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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($_POST['sig']))
{
PatientManager::preAssessmentSheet("$_GET[prescriptionid]","$_GET[patientid]","$_POST[Information_Obtained_from]","$_POST[Date_of_Operative_procedure]","$_POST[Time_of_Operative_procedure]","$_POST[name_Surgeon]","$_POST[Name_of_Anesthetist]","$_POST[Team]","$_POST[Pre_Operative_Diagnosis]","$_POST[Proposed_Surgery]","$_POST[Systemic_Disease]","$_POST[Systemic_Disease_note]","$_POST[Anesthesia_Events]","$_POST[Anesthesia_Events_note]","$_POST[ho_Operations]","$_POST[ho_Operations_note]","$_POST[Adverse_Drugs_Reaction]","$_POST[Adverse_Drugs_Reaction_note]","$_POST[DRUG_THERAPY]","$_POST[DRUG_THERAPY_note]","$_POST[WRITTEN_CONSENT]","$_POST[XYLOCAINE_SENSITIVITY]","$_POST[Food_Intake]","$_POST[PHYSICAL_STATUS]","$_POST[Mallampati_Score]","$_POST[Thyromental_Distance]","$_POST[Metabolic_Score]","$_POST[Cough]","$_POST[Wheezing]","$_POST[Hypertension]","$_POST[Diabetes]","$_POST[Liverproblem]","$_POST[Previous_Operation]", "$_POST[Smoking]","$_POST[Migraine]","$_POST[Pregnancy]","$_POST[Bleeding_Disorder]","$_POST[SOB]","$_POST[Palpitation]","$_POST[Chest_Pain]","$_POST[Renal_Disease]","$_POST[Allergies]","$_POST[Alcohol]","$_POST[Anesthesia_Problem]","$_POST[Urination]","$_POST[Back_Neck_Pain]","$_POST[Arthritis]","$_POST[Blackouts]","$_POST[Muscie]","$_POST[Weight_Loss_Gain]","$_POST[hernia]","$_POST[Pacemaker]","$_POST[Artificial]","$_POST[Resp_System]","$_POST[Resp_System_note]","$_POST[CVS_status]","$_POST[CVS_status_note]","$_POST[Dentures_status]", "$_POST[Dentures_status_note]","$_POST[Dentures_status_lower]","$_POST[Dentures_lower_note]","$_POST[Mouth_Opening]","$_POST[Mouth_Opening_note]","$_POST[Neck_Mobility]","$_POST[Neck_Mobility_note]","$_POST[Venous_Access]","$_POST[Venous_Access_note]","$_POST[Nervous_System]","$_POST[Nervous_System_note]","$_POST[Abdomen_System]","$_POST[Intubation_Difficulty]","$_POST[Intubation_Difficulty_note]","$_POST[Special_Anesthesia_Problems]","$_POST[Special_Anesthesia_Problems_note]","$_POST[entered_by]");
}
?>
<!DOCTYPE html>
<html lang="en">
<head><meta charset="ibm866">
<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";
}
}
</script>
<style>
.center {
border: 1px solid grey;
text-align:;
}
</style>
</head>
<body>
<div class="content-wrapper">
<!-- Content Header (Page header) -->
<section class="content-header">
<form name="sig" method="post" >
<h2 align="center">Pre-Operative Assessment Sheet </h2>
<table border="1"
width="20%" align="right">
<tr ><td>
<h5 align="left">UHID:<?php
$sql1 ="SELECT * FROM patient WHERE patientid='$_GET[patientid]'";
$qsql1 = mysqli_query($con,$sql1);
while($rsva = mysqli_fetch_array($qsql1))
{
echo " <b> $rsva[patientid]</b>";
}
?></H5>
</td></tr></table>
<br>
<br>
<br>
<div class="center">
<table id="example2" class="table table-bordered table-hover">
<thead>
<tr>
<div class='account-details'>
<tr><td style="width:29%"><div><h5>Operative Type : </h5> </td></div><td style="width:46%"><div><select name='Information_Obtained_from'>
<option value='' >Operative Type</option>
<option value='Routine'>Routine</option>
<option value='Emergency'>Emergency</option>
</select></div></td></tr>
<td><div><h5>Date of Operative procedure : </h5> </td></div><td><div><input name="Date_of_Operative_procedure" type="date"></div></td></tr>
<tr><td><div><h5>Time of Operative procedure: : </h5> </td></div><td><div><input name="Time_of_Operative_procedure" type="time"></div></td></tr>
<tr><td><div><h5>Name of Surgeon: </h5> </td></div><td><div><input placeholder="Name of Surgeon" name="name_Surgeon" type="text"></div></td></tr>
<tr><td><div><h5>Name of Anesthetist: </h5> </td></div><td><div><input placeholder="Name of Anesthetist" name="Name_of_Anesthetist" type="text"></div></td></tr>
<tr><td><div><h5>Team: </h5> </td></div><td><div><input placeholder="Team" name="Team" type="text"></div></td></tr>
</div>
</tr>
<tr><td><div><h5>Pre-Operative Diagnosis: </h5> </td></div><td><div><input placeholder="Pre-Operative Diagnosis" name="Pre_Operative_Diagnosis" type="text"></div></td></tr>
</div>
</tr>
<tr><td><div><h5>Proposed Surgery: </h5> </td></div><td><div><input placeholder="Proposed Surgery" name="Proposed_Surgery" type="text"></div></td></tr>
</div>
</tr>
</tr>
</thead>
</tbody>
<tfoot>
</tfoot>
</table>
</div>
<br> <h3 align="center">Brief History Of Patient </h3>
<br>
<div><input type="button" onclick="haripa('Demo4')" value="Known Allergies"></div>
<div id="Demo4" 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 haripa(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="harila('Demo')" value="Addiction"></div>
<div id="Demo" class="w3-container w3-hide">
<h3 align='center'>Addiction </h3>
<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'>
<?php
$sql ="SELECT * FROM request_for_admission WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
$qsql = mysqli_query($con,$sql);
if($rs = mysqli_fetch_array($qsql))
{
echo" <table id='example2' class='table table-bordered table-hover'>
<tr>
<td width='50%'>Tobacco </td>
<td width='50%'>$rs[Tobacco] </td>
</tr>
<tr>
<td width='50%'>Alcohol</td>
<td width='50%'>$rs[Alcohol]</td>
</tr>
<tr>
<td width='50%'>Smoking</td>
<td width='50%'>$rs[Smoking] </td>
</tr>
</table>
";
}
?>
</table>
</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="family('familya')" value="Family History"></div>
<div id="familya" 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>Diabetes</strong></th>
<th><strong>Thyroid</strong></th>
<th><strong>Heart</strong></th>
<th><strong>Hypertension</strong></th>
<th><strong>Depression</strong></th>
<th><strong>Anemia</strong></th>
<th><strong>Thalassemia</strong></th>
<th><strong>HIV</strong></th>
</tr>
</thead>
<?php
$sql ="SELECT * FROM medicalcon WHERE patientid='$_GET[patientid]' AND fmNone=''";
$qsql = mysqli_query($con,$sql);
while($rs = mysqli_fetch_array($qsql))
{
echo " <tbody>
<thead>
<tr>
<td> $rs[fmDiabetes] </td>
<td> $rs[fmThyroid]</td>
<td> $rs[fmHeart]
<td> $rs[fmHypertension]</td>
<td> $rs[fmDepression]</td>
<td> $rs[fmAnemia]</td>
<td> $rs[fmThalassemia]</td>
<td> $rs[fmHIV]</td>
";
}
?>
</tr>
</tbody>
</thead>
<tfoot>
</tfoot>
</table>
<script>
function family(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>
<br>
<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>
<script>
function Disease(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>
<br>
<table id="example2" class="table table-bordered table-hover" border="1" width='100%'>
<th></th>
<th>Action</th>
<th>Note</th>
<tr>
<td width='20%'>HISTORY OF Any Systemic Disease</td>
<td width='20%'><select name='Systemic_Disease'>
<option value='' >Unknown</option>
<option value='Yes'>Yes</option>
<option value='No'>No</option>
</select></td>
<td width='60%'><input name="Systemic_Disease_note" type="text"></td>
</tr>
<tr>
<td width='20%'>HISTORY OF Anesthesia Events</td>
<td width='20%'><select name='Anesthesia_Events'>
<option value='' >Unknown</option>
<option value='Yes'>Yes</option>
<option value='No'>No</option>
</select></td>
<td width='60%'><input name="Anesthesia_Events_note" type="text"></td>
</tr>
<tr>
<td width='20%'>HISTORY OF Operations/SURGERY
</td>
<td width='20%'><select name='ho_Operations'>
<option value='' >Unknown</option>
<option value='Yes'>Yes</option>
<option value='No'>No</option>
</select></td>
<td width='60%'><input name="ho_Operations_note" type="text"></td>
</tr>
<tr>
<tr>
<td width='20%'>HISTORY OF Adverse Drugs Reaction
</td>
<td width='20%'><select name='Adverse_Drugs_Reaction'>
<option value='' >Unknown</option>
<option value='Yes'>Yes</option>
<option value='No'>No</option>
</select></td>
<td width='60%'><input name="Adverse_Drugs_Reaction_note" type="text"></td>
</tr>
<tr>
<td width='20%'>HISTORY OF DRUG THERAPY
</td>
<td width='20%'><select name='DRUG_THERAPY'>
<option value='' >Unknown</option>
<option value='Yes'>Yes</option>
<option value='No'>No</option>
</select></td>
<td width='60%'><input name="DRUG_THERAPY_note"type="text"></td>
</tr>
</table>
<table id="example2" class="table table-bordered table-hover" border="1" width='100%'>
<tr>
<td width='50%'>WRITTEN CONSENT
</td>
<td width='50%'><select name='WRITTEN_CONSENT'>
<option value='' >Unknown</option>
<option value='Present'>PRESENT</option>
<option value='None'>ABSENT </option>
</select></td>
</tr>
<tr>
<td width='50%'>XYLOCAINE SENSITIVITY
</td>
<td width='50%'><select name='XYLOCAINE_SENSITIVITY'>
<option value='' >Unknown</option>
<option value='Present'>PRESENT</option>
<option value='None'>ABSENT </option>
</select></td>
</tr>
<tr>
<td width='50%'>Food Intake
</td>
<td width='50%'><select name='Food_Intake'>
<option value='' >Unknown</option>
<option value='Present'>Nil by Mouth</option>
<option value='None'>By Mouth </option>
</select></td>
</tr>
<tr>
<td width='50%'>PHYSICAL STATUS
</td>
<td width='50%'><select name='PHYSICAL_STATUS'>
<option value='' >Unknown</option>
<option value='I'> I</option>
<option value='II'> II </option>
<option value='III'> III</option>
<option value='IV'> IV</option>
<option value='VV'> V</option>
<option value='E'>E</option>
</select></td>
</tr>
<tr>
<td width='50%'>MALLAMPATI SCORE
</td>
<td width='50%'><select name='Mallampati_Score'>
<option value='' >Unknown</option>
<option value='CLASS I'>CLASS I</option>
<option value='Class II'>Class II </option>
<option value='Class III'>Class III</option>
</select></td>
</tr>
<tr>
<td width='50%'>Thyromental Distance:
</td>
<td width='50%'>
<input type="text" name="Thyromental_Distance"></td>
</tr>
<tr>
<td width='50%'>Metabolic Score:
</td>
<td width='50%'>
<input type="text" name="Metabolic_Score"></td>
</tr>
</table>
<h3 align="center">Checklist </h3>
<div class="checkbox">
<table width='100%'><tr>
<td width='50%'><input type="checkbox" name="Cough"><span style="font-size: 17px;">Cough </span>
<td width='50%'> <input type="checkbox" name="Wheezing"><span style="font-size: 17px;">Wheezing </span></td>
</tr>
<tr>
<td width='50%'><input type="checkbox" name="Hypertension"><span style="font-size: 17px;">Hypertension</span></td>
<td width='50%'> <input type="checkbox" name="Diabetes"><span style="font-size: 17px;">Diabetes</span></td>
</tr>
<td width='50%'><input type="checkbox" name="Liverproblem"><span style="font-size: 17px;">Liver Problem/Jaundice </span>
<td width='50%'> <input type="checkbox" name="Previous_Operation"><span style="font-size: 17px;">Previous Operation </span></td>
</tr>
<tr>
<td width='50%'><input type="checkbox" nam=e"Smoking"><span style="font-size: 17px;">Smoking</span></td>
<td width='50%'> <input type="checkbox" name="Migraine"><span style="font-size: 17px;">Headache/Migraine</span></td>
</tr>
<tr>
<td width='50%'><input type="checkbox" name="Pregnancy"><span style="font-size: 17px;">Pregnancy</span></td>
<td width='50%'> <input type="checkbox" name="Bleeding_Disorder"><span style="font-size: 17px;">Bleeding Disorder</span></td>
</tr>
<tr>
<td width='50%'><input type="checkbox" name="SOB"><span style="font-size: 17px;">SOB</span></td>
<td width='50%'> <input type="checkbox" name="Palpitation"><span style="font-size: 17px;">Palpitation</span></td>
</tr>
<tr>
<td width='50%'><input type="checkbox" name="Chest_Pain"><span style="font-size: 17px;">CAD/PTCA/CABG/Chest Pain</span></td>
<td width='50%'> <input type="checkbox" name="Renal_Disease"><span style="font-size: 17px;">Renal Disease</span></td>
</tr>
<tr>
<td width='50%'><input type="checkbox" name="Allergies"><span style="font-size: 17px;">Allergies: Drug/Food</span></td>
<td width='50%'> <input type="checkbox" name="Previous_Admission"><span style="font-size: 17px;">Previous Admission</span></td>
</tr>
<tr>
<td width='50%'><input type="checkbox" name="Alcohol"><span style="font-size: 17px;">Alcohol</span></td>
<td width='50%'> <input type="checkbox" name="Seizures"><span style="font-size: 17px;">Seizures/Fainting/Syncope</span></td>
</tr>
<tr>
<td width='50%'><input type="checkbox" name="Fever"><span style="font-size: 17px;">Recent URI/Fever </span></td>
<td width='50%'> <input type="checkbox" name="Anesthesia_Problem"><span style="font-size: 17px;">Previous Anesthesia& Problem</span></td>
</tr>
<tr>
<td width='50%'><input type="checkbox" name="Urination"><span style="font-size: 17px;">Frequent Urination </span></td>
<td width='50%'> <input type="checkbox" name="Back_Neck_Pain"><span style="font-size: 17px;">Back_Neck_Pain</span></td>
</tr>
<tr>
<td width='50%'><input type="checkbox" name="Arthritis"><span style="font-size: 17px;">Arthritis/Painful/Swollen Join </span></td>
<td width='50%'> <input type="checkbox" name="Blackouts"><span style="font-size: 17px;">Blackouts/Loss of Consciousness</span></td>
</tr>
<tr>
<td width='50%'><input type="checkbox" name="Muscie"><span style="font-size: 17px;">Abnormality of Nerve of Muscie </span></td>
<td width='50%'> <input type="checkbox" name="Weight_Loss_Gain"><span style="font-size: 17px;"> Weight Loss/Gain </span></td>
</tr>
<tr>
<td width='50%'><input type="checkbox" name="hernia"><span style="font-size: 17px;">Indigestion/Acid reflux/Heartburn/Hiatus hernia </span></td>
<td width='50%'> <input type="checkbox" name="Weight_Loss_Gain"><span style="font-size: 17px;"> Weight Loss/Gain </span></td>
</tr>
<tr>
<td width='50%'><input type="checkbox" name="Pacemaker"><span style="font-size: 17px;">Contact Lens/Pacemaker/Hearing Aid </span></td>
<td width='50%'> <input type="checkbox" name="Artificial"><span style="font-size: 17px;"> Artificial Joint/Plates etc. </span></td>
</tr>
</table>
</div>
<table id="example2" class="table table-bordered table-hover" border="1" width='100%'>
<th></th>
<th>Unknown</th>
<th>Note</th>
<tr>
<td width='20%'>Resp. System</td>
<td width='20%'><select name='Resp_System'>
<option value='' >Unknown</option>
<option value='Normal'>Normal</option>
<option value='Attention Needed'>Attention Needed</option>
</select></td>
<td width='60%'><input name="Resp_System_note" type="text"></td>
</tr>
<tr>
<td width='20%'>CVS (cardiovascular system)</td>
<td width='20%'><select name='CVS_status'>
<option value='' >Unknown</option>
<option value='Normal'>Normal</option>
<option value='Attention Needed'>Attention Needed</option>
</select></td>
<td width='60%'><input name="CVS_status_note" type="text"></td>
</tr>
<tr>
<td width='20%'>Loose Tooth/Dentures
Upper
</td>
<td width='20%'><select name='Dentures_status'>
<option value='' >Unknown</option>
<option value='Present'>Present</option>
<option value='None'>None</option>
</select></td>
<td width='60%'><input name="Dentures_status_note" type="text"></td>
</tr>
<tr>
<td width='20%'>Loose Tooth/Dentures
lower
</td>
<td width='20%'><select name='Dentures_status_lower'>
<option value='' >Unknown</option>
<option value='Present'>Present</option>
<option value='None'>None</option>
</select></td>
<td width='60%'><input name="Dentures_lower_note"type="text"></td>
</tr>
<tr>
<td width='20%'>Mouth Opening
</td>
<td width='20%'><select name='Mouth_Opening'>
<option value='' >Unknown</option>
<option value='Normal'>Normal</option>
<option value='Attention Needed'>Attention Needed</option>
</select></td>
<td width='60%'><input name="Mouth_Opening_note"type="text"></td>
</tr>
<tr>
<td width='20%'>Neck
</td>
<td width='20%'><select name='Neck'>
<option value='' >Unknown</option>
<option value='SHORT'>SHORT</option>
<option value='LONG'>LONG</option>
<option value='NORMAL'>NORMAL</option>
</select></td>
<td width='60%'><input name="Neck" type="text"></td>
</tr>
<tr>
<td width='20%'>Neck Mobility
</td>
<td width='20%'><select name='Neck_Mobility'>
<option value='' >Unknown</option>
<option value='Normal'>Normal</option>
<option value='Attention Needed'>Attention Needed</option>
</select></td>
<td width='60%'><input name="Neck_Mobility_note"type="text"></td>
</tr>
<tr>
<td width='20%'>Venous Access
</td>
<td width='20%'><select name='Venous_Access'>
<option value='' >Unknown</option>
<option value='Normal'>Normal</option>
<option value='Attention Needed'>Attention Needed</option>
</select></td>
<td width='60%'><input name="Venous_Access_note"type="text"></td>
</tr>
<tr>
<td width='20%'>Nervous System
</td>
<td width='20%'><select name='Nervous_System'>
<option value='' >Unknown</option>
<option value='Normal'>Normal</option>
<option value='Attention Needed'>Attention Needed</option>
</select></td>
<td width='60%'><input name="Nervous_System_note"type="text"></td>
</tr>
<tr>
<td width='20%'>Abdomen
</td>
<td width='20%'><select name='Abdomen_System'>
<option value='' >Unknown</option>
<option value='Normal'>Normal</option>
<option value='Attention Needed'>Attention Needed</option>
</select></td>
<td width='60%'><input name="Abdomen_note"type="text"></td>
</tr>
<tr>
<td width='20%'>Intubation Difficulty
</td>
<td width='20%'><select name='Intubation_Difficulty'>
<option value='' >Unknown</option>
<option value='Normal'>Normal</option>
<option value='Attention Needed'>Attention Needed</option>
</select></td>
<td width='60%'><input name="Intubation_Difficulty_note"type="text"></td>
</tr>
<tr>
<td width='20%'>Special Anesthesia Problems
</td>
<td width='20%'><select name='Special_Anesthesia_Problems'>
<option value='' >Unknown</option>
<option value='Normal'>Normal </option>
<option value='Attention Needed'>Attention Needed</option>
</select></td>
<td width='60%'><input name="Special_Anesthesia_Problems_note" type="text"></td>
</tr>
</table>
<table id="example2" class="table table-bordered table-hover" border="1" width='100%'>
</table>
<table id="example2" class="table table-bordered table-hover">
<tr><td><span style="font-size: 20px">PALLOR </span></h3></td><td><label class="switch">
<input type="checkbox" >
<span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">ICTERUS</span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
<tr><td><span style="font-size: 20px">CYANOSIS </span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
<tr><td><span style="font-size: 20px">LYMPHNODES </span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">JVP RAISED </span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">T.M.JOINT</span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">DENTAL ABOUT REACTION </span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
</table>
<table id="example2" class="table table-bordered table-hover">
<div class="center">
<h5 align="center">SYSTEMIC EXAMINATION </h5>
<h6>CARDIAO VASCULAR SYSTEM: RESPIRATORY SYSTEM: </h6>
<tr><td><span style="font-size: 20px">HISTORY OF CHEST PAIN
</span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
<td><span style="font-size: 20px">HISTORY OF PALPITATION </span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
<tr><td><span style="font-size: 20px">HISTORY OF HYPERTENTION
</span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
<td><span style="font-size: 20px">S1 &S2 </span></h3></td><td>
<select name="S1 &S2">
<option value="" >S1 &S2 </option>
<option value="NORMAL">NORMAL</option>
<option value="ABNORMAL">ABNORMAL </option>
</select>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">MURMUR </span></h3></td><td>
<select name="MURMUR">
<option value="" >MURMUR </option>
<option value="PRESENT">PRESENT</option>
<option value="ABSENT">ABSENT</option>
</select>
</td>
<td><span style="font-size: 20px">ECG REPORT</span></h3></td><td>
<select name="ECG REPORT">
<option value="" >ECG REPORT </option>
<option value="PRESENT"> PRESENT </option>
<option value="ABSENT">ABSENT </option>
</select>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">B/L AIR ENTER IN LUNGS </span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
<td><span style="font-size: 20px">CREPITATIONS / WHEEZ
</span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">HISTORY OF COUGH / BRONCHISOSM </span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
<td><span style="font-size: 20px">HISTORY OF BRONCHIAL ANTHMA
</span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">HISTORY OF REPAIRATORY DISEASES </span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
<td><span style="font-size: 20px">PULMONARY FUNCTION TEST
</span></td><td><select name="ECG REPORT">
<option value="" >PULMONARY TEST </option>
<option value="PRESENT"> PRESENT </option>
<option value="ABSENT">ABSENT </option>
</select>
</td>
</tr>
</div>
</table>
<table id="example2" class="table table-bordered table-hover">
<p><tr><td><span style="font-size: 15px">CENTRAL NERVOUS SYSTEM </span> </td></tr></p>
</table>
<table id="example2" class="table table-bordered table-hover">
<tr><td><span style="font-size: 20px">HISTORY OF CONVULSION / FITS
</span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
<td><span style="font-size: 20px">HISTORY OF TREMOR </span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
<tr><td><span style="font-size: 20px">HISTORY OF GI BLEEDING
</span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
<td><span style="font-size: 20px">HISTORY OF ANY NEUROLOGICAL DISEASE </span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
</table>
<table id="example2" class="table table-bordered table-hover">
<p><tr><td><span style="font-size: 15px">GASTRO INTESTINAL SYSTEM </span> </td></tr></p>
</table>
<table id="example2" class="table table-bordered table-hover">
<tr><td><span style="font-size: 20px">H/O/ACIDITY / HEART BURN
</span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
<td><span style="font-size: 20px">HISTORY OF ANY OTHER DISEASE
</span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
<tr><td><span style="font-size: 20px">HISTORY OF GI BLEEDING
</span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
<td><span style="font-size: 20px">LIVER FUNCTION TEST </span></h3></td><td><select name="LIVER_FUNCTION_TEST ">
<option value="" >LIVER FUNCTION TEST</option>
<option value="PRESENT"> PRESENT </option>
<option value="ABSENT">ABSENT </option>
</select>
</td>
</tr>
</table>
<table id="example2" class="table table-bordered table-hover">
<p><tr><td><span style="font-size: 15px"> ENDOCRINE SYSTEM </span> </td></tr></p>
</table>
<table id="example2" class="table table-bordered table-hover">
<tr><td><span style="font-size: 20px">HISTORY OF DM
</span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
<td><span style="font-size: 20px">HISTORY OF HYPER / HYPO THYROIDISM
</span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
<tr><td><span style="font-size: 20px">HISTORY OF ANY OTHER HARMONAL ABNORMALITY
</span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
</table>
<table id="example2" class="table table-bordered table-hover">
<p><tr><td><span style="font-size: 15px"> GENITO URINARY SYSTEM </span> </td></tr></p>
</table>
<table id="example2" class="table table-bordered table-hover">
<tr><td><span style="font-size: 20px">HISTORY OF HAEMATURIA</span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
<td><span style="font-size: 20px">HISTORY OF UTI </span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">HISTORY OF STD
</span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
<td><span style="font-size: 20px">HISTORY OF RENAL PROBLEM
</span></h3></td><td><label class="switch">
<input type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
</table>
<?php
session_start();
require_once('../LoginManager.php');
require_once('../DBManager.php');
$sql ="SELECT * FROM addaspatient WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
$qsql = mysqli_query($con,$sql);
if($rs = mysqli_fetch_array($qsql))
{
if(Pregnancy==$rs[casetype])
{
?> <div id="mmenu">
<h3 align='center'>Procedure follow during pregnancy</h3>
<table id="example2" class="table table-bordered table-hover">
<thead>
<tr><?php
$sql1 ="SELECT * FROM request_for_admission WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
$qsql1 = mysqli_query($con,$sql1);
if($rs1 = mysqli_fetch_array($qsql1))
{
$usertype=$rs1['Partograph_started'];
if($usertype == 'No will start when greater than 4cm'){
echo "
<td width='50%'>Partograph started? </td><td width='50%'><i class='fa fa-check' aria-hidden='true'> </td>";
} else if($usertype == 'yes'){
echo "<td width='50%'>Partograph started? </td><td width='50%'><i class='fa fa-times' aria-hidden='true'> </td";
} else {
}
}
?>
</tr>
<tr><?php
$sql1 ="SELECT * FROM request_for_admission WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
$qsql1 = mysqli_query($con,$sql1);
if($rs1 = mysqli_fetch_array($qsql1))
{
$usertype=$rs1['Safe_childbirth_checklist'];
if($usertype == 'on'){
echo "
<td width='50%'>Safe Childbirth Checklist </td><td width='50%'><i class='fa fa-check' aria-hidden='true'> </td>";
} else{
echo "<td width='50%'>Safe Childbirth Checklist</td><td width='50%'><i class='fa fa-times' aria-hidden='true'> </td";
}
}
?>
</tr>
</table>
</div>
</table>
<?php
}
}
?>
<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="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="째C" name="Temp" type="text"></div></td></tr>
<tr><td><div><h5>Pulse: </h5> </td></div><td><div><input placeholder="Pulse" name="Pulse" 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>
<input type="submit" name="sig" value="Save">
</form>
</div>
</div>
</body>
</html>