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<?php
session_start();
require_once("../../dbconnection.php");
require_once('../../../DBManager.php');
require_once('../../../LoginManager.php');
if(!isset($_SESSION['uname']))
{
echo "<script>alert('Session Expired..');</script><script>window.location='../index.php';</script>";
}
$title='Edit Regular Medication';
$narayan=LoginManager::currentUser();
$harilal=LoginManager::getUserTypeByuname("$narayan");
$sql ="SELECT * FROM site_users WHERE userno='$harilal'";
$qsql = mysqli_query($con,$sql);
$rs = mysqli_fetch_array($qsql);
$target_dir = "uploads/";
$filename = basename($_FILES["Upload_MLC_Slip"]["name"]);
$target_file = $target_dir . basename($_FILES["Upload_MLC_Slip"]["name"]);
$uploadOk = 1;
$imageFileType = strtolower(pathinfo($target_file,PATHINFO_EXTENSION));
if(isset($_POST['Medical_Assessment']))
{
$updated_at=date("F d, Y / h:i:s A");
$sql="UPDATE Medical_Assessment SET Chief_Complain='$_POST[Chief_Complain]',Covid='$_POST[Covid]',Fever='$_POST[Fever]',Fever_note='$_POST[Fever_note]',smell='$_POST[smell]',smell_note='$_POST[smell_note]',Diarrhoea='$_POST[Diarrhoea]',Diarrhoea_note='$_POST[Diarrhoea_note]',Deformity='$_POST[Deformity]',Deformity_note='$_POST[Deformity_note]',Cough='$_POST[Cough]',Cough_note='$_POST[Cough_note]',Taste='$_POST[Taste]',Taste_note='$_POST[Taste_note]',Weakness='$_POST[Weakness]',Weakness_note='$_POST[Weakness_note]',Breathlessness='$_POST[Breathlessness]',Breathlessness_note='$_POST[Breathlessness_note]',Appetite='$_POST[Appetite]',Appetite_note='$_POST[Appetite_note]',Limbs='$_POST[Limbs]',Limbs_note='$_POST[Limbs_note]',Throat='$_POST[Throat]',Throat_note='$_POST[Throat_note]',Vomitting='$_POST[Vomitting]',Vomitting_note='$_POST[Vomitting_note]',Slurred_Voice='$_POST[Slurred_Voice]',Slurred_Voice_note='$_POST[Slurred_Voice_note]',Nausea='$_POST[Nausea]',Nausea_note='$_POST[Nausea_note]',Loss_Appetite='$_POST[Loss_Appetite]',Loss_Appetite_note='$_POST[Loss_Appetite_note]',Delusion='$_POST[Delusion]',Delusion_note='$_POST[Delusion_note]',Fits_Anger='$_POST[Fits_Anger]',Fits_Anger_note='$_POST[Fits_Anger_note]',Depression='$_POST[Depression]',Depression_note='$_POST[Depression_note]',Memory_Loss='$_POST[Memory_Loss]',Memory_Loss_note='$_POST[Memory_Loss_note]',Bleeding_Disorder='$_POST[Bleeding_Disorder]',Bleeding_Disorder_note='$_POST[Bleeding_Disorder_note]',Migraine='$_POST[Migraine]',Migraine_note='$_POST[Migraine_note]',Frequent_Urination='$_POST[Frequent_Urination]',Frequent_Urination_note='$_POST[Frequent_Urination_note]',Swollen_Join='$_POST[Swollen_Join]',Swollen_Join_note='$_POST[Swollen_Join_note]',Weight_Gain='$_POST[Weight_Gain]',Weight_Gain_note='$_POST[Weight_Gain_note]',weight_loss='$_POST[weight_loss]',weight_loss_note='$_POST[weight_loss_note]',Body_pain='$_POST[Body_pain]',Body_pain_note='$_POST[Body_pain_note]',Physical_Injury='$_POST[Physical_Injury]',Physical_Injury_note='$_POST[Physical_Injury_note]',Other_Symptoms='$_POST[Other_Symptoms]',Other_Symptoms_note='$_POST[Other_Symptoms_note]',RED_EYE='$_POST[RED_EYE]',RED_EYE_note='$_POST[RED_EYE_note]',Swollen_Eye='$_POST[Swollen_Eye]',Swollen_Eye_note='$_POST[Swollen_Eye_note]',Conjunctiva='$_POST[Conjunctiva]',Conjunctiva_note='$_POST[Conjunctiva_note]',Itchiness='$_POST[Itchiness]',Itchiness_note='$_POST[Itchiness_note]',Dislocated='$_POST[Dislocated]',Dislocated_note='$_POST[Dislocated_note]',Blur_Vision='$_POST[Blur_Vision]',Blur_Vision_note='$_POST[Blur_Vision_note]',Partial_Blindness='$_POST[Partial_Blindness]',Partial_Blindness_note='$_POST[Partial_Blindness_note]',Blindness='$_POST[Blindness]',Blindness_note='$_POST[Blindness_note]',created_at='$_POST[created_at]',updated_at='$updated_at' WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
$sql1 ="UPDATE save_activity SET created_at='$_POST[created_at]',updated_at='$updated_at' WHERE prescriptionid='$_GET[prescriptionid]' AND userno='$_GET[patientid]' AND discription='Intial Assessment<br>Medical Assessment<br>Doc.no-'";
if($qsql = mysqli_query($con,$sql))
{
if($qsql = mysqli_query($con,$sql1))
{
echo "<script>alert('Update successfully');</script><script>window.history.go(-2)</script>;</script>";
}
}else {
echo "Sorry, there was an error uploading your file.";
}
}
?>
<!DOCTYPE html>
<html lang="en">
<head>
<meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1" />
<meta charset="utf-8" />
<title><?php echo $title; ?></title>
<meta name="description" content="Common form elements and layouts" />
<meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0" />
<!-- bootstrap & fontawesome -->
<link rel="stylesheet" href="../assets/css/bootstrap.min.css" />
<link rel="stylesheet" href="../assets/font-awesome/4.5.0/css/font-awesome.min.css" />
<!-- page specific plugin styles -->
<link rel="stylesheet" href="../assets/css/jquery-ui.custom.min.css" />
<link rel="stylesheet" href="../assets/css/chosen.min.css" />
<link rel="stylesheet" href="../assets/css/bootstrap-datepicker3.min.css" />
<link rel="stylesheet" href="../assets/css/bootstrap-timepicker.min.css" />
<link rel="stylesheet" href="../assets/css/daterangepicker.min.css" />
<link rel="stylesheet" href="../assets/css/bootstrap-datetimepicker.min.css" />
<link rel="stylesheet" href="../assets/css/bootstrap-colorpicker.min.css" />
<!-- text fonts -->
<link rel="stylesheet" href="../assets/css/fonts.googleapis.com.css" />
<!-- ace styles -->
<link rel="stylesheet" href="../assets/css/ace.min.css" class="ace-main-stylesheet" id="main-ace-style" />
<!--[if lte IE 9]>
<link rel="stylesheet" href="../assets/css/ace-part2.min.css" class="ace-main-stylesheet" />
<![endif]-->
<link rel="stylesheet" href="../assets/css/ace-skins.min.css" />
<link rel="stylesheet" href="../assets/css/ace-rtl.min.css" />
<!--[if lte IE 9]>
<link rel="stylesheet" href="../assets/css/ace-ie.min.css" />
<![endif]-->
<!-- inline styles related to this page -->
<!-- ace settings handler -->
<script src="../assets/js/ace-extra.min.js"></script>
<!-- HTML5shiv and Respond.js for IE8 to support HTML5 elements and media queries -->
<!--[if lte IE 8]>
<script src="../assets/js/html5shiv.min.js"></script>
<script src="../assets/js/respond.min.js"></script>
<![endif]-->
</head>
<body class="no-skin">
<?php include('../includes/header.php'); ?>
<div class="main-container ace-save-state" id="main-container">
<script type="text/javascript">
try{ace.settings.loadState('main-container')}catch(e){}
</script>
<div id="sidebar" class="sidebar responsive ace-save-state">
<script type="text/javascript">
try{ace.settings.loadState('sidebar')}catch(e){}
</script>
<div class="sidebar-shortcuts" id="sidebar-shortcuts">
<div class="sidebar-shortcuts-large" id="sidebar-shortcuts-large">
<button class="btn btn-success">
<i class="ace-icon fa fa-signal"></i>
</button>
<button class="btn btn-info">
<i class="ace-icon fa fa-pencil"></i>
</button>
<button class="btn btn-warning">
<i class="ace-icon fa fa-users"></i>
</button>
<button class="btn btn-danger">
<i class="ace-icon fa fa-cogs"></i>
</button>
</div>
<div class="sidebar-shortcuts-mini" id="sidebar-shortcuts-mini">
<span class="btn btn-success"></span>
<span class="btn btn-info"></span>
<span class="btn btn-warning"></span>
<span class="btn btn-danger"></span>
</div>
</div><!-- /.sidebar-shortcuts -->
<?php include('sidebar.php'); ?><!-- /.nav-list -->
<div class="sidebar-toggle sidebar-collapse" id="sidebar-collapse">
<i id="sidebar-toggle-icon" class="ace-icon fa fa-angle-double-left ace-save-state" data-icon1="ace-icon fa fa-angle-double-left" data-icon2="ace-icon fa fa-angle-double-right"></i>
</div>
</div>
<div class="main-content">
<div class="main-content-inner">
<div class="breadcrumbs ace-save-state" id="breadcrumbs">
<ul class="breadcrumb">
<li>
<i class="ace-icon fa fa-home home-icon"></i>
<a href="#">Home</a>
</li>
<li class="active"><?php echo $title; ?></li>
</ul><!-- /.breadcrumb -->
<div class="nav-search" id="nav-search">
<form class="form-search">
<span class="input-icon">
<input type="text" placeholder="Search ..." class="nav-search-input" id="nav-search-input" autocomplete="off" />
<i class="ace-icon fa fa-search nav-search-icon"></i>
</span>
</form>
</div><!-- /.nav-search -->
</div>
<div class="page-content">
<div class="page-header">
<h1>
<small>
<i class="ace-icon fa fa-angle-double-right"></i>
<?php echo $title; ?>
</small>
</h1>
</div><!-- /.page-header -->
<div class="row">
<div class="col-xs-12">
<div class="panel panel-primary">
<div class="panel-body">
<h4 class="text-on-pannel text-primary"><strong class="text-uppercase">Edit Medical Assessment
</strong></h4>
<table id="example2" class="table table-bordered table-hover">
<!-- PAGE CONTENT BEGINS -->
<form name="Medical_Assessment" method="post" id='myForm'>
<?php
$sql ="SELECT * FROM addaspatient WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
$qsql = mysqli_query($con,$sql);
while($rs = mysqli_fetch_array($qsql))
{
$usertype=$rs['typevisit'];
if($usertype == 'OPD'){
echo " <h3 align='center'>Medical Assessment </h3> ";
} else{
echo " <h3 align='center'>Initial Assessment </h3>";
}
}
?>
<div class="checkbox">
<input name="Chief_Complain" value='on' type="hidden">
<h4 align='center'>Chief Complain</h4></div>
<table id="example2" class="table table-bordered table-hover">
<?php
$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
$qsql = mysqli_query($con,$sql);
while($rs = mysqli_fetch_array($qsql))
{
echo"
<tr><td width='50%'> Date & Time</td><td width='50%'> <input id='party' value='$rs[created_at]' type='text' class='form-control' name='created_at'
></td><td> </td></tr>";
if($rs[Fever] == 'on'){
echo"
<tr><td>
<span style='font-size: 20px'>Fever </span></h3></td><td><label class='switch'>
<input name='Fever' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Fever_note' placeholder='Note' value='$rs[Fever_note]'></td>
</tr>
";
}
else
{
echo" <tr><td>
<span style='font-size: 20px'>Fever </span></h3></td><td><label class='switch'>
<input name='Fever' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Fever_note' placeholder='Note' value='$rs[Fever_note]'></td>
</tr>";
}
if($rs[smell] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Loss of Smell</span></h3></td><td><label class='switch'>
<input name='smell' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='smell_note' placeholder='Note' value='$rs[smell_note]'></td>
</tr>
";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Loss of Smell</span></h3></td><td><label class='switch'>
<input name='smell' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='smell_note' placeholder='Note' value='$rs[smell_note]'></td>
</tr>
";
}
if($rs[Diarrhoea] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Diarrhoea </span></h3></td><td><label class='switch'>
<input name='Diarrhoea' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Diarrhoea_note' placeholder='Note' value='$rs[Diarrhoea_note]'></td>
</tr>
";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Diarrhoea </span></h3></td><td><label class='switch'>
<input name='Diarrhoea' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Diarrhoea_note' placeholder='Note' value='$rs[Diarrhoea_note]'></td>
</tr>
";
}
if($rs[Deformity] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Facial Deformity</span></h3></td><td><label class='switch'>
<input name='Deformity' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Deformity_note' placeholder='Note' value='$rs[Deformity_note]'></td>
</tr>
";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Facial Deformity</span></h3></td><td><label class='switch'>
<input name='Deformity' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Deformity_note' placeholder='Note' value='$rs[Deformity_note]'></td>
</tr>
";
}
if($rs[Cough] == 'on'){
echo"
<tr><td>
<span style='font-size: 20px'>Cough </span></h3></td><td><label class='switch'>
<input name='Cough' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Cough_note' placeholder='Note' value='$rs[Cough_note]'></td>
</tr>
";
}
else
{
echo"
<tr><td>
<span style='font-size: 20px'>Cough </span></h3></td><td><label class='switch'>
<input name='Cough' type='checkbox' class='ace ace-switch ace-switch-6' >
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Cough_note' placeholder='Note' value='$rs[Cough_note]'></td>
</tr>
";
}
if($rs[Taste] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Loss of Taste</span></h3></td><td><label class='switch'>
<input name='Taste' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Taste_note' placeholder='Note' value='$rs[Taste_note]'></td>
</tr>
";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Loss of Taste</span></h3></td><td><label class='switch'>
<input name='Taste' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Taste_note' placeholder='Note' value='$rs[Taste_note]'></td>
</tr>
";
}
if($rs[Weakness] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Weakness </span></h3></td><td><label class='switch'>
<input name='Weakness' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Weakness_note' placeholder='Note' value='$rs[Weakness_note]'></td>
</tr>";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Weakness </span></h3></td><td><label class='switch'>
<input name='Weakness' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Weakness_note' placeholder='Note' value='$rs[Weakness_note]'></td>
</tr>
";
}
if($rs[Breathlessness] == 'on'){
echo"
<tr>
<td>
<span style='font-size: 20px'>Breathlessness </span></h3></td><td><label class='switch'>
<input name='Breathlessness' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Breathlessness_note' placeholder='Note' value='$rs[Breathlessness_note]'></td>
</tr>
";
}
else
{
echo"
<tr>
<td>
<span style='font-size: 20px'>Breathlessness </span></h3></td><td><label class='switch'>
<input name='Breathlessness' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Breathlessness_note' placeholder='Note' value='$rs[Breathlessness_note]'></td>
</tr>
";
}
if($rs[Appetite] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Shivering</span></h3></td><td><label class='switch'>
<input name='Appetite' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Appetite_note' placeholder='Note' value='$rs[Appetite_note]'></td>
</tr>
";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Loss of Appetite</span></h3></td><td><label class='switch'>
<input name='Appetite' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Appetite_note' placeholder='Note' value='$rs[Appetite_note]'></td>
</tr>
";
}
if($rs[Limbs] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Power Loss in Limbs </span></h3></td><td><label class='switch'>
<input name='Limbs' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Limbs_note' placeholder='Note' value='$rs[Limbs_note]'></td>
</tr>";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Power Loss in Limbs </span></h3></td><td><label class='switch'>
<input name='Limbs' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Limbs_note' placeholder='Note' value='$rs[Limbs_note]'></td>
</tr>";
}
if($rs[Throat] == 'on'){
echo"
<tr><td>
<span style='font-size: 20px'>Sore Throat </span></h3></td><td><label class='switch'>
<input name='Throat' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Throat_note' placeholder='Note' value='$rs[Throat_note]'></td>
</tr>
";
}
else
{
echo"
<tr><td>
<span style='font-size: 20px'>Sore Throat </span></h3></td><td><label class='switch'>
<input name='Throat' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Throat_note' placeholder='Note' value='$rs[Throat_note]'></td>
</tr>
";
}
if($rs[Vomitting] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Vomitting</span></h3></td><td><label class='switch'>
<input name='Vomitting' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Vomitting_note' placeholder='Note' value='$rs[Vomitting_note]'></td>
</tr>
";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Vomitting</span></h3></td><td><label class='switch'>
<input name='Vomitting' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Vomitting_note' placeholder='Note' value='$rs[Vomitting_note]'></td>
</tr>
";
}
if($rs[Slurred_Voice] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Slurred Voice </span></h3></td><td><label class='switch'>
<input name='Slurred_Voice' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Slurred_Voice_note' placeholder='Note' value='$rs[Slurred_Voice_note]'></td>
</tr>
";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Slurred Voice </span></h3></td><td><label class='switch'>
<input name='Slurred_Voice' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Slurred_Voice_note' placeholder='Note' value='$rs[Slurred_Voice_note]'></td>
</tr>
";
}
if($rs[Nausea] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Nausea </span></h3></td><td><label class='switch'>
<input name='Nausea' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Nausea_note' placeholder='Note' value='$rs[Nausea_note]'></td>
</tr>";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Nausea </span></h3></td><td><label class='switch'>
<input name='Nausea' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Nausea_note' placeholder='Note' value='$rs[Nausea_note]'></td>
</tr>";
}
if($rs[Loss_Appetite] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Loss of Appetite</span></h3></td><td><label class='switch'>
<input name='Loss_Appetite' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Loss_Appetite_note' placeholder='Note' value='$rs[Loss_Appetite_note]'></td>
</tr>
";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Loss of Appetite</span></h3></td><td><label class='switch'>
<input name='Loss_Appetite' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Loss_Appetite_note' placeholder='Note' value='$rs[Loss_Appetite_note]'></td>
</tr>
";
}
if($rs[Delusion] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Delusion </span></h3></td><td><label class='switch'>
<input name='Delusion' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Delusion_note' placeholder='Note' value='$rs[Delusion_note]'></td>
</tr>";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Delusion </span></h3></td><td><label class='switch'>
<input name='Delusion' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Delusion_note' placeholder='Note' value='$rs[Delusion_note]'></td>
</tr>";
}
if($rs[Fits_Anger] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Fits of Anger</span></h3></td><td><label class='switch'>
<input name='Fits_Anger' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Fits_Anger_note' placeholder='Note' value='$rs[Fits_Anger_note]'></td>
</tr>
";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Fits of Anger</span></h3></td><td><label class='switch'>
<input name='Fits_Anger' type='checkbox' class='ace ace-switch ace-switch-6' >
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Fits_Anger_note' placeholder='Note' value='$rs[Fits_Anger_note]'></td>
</tr>
";
}
if($rs[Depression] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Depression </span></h3></td><td><label class='switch'>
<input name='Depression' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Depression_note' placeholder='Note' value='$rs[Depression_note]'></td>
</tr>
";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Depression </span></h3></td><td><label class='switch'>
<input name='Depression' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Depression_note' placeholder='Note' value='$rs[Depression_note]'></td>
</tr>
";
}
if($rs[Memory_Loss] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Memory Loss </span></h3></td><td><label class='switch'>
<input name='Memory_Loss' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Memory_Loss_note' placeholder='Note' value='$rs[Memory_Loss_note]'></td>
</tr>
";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Memory Loss </span></h3></td><td><label class='switch'>
<input name='Memory_Loss' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Memory_Loss_note' placeholder='Note' value='$rs[Memory_Loss_note]'></td>
</tr>
";
}
if($rs[Bleeding_Disorder] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Bleeding Disorder </span></h3></td><td><label class='switch'>
<input name='Bleeding_Disorder' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Bleeding_Disorder_note' placeholder='Note' value='$rs[Bleeding_Disorder_note]'></td>
</tr>
";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Bleeding Disorder </span></h3></td><td><label class='switch'>
<input name='Bleeding_Disorder' type='checkbox' class='ace ace-switch ace-switch-6' >
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Bleeding_Disorder_note' placeholder='Note' value='$rs[Bleeding_Disorder_note]'></td>
</tr>
";
}
if($rs[Migraine] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Migraine </span></h3></td><td><label class='switch'>
<input name='Migraine' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Migraine_note' placeholder='Note' value='$rs[Migraine_note]'></td>
</tr>";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Migraine </span></h3></td><td><label class='switch'>
<input name='Migraine' type='checkbox' class='ace ace-switch ace-switch-6' >
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Migraine_note' placeholder='Note' value='$rs[Migraine_note]'></td>
</tr>";
}
if($rs[Frequent_Urination] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Frequent Urination </span></h3></td><td><label class='switch'>
<input name='Frequent_Urination' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Frequent_Urination_note' placeholder='Note' value='$rs[Frequent_Urination_note]'></td>
</tr>";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Frequent Urination </span></h3></td><td><label class='switch'>
<input name='Frequent_Urination' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Frequent_Urination_note' placeholder='Note' value='$rs[Frequent_Urination_note]'></td>
</tr>";
}
if($rs[Swollen_Join] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Swollen Join </span></h3></td><td><label class='switch'>
<input name='Swollen_Join' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Swollen_Join_note' placeholder='Note' value='$rs[Swollen_Join_note]'></td>
</tr>";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Swollen Join </span></h3></td><td><label class='switch'>
<input name='Swollen_Join' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Swollen_Join_note' placeholder='Note' value='$rs[Swollen_Join_note]'></td>
</tr>";
}
if($rs[Weight_Gain] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Weight Gain </span></h3></td><td><label class='switch'>
<input name='Weight_Gain' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Weight_Gain_note' placeholder='Note' value='$rs[Weight_Gain_note]'></td>
</tr>";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Weight Gain </span></h3></td><td><label class='switch'>
<input name='Weight_Gain' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Weight_Gain_note' placeholder='Note' value='$rs[Weight_Gain_note]'></td>
</tr>";
}
if($rs[weight_loss] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>weight loss</span></h3></td><td><label class='switch'>
<input name='weight_loss' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='weight_loss_note' placeholder='Note' value='$rs[weight_loss_note]'></td></tr>
";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>weight loss</span></h3></td><td><label class='switch'>
<input name='weight_loss' type='checkbox' class='ace ace-switch ace-switch-6' >
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='weight_loss_note' placeholder='Note' value='$rs[weight_loss_note]'></td></tr>
";
}
if($rs[Body_pain] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Body pain </span></h3></td><td><label class='switch'>
<input name='Body_pain' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Body_pain_note' placeholder='Note' value='$rs[Body_pain_note]'></td>
</tr>
";
}
else{
echo"
<tr>
<td><span style='font-size: 20px'>Body pain </span></h3></td><td><label class='switch'>
<input name='Body_pain' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Body_pain_note' placeholder='Note' value='$rs[Body_pain_note]'></td>
</tr>
";
}
if($rs[Physical_Injury] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Physical Injury </span></h3></td><td><label class='switch'>
<input name='Physical_Injury' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Physical_Injury_note' placeholder='Note' value='$rs[Physical_Injury_note]'></td>
</tr>
";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Physical Injury </span></h3></td><td><label class='switch'>
<input name='Physical_Injury' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
</td>
<td><input type='text' class='form-control' name='Physical_Injury_note' placeholder='Note' value='$rs[Physical_Injury_note]'></td>
</tr>
";
}
echo"
<tr>
<td><span style='font-size: 20px'>Other Symptoms </span></h3></td><td>
<input type='text' class='form-control' name='Other_Symptoms' value='$rs[Other_Symptoms]' placeholder='Other Symptoms'>
</td>
</tr>
";
}
?>
<?php
$sql ="SELECT * FROM addaspatient WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
$qsql = mysqli_query($con,$sql);
if($rs = mysqli_fetch_array($qsql))
{
if(Eye_Care==$rs[casetype])
{
?>
<div id="mmenu">
<?php
$sql ="SELECT * FROM Medical_Assessment WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
$qsql = mysqli_query($con,$sql);
while($rs = mysqli_fetch_array($qsql))
{
if($rs[RED_EYE] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>RED EYE</span></h3></td><td><label class='switch'>
<input name='RED_EYE' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
<td><input type='text' class='form-control' name='RED_EYE_note' placeholder='Note' value='$rs[RED_EYE_note]'></td>
</tr>
";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>RED EYE</span></h3></td><td><label class='switch'>
<input name='RED_EYE' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
<td><input type='text' class='form-control' name='RED_EYE_note' placeholder='Note' value='$rs[RED_EYE_note]'></td>
</tr>
";
}
if($rs[Swollen_Eye] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Swollen Eye </span></h3></td><td><label class='switch'>
<input name='Swollen_Eye' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
<td><input type='text' class='form-control' name='Swollen_Eye_note' placeholder='Note' value='$rs[Swollen_Eye_note]'></td>
</tr>
";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Swollen Eye </span></h3></td><td><label class='switch'>
<input name='Swollen_Eye' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
<td><input type='text' class='form-control' name='Swollen_Eye_note' placeholder='Note' value='$rs[Swollen_Eye_note]'></td>
</tr>
";
}
if($rs[Conjunctiva] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Conjunctiva </span></h3></td><td><label class='switch'>
<input name='Conjunctiva' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
<td><input type='text' class='form-control' name='Conjunctiva_note' placeholder='Note' value='$rs[Conjunctiva_note]'></td>
</tr>
";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Conjunctiva </span></h3></td><td><label class='switch'>
<input name='Conjunctiva' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
<td><input type='text' class='form-control' name='Conjunctiva_note' placeholder='Note' value='$rs[Conjunctiva_note]'></td>
</tr>
";
}
if($rs[Itchiness] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Eyes Itchiness </span></h3></td><td><label class='switch'>
<input name='Itchiness' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
<td><input type='text' class='form-control' name='Itchiness_note' placeholder='Note' value='$rs[Itchiness_note]'></td>
</tr>
";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Eyes Itchiness </span></h3></td><td><label class='switch'>
<input name='Itchiness' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
<td><input type='text' class='form-control' name='Itchiness_note' placeholder='Note' value='$rs[Itchiness_note]'></td>
</tr>
";
}
if($rs[Dislocated] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Dislocated Eyes</span></h3></td><td><label class='switch'>
<input name='Dislocated' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
<td><input type='text' class='form-control' name='Dislocated_note' placeholder='Note' value='$rs[Dislocated_note]'></td>
</tr>
";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Dislocated Eyes</span></h3></td><td><label class='switch'>
<input name='Dislocated' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
<td><input type='text' class='form-control' name='Dislocated_note' placeholder='Note' value='$rs[Dislocated_note]'></td>
</tr>
";
}
if($rs[watering] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Watering Eyes</span></h3></td><td><label class='switch'>
<input name='watering' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
<td><input type='text' class='form-control' name='watering_note' placeholder='Note' value='$rs[watering_note]'></td>
</tr>
";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Watering Eyes</span></h3></td><td><label class='switch'>
<input name='watering' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
<td><input type='text' class='form-control' name='watering_note' placeholder='Note' value='$rs[watering_note]'></td>
</tr>
";
}
if($rs[Blur_Vision] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Blur Vision </span></h3></td><td><label class='switch'>
<input name='Blur_Vision' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
<td><input type='text' class='form-control' name='Blur_Vision_note' placeholder='Note' value='$rs[Blur_Vision_note]'></td>
</tr>
";
}
{
echo"
<tr>
<td><span style='font-size: 20px'>Blur Vision </span></h3></td><td><label class='switch'>
<input name='Blur_Vision' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
<td><input type='text' class='form-control' name='Blur_Vision_note' placeholder='Note' value='$rs[Blur_Vision_note]'></td>
</tr>
";
}
if($rs[Partial_Blindness] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Partial Blindness </span></h3></td><td><label class='switch'>
<input name='Partial_Blindness' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
<td><input type='text' class='form-control' name='Partial_Blindness_note' placeholder='Note' value='$rs[Partial_Blindness_note]'></td>
</tr>
";
}
{
echo"
<tr>
<td><span style='font-size: 20px'>Partial Blindness </span></h3></td><td><label class='switch'>
<input name='Partial_Blindness' type='checkbox' class='ace ace-switch ace-switch-6' >
<span class='lbl'></span>
</label>
<td><input type='text' class='form-control' name='Partial_Blindness_note' placeholder='Note' value='$rs[Partial_Blindness_note]'></td>
</tr>
";
}
if($rs[Blindness] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Blindness </span></h3></td><td><label class='switch'>
<input name='Blindness' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
<td><input type='text' class='form-control' name='Blindness_note' placeholder='Note' value='$rs[Blindness_note]'></td>
</tr>
";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Blindness </span></h3></td><td><label class='switch'>
<input name='Blindness' type='checkbox' class='ace ace-switch ace-switch-6' >
<span class='lbl'></span>
</label>
<td><input type='text' class='form-control' name='Blindness_note' placeholder='Note' value='$rs[Blindness_note]'></td>
</tr>
";
}
echo"
<tr><td><br>
<br></td><td><br>
<br></td></tr>
";
if($rs[Disease_History] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Disease History </span></h3></td><td><label class='switch'>
<input id='myCheck2021' onclick='myFunction2021()' name='Disease_History' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
<td><input type='text' class='form-control' name='Disease_History_note' placeholder='Note' value='$rs[Disease_History_note]'></td>
</tr>
";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Disease History </span></h3></td><td><label class='switch'>
<input id='myCheck2021' onclick='myFunction2021()' name='Disease_History' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
<td><input type='text' class='form-control' name='Disease_History_note' placeholder='Note' value='$rs[Disease_History_note]'></td>
</tr>
";
}
echo"
</table>";
echo" <div id='text2021' style='display:none'>
<table id='example2' class='table table-bordered table-hover'> ";
if($rs[Systemic] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Systemic </span></h3></td><td><label class='switch'>
<input name='Systemic' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td>
</td>
</tr>
";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Systemic </span></h3></td><td><label class='switch'>
<input name='Systemic' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
</td>
<td>
</td>
</tr>
";
}
if($rs[Ocular] == 'on'){
echo"
<tr>
<td><span style='font-size: 20px'>Ocular </span></h3></td><td><label class='switch'>
<input name='Ocular' type='checkbox' class='ace ace-switch ace-switch-6' checked>
<span class='lbl'></span>
</label>
</td>
<td>
</td>
</tr>
";
}
else
{
echo"
<tr>
<td><span style='font-size: 20px'>Ocular </span></h3></td><td><label class='switch'>
<input name='Ocular' type='checkbox' class='ace ace-switch ace-switch-6'>
<span class='lbl'></span>
</label>
</td>
<td>
</td>
</tr>
";
}
echo"
</table>
</div>";
}
?>
<?php
}
}
?>
<tr><td colspan='2'><input type="submit" name="Medical_Assessment" value="Update" class='btn btn-success'></td></tr>
</table>
</form>
</table>
</div></div>
</div><!-- /.col -->
</div><!-- /.row -->
</div><!-- /.page-content -->
</div>
</div><!-- /.main-content -->
<?php include('../includes/footer.php'); ?>
<a href="#" id="btn-scroll-up" class="btn-scroll-up btn btn-sm btn-inverse">
<i class="ace-icon fa fa-angle-double-up icon-only bigger-110"></i>
</a>
</div><!-- /.main-container -->
<!-- basic scripts -->
<!--[if !IE]> -->
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<style>
.text-on-pannel {
background: #fff none repeat scroll 0 0;
height: auto;
margin-left: 20px;
padding: 3px 5px;
position: absolute;
margin-top: -47px;
border: 1px solid #337ab7;
border-radius: 8px;
}
.panel {
/* for text on pannel */
margin-top: 27px !important;
}
.panel-body {
padding-top: 30px !important;
}
.panel-primary {
border-color: #116bb9;
}
.donate-now {
list-style-type:none;
margin:25px 0 0 0;
padding:0;
}
.donate-now li {
float:left;
margin:0 5px 0 0;
}
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padding:5px;
border:1px solid #CCC;
cursor:pointer;
}
.donate-now label:hover {
background:#DDD;
}
</style>
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