{% extends "review_base.html" %} {% block title %}Review your intake form — HealthClaw Guardrails{% endblock %} {% block content %}

Review each item before we generate your form

Nothing is submitted until you confirm every medication and allergy below. "No known allergies" is never assumed on your behalf.

Demographics read-only · from your records
{% if demographics %}
{% for label, value in demographics %}
{{ label }}
{{ value }}
{% endfor %}
{% elif record_readable %}

No demographic details found in your records.

{% else %}

We could not read your records, so nothing has been filled in here.

{% endif %}
Current medications
{% if meds %}

Each medication below is from your records. Tell us whether you are still taking it.

{% for med in meds %}
{{ med.name }}
{% if med.dose %}
{{ med.dose }}
{% endif %}
from your records
{% endfor %} {% elif record_readable %}

No medications found in your records.

{% else %}

We could not read your records, so no medications have been listed here.

{% endif %}
Allergies
{# Three states, not two. "We looked and found none" and "we could not work out whose record to look at" are different sentences, and only the first may appear above the attestation below (#390). #} {% if not record_readable %} {% endif %} {% if allergies %}

Each allergy below is from your records. Confirm or remove each one.

{% for allergy in allergies %}
{{ allergy.allergen }}
{% if allergy.reaction %}
Reaction: {{ allergy.reaction }}
{% endif %}
from your records
{% endfor %} {% elif record_readable %} {% endif %}
Only check this if the patient has affirmatively stated they have no known allergies. {%- if not record_readable %} It is the patient's own statement and confirms nothing about what is on file. {%- endif %}
{% if conditions %}
Problems / conditions

Each condition below is from your records.

{% for condition in conditions %}
{{ condition.name }}
from your records
{% endfor %}
{% endif %}
{% endblock %} {% block scripts %} {% endblock %}