229 lines
12 KiB
PHP
229 lines
12 KiB
PHP
<?php
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$sql_rsm_pulang = "SELECT * FROM t_kajianawalmedis WHERE IDXRANAP = '".$id_admission."'";
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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 $masukrs;?>" />
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<fieldset class="fieldset">
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<label class="col-form-label col-sm-12 pt-0" style="text-align:center"><h5>RESUME KEPERAWATAN</h5></label>
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<div class="row">
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<fieldset class="form-group">
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<div class="row">
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<div class="col-sm-6">
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<div class="form-group row">
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<label class="col-form-label col-sm-6 pt-0" style="text-align:right">A. Ringaksan Keperawatan</label>
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<div class="col-sm-6 pt-0" style="text-align:left">
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<hr>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:right">Nama :</label>
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<div class="col-sm-8 pt-0" style="text-align:left">
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<div class="input-group">
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<input type="text" class="form-control text" name="input[NAMA]" value="<?=$dat_rp['NAMA']?>" tabindex="6">
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</div>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:right">Umur :</label>
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<div class="col-sm-8 pt-0" style="text-align:left">
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<div class="input-group">
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<input type="text" class="form-control mask-decimal" name="input[UMUR]" value="<?=$dat_rp['UMUR']?>" tabindex="6">
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</div>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:right">Jenis :</label>
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<div class="col-sm-8 pt-0" style="text-align:left">
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<div class="input-group">
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<input type="text" class="form-control text" name="input[JENIS]" value="<?=$dat_rp['JENIS']?>" tabindex="6">
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</div>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:right">Agama :</label>
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<div class="col-sm-8 pt-0" style="text-align:left">
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<div class="input-group">
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<input type="text" class="form-control text" name="input[AGAMA]" value="<?=$dat_rp['AGAMA']?>" tabindex="6">
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</div>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:right">Pekerjaan :</label>
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<div class="col-sm-8 pt-0" style="text-align:left">
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<div class="input-group">
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<input type="text" class="form-control text" name="input[PEKERJAAN]" value="<?=$dat_rp['PEKERJAAN']?>" tabindex="6">
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</div>
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</div>
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</div>
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</div>
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<div class="col-sm-6">
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<div class="form-group row">
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<label class="col-form-label col-sm-0 pt-0" style="text-align:right"></label>
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<div class="col-sm-12 pt-0" style="text-align:left">
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<hr>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:right">No. Reg :</label>
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<div class="col-sm-8 pt-0" style="text-align:left">
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<div class="input-group">
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<input type="text" class="form-control mask-decimal" name="input[NOREG]" value="<?=$dat_rp['NOREG']?>" tabindex="6">
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</div>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:right">R. Perawatan :</label>
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<div class="col-sm-8 pt-0" style="text-align:left">
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<div class="input-group">
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<input type="text" class="form-control text" name="input[RUANGPERAWATAN]" value="<?=$dat_rp['RUANGPERAWATAN']?>" tabindex="6">
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</div>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:right">Tanggal MRS :</label>
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<div class="col-sm-8 pt-0" style="text-align:left">
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<div class="input-group">
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<input type="text" class="datepicker-default mask-date-default form-control" name="TGLMRS" id="TGLMRS" size="30" value="<?php if( ($dat_rp['TGLMRS'] == '') or ($dat_rp['TGLMRS'] == '0000-00-00')): echo date('Y-m-d'); else: echo $dat_rp['TGLMRS']; endif;?>" />
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</div>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:right">Tanggal KRS :</label>
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<div class="col-sm-8 pt-0" style="text-align:left">
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<div class="input-group">
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<input type="text" class="datepicker-default mask-date-default form-control" name="TGLKRS" id="TGLKRS" size="30" value="<?php if( ($dat_rp['TGLKRS'] == '') or ($dat_rp['TGLKRS'] == '0000-00-00')): echo date('Y-m-d'); else: echo $dat_rp['TGLKRS']; endif;?>" />
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</div>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:right">Keadaan KRS :</label>
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<div class="col-sm-8 pt-0" style="text-align:left">
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<div class="input-group">
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<input type="text" class="form-control text" name="input[KEADAANKRS]" value="<?=$dat_rp['KEADAANKRS']?>" tabindex="6">
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</div>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:right">Kondisi : </label>
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<div class="col-sm-8 pt-0" style="text-align:left;">
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<select class="form-control" name="input['KONDISI']">
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<option value="0">-</option>
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<option value="1">Sembuh</option>
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<option value="2">Rawat Jalan</option>
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<option value="3">Dirujuk</option>
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<option value="4">Pulang Atas Permintaan Sendiri</option>
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<option value="5">Melarikan Diri</option>
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<option value="6">Meninggal</option>
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</select>
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</div>
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</div>
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</div>
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</div>
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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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<label class="col-form-label col-sm-3 pt-0" style="text-align:right">B. Riwayat Singkat Keperawatan</label>
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<div class="col-sm-9 pt-0" style="text-align:left">
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<hr>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-2 pt-0" style="text-align:right"> </label>
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<br>
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<label class="col-form-label col-sm-10 pt-0" style="text-align:left">1. Masalah kesehatan pada awal / saat MRS :</label>
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<label class="col-form-label col-sm-2 pt-0" style="text-align:right"> </label>
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<br>
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<div class="col-sm-8 pt-0" style="text-align:left">
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<textarea name="input[KESEHATANAWAL]" cols="60" rows="5" class="form-control required" tabindex="1" required><?=$dat_rp['KESEHATANAWAL']?></textarea>
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</div>
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<label class="col-form-label col-sm-2 pt-0" style="text-align:right"> </label>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-2 pt-0" style="text-align:right"> </label>
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<br>
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<label class="col-form-label col-sm-10 pt-0" style="text-align:left">2. Tindakan keperawatan selama dirawat :</label>
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<label class="col-form-label col-sm-2 pt-0" style="text-align:right"> </label>
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<br>
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<div class="col-sm-8 pt-0" style="text-align:left">
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<textarea name="input[TINDAKANKEPERAWATAN]" cols="60" rows="5" class="form-control required" tabindex="1" required><?=$dat_rp['TINDAKANKEPERAWATAN']?></textarea>
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</div>
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<label class="col-form-label col-sm-2 pt-0" style="text-align:right"> </label>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-2 pt-0" style="text-align:right"> </label>
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<br>
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<label class="col-form-label col-sm-10 pt-0" style="text-align:left">3. Evaluasi / Perkembangan Pasien :</label>
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<label class="col-form-label col-sm-2 pt-0" style="text-align:right"> </label>
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<br>
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<div class="col-sm-8 pt-0" style="text-align:left">
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<textarea name="input[EVALUASIPERKEMBANGAN]" cols="60" rows="5" class="form-control required" tabindex="1" required><?=$dat_rp['EVALUASIPERKEMBANGAN']?></textarea>
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</div>
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<label class="col-form-label col-sm-2 pt-0" style="text-align:right"> </label>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-2 pt-0" style="text-align:right"> </label>
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<br>
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<label class="col-form-label col-sm-10 pt-0" style="text-align:left">4. Masalah Potensial Setelah keluar Rumah Sakit :</label>
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<label class="col-form-label col-sm-2 pt-0" style="text-align:right"> </label>
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<br>
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<div class="col-sm-8 pt-0" style="text-align:left">
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<textarea name="input[MASALAHPOTENSIAL]" cols="60" rows="5" class="form-control required" tabindex="1" required><?=$dat_rp['MASALAHPOTENSIAL']?></textarea>
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</div>
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<label class="col-form-label col-sm-2 pt-0" style="text-align:right"> </label>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-2 pt-0" style="text-align:right"> </label>
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<br>
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<label class="col-form-label col-sm-10 pt-0" style="text-align:left">5. Nasehat / Saran Saat Keluar dari Rumah Sakit :</label>
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<label class="col-form-label col-sm-2 pt-0" style="text-align:right"> </label>
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<br>
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<div class="col-sm-8 pt-0" style="text-align:left">
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<textarea name="input[NASEHATRS]" cols="60" rows="5" class="form-control required" tabindex="1" required><?=$dat_rp['NASEHATRS']?></textarea>
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</div>
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<label class="col-form-label col-sm-2 pt-0" style="text-align:right"> </label>
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</div>
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</div>
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</div>
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<hr>
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<div class="form-group row">
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<div class="col-sm-12 pt-0" style="text-align:center;">
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<input type="button" name="Submit" id="simpankajianmedis" value="Simpan" class="btn btn-primary" tabindex="41"/>
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</div>
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</div>
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</fieldset>
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</div>
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</fieldset>
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</form>
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<!-- <div id="valid_kajian_awal"></div> -->
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<script>
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$(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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