contrib/forms/immunization_record/report.php

   1 <?
   2 function immunization_record_report( $pid, $encounter, $cols, $id) {
   3
   4 include_once("../../globals.php");
   5 include_once("$srcdir/api.inc");
   6    $fres=sqlStatement("select * from patient_data where pid='".$pid."'");
   7    if ($fres){
   8      $patient = sqlFetchArray($fres);
   9    }
  10    $fres=sqlStatement("select * from form_immunization_record where id='".$id."'");
  11    if ($fres){
  12      $ir = sqlFetchArray($fres);
  13    }
  14 ?>
  15 <div class="srvChapter">Immunization record<sup>*</sup></div>
  16 <div style="border: solid 2pt black; background-color:#FFFFFF;">
  17   <table width="100%"  border="0" cellspacing="0" cellpadding="2">
  18     <tr align="left" valign="bottom">
  19       <td colspan="4" class="fibody2" id="bordR">Patient name: <? echo $patient{'fname'}.' '.$patient{'mname'}.' '.$patient{'lname'}; ?></td>
  20       <td colspan="2" class="fibody2" id="bordR">Birth date: <? echo $patient{'DOB'}; ?></td>
  21       <td colspan="2" class="fibody2">ID No: <?  echo $patient{'id'};  ?></td>
  22       </tr>
  23     <tr align="center" valign="middle">
  24       <td width="9%" class="ficaption2" id="bordR">age</td>
  25       <td width="13%" class="ficaption2" id="bordR">Tetanus-Diphteria booster </td>
  26       <td width="13%" class="ficaption2" id="bordR">Influenza vaccine </td>
  27       <td width="13%" class="ficaption2" id="bordR">Pneumococcal vaccine </td>
  28       <td width="13%" class="ficaption2" id="bordR">MMR Vaccine</td>
  29       <td width="13%" class="ficaption2" id="bordR">Hepatitis B vaccine </td>
  30       <td width="13%" class="ficaption2" id="bordR">Hepatitis A vaccine </td>
  31       <td width="13%" class="ficaption2">Varicella vaccine </td>
  32     </tr>
  33     <tr align="center" valign="middle">
  34       <td class="fibody2" id="bordR">13-18</td>
  35       <td class="fibody2" id="bordR">Once between ages 11-16 </td>
  36       <td class="fibody2" id="bordR">Based on risk </td>
  37       <td class="fibody2" id="bordR">Based on risk</td>
  38       <td class="fibody2" id="bordR">Based on risk</td>
  39       <td class="fibody2" id="bordR">One series for those not previously immunized </td>
  40       <td class="fibody2" id="bordR">Based on risk</td>
  41       <td class="fibody2">Based on risk</td>
  42     </tr>
  43     <tr align="center" valign="middle">
  44       <td class="fibody2" id="bordR">19-39</td>
  45       <td class="fibody2" id="bordR">Every 10 years </td>
  46       <td class="fibody2" id="bordR">Based on risk</td>
  47       <td class="fibody2" id="bordR">Based on risk</td>
  48       <td class="fibody2" id="bordR">Based on risk</td>
  49       <td class="fibody2" id="bordR">Based on risk</td>
  50       <td class="fibody2" id="bordR">Based on risk</td>
  51       <td class="fibody2">Based on risk</td>
  52     </tr>
  53     <tr align="center" valign="middle">
  54       <td class="fibody2" id="bordR">40-64</td>
  55       <td class="fibody2" id="bordR">Every 10 years</td>
  56       <td class="fibody2" id="bordR">Annually beginning at age 50 years </td>
  57       <td class="fibody2" id="bordR">Based on risk</td>
  58       <td class="fibody2" id="bordR">Based on risk</td>
  59       <td class="fibody2" id="bordR">Based on risk</td>
  60       <td class="fibody2" id="bordR">Based on risk</td>
  61       <td class="fibody2">Based on risk</td>
  62     </tr>
  63     <tr align="center" valign="middle">
  64       <td class="fibody2" id="bordR">65 and older </td>
  65       <td class="fibody2" id="bordR">Every 10 years</td>
  66       <td class="fibody2" id="bordR">Annually</td>
  67       <td class="fibody2" id="bordR">Once</td>
  68       <td class="fibody2" id="bordR">&nbsp;</td>
  69       <td class="fibody2" id="bordR">Based on risk</td>
  70       <td class="fibody2" id="bordR">Based on risk</td>
  71       <td class="fibody2">Based on risk</td>
  72     </tr>
  73   </table>
  74 </div>
  75 <p>&nbsp;</p>
  76 <div style="border: solid 2pt black; background-color:#FFFFFF;">
  77   <table width="100%"  border="0" cellspacing="0" cellpadding="2">
  78 <?
  79 $vacci=0;
  80   $vacc_tetanus = explode("|~", $ir["vacc_tetanus"]);
  81   $vacc_influenza = explode("|~", $ir["vacc_influenza"]);
  82   $vacc_pneumococcal = explode("|~", $ir["vacc_pneumococcal"]);
  83   $vacc_mmr = explode("|~", $ir["vacc_mmr"]);
  84   $vacc_hep_a = explode("|~", $ir["vacc_hep_a"]);
  85   $vacc_hep_b = explode("|~", $ir["vacc_hep_b"]);
  86   $vacc_varicella= explode("|~", $ir["vacc_varicella"]);
  87 while ($vacci<20){
  88 print <<<EOL
  89     <tr align="left" valign="bottom">
  90       <td width="9%" class="fibody5" id="bordR">Date</td>
  91       <td width="13%" class="fibody5" id="bordR">${vacc_tetanus[$vacci]}&nbsp;</td>
  92       <td width="13%" class="fibody5" id="bordR">${vacc_influenza[$vacci]}&nbsp;</td>
  93       <td width="13%" class="fibody5" id="bordR">${vacc_pneumococcal[$vacci]}&nbsp;</td>
  94       <td width="13%" class="fibody5" id="bordR">${vacc_mmr[$vacci]}&nbsp;</td>
  95       <td width="13%" class="fibody5" id="bordR">${vacc_hep_b[$vacci]}&nbsp;</td>
  96       <td width="13%" class="fibody5" id="bordR">${vacc_hep_a[$vacci]}&nbsp;</td>
  97       <td width="13%" class="fibody5">${vacc_varicella[$vacci]}&nbsp;</td>
  98     </tr>
  99 EOL;
 100 $vacci++;
 101 }
 102 ?>
 103   </table>
 104 </div>
 105 <p><sup>*</sup>For immunizations based on risk refer to the Table of High-Risk Factors.</p>
 106 <? } ?>