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<% if (typeof profile !== "undefined") { %>

My Profile

Name

<%= profile.nameFirst %> <%= profile.nameLast %>

<% if (profile.lmp) { %>

Last Menstrual Period (mm/dd/yyyy)

<%= formatDate(new Date(profile.lmp)) %>

<% } %> <% if (profile.edd) { %>

Estimated Due Date (mm/dd/yyyy)

<%= formatDate(new Date(profile.edd)) %>

<% } %>
<% var pregnancyText = 'Pregnancies (including this one)'; if (profile.noOfPregs === '1') { pregnancyText = 'Pregnancy'; } %>

<%= profile.noOfPregs %> <%= pregnancyText %>

<% var deliveryText = 'Deliveries'; if (profile.noOfDeliveries === '1') { deliveryText = 'Delivery'; } %>

<%= profile.noOfDeliveries %> <%= deliveryText %>

<% if (profile.wbp !== "") { %>

Weight Before Pregnancy (pounds)

<%= profile.wbp %>

<% } %> <% if (profile.currWgt !== "") { %>

Current Weight (pounds)

<%= profile.currWgt %>

<% } %> <% if (profile.obProvider !== "") { %>

OB Provider

<%= profile.obProvider %>

<% } %> <% _.each(profile.obContacts, function (contact) { if (contact.contactInfo !== "") { %>

OB Contact Info (<%= contact.contactType.toString() %>)

<%= contact.contactInfo.toString() %>

<% } }) %> <% if (profile.mcc !== "") { %>

Maternity Care Coordinator (MCC)

<%= profile.mcc %>

<% } %> <% if (profile.mccContact !== "") { %>

MCC Phone Number

<%= profile.mccContact %>

<% } %>
<% } %> <% if (typeof diagnosisList !== "undefined") { %>

Diagnosis Details

<% _.each(diagnosisList, function (diagnosis, i) { if (i > 0) { %>

<% } %>

Condition

<%= diagnosis.diagnosisName %>

<% if (diagnosis.comments !== "") { %>

Comments

<%= diagnosis.comments %>

<% } if (diagnosis.onsetDate) { %>

Date Condition Began (mm/dd/yyyy)

<%= formatDate(new Date(diagnosis.onsetDate)) %>

<% } %>

Status

<% if(diagnosis.status) { %> Past <% } else { %> Current <% } %>

<% }) %>
<% } %> <% if (typeof medicationsList !== "undefined") { %>

Medications this Pregnancy

<% _.each(medicationsList, function (medication, i) { if (i > 0) { %>

<% } %>

Medication Name

<%= medication.medicationName %>

Type of Medication

<%= medication.medicationType %>

Currently Taking

<% if(medication.currentlyTaking) { %> Yes <% } else { %> No <% } %>

<% if(medication.strength !== "") { %>

Strength

<%= medication.strength %>

<% } %> <% if(medication.frequencyTaken !== "") { %>

Frequency Taken

<%= medication.frequencyTaken %>

<% } %> <% if(medication.instructions) { %>

Instructions

<%= medication.instructions %>

<% } %> <% if(medication.reasonForTaking !== "") { %>

Reason For Taking

<%= medication.reasonForTaking %>

<% } %> <% if(medication.refillsRemaining !== "") { %>

Refills Remaining

<%= medication.refillsRemaining %>

<% } %> <% if(medication.rxNumber !== "") { %>

Rx Number

<%= medication.rxNumber %>

<% } %> <% if(medication.prescriber !== "") { %>

Prescriber

<%= medication.prescriber %>

<% } %> <% if(medication.pharmacyName !== "") { %>

Pharmacy Name

<%= medication.pharmacyName %>

<% } %> <% if(medication.pharmacyPhoneNumber !== "") { %>

Pharmacy Phone Number

<%= medication.pharmacyPhoneNumber %>

<% } %> <% if (medication.lastRefillDate) { %>

Last Refill Date (mm/dd/yyyy)

<%= formatDate(new Date(medication.lastRefillDate)) %>

<% } %> <% if (medication.startDate) { %>

Start Date (mm/dd/yyyy)

<%= formatDate(new Date(medication.startDate)) %>

<% } %> <% if (medication.stopDate) { %>

Stop Date (mm/dd/yyyy)

<%= formatDate(new Date(medication.stopDate)) %>

<% } %>

Side Effects

<% if(medication.unwantedSideEffects) { %> Yes <% } else { %> No <% } %>

<% if(medication.sideEffectsComment !== "") { %>

Describe Side Effects

<%= medication.sideEffectsComment %>

<% } %> <% if(medication.comments !== "") { %>

Comments

<%= medication.comments %>

<% } %> <% }); %>
<% } %> <% if (typeof allergiesList !== "undefined") { %>

Allergies

<% _.each(allergiesList, function (allergies,i) { if (i > 0) { %>

<% } %>

Allergy

<%= allergies.allergy %>

<% if(allergies.firstOccurred) { %>

Allergy First Occurred (mm/dd/yyyy)

<%= formatDate(new Date(allergies.firstOccurred)) %>

<% } %> <% if(allergies.rash) { %>

Rash

Yes

<% } %> <% if(allergies.hives) { %>

Hives

Yes

<% } %> <% if(allergies.breathingProblems) { %>

Breathing Problems

Yes

<% } %> <% if(allergies.vomiting) { %>

Vomiting

Yes

<% } %> <% if(allergies.swelling) { %>

Swelling

Yes

<% } %> <% if(allergies.other) { %>

Other

Yes

<% } %> <% if(allergies.otherReactions !== "") { %>

Describe Other Reaction

<%= allergies.otherReactions %>

<% } %> <% if(allergies.severity !== "") { %>

Severity

<%= allergies.severity %>

<% } %> <% if(allergies.description !== "") { %>

Describe Treatment

<%= allergies.description %>

<% } %>

Has a physician confirmed this allergy?

<% if(allergies.diagnosed) { %> Yes <% } else { %> No <% } %>

<% if(allergies.provider !== "") { %>

Provider Who Diagnosed Allergy

<%= allergies.provider %>

<% } %> <% if(allergies.facility !== "") { %>

Facility Where Diagnosed

<%= allergies.facility %>

<% } %> <% if(allergies.comments !== "") { %>

Comments

<%= allergies.comments %>

<% } %> <% }) %>
<% } %> <% if (typeof labs !== "undefined") { %>

Labs

Initial Labs

<% if (labs.bloodType !== "") { %>

Blood Type

<%= labs.bloodType %>

<% } %> <% if (labs.rhType !== "") { %>

Rh Type

<%= labs.rhType %>

<% } %> <% if (labs.antibodyScreen !== "") { %>

Antibody Screen

<%= labs.antibodyScreen %>

<% } %> <% if (labs.papSmear !== "") { %>

Pap Smear

<%= labs.papSmear %>

<% } %> <% if (labs.papSmearComment !== "") { %>

Pap Smear Comment

<%= labs.papSmearComment %>

<% } %> <% if (labs.rubella !== "") { %>

Rubella (German Measles)

<%= labs.rubella %>

<% } %> <% if (labs.varicella !== "") { %>

Varicella (Chicken Pox)

<%= labs.varicella %>

<% } %> <% if (labs.hepatitisB !== "") { %>

Hepatitis B Surface Ag

<%= labs.hepatitisB %>

<% } %> <% if (labs.gonorrhea !== "") { %>

Gonorrhea

<%= labs.gonorrhea %>

<% } %> <% if (labs.chlamydia !== "") { %>

Chlamydia

<%= labs.chlamydia %>

<% } %> <% if (labs.urineCulture !== "") { %>

Urine Culture

<%= labs.urineCulture %>

<% } %> <% if (labs.rpr !== "") { %>

RPR (Syphilis)

<%= labs.rpr %>

<% } %> <% if (labs.glucoseTolerance !== "" || labs.gttStatus !== "" || labs.glucoseLevel !== "") { %>

28 Weeks

<% if (labs.glucoseTolerance !== "") { %>

Glucose Tolerance

<%= labs.glucoseTolerance %>

<% } %> <% if (labs.gttStatus !== "") { %>

Result

<%= labs.gttStatus %>

<% } %> <% if (labs.glucoseLevel !== "") { %>

Glucose Level

<%= labs.glucoseLevel %>

<% } %> <% } %> <% if (labs.groupBStrep !== "" ) { %>

36 Weeks

Group B Strep

<%= labs.groupBStrep %>

<% } %> <% _.each(labs.labTests, function (test, i) { if (i > 0) { %>

<% } %>

Test <%= i+1 %>

<% if (test.testName !== "") { %>

Name of Test

<%= test.testName %>

<% } %> <% if (typeof test.testDate !== "undefined") { %>

Date of Test (mm/dd/yyyy)

<%= formatDate(new Date(test.testDate)) %>

<% } %> <% if (test.results !== "") { %>

Results for Test

<%= test.results %>

<% } %> <%}) %>
<% } %> <% if (typeof ultrasoundList !== "undefined") { %>

Ultrasound Details

<% _.each(ultrasoundList, function(ultraSound, i) { %>

Ultrasound <%= i + 1 %>

Date of Ultrasound

<%= formatDate(new Date(ultraSound.ultrasoundDate)) %>

<% _.each(ultraSound.fetuses, function (fetus, i) { if (fetus.efw.weight !== "" || fetus.ega.weeks !== "" || fetus.ega.days !== "" || typeof fetus.ultrasoundEDD !== "undefined" || fetus.comments !== "") { if (i > 0) { %>

<% } %>

Fetus <%= i + 1 %>

<% if (fetus.efw.weight !== "") { %>

Estimated Fetal Weight

<%= fetus.efw.weight %> <% if (fetus.efw.metric) { %> lbs <% } else { %> kg <% } %>

<% } %>
<% if(fetus.ega.weeks !== "" || fetus.ega.days !== "") { %>

Estimated Gestational Age

<% } %>

<% var weekTxt = 'weeks' var dayTxt = 'days'; if(fetus.ega.weeks !== "") { %> <% if (fetus.ega.weeks <= 1) { var weekTxt = 'week'; } %> <%= fetus.ega.weeks %> <%= weekTxt %> <% } if(fetus.ega.days !== "") { %> <% if (fetus.ega.days <= 1) { var dayTxt = 'day'; } %> <%= fetus.ega.days %> <%= dayTxt %><% } %>

<% if (typeof fetus.ultrasoundEDD !== "undefined") { %>

Estimated Due Date by Ultrasound

<%= formatDate(new Date(fetus.ultrasoundEDD)) %>

<% } %> <% if (fetus.comments !== "") { %>

Comments

<%= fetus.comments %>

<% } %> <% } }) %> <% }) %>
<% } %> <% if (typeof geneticScreeningList !== "undefined") { %>

Genetic Screening Details

<% _.each(geneticScreeningList, function (geneticscreening, i) { if (i > 0) { %>

<% } %> <% if(geneticscreening.testDate) { %>

Date of Test (mm/dd/yyyy)

<%= formatDate(new Date(geneticscreening.testDate)) %>

<% } %> <% if(geneticscreening.counseling) { %>

Genetic Counseling

Yes

<% } %> <% if(geneticscreening.quad) { %>

MSAFP/AFP4/Quad screen

Yes

<% } %> <% if(geneticscreening.amnio) { %>

Amniocentesis

Yes

<% } %> <% if(geneticscreening.sickleCell) { %>

Sickle Cell Disease and Sickle Cell Trait

Yes

<% } %> <% if(geneticscreening.canavan) { %>

Canavan Disease

Yes

<% } %> <% if(geneticscreening.cystic) { %>

Cystic Fibrosis

Yes

<% } %> <% if(geneticscreening.cvs) { %>

Chorionic Villus Sampling (CVS)

Yes

<% } %> <% if(geneticscreening.taySach) { %>

Tay Sachs

Yes

<% } %> <% if(geneticscreening.thalassemia) { %>

Thalassemia

Yes

<% } %> <% if(geneticscreening.other) { %>

Other

Yes

<% } %> <% if(geneticscreening.otherTestName !== "") { %>

Other Test Name

<%= geneticscreening.otherTestName %>

<% } %> <% if(geneticscreening.testResult !== "") { %>

Result of Test

<%= geneticscreening.testResult %>

<% } %> <% if(geneticscreening.testNotes !== "") { %>

Notes

<%= geneticscreening.testNotes %>

<% } %> <% }) %>
<% } %> <% if (typeof vaccinations !== "undefined") { %>

Vaccinations

<% if(vaccinations.fluShotLastAdmin) { %>

Flu Shot Last Administered (mm/dd/yyyy)

<%= formatDate(new Date(vaccinations.fluShotLastAdmin)) %>

<% } %> <% if(vaccinations.fluShotNextDue) { %>

Flu Shot Next Due (mm/dd/yyyy)

<%= formatDate(new Date(vaccinations.fluShotNextDue)) %>

<% } %> <% if(vaccinations.tdapLastAdmin) { %>

Tdap Last Administered (mm/dd/yyyy)

<%= formatDate(new Date(vaccinations.tdapLastAdmin)) %>

<% } %>
<% } %> <% if (typeof pregOutcome !== "undefined") { %>

gPregnancy Outcome

<% _.each(pregOutcome.outcomeList, function (outcome, i) { if (i > 0) { %>

<% } %>

Outcome <%= i+1 %>

Pregnancy Outcome

<%= outcome.outcome %>

<% if(outcome.otherOutcome !== "") { %>

Comments For Other Outcome

<%= outcome.otherOutcome %>

<% } %> <% if(outcome.endDate) { %>

End Date of Pregnancy

<%= formatDate(new Date(outcome.endDate)) %>

<% } %> <% if(outcome.outcome === "C-Section" || outcome.outcome === "Vaginal Delivery") { %>

Infant's Sex

<% if(outcome.sex) { %> Male <% } else { %> Female <% } %>

<% } %> <% if(outcome.weight !== "") { %>

Weight (lbs)

<%= outcome.weight %>

<% } %> <% if(outcome.length !== "") { %>

Length (inches)

<%= outcome.length %>

<% } %> <% if(outcome.firstName !== "") { %>

First Name

<%= outcome.firstName %>

<% } %> <% if(outcome.lastName !== "") { %>

Last Name

<%= outcome.lastName %>

<% } %> <% if(outcome.comments !== "") { %>

Comments About Pregnancy Outcome

<%= outcome.comments %>

<% } %> <% }) %>
<% } %>