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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($_POST['signup']))
{
PatientManager::admissionpatientpg("$_GET[prescriptionid]","$_GET[patientid]","$_POST[Type_of_Admission]","$_POST[Reason_for_Admission]","$_POST[MLC]","$_POST[MLC_No]","$_POST[Upload_MLC_Slip]","$_POST[Trauma]","$_POST[further]","$_POST[Pneumo_Haemothorax]","$_POST[Fluids_Started]","$_POST[iv_fluids_started]","$_POST[Full_Survey]","$_POST[Perineum]","$_POST[Back]","$_POST[Pelvic_Fracture]","$_POST[Internal_Bleeding]","$_POST[Ultrasound]","$_POST[Spinal_Immobilization]","$_POST[Neurovascular_Status]","$_POST[Hypothermic]","$_POST[contraindication]","$_POST[Nasogastric_Tube]","$_POST[Chest_Drain]","$_POST[None_Indicated]","$_POST[leaves_patient]","$_POST[Analgesics]","$_POST[Antibiotics]","$_POST[None_Indicated2]","$_POST[tests_imaging]","$_POST[Examinations]","$_POST[care_discussed]","$_POST[Receiving_Unit]","$_POST[Primary_team]","$_POST[Other_Specialists]","$_POST[Trauma_Chart]","$_POST[Trauma_Slip]","$_POST[Safe_childbirth_checklist]","$_POST[mother_need_referral]","$_POST[Partograph_started]","$_POST[start_Antibiotics]","$_POST[antihypertensive_treatment]","$_POST[vaginal_exam]","$_POST[present_at_birth]","$_POST[labour_needed]","$_POST[Information_Obtained_from]","$_POST[General_Consent_Signed]","$_POST[Upload_Consent]","$_POST[ID_Band_tied]","$_POST[Rights_Responsibilities]","$_POST[surroundings_safety]","$_POST[Insulin_dependent]","$_POST[Insulin_specify]","$_POST[Last_menstrual_period]","$_POST[Gravida]","$_POST[Para]","$_POST[Abortion]","$_POST[Cesarean]","$_POST[Child_alive]","$_POST[Death]","$_POST[Level_Consciousness]","$_POST[Dependency]","$_POST[Modn]","$_POST[Vulnevilty_Assessment]","$_POST[Wt]","$_POST[SPo2]","$_POST[RBS]","$_POST[Temp]","$_POST[Pulse]","$_POST[BP]","$_POST[BP2]","$_POST[Pain_Assessment]","$_POST[Pain_Location]","$_POST[fall_risk]","$_POST[Addiction]","$_POST[Alcohol]","$_POST[Smoking]","$_POST[Tobacco]","$_POST[Chief_Complain]","$_POST[Covid]","$_POST[Fever]","$_POST[smell]","$_POST[Diarrhoea]","$_POST[Deformity]","$_POST[Cough]","$_POST[Taste]","$_POST[Weakness]","$_POST[Breathlessness]","$_POST[Appetite]","$_POST[Limbs]","$_POST[Throat]","$_POST[Vomitting]","$_POST[Slurred_Voice]","$_POST[Admitted_Under]","$_POST[Attending_Nurse]","$_POST[enteredby]");
}
?>
<?php
$DisplayForm=True;
$sql ="SELECT * FROM request_for_admission WHERE prescriptionid='$_GET[prescriptionid]'";
$qsql = mysqli_query($con,$sql);
if($rh = mysqli_fetch_array($qsql))
{
$DisplayForm=False;
echo "<script>window.location='showrequestforadmission.php?prescriptionid=$_GET[prescriptionid]&patientid=$_GET[patientid]'</script>";
}
if($DisplayForm)
{
?>
<!DOCTYPE html>
<html lang="en">
<head><meta charset="euc-kr">
<link rel="stylesheet" href="../plugins/select2/css/select2.min.css">
<link rel="stylesheet" href="../plugins/select2-bootstrap4-theme/select2-bootstrap4.min.css">
<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";
}
}
function myFunction102() {
var checkBox = document.getElementById("myCheck102");
var text = document.getElementById("text102");
if (checkBox.checked == true){
text.style.display = "block";
} else {
text.style.display = "none";
}
}
function myFunction103() {
var checkBox = document.getElementById("myCheck103");
var text = document.getElementById("text103");
if (checkBox.checked == true){
text.style.display = "block";
} else {
text.style.display = "none";
}
}
function myFunction10() {
var checkBox = document.getElementById("myCheck10");
var text = document.getElementById("text10");
if (checkBox.checked == true){
text.style.display = "block";
} else {
text.style.display = "none";
}
}
function myFunction11() {
var checkBox = document.getElementById("myCheck11");
var text = document.getElementById("text11");
if (checkBox.checked == true){
text.style.display = "block";
} else {
text.style.display = "none";
}
}
</script>
</head>
<body>
<div class="content-wrapper">
<!-- Content Header (Page header) -->
<section class="content-header">
<form name="signup" method="post">
<h3 align="center">Intial Assessment </h3>
<div><label for="item">Type of Visit
<select name='Type_of_Admission'>
<option value='' disabled selected>Type of Visit</option>
<option value='First Time '>First Time </option>
<option value='Continuation of Treatment'>Continuation of Treatment</option>
<option value='Supportive Therapy'>Supportive Therapy</option>
</select>
</div>
<div> <label for="item">Reason for Visit<span>*</span> <select name='Reason_for_Admission'>
<option value='' disabled selected>Reason for Visit</option>
<option value='Emergency'>Emergency </option>
<option value='Observation'>Observation</option>
</select>
</div>
<div class="checkbox">
<input type="checkbox" name="MLC" id="myCheck3" onclick="myFunction3()"><span>MLC </span>
</div>
<div id="text3" style="display:none" >
<div> <label for="item">MLC No<span>*</span><input name="MLC_No" type="text">
</div>
<div> <label for="item">Upload MLC Slip<span>*</span><input name="Upload_MLC_Slip" type="file">
</div>
</div>
<div class="checkbox">
<input type="checkbox" name="Trauma" id="myCheck4" onclick="myFunction4()"><span>Trauma </span>
</div>
<div id="text4" style="display:none" >
<div class="checkbox">
<h3 align="center">Trauma Care Checklist</h3>
<p>
<h4 align="center">Immediately after primary & secondary surveys</h4>
<label>Is Further Airway Intervention Needed?</label>
<p><input type="radio" value= "yes" name="further"><span>Yes </span></P>
<p><input type="radio" value= "noo" name="further"><span>No </span></P>
</div><div class="checkbox">
<p>
<label>Is There A Tension Pneumo-Haemothorax ?</label>
<p><input type="radio" value= "Yes, Chest Drain Placed" name="Pneumo_Haemothorax"><span>Yes, Chest Drain Placed</P>
<p><input type="radio" value= "No" name="Pneumo_Haemothorax"><span>No </span></P>
</div>
<div class="checkbox">
<p>
<label>IS The Pulse and Fluids Started ?</label>
<p><input type="radio" value= "yes" name="Fluids_Started"><span>Yes</P>
<p><input type="radio" value= "Not Available" name="Fluids_Started"><span>Not Available </span></P>
</div>
<div class="checkbox">
<p>
<label>Large-bore IV placed and fluids started </label>
<p><input type="radio" value= "yes" name="iv_fluids_started"><span>Yes</P>
<p><input type="radio" value= "yes" name="iv_fluids_started"><span>Not indicated</P>
<p><input type="radio" value= "noo" name="iv_fluids_started"><span>Not Available </span></P>
</div>
<div class="checkbox">
<p>
<label>Full Survey For (and control of)External bleeding, Including : </label>
<p><input type="checkbox" value= "Scalp" name="Full_Survey"><span>Scalp</P>
<p><input type="checkbox" value= "Perineum" name="Perineum"><span>Perineum</P>
<p><input type="checkbox" value= "Back" name="Back"><span>Back </span></P>
</div>
<div class="checkbox">
<p>
<label>Assessed For Pelvic Fracture by: </label>
<p><input type="radio" value= "Exam" name="Pelvic_Fracture"><span>Exam</P>
<p><input type="radio" value= "X-ray" name="Pelvic_Fracture"><span>X-ray</P>
<p><input type="radio" value= "CT" name="Pelvic_Fracture"><span>CT</span></P>
</div>
<div class="checkbox">
<p>
<label>Assessed For Internal Bleeding By: </label>
<p><input type="checkbox" value= "Exam" name="Internal_Bleeding"><span>Exam</P>
<p><input type="checkbox" value= "Ultrasound" name="Internal_Bleeding"><span>Ultrasound</P>
<p><input type="checkbox" value= "CT" name="Ultrasound"><span>CT</span></P>
<p><input type="checkbox" value= "Peritoneal lavage" name="Ultrasound"><span>Peritoneal lavage</span></P>
</div>
<div class="checkbox">
<p>
<label>Is Spinal Immobilization Needed? </label>
<p><input type="radio" value= "Yes,Done" name="Spinal_Immobilization"><span>Yes,Done</P>
<p><input type="radio" value= "Not Indicated" name="Spinal_Immobilization"><span>Not Indicated</P>
</div>
<div class="checkbox">
<p>
<label>Neurovascular Status of all 4 limbs Checked? </label>
<p><input type="radio" value= "Yes" name="Neurovascular_Status"><span>Yes</P>
<p><input type="radio" value= "Not Indicated" name="Neurovascular_Status"><span>Not Indicated</P>
</div>
</P>
<div class="checkbox">
<p>
<label>IS the patient Hypothermic? </label>
<p><input type="radio" value= "Yes Done" name="Hypothermic"><span>Yes, Warming </P>
<p><input type="radio" value= "Not Indicated" name="Hypothermic"><span>No</P>
</div>
</p>
<div class="checkbox">
<p>
<label>Does the Patient Need(if no contraindication) </label>
<p><input type="checkbox" value= "Yes,Done" name="contraindication"><span>Urinary Catheter </P>
<p><input type="checkbox" value= "Nasogastric Tube" name="Nasogastric_Tube"><span>Nasogastric Tube</P>
<p><input type="checkbox" value= "chest drain" name="Chest_Drain"><span>Chest Drain</P>
<p><input type="checkbox" value= "None Indicated" name="None_Indicated"><span>None Indicated</P>
</div>
<H3 align="center">Before team leaves patient</H3>
<div class="checkbox">
<p>
<label>Has the Patient been Given </label>
<p><input type="checkbox" value= "Tetanus Vaccine" name="leaves_patient"><span>Tetanus Vaccine </P>
<p><input type="checkbox" value= "Analgesics" name="Analgesics"><span>Analgesics</P>
<p><input type="checkbox" value= "Antibiotics" name="Antibiotics"><span>Antibiotics</P>
<p><input type="checkbox" value= "None Indicated" name="None_Indicated"><span>None Indicated</P>
</div>
<div class="checkbox">
<p>
<label>Have All tests and imaging been Reviewed </label>
<p><input type="radio" value= "Yes" name="tests_imaging"><span>Yes</P>
<p><input type="radio" value= "No, Follow-up Plan in Place" name="tests_imaging"><span>No, Follow-up Plan in Place</P>
</div>
<div class="checkbox">
<p>
<label>Which serial Examinations Are Needed </label>
<p><input type="checkbox" value= "Neurological" name="Examinations"><span>Neurological</P>
<p><input type="checkbox" value= "Abdominal" name="Abdominal"><span>Abdominal</P>
<p><input type="checkbox" value= "vascular" name="vascular"><span>Vascular</P>
<p><input type="checkbox" value= "None" name="Examinations"><span>None</P>
</div>
<div class="checkbox">
<p>
<label>Plan of care discussed with: </label>
<p><input type="checkbox" value= "Patient/Family" name="care_discussed"><span>Patient/Family</P>
<p><input type="checkbox" value= "Receiving Unit" name="Receiving_Unit"><span>Receiving Unit</P>
<p><input type="checkbox" value= "Primary team" name="Primary_team"><span>Primary team</P>
<p><input type="checkbox" value= "None" name="Other_Specialists"><span>Other Specialists</P>
</div>
<div class="checkbox">
<p>
<label>Relevant Trauma Chart or Form Comleted? </label>
<p><input type="radio" value= "Patient/Family" name="Trauma_Chart"><span>Patient/Family</P>
<p><input type="radio" value= "Not Available" name="Trauma_Chart"><span>Not Available</P>
</div>
<div> <label for="item">Trauma Slip<span>*</span><input name="Trauma_Slip" type="file">
</div>
</div>
<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= "noo" name="mother_need_referral"><span>No </span></P>
<p><input type="radio" value= "yes" 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="checkbox" value= "No" name="antihypertensive_treatment"><span>No</span></P>
<p><input type="checkbox" value="Yes, magnesium sulfate given" name="antihypertensive_treatment"><span>Yes, magnesium sulfate given</span></P>
<p><input type="checkbox" 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="checkbox" value= "Available" name="vaginal_exam"><span>Available </span></P>
<p><input type="checkbox" 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= "Unavailable" 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>
</div>
<div> <label for="item">Information Obtained from <span>*</span><select name='Information_Obtained_from'>
<option value='' disabled selected>Information Obtained from</option>
<option value='Patient'>Patient</option>
<option value='Family'>Family</option>
<option value='Old Chart'>Old Chart</option>
<option value='Other'>Other</option>
</select>
</div>
<div class="checkbox">
<input type="checkbox" name="General_Consent_Signed" id="myCheck2" onclick="myFunction2()"><span>General Consent Signed </span>
</div>
<div id="text2" style="display:none" >
<div> <label for="item">Upload Consent<span>*</span><input name="Upload_Consent" type="file">
</div>
<div> <Button style="height:20%;width:20%">Download Consent Formate </Button>
</div>
</div>
<div class="checkbox"> <input name="ID_Band_tied" type="checkbox"><span>Patient Identification Band tied</span>
</div>
<div class="checkbox"> <input name="Rights_Responsibilities" type="checkbox"><span>Patient Rights & Responsibilities explained </span>
</div>
<div class="checkbox"> <input name="surroundings_safety" type="checkbox"><span>Patient Made aware of surroundings and safety measures</span>
</div>
<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>
<br>
</div>
<br>
<div class="checkbox">
<input type="checkbox" name="Insulin_dependent" id="myCheck103" onclick="myFunction103()"><span>Insulin dependent diabetes mellitus</span>
</div>
<div id="text103" style="display:none">
<input type='text' name='Insulin_specify' placeholder="Type">
</div>
<input type='text' name='Last_menstrual_period' placeholder='Last menstrual period'>
<div class="checkbox">
<label>OBSTETRIC History</label>
<p><input type="radio" value= "Gravida Para" name="mother_need_referral"><span>Gravida Para </span></P>
<p><input type="radio" value= "Abortion" name="mother_need_referral"><span>Abortion </span></P>
<p><input type="radio" value= "Cesarean" name="mother_need_referral"><span>Cesarean </span></P>
<p><input type="radio" value= "Child_alive" name="mother_need_referral"><span>Child alive </span></P>
<p><input type="radio" value= "Death" name="mother_need_referral"><span>Death </span></P>
</div>
<label>Detail of complication in last pregnancy</label>
<input type='text' name='last_pregnancy' Placeholder='Detail of complication in last pregnancy'>
<div> <label>Level of Consciousness </label>
<select name='Level_Consciousness'>
<?php
$sql ="SELECT * FROM patient WHERE patientid='$_GET[patientid]'";
$qsql = mysqli_query($con,$sql);
while($rps = mysqli_fetch_array($qsql))
{
$a =$rps['Level'];
if(is_null($a)){
echo " <option value='' disabled selected>Level of Consciousness </option>
<option value='Conscious'>Conscious</option>
<option value='Semi Conscious'>Semi Conscious</option>
<option value='Un-conscious'>Un-conscious </option>";
} else{
echo "
<option value='$rps[Level]' disabled selected> $rps[Level] </option>
<option value='Conscious'>Conscious</option>
<option value='Semi Conscious'>Semi Conscious</option>
<option value='Un-conscious'>Un-conscious </option>
";
}
}
?>
</select>
</div> <div>
<label>Dependency</label>
<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>
</div>
<div>
<label>Mode of Movement </label>
<select name="Modn">
<?php
$sql ="SELECT * FROM patient WHERE patientid='$_GET[patientid]'";
$qsql = mysqli_query($con,$sql);
while($rpm = mysqli_fetch_array($qsql))
{
$a =$rpm['Modn'];
if(is_null($a))
{
echo "
<option value='' disabled selected>Mode of Movement </option>
<option value='Self'>Self</option>
<option value='Ambulatory'>Ambulatory</option>
<option value='Wheel chair'>Wheel chair</option>
<option value='Stretcher'>Stretcher </option>
<option value='Physical Support'>Physical Support </option>
";
} else{
echo "
<option value='$rpm[Modn]' disabled selected> $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>
";
}
}
?>
</select>
</div>
<div> <label for="item">Vulnevilty Assessment<span>*</span> <select name='Vulnevilty_Assessment'>
<option value='' disabled selected>Vulnevilty Assessment</option>
<option value='Immediate Care'>Immediate Care </option>
<option value='Urgent Care'>Urgent Care</option>
<option value='Normal Care'>Normal Care</option>
</select>
</div><div> <label for="item">Pain Assessment<span>*</span>
<select name='Pain_Assessment'>
<option value='' disabled selected>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>
</div>
<label>Location</label><select name="Pain_Location" class="js-example-basic-multiple" data-placeholder="Pain Location" multiple="multiple">
<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>
</select>
<script>
$(function()
{
$(".js-example-basic-multiple").select2().multiple = true;
});
</script>
<br>
<div class="checkbox"> <input name="fall_risk" type="checkbox"><span>Fall Risk </span>
</div>
<br>
<div><input type="button" onclick="harila('Demo')" value="Known Allergies"></div>
<div id="Demo" 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 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 class="checkbox"> <input name="Addiction" id="myCheck11" onclick="myFunction11()" type="checkbox"><span>Addiction </span>
</div>
<div id="text11" style="display:none" >
<div class="checkbox"> <input name="Alcohol" type="checkbox"><span>Alcohol </span>
</div>
<div class="checkbox"> <input name="Smoking" type="checkbox"><span>Smoking </span>
</div>
<div class="checkbox"> <input name="Tobacco" type="checkbox"><span>Tobacco </span>
</div></div>
<h4 align="center">Chief Complain</h4>
<table id="example2" class="table table-bordered table-hover">
<tr><td>
<span style="font-size: 20px">Fever </span></h3></td><td><label class="switch">
<input name="Fever" type="checkbox">
<span class="slider"></span>
</label>
</td>
<td><span style="font-size: 20px">Loss of Smell</span></h3></td><td><label class="switch">
<input name="smell" type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">Diarrhoea </span></h3></td><td><label class="switch">
<input name="Diarrhoea" type="checkbox">
<span class="slider"></span>
</label>
</td>
<td><span style="font-size: 20px">Facial Deformity</span></h3></td><td><label class="switch">
<input name="Deformity" type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
<tr><td>
<span style="font-size: 20px">Cough </span></h3></td><td><label class="switch">
<input name="Cough" type="checkbox">
<span class="slider"></span>
</label>
</td>
<td><span style="font-size: 20px">Loss of Taste</span></h3></td><td><label class="switch">
<input name="Taste" type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">Weakness </span></h3></td><td><label class="switch">
<input name="Weakness" type="checkbox">
<span class="slider"></span>
</label>
</td>
<td>
<span style="font-size: 20px">Breathlessness </span></h3></td><td><label class="switch">
<input name="Breathlessness" type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">Loss of Appetite</span></h3></td><td><label class="switch">
<input name="Appetite" type="checkbox">
<span class="slider"></span>
</label>
</td>
<td><span style="font-size: 20px">Power Loss in Limbs </span></h3></td><td><label class="switch">
<input name="Limbs" type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
<tr><td>
<span style="font-size: 20px">Sore Throat </span></h3></td><td><label class="switch">
<input name="Throat" type="checkbox">
<span class="slider"></span>
</label>
</td>
<td><span style="font-size: 20px">Vomitting</span></h3></td><td><label class="switch">
<input name="Vomitting" type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">Slurred Voice </span></h3></td><td><label class="switch">
<input name="Slurred_Voice" type="checkbox">
<span class="slider"></span>
</label>
</td>
<td><span style="font-size: 20px">Nausea </span></h3></td><td><label class="switch">
<input name="Nausea" type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">Loss of Appetite</span></h3></td><td><label class="switch">
<input name="Loss_Appetite" type="checkbox">
<span class="slider"></span>
</label>
</td>
<td><span style="font-size: 20px">Delusion </span></h3></td><td><label class="switch">
<input name="Delusion" type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">Fits of Anger</span></h3></td><td><label class="switch">
<input name="Fits_Anger" type="checkbox">
<span class="slider"></span>
</label>
</td>
<td><span style="font-size: 20px">Depression </span></h3></td><td><label class="switch">
<input name="Depression" type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">Memory Loss </span></h3></td><td><label class="switch">
<input name="Memory_Loss " type="checkbox">
<span class="slider"></span>
</label>
</td>
<td><span style="font-size: 20px">Bleeding Disorder </span></h3></td><td><label class="switch">
<input name="Bleeding_Disorder" type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">Migraine </span></h3></td><td><label class="switch">
<input name="Migraine" type="checkbox">
<span class="slider"></span>
</label>
</td>
<td><span style="font-size: 20px">Frequent Urination </span></h3></td><td><label class="switch">
<input name="Frequent_Urination" type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">Swollen Join </span></h3></td><td><label class="switch">
<input name="Swollen_Join" type="checkbox">
<span class="slider"></span>
</label>
</td>
<td><span style="font-size: 20px">Weight Gain </span></h3></td><td><label class="switch">
<input name="Weight_Gain" type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">weight loss</span></h3></td><td><label class="switch">
<input name="weight_loss" type="checkbox">
<span class="slider"></span>
</label>
<td><span style="font-size: 20px">Body pain </span></h3></td><td><label class="switch">
<input name="Body_pain" type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
<tr>
<td><span style="font-size: 20px">Physical Injury </span></h3></td><td><label class="switch">
<input name="Physical_Injury" type="checkbox">
<span class="slider"></span>
</label>
</td>
</tr>
</table>
<div><input name='Other_Symptoms' type='text' placeholder='Other Symptoms'>
</div>
<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="number"></div></td></tr>
<td><div><h5>SPo2 : </h5> </td></div><td><div><input name="SPo2" placeholder="Oxygen saturation" type="number"></div></td></tr>
<tr><td><div><h5>RBS : </h5> </td></div><td><div><input placeholder="mg/dl" name="RBS" type="number"></div></td></tr>
<tr><td><div><h5>Temperature: </h5> </td></div><td><div><input placeholder="째C" name="Temp" type="number"></div></td></tr>
<tr><td><div><h5>Pulse: </h5> </td></div><td><div><input placeholder="Pulse" name="Pulse" type="number"></div></td></tr>
<tr><td><div><h5>Blood Pressure: </h5> </td></div><td><div><input placeholder="Systolic (mmHg upper)" name="BP" type="number"><br><input placeholder="Diastolic(mmHg upper)" name="BP2" type="number"></div></td></tr>
</div>
</tr>
</tr>
</thead>
</tbody>
<tfoot>
</tfoot>
</table>
<script>
function vitals(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> <label for="item">Admitted Under<span>*</span>
<select " name="Admitted_Under" id="select2">
<option value="" disabled selected>Admitted Under</option>
<?php
$narayan=LoginManager::currentUser();
$usertype=LoginManager::getUserTypeByuname("$narayan");
$sqldoctor= "SELECT * FROM site_users WHERE usertype='Doctor' and entered_by='$usertype'";
$qsqldoctor = mysqli_query($con,$sqldoctor);
while($rsdoctor = mysqli_fetch_array($qsqldoctor))
{
echo "<option value='$rsdoctor[name]'>$rsdoctor[name]</option>";
}
?>
</select>
</div>
<div> <label for="item">Attending Nurse<span>*</span>
<select " name="Attending_Nurse" id="select2">
<option value="" disabled selected>Attending Nurse</option>
<?php
$narayan=LoginManager::currentUser();
$usertype=LoginManager::getUserTypeByuname("$narayan");
$sqldoctor= "SELECT * FROM site_users WHERE usertype='Nurse' and entered_by='$usertype'";
$qsqldoctor = mysqli_query($con,$sqldoctor);
while($rsdoctor = mysqli_fetch_array($qsqldoctor))
{
echo "<option value='$rsdoctor[name]'>$rsdoctor[name]</option>";
}
?>
</select>
</div>
<input type="submit" name="signup" value="Submit">
</div>
</form>
<script src="../plugins/select2/js/select2.full.min.js"></script>
<script>
$(function () {
//Initialize Select2 Elements
$('.select2').select2()
//Initialize Select2 Elements
$('.select2bs4').select2({
theme: 'bootstrap4'
})
</script>
<?php
}
?>
</body>
</html>