<div class="details <% if (typeof collapsibleClass !== 'undefined') { %><%- collapsibleClass %><% } %>">
    <h3 class="txt-header-m1">Overview</h3>
    <ul data-role="listview" data-inset="true" data-theme="c">
        <li><span class="fieldname">Clinic</span><span class="fieldvalue"><%- clinicName %></span></li>
        <li><span class="fieldname">Stop Code</span><span class="fieldvalue"><%- stopCode %></span></li>
    </ul>
    <h3 class="txt-header-m1">Request Details</h3>
    <ul data-role="listview" data-inset="true" data-theme="c">
        <li><span class="fieldname">Desired Date of Appointment</span><span class="fieldvalue"><%- desiredDate %></span></li>
        <li><span class="fieldname">Date Entered</span><span class="fieldvalue"><%- originatingDate %></span></li>
        <li><span class="fieldname">Days on EWL</span><span class="fieldvalue"><%- daysOnList %></span></li>
        <li><span class="fieldname">Service Connected Priority</span><span class="fieldvalue"><%- serviceConnectedCode %></span></li>
        <li><span class="fieldname">Priority</span><span class="fieldvalue"><%- priority %></span></li>
        <li><span class="fieldname">Last Updated</span><span class="fieldvalue"><%- dateLastUpdated %></span></li>
    </ul>
    <h3 class="text-header-m1">Patient Details</h3>
    <ul data-role="listview" data-inset="true" data-theme="c">
        <li><span class="fieldname">Patient Name</span><span class="fieldvalue"><%- patientName %></span></li>
        <li><span class="fieldname">SSN</span><span class="fieldvalue"><%- ssn %></span></li>
        <!-- <li><span class="fieldname">Enrollee Status</span><span class="fieldvalue"><%- enrolleeStatus %></span></li> -->
        <li><span class="fieldname">Zip Code</span><span class="fieldvalue"><%- patientZip %></span></li>
    </ul>
</div>