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<?php session_start();
include("dbconnection.php");
require_once("../patientmanager.php");
require_once("../DBManager.php");
if(isset($_POST[Clinicalcarerelatedva]))
{
PatientManager::Clinicalcarerelated("$_GET[prescriptionid]","$_GET[patientid]","$_POST[Clinicalcarerelated]","$_POST[Clinicalcarerelated_Native]","$_POST[Clinicalcarerelated_Corrective]","$_POST[entered_by]");
}
?>
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<meta name="description" content="">
<meta name="author" content="Dashboard">
<meta name="keyword" content="Dashboard, Bootstrap, Admin, Template, Theme, Responsive, Fluid, Retina">
<title>Clinical care related</title>
<body>
<h3><i class="fa fa-angle-right"></i> Clinical care Related </h3>
<form name="Clinicalcarerelatedva" method="post">
<label for="address">Clinical Care Related </label>
<select name="Clinicalcarerelated">
<option value="" disabled selected>Clinical Care Related</option>
<option value="Refusal of treatment">Refusal of treatment </option>
<option value="Leave against medical advice">Leave against medical advice </option>
<option value="Order not carried out">Order not carried out </option>
<option value="Order incorrectly carried out">Order incorrectly carried out </option>
<option value="Orders given by unauthorized personnel">Orders given by unauthorized personnel </option>
<option value="Violation of patient privacy">Violation of patient privacy </option>
<option value="Sudden changes in patients condition">Sudden changes in patients condition </option>
<option value="Injury to patient">Injury to patient </option>
<option value="Code blue not raised">Code blue not raised </option>
<option value="No response to code blue">No response to code blue </option>
</select>
<label>Native description of Occurrence</label>
<input type="text" name="Clinicalcarerelated_Native" placeholder="Native description of Occurrence">
<label>Corrective And Preventive Action Taken</label>
<input type="text" name="Clinicalcarerelated_Corrective" placeholder="Corrective And Preventive Action Taken">
<br>
<br>
<br>
<button style="float: right;" name="Clinicalcarerelatedva" type="submit"> Save</button>
</form>
<style>
form{
margin: 20px 0;
}
form input, button{
padding: 5px;
}
table{
width: 100%;
margin-bottom: 20px;
border-collapse: collapse;
}
table, th, td{
border: 1px solid #cdcdcd;
}
table th, table td{
padding: 10px;
text-align: left;
}
<style>
table{
border: solid 1px gray;
width: 100%;
}
</style>
</head>
<div id="container">
</div>