="<?php echo $this->view->otoPositionLabels['oto_chole']; ?>" value="oto_chole" <?php echo isset($this->view->otoImages['oto_chole']) ? 'checked' : ''; ?>>
- </div>
- </div>
- <div class="col-lg-6 text-center">
- <div data-wrappertype="images-wrapper-oto" data-checkboxclass="oto-desease-check" class="derma-image-wrapper text-center <?php echo isset($this->view->otoImages['oto_tympanoscler']) ? 'wizard-images-selected' : ''; ?>" data-type="oto_tympanoscler">
- <div class="derma-title"><?php echo $this->view->otoPositionLabels['oto_tympanoscler']; ?></div>
- <img src="/images/wizards/oto/tympanosclerosis.jpg" alt="">
- <input type="checkbox" name="data[ear_desease][value][]" class="oto-desease-check" id="derma-position-check-oto_tympanoscler" class="derma-position-check" data-label="<?php echo $this->view->otoPositionLabels['oto_tympanoscler']; ?>" value="oto_tympanoscler" <?php echo isset($this->view->otoImages['oto_tympanoscler']) ? 'checked' : ''; ?>>
- </div>
- </div>
- </div>
- <div class="row">
- <div class="col-lg-6 text-center">
- <div data-wrappertype="images-wrapper-oto" data-checkboxclass="oto-desease-check" class="derma-image-wrapper text-center <?php echo isset($this->view->otoImages['oto_tyjugular']) ? 'wizard-images-selected' : ''; ?>" data-type="oto_tyjugular">
- <div class="derma-title"><?php echo $this->view->otoPositionLabels['oto_tyjugular']; ?></div>
- <img src="/images/wizards/oto/tympano-jugular.jpg" alt="">
- <input type="checkbox" name="data[ear_desease][value][]" class="oto-desease-check" id="derma-position-check-oto_tyjugular" class="derma-position-check" data-label="<?php echo $this->view->otoPositionLabels['oto_tyjugular']; ?>" value="oto_tyjugular" <?php echo isset($this->view->otoImages['oto_tyjugular']) ? 'checked' : ''; ?>>
- </div>
- </div>
- <div class="col-lg-6 text-center">
- <div data-wrappertype="images-wrapper-oto" data-checkboxclass="oto-desease-check" class="derma-image-wrapper text-center <?php echo isset($this->view->otoImages['oto_cholesterol']) ? 'wizard-images-selected' : ''; ?>" data-type="oto_cholesterol">
- <div class="derma-title"><?php echo $this->view->otoPositionLabels['oto_cholesterol']; ?></div>
- <img src="/images/wizards/oto/cholesterol-granuloma.jpg" alt="">
- <input type="checkbox" name="data[ear_desease][value][]" class="oto-desease-check" id="derma-position-check-oto_cholesterol" class="derma-position-check" data-label="<?php echo $this->view->otoPositionLabels['oto_cholesterol']; ?>" value="oto_cholesterol" <?php echo isset($this->view->otoImages['oto_cholesterol']) ? 'checked' : ''; ?>>
- </div>
- </div>
- </div>
- </div>
- <div class="col-lg-6">
- <div class="row">
- <div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Ear Symptoms', 'oto'); ?></div>
- </div>
- <hr>
- <div class="row">
- <div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Associated symptoms', 'oto'); ?></div>
- </div>
- <div class="strike-center"><span><?php echo _('Otological examination'); ?></span></div>
- <div class="margin-bottom-20"></div>
- <div class="wiazard-ident-list">
- <div class="row">
- <div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Pinna/pre/retroauricular region', 'oto'); ?></div>
- </div>
- <hr>
- <div class="row">
- <div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'External auditory canal (EAC)', 'oto'); ?></div>
- </div>
- <hr>
- <div class="row">
- <div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Tympanic membrane (Eardrum)', 'oto'); ?></div>
- </div>
- <hr>
- <div class="row">
- <div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Middle ear', 'oto'); ?></div>
- </div>
- <hr>
- <div class="row">
- <div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Tuning fork tests', 'oto'); ?></div>
- </div>
- </div>
- <div class="strike-center"><span><?php echo _('Vestibular system'); ?></span></div>
- <div class="margin-bottom-20"></div>
- <div class="wiazard-ident-list">
- <div class="row">
- <div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Eye movements', 'oto'); ?></div>
- </div>
- <hr>
- <div class="row">
- <div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Vestibulo-occular reflex', 'oto'); ?></div>
- </div>
- <hr>
- <div class="row">
- <div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Vestibulo-spinal reflex', 'oto'); ?></div>
- </div>
- </div>
- <hr>
- <div class="row">
- <div class="col"><?php echo $this->helper->getRequestExam($this->view->exams, 'Cranial nerves examination', 'oto'); ?></div>
- </div>
- </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>
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