| Server IP : 162.240.98.243 / Your IP : 3.128.226.121 Web Server : Apache System : Linux server.bti.yaw.mybluehostin.me 3.10.0-1160.119.1.el7.x86_64 #1 SMP Tue Jun 4 14:43:51 UTC 2024 x86_64 User : btiyawmy ( 1003) PHP Version : 7.2.34 Disable Function : NONE MySQL : OFF | cURL : ON | WGET : ON | Perl : ON | Python : ON | Sudo : ON | Pkexec : ON Directory : /home/btiyawmy/public_html/login.easenup.in/FO/Patient/ |
Upload File : |
<?php
if(isset($_POST['signup']))
{
PatientManager::dischargechecklist("$_GET[prescriptionid]","$_GET[patientid]","$_POST[Pharmacy_Replacement]","$_POST[Billing_Completed]","$_POST[summary_handed]","$_POST[Prescription_explained]","$_POST[Report_handed]","$_POST[iv_cannula_removed]","$_POST[Hospital_Dress_Changed]","$_POST[Hospital_belonging]","$_POST[Pending_report_informed]","$_POST[Admission_Consent]","$_POST[Transfusion_Consent]","$_POST[Cost_Consent]","$_POST[Procedure_Consent]","$_POST[High_Risk_Consent]","$_POST[Anesthesia_Consent]","$_POST[LAMA_DOR_Consent]","$_POST[Discharge_Consent]","$_POST[check_date]","$_POST[Nurse_Name]","$_POST[entered_by]");
}
?>
<?php
$sql ="SELECT * FROM patient WHERE patientid='$_GET[patientid]'";
$qsql = mysqli_query($con,$sql);
while($rs = mysqli_fetch_array($qsql))
{
echo "
<div class=''>
<table id='example2' class='table table-bordered table-hover' width='100%'>
<h3 align='center'>Discharge Checklist</h3>
<tr>
<td > UHID: </td>
<td >$rs[patientid]</td>
</tr>
<tr>
<td > Pt. Name: </td>
<td >$rs[patientname]</td>
</tr>
<tr>
<td > W/O,D/O,S/O. : </td>
<td >$rs[HusbandName]</td>
</tr>
<tr>
<td > DOB: </td>
<td >$rs[dob]</td>
</tr>
<tr>
<td > Sex : </td>
<td >$rs[gendor]</td>
</tr>
";
echo "</td></tr>"; }
?>
<form name="signup" method="post">
<?php
$sql ="SELECT * FROM addaspatient WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
$qsql = mysqli_query($con,$sql);
while($rs = mysqli_fetch_array($qsql))
{
echo "
<input type='hidden' name='prescriptionid' value='$rs[prescriptionid]'>
<input type='hidden' name='patientid' value='$rs[patientid]'>
";
}
?>
<tr>
<td > Date : </td>
<td ><input type='date' name='check_date' class='form-control'>
</td>
</tr>
<tr>
<td > Admission Consent : </td>
<td ><select name='Admission_Consent' class='form-control'>
<option value='Admission Consent' disabled selected>Admission Consent</option>
<option value='Present'>Present</option>
<option value='Missing'>Missing </option>
</select></td>
</tr>
<tr>
<td > Blood Transfusion Consent : </td>
<td ><select name='Transfusion_Consent' class='form-control'>
<option value='Blood Transfusion Consent' disabled selected>Blood Transfusion Consent</option>
<option value='Not Applicable'>Not Applicable</option>
<option value='Present'>Present</option>
<option value='Missing'>Missing </option>
</select></td>
</tr>
<tr>
<td > Cost Consent : </td>
<td ><select name='Cost_Consent' class='form-control'>
<option value='Cost Consent' disabled selected>Cost Consent</option>
<option value='Not Applicable'>Not Applicable</option>
<option value='Present'>Present</option>
<option value='Missing'>Missing </option>
</select></td>
</tr>
<tr>
<td > Procedure Consent : </td>
<td ><select name='Procedure_Consent' class='form-control'>
<option value='Procedure_Consent' disabled selected>Procedure Consent</option>
<option value='Not Applicable'>Not Applicable</option>
<option value='Present'>Present</option>
<option value='Missing'>Missing </option>
</select></td>
</tr>
<tr>
<td > High Risk Consent : </td>
<td ><select name='High_Risk_Consent' class='form-control'>
<option value='High_Risk_Consent' disabled selected>High Risk Consent</option>
<option value='Not Applicable'>Not Applicable</option>
<option value='Present'>Present</option>
<option value='Missing'>Missing </option>
</select></td>
</tr>
<tr>
<td > Anesthesia Consent : </td>
<td ><select name='Anesthesia_Consent' class='form-control'>
<option value='Anesthesia_Consent' disabled selected>Anesthesia Consent</option>
<option value='Not Applicable'>Not Applicable</option>
<option value='Present'>Present</option>
<option value='Missing'>Missing </option>
</select></td>
</tr>
<tr>
<td > LAMA/DOR Consent : </td>
<td ><select name='LAMA_DOR_Consent' class='form-control'>
<option value='LAMA_DOR_Consent' disabled selected>LAMA/DOR Consent:</option>
<option value='Not Applicable'>Not Applicable</option>
<option value='Present'>Present</option>
<option value='Missing'>Missing </option>
</select></td>
</tr>
<tr>
<td > Discharge Consent : </td>
<td ><select name='Discharge_Consent' class='form-control'>
<option value='LAMA_DOR_Consent' disabled selected>Discharge Consent</option>
<option value='Not Applicable'>Not Applicable</option>
<option value='Present'>Present</option>
<option value='Missing'>Missing </option>
</select></td>
</tr>
<?php
$sql ="SELECT * FROM addaspatient WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]' ";
$qsql = mysqli_query($con,$sql);
while($rs = mysqli_fetch_array($qsql))
{
if(Pregnancy==$rs[casetype])
{
?> <div id="mmenu">
<tr>
<td > Safe Childbirth Checklist Step 1 : </td>
<td ><select name='Safe_Childbirth_Checklist' class='form-control'>
<option value='Safe_Childbirth_Checklist' disabled selected>Safe Childbirth Checklist</option>
<option value='Not Applicable'>Not Applicable</option>
<option value='Completed'>Completed</option>
<option value='Missing'>Missing </option>
</select></td>
</tr>
<tr>
<td > Safe Childbirth Checklist Step 1 : </td>
<td ><select name='Step_1' class='form-control'>
<option value='Safe_Childbirth_Checklist' disabled selected>Safe Childbirth Checklist</option>
<option value='Not Applicable'>Not Applicable</option>
<option value='Completed'>Completed</option>
<option value='Missing'>Missing </option>
</select></td>
</tr>
<tr>
<td > Safe Childbirth Checklist Step 2 : </td>
<td ><select name='Step_2' class='form-control'>
<option value='Safe_Childbirth_Checklist' disabled selected>Safe Childbirth Checklist</option>
<option value='Not Applicable'>Not Applicable</option>
<option value='Completed'>Completed</option>
<option value='Missing'>Missing </option>
</select></td>
</tr>
<tr>
<td > Safe Childbirth Checklist Step 3 : </td>
<td ><select name='Step_3' class='form-control'>
<option value='Safe_Childbirth_Checklist' disabled selected>Safe Childbirth Checklist</option>
<option value='Not Applicable'>Not Applicable</option>
<option value='Completed'>Completed</option>
<option value='Missing'>Missing </option>
</select></td>
</tr>
<tr>
<td > Safe Childbirth Checklist Step 4 : </td>
<td ><select name='Step_4' class='form-control'>
<option value='Safe_Childbirth_Checklist' disabled selected>Safe Childbirth Checklist</option>
<option value='Not Applicable'>Not Applicable</option>
<option value='Completed'>Completed</option>
<option value='Missing'>Missing </option>
</select></td>
</tr>
<tr>
<td > Safe Childbirth Checklist (Step 4) : </td>
<td ><label >
<input name='Safe_Childbirth_Checklist4' id="myCheck102" onclick="myFunction102()" type='checkbox' class="ace ace-switch ace-switch-6" class="ace ace-switch ace-switch-6">
<span class='lbl'></span>
</label>
</td>
</tr>
</table>
<div id="text102" style="display:none" >
<h3 align="center">Safe Childbirth Checklist
Before Discharge (Step 4)
</h3>
<div class="checkbox">
<table id='example2' class='table table-bordered table-hover' width='100%'> <tr> <td>
<p>
<h4>Confirm stay at facility for 24 hours after delivery</h4>
</td>
<td>
<select name='Confirm_stay' class='form-control'>
<option value='Safe_Childbirth_Checklist' disabled selected>Confirm stay at facility for 24 hours</option>
<option value='Yes'>Yes</option>
<option value='Not Needed'>Not Needed </option>
</select>
</td> </tr>
<tr> <td>
<p>
<h4>Does mother need to start antibiotics? </h4>
</td>
<td>
<select name='Confirm_stay' class='form-control'>
<option value='start_antibiotics' disabled selected>start antibiotics? </option>
<option value='No'>No</option>
<option value='Yes given and delay discharge'>Yes, given and delay discharge </option>
</select>
</td> </tr>
<tr> <td>
<p>
<h4>Is mother’s blood pressure normal?</h4>
</td>
<td>
<select name='blood_pressure_normal' class='form-control'>
<option value='start_antibiotics' disabled selected>Is mother’s blood pressure normal?</option>
<option value='No treat and delay discharge '>No, treat and delay discharge </option>
<option value='Yes'>Yes </option>
</select>
</td> </tr>
<tr> <td>
<p>
<h4>Is mother bleeding abnormally?</h4>
</td>
<td>
<select name='blood_pressure_normal' class='form-control'>
<option value='start_antibiotics' disabled selected>Is mother bleeding abnormally?</option>
<option value='No'>No</option>
<option value='Yes, treat and delay discharge'>Yes, treat and delay discharge </option>
</select>
</td> </tr>
<tr> <td>
<p>
<h4>Does baby need to start antibiotics?</h4>
</td>
<td>
<select name='blood_pressure_normal' class='form-control'>
<option value='start_antibiotics' disabled selected>Does baby need to start antibiotics?</option>
<option value='No'>No</option>
<option value='Yes, give antibiotics, delay discharge, give special care'>Yes, give antibiotics, delay discharge, give special care</option>
</select>
</td> </tr>
<tr> <td>
<p>
<h4>Is baby feeding well?</h4>
</td>
<td>
<select name='blood_pressure_normal' class='form-control'>
<option value='start_antibiotics' disabled selected>Is baby feeding well?</option>
<option value='No, establish good breastfeeding practices and delay discharge '>No, establish good breastfeeding practices and delay discharge </option>
<option value='Yes'>Yes</option>
</select>
</td> </tr>
<tr>
<td > Discuss and offer family planning options to mother </td>
<td ><label >
<input name='family_planning' type='checkbox' class="ace ace-switch ace-switch-6">
<span class='lbl'></span>
</label>
</td>
</tr>
<tr>
<td > Arrange follow-up and confirm mother </td>
<td ><label >
<input name='Arrange_follow_up' type='checkbox' class="ace ace-switch ace-switch-6">
<span class='lbl'></span>
</label>
</td>
</tr>
</table>
<h3 align='center'>Danger Signs</h3>
<h5>Mother has any of</h3>
<table id='example2' class='table table-bordered table-hover' width='100%'>
<tr>
<td > Bleeding </td>
<td ><label >
<input name='Bleeding' type='checkbox' class="ace ace-switch ace-switch-6">
<span class='lbl'></span>
</label>
</td>
</tr>
<tr>
<td > Severe abdominal pain </td>
<td ><label >
<input name='Severe_abdominal_pain' type='checkbox' class="ace ace-switch ace-switch-6">
<span class='lbl'></span>
</label>
</td>
</tr>
<tr>
<td > Severe headache or visual disturbance</td>
<td ><label >
<input name='visual_disturbance' type='checkbox' class="ace ace-switch ace-switch-6">
<span class='lbl'></span>
</label>
</td>
</tr>
<tr>
<td > Breathing difficulty</td>
<td ><label >
<input name='Breathing_difficulty' type='checkbox' class="ace ace-switch ace-switch-6">
<span class='lbl'></span>
</label>
</td>
</tr>
<tr>
<td > Fever or chills</td>
<td ><label >
<input name='Fever_chills' type='checkbox' class="ace ace-switch ace-switch-6">
<span class='lbl'></span>
</label>
</td>
</tr>
<tr>
<td > Difficulty emptying bladder</td>
<td ><label >
<input name='Difficulty_emptying_bladder' type='checkbox' class="ace ace-switch ace-switch-6">
<span class='lbl'></span>
</label>
</td>
</tr>
<tr>
<td > Epigastric pain</td>
<td ><label >
<input name='Epigastric_pain' type='checkbox' class="ace ace-switch ace-switch-6">
<span class='lbl'></span>
</label>
</td>
</tr>
<tr><td><h5 align='left'>Baby has any of:</h5></td></tr>
<tr>
<td > Fast/difficult breathing</td>
<td ><label >
<input name='Fast_difficult_breathing' type='checkbox' class="ace ace-switch ace-switch-6">
<span class='lbl'></span>
</label>
</td>
</tr>
<tr>
<td > Fever</td>
<td ><label >
<input name='Fever' type='checkbox' class="ace ace-switch ace-switch-6">
<span class='lbl'></span>
</label>
</td>
</tr>
<tr>
<td > Unusually cold</td>
<td ><label >
<input name='Unusually_cold' type='checkbox' class="ace ace-switch ace-switch-6">
<span class='lbl'></span>
</label>
</td>
</tr>
<tr>
<td > Stops feeding well</td>
<td ><label >
<input name='Stops_feeding_well' type='checkbox' class="ace ace-switch ace-switch-6">
<span class='lbl'></span>
</label>
</td>
</tr>
<tr>
<td > Less activity than normal</td>
<td ><label >
<input name='Less_activity' type='checkbox' class="ace ace-switch ace-switch-6">
<span class='lbl'></span>
</label>
</td>
</tr>
<tr>
<td > Whole body becomes yellow</td>
<td ><label >
<input name='becomes_yellow' type='checkbox' class="ace ace-switch ace-switch-6">
<span class='lbl'></span>
</label>
</td>
</tr>
</table></div></div>
<?php
}
}
?>
<table id='example2' class='table table-bordered table-hover' width='100%'>
<tr>
<td > Pharmacy Replacement : </td>
<td ><label >
<input name='Pharmacy_Replacement' type='checkbox' class="ace ace-switch ace-switch-6">
<span class='lbl'></span>
</label>
</td>
</tr>
<tr>
<td > Billing Completed : </td>
<td ><label >
<input name='Billing_Completed' type='checkbox' class="ace ace-switch ace-switch-6">
<span class='lbl'></span>
</label>
</td>
</tr>
<tr>
<td > Discharge summary explained and handed over : </td>
<td ><label >
<input name='summary_handed' type='checkbox' class="ace ace-switch ace-switch-6">
<span class='lbl'></span>
</label>
</td>
</tr>
<tr>
<td > Prescription explained and handed over : </td>
<td ><label >
<input name='Prescription_explained' type='checkbox' class="ace ace-switch ace-switch-6">
<span class='lbl'></span>
</label>
</td>
</tr>
<tr>
<td > Report handed over : </td>
<td ><label >
<input name='Report_handed' type='checkbox' class="ace ace-switch ace-switch-6">
<span class='lbl'></span>
</label>
</td>
</tr>
<tr>
<td > Iv Cannula Removed : </td>
<td ><label >
<input name='iv_cannula_removed' type='checkbox' class="ace ace-switch ace-switch-6">
<span class='lbl'></span>
</label>
</td>
</tr><tr>
<td > Hospital Dress Changed : </td>
<td ><label >
<input name='Hospital_Dress_Changed' type='checkbox' class="ace ace-switch ace-switch-6">
<span class='lbl'></span>
</label>
</td>
</tr>
<tr>
<td > Hospital belonging checked and taken back : </td>
<td ><label >
<input name='Hospital_belonging' type='checkbox' class="ace ace-switch ace-switch-6">
<span class='lbl'></span>
</label>
</td>
</tr>
<tr><td ><label> Pending report informed:</label></td><td > <label >
<input name='Pending_report_informed' type='checkbox' class="ace ace-switch ace-switch-6" >
<span class='lbl'></span>
</label></td></tr>
<tr><td ><label>Attending Nursing Staff:</label></td>
<td >
<input type="text" name='Nurse_Name' placeholder='Attending Nursing Staff:' class='form-control'> </td>
</tr>
<tr>
<td colspan='2'><input type="submit" name="signup" value="Submit" class='btn btn-success'></td>
</tr>
</table>
</fieldset>
</form>
<script>
n = new Date();
y = n.getFullYear();
m = n.getMonth() + 1;
d = n.getDate();
document.getElementById("date").innerHTML = m + "/" + d + "/" + y;
</script>