{#if loading}

{:else}

e.preventDefault()}> {#if patient}

{[patient.Prefix, patient.NameFirst, patient.NameMiddle, patient.NameLast].filter(Boolean).join(' ')} ({patient.PatientID})

{/if}

{#if activeTab === 'info'}

{#if isEdit}

Visit ID

{/if}

Patient ID * {#if formErrors.PatientID} {formErrors.PatientID} {/if}

Visit Date * {#if formErrors.PVCreateDate} {formErrors.PVCreateDate} {/if}

{/if} {#if activeTab === 'diagnosis'}

Diagnosis Code

Diagnosis Description

End Date

Archived Date

{/if}

{/if} {#snippet footer()}

{/snippet}