76 lines
3.2 KiB
PHP
76 lines
3.2 KiB
PHP
<?php
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session_start();
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include("../core/main.php");
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include("../include/function.php");
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?>
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<?php $sql_rsm_pulang="SELECT * FROM t_resumemedis WHERE IDXRANAP = '".$_POST['id_admission']."'";
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$get_rsm_pulang = $db->query($sql_rsm_pulang);
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$dat_rp = $get_rsm_pulang->fetchAll()[0];
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if(isset($dat_rp['IDX'])){ ?>
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<form action="ranap/save_resume_medis.php" name="resume_medis" method="post" id="resume_medis">
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<?php echo '<input type="hidden" name="idx" value="'.$dat_rp['IDX'].'" />';
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} else { ?>
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<form action="ranap/save_resume_medis.php" name="resume_medis" method="post" id="resume_medis">
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<?php } ?>
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<input type="hidden" name="id_admission" value="<?php echo $_REQUEST['id_admission'];?>" />
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<input type="hidden" name="nomr" value="<?php echo $_REQUEST['nomr'];?>" />
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<input type="hidden" name="masukrs" value="<?php echo $masukrs;?>" />
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<table width="95%" border="0" class="tb">
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<!--<tr>
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<td width="11%">Tanggal Keluar</td>
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<td width="89%"><input onblur="calage(this.value,'umur');" type="text" class="text" name="tgl_keluar" id="tgl_keluar" size="20" />
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<a href="javascript:showCal('Calendar5')"><img align="top" src="img/date.png" border="0" /></a></td>
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</tr>-->
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<tr>
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<td colspan="2">1. Keluhan utama dan riwayat penyakit</td>
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</tr>
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<tr>
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<td colspan="2"><textarea name="keluhan" cols="60" rows="5" class="text"><?=$dat_rp['KELUHANUTAMA']?></textarea></td>
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</tr>
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<tr>
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<td colspan="2">2. Pemeriksaan fisik</td>
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</tr>
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<tr>
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<td colspan="2"><textarea name="pemeriksaan_fisik" cols="60" rows="5" class="text"><?=$dat_rp['PEMERIKSAANFISIK']?></textarea></td>
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</tr>
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<tr>
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<td colspan="2">3. Pemeriksaan Penunjang (Lab, Ro, dll)</td>
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</tr>
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<tr>
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<td colspan="2"><textarea name="pemeriksaan_penunjuang" cols="60" rows="5" class="text"><?=$dat_rp['PEMERIKSAANPENUNJANG']?></textarea></td>
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</tr>
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<tr>
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<td colspan="2">4. Jalannya penyakit selama perawatan (konsultasi, pemeriksaan khusus)</td>
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</tr>
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<tr>
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<td colspan="2"><textarea name="konsultasi" cols="60" rows="5" class="text"><?=$dat_rp['JALANNYAPENYAKIT']?></textarea></td>
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</tr>
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<tr>
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<td colspan="2">5. Diagnosa ( Satu atau Lebih )</td>
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</tr>
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<tr>
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<td colspan="2"><textarea name="diagnosa_akhir" cols="60" rows="5" class="text"><?=$dat_rp['DIAGNOSAAKHIR']?></textarea></td>
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</tr>
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<tr>
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<td colspan="2">6. Tindakan ( Satu atau Lebih )</td>
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</tr>
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<tr>
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<td colspan="2"><textarea name="diagnosa" cols="60" rows="5" class="text"><?=$dat_rp['PROGNOSA']?></textarea></td>
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</tr>
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<tr>
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<td colspan="2">7. Keadaan pasien waktu dipulangkan dan obat-obatan yang diberikan</td>
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</tr>
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<tr>
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<td colspan="2"><textarea name="keadaan_pasien" cols="60" rows="5" class="text"><?=$dat_rp['PASIENWAKTUPULANG']?></textarea></td>
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</tr>
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<tr>
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<td colspan="2">8. Anjuran / Pemeriksaan lanjut</td>
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</tr>
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<tr>
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<td colspan="2"><textarea name="anjuran" cols="60" rows="5" class="text"><?=$dat_rp['ANJURAN']?></textarea></td>
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</tr>
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</table>
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<div><input type="submit" name="Submit" value="Simpan" class="text" onclick="newsubmitform (document.getElementById('resume_medis'),'ranap/save_resume_medis.php','valid_resume_medis',validatetask); return false;"/>
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</form>
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<div id="valid_resume_medis"></div>
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