contrib/forms/plist/printable.php

   1 <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"
   2
   3 "http://www.w3.org/TR/html4/loose.dtd">
   4
   5 <?php
   6
   7 include_once("../../globals.php");
   8
   9 include_once("$srcdir/api.inc");
  10
  11 ?>
  12
  13
  14
  15 <html>
  16
  17 <head>
  18 <?php html_header_show();?>
  19
  20 <?php include("../../acog_printable_v.css"); ?>
  21 <link rel="stylesheet" href="<?php echo $css_header;?>" type="text/css">
  22
  23 </head>
  24
  25
  26
  27 <?php
  28
  29    $fres = sqlStatement("select * from form_plist where id=$id");
  30
  31    $repdata = sqlFetchArray($fres);
  32
  33    $fres=sqlStatement("select * from patient_data where pid=".$_SESSION["pid"]);
  34
  35    if ($fres){
  36
  37      $patient = sqlFetchArray($fres);
  38
  39    }
  40
  41 ?>
  42
  43 <body class="body_top">
  44
  45 <table width="70%"  border="0" cellspacing="0" cellpadding="4">
  46
  47   <tr>
  48
  49     <td width="120" align="left" valign="bottom" class="srvCaption">Patient name:</td>
  50
  51     <td align="left" valign="bottom" class="fibody5"><?php echo $patient{'fname'}.' '.$patient{'mname'}.' '.$patient{'lname'}; ?></td>
  52
  53   </tr>
  54
  55   <tr>
  56
  57     <td width="120" align="left" valign="bottom" class="srvCaption">Birth date: </td>
  58
  59     <td align="left" valign="bottom" class="fibody5"><?php  echo $patient{'DOB'};  ?></td>
  60
  61   </tr>
  62
  63   <tr>
  64
  65     <td width="120" align="left" valign="bottom" class="srvCaption">ID No:</td>
  66
  67     <td align="left" valign="bottom" class="fibody5"><?php echo $patient{'id'};  ?></td>
  68
  69   </tr>
  70
  71   <tr>
  72
  73     <td width="120" align="left" valign="bottom" class="srvCaption">Date</td>
  74
  75     <td align="left" valign="bottom" class="fibody5"><?php echo date('Y-m-d'); ?></td>
  76
  77   </tr>
  78
  79 </table>
  80
  81 <div class="srvChapter">Problem list </div>
  82
  83 <div style="border: solid 2px black; background-color:#FFFFFF;">
  84
  85   <table width="100%"  border="0" cellspacing="0" cellpadding="2">
  86
  87     <tr>
  88
  89       <td width="50%" class="ficaption3" id="bordR">High risk:</td>
  90
  91       <td width="50%" class="ficaption3">Family history:</td>
  92
  93     </tr>
  94
  95     <tr>
  96
  97       <td class="fibody5" id="bordR"><?php echo $repdata{'pl_high_risk'} ?>&nbsp;</td>
  98
  99       <td class="fibody5"><?php echo $repdata{'pl_family_history'} ?>&nbsp;</td>
 100
 101     </tr>
 102
 103     <tr>
 104
 105       <td class="ficaption3" id="bordR">Drug/Latex/Transfusion/Allergic reactions: </td>
 106
 107       <td class="ficaption3">Current medications:</td>
 108
 109     </tr>
 110
 111     <tr>
 112
 113       <td class="fibody5" id="bordR"><?php echo $repdata{'pl_reactions'} ?>&nbsp;</td>
 114
 115       <td class="fibody5"><?php echo $repdata{'pl_medications'} ?>&nbsp;</td>
 116
 117     </tr>
 118
 119   </table>
 120
 121 </div>
 122
 123 <p>&nbsp;</p>
 124
 125 <div style="border: solid 2px black; background-color:#FFFFFF;">
 126
 127   <table width="100%"  border="0" cellspacing="0" cellpadding="2">
 128
 129     <tr>
 130
 131       <td width="20" align="left" valign="bottom" class="ficaption2" id="bordR">No</td>
 132
 133       <td width="120" align="center" valign="bottom" class="ficaption2" id="bordR">Entry date </td>
 134
 135       <td align="center" valign="bottom" class="ficaption2" id="bordR">Problem/Resolution</td>
 136
 137       <td width="120" align="center" valign="bottom" class="ficaption2" id="bordR">Onset age and date </td>
 138
 139       <td width="120" align="center" valign="bottom" class="ficaption2">Resolution date </td>
 140
 141     </tr>
 142
 143 <?php
 144
 145 $pli = 1;
 146
 147
 148
 149 while ($pli < 26){
 150
 151 list($pl_ed, $pl_problem, $pl_onset, $pl_rd) = explode('|~', $repdata["pl_problem_${pli}"]);
 152
 153 print <<<EOL
 154
 155     <tr>
 156
 157       <td align="left" valign="bottom" class="fibody5" id="bordR">${pli}.</td>
 158
 159       <td align="left" valign="bottom" class="fibody5" id="bordR">${pl_ed}&nbsp;</td>
 160
 161       <td align="left" valign="bottom" class="fibody5" id="bordR">${pl_problem}&nbsp;</td>
 162
 163       <td align="left" valign="bottom" class="fibody5" id="bordR">${pl_onset}&nbsp;</td>
 164
 165       <td align="left" valign="bottom" class="fibody5">${pl_rd}&nbsp;</td>
 166
 167     </tr>
 168
 169 EOL;
 170
 171 $pli++;
 172
 173 }
 174
 175 ?>
 176
 177   </table>
 178
 179 </div>
 180
 181 <p>&nbsp;</p>
 182
 183 </body>
 184
 185 </html>