update issue tracker.
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65bcabeb23
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@ -32,10 +32,18 @@ body:
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id: provider-website
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id: provider-website
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attributes:
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attributes:
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label: Provider/Institution Website
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label: Provider/Institution Website
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description: Please share a link to the provider's website.
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description: Please share a link to the provider's homepage.
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placeholder: ex. https://www.humana.com/
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placeholder: ex. https://www.humana.com/
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validations:
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validations:
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required: true
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required: true
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- type: input
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id: provider-portal
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attributes:
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label: Patient Portal Login Website
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description: Please share a link to the provider's login page, where you can access your health records.
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placeholder: ex. https://ucsfmychart.ucsfmedicalcenter.org/ucsfmychart/Authentication/Login?
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validations:
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required: false
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- type: input
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- type: input
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id: provider-ehr
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id: provider-ehr
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attributes:
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attributes:
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