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<?php session_start();
require_once('../DBManager.php');
require_once('../LoginManager.php');
include 'dbconnection.php';
include 'header.php';
include 'dashboarddocument.php';
if(isset($_POST['signup']))
{
$sql ="UPDATE Vulnerability SET Insulin_dependent='$_POST[Insulin_dependent]',Insulin_specify='$_POST[Insulin_specify]',Last_menstrual_period='$_POST[Last_menstrual_period]',Gravida='$_POST[Gravida]',Para='$_POST[Para]',Abortion='$_POST[Abortion]',Cesarean='$_POST[Cesarean]',Child_alive='$_POST[Child_alive]',Death='$_POST[Death]',Level_Consciousness='$_POST[Level_Consciousness]',Eye_Opening_Response='$_POST[Eye_Opening_Response]',Best_Verbal_Response='$_POST[Best_Verbal_Response]',Best_Motor_Response='$_POST[Best_Motor_Response]',Dependency='$_POST[Dependency]',Modn='$_POST[Modn]',Vulnevilty_Assessment='$_POST[Vulnevilty_Assessment]',Pain_Assessment='$_POST[Pain_Assessment]',Pain_Location='$_POST[Pain_Location]',Pain_Location1='$_POST[Pain_Location1]',Pain_Location2='$_POST[Pain_Location2]',Pain_Location3='$_POST[Pain_Location3]',Pain_Location4='$_POST[Pain_Location4]',Pain_Location5='$_POST[Pain_Location5]',other_pain_location='$_POST[other_pain_location]',fall_risk='$_POST[fall_risk]',low_fall_risk='$_POST[low_fall_risk]',high_fall_risk='$_POST[high_fall_risk]',implement_low='$_POST[implement_low]',Complete_paralysis='$_POST[Complete_paralysis]',History_more='$_POST[History_more]',Patient_experienced='$_POST[Patient_experienced]',deemed_high='$_POST[deemed_high]' WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
if($qsql = mysqli_query($con,$sql))
{
echo "<script>alert('Update successfully');</script><script>window.history.go(-2)</script>;</script>";
} else {
echo "Sorry, there was an error uploading your file.";
}
}
?>
<style>
.center {
border: 1px solid grey;
text-align:;
}
.center2 {
border: 5px solid grey;
text-align:;
}
input.largerCheckbox {
width: 20px;
height: 20px;
}
</style>
<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.1.1/jquery.min.js"></script>
<script type="text/javascript">
$(document).ready(function(){
$('#myForm').submit(function() {
$('#loaderImg').show();
return true;
});
});
</script>
<style>
#loaderImg {
position: absolute;
top: 0;
bottom: 0;
left: 0;
right: 0;
margin: auto;
border: 10px solid grey;
border-radius: 50%;
border-top: 10px solid black;
width: 100px;
height: 100px;
animation: spin 1s linear infinite;
}
@keyframes spin {
0% {
-webkit-transform: rotate(0deg);
transform: rotate(0deg);
}
100% {
-webkit-transform: rotate(360deg);
transform: rotate(360deg);
}
}
</style>
<style>
.switch {
position: relative;
display: inline-block;
width: 90px;
height: 34px;
}
.switch input {display:none;}
.slider5 {
position: absolute;
cursor: pointer;
top: 0;
left: 0;
right: 0;
bottom: 0;
background-color: #ca2222;
-webkit-transition: .4s;
transition: .4s;
border-radius: 34px;
}
.slider5: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 + .slider5 {
background-color: #2ab934;
}
input:focus + .slider5 {
box-shadow: 0 0 1px #2196F3;
}
input:checked + .slider5:before {
-webkit-transform: translateX(26px);
-ms-transform: translateX(26px);
transform: translateX(55px);
}
/*------ ADDED CSS ---------*/
.slider5:after
{
content:'Undone';
color: white;
display: block;
position: absolute;
transform: translate(-50%,-50%);
top: 50%;
left: 50%;
font-size: 10px;
font-family: Verdana, sans-serif;
}
input:checked + .slider5:after
{
content:'Done';
}
.center {
border: 1px solid grey;
text-align:;
}
.box2{
display: none;
}
.center {
border: 1px solid grey;
text-align:;
}
.center2 {
border: 5px solid grey;
text-align:;
}
</style>
<div class="content-wrapper">
<!-- Content Header (Page header) -->
<section class="content-header">
<div class='center'>
<div style = "display:none;" id = "loaderImg"> <div class="loader"> </div> </div>
<form name="signup" id='myForm' enctype="multipart/form-data" method="post" >
<?php
include 'dbconnection.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'>Vulnerability Assessment</h3> ";
} else{
echo " <h3 align='center'>Vulnerability Assessment </h3>";
}
}
?>
<table id="example2" class="table table-bordered table-hover">
<?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])
{
?>
<?php
$sql ="SELECT * FROM Vulnerability WHERE prescriptionid='$_GET[prescriptionid]' AND patientid='$_GET[patientid]'";
$qsql = mysqli_query($con,$sql);
while($rs = mysqli_fetch_array($qsql))
{
if($rs[Insulin_dependent] == 'Yes'){
echo"<tr><td width='50%'>Insulin dependent</td><td width='50%'>
<div class='checkbox'>
<h4><input type='checkbox' name='Insulin_dependent' value='Yes' id='myCheck103' onclick='myFunction103()'>Insulin dependent diabetes mellitus</h4>
</div></td></tr>
";
}
echo"<tr><td width='50%'>Specify</td>
<td width='50%'>
<select name='Insulin_specify'>
<option value='$rs[Insulin_specify]'>$rs[Insulin_specify]</option>
<option value='Type 1'>Type 1</option>
<option value='Type 2'>Type 2</option>
</select></td></tr><tr><td width='50%'>Last menstrual period </td>
<td width='50%'>
<input type='date' value='$rs[Last_menstrual_date]' name='Last_menstrual_date' placeholder='Last menstrual period'>
<input type='text' value='$rs[Last_menstrual_period]' name='Last_menstrual_period' placeholder='Last menstrual period'>
<select class='form-control' name='durationselect' class='form-control'>
<option value='$rs[durationselect]'>$rs[durationselect]</option>
<option value='Week'>Week </option>
<option value='Month'>Month </option>
</select>
</div>
</td></tr>
<tr><td width='50%'>Obstetric History</td><td width='50%'>
<p>Gravida <input type='Number' value= '$rs[Gravida_Para]' name='Gravida_Para'></P>
<p>Para <input type='Number' value='Gravida_Para' name='Gravida_Para'></P>
<p>Abortion <input type='number' value= '$rs[Abortion]' name='Abortion'></P>
<p>Cesarean <input type='number' value= '$rs[Cesarean]' name='Cesarean'></P>
<p>Child alive <input type='number' value= '$rs[Child_alive]' name='Child_alive'></P>
<p>Death <input type='number' value= '$rs[Death]' name='Death'></P>
</td></tr>
<tr><td width='50%'>Detail of complication in last pregnancy</td><td width='50%'>
<textarea value='$rs[last_pregnancy]' name='last_pregnancy' rows='3' cols='100'>
</textarea>
</td></tr>
";
}
?>
<?php
}
}
?>
<script src='https://cdnjs.cloudflare.com/ajax/libs/jquery/2.2.3/jquery.min.js'></script>
</head>
<tr>
<td width='50%'>
<span>Level of Consciousness </span></td>
<td width='50%'>
<div class='checkbox'> <input value='Conscious' name='Level_Consciousness' class='product-list' type='checkbox'><span>Conscious</span></div>
<div class='checkbox'> <input value='Semi Conscious' id='myCheck201' onclick='myFunction201()' name='Level_Consciousness' class='product-list' type='checkbox'><span>Semi Conscious</span></div>
<div class='checkbox'> <input value='Un-conscious' id='myCheck202' onclick='myFunction202()' name='Level_Consciousness' class='product-list' type='checkbox'><span>Un-conscious </span></div>
</td>
</tr>
</table>
<div id='text201' style='display:none' >
<h4 align='center'>Glasgow Coma Scale</h4>
<table id="example2" class="table table-bordered table-hover">
<tr><td width='50%'>Eye Opening Response
</td><td width='50%'><select name='Eye_Opening_Response'>
<option value='' disabled selected>Eye Opening Response </option>
<option value='1'>No Response</option>
<option value='2'>To Pain</option>
<option value='3'>To Speech and Pain</option>
<option value='4'>Spontaneously</option>
</select>
</td></tr>
<tr>
<td width='50%'>Best Verbal Response </td>
<td width='50%'>
<select name='Best_Verbal_Response'>
<option value='' disabled selected>Best Verbal
Response </option>
<option value='1'>No Response</option>
<option value='2'>Incomprehensive Sound</option>
<option value='3'>Inappropriate Words</option>
<option value='4'>Confused</option>
<option value='5'>Oriented to time, place and person</option>
</select>
</td></tr>
<tr><td width='50%'>
Best Motor Response</td><td width='50%'>
<select name='Best_Motor_Response'>
<option value='' disabled selected>Best Motor
Response </option>
<option value='1'>No Response</option>
<option value='2'>Abnormal Extension (Decerebrate)</option>
<option value='3'>Abnormal Flexion (Decorticate)</option>
<option value='4'>Flexion withdrawal from pain</option>
<option value='5'>Moves to localized pain</option>
<option value='6'>Obeys Commands</option>
</select>
</td></tr>
</table>
</div>
<div id='text202' style='display:none' >
<h4 align='center'>Glasgow Coma Scale</h4>
<table id="example2" class="table table-bordered table-hover">
<tr><td width='50%'>Eye Opening Response
</td><td width='50%'><select name='Eye_Opening_Response'>
<option value='' disabled selected>Eye Opening Response </option>
<option value='1'>No Response</option>
<option value='2'>To Pain</option>
<option value='3'>To Speech and Pain</option>
<option value='4'>Spontaneously</option>
</select>
</td></tr>
<tr>
<td width='50%'>Best Verbal Response </td>
<td width='50%'>
<select name='Best_Verbal_Response'>
<option value='' disabled selected>Best Verbal
Response </option>
<option value='1'>No Response</option>
<option value='2'>Incomprehensive Sound</option>
<option value='3'>Inappropriate Words</option>
<option value='4'>Confused</option>
<option value='5'>Oriented to time, place and person</option>
</select>
</td></tr>
<tr><td width='50%'>
Best Motor Response</td><td width='50%'>
<select name='Best_Motor_Response'>
<option value='' disabled selected>Best Motor
Response </option>
<option value='1'>No Response</option>
<option value='2'>Abnormal Extension (Decerebrate)</option>
<option value='3'>Abnormal Flexion (Decorticate)</option>
<option value='4'>Flexion withdrawal from pain</option>
<option value='5'>Moves to localized pain</option>
<option value='6'>Obeys Commands</option>
</select>
</td></tr>
</table></div>
<br>
<table id="example2" class="table table-bordered table-hover">
<tr><td width='50%'>Dependency</td>
<td width='50%'>
<select name='Dependency'>
<option value='' disabled selected>Dependency </option>
<option value='Independent'>Independent</option>
<option value='Partially Dependent'>Partially Dependent</option>
<option value='Completely Dependent'>Completely Dependent </option>
</select>
</td></tr>
<?php
$sql ="SELECT * FROM Vulnerability WHERE patientid='$_GET[patientid]' AND prescriptionid='$_GET[prescriptionid]' ";
$qsql = mysqli_query($con,$sql);
while($rpm = mysqli_fetch_array($qsql))
{
echo " <tr><td width='50%'>Mode of Movement </td>
<td width='50%'>
<select name='Modn'>
<option value='$rpm[Modn]'>$rpm[Modn] </option>
<option value='Self'>Self</option>
<option value='Ambulatory'>Ambulatory</option>
<option value='Wheel chair'>Wheel chair</option>
<option value='Stretcher'>Stretcher </option>
<option value='Physical Support'>Physical Support </option>
</td></tr></select> ";
}
?>
<tr> <td width='50%'>Pain Assessment</td>
<td width='50%'>
<select name='Pain_Assessment'>
<?php
$sql ="SELECT * FROM Vulnerability WHERE patientid='$_GET[patientid]' AND prescriptionid='$_GET[prescriptionid]' ";
$qsql = mysqli_query($con,$sql);
while($rpm = mysqli_fetch_array($qsql))
{
echo "
<option value='$rpm[Pain_Assessment]'>$rpm[Pain_Assessment]</option>
<option value='1'>1</option>
<option value='2'>2</option>
<option value='3'>3</option>
<option value='4'>4</option>
<option value='5'>5</option>
<option value='6'>6</option>
<option value='7'>7</option>
<option value='8'>8</option>
<option value='9'>9</option>
<option value='10'>10</option>
</select>
</td></tr>";
}
?>
<?php
$sql ="SELECT * FROM Vulnerability WHERE patientid='$_GET[patientid]' AND prescriptionid='$_GET[prescriptionid]' ";
$qsql = mysqli_query($con,$sql);
while($rpm = mysqli_fetch_array($qsql))
{
echo " <tr> <td width='50%'>
Pain Location</td><td width='50%'><select name='Pain_Location'>
<option value='$rpm[Pain_Location]'>$rpm[Pain_Location]</option>
<option value='Head'>Head</option>
<option value='forehead'>forehead</option>
<option value='Eyes'>Eyes</option>
<option value='Ear'>Ear</option>
<option value='Mouth'>Mouth</option>
<option value='cheek'>cheek</option>
<option value='chin'>chin</option>
<option value='Neck'>Neck</option>
<option value='Adam apple'>Adam apple</option>
<option value='Face'>Face</option>
<option value='Shoulder'>Shoulder</option>
<option value='Arm'>Arm</option>
<option value='elbow'>elbow</option>
<option value='forearm'>forearm</option>
<option value='wrist'>wrist</option>
<option value='palm'>palm</option>
<option value='fingers'>fingers</option>
<option value='Back'>Back</option>
<option value='Chest'>Chest</option>
<option value='Stomach'>Stomach</option>
<option value='umbilicus'>umbilicus</option>
<option value='abdomen'>abdomen</option>
<option value='groin'>groin</option>
<option value='hips'>hips</option>
<option value='penis-vagina'>penis-vagina</option>
<option value='leg'>leg</option>
<option value='thigh'>thigh</option>
<option value='knee'>knee</option>
<option value='calf'>calf</option>
<option value='ankle'>ankle</option>
<option value='foot'>foot</option>
<option value='toes'>toes</option>
<option value='Other'>Other</option>
</select><br>
</td></tr><tr><td width='50%'>Other Pain Location</td><td width='50%'>
<input type='text' name='other_pain_location' VALUE='$rpm[other_pain_location]' placeholder='Other Pain Location'>
</td>
</tr>
<tr> <td width='50%'>
Pain Location</td><td width='50%'><select name='Pain_Location1'>
<option value='$rpm[Pain_Location1]'>$rpm[Pain_Location1]</option>
<option value='Head'>Head</option>
<option value='forehead'>forehead</option>
<option value='Eyes'>Eyes</option>
<option value='Ear'>Ear</option>
<option value='Mouth'>Mouth</option>
<option value='cheek'>cheek</option>
<option value='chin'>chin</option>
<option value='Neck'>Neck</option>
<option value='Adam apple'>Adam apple</option>
<option value='Face'>Face</option>
<option value='Shoulder'>Shoulder</option>
<option value='Arm'>Arm</option>
<option value='elbow'>elbow</option>
<option value='forearm'>forearm</option>
<option value='wrist'>wrist</option>
<option value='palm'>palm</option>
<option value='fingers'>fingers</option>
<option value='Back'>Back</option>
<option value='Chest'>Chest</option>
<option value='Stomach'>Stomach</option>
<option value='umbilicus'>umbilicus</option>
<option value='abdomen'>abdomen</option>
<option value='groin'>groin</option>
<option value='hips'>hips</option>
<option value='penis-vagina'>penis-vagina</option>
<option value='leg'>leg</option>
<option value='thigh'>thigh</option>
<option value='knee'>knee</option>
<option value='calf'>calf</option>
<option value='ankle'>ankle</option>
<option value='foot'>foot</option>
<option value='toes'>toes</option>
<option value='Other'>Other</option>
</select><br>
</td>
</tr>
<tr> <td width='50%'>
Pain Location</td><td width='50%'><select name='Pain_Location2'>
<option value='$rpm[Pain_Location2]'>$rpm[Pain_Location2]</option>
<option value='Head'>Head</option>
<option value='forehead'>forehead</option>
<option value='Eyes'>Eyes</option>
<option value='Ear'>Ear</option>
<option value='Mouth'>Mouth</option>
<option value='cheek'>cheek</option>
<option value='chin'>chin</option>
<option value='Neck'>Neck</option>
<option value='Adam apple'>Adam apple</option>
<option value='Face'>Face</option>
<option value='Shoulder'>Shoulder</option>
<option value='Arm'>Arm</option>
<option value='elbow'>elbow</option>
<option value='forearm'>forearm</option>
<option value='wrist'>wrist</option>
<option value='palm'>palm</option>
<option value='fingers'>fingers</option>
<option value='Back'>Back</option>
<option value='Chest'>Chest</option>
<option value='Stomach'>Stomach</option>
<option value='umbilicus'>umbilicus</option>
<option value='abdomen'>abdomen</option>
<option value='groin'>groin</option>
<option value='hips'>hips</option>
<option value='penis-vagina'>penis-vagina</option>
<option value='leg'>leg</option>
<option value='thigh'>thigh</option>
<option value='knee'>knee</option>
<option value='calf'>calf</option>
<option value='ankle'>ankle</option>
<option value='foot'>foot</option>
<option value='toes'>toes</option>
<option value='Other'>Other</option>
</select><br>
</td>
</tr>
<tr> <td width='50%'>
Pain Location</td><td width='50%'><select name='Pain_Location3'>
<option value='$rpm[Pain_Location3]'>$rpm[Pain_Location3]</option>
<option value='Head'>Head</option>
<option value='forehead'>forehead</option>
<option value='Eyes'>Eyes</option>
<option value='Ear'>Ear</option>
<option value='Mouth'>Mouth</option>
<option value='cheek'>cheek</option>
<option value='chin'>chin</option>
<option value='Neck'>Neck</option>
<option value='Adam apple'>Adam apple</option>
<option value='Face'>Face</option>
<option value='Shoulder'>Shoulder</option>
<option value='Arm'>Arm</option>
<option value='elbow'>elbow</option>
<option value='forearm'>forearm</option>
<option value='wrist'>wrist</option>
<option value='palm'>palm</option>
<option value='fingers'>fingers</option>
<option value='Back'>Back</option>
<option value='Chest'>Chest</option>
<option value='Stomach'>Stomach</option>
<option value='umbilicus'>umbilicus</option>
<option value='abdomen'>abdomen</option>
<option value='groin'>groin</option>
<option value='hips'>hips</option>
<option value='penis-vagina'>penis-vagina</option>
<option value='leg'>leg</option>
<option value='thigh'>thigh</option>
<option value='knee'>knee</option>
<option value='calf'>calf</option>
<option value='ankle'>ankle</option>
<option value='foot'>foot</option>
<option value='toes'>toes</option>
<option value='Other'>Other</option>
</select><br>
</td>
</tr>
<tr> <td width='50%'>
Pain Location</td><td width='50%'><select name='Pain_Location4'>
<option value='$rpm[Pain_Location4]'>$rpm[Pain_Location4]</option>
<option value='Head'>Head</option>
<option value='forehead'>forehead</option>
<option value='Eyes'>Eyes</option>
<option value='Ear'>Ear</option>
<option value='Mouth'>Mouth</option>
<option value='cheek'>cheek</option>
<option value='chin'>chin</option>
<option value='Neck'>Neck</option>
<option value='Adam apple'>Adam apple</option>
<option value='Face'>Face</option>
<option value='Shoulder'>Shoulder</option>
<option value='Arm'>Arm</option>
<option value='elbow'>elbow</option>
<option value='forearm'>forearm</option>
<option value='wrist'>wrist</option>
<option value='palm'>palm</option>
<option value='fingers'>fingers</option>
<option value='Back'>Back</option>
<option value='Chest'>Chest</option>
<option value='Stomach'>Stomach</option>
<option value='umbilicus'>umbilicus</option>
<option value='abdomen'>abdomen</option>
<option value='groin'>groin</option>
<option value='hips'>hips</option>
<option value='penis-vagina'>penis-vagina</option>
<option value='leg'>leg</option>
<option value='thigh'>thigh</option>
<option value='knee'>knee</option>
<option value='calf'>calf</option>
<option value='ankle'>ankle</option>
<option value='foot'>foot</option>
<option value='toes'>toes</option>
<option value='Other'>Other</option>
</select><br>
</td>
</tr>
<tr> <td width='50%'>
Pain Location</td><td width='50%'><select name='Pain_Location5'>
<option value='$rpm[Pain_Location5]'>$rpm[Pain_Location5]</option>
<option value='Head'>Head</option>
<option value='forehead'>forehead</option>
<option value='Eyes'>Eyes</option>
<option value='Ear'>Ear</option>
<option value='Mouth'>Mouth</option>
<option value='cheek'>cheek</option>
<option value='chin'>chin</option>
<option value='Neck'>Neck</option>
<option value='Adam apple'>Adam apple</option>
<option value='Face'>Face</option>
<option value='Shoulder'>Shoulder</option>
<option value='Arm'>Arm</option>
<option value='elbow'>elbow</option>
<option value='forearm'>forearm</option>
<option value='wrist'>wrist</option>
<option value='palm'>palm</option>
<option value='fingers'>fingers</option>
<option value='Back'>Back</option>
<option value='Chest'>Chest</option>
<option value='Stomach'>Stomach</option>
<option value='umbilicus'>umbilicus</option>
<option value='abdomen'>abdomen</option>
<option value='groin'>groin</option>
<option value='hips'>hips</option>
<option value='penis-vagina'>penis-vagina</option>
<option value='leg'>leg</option>
<option value='thigh'>thigh</option>
<option value='knee'>knee</option>
<option value='calf'>calf</option>
<option value='ankle'>ankle</option>
<option value='foot'>foot</option>
<option value='toes'>toes</option>
<option value='Other'>Other</option>
</select><br>
</td>
</tr>";
}
?>
<?php
$sql ="SELECT * FROM Vulnerability WHERE patientid='$_GET[patientid]' AND prescriptionid='$_GET[prescriptionid]' ";
$qsql = mysqli_query($con,$sql);
while($rpm = mysqli_fetch_array($qsql))
{
if($rpm[fall_risk]=='on')
{
?>
<?php
$sql ="SELECT * FROM Vulnerability WHERE patientid='$_GET[patientid]' AND prescriptionid='$_GET[prescriptionid]' ";
$qsql = mysqli_query($con,$sql);
while($rpm = mysqli_fetch_array($qsql))
{
if($rpm[low_fall_risk]=='on')
{
echo" <tr> <td width='50%'><span style='font-size: 20px'> Low fall risk </span></h3></td><td width='50%'>
<input name='low_fall_risk' type='checkbox' checked>
</td></tr>";
}
if($rpm[implement_low]='on'){
echo"<tr><td width='50%'> <span style='font-size: 20px'> implement low fall risk interventions per protocol </span></h3></td><td width='50%'>
<input name='implement_low' type='checkbox' checked></td></tr>
";
}
else
{
echo"<tr><td width='50%><span style='font-size: 20px'> implement low fall risk interventions per protocol </span></h3></td><td width='50%'>
<input name='implement_low' type='checkbox'>
</td>";
}
}
}
?>
<?php
}
?>
</table>
<div id='text1032' style='display:none'>
<table id='example2' class='table table-bordered table-hover'>
<tr><td>
<span style='font-size: 20px'>History of more than one fall within 6 months before admission </span></h3></td><td>
<input name='History_more' type='checkbox'>
</td>
</tr>
<tr><td>
<span style='font-size: 20px'>Patient has experienced a fall during the hospitalization </span></h3></td><td>
<input name='Patient_experienced' type='checkbox'>
</td>
</tr>
<tr><td>
<span style='font-size: 20px'>Patient is deemed high fall-risk per protocol such as seizure precaution </span></h3></td><td>
<input name='deemed_high' type='checkbox'>
</td>
</tr>
</table>
</div>
<?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 class='checkbox'>
<input type='checkbox' name='Safe_childbirth_checklist' id="myCheck102' onclick='myFunction102()'><span>Safe Childbirth Checklist </span>
</div>
<div id='text102' style='display:none' >
<div class='checkbox'>
<h3 align='center'>Safe Childbirth Checklist </h3>
<p>
<h4>Does mother need referral</h4>
<p><input type='radio' value= 'NO' name='mother_need_referral'><span>No </span></P>
<p><input type='radio' value= 'Yes, organized' name='mother_need_referral'><span>Yes, organized </span></P>
</div>
<div class='checkbox'>
<h4>Partograph started? </h4>
<p><input type='radio' value= 'No will start when greater than 4cm' name='Partograph_started'><span>No, will start when ≥4cm </span></P>
<p><input type='radio' value= 'yes' name='Partograph_started'><span>Yes</span></P>
</div>
<div class='checkbox'>
<h4>Does mother need to start:
Antibiotics? </h4>
<p><input type='radio' value= 'No' name='start_Antibiotics'><span>No</span></P>
<p><input type='radio' value= 'Yes given' name='start_Antibiotics'><span>Yes Given</span></P>
</div>
<div class='checkbox'>
<h4>Magnesium sulfate and
antihypertensive treatment?</h4>
<p><input type='radio' value= 'No' name='antihypertensive_treatment'><span>No</span></P>
<p><input type='radio' value='Yes, magnesium sulfate given' name='antihypertensive_treatment'><span>Yes, magnesium sulfate given</span></P>
<p><input type='radio' value='Yes, antihypertensive medication given' name='antihypertensive_treatment'><span>Yes, antihypertensive medication given</span></P>
</div>
<div class='checkbox'>
<h4>Confirm supplies are available to
clean hands and wear gloves for each
vaginal exam </h4>
<p><input type='radio' value= 'Available' name='vaginal_exam'><span>Available </span></P>
<p><input type='radio' value= 'Unavailable' name='vaginal_exam'><span>Unavailable </span></P>
</div>
<div class='checkbox'>
<h4>Encourage birth companion to be present
at birth</h4>
<p><input type='radio' value= 'Yes' name='present_at_birth'><span>Yes</span></P>
<p><input type='radio' value= 'No' name='present_at_birth'><span>No </span></P>
</div>
<div class='checkbox'>
<h4>Confirm that mother or companion will call
for help during labour if needed </h4>
<p><input type='radio' value= 'Yes' name='labour_needed'><span>Yes</span></P>
<p><input type='radio' value= 'No' name='labour_needed'><span>No </span></P>
</div>
<?php
}
}
?>
<input type='submit' name='signup' value='Update'>
</form>
</div>