351 lines
20 KiB
PHP
351 lines
20 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>REKONSILIASI OBAT</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-4 pt-0" style="text-align:right">Pengkajian</label>
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<div class="col-sm-8 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">1. </label>
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<label class="col-form-label col-sm-8 pt-0" style="text-align:left;">Riwayat Penyakit</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-4 pt-0" style="text-align:right"> </label>
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left;">
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<div class="form-check form-check-inline">
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<input class="form-check-input" id="" type="checkbox" value="1" name="input[SULITMENELAN]">
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<label class="form-check-label" for="kurang">Penyakit Jantung</label>
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</div>
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</label>
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<label class="col-form-label col-sm-0 pt-0" style="text-align:right"></label>
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left;">
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<div class="form-check form-check-inline">
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<input class="form-check-input" id="" type="checkbox" value="1" name="input[SULITMENELAN]">
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<label class="form-check-label" for="kurang">Tuberkulosis</label>
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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"> </label>
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left;">
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<div class="form-check form-check-inline">
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<input class="form-check-input" id="" type="checkbox" value="1" name="input[SULITMENELAN]">
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<label class="form-check-label" for="kurang">Hipertensi</label>
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</div>
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</label>
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<label class="col-form-label col-sm-0 pt-0" style="text-align:right"></label>
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left;">
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<div class="form-check form-check-inline">
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<input class="form-check-input" id="" type="checkbox" value="1" name="input[SULITMENELAN]">
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<label class="form-check-label" for="kurang">Kanker</label>
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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"> </label>
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left;">
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<div class="form-check form-check-inline">
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<input class="form-check-input" id="" type="checkbox" value="1" name="input[SULITMENELAN]">
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<label class="form-check-label" for="kurang">Hepatitis</label>
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</div>
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</label>
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<label class="col-form-label col-sm-0 pt-0" style="text-align:right"></label>
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left;">
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<div class="form-check form-check-inline">
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<input type="text" name="input[LAIN]" cols="60" rows="5" class="form-control text" placeholder="Lain-lain" value="<?=$dat_rp['LAIN']?>" tabindex="3" required>
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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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<div class="col-sm-7 pt-0"><hr></div>
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<label class="col-form-label col-sm-5 pt-0" style="text-align:right">Centang Pada Kotak Dibawah Ini</label>
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<div class="col-sm-0 pt-0" style="text-align:right;">
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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"> </label>
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<label class="col-form-label col-sm-8 pt-0" style="text-align:left;">
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</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-0 pt-0" style="text-align:right"></label>
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left;">
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<div class="form-check form-check-inline">
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<input class="form-check-input" id="" type="checkbox" value="1" name="input[SULITMENELAN]">
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<label class="form-check-label" for="kurang">Penyakit Ginjal</label>
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</div>
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</label>
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<label class="col-form-label col-sm-0 pt-0" style="text-align:right"></label>
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left;">
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<div class="form-check form-check-inline">
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<input class="form-check-input" id="" type="checkbox" value="1" name="input[SULITMENELAN]">
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<label class="form-check-label" for="kurang">Asma</label>
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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-0 pt-0" style="text-align:right"></label>
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left;">
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<div class="form-check form-check-inline">
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<input class="form-check-input" id="" type="checkbox" value="1" name="input[SULITMENELAN]">
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<label class="form-check-label" for="kurang">Diabetes</label>
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</div>
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</label>
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<label class="col-form-label col-sm-0 pt-0" style="text-align:right"></label>
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left;">
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<div class="form-check form-check-inline">
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<input class="form-check-input" id="" type="checkbox" value="1" name="input[SULITMENELAN]">
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<label class="form-check-label" for="kurang">Tukak Lambung</label>
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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-6">
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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">2. </label>
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<label class="col-form-label col-sm-8 pt-0" style="text-align:left;">Riwayat Pengobatan Terdahulu</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-4 pt-0" style="text-align:right"> </label>
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<label class="col-form-label col-sm-8 pt-0" style="text-align:left;">
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<div class="form-check form-check-inline">
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<input class="form-check-input" id="" type="checkbox" value="1" name="input[SULITMENELAN]">
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<label class="form-check-label" for="kurang">Obat</label>
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</div>
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</label>
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<br>
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<label class="col-form-label col-sm-4 pt-0" style="text-align:right"> </label>
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<label class="col-form-label col-sm-8 pt-0" style="text-align:left;">
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<div class="form-check form-check-inline">
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<input type="text" name="input[OBAT]" cols="60" rows="5" class="form-control text" placeholder="" value="<?=$dat_rp['OBAT']?>" tabindex="3" required>
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</div>
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</label>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:right"> </label>
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<label class="col-form-label col-sm-8 pt-0" style="text-align:left;">
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<div class="form-check form-check-inline">
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<input class="form-check-input" id="" type="checkbox" value="1" name="input[SULITMENELAN]">
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<label class="form-check-label" for="kurang">Vitamin</label>
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</div>
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</label>
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<br>
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<label class="col-form-label col-sm-4 pt-0" style="text-align:right"> </label>
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<label class="col-form-label col-sm-8 pt-0" style="text-align:left;">
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<div class="form-check form-check-inline">
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<input type="text" name="input[VITAMIN]" cols="60" rows="5" class="form-control text" placeholder="" value="<?=$dat_rp['VITAMIN']?>" tabindex="3" required>
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</div>
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</label>
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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-4 pt-0" style="text-align:right"> </label>
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<label class="col-form-label col-sm-8 pt-0" style="text-align:left;">
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</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-0 pt-0" style="text-align:right"></label>
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<label class="col-form-label col-sm-12 pt-0" style="text-align:left;">
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<div class="form-check form-check-inline">
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<input class="form-check-input" id="" type="checkbox" value="1" name="input[SULITMENELAN]">
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<label class="form-check-label" for="kurang">Produk Herbal</label>
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</div>
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</label>
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<br>
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<label class="col-form-label col-sm-0 pt-0" style="text-align:right"></label>
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<label class="col-form-label col-sm-12 pt-0" style="text-align:left;">
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<div class="form-check form-check-inline">
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<input type="text" name="input[PRODUKHERBAL]" cols="60" rows="5" class="form-control text" placeholder="" value="<?=$dat_rp['PRODUKHERBAL']?>" tabindex="3" required>
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</div>
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</label>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-0 pt-0" style="text-align:right"></label>
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<label class="col-form-label col-sm-12 pt-0" style="text-align:left;">
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<div class="form-check form-check-inline">
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<input class="form-check-input" id="" type="checkbox" value="1" name="input[SULITMENELAN]">
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<label class="form-check-label" for="kurang">Minuman Berenergi</label>
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</div>
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</label>
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<br>
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<label class="col-form-label col-sm-0 pt-0" style="text-align:right"></label>
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<label class="col-form-label col-sm-12 pt-0" style="text-align:left;">
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<div class="form-check form-check-inline">
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<input type="text" name="input[MINUMANENERGI]" cols="60" rows="5" class="form-control text" placeholder="" value="<?=$dat_rp['MINUMANENERGI']?>" tabindex="3" required>
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</div>
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</label>
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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-6">
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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">3. </label>
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<label class="col-form-label col-sm-8 pt-0" style="text-align:left;">Riwayat Alergi</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-4 pt-0" style="text-align:right"> </label>
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<label class="col-form-label col-sm-1 pt-0" style="text-align:left;">
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<div class="form-check form-check-inline">
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<label class="form-check-label" for="kurang">Obat
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</div>
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</label>
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<label class="col-form-label col-sm-7 pt-0" style="text-align:left;">
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<div class="form-check form-check-inline">
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<input type="text" name="input[ALERGIMAKANANBERMASALAH]" cols="60" rows="5" class="form-control text" placeholder="" value="<?=$dat_rp['ALERGIMAKANANBERMASALAH']?>" tabindex="3" required>
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</div>
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</label>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:right"> </label>
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<label class="col-form-label col-sm-1 pt-0" style="text-align:left;">
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<div class="form-check form-check-inline">
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<label class="form-check-label" for="kurang">Obat
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</div>
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</label>
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<label class="col-form-label col-sm-7 pt-0" style="text-align:left;">
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<div class="form-check form-check-inline">
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<input type="text" name="input[ALERGIMAKANANBERMASALAH]" cols="60" rows="5" class="form-control text" placeholder="" value="<?=$dat_rp['ALERGIMAKANANBERMASALAH']?>" tabindex="3" required>
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</div>
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</label>
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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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<label class="col-form-label col-sm-12 pt-0" style="text-align:left;">
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</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-0 pt-0" style="text-align:right"> </label>
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<label class="col-form-label col-sm-12 pt-0" style="text-align:left;">
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<div class="form-check form-check-inline">
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<label class="form-check-label" for="kurang">
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Seberapa berat alerginya :
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<input class="form-check-input" id="kurang" type="radio" value="0" name="input[MENUSEIMBANG]">Ringan</label>
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<label class="form-check-label" for="kurang">
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<input class="form-check-input" id="kurang" type="radio" value="0" name="input[MENUSEIMBANG]">Sedang</label>
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<label class="form-check-label" for="kurang">
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<input class="form-check-input" id="kurang" type="radio" value="0" name="input[MENUSEIMBANG]">Berat</label>
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</div>
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</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-0 pt-0" style="text-align:right"></label>
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<label class="col-form-label col-sm-12 pt-0" style="text-align:left;">
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<div class="form-check form-check-inline">
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<label class="form-check-label" for="kurang">
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Seberapa berat alerginya :
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<input class="form-check-input" id="kurang" type="radio" value="0" name="input[MENUSEIMBANG]">Ringan</label>
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<label class="form-check-label" for="kurang">
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<input class="form-check-input" id="kurang" type="radio" value="0" name="input[MENUSEIMBANG]">Sedang</label>
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<label class="form-check-label" for="kurang">
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<input class="form-check-input" id="kurang" type="radio" value="0" name="input[MENUSEIMBANG]">Berat</label>
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</div>
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</label>
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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-2 pt-0" style="text-align:right">4. </label>
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<label class="col-form-label col-sm-10 pt-0" style="text-align:left;">Obat Pribadi Pasien yang dibawa ke Rumah Sakit</label>
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</div>
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<div class="form-group row">
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<div class="col-form-label col-sm-2 pt-0"> </div>
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<div class="col-form-label col-sm-10 pt-0">
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<table class="table table-sm table-bordered table-striped" id="table_obat">
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<tr align="center" class="bg-success text-white">
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<th width="5%">No</th>
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<th width="30%">Nama Obat</th>
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<th width="10%">Dosis</th>
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<th width="15%">Aturan Pakai</th>
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<th width="15%">Dilanjutkan</th>
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<th width="15%">Dihentikan</th>
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<th width="10%">Action</th>
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</tr>
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<tr id="rowid-0">
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<td>1</td>
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<td><input type="text" id="namaobat0" class="form-control text" name="input[NAMAOBAT0]" tabindex="6"></td>
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<td><input type="text" id="dosis0" class="form-control text" name="input[DOSIS0]" tabindex="6"></td>
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<td><input type="text" id="aturanpakai0" class="form-control text" name="input[ATURANPAKAI0]" tabindex="6"></td>
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<td><input type="text" id="dilanjutkan0" class="form-control text" name="input[DILANJUTKAN0]" tabindex="6"></td>
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<td><input type="text" id="dihentikan0" class="form-control text" name="input[DIHENTIKAN0]" tabindex="6"></td>
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<td><center><button type="button" id="btn_add0" class="btn btn-sm btn-success btn_add" data-no="1"><i class="fa fa-plus"></i></button>
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<button type="button" id="btn_remove0" class="btn btn-sm btn-danger btn_remove" data-no="1"><i class="fa fa-trash"></i></center></button></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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$("#table_obat").delegate(".btn_add","click",function() {
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nomor = parseInt($(this).data("no"));
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idx = nomor - 1;
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next = nomor + 1;
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$("#table_obat").append("<tr id=\"rowid-"+nomor+"\"><td>"+next+"</td><td><input type=\"text\" id=\"namaobat"+nomor+"\" class=\"form-control text\" name=\"input[NAMAOBAT"+nomor+"]\"></td><td><input type=\"text\" id=\"dosis"+nomor+"\" class=\"form-control text\" name=\"input[DOSIS"+nomor+"]\" tabindex=\"6\"></td><td><input type=\"text\" id=\"aturanpakai"+nomor+"\" class=\"form-control text\" name=\"input[ATURANPAKAI"+nomor+"]\" tabindex=\"6\"></td><td><input type=\"text\" id=\"dilanjutkan"+nomor+"\" class=\"form-control text\" name=\"input[DILANJUTKAN"+nomor"]\" tabindex=\"6\"></td><td><input type=\"text\" id=\"dihentikan"+nomor+"\" class=\"form-control text\" name=\"input[DIHENTIKAN"+nomor+"]\" tabindex=\"6\"></td><center><button type=\"button\" id=\"btn_add"+nomor+"\" class=\"btn btn-sm btn-success btn_add\" data-no=\""+next+"\" ><i class=\"fa fa-plus\"></i></button> <button type=\"button\" id=\"btn_remove"+nomor+"\" class=\"btn btn-sm btn-danger btn_remove\" data-no=\""+nomor+"\" ><i class=\"fa fa-trash\"></i></button></center></td></tr>");
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$("#btn_remove"+idx).prop("disabled",true);
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$("#btn_add"+idx).prop("disabled",true);
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});
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});
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</script>
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