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<?php session_start(); include 'dbconnection.php'; require_once("../patientmanager.php"); require_once("../DBManager.php"); include 'header.php'; include 'dashboarddocument.php'; if(isset($_POST['signup'])) { PatientManager::admissionpatientpg("$_GET[prescriptionid]","$_GET[patientid]","$_POST[Type_of_Admission]","$_POST[Reason_for_Admission]","$_POST[MLC]","$_POST[MLC_No]","$_POST[Upload_MLC_Slip]","$_POST[Trauma]","$_POST[further]","$_POST[Pneumo_Haemothorax]","$_POST[Fluids_Started]","$_POST[iv_fluids_started]","$_POST[Full_Survey]","$_POST[Perineum]","$_POST[Back]","$_POST[Pelvic_Fracture]","$_POST[Internal_Bleeding]","$_POST[Ultrasound]","$_POST[Spinal_Immobilization]","$_POST[Neurovascular_Status]","$_POST[Hypothermic]","$_POST[contraindication]","$_POST[Nasogastric_Tube]","$_POST[Chest_Drain]","$_POST[None_Indicated]","$_POST[leaves_patient]","$_POST[Analgesics]","$_POST[Antibiotics]","$_POST[None_Indicated2]","$_POST[tests_imaging]","$_POST[Examinations]","$_POST[care_discussed]","$_POST[Receiving_Unit]","$_POST[Primary_team]","$_POST[Other_Specialists]","$_POST[Trauma_Chart]","$_POST[Trauma_Slip]","$_POST[Safe_childbirth_checklist]","$_POST[mother_need_referral]","$_POST[Partograph_started]","$_POST[start_Antibiotics]","$_POST[antihypertensive_treatment]","$_POST[vaginal_exam]","$_POST[present_at_birth]","$_POST[labour_needed]","$_POST[Information_Obtained_from]","$_POST[General_Consent_Signed]","$_POST[Upload_Consent]","$_POST[ID_Band_tied]","$_POST[Rights_Responsibilities]","$_POST[surroundings_safety]","$_POST[Insulin_dependent]","$_POST[Insulin_specify]","$_POST[Last_menstrual_period]","$_POST[Gravida]","$_POST[Para]","$_POST[Abortion]","$_POST[Cesarean]","$_POST[Child_alive]","$_POST[Death]","$_POST[Level_Consciousness]","$_POST[Dependency]","$_POST[Modn]","$_POST[Vulnevilty_Assessment]","$_POST[Wt]","$_POST[SPo2]","$_POST[RBS]","$_POST[Temp]","$_POST[Pulse]","$_POST[BP]","$_POST[BP2]","$_POST[Pain_Assessment]","$_POST[Pain_Location]","$_POST[fall_risk]","$_POST[Addiction]","$_POST[Alcohol]","$_POST[Smoking]","$_POST[Tobacco]","$_POST[Chief_Complain]","$_POST[Covid]","$_POST[Fever]","$_POST[smell]","$_POST[Diarrhoea]","$_POST[Deformity]","$_POST[Cough]","$_POST[Taste]","$_POST[Weakness]","$_POST[Breathlessness]","$_POST[Appetite]","$_POST[Limbs]","$_POST[Throat]","$_POST[Vomitting]","$_POST[Slurred_Voice]","$_POST[Admitted_Under]","$_POST[Attending_Nurse]","$_POST[enteredby]"); } ?> <?php $DisplayForm=True; $sql ="SELECT * FROM request_for_admission WHERE prescriptionid='$_GET[prescriptionid]'"; $qsql = mysqli_query($con,$sql); if($rh = mysqli_fetch_array($qsql)) { $DisplayForm=False; echo "<script>window.location='showrequestforadmission.php?prescriptionid=$_GET[prescriptionid]&patientid=$_GET[patientid]'</script>"; } if($DisplayForm) { ?> <!DOCTYPE html> <html lang="en"> <head><meta charset="euc-kr"> <link rel="stylesheet" href="../plugins/select2/css/select2.min.css"> <link rel="stylesheet" href="../plugins/select2-bootstrap4-theme/select2-bootstrap4.min.css"> <style> .switch { position: relative; display: inline-block; width: 90px; height: 34px; } .switch input {display:none;} .slider { position: absolute; cursor: pointer; top: 0; left: 0; right: 0; bottom: 0; background-color: #ca2222; -webkit-transition: .4s; transition: .4s; border-radius: 34px; } .slider:before { position: absolute; content: ""; height: 26px; width: 26px; left: 4px; bottom: 4px; background-color: white; -webkit-transition: .4s; transition: .4s; border-radius: 50%; } input:checked + .slider { background-color: #2ab934; } input:focus + .slider { box-shadow: 0 0 1px #2196F3; } input:checked + .slider:before { -webkit-transform: translateX(26px); -ms-transform: translateX(26px); transform: translateX(55px); } /*------ ADDED CSS ---------*/ .slider:after { content:'No'; color: white; display: block; position: absolute; transform: translate(-50%,-50%); top: 50%; left: 50%; font-size: 10px; font-family: Verdana, sans-serif; } input:checked + .slider:after { content:'Yes'; } .center { border: 1px solid grey; text-align:; } </style> <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"; } } function myFunction102() { var checkBox = document.getElementById("myCheck102"); var text = document.getElementById("text102"); if (checkBox.checked == true){ text.style.display = "block"; } else { text.style.display = "none"; } } function myFunction103() { var checkBox = document.getElementById("myCheck103"); var text = document.getElementById("text103"); if (checkBox.checked == true){ text.style.display = "block"; } else { text.style.display = "none"; } } function myFunction10() { var checkBox = document.getElementById("myCheck10"); var text = document.getElementById("text10"); if (checkBox.checked == true){ text.style.display = "block"; } else { text.style.display = "none"; } } function myFunction11() { var checkBox = document.getElementById("myCheck11"); var text = document.getElementById("text11"); 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"> <h3 align="center">Intial Assessment </h3> <div><label for="item">Type of Visit <select name='Type_of_Admission'> <option value='' disabled selected>Type of Visit</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 Visit<span>*</span> <select name='Reason_for_Admission'> <option value='' disabled selected>Reason for Visit</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="Trauma" id="myCheck4" onclick="myFunction4()"><span>Trauma </span> </div> <div id="text4" style="display:none" > <div class="checkbox"> <h3 align="center">Trauma Care Checklist</h3> <p> <h4 align="center">Immediately after primary & secondary surveys</h4> <label>Is Further Airway Intervention Needed?</label> <p><input type="radio" value= "yes" name="further"><span>Yes </span></P> <p><input type="radio" value= "noo" name="further"><span>No </span></P> </div><div class="checkbox"> <p> <label>Is There A Tension Pneumo-Haemothorax ?</label> <p><input type="radio" value= "Yes, Chest Drain Placed" name="Pneumo_Haemothorax"><span>Yes, Chest Drain Placed</P> <p><input type="radio" value= "No" name="Pneumo_Haemothorax"><span>No </span></P> </div> <div class="checkbox"> <p> <label>IS The Pulse and Fluids Started ?</label> <p><input type="radio" value= "yes" name="Fluids_Started"><span>Yes</P> <p><input type="radio" value= "Not Available" name="Fluids_Started"><span>Not Available </span></P> </div> <div class="checkbox"> <p> <label>Large-bore IV placed and fluids started </label> <p><input type="radio" value= "yes" name="iv_fluids_started"><span>Yes</P> <p><input type="radio" value= "yes" name="iv_fluids_started"><span>Not indicated</P> <p><input type="radio" value= "noo" name="iv_fluids_started"><span>Not Available </span></P> </div> <div class="checkbox"> <p> <label>Full Survey For (and control of)External bleeding, Including : </label> <p><input type="checkbox" value= "Scalp" name="Full_Survey"><span>Scalp</P> <p><input type="checkbox" value= "Perineum" name="Perineum"><span>Perineum</P> <p><input type="checkbox" value= "Back" name="Back"><span>Back </span></P> </div> <div class="checkbox"> <p> <label>Assessed For Pelvic Fracture by: </label> <p><input type="radio" value= "Exam" name="Pelvic_Fracture"><span>Exam</P> <p><input type="radio" value= "X-ray" name="Pelvic_Fracture"><span>X-ray</P> <p><input type="radio" value= "CT" name="Pelvic_Fracture"><span>CT</span></P> </div> <div class="checkbox"> <p> <label>Assessed For Internal Bleeding By: </label> <p><input type="checkbox" value= "Exam" name="Internal_Bleeding"><span>Exam</P> <p><input type="checkbox" value= "Ultrasound" name="Internal_Bleeding"><span>Ultrasound</P> <p><input type="checkbox" value= "CT" name="Ultrasound"><span>CT</span></P> <p><input type="checkbox" value= "Peritoneal lavage" name="Ultrasound"><span>Peritoneal lavage</span></P> </div> <div class="checkbox"> <p> <label>Is Spinal Immobilization Needed? </label> <p><input type="radio" value= "Yes,Done" name="Spinal_Immobilization"><span>Yes,Done</P> <p><input type="radio" value= "Not Indicated" name="Spinal_Immobilization"><span>Not Indicated</P> </div> <div class="checkbox"> <p> <label>Neurovascular Status of all 4 limbs Checked? </label> <p><input type="radio" value= "Yes" name="Neurovascular_Status"><span>Yes</P> <p><input type="radio" value= "Not Indicated" name="Neurovascular_Status"><span>Not Indicated</P> </div> </P> <div class="checkbox"> <p> <label>IS the patient Hypothermic? </label> <p><input type="radio" value= "Yes Done" name="Hypothermic"><span>Yes, Warming </P> <p><input type="radio" value= "Not Indicated" name="Hypothermic"><span>No</P> </div> </p> <div class="checkbox"> <p> <label>Does the Patient Need(if no contraindication) </label> <p><input type="checkbox" value= "Yes,Done" name="contraindication"><span>Urinary Catheter </P> <p><input type="checkbox" value= "Nasogastric Tube" name="Nasogastric_Tube"><span>Nasogastric Tube</P> <p><input type="checkbox" value= "chest drain" name="Chest_Drain"><span>Chest Drain</P> <p><input type="checkbox" value= "None Indicated" name="None_Indicated"><span>None Indicated</P> </div> <H3 align="center">Before team leaves patient</H3> <div class="checkbox"> <p> <label>Has the Patient been Given </label> <p><input type="checkbox" value= "Tetanus Vaccine" name="leaves_patient"><span>Tetanus Vaccine </P> <p><input type="checkbox" value= "Analgesics" name="Analgesics"><span>Analgesics</P> <p><input type="checkbox" value= "Antibiotics" name="Antibiotics"><span>Antibiotics</P> <p><input type="checkbox" value= "None Indicated" name="None_Indicated"><span>None Indicated</P> </div> <div class="checkbox"> <p> <label>Have All tests and imaging been Reviewed </label> <p><input type="radio" value= "Yes" name="tests_imaging"><span>Yes</P> <p><input type="radio" value= "No, Follow-up Plan in Place" name="tests_imaging"><span>No, Follow-up Plan in Place</P> </div> <div class="checkbox"> <p> <label>Which serial Examinations Are Needed </label> <p><input type="checkbox" value= "Neurological" name="Examinations"><span>Neurological</P> <p><input type="checkbox" value= "Abdominal" name="Abdominal"><span>Abdominal</P> <p><input type="checkbox" value= "vascular" name="vascular"><span>Vascular</P> <p><input type="checkbox" value= "None" name="Examinations"><span>None</P> </div> <div class="checkbox"> <p> <label>Plan of care discussed with: </label> <p><input type="checkbox" value= "Patient/Family" name="care_discussed"><span>Patient/Family</P> <p><input type="checkbox" value= "Receiving Unit" name="Receiving_Unit"><span>Receiving Unit</P> <p><input type="checkbox" value= "Primary team" name="Primary_team"><span>Primary team</P> <p><input type="checkbox" value= "None" name="Other_Specialists"><span>Other Specialists</P> </div> <div class="checkbox"> <p> <label>Relevant Trauma Chart or Form Comleted? </label> <p><input type="radio" value= "Patient/Family" name="Trauma_Chart"><span>Patient/Family</P> <p><input type="radio" value= "Not Available" name="Trauma_Chart"><span>Not Available</P> </div> <div> <label for="item">Trauma Slip<span>*</span><input name="Trauma_Slip" type="file"> </div> </div> <div class="checkbox"> <input type="checkbox" name="Safe_childbirth_checklist" id="myCheck102" onclick="myFunction102()"><span>Safe Childbirth Checklist </span> </div> <div id="text102" style="display:none" > <div class="checkbox"> <h3 align="center">Safe Childbirth Checklist </h3> <p> <h4>Does mother need referral</h4> <p><input type="radio" value= "noo" name="mother_need_referral"><span>No </span></P> <p><input type="radio" value= "yes" name="mother_need_referral"><span>Yes, organized </span></P> </div> <div class="checkbox"> <h4>Partograph started? </h4> <p><input type="radio" value= "No will start when greater than 4cm" name="Partograph_started"><span>No, will start when ≥4cm </span></P> <p><input type="radio" value= "yes" name="Partograph_started"><span>Yes</span></P> </div> <div class="checkbox"> <h4>Does mother need to start: Antibiotics? </h4> <p><input type="radio" value= "No" name="start_Antibiotics"><span>No</span></P> <p><input type="radio" value= "Yes given" name="start_Antibiotics"><span>Yes Given</span></P> </div> <div class="checkbox"> <h4>Magnesium sulfate and antihypertensive treatment?</h4> <p><input type="checkbox" value= "No" name="antihypertensive_treatment"><span>No</span></P> <p><input type="checkbox" value="Yes, magnesium sulfate given" name="antihypertensive_treatment"><span>Yes, magnesium sulfate given</span></P> <p><input type="checkbox" value="Yes, antihypertensive medication given" name="antihypertensive_treatment"><span>Yes, antihypertensive medication given</span></P> </div> <div class="checkbox"> <h4>Confirm supplies are available to clean hands and wear gloves for each vaginal exam </h4> <p><input type="checkbox" value= "Available" name="vaginal_exam"><span>Available </span></P> <p><input type="checkbox" value= "Unavailable" name="vaginal_exam"><span>Unavailable </span></P> </div> <div class="checkbox"> <h4>Encourage birth companion to be present at birth</h4> <p><input type="radio" value= "Yes" name="present_at_birth"><span>Yes</span></P> <p><input type="radio" value= "Unavailable" name="present_at_birth"><span>No </span></P> </div> <div class="checkbox"> <h4>Confirm that mother or companion will call for help during labour if needed </h4> <p><input type="radio" value= "Yes" name="labour_needed"><span>Yes</span></P> <p><input type="radio" value= "No" name="labour_needed"><span>No </span></P> </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'>Other</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>Patient Identification Band tied</span> </div> <div class="checkbox"> <input name="Rights_Responsibilities" type="checkbox"><span>Patient Rights & Responsibilities explained </span> </div> <div class="checkbox"> <input name="surroundings_safety" type="checkbox"><span>Patient Made aware of surroundings and safety measures</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 $sql ="SELECT * FROM medi_condition_final WHERE patientid='$_GET[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> <?php $sql ="SELECT * FROM patient WHERE patientid='$_GET[patientid]'"; $qsql = mysqli_query($con,$sql); while($rt = mysqli_fetch_array($qsql)) { echo" <button style='height:40px;width:100px'><a href='medicalcon_nurse.php?patientid=$rt[patientid]'>Add More</a></button> "; } ?> <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> <br> </div> <br> <div class="checkbox"> <input type="checkbox" name="Insulin_dependent" id="myCheck103" onclick="myFunction103()"><span>Insulin dependent diabetes mellitus</span> </div> <div id="text103" style="display:none"> <input type='text' name='Insulin_specify' placeholder="Type"> </div> <input type='text' name='Last_menstrual_period' placeholder='Last menstrual period'> <div class="checkbox"> <label>OBSTETRIC History</label> <p><input type="radio" value= "Gravida Para" name="mother_need_referral"><span>Gravida Para </span></P> <p><input type="radio" value= "Abortion" name="mother_need_referral"><span>Abortion </span></P> <p><input type="radio" value= "Cesarean" name="mother_need_referral"><span>Cesarean </span></P> <p><input type="radio" value= "Child_alive" name="mother_need_referral"><span>Child alive </span></P> <p><input type="radio" value= "Death" name="mother_need_referral"><span>Death </span></P> </div> <label>Detail of complication in last pregnancy</label> <input type='text' name='last_pregnancy' Placeholder='Detail of complication in last pregnancy'> <div> <label>Level of Consciousness </label> <select name='Level_Consciousness'> <?php $sql ="SELECT * FROM patient WHERE patientid='$_GET[patientid]'"; $qsql = mysqli_query($con,$sql); while($rps = mysqli_fetch_array($qsql)) { $a =$rps['Level']; if(is_null($a)){ echo " <option value='' disabled selected>Level of Consciousness </option> <option value='Conscious'>Conscious</option> <option value='Semi Conscious'>Semi Conscious</option> <option value='Un-conscious'>Un-conscious </option>"; } else{ echo " <option value='$rps[Level]' disabled selected> $rps[Level] </option> <option value='Conscious'>Conscious</option> <option value='Semi Conscious'>Semi Conscious</option> <option value='Un-conscious'>Un-conscious </option> "; } } ?> </select> </div> <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"> <?php $sql ="SELECT * FROM patient WHERE patientid='$_GET[patientid]'"; $qsql = mysqli_query($con,$sql); while($rpm = mysqli_fetch_array($qsql)) { $a =$rpm['Modn']; if(is_null($a)) { echo " <option value='' disabled selected>Mode of Movement </option> <option value='Self'>Self</option> <option value='Ambulatory'>Ambulatory</option> <option value='Wheel chair'>Wheel chair</option> <option value='Stretcher'>Stretcher </option> <option value='Physical Support'>Physical Support </option> "; } else{ echo " <option value='$rpm[Modn]' disabled selected> $rpm[Modn] </option> <option value='Self'>Self</option> <option value='Ambulatory'>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 for="item">Vulnevilty Assessment<span>*</span> <select name='Vulnevilty_Assessment'> <option value='' disabled selected>Vulnevilty Assessment</option> <option value='Immediate Care'>Immediate Care </option> <option value='Urgent Care'>Urgent Care</option> <option value='Normal Care'>Normal Care</option> </select> </div><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> <label>Location</label><select name="Pain_Location" class="js-example-basic-multiple" data-placeholder="Pain Location" multiple="multiple"> <option value="Head">Head</option> <option value="forehead">forehead</option> <option value="Eyes">Eyes</option> <option value="Ear">Ear</option> <option value="Mouth">Mouth</option> <option value="cheek">cheek</option> <option value="chin">chin</option> <option value="Neck">Neck</option> <option value="Adam apple">Adam apple</option> <option value="Face">Face</option> <option value="Shoulder">Shoulder</option> <option value="Arm">Arm</option> <option value="elbow">elbow</option> <option value="forearm">forearm</option> <option value="wrist">wrist</option> <option value="palm">palm</option> <option value="fingers">fingers</option> <option value="Back">Back</option> <option value="Chest">Chest</option> <option value="Stomach">Stomach</option> <option value="umbilicus">umbilicus</option> <option value="abdomen">abdomen</option> <option value="groin">groin</option> <option value="hips">hips</option> <option value="penis-vagina">penis-vagina</option> <option value="leg">leg</option> <option value="thigh">thigh</option> <option value="knee">knee</option> <option value="calf">calf</option> <option value="ankle">ankle</option> <option value="foot">foot</option> <option value="toes">toes</option> </select> <script> $(function() { $(".js-example-basic-multiple").select2().multiple = true; }); </script> <br> <div class="checkbox"> <input name="fall_risk" type="checkbox"><span>Fall Risk </span> </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,$sql); while($ra = mysqli_fetch_array($qsql)) { echo " <tbody> <tr> <td> $ra[Allergen]</td> <td> $ra[Category]</td> <td><a href='edit_alg.php?patientid=$ra[patientid]&allergy_id=$ra[allergy_id]'>Edit</a></td> </tr> "; } ?> </tr> </thead> </tbody> <tfoot> </tfoot> </table> <?php $sql ="SELECT * FROM patient WHERE patientid='$_GET[patientid]'"; $qsql = mysqli_query($con,$sql); while($ra = mysqli_fetch_array($qsql)) { echo" <button style='height:40px;width:100px'><a href='Allergies.php?patientid=$ra[patientid]'>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 class="checkbox"> <input name="Addiction" id="myCheck11" onclick="myFunction11()" type="checkbox"><span>Addiction </span> </div> <div id="text11" style="display:none" > <div class="checkbox"> <input name="Alcohol" type="checkbox"><span>Alcohol </span> </div> <div class="checkbox"> <input name="Smoking" type="checkbox"><span>Smoking </span> </div> <div class="checkbox"> <input name="Tobacco" type="checkbox"><span>Tobacco </span> </div></div> <h4 align="center">Chief Complain</h4> <table id="example2" class="table table-bordered table-hover"> <tr><td> <span style="font-size: 20px">Fever </span></h3></td><td><label class="switch"> <input name="Fever" type="checkbox"> <span class="slider"></span> </label> </td> <td><span style="font-size: 20px">Loss of Smell</span></h3></td><td><label class="switch"> <input name="smell" type="checkbox"> <span class="slider"></span> </label> </td> </tr> <tr> <td><span style="font-size: 20px">Diarrhoea </span></h3></td><td><label class="switch"> <input name="Diarrhoea" type="checkbox"> <span class="slider"></span> </label> </td> <td><span style="font-size: 20px">Facial Deformity</span></h3></td><td><label class="switch"> <input name="Deformity" type="checkbox"> <span class="slider"></span> </label> </td> </tr> <tr><td> <span style="font-size: 20px">Cough </span></h3></td><td><label class="switch"> <input name="Cough" type="checkbox"> <span class="slider"></span> </label> </td> <td><span style="font-size: 20px">Loss of Taste</span></h3></td><td><label class="switch"> <input name="Taste" type="checkbox"> <span class="slider"></span> </label> </td> </tr> <tr> <td><span style="font-size: 20px">Weakness </span></h3></td><td><label class="switch"> <input name="Weakness" type="checkbox"> <span class="slider"></span> </label> </td> <td> <span style="font-size: 20px">Breathlessness </span></h3></td><td><label class="switch"> <input name="Breathlessness" type="checkbox"> <span class="slider"></span> </label> </td> </tr> <tr> <td><span style="font-size: 20px">Loss of Appetite</span></h3></td><td><label class="switch"> <input name="Appetite" type="checkbox"> <span class="slider"></span> </label> </td> <td><span style="font-size: 20px">Power Loss in Limbs </span></h3></td><td><label class="switch"> <input name="Limbs" type="checkbox"> <span class="slider"></span> </label> </td> </tr> <tr><td> <span style="font-size: 20px">Sore Throat </span></h3></td><td><label class="switch"> <input name="Throat" type="checkbox"> <span class="slider"></span> </label> </td> <td><span style="font-size: 20px">Vomitting</span></h3></td><td><label class="switch"> <input name="Vomitting" type="checkbox"> <span class="slider"></span> </label> </td> </tr> <tr> <td><span style="font-size: 20px">Slurred Voice </span></h3></td><td><label class="switch"> <input name="Slurred_Voice" type="checkbox"> <span class="slider"></span> </label> </td> <td><span style="font-size: 20px">Nausea </span></h3></td><td><label class="switch"> <input name="Nausea" type="checkbox"> <span class="slider"></span> </label> </td> </tr> <tr> <td><span style="font-size: 20px">Loss of Appetite</span></h3></td><td><label class="switch"> <input name="Loss_Appetite" type="checkbox"> <span class="slider"></span> </label> </td> <td><span style="font-size: 20px">Delusion </span></h3></td><td><label class="switch"> <input name="Delusion" type="checkbox"> <span class="slider"></span> </label> </td> </tr> <tr> <td><span style="font-size: 20px">Fits of Anger</span></h3></td><td><label class="switch"> <input name="Fits_Anger" type="checkbox"> <span class="slider"></span> </label> </td> <td><span style="font-size: 20px">Depression </span></h3></td><td><label class="switch"> <input name="Depression" type="checkbox"> <span class="slider"></span> </label> </td> </tr> <tr> <td><span style="font-size: 20px">Memory Loss </span></h3></td><td><label class="switch"> <input name="Memory_Loss " type="checkbox"> <span class="slider"></span> </label> </td> <td><span style="font-size: 20px">Bleeding Disorder </span></h3></td><td><label class="switch"> <input name="Bleeding_Disorder" type="checkbox"> <span class="slider"></span> </label> </td> </tr> <tr> <td><span style="font-size: 20px">Migraine </span></h3></td><td><label class="switch"> <input name="Migraine" type="checkbox"> <span class="slider"></span> </label> </td> <td><span style="font-size: 20px">Frequent Urination </span></h3></td><td><label class="switch"> <input name="Frequent_Urination" type="checkbox"> <span class="slider"></span> </label> </td> </tr> <tr> <td><span style="font-size: 20px">Swollen Join </span></h3></td><td><label class="switch"> <input name="Swollen_Join" type="checkbox"> <span class="slider"></span> </label> </td> <td><span style="font-size: 20px">Weight Gain </span></h3></td><td><label class="switch"> <input name="Weight_Gain" type="checkbox"> <span class="slider"></span> </label> </td> </tr> <tr> <td><span style="font-size: 20px">weight loss</span></h3></td><td><label class="switch"> <input name="weight_loss" type="checkbox"> <span class="slider"></span> </label> <td><span style="font-size: 20px">Body pain </span></h3></td><td><label class="switch"> <input name="Body_pain" type="checkbox"> <span class="slider"></span> </label> </td> </tr> <tr> <td><span style="font-size: 20px">Physical Injury </span></h3></td><td><label class="switch"> <input name="Physical_Injury" type="checkbox"> <span class="slider"></span> </label> </td> </tr> </table> <div><input name='Other_Symptoms' type='text' placeholder='Other Symptoms'> </div> <h3 align="center">Take Vitals</h3> <table id="example2" class="table table-bordered table-hover"> <thead> <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="number"></div></td></tr> <td><div><h5>SPo2 : </h5> </td></div><td><div><input name="SPo2" placeholder="Oxygen saturation" type="number"></div></td></tr> <tr><td><div><h5>RBS : </h5> </td></div><td><div><input placeholder="mg/dl" name="RBS" type="number"></div></td></tr> <tr><td><div><h5>Temperature: </h5> </td></div><td><div><input placeholder="째C" name="Temp" type="number"></div></td></tr> <tr><td><div><h5>Pulse: </h5> </td></div><td><div><input placeholder="Pulse" name="Pulse" type="number"></div></td></tr> <tr><td><div><h5>Blood Pressure: </h5> </td></div><td><div><input placeholder="Systolic (mmHg upper)" name="BP" type="number"><br><input placeholder="Diastolic(mmHg upper)" name="BP2" type="number"></div></td></tr> </div> </tr> </tr> </thead> </tbody> <tfoot> </tfoot> </table> <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">Admitted Under<span>*</span> <select " name="Admitted_Under" id="select2"> <option value="" disabled selected>Admitted Under</option> <?php $narayan=LoginManager::currentUser(); $usertype=LoginManager::getUserTypeByuname("$narayan"); $sqldoctor= "SELECT * FROM site_users WHERE usertype='Doctor' and entered_by='$usertype'"; $qsqldoctor = mysqli_query($con,$sqldoctor); while($rsdoctor = mysqli_fetch_array($qsqldoctor)) { echo "<option value='$rsdoctor[name]'>$rsdoctor[name]</option>"; } ?> </select> </div> <div> <label for="item">Attending Nurse<span>*</span> <select " name="Attending_Nurse" id="select2"> <option value="" disabled selected>Attending Nurse</option> <?php $narayan=LoginManager::currentUser(); $usertype=LoginManager::getUserTypeByuname("$narayan"); $sqldoctor= "SELECT * FROM site_users WHERE usertype='Nurse' and entered_by='$usertype'"; $qsqldoctor = mysqli_query($con,$sqldoctor); while($rsdoctor = mysqli_fetch_array($qsqldoctor)) { echo "<option value='$rsdoctor[name]'>$rsdoctor[name]</option>"; } ?> </select> </div> <input type="submit" name="signup" value="Submit"> </div> </form> <script src="../plugins/select2/js/select2.full.min.js"></script> <script> $(function () { //Initialize Select2 Elements $('.select2').select2() //Initialize Select2 Elements $('.select2bs4').select2({ theme: 'bootstrap4' }) </script> <?php } ?> </body> </html>