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<?php
session_start();
require_once('../DBManager.php');
require_once('../LoginManager.php');
require_once('../patientmanager.php');
if(isset($_POST['signup']))
{
PatientManager::Suspected_Reaction("$_POST[prescriptionid]","$_POST[patientid]","$_GET[surgeryid]","$_POST[Minor]","$_POST[Major]","$_POST[Minor_Reaction]","$_POST[Major_Reaction]","$_POST[Specify]","$_POST[otherAnswer]","$_POST[otherAnswer_date]","$_POST[Name_Medicine]","$_POST[Treatment_Given]","$_POST[Outcome]","$_POST[Corrective_action]","$_POST[Recovery_time]","$_POST[entered_by]");
}
?>
<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 charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<link rel="stylesheet" href="https://www.w3schools.com/w3css/4/w3.css">
<title>Document</title>
<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.2.1/jquery.min.js"></script>
<script>
function myFunction120() {
var checkBox = document.getElementById("myCheck120");
var text = document.getElementById("text120");
if (checkBox.checked == true){
text.style.display = "block";
} else {
text.style.display = "none";
}
}
function myFunction121() {
var checkBox = document.getElementById("myCheck121");
var text = document.getElementById("text121");
if (checkBox.checked == true){
text.style.display = "block";
} else {
text.style.display = "none";
}
}
$(document).ready(function() {
$("input[type='radio']").change(function() {
if ($(this).val() == "Death") {
$("#otherAnswer").show();
} else {
$("#otherAnswer").hide();
}
});
});
$(document).ready(function() {
$("input[type='radio']").change(function() {
if ($(this).val() == "Other") {
$("#other").show();
} else {
$("#other").hide();
}
});
});
</script>
<style>
.center {
border: 1px solid grey;
text-align:;
}
</style>
<form name='signup' method='POST'>
<div class='center'>
<h3 align='center'>Suspected Adverse Drug Reaction</h3>
<br>
<br> <table id='example2' class='table table-bordered table-hover' width='100%'>
<tr><td><h4 align='center'>Seriousness of Reaction</h4></td></tr>
</table>
<table id='example2' class='table table-bordered table-hover' width='100%'>
<tr>
<td width='25%'><span style="font-size: 20px">Minor Reaction </span></h3></td><td width='25%'><label class="switch">
<input name="Minor" type="checkbox" id="myCheck120" onclick="myFunction120()">
<span class="slider"></span>
</label>
</td>
<td width='25%'><span style="font-size: 20px">Major Reaction </span></h3></td><td width='25%'><label class="switch">
<input name="Major" type="checkbox" id="myCheck121" onclick="myFunction121()">
<span class="slider"></span>
</label>
</td>
<?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>
</table>
<div id="text120" style="display:none">
<table id="example2" class="table table-bordered table-hover">
<tr><td width='50%'> Minor Reaction</td>
<td width='50%'><select name='Minor_Reaction'> <option value='' >Minor Reaction</option> <option value='Fever'>Fever</option> <option value='Chills'>Chills</option> <option value='Skin_Rash'>Skin Rash</option> <option value='Urticaria'>Urticaria</option> <option value='Bodyache'>Bodyache</option> </select>
</td>
</tr>
</table></div>
<div id="text121" style="display:none">
<table id="example2" class="table table-bordered table-hover">
<tr> <tr>
<div class="checkbox"> <input type="radio" name="Major_Reaction" value="Death"> <span>Death </span>
</div>
<div class="checkbox"> <input type="radio" name="Major_Reaction" value="Life threatening"> <span>Life threatening </span>
</div>
<div class="checkbox"> <input type="radio" name="Major_Reaction" value="Disability"> <span>Disability </span>
</div>
<div class="checkbox"> <input type="radio" name="Major_Reaction" value="Chest pain"> <span>Chest pain </span>
</div>
<div class="checkbox"> <input type="radio" name="Major_Reaction" value="Loin Pain"> <span>Loin Pain </span>
</div>
<div class="checkbox"> <input type="radio" name="Major_Reaction" value="Breathlessness"> <span>Breathlessness </span>
</div>
<div class="checkbox"> <input type="radio" name="Major_Reaction" value="Decreased urine Output"> <span>Decreased urine Output </span>
</div>
<div class="checkbox"> <input type="radio" name="Major_Reaction" value="Other"> <span>Other </span>
</div>
</td>
</tr>
</table></div>
<div style="display:none;" name="other" id="other">
<table id="example2" class="table table-bordered table-hover">
<tr><td>Specify </td><td><input type='text' name='Specify' ></td></tr>
</table>
</div>
<div style="display:none;" name="otherAnswer" id="otherAnswer">
<table id="example2" class="table table-bordered table-hover">
<tr><td>Date and time </td><td><input type='datetime-local' name='otherAnswer_date' ></td></tr>
</table>
</div>
<table id="example2" class="table table-bordered table-hover">
<form name="signup" method="post">
<tr>
<td width='50%'> Name of Medicine : </td>
<td width='50%'><input type="text" placeholder="Name of Medicine" name="Name_Medicine"></td>
</tr>
<tr>
<td width='50%'> Native description of Occurrence: </td>
<td width='50%'><textarea name="Native_description" rows="2" cols="70">
</textarea></td>
</tr>
<tr>
<td width='50%'> Treatment Given : </td>
<td width='50%'><textarea name="Treatment_Given" rows="2" cols="70">
</textarea></td>
</tr>
<tr>
<td width='50%'> Outcome: </td>
<td width='50%'><select name='Outcome'> <option value='' >Outcome</option> <option value='Fatal'>Fatal</option> <option value='Used'>Used</option> <option value='Recovering'>Recovering</option> <option value='Unknown'>Unknown</option> <option value='Continuing'> Continuing </option> <option value='Recovered'> Recovered </option> <option value='Other'> Other </option> </select></td>
</tr>
<tr>
<td width='50%'> Corrective And Preventive Action Taken : </td>
<td width='50%'><textarea name="Corrective_action" rows="2" cols="70">
</textarea></td>
</tr>
<tr>
<td width='50%'> Date and time of Recovery : </td>
<td width='50%'><input type='datetime-local' name='Recovery_time'></td>
</tr>
<br>
</table>
<br>
<br>
<input type="submit" name="signup" value="Submit">
</form>
</div>
<script>
n = new Date();
y = n.getFullYear();
m = n.getMonth() + 1;
d = n.getDate();
document.getElementById("date").innerHTML = m + "/" + d + "/" + y;
</script>