216 lines
11 KiB
PHP
216 lines
11 KiB
PHP
<?php
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$sql_rsm_pulang = "SELECT * FROM t_kajianawalmedis WHERE IDXRANAP = '".$id_admission."' and status_aktif = 1";
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$get_rsm_pulang = $db->query($sql_rsm_pulang);
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$found = $get_rsm_pulang->numRows();
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$dat_rp = $get_rsm_pulang->fetchAll()[0];
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$IDXF2 = ($found > 0) ? $dat_rp['IDXF2'] : null;
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?>
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<form name="kajian_awal_medis" method="post" id="kajian_awal_medis">
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<input type="hidden" name="input[IDXF2]" value="<?php echo $IDXF2;?>" />
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<input type="hidden" name="input[IDXRANAP]" id="idx_kajian" value="<?php echo $id_admission;?>" />
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<input type="hidden" name="input[NOMR]" id="nomr_kajian" value="<?php echo $nomr;?>" />
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<input type="hidden" name="input[TANGGALMASUK]" value="<?php echo $masukrs;?>" />
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<fieldset class="fieldset">
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<label class="col-form-label col-sm-12 pt-0" style="text-align:center"><h5>RENCANA ASUHAN GIZI</h5></label>
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<div class="row">
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<fieldset class="form-group">
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<div class="row">
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<div class="col-sm-12">
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<div class="form-group row">
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<div class="col-form-label col-sm-12 pt-0">
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<table class="table table-sm table-bordered table-striped" id="table_daftar">
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<tr align="center" class="bg-success text-white">
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<th width="20%" rowspan="2">Masalah</th>
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<th width="35%" rowspan="2">Diagnosa Gizi</th>
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<th width="40%" colspan="2">Rencana</th>
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</tr>
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<tr>
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<th width="20%"><center>Intervensi Gizi </center></th>
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<th width="20%"><center>Monitoring Dan Evaluasi </center></th>
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</tr>
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<tr>
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<td>
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<div class="form-check form-check-inline">
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<label class="form-check-label">
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<input class="form-check-input" type="radio" value="1" name="input[MASALAHGIZI]">
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Tidak ada masalah gizi
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</label>
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</div>
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<hr>
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<div class="form-check form-check-inline">
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<label class="form-check-label">
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<input type="text" name="input[STATUSGIZI]" cols="60" rows="5" class="form-control text" placeholder="Status Gizi" tabindex="3">
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</label>
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</div>
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<hr>
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<div class="form-check form-check-inline">
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<label class="form-check-label">
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<input type="text" name="input[NILAILAB]" cols="60" rows="5" class="form-control text" placeholder="Nilai Laboratorium" tabindex="3">
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</label>
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</div>
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<hr>
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<div class="form-check form-check-inline">
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<label class="form-check-label">
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<input type="text" name="input[FISIKKLINIS]" cols="60" rows="5" class="form-control text" placeholder="Fisik/Klinis" tabindex="3">
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</label>
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</div>
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<hr>
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<div class="form-check form-check-inline">
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<label class="form-check-label">
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<input type="text" name="input[ASUPAN]" cols="60" rows="5" class="form-control text" placeholder="Asupan Makan" tabindex="3">
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</label>
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</div>
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</td>
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<td>
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<div class="form-check form-check-inline">
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<label class="form-check-label">
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<input class="form-check-input" type="radio" value="1" name="input[NO]">
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NO Tidak ada masalah gizi
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</label>
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</div>
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<hr>
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<div class="form-check form-check-inline">
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<label class="form-check-label"> NI 2.1 Kekurangan intake makanan dan minuman oral
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<input type="text" name="input[NI21]" cols="60" rows="5" class="form-control text" placeholder="" tabindex="3">
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</label>
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</div>
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<div class="form-check form-check-inline">
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<label class="form-check-label"> NI 5.1 Peningkatan kebutuhan
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<input type="text" name="input[NI51]" cols="60" rows="5" class="form-control text" placeholder="" tabindex="3">
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</label>
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</div>
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<div class="form-check form-check-inline">
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<label class="form-check-label"> NI 5.2 Malnutrisi protein dan energi yang nyata
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<input type="text" name="input[NI52]" cols="60" rows="5" class="form-control text" placeholder="" tabindex="3">
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</label>
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</div>
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<div class="form-check form-check-inline">
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<label class="form-check-label"> NI 5.4 Penurunan Kebutuhan
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<input type="text" name="input[NI54]" cols="60" rows="5" class="form-control text" placeholder="" tabindex="3">
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</label>
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</div>
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<div class="form-check form-check-inline">
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<label class="form-check-label"> NB 1.1 Pengetahuan yang kurang dikaitkan pangan dan gizi
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<input type="text" name="input[NB11]" cols="60" rows="5" class="form-control text" placeholder="" tabindex="3">
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</label>
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</div>
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<div class="form-check form-check-inline">
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<label class="form-check-label"> NB 1.3 Belum siap melakukan Diet
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<input type="text" name="input[NB13]" cols="60" rows="5" class="form-control text" placeholder="" tabindex="3">
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</label>
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</div>
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<div class="form-check form-check-inline">
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<label class="form-check-label"> NB 1.5 Kekeliruan pola makan
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<input type="text" name="input[NB15]" cols="60" rows="5" class="form-control text" placeholder="" tabindex="3">
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</label>
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</div>
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<div class="form-check form-check-inline">
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<label class="form-check-label"> NB 3.1 Intake makanan yang tidak aman
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<input type="text" name="input[NB31]" cols="60" rows="5" class="form-control text" placeholder="" tabindex="3">
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</label>
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</div>
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</td>
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<td>Tujuan :
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<textarea name="input[TUJUAN]" cols="60" rows="5" class="form-control text" tabindex="2"></textarea>
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<br>
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<div class="input-group">
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<input type="text" class="form-control mask-decimal" name="input[ENERGI]" tabindex="8" placeholder="Energi">
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<div class="input-group-append">
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<span class="input-group-text " id="basic-addon2">Kkal</span>
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</div>
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</div>
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<div class="input-group">
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<input type="text" class="form-control mask-decimal" name="input[PROTEIN]" tabindex="8" placeholder="Protein">
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<div class="input-group-append">
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<span class="input-group-text " id="basic-addon2">Gram</span>
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</div>
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</div>
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<div class="input-group">
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<input type="text" class="form-control text" name="input[GIZI1]" tabindex="8" placeholder="">
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</div>
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<div class="input-group">
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<input type="text" class="form-control text" name="input[GIZI2]" tabindex="8" placeholder="">
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</div>
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<br>
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<div class="input-group">
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<label class="form-check-label"> Diet :
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<input type="text" name="input[DIET]" cols="60" rows="5" class="form-control text" placeholder="" tabindex="3">
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</label>
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</div>
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<div class="input-group">
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<label class="form-check-label"> Frekeunsi Pemberian Diet :
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<input type="text" name="input[FREKDIET]" cols="60" rows="5" class="form-control text" placeholder="" tabindex="3">
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</label>
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</div>
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<div class="input-group">
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<label class="form-check-label"> Rute Pemberian Diet :
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<input type="text" name="input[RUTEDIET]" cols="60" rows="5" class="form-control text" placeholder="" tabindex="3">
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</label>
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</div>
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Edukasi/Konseling :
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<textarea name="input[KONSELING]" cols="60" rows="5" class="form-control text" tabindex="2"></textarea>
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<br>
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</td>
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<td>
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<div class="form-check form-check-inline">
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<label class="form-check-label">
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<input class="form-check-input" id="" type="checkbox" value="0" name="input[MENOLAKTRANSFUSI]">
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Antropometri
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</label>
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</div>
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<br>
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<div class="form-check form-check-inline">
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<label class="form-check-label">
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<input class="form-check-input" id="" type="checkbox" value="0" name="input[MENOLAKPULANG]">
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Biokimia
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</label>
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</div>
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<br>
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<div class="form-check form-check-inline">
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<label class="form-check-label">
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<input class="form-check-input" id="" type="checkbox" value="0" name="input[MENOLAKPELAYANAN]">
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Klinik / Fisik
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</label>
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</div>
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<br>
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<div class="form-check form-check-inline">
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<label class="form-check-label">
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<input class="form-check-input" id="" type="checkbox" value="0" name="input[MENOLAKIMUNISASI]">
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Asupan Makan
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</label>
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</div></td>
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</tr>
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</table>
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</div>
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</div>
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</div>
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</div>
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<hr>
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<div class="form-group row">
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<div class="col-sm-12 pt-0" style="text-align:center;">
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<input type="button" name="Submit" id="simpankajianmedis" value="Simpan" class="btn btn-primary" tabindex="41"/>
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</div>
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</div>
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</fieldset>
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</div>
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</fieldset>
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</form>
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<!-- <div id="valid_kajian_awal"></div> -->
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<script>
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$(document).ready(function(){
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$.get("<?php echo _BASE_;?>ranap/save_kajian_awal.php",{get_data:true,NOMR:$("#nomr_kajian").val(),IDXRANAP:$("#idx_kajian").val()},function(data)
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{
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$("#valid_kajian_awal").html(data.html);
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},"json");
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$('#simpankajianmedis').click(function(){
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$.post('<?php echo _BASE_;?>ranap/save_kajian_awal.php',$('#kajian_awal_medis').serialize()+"&save=1",function(data){
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Toast.fire({title:data.message,type:data.type,onClose : function(){
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window.location.reload();
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}});
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},"json");
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});
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});
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</script>
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