contrib/forms/well_child_care/C_WellChildCare.class.php

   1 <?php
   2
   3 // this should be, but it is not a real class,
   4 // uses function getPatientDAta sn sqlQuery from the library directory
   5 //
   6
   7 $link=mysql_connect ('localhost','root','');
   8 mysql_select_db (openemr);
   9
  10
  11 class C_WellChildCare {
  12
  13         var $patient_demo;
  14
  15         function C_WellChildCare ($pid) {
  16                 $this->patient_demo=$this->patient_set ($pid);
  17                 // print_r ($this->patient_demo);
  18
  19         }
  20
  21         function patient_set ($pid) {
  22
  23                 $query="SELECT  TO_DAYS( CURDATE( ) ) - TO_DAYS( DOB ) AS alldays, date_format(from_days( TO_DAYS( CURDATE( ) ) - TO_DAYS( DOB ) ), \"%y-%c-%e\") AS age, sex FROM patient_data WHERE pid=$pid LIMIT 1";
  24
  25                 $result=sqlQuery ($query);
  26                 $p_age['alldays']=$result ['alldays'];
  27                 $p_age['gender']=$result ['sex'];
  28
  29                 if ($result['age']!='00-0-0')  {
  30                         list ($pyear,$pmonth,$pday)=explode ('-', $result["age"] );
  31                         if ($pyear==1) $age=$pyear.' year ';
  32                         if ($pyear > 1) $age=$pyear.' years ';
  33                         if ($pmonth == 1) $age.=$pmonth.' month ';
  34                         if ($pmonth > 1) $age.=$pmonth.' months ';
  35                         if ($pday == 1) $age.=$pday.' day ';
  36                         if ($pday > 1) $age.=$pday.' days ';
  37                         $p_age['age']=$age ;
  38                 } else {
  39                         list ($m,$d) = explode ( '.', $result['alldays']/30.4);
  40                         list ($d)=explode ('.', "0.$d"*30.4  );
  41                         if ($m == 1) $age.=$m.' month ';
  42                         if ($m > 1) $age.=$m.' months ';
  43                         if ($d == 1) $age.=$d.' day ';
  44                         if ($d > 1) $age.=$d.' days ';
  45                         $p_age['age']=$age ;
  46                 }
  47
  48                 return $p_age;
  49         }
  50
  51
  52         function put_form ( $obj='' ) {
  53         //common part
  54         ?>
  55         <TABLE span class="text">
  56         <TR><TD colspan=6><b><U>Well Child Care:</U></b> <?php echo $this->patient_demo['age'] ?></TD></TR>
  57         <TR>
  58                 <TD>Height:(inches)</TD>
  59                 <TD><INPUT TYPE="text" NAME="height" size="6" maxlength="6" value="<?php print $obj["height"]; ?>"></TD>
  60                 <TD>Weight:(#)</TD>
  61                 <TD><INPUT TYPE="text" NAME="weight" size="6" maxlength="6" value="<?php print $obj["weight"]; ?>"></TD>
  62                 <TD>Head Circ:(cm)</TD>
  63                 <TD><INPUT TYPE="text" NAME="head_c" size="4" maxlength="4" value="<?php print $obj["head_c"]; ?>"></TD>
  64         </TR>
  65         <TR>
  66                 <TD>Temp:(F)</TD>
  67                 <TD><INPUT TYPE="text" NAME="temp" size="6" maxlength="6" value="<?php print $obj["temp"]; ?>"></TD>
  68                 <TD>Pulse:</TD>
  69                 <TD><INPUT TYPE="text" NAME="pulse" size="2" maxlength="2" value="<?php print $obj["pulse"]; ?>"></TD>
  70                 <TD>Resp:</TD>
  71                 <TD><INPUT TYPE="text" NAME="respiration" size="2" maxlength="2" value="<?php print $obj["respiration"]; ?>"></TD>
  72         </TR>
  73         <TR><TD colspan=6><b>Sensory screen & developmental assesment:</b></TD></TR>
  74         <TR>
  75                 <TD>Normal Vision:</TD>
  76                 <TD><SELECT NAME="normal_vision"><option <?if ( $obj["normal_vision"]=='yes' ) print 'selected';  ?>>yes<option <?if ( $obj["normal_vision"]=='no' ) print 'selected';  ?>>no</SELECT></TD>
  77                 <TD>Normal Hearing:</TD>
  78                 <TD><SELECT NAME="normal_hearing"><option <?if ( $obj["normal_hearing"]=='yes' ) print 'selected';  ?>>yes<option <?if ( $obj["normal_hearing"]=='no' ) print 'selected';  ?>>no</SELECT></TD>
  79                 <TD></TD>
  80                 <TD></TD>
  81         </TR>
  82         <TR>
  83                 <TD>Normal for age:</TD>
  84                 <TD><SELECT NAME="normal_development"><option <?if ( $obj["normal_development"]=='yes' ) print 'selected';  ?>>yes<option <?if ( $obj["normal_development"]=='no' ) print 'selected';  ?>>no</SELECT></TD>
  85                 <TD>Referred</TD>
  86                 <TD><SELECT NAME="further_testing"><option <?if ( $obj["further_testing"]=='n/a' ) print 'selected';  ?>>n/a<option <?if ( $obj["further_testing"]=='yes' ) print 'selected';  ?>>yes<option <?if ( $obj["further_testing"]=='no' ) print 'selected';  ?>>no</SELECT></TD>
  87                 <TD></TD>
  88                 <TD></TD>
  89         </TR>
  90         <TR><TD colspan=6><b>Assessment and Recommendations:</b></TD></TR>
  91
  92         <!-- // show this 2 week info  -->
  93         <?php
  94
  95         if ($this->patient_demo['alldays'] < 30) {
  96         ?>
  97         <TR>
  98                 <TD>Birth weight:</TD>
  99                 <TD><?php
 100                         if ( $obj["birth_wt"]!='' ) print $obj["birth_wt"];
 101                                 else print '<INPUT TYPE=text NAME=birth_wt size=5 maxlength=5>';
 102                         ?>
 103                 <TD>Birth height:</TD>
 104                 <TD><?php
 105                         if ( $obj["birth_ht"]!='' ) print $obj["birth_ht"];
 106                                 else print '<INPUT TYPE=text NAME=birth_ht size=5 maxlength=5>';
 107                         ?>
 108                 </TD>
 109                 <TD>Gravida/Para:</TD>
 110                 <TD><?php
 111                         if ( $obj["gravida"]!='' ) print $obj["gravida"];
 112                                 else print '<INPUT TYPE=text NAME=gravida size=5 maxlength=5>';
 113                         if ( $obj["para"]!='' ) print $obj["para"];
 114                                 else print '<INPUT TYPE=text NAME=para size=5 maxlength=5>';
 115                         ?>
 116                 </TD>
 117         </TR>
 118         <?php
 119
 120         }
 121         ?>
 122         <!-- two weeks spec -->
 123         <?php
 124
 125         if ($this->patient_demo['alldays'] < 30 ) {
 126         ?>
 127                 <TR>
 128                         <TD>Car Seat:</TD>
 129                         <TD><INPUT TYPE="checkbox" NAME="car_seat" value="yes" <?if ( $obj["car_seat"]!='' ) print 'checked';  ?>></TD>
 130                         <TD>Feeding:</TD>
 131                         <TD><INPUT TYPE="checkbox" NAME="feeding" value="yes" <?if ( $obj["feeding"]!='' ) print 'checked';  ?>></TD>
 132                         <TD>Immunization:</TD>
 133                         <TD><INPUT TYPE="checkbox" NAME="immunization" value="yes" <?if ( $obj["immunization"]!='' ) print 'checked';  ?>></TD>
 134                 </TR>
 135                 <TR>
 136                         <TD>Lower Water temp:</TD>
 137                         <TD><INPUT TYPE="checkbox" NAME="lower_water_temp" value="yes" <?if ( $obj["lower_water_temp"]!='' ) print 'checked';  ?>></TD>
 138                         <TD>Sibling jealousy:</TD>
 139                         <TD><INPUT TYPE="checkbox" NAME="sibling_jealousy" value="yes" <?if ( $obj["sibling_jealousy"]!='' ) print 'checked';  ?>></TD>
 140                         <TD>Stimulation:</TD>
 141                         <TD><INPUT TYPE="checkbox" NAME="stimulation" value="yes" <?if ( $obj["stimulation"]!='' ) print 'checked';  ?>></TD>
 142                 </TR>
 143                 <TR>
 144                         <TD>Sleep:</TD>
 145                         <TD><INPUT TYPE="checkbox" NAME="sleep" value="yes" <?if ( $obj["sleep"]!='' ) print 'checked';  ?>></TD>
 146                         <TD>Babysitters:</TD>
 147                         <TD><INPUT TYPE="checkbox" NAME="babysitters" value="yes" <?if ( $obj["babysitters"]!='' ) print 'checked';  ?>></TD>
 148                         <TD>Colic:</TD>
 149                         <TD><INPUT TYPE="checkbox" NAME="colic" value="yes" <?if ( $obj["colic"]!='' ) print 'checked';  ?>></TD>
 150                 </TR>
 151         <?
 152         }
 153         ?>
 154         <!-- // from 2 weeks to two years -->
 155         <?php
 156
 157         if ($this->patient_demo['alldays'] < 750 ) {
 158         ?>
 159                 <TR>
 160                         <TD>Breast Feeding:</TD>
 161                         <TD><SELECT NAME="breast_feeding"><option <?if ( $obj["breast_feeding"]=='no' ) print 'selected';  ?>>no<option <?if ( $obj["breast_feeding"]=='yes' ) print 'selected';  ?>>yes</SELECT></TD>
 162                         <TD>Formula:</TD>
 163                         <TD><SELECT NAME="formula"><option <?if ( $obj["formula"]=='no' ) print 'selected';  ?>>no<option <?if ( $obj["formula"]=='yes' ) print 'selected';  ?>>yes</SELECT></TD>
 164                         <TD></TD>
 165                         <TD></TD>
 166                 </TR>
 167                 <TR>
 168                         <TD>WIC referred:</TD>
 169                         <TD><SELECT NAME="WIC_referred"><option <?if ( $obj["WIC_referred"]=='no' ) print 'selected';  ?>>no<option <?if ( $obj["WIC_referred"]=='yes' ) print 'selected';  ?>>yes</SELECT></TD>
 170                         <TD>Vitamins:</TD>
 171                         <TD><SELECT NAME="vitamins"><option <?if ( $obj["vitamins"]=='no' ) print 'selected';  ?>>no<option <?if ( $obj["vitamins"]=='yes' ) print 'selected';  ?>>yes</SELECT></TD>
 172                         <TD>Iron:</TD>
 173                         <TD><SELECT NAME="iron"><option <?if ( $obj["iron"]=='no' ) print 'selected';  ?>>no<option <?if ( $obj["iron"]=='yes' ) print 'selected';  ?>>yes</SELECT></TD>
 174                 </TR>
 175         <?
 176         }
 177         ?>
 178         <!-- // 2 months -->
 179         <?php
 180
 181         if ($this->patient_demo['alldays'] >= 31 AND $this->patient_demo['alldays'] <= 90 ) {
 182         ?>
 183         <TR>
 184                 <TD>Car seat:</TD>
 185                 <TD><INPUT TYPE="checkbox" NAME="car_seat" value="yes" <?if ( $obj["car_seat"]!='' ) print 'checked';  ?>></TD>
 186                 <TD>Fever Education:</TD>
 187                 <TD><INPUT TYPE="checkbox" NAME="fever_education" value="yes" <?if ( $obj["fever_education"]!='' ) print 'checked';  ?>></TD>
 188                 <TD>Sick care:</TD>
 189                 <TD><INPUT TYPE="checkbox" NAME="sick_care" value="yes" <?if ( $obj["sick_care"]!='' ) print 'checked';  ?>></TD>
 190         </TR>
 191         <TR>
 192                 <TD>Safety:</TD>
 193                 <TD><INPUT TYPE="checkbox" NAME="safety" value="yes" <?if ( $obj["safety"]!='' ) print 'checked';  ?>></TD>
 194                 <TD>Pacifiers:</TD>
 195                 <TD><INPUT TYPE="checkbox" NAME="pacifiers" value="yes" <?if ( $obj["pacifiers"]!='' ) print 'checked';  ?>></TD>
 196                 <TD>Talk to child:</TD>
 197                 <TD><INPUT TYPE="checkbox" NAME="talk_to_child" value="yes" <?if ( $obj["talk_to_child"]!='' ) print 'checked';  ?>></TD>
 198         </TR>
 199         <?
 200         }
 201         ?>
 202         <!-- // 4 months -->
 203         <?php
 204
 205         if ($this->patient_demo['alldays'] >= 91 AND $this->patient_demo['alldays'] <= 150 ) {
 206         ?>
 207                 <TR>
 208                         <TD>Solid Foods:</TD>
 209                         <TD><INPUT TYPE="checkbox" NAME="solid_foods" value="yes" <?if ( $obj["solid_foods"]!='' ) print 'checked';  ?>></TD>
 210                         <TD>Choking:</TD>
 211                         <TD><INPUT TYPE="checkbox" NAME="choking" value="yes" <?if ( $obj["choking"]!='' ) print 'checked';  ?>></TD>
 212                         <TD>Teething:</TD>
 213                         <TD><INPUT TYPE="checkbox" NAME="teething" value="yes" <?if ( $obj["teething"]!='' ) print 'checked';  ?>></TD>
 214                 </TR>
 215                 <TR>
 216                         <TD>Falls:</TD>
 217                         <TD><INPUT TYPE="checkbox" NAME="falls" value="yes" <?if ( $obj["falls"]!='' ) print 'checked';  ?>></TD>
 218                         <TD>Baby-proof:</TD>
 219                         <TD><INPUT TYPE="checkbox" NAME="baby_proof" value="yes" <?if ( $obj["baby_proof"]!='' ) print 'checked';  ?>></TD>
 220                         <TD>Colds:</TD>
 221                         <TD><INPUT TYPE="checkbox" NAME="colds" value="yes" <?if ( $obj["colds"]!='' ) print 'checked';  ?>></TD>
 222                 </TR>
 223         <?
 224         }
 225         ?>
 226
 227         <!-- // 6 months -->
 228         <?php
 229
 230         if ($this->patient_demo['alldays'] >= 151 AND $this->patient_demo['alldays'] <= 230 ) {
 231         ?>
 232                 <TR>
 233                         <TD>Baby-Proof:</TD>
 234                         <TD><INPUT TYPE="checkbox" NAME="baby_proof" value="yes" <?if ( $obj["baby_proof"]!='' ) print 'checked';  ?>></TD>
 235                         <TD>Stranger Anxiety:</TD>
 236                         <TD><INPUT TYPE="checkbox" NAME="stranger_anxiety" value="yes" <?if ( $obj["stranger_anxiety"]!='' ) print 'checked';  ?>></TD>
 237                         <TD>No Peanuts:</TD>
 238                         <TD><INPUT TYPE="checkbox" NAME="no_peanuts" value="yes" <?if ( $obj["no_peanuts"]!='' ) print 'checked';  ?>></TD>
 239                 </TR>
 240                 <TR>
 241                         <TD>No bottle in bed:</TD>
 242                         <TD><INPUT TYPE="checkbox" NAME="no_bottle_in_bed" value="yes" <?if ( $obj["no_bottle_in_bed"]!='' ) print 'checked';  ?>></TD>
 243                         <TD>Poisons - Ipecac:</TD>
 244                         <TD><INPUT TYPE="checkbox" NAME="poisons_ipecac" value="yes" <?if ( $obj["poisons_ipecac"]!='' ) print 'checked';  ?>></TD>
 245                         <TD>Pool & Tub safety</TD>
 246                         <TD><INPUT TYPE="checkbox" NAME="pool_tub_safety" value="yes" <?if ( $obj["pool_tub_safety"]!='' ) print 'checked';  ?>></TD>
 247                 </TR>
 248         <?
 249         }
 250         ?>
 251         <!-- common part from 9 to 24 months -->
 252         <?php
 253
 254         if ($this->patient_demo['alldays'] >= 230 AND $this->patient_demo['alldays'] <= 730 ) {
 255         ?>
 256         <TR>
 257                 <TD>Whole Milk:</TD>
 258                 <TD><INPUT TYPE="checkbox" NAME="whole_milk" value="yes" <?if ( $obj["whole_milk"]!='' ) print 'checked';  ?>></TD>
 259                 <TD>Solids:</TD>
 260                 <TD><INPUT TYPE="checkbox" NAME="solids" value="yes" <?if ( $obj["solids"]!='' ) print 'checked';  ?>></TD>
 261                 <TD></TD>
 262                 <TD></TD>
 263         </TR>
 264         <?php
 265
 266         }
 267         ?>
 268         <!-- common part from 12 to 24 months -->
 269         <?php
 270
 271         if ($this->patient_demo['alldays'] >= 350 AND $this->patient_demo['alldays'] <= 730 ) {
 272         ?>
 273         <TR>
 274                 <TD>Cup:</TD>
 275                 <TD><INPUT TYPE="checkbox" NAME="cup" value="yes" <?if ( $obj["cup"]!='' ) print 'checked';  ?>></TD>
 276                 <TD>Bottle:</TD>
 277                 <TD><INPUT TYPE="checkbox" NAME="bottle" value="yes" <?if ( $obj["bottle"]!='' ) print 'checked';  ?>></TD>
 278                 <TD></TD>
 279                 <TD></TD>
 280         </TR>
 281         <?php
 282
 283         }
 284         ?>
 285
 286         <!-- // 9 months -->
 287         <?php
 288
 289         if ($this->patient_demo['alldays'] >= 231 AND $this->patient_demo['alldays'] <= 320 ) {
 290         ?>
 291         <TR>
 292                 <TD>Talk to child:</TD>
 293                 <TD><INPUT TYPE="checkbox" NAME="talk_to_child" value="yes" <?if ( $obj["talk_to_child"]!='' ) print 'checked';  ?>></TD>
 294                 <TD>Baby-proof:</TD>
 295                 <TD><INPUT TYPE="checkbox" NAME="baby_proof" value="yes" <?if ( $obj["baby_proof"]!='' ) print 'checked';  ?>></TD>
 296                 <TD>Poison-Ipecac</TD>
 297                 <TD><INPUT TYPE="checkbox" NAME="poison_ipecac" value="yes" <?if ( $obj["poison_ipecac"]!='' ) print 'checked';  ?>></TD>
 298         </TR>
 299         <TR>
 300                 <TD>Pool & tub safety:</TD>
 301                 <TD><INPUT TYPE="checkbox" NAME="pool_tub_safety" value="yes" <?if ( $obj["pool_tub_safety"]!='' ) print 'checked';  ?>></TD>
 302                 <TD>Self Feeding:</TD>
 303                 <TD><INPUT TYPE="checkbox" NAME="self_feeding" value="yes" <?if ( $obj["self_feeding"]!='' ) print 'checked';  ?>></TD>
 304                 <TD>Shoes:</TD>
 305                 <TD><INPUT TYPE="checkbox" NAME="shoes" value="yes" <?if ( $obj["shoes"]!='' ) print 'checked';  ?>></TD>
 306         </TR>
 307         <?
 308         }
 309         ?>
 310         <!-- // 12 months -->
 311         <?php
 312
 313         if ($this->patient_demo['alldays'] >= 321 AND $this->patient_demo['alldays'] <= 410 ) {
 314         ?>
 315         <TR>
 316                 <TD>Discipline:</TD>
 317                 <TD><INPUT TYPE="checkbox" NAME="discipline" value="yes" <?if ( $obj["discipline"]!='' ) print 'checked';  ?>></TD>
 318                 <TD>Name Objects:</TD>
 319                 <TD><INPUT TYPE="checkbox" NAME="name_objects" value="yes" <?if ( $obj["name_objects"]!='' ) print 'checked';  ?>></TD>
 320                 <TD>Use of cup:</TD>
 321                 <TD><INPUT TYPE="checkbox" NAME="use_of_cup" value="yes" <?if ( $obj["use_of_cup"]!='' ) print 'checked';  ?>></TD>
 322         </TR>
 323         <TR>
 324                 <TD>Junk food:</TD>
 325                 <TD><INPUT TYPE="checkbox" NAME="junk_food" value="yes" <?if ( $obj["junk_food"]!='' ) print 'checked';  ?>></TD>
 326                 <TD>No toilet training:</TD>
 327                 <TD><INPUT TYPE="checkbox" NAME="no_toilet_training" value="yes" <?if ( $obj["no_toilet_training"]!='' ) print 'checked';  ?>></TD>
 328                 <TD>Dental Hygiene</TD>
 329                 <TD><INPUT TYPE="checkbox" NAME="dental_hygiene" value="yes" <?if ( $obj["dental_hygiene"]!='' ) print 'checked';  ?>></TD>
 330         </TR>
 331         <?
 332         }
 333         ?>
 334
 335         <!-- // 15 months -->
 336         <?php
 337
 338         if ($this->patient_demo['alldays'] >= 411 AND $this->patient_demo['alldays'] <= 500 ) {
 339         ?>
 340         <TR>
 341                 <TD>Tantrum, normal</TD>
 342                 <TD><INPUT TYPE="checkbox" NAME="no_toilet_training" value="yes" <?if ( $obj["no_toilet_training"]!='' ) print 'checked';  ?>></TD>
 343                 <TD>Discipline:</TD>
 344                 <TD><INPUT TYPE="checkbox" NAME="no_toilet_training" value="yes" <?if ( $obj["no_toilet_training"]!='' ) print 'checked';  ?>></TD>
 345                 <TD>Safety:</TD>
 346                 <TD><INPUT TYPE="checkbox" NAME="no_toilet_training" value="yes" <?if ( $obj["no_toilet_training"]!='' ) print 'checked';  ?>></TD>
 347         </TR>
 348         <TR>
 349                 <TD>Toilet training</TD>
 350                 <TD><INPUT TYPE="checkbox" NAME="preparing_training" value="yes" <?if ( $obj["preparing_training"]!='' ) print 'checked';  ?>></TD>
 351                 <TD>Sleeping:</TD>
 352                 <TD><INPUT TYPE="checkbox" NAME="sleeping" value="yes" <?if ( $obj["sleeping"]!='' ) print 'checked';  ?>></TD>
 353                 <TD>Eating:</TD>
 354                 <TD><INPUT TYPE="checkbox" NAME="eating" value="yes" <?if ( $obj["eating"]!='' ) print 'checked';  ?>></TD>
 355         </TR>
 356         <?
 357         }
 358         ?>
 359
 360
 361         <!-- // 18 months -->
 362         <?php
 363
 364         if ($this->patient_demo['alldays'] >= 501 AND $this->patient_demo['alldays'] <= 640 ) {
 365         ?>
 366         <TR>
 367                 <TD>Snacks:</TD>
 368                 <TD><INPUT TYPE="checkbox" NAME="snacks" value="yes" <?if ( $obj["snacks"]!='' ) print 'checked';  ?>></TD>
 369                 <TD>No Botle:</TD>
 370                 <TD><INPUT TYPE="checkbox" NAME="no_botle" value="yes" <?if ( $obj["no_botle"]!='' ) print 'checked';  ?>></TD>
 371                 <TD>Sibling Iteration:</TD>
 372                 <TD><INPUT TYPE="checkbox" NAME="sibling_iteration" value="yes" <?if ( $obj["sibling_iteration"]!='' ) print 'checked';  ?>></TD>
 373         </TR>
 374         <TR>
 375                 <TD>Toilet training:</TD>
 376                 <TD><INPUT TYPE="checkbox" NAME="toilet_training" value="yes" <?if ( $obj["toilet_training"]!='' ) print 'checked';  ?>></TD>
 377                 <TD>Read to child:</TD>
 378                 <TD><INPUT TYPE="checkbox" NAME="read_to_child" value="yes" <?if ( $obj["read_to_child"]!='' ) print 'checked';  ?>></TD>
 379                 <TD></TD>
 380                 <TD></TD>
 381         </TR>
 382         <?
 383         }
 384         ?>
 385         <!-- // 24 months to 3 years -->
 386         <?php
 387
 388         if ($this->patient_demo['alldays'] >= 641 AND $this->patient_demo['alldays'] <= 1095 ) {
 389         ?>
 390         <TR>
 391                 <TD>Car seat:</TD>
 392                 <TD><INPUT TYPE="checkbox" NAME="car_seat" value="yes" <?if ( $obj["car_seat"]!='' ) print 'checked';  ?>></TD>
 393                 <TD>Toilet training:</TD>
 394                 <TD><INPUT TYPE="checkbox" NAME="toilet_training" value="yes" <?if ( $obj["toilet_training"]!='' ) print 'checked';  ?>></TD>
 395                 <TD>Read to child:</TD>
 396                 <TD><INPUT TYPE="checkbox" NAME="read_to_child" value="yes" <?if ( $obj["read_to_child"]!='' ) print 'checked';  ?>></TD>
 397         </TR>
 398         <TR>
 399                 <TD>Guns:</TD>
 400                 <TD><INPUT TYPE="checkbox" NAME="guns" value="yes" <?if ( $obj["guns"]!='' ) print 'checked';  ?>></TD>
 401                 <TD>Self Care:</TD>
 402                 <TD><INPUT TYPE="checkbox" NAME="self_care" value="yes" <?if ( $obj["self_care"]!='' ) print 'checked';  ?>></TD>
 403                 <TD></TD>
 404                 <TD></TD>
 405         </TR>
 406         <?
 407         }
 408         ?>
 409
 410         <!-- // 3 to 5 years -->
 411         <?php
 412
 413         if ($this->patient_demo['alldays'] >= 1096 AND $this->patient_demo['alldays'] <= 1825 ) {
 414         ?>
 415         <TR>
 416                 <TD>School readiness:</TD>
 417                 <TD><INPUT TYPE="checkbox" NAME="school_readiness" value="yes" <?if ( $obj["school_readiness"]!='' ) print 'checked';  ?>></TD>
 418                 <TD>Household chores:</TD>
 419                 <TD><INPUT TYPE="checkbox" NAME="household_chores" value="yes" <?if ( $obj["household_chores"]!='' ) print 'checked';  ?>></TD>
 420                 <TD>Demographic info:</TD>
 421                 <TD><INPUT TYPE="checkbox" NAME="own_demographic" value="yes" <?if ( $obj["own_demographic"]!='' ) print 'checked';  ?>></TD>
 422         </TR>
 423         <TR>
 424                 <TD>Seat belts:</TD>
 425                 <TD><INPUT TYPE="checkbox" NAME="seat_belts" value="yes" <?if ( $obj["seat_belts"]!='' ) print 'checked';  ?>></TD>
 426                 <TD>No matches:</TD>
 427                 <TD><INPUT TYPE="checkbox" NAME="no_matches" value="yes" <?if ( $obj["no_matches"]!='' ) print 'checked';  ?>></TD>
 428                 <TD>Street safety:</TD>
 429                 <TD><INPUT TYPE="checkbox" NAME="street_safety" value="yes" <?if ( $obj["street_safety"]!='' ) print 'checked';  ?>></TD>
 430         </TR>
 431         <TR>
 432                 <TD>Sexual curiosity:</TD>
 433                 <TD><INPUT TYPE="checkbox" NAME="sexual_curiosity" value="yes" <?if ( $obj["sexual_curiosity"]!='' ) print 'checked';  ?>></TD>
 434                 <TD colspan=4></TD>
 435         </TR>
 436         <?
 437         }
 438         ?>
 439         <!--  // 5 to 7.5 years -->
 440         <?php
 441
 442         if ($this->patient_demo['alldays'] >= 1826 AND $this->patient_demo['alldays'] <= 2737 ) {
 443         ?>
 444         <TR>
 445                 <TD>Communication:</TD>
 446                 <TD><INPUT TYPE="checkbox" NAME="communication" value="yes" <?if ( $obj["communication"]!='' ) print 'checked';  ?>></TD>
 447                 <TD>Limit Setting:</TD>
 448                 <TD><INPUT TYPE="checkbox" NAME="limit_setting" value="yes" <?if ( $obj["limit_setting"]!='' ) print 'checked';  ?>></TD>
 449                 <TD>Peer Relations:</TD>
 450                 <TD><INPUT TYPE="checkbox" NAME="peer_relations" value="yes" <?if ( $obj["peer_relations"]!='' ) print 'checked';  ?>></TD>
 451         </TR>
 452         <TR>
 453                 <TD>Parental role:</TD>
 454                 <TD><INPUT TYPE="checkbox" NAME="parental_role" value="yes" <?if ( $obj["parental_role"]!='' ) print 'checked';  ?>></TD>
 455                 <TD>Reg Physic act:</TD>
 456                 <TD><INPUT TYPE="checkbox" NAME="reg_physic_act" value="yes" <?if ( $obj["reg_physic_act"]!='' ) print 'checked';  ?>></TD>
 457                 <TD></TD>
 458                 <TD></TD>
 459         </TR>
 460         <?
 461         }
 462         ?>
 463
 464         <!-- // 7.5 to 9.5 years -->
 465         <?php
 466
 467         if ($this->patient_demo['alldays'] >= 2738 AND $this->patient_demo['alldays'] <= 3467 ) {
 468         ?>
 469         <TR>
 470                 <TD>Sexual info:</TD>
 471                 <TD><INPUT TYPE="checkbox" NAME="sexual_info" value="yes" <?if ( $obj["sexual_info"]!='' ) print 'checked';  ?>></TD>
 472                 <TD>Reg Physic Act:</TD>
 473                 <TD><INPUT TYPE="checkbox" NAME="reg_physic_act" value="yes" <?if ( $obj["reg_physic_act"]!='' ) print 'checked';  ?>></TD>
 474                 <TD>Peer Relations:</TD>
 475                 <TD><INPUT TYPE="checkbox" NAME="peer_relations" value="yes" <?if ( $obj["peer_relations"]!='' ) print 'checked';  ?>></TD>
 476         </TR>
 477         <?
 478         }
 479         ?>
 480
 481         <!-- // 9.5 to 11 years -->
 482         <?php
 483
 484         if ($this->patient_demo['alldays'] >= 3468 AND $this->patient_demo['alldays'] <= 4015 ) {
 485         ?>
 486         <TR>
 487                 <TD>Puberty:</TD>
 488                 <TD><INPUT TYPE="checkbox" NAME="puberty" value="yes" <?if ( $obj["puberty"]!='' ) print 'checked';  ?>></TD>
 489                 <TD>Comunicates Affection:</TD>
 490                 <TD><INPUT TYPE="checkbox" NAME="affection" value="yes" <?if ( $obj["affection"]!='' ) print 'checked';  ?>></TD>
 491                 <TD></TD>
 492                 <TD></TD>
 493         </TR>
 494         <?
 495         }
 496         ?>
 497
 498         <!-- // more than 9.5 years -->
 499         <?php
 500
 501         if ($this->patient_demo['alldays'] >= 3468 ) {
 502         ?>
 503         <TR>
 504                 <TD>Reg Physic Act:</TD>
 505                 <TD><INPUT TYPE="checkbox" NAME="reg_physic_act" value="yes" <?if ( $obj["reg_physic_act"]!='' ) print 'checked';  ?>></TD>
 506                 <TD>Sexual Info:</TD>
 507                 <TD><INPUT TYPE="checkbox" NAME="sexual_info" value="yes" <?if ( $obj["sexual_info"]!='' ) print 'checked';  ?>></TD>
 508                 <TD>Smoke, Alcohol, Drugs</TD>
 509                 <TD><INPUT TYPE="checkbox" NAME="smoke_alcohol_drugs" value="yes" <?if ( $obj["smoke_alcohol_drugs"]!='' ) print 'checked';  ?>></TD>
 510         </TR>
 511         <?
 512         }
 513         ?>
 514         <!-- // more than 13.5 years -->
 515         <?php
 516
 517         if ($this->patient_demo['alldays'] >= 4745 ) {
 518         ?>
 519         <TR>
 520                 <TD>Pregnancy prevention:</TD>
 521                 <TD><INPUT TYPE="checkbox" NAME="pregnancy_prevention" value="yes" <?if ( $obj["pregnancy_prevention"]!='' ) print 'checked';  ?>></TD>
 522                 <TD colspan=4></TD>
 523         </TR>
 524         <?
 525         }
 526         ?>
 527         <!-- // common part since 18 monhts -->
 528         <?php
 529
 530         if ($this->patient_demo['alldays'] >= 501  ) {
 531         ?>
 532         <TR>
 533         <TR>
 534                 <TD>Dental Higiene:</TD>
 535                 <TD><INPUT TYPE="checkbox" NAME="dental_hygiene" value="yes" <?if ( $obj["dental_hygiene"]!='' ) print 'checked';  ?>></TD>
 536                 <TD>Nutr Assesment:</TD>
 537                 <TD><SELECT NAME="nutritional_assessment"><option <?if ( $obj["nutritional_assessment"]=='no' ) print 'selected';  ?>>no<option <?if ( $obj["nutritional_assessment"]=='yes' ) print 'selected';  ?>>yes</SELECT></TD>
 538                 <TD>Nutr Asses. ref:</TD>
 539                 <TD><SELECT NAME="nutritional_assessment_referred"><option <?if ( $obj["nutritional_assessment_referred"]=='no' ) print 'selected';  ?>>no<option <?if ( $obj["nutritional_assessment_referred"]=='yes' ) print 'selected';  ?>>yes</SELECT></TD>
 540         </TR>
 541         <?
 542         }
 543         ?>
 544         <!-- closing the variable part -->
 545         </table>
 546         <TABLE span class="text">
 547         <tr><td colspan=8><b>Physical Exam:</b>Are the following Normal?</td></tr>
 548         <TR>
 549                 <TD>Skin:</TD>
 550                 <TD><SELECT NAME="normal_skin"><option <?php if ( $obj["normal_skin"]=='yes' ) print 'selected'; ?> >yes<option <?if ( $obj["normal_skin"]=='no' ) print 'selected';  ?>>no</SELECT></TD>
 551                 <TD>Head:</TD>
 552                 <TD><SELECT NAME="normal_head"><option <?php if ( $obj["normal_head"]=='yes' ) print 'selected'; ?> >yes<option <?if ( $obj["normal_head"]=='no' ) print 'selected';  ?>>no</SELECT></TD>
 553                 <TD>Eyes:</TD>
 554                 <TD><SELECT NAME="normal_eyes"><option <?php if ( $obj["normal_eyes"]=='yes' ) print 'selected'; ?> >yes<option <?if ( $obj["normal_eyes"]=='no' ) print 'selected';  ?>>no</SELECT></TD>
 555                 <TD>Ears:</TD>
 556                 <TD><SELECT NAME="normal_ears"><option <?php if ( $obj["normal_ears"]=='yes' ) print 'selected'; ?> >yes<option <?if ( $obj["normal_ears"]=='no' ) print 'selected';  ?>>no</SELECT></TD>
 557         </TR>
 558         <TR>
 559                 <TD>Nose:</TD>
 560                 <TD><SELECT NAME="normal_nose"><option <?php if ( $obj["normal_nose"]=='yes' ) print 'selected'; ?> >yes<option <?if ( $obj["normal_nose"]=='no' ) print 'selected';  ?>>no</SELECT></TD>
 561                 <TD>Mouth/Thr.</TD>
 562                 <TD><SELECT NAME="normal_mouth_thr"><option <?php if ( $obj["normal_mouth_thr"]=='yes' ) print 'selected'; ?> >yes<option <?if ( $obj["normal_mouth_thr"]=='no' ) print 'selected';  ?>>no</SELECT></TD>
 563                 <TD>Nodes:</TD>
 564                 <TD><SELECT NAME="normal_nodes"><option <?php if ( $obj["normal_nodes"]=='yes' ) print 'selected'; ?> >yes<option <?if ( $obj["normal_nodes"]=='no' ) print 'selected';  ?>>no</SELECT></TD>
 565                 <TD>Heart:</TD>
 566                 <TD><SELECT NAME="normal_heart"><option <?php if ( $obj["normal_heart"]=='yes' ) print 'selected'; ?> >yes<option <?if ( $obj["normal_heart"]=='no' ) print 'selected';  ?>>no</SELECT></TD>
 567         </TR>
 568         <TR>
 569                 <TD>Lungs:</TD>
 570                 <TD><SELECT NAME="normal_lungs"><option <?php if ( $obj["normal_lungs"]=='yes' ) print 'selected'; ?> >yes<option <?if ( $obj["normal_lungs"]=='no' ) print 'selected';  ?>>no</SELECT></TD>
 571                 <TD>Abdomen:</TD>
 572                 <TD><SELECT NAME="normal_abdomen"><option <?php if ( $obj["normal_abdomen"]=='yes' ) print 'selected'; ?> >yes<option <?if ( $obj["normal_abdomen"]=='no' ) print 'selected';  ?>>no</SELECT></TD>
 573                 <TD>Fem. Pulse:</TD>
 574                 <TD><SELECT NAME="normal_fem_pulse"><option <?php if ( $obj["normal_fem_pulse"]=='yes' ) print 'selected'; ?> >yes<option <?if ( $obj["normal_fem_pulse"]=='no' ) print 'selected';  ?>>no</SELECT></TD>
 575                 <TD>Ext. Gen:</TD>
 576                 <TD><SELECT NAME="normal_genitalia"><option <?php if ( $obj["normal_genitalia"]=='yes' ) print 'selected'; ?> >yes<option <?if ( $obj["normal_genitalia"]=='no' ) print 'selected';  ?>>no</SELECT></TD>
 577         </TR>
 578         <TR>
 579                 <TD>Extrem:</TD>
 580                 <TD><SELECT NAME="normal_extremities"><option <?php if ( $obj["normal_extremities"]=='yes' ) print 'selected'; ?> >yes<option <?if ( $obj["normal_extremities"]=='no' ) print 'selected';  ?>>no</SELECT></TD>
 581                 <TD>Spine:</TD>
 582                 <TD><SELECT NAME="normal_spine"><option <?php if ( $obj["normal_spine"]=='yes' ) print 'selected'; ?> >yes<option <?if ( $obj["normal_spine"]=='no' ) print 'selected';  ?>>no</SELECT></TD>
 583                 <TD>Neuro:</TD>
 584                 <TD><SELECT NAME="normal_neuro"><option <?php if ( $obj["normal_neuro"]=='yes' ) print 'selected'; ?> >yes<option <?if ( $obj["normal_neuro"]=='no' ) print 'selected';  ?>>no</SELECT></TD>
 585                 <TD>Tanner St.</TD>
 586                 <TD><SELECT NAME="tanner_stage"><option <?php if ( $obj["tanner_stage"]=='n/a' ) print 'selected'; ?> >n/a<option <?php if ( $obj["tanner_stage"]=='I' ) print 'selected'; ?> >I<option <?if ( $obj["tanner_stage"]=='II' ) print 'selected';  ?>>II<option <?if ( $obj["tanner_stage"]=='III' ) print 'selected';  ?>>III<option <?if ( $obj["tanner_stage"]=='IV' ) print 'selected';  ?>>IV<option <?if ( $obj["tanner_stage"]=='V' ) print 'selected';  ?>>V</SELECT></TD>
 587         </TR>
 588         <tr>
 589                 <TD colspan=8><b>Notes, Coments, Assesment & Plan</b></TD>
 590         </TR>
 591         <tr>
 592                 <TD colspan=8><TEXTAREA NAME="notes" ROWS="2" COLS="50"><?php echo $obj["notes"] ?></TEXTAREA></TD>
 593         </tr>
 594         </TABLE>
 595
 596         </FORM>
 597         <?php
 598
 599         }
 600 }
 601 ?>