Files
semakin-imut/perawat/view_pengkajian1.php
T
2025-10-09 11:03:05 +07:00

1749 lines
150 KiB
PHP

<!DOCTYPE html>
<?php
date_default_timezone_set('Asia/Jakarta'); //Menyesuaikan waktu dengan tempat kita tinggal
include "model/koneksi.php";
include "header.php";
$id_pasien = $_GET['id_pasien'];
$register = $_GET['register'];
$nama = $_GET['nama'];
?>
<html>
<body style="font-size:10pt">
<style>
</style>
<!-- modal pengkajian awal -->
<div class="modal" id="pengkajian_awal<?php echo $id_pasien; ?>" role="document" data-bs-backdrop="statis" data-bs-keyboard="false">
<div class="modal-dialog modal-xl">
<form action="" method="POST" enctype="multipart/form-data" class="row g-3 needs-validation" novalidate>
<div class="modal-content" style="background: #E1EBEE">
<div class="modal-header navbar navbar-default bg-info " align="center">
</div>
<div class="container">
<td><input type="hidden" name="id_pasien" value="<?= $id_pasien ?>"></td>
<div class="modal-body">
<div class="container">
<!-- <h5 class="alert-info" >Pengkajian Awal Keperawatan IGD &nbsp;</h5> -->
<div class="row">
<div class="col">
<div class="input-group input-group-sm mb-3">
<span class="input-group-text" >Nama Pasien</span>
<input readonly type="text" class="form-control" name="nama" value="<?= $nama ?>">
</div>
</div>
</div>
<div class="row">
<div class="col">
<div class="input-group input-group-sm mb-3">
<span class="input-group-text">No. RM</span>
<input readonly type="text" class="form-control" name="register" value="<?= $register ?>">
</div>
</div>
</div>
<div class="row">
<label>Data Subyektif :</label>
</div>
<div class="row">
<div class="col">
<div class="row mb-1" style="margin-top: 2pt;">
<label class="col-sm-2 col-form-label">Sumber Informasi</label>
<div class="col-sm-4" style="background-color: lightgrey;">
<form id="frm_1">
<div class="form-check form-check-inline">
<label class="form-check-label" for="check_1" >Auto-anamnesa
<input required class="inputs form-check-input" type="radio" id="check_1" name="sumber" value="auto-anamnesa">
</label>
</div>
<div class="form-check form-check-inline">
<input class="inputs form-check-input" type="radio" id="check_2" name="sumber" value="hetero-anamnesa">
<label class="form-check-label" for="check_2">Hetero-anamnesa
</label>
</div>
</form>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col">
<div class="input-group input-group-sm mb-3">
<span class="input-group-text" id="inputGroup-sizing-sm">Riwayat penyakit Sekarang</span>
<input required type="text" class="form-control" id="rps" name="rps" aria-label="Sizing example input" aria-describedby="inputGroup-sizing-sm">
</div>
</div>
</div>
<div class="row">
<div class="col">
<div class="input-group input-group-sm mb-3">
<span class="input-group-text" id="inputGroup-sizing-sm">Riwayat penyakit Dahulu</span>
<input required type="text" class="form-control" id="rpd" aria-label="Sizing example input" aria-describedby="inputGroup-sizing-sm">
</div>
</div>
</div>
<div class="row">
<div class="col">
<div class="input-group input-group-sm mb-3">
<span class="input-group-text" id="inputGroup-sizing-sm">Riwayat Pengobatan</span>
<input required type="text" class="form-control" id="rpo" aria-label="Sizing example input" aria-describedby="inputGroup-sizing-sm">
</div>
</div>
</div>
<script>
function myForm_insert() {
var rps = document.getElementById('rps');
var rpd = document.getElementById('rpd');
var rpo = document.getElementById('rpo');
var tensi = document.getElementById('check_36').value;
var nadi = document.getElementById('check_37').value;
var suhu = document.getElementById('check_38').value;
var rr = document.getElementById('check_39').value;
var sat = document.getElementById('check_40').value;
var bb = document.getElementById('check_41').value;
var tb = document.getElementById('check_42').value;
var gcs = document.getElementById('gcs').innerHTML;
var rad_1 = document.forms[1];
var txt = "";
var i;
for (i = 0; i < rad_1.length; i++) {
if (rad_1[i].checked) {
text_1 = txt + rad_1[i].value + "";
}
}
var rad_2 = document.forms[2];
var txt_2 = "";
var i_2;
for (i_2 = 0; i_2 < rad_2.length; i_2++) {
if (rad_2[i_2].checked) {
text_2 = txt_2 + rad_2[i_2].value + "";
}
}
var rad_3 = document.forms[3];
var txt_3 = "";
var i_3;
for (i_3 = 0; i_3 < rad_3.length; i_3++) {
if (rad_3[i_3].checked) {
text_3 = txt_3 + rad_3[i_3].value + "";
}
}
var rad_4 = document.forms[4];
var txt_4 = "";
var i_4;
for (i_4 = 0; i_4 < rad_4.length; i_4++) {
if (rad_4[i_4].checked) {
text_4 = txt_4 + rad_4[i_4].value + "";
}
}
var rad_5 = document.forms[5];
var txt_5 = "";
var i_5;
for (i_5 = 0; i_5 < rad_5.length; i_5++) {
if (rad_5[i_5].checked) {
text_5 = txt_5 + rad_5[i_5].value + "";
}
}
var rad_6 = document.forms[6];
var txt_6 = "";
var i_6;
for (i_6 = 0; i_6 < rad_6.length; i_6++) {
if (rad_6[i_6].checked) {
text_6 = txt_6 + rad_6[i_6].value + "";
}
}
var rad_7 = document.forms[7];
var txt_7 = "";
var i_7;
for (i_7 = 0; i_7 < rad_7.length; i_7++) {
if (rad_7[i_7].checked) {
text_7 = txt_7 + rad_7[i_7].value + "";
}
}
var rad_8 = document.forms[8];
var txt_8 = "";
var i_8;
for (i_8 = 0; i_8 < rad_8.length; i_8++) {
if (rad_8[i_8].checked) {
text_8 = txt_8 + rad_8[i_8].value + "";
}
}
var rad_9 = document.forms[9];
var txt_9 = "";
var i_9;
for (i_9 = 0; i_9 < rad_9.length; i_9++) {
if (rad_9[i_9].checked) {
text_9 = txt_9 + rad_9[i_9].value + "";
}
}
var rad_10 = document.forms[10];
var txt_10 = "";
var i_10;
for (i_10 = 0; i_10 < rad_10.length; i_10++) {
if (rad_10[i_10].checked) {
text_10 = txt_10 + rad_10[i_10].value + "";
}
}
var rad_11 = document.forms[11];
var txt_11 = "";
var i_11;
for (i_11 = 0; i_11 < rad_11.length; i_11++) {
if (rad_11[i_11].checked) {
text_11 = txt_11 + rad_11[i_11].value + "";
}
}
var rad_12 = document.forms[12];
var txt_12 = "";
var i_12;
for (i_12 = 0; i_12 < rad_12.length; i_12++) {
if (rad_12[i_12].checked) {
text_12 = txt_12 + rad_12[i_12].value + "";
}
}
let pain;
let wbps;
let fall;
if (text_2 == "ya" || text_3 == "ya" || text_4 == "ya") {
fall = 'Kesimpulan: pasien beresiko jatuh';
document.getElementById('risk_fall').innerHTML = fall;
} else {
fall = 'Kesimpulan: pasien tidak resiko jatuh';
document.getElementById('risk_fall').innerHTML = fall;
}
if (text_10 > 0 && text_10 < 3) {
wbps = 'Sedikit sakit'
document.getElementById('wbps').innerHTML = wbps;
} else if (text_10 > 3 && text_10 < 6) {
wbps = 'Agak mengganggu'
document.getElementById('wbps').innerHTML = wbps;
} else if (text_10 > 5 && text_10 < 8) {
wbps = 'Sangat menganggu'
document.getElementById('wbps').innerHTML = wbps;
} else if (text_10 > 7) {
wbps = 'Tak tertahankan'
document.getElementById('wbps').innerHTML = wbps;
} else {
wbps = 'Tidak sakit'
document.getElementById('wbps').innerHTML = wbps;
}
if (text_11 > 0 && text_11 < 4) {
pain = 'Nyeri Ringan'
document.getElementById('nrs').innerHTML = pain;
} else if (text_11 > 3 && text_11 < 7) {
pain = 'Nyeri Sedang'
document.getElementById('nrs').innerHTML = pain;
} else if (text_11 > 6) {
pain = 'Nyeri Berat'
document.getElementById('nrs').innerHTML = pain;
} else {
pain = 'Tidak Nyeri'
document.getElementById('nrs').innerHTML = pain;
}
let data_1 = '- Sumber informasi : ' + text_1 +
'<BR>- RPS : ' + rps.value +
'<BR>- RPD : ' + rpd.value +
'<BR>- Riwayat pengobatan :' + rpo.value;
let data_2 = '- berjalan limbung sempoyongan: ' + text_2 +
'<BR>- memakai tripot walker: ' + text_3 +
'<BR>- menopang saat duduk/pegangan kursi/meja: ' + text_4 + ' (' + fall + ') ' +
'<BR>- KU: ' + text_5 +
'<BR>- Jalan nafas: ' + text_6 +
'<BR>- Pernafasan: ' + text_7 +
'<BR>- Sirkulasi: ' + text_8 +
'<BR>- Kesadaran: ' + text_9 +
'<BR>- GCS: ' + gcs +
'<BR>- Tensi: ' + tensi + ' mmHg - Suhu: ' + suhu + '°C ' +
'<BR>- Nadi: ' + nadi + ' x/m - RR: ' + rr + ' x/m - SpO2: ' + sat +
'<BR>- BB: ' + bb + 'Kg - TB: ' + tb + ' cm' +
'<BR>- Skala Nyeri Wong Baker: ' + text_10 + ' (' + wbps + ' ) ' +
'<BR>- NRS: ' + text_11 + ' (' + pain + ' )' +
'<BR>- Fungsi ADL: ' + text_12;
let DS = document.getElementById('data_subyektif').value = data_1;
let DO = document.getElementById('data_obyektif').value = data_2;
// #################################data obyektif##########################################
}
function myForm_insert_gcs(){
let eye= document.getElementById('eye').value;
let verbal= document.getElementById('verbal').value;
let motor= document.getElementById('motor').value;
let gcs = document.getElementById('gcs').innerHTML= eye+'-' + verbal+'-' +motor;
}
</script>
<div class="row">
<div class="col">
<label>Data Obyektif :</label>
<div class="row mb-1" style="margin-top: 2pt;">
<label class="col-sm-2 col-form-label">Pengkajian Resiko Jatuh</label>
<div class="col-sm-10">
<table class="table table-bordered table-striped">
<th id="risk_fall">Get Up And Go Test</th>
<th></th>
<th></th>
<form id="frm_2" novalidate>
<tr>
<td><label>berjalan limbung sempoyongan</label>
</td>
<td>
<div class="form-check form-check-inline">
<input required class="form-check-input" oninput="myForm_insert()" name="cara_berjalan" type="radio" id="check_8" value="ya">
<label class="form-check-label" for="check_8" >ya</label>
</div>
</td>
<td>
<div class="form-check form-check-inline">
<input class="form-check-input" oninput="myForm_insert()" name="cara_berjalan" type="radio" id="check_9" value="tidak">
<label class="form-check-label" for="check_9" >tidak</label>
</div>
</td>
</tr>
</form>
<form id="frm_3">
<tr>
<td> <label>memakai tripot / walker / tongkat</label></td>
<td>
<div class="form-check form-check-inline">
<input required class="form-check-input" oninput="myForm_insert()" name="alat_jalan" type="radio" id="check_10" value="ya">
<label class="form-check-label" for="check_10">ya</label>
</div>
</td>
<td>
<div class="form-check form-check-inline">
<input class="form-check-input" oninput="myForm_insert()" name="alat_jalan" type="radio" id="check_11" value="tidak">
<label class="form-check-label" for="check_11">tidak</label>
</div>
</td>
</tr>
</form>
<form id="frm_4">
<tr>
<td><label>menopang saat duduk/ pegangan kursi atau meja</label></td>
<td>
<div class="form-check form-check-inline">
<input class="form-check-input" oninput="myForm_insert()" name="cara_duduk" type="radio" id="check_12" value="ya">
<label class="form-check-label" for="check_12">ya</label>
</div>
</td>
<td>
<div class="form-check form-check-inline">
<input required class="form-check-input" oninput="myForm_insert()" name="cara_duduk" type="radio" id="check_13" value="tidak">
<label class="form-check-label" for="check_13">tidak</label>
</div>
</td>
</tr>
</form>
</table>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col">
<div class="row mb-1" style="margin-top: 2pt;">
<label class="col-sm-2 col-form-label">Keadaan Umum :</label>
<div class="col-sm-10" style="background-color: lightgrey;">
<form id="frm_5">
<div class="form-check form-check-inline">
<input required class="form-check-input" type="radio" name="KU" id="check_16" value="cukup kooperatif">
<label class="form-check-label" for="check_16">cukup kooperatif</label>
</div>
<div class="form-check form-check-inline">
<input required class="form-check-input" type="radio" name="KU" id="check_17" value="gelisah">
<label class="form-check-label" for="check_17" >gelisah, tidak kooperatif</label>
</div>
<div class="form-check form-check-inline">
<input required class="form-check-input" type="radio" name="KU" id="check_18" value="lemah letargi">
<label class="form-check-label" for="check_18">lemah letargi</label>
</div>
<div class="form-check form-check-inline">
<input required class="form-check-input" type="radio" name="KU" id="check_19" value="tidak sadar">
<label class="form-check-label" for="check_19">tidak sadar</label>
</div>
</form>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col">
<div class="row mb-1" style="margin-top: 2pt;">
<label class="col-sm-2 col-form-label">jalan Nafas :</label>
<div class="col-sm-10" style="background-color: lightgrey;">
<form id="frm_6">
<div class="form-check form-check-inline">
<input required class="form-check-input" type="radio" name="airway" id="check_20" value="paten">
<label class="form-check-label" for="check_20" >paten</label>
</div>
<div class="form-check form-check-inline">
<input required class="form-check-input" type="radio" name="airway" id="check_21" value="snoring">
<label class="form-check-label" for="check_21">snoring</label>
</div>
<div class="form-check form-check-inline">
<input equired class="form-check-input" type="radio" name="airway" id="check_22" value="gurgling">
<label class="form-check-label" for="check_22" >gurgling</label>
</div>
<div class="form-check form-check-inline">
<input required class="form-check-input" type="radio" name="airway" id="check_23" value="stridor">
<label class="form-check-label" for="check_23">stridor</label>
</div>
</form>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col">
<div class="row mb-1" style="margin-top: 2pt;">
<label class="col-sm-2 col-form-label">Pernafasan :</label>
<div class="col-sm-10"style="background-color: lightgrey;">
<form id="frm_7">
<div class="form-check form-check-inline">
<input required class="form-check-input" type="radio" name="nafas" id="check_24" value="normal-adekuat">
<label class="form-check-label" for="check_24">normal-adekuat</label>
</div>
<div class="form-check form-check-inline">
<input required class="form-check-input" type="radio" name="nafas" id="check_25" value="sesak, cepat dangkal">
<label class="form-check-label" for="check_25" >sesak, cepat dangkal</label>
</div>
<div class="form-check form-check-inline">
<input required class="form-check-input" type="radio" name="nafas" id="check_26" value="gasping">
<label class="form-check-label" for="check_26">gasping</label>
</div>
<div class="form-check form-check-inline">
<input required class="form-check-input" type="radio" name="nafas" id="check_27" value="tidak bernafas">
<label class="form-check-label" for="check_27" >tidak bernafas</label>
</div>
</form>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col">
<div class="row mb-1" style="margin-top: 2pt;">
<label class="col-sm-2 col-form-label">sirkulasi :</label>
<div class="col-sm-10" style="background-color: lightgrey;">
<form id="frm_8">
<div class="form-check form-check-inline">
<input required class="form-check-input" type="radio" name="sirkulasi" id="check_28" value="nadi kuat, reguler, akral hangat">
<label class="form-check-label" for="check_28">nadi kuat, reguler, akral hangat</label>
</div>
<div class="form-check form-check-inline">
<input required class="form-check-input" type="radio" name="sirkulasi" id="check_29" value="nadi cepat, lemah, akral dingin">
<label class="form-check-label" for="check_29" >nadi cepat, lemah, akral dingin</label>
</div>
<div class="form-check form-check-inline">
<input required class="form-check-input" type="radio" name="sirkulasi" id="check_30" value="tidak teraba">
<label class="form-check-label" for="check_30">tidak teraba</label>
</div>
</form>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col">
<div class="row mb-1" style="margin-top: 2pt;">
<label class="col-sm-2 col-form-label">Kesadaran :</label>
<div class="col-sm-10" style="background-color: lightgrey;">
<form id="frm_9">
<div class="form-check form-check-inline">
<input required class="form-check-input" type="radio" name="kesadaran" id="check_31" name="kesadaran" value="Alert">
<label class="form-check-label" for="check_31">Alert</label>
</div>
<div class="form-check form-check-inline">
<input required class="form-check-input" type="radio" name="kesadaran" id="check_32" name="kesadaran" value="Verbal">
<label class="form-check-label" for="check_32">Verbal</label>
</div>
<div class="form-check form-check-inline">
<input required class="form-check-input" type="radio" name="kesadaran" id="check_33" name="kesadaran" value="Pain">
<label class="form-check-label" for="check_33">Pain</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="radio" name="kesadaran" id="check_34" name="kesadaran" value="Unresponsive">
<label class="form-check-label" for="check_34" >Unresponsive</label>
</div>
</form>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col">
<div class="row mb-1" style="margin-top: 2pt;">
<label class="col-sm-3 col-form-label">Glasgow Coma Scale :</label>
<div class="col-sm-6" style="background-color: lightgrey;">
<div class="input-group input-group-sm mb-3">
<span class="input-group-text" id="inputGroup-sizing-sm">Eye</span>
<input required type="text" oninput="myForm_insert_gcs()" class="inputs form-control" id="eye" name="Eye" maxlength="1">
<span class="input-group-text" id="inputGroup-sizing-sm">Verbal&nbsp;</span>
<input required type="text" oninput="myForm_insert_gcs()" class="inputs form-control"id="verbal" name="Verbal" maxlength="1">
<span class="input-group-text" id="inputGroup-sizing-sm">Motor&nbsp;</span>
<input required type="text" oninput="myForm_insert_gcs()" class="inputs form-control"id="motor" name="Motor" maxlength="1">
<span class="input-group-text" id="gcs">jumlah&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span>
</div>
</div>
</div>
</div>
<script>
$(".inputs").keyup(function() {
if (this.value.length == this.maxLength) {
$(this).nextAll('.inputs:enabled:first').focus();
}
});
</script>
</div>
<div class="row">
<div class="col">
<div class="row mb-1" style="margin-top: 2pt;">
<label for="nama_suami" class="col-sm-2 col-form-label">Tanda-tanda vital :</label>
<div class="col-sm-10">
<div class="input-group input-group-sm mb-3">
<span class="input-group-text" id="inputGroup-sizing-sm">Tensi</span>
<input required type="text" oninput="myForm_insert()" onkeypress="return /[0-9,/,-]/i.test(event.key)"class="form-control" id="check_36" name="tensi" aria-label="Sizing example input" aria-describedby="inputGroup-sizing-sm">
<span class="input-group-text" id="inputGroup-sizing-sm"> mmHg - Nadi&nbsp;</span>
<input required type="text" oninput="myForm_insert()" onkeypress="return /[0-9,-]/i.test(event.key)"class="form-control" id="check_37" name="nadi" aria-label="Sizing example input" aria-describedby="inputGroup-sizing-sm">
<span class="input-group-text" id="inputGroup-sizing-sm">x/m - Suhu&nbsp;</span>
<input required type="text" oninput="myForm_insert()" onkeypress="return /[0-9,,,.,-]/i.test(event.key)"class="form-control" id="check_38" name="suhu" aria-label="Sizing example input" aria-describedby="inputGroup-sizing-sm">
<span class="input-group-text" id="inputGroup-sizing-sm">°C - RR&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span>
<input required type="text" oninput="myForm_insert()" onkeypress="return /[0-9,-]/i.test(event.key)"class="form-control" id="check_39" name="rr" aria-label="Sizing example input" aria-describedby="inputGroup-sizing-sm">
<span class="input-group-text" id="inputGroup-sizing-sm">x/m - SpO2 %</span>
<input required type="text" oninput="myForm_insert()" class="form-control" id="check_40" name="spo2" aria-label="Sizing example input" aria-describedby="inputGroup-sizing-sm">
</div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col">
<div class="row mb-1" style="margin-top: 2pt;">
<label for="nama_suami" class="col-sm-2 col-form-label"></label>
<div class="col-sm-5">
<div class="input-group input-group-sm mb-3">
<span class="input-group-text" id="inputGroup-sizing-sm">Berat Badan-(Kg)</span>
<input required type="text" oninput="myForm_insert()" onkeypress="return /[0-9,,,.,-]/i.test(event.key)"class="form-control" id="check_41" name="bb" aria-label="Sizing example input" aria-describedby="inputGroup-sizing-sm" value="-">
<span class="input-group-text" id="inputGroup-sizing-sm">Tinggi Badan-(Cm)&nbsp;</span>
<input required type="text" oninput="myForm_insert()" onkeypress="return /[0-9,,,.,-]/i.test(event.key)" class="form-control" id="check_42" name="tb" aria-label="Sizing example input" aria-describedby="inputGroup-sizing-sm" value="-">
</div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col">
<div class="row mb-1" style="margin-top: 2pt;">
<label for="nama_suami" class="col-sm-3 col-form-label">SKALA NYERI WONG BAKER</label>
<div class="col-sm-8">
<form id="frm_10">
<table class="table table-bordered table-striped">
<th> <label class="form-check-label" for="check_43">0<img src="images/0.png" alt="" width="50" height="50"></label></th>
<th><label class="form-check-label" for="check_44">2<img src="images/2.png" alt="" width="50" height="50"></label></th>
<th> <label class="form-check-label" for="check_45">4<img src="images/4.png" alt="" width="50" height="50"></label></th>
<th><label class="form-check-label" for="check_46">6<img src="images/6.png" alt="" width="50" height="50"></label></th>
<th><label class="form-check-label" for="check_47">8<img src="images/8.png" alt="" width="50" height="50"></label></th>
<th><label class="form-check-label" for="check_48">10<img src="images/10.png" alt="" width="50" height="50"></label></th>
<tr>
<td>
<input class="form-check-input" oninput="myForm_insert()" type="radio" name="wbp" id="check_43" value="0">
</td>
<td>
<input class="form-check-input" oninput="myForm_insert()" type="radio" name="wbp" id="check_44" value="2">
</td>
<td>
<input class="form-check-input" oninput="myForm_insert()" type="radio" name="wbp" id="check_45" value="4">
</td>
<td>
<input class="form-check-input" oninput="myForm_insert()" type="radio" name="wbp" id="check_46" value="6">
</td>
<td>
<input class="form-check-input" oninput="myForm_insert()" type="radio" name="wbp" id="check_47" value="8">
</td>
<td>
<input required class="form-check-input" oninput="myForm_insert()" type="radio" name="wbp" id="check_48" value="10">
</td>
</tr>
</table>
</form>
<div id="wbps" style="font-weight: bold;"></div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col">
<div class="row mb-1" style="margin-top: 2pt;">
<label for="nama_suami" class="col-sm-3 col-form-label">Numeric rating Scale</label>
<div class="col-sm-8" style="background-color: lightgrey;">
<form id="frm_11">
<div class="form-check form-check-inline">
<input required class="form-check-input" oninput="myForm_insert()" type="radio" name="nrs" id="check_49" value="0">
<label class="form-check-label" for="check_49">0</label>
</div>
<div class="form-check form-check-inline">
<input required class="form-check-input" oninput="myForm_insert()" type="radio" name="nrs" id="check_50" value="1">
<label class="form-check-label" for="check_50">1</label>
</div>
<div class="form-check form-check-inline">
<input required class="form-check-input" oninput="myForm_insert()" type="radio" name="nrs" id="check_51" value="2">
<label class="form-check-label" for="check_51">2</label>
</div>
<div class="form-check form-check-inline">
<input required class="form-check-input" oninput="myForm_insert()" type="radio" name="nrs" id="check_52" value="3">
<label class="form-check-label" for="check_52">3</label>
</div>
<div class="form-check form-check-inline">
<input required class="form-check-input" oninput="myForm_insert()" type="radio" name="nrs" id="check_53" value="4">
<label class="form-check-label" for="check_53" >4</label>
</div>
<div class="form-check form-check-inline">
<input required class="form-check-input" oninput="myForm_insert()" type="radio" name="nrs" id="check_54" value="5">
<label class="form-check-label" for="check_54" >5</label>
</div>
<div class="form-check form-check-inline">
<input required class="form-check-input" oninput="myForm_insert()" type="radio" name="nrs" id="check_55" value="6">
<label class="form-check-label" for="check_55" >6</label>
</div>
<div class="form-check form-check-inline">
<input required class="form-check-input" oninput="myForm_insert()" type="radio" name="nrs" id="check_56" value="7">
<label class="form-check-label" for="check_56">7</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" oninput="myForm_insert()" type="radio" name="nrs" id="check_57" value="8">
<label class="form-check-label" for="check_57">8</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" oninput="myForm_insert()" type="radio" name="nrs" id="check_58" value="9">
<label class="form-check-label" for="check_58">9</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" oninput="myForm_insert()" type="radio" name="nrs" id="check_59" value="10">
<label class="form-check-label" for="check_59">10</label>
</div>
</form>
<div id="nrs" style="font-weight: bold;"></div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col">
<div class="row mb-1" style="margin-top: 2pt;">
<label for="nama_suami" class="col-sm-3 col-form-label">Fungsi ADL</label>
<div class="col-sm-8" style="background-color: lightgrey;">
<form id="frm_12">
<div class="form-check form-check-inline">
<input required class="form-check-input" type="radio" name="adl" id="check_63" value="Mandiri">
<label class="form-check-label" for="check_63">Mandiri</label>
</div>
<div class="form-check form-check-inline">
<input required class="form-check-input" type="radio" name="adl" id="check_64" value="Bantuan Minimal">
<label class="form-check-label" for="check_64" >Bantuan Minimal</label>
</div>
<div class="form-check form-check-inline">
<input required class="form-check-input" type="radio" name="adl" id="check_65" value="Bantuan Total">
<label class="form-check-label" for="check_65">Total</label>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
<!--########### kolom pengkajian -->
<div class="container">
<div class="row">
<div class="col">
<textarea required hidden name="subyektif" id="data_subyektif" rows="2" class="form-control col-sm-1" placeholder="diisi keluhan, riwayat penyakit, riwayat prahospital dll"></textarea>
<textarea hidden name="obyektif" id="data_obyektif" rows="2" class="form-control col-sm-1" placeholder="contoh:TTV,alat yang terpasang dll"></textarea>
<div class="invalid-feedback">Tidak boleh ada yang kosong</div>
</div>
</div>
</div>
<div class=" container">
<div class="row">
<div class="col" style="margin-bottom: 10pt;">
<label for="masalah">Masalah Keperawatan:</label>
<input required type="text" name="masalah" class="form-control" list="masalah">
<datalist id="dx_kep"></datalist>
</div>
</div>
</div>
<div class="container">
<div class="row">
<div class="col" style="margin-bottom: 10pt;">
<label>Diagnosa Medis</label>
<textarea name="diagnosa_medis" id="diagnosa_medis" rows="1" class="form-control col-sm-1" placeholder="diagnosa medis">
</textarea>
</div>
</div>
</div>
</div>
<div class="modal-footer" align="left">
<input type="submit" name="AsesSubmit" value="Simpan" onclick="myForm_insert()" class="btn btn-primary btn-sm">&nbsp;&nbsp;&nbsp;
<input type="reset" name="reset" data-bs-dismiss="modal" value="Batal" class="btn btn-secondary btn-sm">
</div>
</div>
</div>
</div>
</form>
</div>
</div>
<!-- PENGKAJIAN MATERNAL -->
<div class="modal fade" id="pengkajian_maternal<?php echo $id_pasien; ?>" role="document" data-bs-backdrop="statis" data-bs-keyboard="false">
<div class="modal-dialog modal-fullscreen">
<div class="modal-content" style="background: #E1EBEE;">
<form id="maternalfrm" action="model/action_input_kebidanan.php?id_pasien=<?= $id_pasien; ?>&register=<?= $register; ?>" method="POST" enctype="multipart/form-data">
<div class="modal-header navbar navbar-default">
<h3 align="center">Laporan Bidan UGD <? $nama_login ?></h3>
</div>
<table border="0" style="margin:5px 5px 0px 10px " cellpadding="1" cellspacing="1">
<div class="container">
<div class="row mb-1" style="margin-top: 5pt;">
<label for="bidan_ppa" class="col-sm-2 col-form-label">Bidan PPA</label>
<div class="col-sm-4">
<input id="bidan_ppa" required type="text" name="bidan_ppa" size="10pt" class="form-control form-control-sm" list="ppa" placeholder="nama bidan" oninvalid="setCustomValidity('Nama Bidan Harus diisi')" oninput="setCustomValidity('')" autofocus>
<datalist id="ppa" name="ppa">
</datalist>
</div>
</div>
<?php
include "model/koneksi.php";
$pasien = " SELECT * FROM datapasien Where id_pasien= '$_GET[id_pasien]'";
$querypasien = (mysqli_query($open, $pasien));
while ($hasil_pasien = mysqli_fetch_array($querypasien)) {
$umur = stripslashes($hasil_pasien['umur']);
$tanggal = stripslashes($hasil_pasien['tanggal']);
$alamat = stripslashes($hasil_pasien['alamat']); {
?>
<div class="row mb-1" style="margin-top: 2pt;">
<label for="register" class="col-sm-2 col-form-label">No RM</label>
<div class="col-sm-4">
<input id="register" type="text" name="register" size="10pt" class="form-control form-control-sm" value="<?= $register; ?>" readonly>
</div>
<input hidden="hidden" name="id_pasien" value="<?= $id_pasien; ?>">
<input hidden="hidden" name="tanggal" value="<?= $tanggal; ?>">
<label for="billing" class="col-sm-2 col-form-label">No Billing</label>
<div class="col-sm-4">
<input id="billing" type="number" name="billing" size="10pt" class="form-control form-control-sm" placeholder="nomor billing" value="0">
</div>
</div>
<div class="row mb-1" style="margin-top: 2pt;">
<label for="nama" class="col-sm-2 col-form-label">Nama</label>
<div class="col-sm-4">
<input id="nama" type="text" name="nama" class="form-control form-control-sm" value="<?= $nama; ?>" readonly>
</div>
<label for="nama_suami" class="col-sm-2 col-form-label">Nama Suami</label>
<div class="col-sm-4">
<input id="nama" required type="text" name="nama_suami" class="form-control form-control-sm" placeholder="nama suami" oninvalid="setCustomValidity('Nama Suami Harus diisi')" oninput="setCustomValidity('')">
</div>
</div>
<div class="row mb-1" style="margin-top: 2pt;">
<label for="umur" class="col-sm-2 col-form-label">Umur</label>
<div class="col-sm-4">
<input id="umur" type="text" name="umur" class="form-control form-control-sm " value="<?= $umur; ?>" aria-label=".form-control-sm example" placeholder="umur" readonly>
</div>
<input hidden="hidden" name="id_pasien" value="<?= $id_pasien; ?>">
<label for="umur_suami" class="col-sm-2 col-form-label">Umur suami</label>
<div class="col-sm-4">
<input id="umur_suami" type="text" name="umur_suami" class="form-control form-control-sm" placeholder="umur suami">
</div>
</div>
<div class="row mb-1" style="margin-top: 2pt;">
<label for="alamat" class="col-sm-2 col-form-label">Alamat</label>
<div class="col-sm-4">
<input id="alamat" type="text" name="alamat" class="form-control form-control-sm " value="<?= $alamat; ?>" aria-label=".form-control-sm example" placeholder="alamat">
</div>
<input hidden="hidden" name="id_pasien" value="<?= $id_pasien; ?>">
<label for="alamat_suami" class="col-sm-2 col-form-label">Alamat suami</label>
<div class="col-sm-4">
<input id="alamat_suami" type="text" name="alamat_suami" class="form-control form-control-sm" value="<?= $alamat; ?>" placeholder="alamat suami">
</div>
</div>
<div class="row mb-1" style="margin-top: 2pt;">
<label for="pendidikan" class="col-sm-2 col-form-label">Pendidikan</label>
<div class="col-sm-4">
<input id="pendidikan" type="text" name="pendidikan" class="form-control form-control-sm" placeholder="pendidikan " list="pdk">
<datalist id="pdk">
<option value="" selected>Pendidikan</option>
<option value="Tidak Sekolah">Tidak Sekolah</option>
<option value="SD/sederajat">SD/sederajat</option>
<option value="SMP/sederajat"> SMP/sederajat</option>
<option value="SMA/Sederajat"> SMA/Sederajat</option>
<option value="DIPLOMA"> DIPLOMA</option>
<option value="Sarjana"> Sarjana</option>
<option value="PascaSarjana"> PascaSarjana</option>
</datalist>
</div>
<label for="pendidikan_suami" class="col-sm-2 col-form-label">Pendidikan suami</label>
<div class="col-sm-4">
<input id="pendidikan_suami" type="text" name="pendidikan_suami" class="form-control form-control-sm" placeholder="pendidikan suami" list="pdk">
</div>
</div>
<div class="row mb-1" style="margin-top: 2pt;">
<label for="pekerjaan" class="col-sm-2 col-form-label">pekerjaan</label>
<div class="col-sm-4">
<input id="pekerjaan" type="text" name="pekerjaan" class="form-control form-control-sm" placeholder="pekerjaan" list="kerja">
<datalist id="kerja">
<option value="Tidak Bekerja" selected>Tidak Bekerja</option>
<option value="Tidak Menetap"> Tidak Menetap</option>
<option value="Swasta"> Swasta</option>
<option value="WiraUsaha"> WiraUsaha</option>
<option value="PNS"> PNS</option>
<option value="TNI/POLRI"> TNI/POLRI</option>
<option value="lain-lain" selected>lain-lain</option>
</datalist>
</div>
<label for="pekerjaan_suami" class="col-sm-2 col-form-label">Pekerjaan Suami</label>
<div class="col-sm-4">
<input id="pekerjaan_suami" type="text" name="pekerjaan_suami" class="form-control form-control-sm" placeholder="pekerjaan suami" list="kerja">
</div>
</div>
<div class="row mb-1" style="margin-top: 2pt;">
<label for="hpht" class="col-sm-2 col-form-label">HPHT</label>
<div class="col-sm-4">
<input class="form-control form-control-sm" required type="text" name="hpht" id="hpht" onclick="inputhpht_show()" value="01/01/0001" placeholder="dd/mm/yyyy">
<input hidden class="form-control form-control-sm" type="date" name="" id="inputhpht" onchange="inserthpht(this.value)">
</div>
<label for="kb" class="col-sm-2 col-form-label">Riwayat KB</label>
<div class="col-sm-4">
<input class="form-control form-control-sm" type="text" name="kb" list="kb" placeholder="riwayat KB">
<datalist id="kb">
<option value="Tidak KB" selected>Tidak KB</option>
<option value="PIL"> PIL</option>
<option value="Kondom"> Kondom</option>
<option value="IUD"> IUD</option>
<option value="Suntik"> Suntik</option>
<option value="Implan"> Implan</option>
<option value="lain-lain"> lain-lain</option>
</datalist>
</div>
</div>
<script>
var hpht = document.getElementById('hpht');
var inputhpht = document.getElementById('inputhpht');
function inputhpht_show() {
if (hpht.innerHTML == '') {
inputhpht.hidden = false;
hpht.hidden = true;
} else {
return inputhpht.value;
}
}
function inserthpht(strhpht) {
document.getElementById('hpht').value = strhpht;
}
</script>
<div class="row mb-2" style="margin-top: 2pt;">
<label for="anc" class="col-sm-2 col-form-label">Riwayat ANC</label>
<div class="col-sm-4">
<textarea class="form-control" name="anc" id="anc" cols="50" rows="2" placeholder="riwayat ANC"></textarea>
</div>
<label for="persalinan" class="col-sm-2 col-form-label">Riwayat Persalinan</label>
<div class="col-sm-4">
<textarea class="form-control" name="persalinan" id="persalinan" cols="50" rows="2" placeholder="riwayat persalinan"></textarea>
</div>
</div>
<div class="row mb-1" style="margin-top: 2pt;">
<label for="diagnosa_medis" class="col-sm-2 col-form-label">Diagnosa Medis</label>
<div class="col-sm-4">
<textarea class="form-control form-control-sm" name="diagnosa_medis" id="diagnosa_medis" cols="50" rows="1" placeholder="diagnosa kebidanan"></textarea>
</div>
<label for="jenis_persalinan" class="col-sm-2 col-form-label">Jenis Persalinan</label>
<div class="col-sm-4">
<select name="jenis_persalinan" id="jenis_persalinan" class="form-control" onchange="delivery()">
<option value="-" selected>Jenis Persalinan</option>
<option value="-">-</option>
<option value="SC"> SC</option>
<option value="Spontan">Spontan</option>
</select>
</div>
</div>
<script>
function delivery() {
var jn = document.getElementById('jenis_persalinan');
var rsc = document.getElementById('responsc');
if (jn.value == "SC") {
rsc.hidden = false;
} else {
return rsc.hidden = true;
}
}
</script>
<div class="row mb-1" style="margin-top:1pt;">
<label for="divisi" class="col-sm-2 col-form-label">SMF Divisi</label>
<div class="col-sm-4">
<select name="divisi" class="form-select form-select-sm">
<option value="Obstetri" selected>Obstetri</option>
<option value="Gynekologi">Gynekologi</option>
<option value="Onkologi">Onkologi</option>
</select>
</div>
<label for="divisi" class="col-sm-2 col-form-label"></label>
<div class="col-sm-4" id="responsc" hidden>
Jam ACC DPJP OBG
<input type='text' id='pre_sc' name='pre_sc' class='form-control form-control-sm edit_date' onclick="inputdate1_show()" value="<?= date('0001-01-01 00:00:00') ?>" placeholder="0000-00-00 00:00:00" oninvalid="setCustomValidity('Tanggal dan jam Harus diisi')" oninput="setCustomValidity('')">
<input hidden type='datetime-local' id='inputdate' onchange="editdate1(this.value)" class='form-control form-control-sm input'>
Jam Mulai Insisi
<input type='text' id='post_sc' name='post_sc' class='form-control form-control-sm ' onclick="inputdate2_show()" value="<?= date('0001-01-01 00:00:00') ?>" placeholder="0000-00-00 00:00:00" oninvalid="setCustomValidity('Tanggal dan jam Harus diisi')" oninput="setCustomValidity('')">
<input hidden type='datetime-local' id='inputdate2' onchange="editdate2(this.value)" class='form-control form-control-sm input'>
</div>
<div class="modal-footer">
<input type="button" id="outcome" class="btn btn-warning btn-sm" onclick="baby() ;" value="Outcome Bayi" data-bs-toggle="modal" data-bs-target="#bayi_modal<?php $id_pasien ?>">
<input type="submit" id="submit" name="submit" value="Simpan" class="btn btn-primary btn-sm">&nbsp;&nbsp;&nbsp;
<input type="reset" id="reset" value="Batal" onclick="resetfrm()" data-bs-dismiss="modal" class=" btn btn-secondary btn-sm">
</div>
</div>
<div class="row mb-1" style="margin-left: 10pt;margin-top:20pt;margin-bottom: 20pt;">
<label for="bayi" class="col-sm-2 col-form-label"></label>
<div class="col-sm-6">
<div id="bayi_modal" class="modal" role="menu">
<div class="modal-dialog" style="margin-left: 240pt;margin-top: 75pt;">
<div class="modal-content" style="background:#8DA399;">
<div class="modal-header">
<Label>OUTCOME BAYI</Label>
</div>
<div class="modal-body">
<textarea class="form-control" name="bayi" id="bayi" rows="15" autofocus></textarea>
</div>
<div class="modal-footer">
<input type="submit" id="addsubmit" name="addsubmit" value="Simpan" class="btn btn-primary">&nbsp;&nbsp;&nbsp;
<input type="reset" id="resetsubmit" value="Batal" onclick="resetfrm()" data-bs-dismiss="modal" class=" btn btn-secondary">
</div>
</div>
</div>
</div>
</div>
<?php }
} ?>
</div>
</table>
</form>
</div>
</div>
</div>
<nav class="navbar navbar-expand-md btn-group" style="background: #e6ffec; font-size:9pt;">
<div class="container-fluid">
<div class="btn-group">
<a href="#" class="btn btn-outline-success btn-sm" data-bs-toggle="modal" data-bs-target="#pengkajian_awal<?php echo $id_pasien; ?>" title="Pengkajian Perawat">Pengkajian Perawat</a>
<a class="btn btn-outline-success btn-sm" href="" data-bs-toggle="modal" data-bs-target="#pengkajian_maternal<?php echo $id_pasien; ?>" title="Pengkajian Kebidanan">Pengkajian Kebidanan</a>
</div>
</div>
</nav>
<div class="page-wrapper">
<!-- Preloader -->
<!-- <div class="preloader"></div> -->
<!-- Preloader -->
<div class="modal-body">
<form id="view_pengkajian" class="container-fluid">
<div class="row mb-1">
<label for="nama" class="col-sm-2 col-form-label col-form-label-sm">Nama Pasien</label>
<div class="col-md-4" style="margin-bottom: 1pt;">
<input type="text" class="form-control form-control-sm" id="nama" value="<?= $_GET['nama']; ?>" name="nama" disabled>
</div>
</div>
<div class="row mb-1">
<label for="register" class="col-sm-2 col-form-label col-form-label-sm">No Register</label>
<div class="col-md-4" style="margin-bottom: 1pt;">
<input type="text" class="form-control form-control-sm" id="register" value="<?= $_GET['register']; ?>" name="register" disabled>
</div>
</div>
<div class="modal-header">
</div>
<table class="table table-bordered table-striped" width="100%" border="0" align="center" cellpadding="0" cellspacing="0">
<div class="h5 mb-2 text-gray-800 ">Pengkajian Keperawatan</div>
<tr align="left" height="10px" bgcolor="DFE6EF">
<th style="width:2%">No</th>&nbsp;
<th style="width:5%">Ruang</th>&nbsp;
<th style="width:10%">Tgl/jam</th>&nbsp;
<th style="width:30%">Subyektif </th>&nbsp;
<th style="width:30%">Obyektif</th>&nbsp;
<th style="width:30%">Diagnosa</th>&nbsp;
<th style="width:2%">
<h6>action</h6>
</th>&nbsp;
</tr>
<?php
//view data datapasien dari database
include "model/koneksi.php";
$lihat_pengkajian = "SELECT * FROM tb_pengkajian WHERE id_pasien= '$id_pasien'";
$tampil_pengkajian = mysqli_query($open, $lihat_pengkajian);
$nomer = 0;
while ($hasil_pengkajian = mysqli_fetch_array($tampil_pengkajian)) {
$id_pengkajian = stripslashes($hasil_pengkajian['id_pengkajian']);
$time_pengkajian = stripslashes(Date('d-m-y H:i', strtotime($hasil_pengkajian['timestamp'])));
$subyektif = stripslashes($hasil_pengkajian['subyektif']);
$obyektif = stripslashes($hasil_pengkajian['obyektif']);
$diagnosa_medis = stripslashes($hasil_pengkajian['diagnosa_medis']);
$ruang = stripslashes($hasil_pengkajian['ruang']); {
$nomer++;
echo "<tr style='font-size: 10pt;'>
<td>$nomer</td>
<td>$ruang</td>
<td>$time_pengkajian</td>
<td>$subyektif</td>
<td>$obyektif</td>
<td>$diagnosa_medis </td>
<td>
<a href='edit_pengkajian.php?id_assess=$id_pengkajian&id_pasien=$id_pasien&register= $register&nama=$_GET[nama]'></a>
<a href='model/action_hapus_pengkajian.php?id=$id_pengkajian&id_pasien=$id_pasien&nama=$_GET[nama]&register=$_GET[register]' name=asses_del class=''type='submit'><i class='fa fa-trash'>hapus</i></a>
</td>
</tr>";
}
}
//Tutup koneksi engine MySQL
mysqli_close($open);
?>
</table>
</form>
<form id="view_pengkajian_maternal" class="container-fluid" methode=" get">
<table class="table table-bordered table-striped" width="100%" border="0" align="center" cellpadding="0" cellspacing="0">
<div class="h5 mb-2 text-gray-800 ">Pengkajian Kebidanan</div>
<tr align="left" height="10px" bgcolor="DFE6EF">
<th style="width:2%">No</th>&nbsp;
<th style="width:15%">Data Pasien </th>&nbsp;
<th style="width:15%">Data Suami</th>&nbsp;
<th style="width:25%">Riwayat Maternal </th>&nbsp;
<th style="width:15%">Diagnosa</th>&nbsp;
<th style="width:20%">Outcome</th>&nbsp;
<th style="width:15%">PPA</th>&nbsp;
<th style="width:1%">
<h6>action</h6>
</th>&nbsp;
</tr>
<?php
//view data datapasien dari database
include "model/koneksi.php";
$lihat_pengkajian = "SELECT * FROM tb_maternal WHERE id_pasien= '$id_pasien'";
$tampil_pengkajian = mysqli_query($open, $lihat_pengkajian);
$nomer = 0;
while ($hasil_pengkajian = mysqli_fetch_array($tampil_pengkajian)) {
$id_mat = stripslashes($hasil_pengkajian['id_mat']);
$id_pasien = stripslashes($hasil_pengkajian['id_pasien']);
$bidan_ppa = stripslashes($hasil_pengkajian['bidan_ppa']);
$register = stripslashes($hasil_pengkajian['register']);
$billing = stripslashes($hasil_pengkajian['billing']);
$nama = stripslashes($hasil_pengkajian['nama']);
$nama_suami = stripslashes($hasil_pengkajian['nama_suami']);
$umur = stripslashes($hasil_pengkajian['umur']);
$umur_suami = stripslashes($hasil_pengkajian['umur_suami']);
$alamat = stripslashes($hasil_pengkajian['alamat']);
$alamat_suami = stripslashes($hasil_pengkajian['alamat_suami']);
$pendidikan = stripslashes($hasil_pengkajian['pendidikan']);
$pendidikan_suami = stripslashes($hasil_pengkajian['pendidikan_suami']);
$pekerjaan = stripslashes($hasil_pengkajian['pekerjaan']);
$pekerjaan_suami = stripslashes($hasil_pengkajian['pekerjaan_suami']);
$hpht = stripslashes($hasil_pengkajian['hpht']);
$kb = stripslashes($hasil_pengkajian['kb']);
$anc = stripslashes($hasil_pengkajian['anc']);
$persalinan = stripslashes($hasil_pengkajian['persalinan']);
$diagnosa_medis = stripslashes($hasil_pengkajian['diagnosa_medis']);
$jenis_persalinan = stripslashes($hasil_pengkajian['jenis_persalinan']);
$divisi = stripslashes($hasil_pengkajian['divisi']);
$bayi = stripslashes($hasil_pengkajian['bayi']);
$pre_sc = stripslashes($hasil_pengkajian['pre_sc']);
$post_sc = stripslashes($hasil_pengkajian['post_sc']); {
$nomer++;
?>
<tr style='font-size: 10pt;'>
<td>
<?= $nomer ?>
</td>
<td>
<table>
<tr>
<td>Nama</td>
<td>: <?= $nama ?></td>
</tr>
<tr>
<td>Umur</td>
<td>: <?= $umur ?></td>
</tr>
<tr>
<td>Register</td>
<td>: <?= $register ?></td>
</tr>
<tr>
<td>Alamat</td>
<td>: <?= $alamat ?></td>
</tr>
<tr>
<td>Pendidikan</td>
<td>: <?= $pendidikan ?></td>
</tr>
<tr>
<td>Pekerjaan</td>
<td>: <?= $pekerjaan ?></td>
</tr>
</table>
</td>
<td>
<table>
<tr>
<td>Nama</td>
<td>: <?= $nama_suami ?></td>
</tr>
<tr>
<td>Umur</td>
<td>: <?= $umur_suami ?></td>
</tr>
<tr>
<td>Alamat</td>
<td>: <?= $alamat_suami ?></td>
</tr>
<tr>
<td>Pendidikan</td>
<td>: <?= $pendidikan_suami ?></td>
</tr>
<tr>
<td>Pekerjaan</td>
<td>: <?= $pekerjaan_suami ?></td>
</tr>
</table>
</td>
<td>
<table>
<tr>
<td>HPHT</td>
<td>: <?= $hpht ?></td>
</tr>
<tr>
<td>Riwayat KB</td>
<td>: <?= $kb ?></td>
</tr>
<tr>
<td>Riwayat ANC</td>
<td>: <?= $anc ?></td>
</tr>
<tr>
<td>Riwayat Persalinan</td>
<td>: <?= $persalinan ?></td>
</tr>
</table>
</td>
<td>
<li><?= $diagnosa_medis ?></li><br>
SMF Divisi : <?= $divisi ?></li>
</td>
<td>
<li>Jenis Persalinan- <?= $jenis_persalinan ?></li>
<li>ACC DPJP - <?= $pre_sc ?></li>
<li>mulai bius - <?= $post_sc ?></li>
<li>Kondisi Bayi </li>
<?php
$cetak = (explode("#", $bayi));
for ($start = 1; $start < count($cetak); $start++) {
$start < count($cetak);
print "." . $cetak[$start] . "<br>";
} ?>
</td>
<td>
<li><?= $bidan_ppa ?></li>
</td>
<td>
<a href='' data-bs-toggle='modal' data-bs-target='#edit_maternal<?= $id_mat ?>'><i class='fa fa-edit'>edit</i></a>
<a href='model/action_hapus_maternal.php?id=<?= $id_mat; ?>&id_pasien=<?= $id_pasien; ?>&nama=<?= $_GET['nama']; ?>&register=<?= $register; ?>'><i class='fa fa-trash'>hapus</i></a>
</td>
</tr>
<?php
}
}
//Tutup koneksi engine MySQL
?>
</div>
</table>
</form>
<!-- Modal Edit pengkajian maternal -->
<div class="modal fade" id="edit_maternal<?php echo $id_mat; ?>" role="document">
<div class="modal-dialog modal-fullscreen">
<div class="modal-content" style="background: #E1EBEE;">
<form id="editmaternal" action="model/action_edit_maternal.php" method="POST" enctype="multipart/form-data">
<div class="modal-header navbar navbar-default">
<h3 align="center">Laporan Bidan UGD <? $nama_login ?></h3>
</div>
<table border="0" style="margin:5px 5px 0px 10px " cellpadding="1" cellspacing="1">
<div class="container">
<div class="row mb-1" style="margin-top: 2pt;">
<label for="bidan_ppa" class="col-sm-2 col-form-label">Bidan PPA</label>
<div class="col-sm-4">
<input id="bidan_ppa" type="text" name="bidan_ppa" class="form-control form-control-sm" list="ppa" value="<?= $bidan_ppa; ?>" readonly>
<datalist id="ppa" name="ppa"></datalist>
</div>
</div>
<div class="row mb-1" style="margin-top: 2pt;">
<label for="register" class="col-sm-2 col-form-label">No RM</label>
<div class="col-sm-4">
<input id="register" type="text" name="register" class="form-control form-control-sm" value="<?= $register; ?>">
</div>
<input hidden="hidden" name="nama" value="<?= $nama; ?>">
<input hidden="hidden" name="id_pasien" value="<?= $id_pasien; ?>">
<input hidden="hidden" name="id_mat" value="<?= $id_mat; ?>">
<label for="billing" class="col-sm-2 col-form-label">No Billing</label>
<div class="col-sm-4">
<input id="billing" type="text" name="billing" class="form-control form-control-sm" placeholder="nomor billing" value="<?= $billing; ?>">
</div>
</div>
<div class="row mb-1" style="margin-top: 2pt;">
<label for="nama" class="col-sm-2 col-form-label">Nama</label>
<div class="col-sm-4">
<input id="nama" type="text" name="nama" class="form-control form-control-sm" value="<?= $nama; ?>">
</div>
<label for="nama_suami" class="col-sm-2 col-form-label">Nama Suami</label>
<div class="col-sm-4">
<input id="nama" type="text" name="nama_suami" size="10pt" class="form-control form-control-sm" placeholder="nama suami" value="<?= $nama_suami; ?>">
</div>
</div>
<div class="row mb-1" style="margin-top: 2pt;">
<label for="umur" class="col-sm-2 col-form-label">Umur</label>
<div class="col-sm-4">
<input id="umur" type="text" name="umur" size="10pt" class="form-control form-control-sm" value="<?= $umur; ?>" aria-label=".form-control-sm example" placeholder="umur" value="<?= $umur; ?>" disabled>
</div>
<label for="umur_suami" class="col-sm-2 col-form-label">Umur suami</label>
<div class="col-sm-4">
<input id="umur_suami" type="text" name="umur_suami" size="10pt" class="form-control form-control-sm" placeholder="umur suami" value="<?= $umur_suami; ?>">
</div>
</div>
<div class="row mb-1" style="margin-top: 2pt;">
<label for="alamat" class="col-sm-2 col-form-label">Alamat</label>
<div class="col-sm-4">
<input id="alamat" type="text" name="alamat" size="10pt" class="form-control form-control-sm" value="<?= $alamat; ?>" aria-label=".form-control-sm example" placeholder="alamat" value="<?= $alamat; ?>">
</div>
<label for="alamat_suami" class="col-sm-2 col-form-label">Alamat suami</label>
<div class="col-sm-4">
<input id="alamat_suami" type="text" name="alamat_suami" size="10pt" class="form-control form-control-sm" placeholder="alamat suami" value="<?= $alamat_suami; ?>">
</div>
</div>
<div class="row mb-1" style="margin-top: 2pt;">
<label for="pendidikan" class="col-sm-2 col-form-label">Pendidikan</label>
<div class="col-sm-4">
<input id="pendidikan" type="text" name="pendidikan" size="10pt" class="form-control form-control-sm" placeholder="pendidikan " list="pdk" value="<?= $pendidikan; ?>">
<datalist id="pdk" size="1pt">
<option value="" selected>Pendidikan</option>
<option value="Tidak Sekolah">Tidak Sekolah</option>
<option value="SD/sederajat">SD/sederajat</option>
<option value="SMP/sederajat"> SMP/sederajat</option>
<option value="SMA/Sederajat"> SMA/Sederajat</option>
<option value="DIPLOMA"> DIPLOMA</option>
<option value="Sarjana"> Sarjana</option>
<option value="PascaSarjana"> PascaSarjana</option>
</datalist>
</div>
<label for="pendidikan_suami" class="col-sm-2 col-form-label">Pendidikan suami</label>
<div class="col-sm-4">
<input id="pendidikan_suami" type="text" name="pendidikan_suami" size="10pt" class="form-control form-control-sm" placeholder="pendidikan suami" list="pdk" value="<?= $pendidikan_suami; ?>">
</div>
</div>
<div class="row mb-1" style="margin-top: 2pt;">
<label for="pekerjaan" class="col-sm-2 col-form-label">pekerjaan</label>
<div class="col-sm-4">
<input id="pekerjaan" type="text" name="pekerjaan" size="10pt" class="form-control form-control-sm" placeholder="pekerjaan" list="kerja" value="<?= $pekerjaan; ?>">
<datalist id="kerja">
<option value="Tidak Bekerja" selected>Tidak Bekerja</option>
<option value="Tidak Menetap"> Tidak Menetap</option>
<option value="Swasta"> Swasta</option>
<option value="WiraUsaha"> WiraUsaha</option>
<option value="PNS"> PNS</option>
<option value="TNI/POLRI"> TNI/POLRI</option>
<option value="lain-lain" selected>lain-lain</option>
</datalist>
</div>
<label for="pekerjaan_suami" class="col-sm-2 col-form-label">Pekerjaan Suami</label>
<div class="col-sm-4">
<input id="pekerjaan_suami" type="text" name="pekerjaan_suami" size="10pt" class="form-control form-control-sm" placeholder="pekerjaan suami" list="kerja" value="<?= $pekerjaan_suami; ?>">
</div>
</div>
<div class="row mb-1" style="margin-top: 2pt;">
<label for="hpht" class="col-sm-2 col-form-label">HPHT</label>
<div class="col-sm-4">
<input class="form-control form-control-sm" type="date" name="hpht" value="<?= $hpht; ?>">
</div>
<label for="kb" class="col-sm-2 col-form-label">Riwayat KB</label>
<div class="col-sm-4">
<input class="form-control form-control-sm" type="text" name="kb" list="kb" placeholder="riwayat KB" value="<?= $kb; ?>">
<datalist id="kb">
<option value="Tidak KB" selected>Tidak KB</option>
<option value="PIL"> PIL</option>
<option value="Kondom"> Kondom</option>
<option value="IUD"> IUD</option>
<option value="Suntik"> Suntik</option>
<option value="Implan"> Implan</option>
<option value="lain-lain"> lain-lain</option>
</datalist>
</div>
</div>
<div class="row mb-1" style="margin-top: 2pt;">
<label for="anc" class="col-sm-2 col-form-label">Riwayat ANC</label>
<div class="col-sm-4">
<textarea class="form-control form-control-sm" name="anc" id="anc" cols="50" rows="2" placeholder="riwayat ANC"><?= $anc; ?></textarea>
</div>
<label for="persalinan" class="col-sm-2 col-form-label">Riwayat Persalinan</label>
<div class="col-sm-4">
<textarea class="form-control form-control-sm" name="persalinan" id="persalinan" cols="50" rows="2" placeholder="riwayat persalinan"><?= $persalinan; ?></textarea>
</div>
</div>
<div class="row mb-1" style="margin-top: 2pt;">
<label for="diagnosa_medis" class="col-sm-2 col-form-label">Diagnosa Medis</label>
<div class="col-sm-4">
<textarea class="form-control form-control-sm" name="diagnosa_medis" id="diagnosa_medis" cols="50" rows="1" placeholder="diagnosa kebidanan"><?= $diagnosa_medis; ?></textarea>
</div>
<label for="jenis_persalinan" class="col-sm-2 col-form-label">Jenis Persalinan</label>
<div class="col-sm-4">
<select class="form-control" name="jenis_persalinan" id="edit_jenis_persalinan" size="1pt" onchange="edit_delivery()">
<option value="<?= $jenis_persalinan; ?>" selected><?= $jenis_persalinan; ?></option>
<option value="-">-</option>
<option value="SC"> SC</option>
<option value="Spontan">Spontan</option>
</select>
</div>
</div>
<script>
$(document).ready(function() {
edit_delivery();
})
function edit_delivery() {
var ejn = document.getElementById('edit_jenis_persalinan');
var btnrespon = document.getElementById('btnrespon');
if (ejn.value == "SC") {
btnrespon.hidden = false;
} else {
return btnrespon.hidden = true;
}
}
</script>
<div class="row mb-1" style="margin-top:1pt;">
<label for="divisi" class="col-sm-2 col-form-label">SMF Divisi</label>
<div class="col-sm-4">
<select name="divisi" class="form-select form-select-sm">
<option value="<?= $divisi; ?>" selected><?= $divisi; ?></option>
<option value="Obstetri">Obstetri</option>
<option value="Gynekologi">Gynekologi</option>
<option value="Onkologi">Onkologi</option>
</select>
</div>
<label for="divisi" class="col-sm-2 col-form-label"></label>
<div class="col-sm-4" id="btnrespon" hidden>
Jam ACC DPJP OBG
<input type='text' id='edit_pre_sc' name='pre_sc' class='form-control date_time' onclick="edit_inputdate1_show()" value="<?= $pre_sc; ?>" placeholder="0000-00-00 00:00:00">
<input hidden type='datetime-local' id='edit_inputdate1' onchange="edit_date1(this.value)" class='form-control'>
Jam Mulai Insisi
<input type='text' id='edit_post_sc' name='post_sc' class='form-control date_time' onclick="edit_inputdate2_show()" value=" <?= $post_sc; ?>" placeholder="0000-00-00 00:00:00">
<input hidden type='datetime-local' id='edit_inputdate2' onchange="edit_date2(this.value)" class='form-control'>
</div>
<div class="modal-footer" id="button-edit">
<input type="button" id="editoutcome" class="btn btn-warning btn-sm" onclick="baby1()" value="Outcome Bayi" data-bs-toggle="modal" data-bs-target="#edit_bayi_modal<?php $id_pasien ?>">
<input type="submit" id="addsubmit" name="addsubmit" value="Simpan" class="btn btn-primary btn-sm">&nbsp;&nbsp;&nbsp;
<input type="reset" id="resetsubmit" value="Batal" onclick="resetfrm1()" data-bs-dismiss="modal" class=" btn btn-secondary btn-sm">
</div>
</div>
<div class="row mb-1 " style="margin-left: 10pt;margin-top: 20pt;margin-bottom: 20pt;">
<label for="bayi" class="col-sm-2 col-form-label"></label>
<div class="col-sm-6">
<div id="edit_bayi_modal" class="modal" role="menu">
<div class="modal-dialog" style="margin-left: 240pt;margin-top: 75pt;">
<div class="modal-content" style="background:#8DA399;">
<div class="modal-header">
<Label>OUTCOME BAYI</Label>
</div>
<div class="modal-body">
<textarea hidden="hidden" name="editbayix2" id="x2"><?= "$bayi\n"; ?></textarea>
<textarea class="form-control form-control-sm" name="editbayi" id="editbayi" rows="15" autofocus><?= "$bayi\n"; ?></textarea>
</div>
<div class="modal-footer">
<input type="submit" id="submit" name="submit" value="Simpan" class="btn btn-primary">&nbsp;&nbsp;&nbsp;
<input type="reset" id="reset" value="Batal" onclick="resetfrm1()" data-bs-dismiss="modal" class=" btn btn-secondary">
</div>
</div>
</div>
</div>
<div id="respontime_sc_edit" class="modal" role="menu">
<div class="modal-dialog" style="margin-left: 650pt;margin-top: 165pt; ">
<script>
var pre = document.getElementById('pre_sc');
var post = document.getElementById('post_sc');
var edit_pre = document.getElementById('edit_pre_sc');
var edit_post = document.getElementById('edit_post_sc');
var inpdte1 = document.getElementById('inputdate');
var inpdte2 = document.getElementById('inputdate2');
var editinpdte1 = document.getElementById('edit_inputdate1');
var editinpdte2 = document.getElementById('edit_inputdate2');
function inputdate1_show() {
if (pre.innerHTML == '') {
inpdte1.hidden = false;
pre.hidden = true;
} else {
return pre.value;
}
}
function editdate1(str) {
document.getElementById('pre_sc').value = str;
}
function edit_inputdate1_show() {
if (edit_pre.innerHTML == '') {
editinpdte1.hidden = false;
edit_pre.hidden = true;
} else {
return edit_pre.value;
}
}
function edit_date1(str) {
document.getElementById('edit_pre_sc').value = str;
}
function inputdate2_show() {
if (post.innerHTML == '') {
inpdte2.hidden = false;
post.hidden = true;
} else {
return post.value;
}
}
function editdate2(str) {
document.getElementById('post_sc').value = str;
}
function edit_inputdate2_show() {
if (edit_post.innerHTML == '') {
editinpdte2.hidden = false;
edit_post.hidden = true;
} else {
return edit_post.value;
}
}
function edit_date2(str) {
document.getElementById('edit_post_sc').value = str;
}
</script>
</div>
</div>
</div>
</div>
</div>
</table>
</form>
</div>
</div>
</div>
</div>
</div>
<?php
include "footer.php";
include "model/koneksi.php";
if (isset($_POST['AsesSubmit'])) {
if (empty($_POST['subyektif']) && empty($_POST['obyektif'])) {
?>
<script language="JavaScript">
alert(' Pengkajian Gagal!');
document.location = '/perawat/view_pengkajian.php?id_pasien=<?= $id_pasien; ?>&register=<?= $register; ?>&nama=<?= $nama; ?>';
</script>
<?php
} else {
//Kirimkan Variabel
$id_pasien = $_POST['id_pasien'];
$nama = $_POST['nama'];
$register = $_POST['register'];
$subyektif = $_POST['subyektif'];
$obyektif = $_POST['obyektif'];
$diagnosa_medis = strtoupper($_POST['diagnosa_medis']);
$diagnosa = $_POST['masalah'];
$ppa = 'perawat';
$ruang = $_SESSION['nama'];
$input = "INSERT INTO tb_pengkajian (id_pasien,nama,subyektif,obyektif,diagnosa_medis,ruang) VALUES ('$id_pasien','$nama','$subyektif','$obyektif','Medis: $diagnosa_medis / Keperawatan: $diagnosa','$ruang')";
$query_input = mysqli_query($open, $input);
if ($query_input) {
?>
<script language="JavaScript">
document.location = '/perawat/view_pengkajian.php?id_pasien=<?= $id_pasien; ?>&register=<?= $register; ?>&nama=<?= $nama; ?>';
</script>
<?php
}
}
}
//memanggil auto number
//Kirimkan Variabel
if (isset($_GET['asses_del'])) {
$id_pengkajian = $_GET['id'];
$id_pasien = $_GET['id_pasien'];
$register = $_GET['register'];
$nama = $_GET['nama'];
$jam_keluar = date('Y-m-d H:i:s');
//input data ke table assesment dalam database
$input = " DELETE FROM tb_pengkajian WHERE id_pengkajian= '$id_pengkajian'";
$query_input = mysqli_query($open, $input);
if ($query_input) {
//Jika Sukses
?>
<script language="JavaScript">
document.location = '/perawat/view_pengkajian.php?id_pasien=<?= $id_pasien; ?>&register=<?= $register; ?>&nama=<?= $nama; ?>';
</script>
<?php
} else {
?>
<script language="JavaScript">
alert("Data pasien Gagal dihapus, Silahkan diulangi!");
document.location = '/perawat/view_pengkajian.php?id_pasien=<?= $id_pasien; ?>&register=<?= $register; ?>&nama=<?= $nama; ?>';
</script>
<?php //Jika Gagal
}
}
//Tutup koneksi engine MySQL
mysqli_close($open);
?>
<script>
var x = "hidden";
var y = "button";
function baby() {
var by = "# Tanggal Lahir jam:\n# Jenis Kelamin:\n# A-S:\n# BB/TB:\n# Anus:\n# Kelainan:\n# No Gelang:\n# Nama Penolong:";
document.getElementById('bayi').innerHTML = by;
document.getElementById('outcome').type = x;
document.getElementById('submit').type = x;
document.getElementById('reset').type = x;
}
function baby1() {
var x2 = document.getElementById('x2').value;
if (x2 == "") {
var by1 = "# Tanggal Lahir jam:\n# Jenis Kelamin:\n# A-S:\n# BB/TB:\n# Anus:\n# Kelainan:\n# No Gelang:\n# Nama Penolong:";
document.getElementById('editbayi').innerHTML = by1;
} else {
// var x3 = document.getElementById('x2').value;
document.getElementById('editbayi').innerHTML = x2;
}
document.getElementById('button-edit').hidden = true;
}
function resetfrm() {
document.getElementById('outcome').type = y;
document.getElementById('submit').type = y;
document.getElementById('reset').type = y;
}
function resetfrm1() {
document.getElementById('button-edit').hidden = false;
}
</script>
<script>
$(document).ready(function() {
diagnosaKep()
function diagnosaKep() {
$.ajax({
url: "model/dx_kep.php",
method: "GET",
success: function(data) {
$('#dx_kep').html(data);
}
})
}
})
$(document).ready(function() {
perawat_ppa()
function perawat_ppa() {
$.ajax({
url: "model/tb_perawat.php",
method: "GET",
success: function(data) {
$('#ppa').html(data);
}
})
}
})
</script>
<script type="text/javascript">
$(document).ready(function() {
$('.date').mask('0000-00-00');
$('.time').mask('00:00:00');
$('.date_time').mask('0000-00-00 00:00:00');
$("#inputdate").datetimepicker({
format: 'DD/MM/YYYY hh:mm'
});
});
</script>
<script>
// Example starter JavaScript for disabling form submissions if there are invalid fields
(function() {
'use strict'
// Fetch all the forms we want to apply custom Bootstrap validation styles to
var forms = document.querySelectorAll('.needs-validation')
// Loop over them and prevent submission
Array.prototype.slice.call(forms)
.forEach(function(form) {
form.addEventListener('submit', function(event) {
if (!form.checkValidity()) {
event.preventDefault()
event.stopPropagation()
}
form.classList.add('was-validated')
}, false)
})
})()
</script>
</body>
</html>