315 lines
20 KiB
PHP
315 lines
20 KiB
PHP
<section class="content-header">
|
|
<h1>
|
|
<small></small>
|
|
</h1>
|
|
<ol class="breadcrumb">
|
|
<li><a href="<?php echo base_url()?>index.php"><i class="fa fa-dashboard"></i> Dashboard</a></li>
|
|
<li>Master</li>
|
|
<li><a href="<?php echo base_url()?>index.php/ps_pasien">Pasien</a></li>
|
|
<li class="active"><?php echo $title;?></li>
|
|
</ol>
|
|
</section>
|
|
<section class="content">
|
|
<div class="row">
|
|
<div class="col-xs-12">
|
|
<div class="box">
|
|
<div class="box-header with-border">
|
|
<h3 class="box-title"><?php echo $title; ?></h3>
|
|
</div>
|
|
<div class="box-body">
|
|
<?php if(validation_errors()){ ?>
|
|
<div id="mydivs" class="alert alert-danger alert-dismissable">
|
|
<button type="button" class="close" data-dismiss="alert" aria-hidden="true">×</button>
|
|
<h4><i class="icon fa fa-ban"></i> Alert!</h4>
|
|
<?php echo validation_errors() ?>
|
|
</div>
|
|
<script>
|
|
setTimeout(function() {
|
|
$('#mydivs').hide('fast');
|
|
}, 5000);
|
|
</script>
|
|
<?php }
|
|
|
|
$setdisabled ="";
|
|
$setidedit ="";
|
|
$setnama_user ="";
|
|
$setpassword ="";
|
|
$setstatus =1;
|
|
|
|
$setnorm ="";
|
|
$setnama_lengkap ="";
|
|
$setnik ="";
|
|
$setalamatnik ="";
|
|
$setalamatdomisili ="";
|
|
$settelpon1 ="";
|
|
$settelpon2 ="";
|
|
$settgllahir ="";
|
|
$setjeniskelamin ="";
|
|
$setgd ="";
|
|
$setbb ="";
|
|
$settb ="";
|
|
$setwarnakulit ="";
|
|
|
|
if ($actionform=="prosesview"){
|
|
$setdisabled="disabled=''";
|
|
}
|
|
if ($actionform!="prosesadd"){
|
|
$setidedit =$ps->row('mu_id');
|
|
$setnama_user =$ps->row('mu_nama_user');
|
|
$setpassword =$ps->row('mu_password');
|
|
$setstatus =$ps->row('mu_status');
|
|
|
|
$setnorm =$ps->row('mu_no_rekamedik');
|
|
$setnama_lengkap =$ps->row('mu_nama_lengkap');
|
|
$setnik =$ps->row('mu_NIK');
|
|
$setalamatnik =$ps->row('mu_alamat_KTP');
|
|
$setalamatdomisili =$ps->row('mu_alamat_domisili');
|
|
$settelpon1 =$ps->row('mu_telepon_1');
|
|
$settelpon2 =$ps->row('mu_telepon_2');
|
|
$settgllahir =date("m-d-Y", strtotime($ps->row('mu_tanggal_lahir')));
|
|
$setjeniskelamin =$ps->row('mu_jenis_kelamin');
|
|
$setgd =$ps->row('mu_gol_darah');
|
|
$setbb =$ps->row('mu_berat_badan');
|
|
$settb =$ps->row('mu_tinggi_badan');
|
|
$setwarnakulit =$ps->row('mu_warna_kulit');
|
|
|
|
}
|
|
|
|
?>
|
|
<form class="form-horizontal" id="form" action="<?php echo(base_url()); ?>index.php/ps_pasien/<?php echo $actionform; ?>" method="post" autocomplete="off">
|
|
<div class="box-body">
|
|
<div class="form-group">
|
|
<label for="namauser" class="col-sm-2 control-label">Nama User</label>
|
|
<div class="col-sm-6">
|
|
<input id="namauser" class="form-control" <?php echo $setdisabled; ?> name="namauser" type="text" placeholder="Masukan Nama User" autocomplete="off" value="<?php echo $setnama_user;?>"/>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<?php
|
|
if($actionform!="prosesadd"){
|
|
?>
|
|
<div class="box-body">
|
|
<div class="form-group">
|
|
<label for="passworduser" class="col-sm-2 control-label">Password</label>
|
|
<div class="col-sm-6">
|
|
<div class="input-group">
|
|
<input disabled="" id="passworduser" class="form-control" name="passworduser" type="password" placeholder="Masukan Password" autocomplete="off" value=""/>
|
|
<span class="input-group-addon">
|
|
<input <?php echo $setdisabled; ?> id="setaktif" type="checkbox" onchange="aktif()" />
|
|
</span>
|
|
</div>
|
|
</div>
|
|
<div class="col-sm-2">
|
|
<code>Ubah Password</code>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="box-body">
|
|
<div class="form-group">
|
|
<label for="passworduser" class="col-sm-2 control-label">Retype Password</label>
|
|
<div class="col-sm-6">
|
|
<input disabled="" id="repassworduser" class="form-control" <?php if($actionform!="prosesadd"){}?> name="repassworduser" type="password" placeholder="Masukan Retype Password" autocomplete="off" value=""/>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<script>
|
|
function aktif(){
|
|
if ($('#setaktif').is(":checked"))
|
|
{
|
|
$("#passworduser").prop('disabled', false);
|
|
$("#repassworduser").prop('disabled', false);
|
|
}else{
|
|
document.getElementById('passworduser').value="";
|
|
document.getElementById('repassworduser').value="";
|
|
$("#passworduser").prop('disabled', true);
|
|
$("#repassworduser").prop('disabled', true);
|
|
}
|
|
}
|
|
</script>
|
|
<?php }else{
|
|
?>
|
|
|
|
<div class="box-body">
|
|
<div class="form-group">
|
|
<label for="passworduser" class="col-sm-2 control-label">Password</label>
|
|
<div class="col-sm-6">
|
|
<input id="passworduser" class="form-control" name="passworduser" type="password" placeholder="Masukan Password" autocomplete="off" value=""/>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="box-body">
|
|
<div class="form-group">
|
|
<label for="passworduser" class="col-sm-2 control-label">Retype Password</label>
|
|
<div class="col-sm-6">
|
|
<input id="repassworduser" class="form-control" name="repassworduser" type="password" placeholder="Masukan Retype Password" autocomplete="off" value=""/>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<?php
|
|
}?>
|
|
|
|
<hr />
|
|
<input hidden="" id="tipeuser" name="tipeuser" value="6" />
|
|
|
|
<div class="box-body">
|
|
<div class="form-group">
|
|
<label for="normpasien" class="col-sm-2 control-label">No RM / Nama Pasien</label>
|
|
<div class="col-sm-2">
|
|
<input id="normpasien" class="form-control" <?php echo $setdisabled; ?> name="normpasien" type="text" placeholder="Masukan No Rekamedik" autocomplete="off" value="<?php echo $setnorm;?>"/>
|
|
</div>
|
|
<div class="col-sm-4">
|
|
<input type="hidden" name="id" value="<?php echo $setidedit;?>"/>
|
|
<input id="namalengkappasien" class="form-control" <?php echo $setdisabled; ?> name="namalengkappasien" type="text" placeholder="Masukan Nama Lengkap" autocomplete="off" value="<?php echo $setnama_lengkap;?>"/>
|
|
</div>
|
|
|
|
</div>
|
|
</div>
|
|
|
|
<div class="box-body">
|
|
<div class="form-group">
|
|
<label for="nikpasien" class="col-sm-2 control-label">NIK / Alamat</label>
|
|
<div class="col-sm-2">
|
|
<input id="nikpasien" class="form-control" <?php echo $setdisabled; ?> name="nikpasien" type="text" placeholder="Masukan NIK" autocomplete="off" value="<?php echo $setnik;?>" data-inputmask='"mask": "999999 999999 9999"' data-mask="" />
|
|
</div>
|
|
<div class="col-sm-4">
|
|
<textarea id="alamatktp" name="alamatktp" class="form-control" <?php echo $setdisabled; ?> placeholder="Masukan Alamat KTP" ><?php echo $setalamatnik;?></textarea>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="box-body">
|
|
<div class="form-group">
|
|
<label for="alamatdomisili" class="col-sm-2 control-label">Alamat Domisili</label>
|
|
<div class="col-sm-6">
|
|
<textarea id="alamatdomisili" name="alamatdomisili" class="form-control" <?php echo $setdisabled; ?> placeholder="Masukan Alamat Domisili" ><?php echo $setalamatdomisili;?></textarea>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="box-body">
|
|
<div class="form-group">
|
|
<label for="telpon1" class="col-sm-2 control-label">Telpon</label>
|
|
<div class="col-sm-3">
|
|
<input id="telpon1" class="form-control" <?php echo $setdisabled; ?> name="telpon1" type="text" placeholder="Masukan Telepon 1" autocomplete="off" value="<?php echo $settelpon1;?>"/>
|
|
</div>
|
|
<div class="col-sm-3">
|
|
<input id="telpon2" class="form-control" <?php echo $setdisabled; ?> name="telpon2" type="text" placeholder="Masukan Telepon 2" autocomplete="off" value="<?php echo $settelpon2;?>"/>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="box-body">
|
|
<div class="form-group">
|
|
<label for="tgllahir" class="col-sm-2 control-label">Tanggal Lahir</label>
|
|
<div class="col-sm-4">
|
|
<div class="input-group date" data-provide="datepicker" >
|
|
<input class="form-control" id="tgllahir" name="tgllahir" <?php echo $setdisabled; ?> type="text" placeholder="Masukan Tanggal Lahir" value="<?php echo $settgllahir;?>" data-inputmask="'alias': 'mm/dd/yyyy'" data-mask="" />
|
|
<div class="input-group-addon">
|
|
<span class="fa fa-calendar"></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="col-sm-2">
|
|
<select <?php echo $setdisabled; ?> id="jkuser" name="jkuser" class="form-control select" >
|
|
<option >Pilih Jenis Kelamin</option>
|
|
<option <?php if($setjeniskelamin==1){echo $select="selected='selected'";}?> value="1">Laki-laki</option>
|
|
<option <?php if($setjeniskelamin==2){echo $select="selected='selected'";}?> value="2">Perempuan</option>
|
|
</select>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="box-body">
|
|
<div class="form-group">
|
|
<label for="golongandarah" class="col-sm-2 control-label">GD/ BB / TB</label>
|
|
<div class="col-sm-2">
|
|
<select <?php echo $setdisabled; ?> id="golongandarah" name="golongandarah" class="form-control select" >
|
|
<option >Pilih Gol. Darah</option>
|
|
<option <?php if($setgd==1){echo $select="selected='selected'";}?> value="1">A</option>
|
|
<option <?php if($setgd==2){echo $select="selected='selected'";}?> value="2">B</option>
|
|
<option <?php if($setgd==3){echo $select="selected='selected'";}?> value="3">AB</option>
|
|
<option <?php if($setgd==4){echo $select="selected='selected'";}?> value="4">O</option>
|
|
</select>
|
|
</div>
|
|
<div class="col-sm-2">
|
|
<div class="input-group">
|
|
<input id="beratbadan" class="form-control" <?php echo $setdisabled; ?> name="beratbadan" type="text" placeholder="Masukan Berat Badan" autocomplete="off" value="<?php echo $setbb;?>"/>
|
|
<span class="input-group-addon">Kg</span>
|
|
</div>
|
|
</div>
|
|
<div class="col-sm-2">
|
|
<div class="input-group">
|
|
<input id="tinggibadan" class="form-control" <?php echo $setdisabled; ?> name="tinggibadan" type="text" placeholder="Masukan Tinggi Badan" autocomplete="off" value="<?php echo $settb;?>"/>
|
|
<span class="input-group-addon">Cm</span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="box-body">
|
|
<div class="form-group">
|
|
<label for="warnakulit" class="col-sm-2 control-label">Warna Kulit</label>
|
|
<div class="col-sm-6">
|
|
<select <?php echo $setdisabled; ?> id="warnakulit" name="warnakulit" class="form-control select" >
|
|
<option >Pilih Jenis Warna Kulit</option>
|
|
<option <?php if($setwarnakulit==1){echo $select="selected='selected'";}?> value="1">Putih</option>
|
|
<option <?php if($setwarnakulit==2){echo $select="selected='selected'";}?> value="2">Kuning Langsat</option>
|
|
<option <?php if($setwarnakulit==3){echo $select="selected='selected'";}?> value="3">Sawo Matang</option>
|
|
<option <?php if($setwarnakulit==4){echo $select="selected='selected'";}?> value="4">Coklat Kehitaman</option>
|
|
<option <?php if($setwarnakulit==5){echo $select="selected='selected'";}?> value="5">Hitam Gelap</option>
|
|
</select>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="box-body">
|
|
<div class="form-group">
|
|
<label class="col-sm-2 control-label"></label>
|
|
<div class="col-sm-2">
|
|
<select onchange="colorchange()" <?php echo $setdisabled; if($setstatus==0){echo "style='background: #feb9b9;'";}else{echo "style='background: #d9fdd3;'";}?> id="status" name="status" class="form-control select" >
|
|
<option style="background: #d9fdd3;" <?php if($setstatus==1){echo $select="selected='selected'";}?> value="1">Active</option>
|
|
<option style="background: #feb9b9;" <?php if($setstatus==0){echo $select="selected='selected'";}?> value="0">Disabled</option>
|
|
</select>
|
|
<script>
|
|
function colorchange(){
|
|
var colsat = document.getElementById('status').value;
|
|
if(colsat==1){
|
|
document.getElementById("status").style.background = "#d9fdd3";
|
|
}else{
|
|
document.getElementById("status").style.background = "#feb9b9";
|
|
}
|
|
}
|
|
</script>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="box-footer">
|
|
<a href="<?php echo base_url();?>index.php/ps_pasien" class="btn btn-default">Cancel</a>
|
|
<?php if ($actionform!="prosesview"){ ?>
|
|
<button type="submit" class="btn btn-warning">Submit</button>
|
|
<?php }
|
|
if ($actionform!="prosesview" && $actionform!="prosesadd"){
|
|
if(!empty($this->vardelete)){
|
|
echo "<a onclick='del(".$setidedit.")' class='btn btn-danger pull-right'>Delete</a><input type='hidden' id='isi".$setidedit."' value='".$setnama_lengkap."'> ";
|
|
}
|
|
}
|
|
?>
|
|
</div>
|
|
</div>
|
|
</form>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</section>
|
|
<script type="text/javascript">
|
|
var url="<?php echo base_url();?>";
|
|
function del(id){
|
|
var isi=document.getElementById('isi'+id).value;
|
|
var r=confirm("Apakah anda ingin menghapus Pasien "+isi+"?")
|
|
if (r==true)
|
|
window.location = url+"index.php/ps_pasien/delete/"+id;
|
|
else
|
|
return false;
|
|
}
|
|
</script>
|