|
|
| Participant Details |
| Referral Date | Reference Name | Name |
| {{ $date_of_refral }} | {{ $data['reference_name']??''}} | {{ $data['name']??''}} |
| Contact Number | Date of Birth | Address |
| {{ $data['referre_contact_details']??''}} | {{ $dob??''}} | {{ $data['address']??''}} |
| State | NDIS No | |
| {{ $data['state']??''}} | {{ $data['email']??''}} | {{ $data['ndis_number']??''}} |
| Alternative Contact Number | Name (Next to kin) | Phone (Next to kin) |
| {{ $data['alternative_contact_number']??''}} | {{ $data['contact_detail_kin']??''}} | {{ $data['phone']??''}} |
| Guardian | Mobile | Status |
| {{ $data['guardian']??''}} | {{ $data['mobile']??''}} | {{ config('constant.status_list')[$data['status']]??''}} |
| Supporter Linker | GP | Other Involved Professional |
| {{ $data['support_linker']??''}} | {{ $data['gp']??''}} | {{ $data['other_involved_professionals']??''}} |
| Psychiatrist | Religion | Restrictive Practise |
| {{ $data['psychiatrist']??''}} | {{ $data['religion']??''}} | {{isset($data['restrictive_practise'])&& in_array("Yes",json_decode($data['restrictive_practise']))?'Yes':'No'}} |
| Funding Package | Funding Level : Total Hours | Funding Level : Amount |
| @if (!empty($data['funding_package'])) @foreach (json_decode($data['funding_package'])??[] as $item) {{$item}}, @endforeach @endif | {{ $data['funding_level_hours']??''}} | {{ $data['funding_level_amount']??''}} |
| Service Type(Where applicable) | Reason for referral | Current Accommodation Type |
| {{ $data['service_type']??''}} | {{ $data['reason_for_referral']??''}} | @if (!empty($data['current_accommodation_type'])) @foreach (json_decode($data['current_accommodation_type'])??[] as $item) {{$item}} @endforeach @endif |
| Future Housing Needs | Service History | General Health Stability |
| {{ $data['future_housing_needs']??''}} | {{ $data['service_history']??''}} | {{ $data['general_health_stability']??''}} |
Health Information |
||
| Health Condition/Diagnosis | Secondary Health Issue | Current Medications |
| {{ $healthData['health_condition']??'' }} | @if (!empty($healthData['secondary_health_issue'])) @foreach (json_decode($healthData['secondary_health_issue'])??[] as $item) {{$item}}, @endforeach @endif | {{ $healthData['current_medications']??''}} |
| Medication Administration Method | Date of last medication review (if know) | Medication Compliance |
| @if (!empty($healthData['medication_administration_method'])) @foreach (json_decode($healthData['medication_administration_method'])??[] as $item) {{$item}} @endforeach @endif | {{ $healthData['date_of_last_medication_review']??''}} | {{ $healthData['medication_compliance']??''}} |
| Mental Health Condition | Psychiatric Mental Health Intervention | Treatment Order |
| {{ $healthData['mental_health_condition']??''}} | {{ $healthData['psychiatric_mental_health_intervention']??''}} | @if (!empty($healthData['treatment_order'])) @foreach (json_decode($healthData['treatment_order'])??[] as $item) {{$item}}, @endforeach @endif |
| Identified Substance / Alcohol Misuse Issue | Current Professional Services | Risk Identified |
| {{ $healthData['identified_substance']??''}} | {{ $healthData['current_professional_service']??''}} | {{ $healthData['risks_identified']??''}} |
| Nature of required care delivery from {{$settings['app_short_name']??"We Care Cloud"}} | @if (!empty($healthData['nature_of_required_care_delivery'])) @foreach (json_decode($healthData['nature_of_required_care_delivery'])??[] as $item) {{$item}}, @endforeach @endif | |
| Mobility | Comments | |
| @if (!empty($healthData['mobility'])) @foreach (json_decode($healthData['mobility'])??[] as $item) {{$item}}, @endforeach @endif | {{ $healthData['mobility_comments']??''}} | |
| Communication | Comments | |
| @if (!empty($healthData['communication'])) @foreach (json_decode($healthData['communication'])??[] as $item) {{$item}}, @endforeach @endif | {{ $healthData['communication_comments']??''}} | |
| Elimination Issues | Comments | |
| @if (!empty($healthData['elimination_issue'])) @foreach (json_decode($healthData['elimination_issue'])??[] as $item) {{$item}}, @endforeach @endif | {{ $healthData['elimination_issue_comments']??''}} | |
| Nutritional/Dietary Issues (incl. assisted feeding) | Comments | |
| @if (!empty($healthData['nutritional'])) @foreach (json_decode($healthData['nutritional'])??[] as $item) {{$item}}, @endforeach @endif | {{ $healthData['nutritional_comments']??''}} | |
| Personal Care/Daily Living Activities Requiring Assistance | Comments | |
| @if (!empty($healthData['personal_care'])) @foreach (json_decode($healthData['personal_care'])??[] as $item) {{$item}}, @endforeach @endif | {{ $healthData['personal_care_comments']??''}} | |
| Behaviour causing harm | Comments | |
| @if (!empty($healthData['behaviour'])) @foreach (json_decode($healthData['behaviour'])??[] as $item) {{$item}}, @endforeach @endif | {{ $healthData['behaviour_comments']??''}} | |
| Challenging Behaviour (including details of criminal offences/current probation orders) | Comments | |
| {{ $healthData['challenging_behaviour']??''}} | {{ $healthData['challenging_behaviour_comments']??''}} | |
Other Needs |
||
| Financial Management Issues | Significant Incidents | Community & Environment (Issues with unsafe housing, pets, children, WH&S Issues, remote community) |
| {{ $healthData['financial_management_issues']??''}} | {{ $healthData['significant_incidents']??''}} | {{ $healthData['community_environment']??''}} |
To be completed by State Clinical Services Manager |
|
| Support Level Classification | Conditions |
| @if (!empty($healthData['support_level_classification'])) @php $support_level_classification = $healthData['support_level_classification']??""; $support_level_classification = json_decode($support_level_classification); @endphp @foreach($support_list??[] as $id => $title) {{in_array($title,$support_level_classification) ? $title :''}}, @endforeach @endif | @if (!empty($healthData['conditions'])) @foreach (json_decode($healthData['conditions'])??[] as $item) {{$item}}, @endforeach @endif |
| Comments | Recommendations |
| {{$healthData['conditions_comments']??''}} | {{$healthData['recommendations']??''}} |
Referral Outcome |
||
| Referral accepted | Referral Date | Allocated to Date |
| @if (!empty($healthData['referral_accepted'])) @foreach (json_decode($healthData['referral_accepted'])??[] as $item) {{$item}} @endforeach @endif | {{$healthData['referral_accepted_date']??''}} | {{$healthData['allocated_to_date']??''}} |
| Decision Maker | Reasons | |
| {{$healthData['decision_maker']??''}} | {{$healthData['reasons']??''}} | |
| Disability Funding Service Type/s (where applicable) | ||
| @if (!empty($healthData['disability_funding_service'])) @php $disability_funding_service = $healthData['disability_funding_service']??""; $disability_funding_service = json_decode($disability_funding_service); @endphp @foreach($disability_list??[] as $id => $title) {{in_array($title,$disability_funding_service) ? $title ."," :''}} @endforeach @endif | ||
| Date of Transition meeting | Participant Name | Venue |
| {{$healthData['date_of_transition_meeting']??''}} | {{$healthData['participant_name']??''}} | {{$healthData['venue']??''}} |
| Stakeholders | Date of Transition meeting | |
| {{$healthData['stakeholders']??''}} | {{$healthData['date_of_next_meeting']??''}} | |
ACTION PLAN |
||
Here what do you mean say. How you insert data in here. |
||
| Welcome/ Attendance | ||
| Present | Apologies | Attendance |
| {{$actionData['welcome_present']??''}} | {{$actionData['welcome_apologies']??''}} | {{$actionData['welcome_outcomes']??''}} |
| By Whom | Due | |
| {{$actionData['welcome_by_whom']??''}} | {{$actionData['welcome_due']??''}} | |
| Previous Minutes | ||
| Previous Minutes | Outcome | Whom |
| {{$actionData['previous_minutes']??''}} | {{$actionData['previous_minutes_outcome']??''}} | {{$actionData['previous_minutes_by_whom']??''}} |
| Due | {{$actionData['previous_minutes_due']??''}} | |
| Business Arising | ||
| Discuss Point | Outcome | Whom |
| {{$actionData['business_arising']??''}} | {{$actionData['business_arising_outcome']??''}} | {{$actionData['business_arising_whom']??''}} |
| Due | {{$actionData['business_arising_due']??''}} | |
New Business |
||
| 1. Accommodation | ||
| Outcome | Whom | Due |
| {{$actionData['new_business_accommodation']??''}} | {{$actionData['new_business_accommodation_whom']??''}} | {{$actionData['new_business_accommodation_due']??''}} |
| 2. Support type | ||
| Outcome | Whom | Due |
| {{$actionData['new_business_support_type']??''}} | {{$actionData['new_business_support_type_whom']??''}} | {{$actionData['new_business_support_type_due']??''}} |
| 3. Mobility & transfer | ||
| Outcome | Whom | Due |
| {{$actionData['mobility_transfer']??''}} | {{$actionData['mobility_transfer_whom']??''}} | {{$actionData['mobility_transfer_due']??''}} |
|
4. Transportation requirement I. Normal vehicle II. Wheel chair accessible vehicle |
||
| Outcome | Whom | Due |
| {{$actionData['transportation_requirement']??''}} | {{$actionData['transportation_requirement_whom']??''}} | {{$actionData['transportation_requirement_due']??''}} |
|
Health plans I. Diabetes management plan II. Any other health plans |
||
| Outcome | Whom | Due |
| {{$actionData['health_plans']??''}} | {{$actionData['health_plans_whom']??''}} | {{$actionData['health_plans_due']??''}} |
| 5. Support Roster (Days and time) | ||
| Outcome | Whom | Due |
| {{$actionData['support_roster']??''}} | {{$actionData['support_roster_whom']??''}} | {{$actionData['support_roster_due']??''}} |
| 6. Current GP to transfer records and give all scripts | ||
| Outcome | Whom | Due |
| {{$actionData['current_gp']??''}} | {{$actionData['current_gp_whom']??''}} | {{$actionData['current_gp_due']??''}} |
| 7. Chemist account | ||
| Outcome | Whom | Due |
| {{$actionData['chemist_account']??''}} | {{$actionData['chemist_account_whom']??''}} | {{$actionData['chemist_account_due']??''}} |
| 8. Medication administration | ||
| Outcome | Whom | Due |
| {{$actionData['medication_administration']??''}} | {{$actionData['medication_administration_whom']??''}} | {{$actionData['medication_administration_due']??''}} |
| 9. food and rent through public trustee | ||
| Outcome | Whom | Due |
| {{$actionData['food_rent']??''}} | {{$actionData['food_rent_whom']??''}} | {{$actionData['food_rent_due']??''}} |
| 10.Risk management | ||
| Outcome | Whom | Due |
| {{$actionData['risk_management']??''}} | {{$actionData['risk_management_whom']??''}} | {{$actionData['risk_management_due']??''}} |
| 11. Public Trustee / legal guardian | ||
| Outcome | Whom | Due |
| {{$actionData['public_trustee']??''}} | {{$actionData['public_trustee_whom']??''}} | {{$actionData['public_trustee_due']??''}} |
| 12.Documentations expectation from Social worker by {{$settings['app_short_name']??"We Care Cloud"}} | ||
| Outcome | Whom | Due |
| {{$actionData['documentations']??''}} | {{$actionData['documentations_whom']??''}} | {{$actionData['documentations_due']??''}} |
|
13. Funding type I. Self-managed II. Plan managed |
||
| Outcome | Whom | Due |
| {{$actionData['funding_type']??''}} | {{$actionData['funding_type_whom']??''}} | {{$actionData['funding_type_due']??''}} |
|
Standing Items Accommodation, Scheduled appointments, Current support, Risk Management |
||
| Outcome | Whom | Due |
| {{$actionData['standing_items']??''}} | {{$actionData['standing_items_whom']??''}} | {{$actionData['standing_items_due']??''}} |