{% extends "base.html" %} {% load static %} {% block title %}Emergency Contact Details - Patients{% endblock %} {% block content %}

Emergency Contact Details {{ object.name }}

Contact Information

Full Name: {{ object.name }}
Relationship: {{ object.get_relationship_display }}
Priority: {% if object.is_primary %} Primary Contact {% else %} Secondary Contact {% endif %}
Phone Number: {% if object.phone_number %} {{ object.phone_number }} {% else %} Not provided {% endif %}
Email: {% if object.email %} {{ object.email }} {% else %} Not provided {% endif %}
Address: {% if object.address %} {{ object.address|linebreaks }} {% else %} Not provided {% endif %}
Patient: {{ object.patient.get_full_name }}
Patient ID: {{ object.patient.patient_id }}
Can Make Decisions: {% if object.can_make_medical_decisions %} Yes {% else %} No {% endif %}
Emergency Only: {% if object.emergency_only %} Emergency Only {% else %} General Contact {% endif %}
Created: {{ object.created_at|date:"M d, Y H:i" }}
Last Updated: {{ object.updated_at|date:"M d, Y H:i" }}
{% if object.notes %}
Additional Notes
{{ object.notes|linebreaks }}
{% endif %}

Contact History

Contact Added

Emergency contact was added to patient record

{{ object.created_at|date:"M d, Y H:i" }}
{% if object.updated_at != object.created_at %}
Contact Updated

Contact information was modified

{{ object.updated_at|date:"M d, Y H:i" }}
{% endif %}

Quick Actions

{% if object.phone_number %} {% endif %} {% if object.email %} Send Email {% endif %} Edit Contact Delete Contact

Patient Information

{{ object.patient.get_full_name }}
{{ object.patient.patient_id }}
DOB: {{ object.patient.date_of_birth|date:"M d, Y" }}
Age: {{ object.patient.age }} years
Gender: {{ object.patient.get_gender_display }}
Phone: {% if object.patient.phone_number %} {{ object.patient.phone_number }} {% else %} Not provided {% endif %}

Other Emergency Contacts

{% for contact in object.patient.emergency_contacts.all %} {% if contact.pk != object.pk %}
{{ contact.name }}
{{ contact.get_relationship_display }} {% if contact.is_primary %} Primary {% endif %}
{% if contact.phone_number %} {% endif %}
{% endif %} {% empty %}

No other emergency contacts

{% endfor %}

Contact Validation

Validation Status
  • Phone Number
  • Email Address
  • Physical Address
  • Medical Decision Authority
Last verified: Never
{% endblock %} {% block js %} {% endblock %}