@include('pdf.partials.styles')
INTERNAL CLINICAL AUDIT RECORD - DO NOT DISTRIBUTE TO PATIENT
@include('pdf.partials.pdf-header-diagnosis') @include('pdf.partials.patient-info-band')
{{-- COMPLAINT SECTION --}}
Presenting Complaint & History
@if($chief_complaint)
CHIEF COMPLAINT: {{ $chief_complaint }}
@endif @if($visit->history_of_complaint)
HISTORY OF COMPLAINT: {{ $visit->history_of_complaint }}
@endif @if(!empty($examination->medical_history))
GENERAL MEDICAL HISTORY:
{{ $examination->medical_history }}
@endif
{{-- VITALS SECTION --}} @if(!empty($visit->vitals))
Patient Vitals
BP
{{ $visit->vitals['blood_pressure'] ?? '—' }}
TEMP
{{ $visit->vitals['temperature'] ?? '—' }}
WEIGHT
{{ $visit->vitals['weight'] ?? '—' }}
HEIGHT
{{ $visit->vitals['height'] ?? '—' }}
@if(!empty($visit->vitals['vitals_notes']))
INTERNAL VITALS NOTES: {{ $visit->vitals['vitals_notes'] }}
@endif @endif {{-- VISUAL ACUITY --}}
Visual Acuity
Target Unaided (OD/OS) Aided (OD/OS) Near (OD/OS)
RIGHT EYE (OD) {{ $examination->va_unaided['od'] ?? '—' }} {{ $examination->va_aided['od'] ?? '—' }} {{ $examination->va_near['od'] ?? '—' }}
LEFT EYE (OS) {{ $examination->va_unaided['os'] ?? '—' }} {{ $examination->va_aided['os'] ?? '—' }} {{ $examination->va_near['os'] ?? '—' }}
{{-- TONOMETRY --}}
Intraocular Pressure (IOP)
NCT FINDINGS
OD: {{ $examination->intraocular_pressure['nct']['od'] ?? '—' }} | OS: {{ $examination->intraocular_pressure['nct']['os'] ?? '—' }}
GAT FINDINGS
OD: {{ $examination->intraocular_pressure['gat']['od'] ?? '—' }} | OS: {{ $examination->intraocular_pressure['gat']['os'] ?? '—' }}
{{-- EYE STRUCTURES --}} @include('pdf.partials.ocular-table') {{-- REFRACTION --}}
Refraction & Prescription
@php $ref = $examination->refraction_data; $final = $examination->final_prescription; @endphp @if(!empty($ref['auto_refraction'])) @endif @if(!empty($ref['subjective_refraction'])) @endif @if(!empty($final)) @endif
Type Sphere (OD) Cyl (OD) Sphere (OS) Cyl (OS) ADD/PD
AUTO-REF {{ $ref['auto_refraction']['od']['sphere'] ?? '—' }} {{ $ref['auto_refraction']['od']['cyl'] ?? '—' }} {{ $ref['auto_refraction']['os']['sphere'] ?? '—' }} {{ $ref['auto_refraction']['os']['cyl'] ?? '—' }} —
SUBJECTIVE {{ $ref['subjective_refraction']['od']['sphere'] ?? '—' }} {{ $ref['subjective_refraction']['od']['cyl'] ?? '—' }} {{ $ref['subjective_refraction']['os']['sphere'] ?? '—' }} {{ $ref['subjective_refraction']['os']['cyl'] ?? '—' }} {{ $ref['pd'] ?? '—' }}
FINAL Rx OD: {{ $final['od'] ?? '—' }} OS: {{ $final['os'] ?? '—' }} ADD: {{ $final['add'] ?? '—' }}
{{-- DIAGNOSES --}} @if($diagnoses && $diagnoses->count() > 0)
Clinical Diagnoses
@foreach($diagnoses as $diagnosis)
{{ $diagnosis->description }} ({{ $diagnosis->eye }}) @if($diagnosis->notes)
Note: {{ $diagnosis->notes }}
@endif
@endforeach @endif {{-- TREATMENT & DRUGS --}} @include('pdf.partials.drug-plan') {{-- INTERNAL REMARKS & NOTES --}}
INTERNAL CLINICIAN REMARKS
@if(!empty($examination->remarks))
CASE REMARKS:
{{ $examination->remarks }}
@endif @if(!empty($examination->general_notes))
GENERAL CLINICAL NOTES:
{{ $examination->general_notes }}
@endif @if(empty($examination->remarks) && empty($examination->general_notes))
No internal clinician notes recorded for this visit.
@endif
{{-- REFUSAL LOG --}} @if($examination->refusal)
INTERNAL REFUSAL LOG
Refused: {{ $examination->refusal_data['recommendation'] ?? '—' }}
@if(!empty($examination->refusal_data['notes']))
Comment: {{ $examination->refusal_data['notes'] }}
@endif
@endif {{-- SIGNATURE BLOCK --}}
@php $clinician = $optometrist ?? auth()->user(); @endphp
CONSULTING PRACTITIONER
@if($signature) @else
 
@endif
{{ $clinician->name ?? 'Medical Officer' }}
OptoCare Clinical Specialist
RECORD DATE: {{ $visit->created_at->format('d M, Y') }}
VALIDITY: INTERNAL AUDIT ONLY