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<?php session_start();
require_once("../patientmanager.php");
require_once("../DBManager.php");
include 'header.php';
include 'dashboarddocument.php';
if(isset($_POST['signup']))
{
PatientManager::admissionpatient("$_POST[patientid]","$_POST[Type_of_Admission]","$_POST[Reason_for_Admission]","$_POST[MLC]","$_POST[MLC_No]","$_POST[Upload_MLC_Slip]","$_POST[Information_Obtained_from]","$_POST[General_Consent_Signed]","$_POST[Upload_Consent]","$_POST[ID_Band_tied]","$_POST[Wt]","$_POST[SPo2]","$_POST[RBS]","$_POST[Temp]","$_POST[pulse]","$_POST[BP]","$_POST[Pain_Assessment]","$_POST[Chief_Complain]","$_POST[Admitted_Under]","$_POST[enteredby]");
}
?>
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<link rel="stylesheet" href="https://www.w3schools.com/w3css/4/w3.css">
<title>Document</title>
<script>
function myFunction() {
var checkBox = document.getElementById("myCheck");
var text = document.getElementById("text");
if (checkBox.checked == true){
text.style.display = "block";
} else {
text.style.display = "none";
}
}
function myFunction2() {
var checkBox = document.getElementById("myCheck2");
var text = document.getElementById("text2");
if (checkBox.checked == true){
text.style.display = "block";
} else {
text.style.display = "none";
}
}
function myFunction3() {
var checkBox = document.getElementById("myCheck3");
var text = document.getElementById("text3");
if (checkBox.checked == true){
text.style.display = "block";
} else {
text.style.display = "none";
}
}
function myFunction4() {
var checkBox = document.getElementById("myCheck4");
var text = document.getElementById("text4");
if (checkBox.checked == true){
text.style.display = "block";
} else {
text.style.display = "none";
}
}
</script>
</head>
<body>
<div class="content-wrapper">
<!-- Content Header (Page header) -->
<section class="content-header">
<form name="signup" method="post" >
<fieldset>
<legend>
<p>
<h3>Initial Assessment</h3>
</legend>
</p>
<?php
$sql ="SELECT * FROM Request_for_Admission WHERE patient='patientid'";
$qsql = mysqli_query($con,$sql);
while($rs = mysqli_fetch_array($qsql))
{
echo "
<div><label for='item'>Hospital name<span></span></label><input type='text' value='rs[patientid]' name='patientid'>
</div>
";
}
?>
<div><label for="item">Type of Admission<span>*</span>
<select name='Type_of_Admission'>
<option value='' disabled selected>Type of Admission</option>
<option value='First Time '>First Time </option>
<option value='Continuation of Treatment'>Continuation of Treatment</option>
<option value='Supportive Therapy'>Supportive Therapy</option>
</select>
</div>
<div> <label for="item">Reason for Admission<span>*</span> <select name='Reason_for_Admission'>
<option value='' disabled selected>Reason for Admission</option>
<option value='Emergency'>Emergency </option>
<option value='Observation'>Observation</option>
</select>
</div>
<div class="checkbox">
<input type="checkbox" name="MLC" id="myCheck3" onclick="myFunction3()"><span>MLC </span>
</div>
<div id="text3" style="display:none" >
<div> <label for="item">MLC No<span>*</span><input name="MLC_No" type="text">
</div>
<div> <label for="item">Upload MLC Slip<span>*</span><input name="Upload_MLC_Slip" type="file">
</div>
</div>
<div class="checkbox">
<input type="checkbox" name="MLC" id="myCheck4" onclick="myFunction4()"><span>Trauma </span>
</div>
<div id="text4" style="display:none" >
<div> <label for="item">Trauma No<span>*</span><input name="MLC_No" type="text">
</div>
<div> <label for="item">Trauma MLC Slip<span>*</span><input name="Upload_MLC_Slip" type="file">
</div>
</div>
<div> <label for="item">Information Obtained from <span>*</span><select name='Information_Obtained_from'>
<option value='' disabled selected>Information Obtained from</option>
<option value='Patient'>Patient</option>
<option value='Family'>Family</option>
<option value='Old Chart'>Old Chart</option>
<option value='Other (Specify)'>Other (Specify)</option>
</select>
</div>
<div class="checkbox">
<input type="checkbox" name="General_Consent_Signed" id="myCheck2" onclick="myFunction2()"><span>General Consent Signed </span>
</div>
<div id="text2" style="display:none" >
<div> <label for="item">Upload Consent<span>*</span><input name="Upload_Consent" type="file">
</div>
<div> <Button style="height:20%;width:20%">Download Consent Formate </Button>
</div>
</div>
<div class="checkbox"> <input name="ID_Band_tied" type="checkbox"><span>ID Band tied</span>
</div>
<div><input type="button" onclick="myFunction('Demo1')" value="Medical Condition"></div>
<div id="Demo1" class="w3-container w3-hide">
<table id="example2" class="table table-bordered table-hover">
<thead>
<tr>
<div class='card-header d-flex p-0'>
<ul class='nav nav-pills ml-auto p-2'>
<th><strong>Medical Condition</strong></th>
<th><strong>Status</strong></th>
<th><strong>Edit</strong></th>
</tr>
</thead>
<?php
$sql ="SELECT * FROM medi_condition_final WHERE patientid='patientid]'";
$qsql = mysqli_query($con,$sql);
while($rs = mysqli_fetch_array($qsql))
{
echo " <tbody>
<tr> <td> $rs[medicalcon]</td>
<td> $rs[Status]</td>
<td><a href='edit_medicalcon.php?patientid=$rs[patientid]&medicalcoid=$rs[medicalcoid]'>Edit</a></td>
</tr>
";
}
?> </tr>
</thead>
</tbody>
<tfoot>
</tfoot>
</table>
<script>
function myFunction(id) {
var x = document.getElementById(id);
if (x.className.indexOf("w3-show") == -1) {
x.className += " w3-show";
} else {
x.className = x.className.replace(" w3-show", "");
}
}
</script>
<button style="height:40px;width:100px"><a href="medicalcon_nurse.php">Add More</a></button> <br>
<div>
<label>Dependency</label>
<select name="Dependency">
<option value="" disabled selected>Dependency </option>
<option value="Independent">Independent</option>
<option value="Partially Dependent">Partially Dependent</option>
<option value="Completely Dependent">Completely Dependent </option>
</select>
</div>
<div>
<label>Mode of Movement </label>
<select name="Modn">
<option value="" disabled selected>Mode of Movement </option>
<option value="Independent">Ambulatory</option>
<option value="Wheel chair">Wheel chair</option>
<option value="Stretcher">Stretcher </option>
<option value="Physical Support">Physical Support </option>
</select>
</div>
<div>
<label>Level of Consciousness </label>
<select name="Level">
<option value="" disabled selected>Level of Consciousness </option>
<option value="Conscious">Conscious</option>
<option value="Semi Conscious">Semi Conscious</option>
<option value="Un-conscious ">Un-conscious </option>
</select>
</div></div><br>
<div><input type="button" onclick="harila('Demo')" value="Known Allergies"></div>
<div id="Demo" class="w3-container w3-hide">
<table id="example2" class="table table-bordered table-hover">
<thead>
<tr>
<div class='card-header d-flex p-0'>
<ul class='nav nav-pills ml-auto p-2'>
<th><strong>Allergies</strong></th>
<th><strong>Category</strong></th>
<th><strong>Edit</strong></th>
</tr>
</thead>
<?php
$sql ="SELECT * FROM allergy WHERE patientid='GET[patientid]'";
$qsql = mysqli_query($con,$sql);
while($rs = mysqli_fetch_array($qsql))
{
echo " <tbody>
<tr> <td> $rs[Allergen]</td>
<td> $rs[Category]</td>
<td><a href='edit_alg.php?patientid=$rs[patientid]&medicalcoid=$rs[medicalcoid]'>Edit</a></td>
</tr>
";
}
?> </tr>
</thead>
</tbody>
<tfoot>
</tfoot>
</table> <button style="height:40px;width:100px"><a href="Allergies.php">Add More</a></button>
</div>
<script>
function harila(id) {
var x = document.getElementById(id);
if (x.className.indexOf("w3-show") == -1) {
x.className += " w3-show";
} else {
x.className = x.className.replace(" w3-show", "");
}
}
</script>
<br><div>
<input type="button" onclick="vitals('Demo3')" value="Vitals"></div>
<div id="Demo3" class="w3-container w3-hide">
<table id="example2" class="table table-bordered table-hover">
<thead>
<tr>
<div class='account-details'>
<tr>
<tr><td style="width:50%"><label><h4 align="center">Vitals</h2></label></td><td style="width:50%"><label><h4 align="center">Range</h2></label></td></tr>
<tr><td style="width:29%"><div><h5>Weight : </h5> </td></div><td style="width:46%"><div><input name="Wt" placeholder="In KG" type="text"></div></td></tr>
<td><div><h5>SPo2 : </h5> </td></div><td><div><input name="SPo2" placeholder="Oxygen saturation" type="text"></div></td></tr>
<tr><td><div><h5>RBS : </h5> </td></div><td><div><input placeholder="mg/dl" name="RBS" type="text"></div></td></tr>
<tr><td><div><h5>Temperature: </h5> </td></div><td><div><input placeholder="°C" name="Temp" type="text"></div></td></tr>
<tr><td><div><h5>Blood Pressure: </h5> </td></div><td><div><input placeholder="mmHg" name="BP" type="text"></div></td></tr>
</div>
</tr>
</tr>
</thead>
</tbody>
<tfoot>
</tfoot>
</table>
</div> <script>
function vitals(id) {
var x = document.getElementById(id);
if (x.className.indexOf("w3-show") == -1) {
x.className += " w3-show";
} else {
x.className = x.className.replace(" w3-show", "");
}
}
</script>
<div> <label for="item">Pain Assessment<span>*</span>
<select name='Pain_Assessment'>
<option value='' disabled selected>Pain Assessment</option>
<option value='1'>1</option>
<option value='2'>2</option>
<option value='3'>3</option>
<option value='4'>4</option>
<option value='5'>5</option>
<option value='6'>6</option>
<option value='7'>7</option>
<option value='8'>8</option>
<option value='9'>9</option>
<option value='10'>10</option>
</select>
</div>
<div> <label for="item">Chief Complain<span>*</span><input name="Chief_Complain" type="text">
</div>
<div> <label for="item">Admitted Under<span>*</span><input name="Admitted_Under" type="text">
</div>
<div> <label for="item">Attending Nurse<span>*</span>
<select " name="Attending_Nurse" id="select2">
<option value="">Attending Nurse</option>
<?php
$sqldoctor= "SELECT * FROM Nurse WHERE Nurseid='$_GET[Nurseid]'";
$qsqldoctor = mysqli_query($con,$sqldoctor);
while($rsdoctor = mysqli_fetch_array($qsqldoctor))
{
if($rsdoctor[Nurseid] == $rsedit[Nurseid])
{
echo "<option value='$rsdoctor[Nurseid]' selected>$rsdoctor[Nurseid]-$rsdoctor[Name]</option>";
}
else
{
echo "<option value='rsdoctor[Nurseid]'>$rsdoctor[Name]</option>";
}
}
?>
</select>
</div>
<input type="submit" name="signup" value="Submit">
</div>
</form>
</body>
</html>