1152 lines
72 KiB
PHP
Executable File
1152 lines
72 KiB
PHP
Executable File
<!--sidebar end-->
|
|
<!--main content start-->
|
|
<style type="text/css">
|
|
#patient-profile .patient-img {
|
|
width: 75px;
|
|
}
|
|
#patient-profile .patient-info-heading {
|
|
font-weight: 900;
|
|
display: inline-block;
|
|
width: 130px;
|
|
}
|
|
.edit_btn i.fa.fa-pencil{
|
|
position: absolute;
|
|
right: 15px;
|
|
top: 10px;
|
|
color: #2e9cf1;
|
|
cursor: pointer;
|
|
font-size: 16px;
|
|
}
|
|
.edit_btn.bg-white i.fa.fa-pencil{
|
|
color: #fff !important;
|
|
}
|
|
</style>
|
|
<div class="app-content content">
|
|
<section class="content-wrapper">
|
|
<div class="content-body">
|
|
<section id="patient-profile">
|
|
<div class="row match-height">
|
|
<div class="col-lg-6 col-md-12">
|
|
<div class="card" style="height: 160px;">
|
|
<div class="card-body">
|
|
<div class="edit_btn">
|
|
<i class="fa fa-pencil" aria-hidden="true"></i>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-lg-4 col-md-4 d-flex justify-content-around">
|
|
<div class="patient-img-name text-center">
|
|
<img src="uploads/cardiology-patient-icon-vector-6244713.jpg" id="img1" alt="" class="card-img-top mb-1 patient-img img-fluid rounded-circle">
|
|
<h4><label for="exampleInputEmail1">Patient ID: <span class="patientIdClass">
|
|
<?php
|
|
echo $datas->patient_id;
|
|
?>
|
|
</span></label></h4>
|
|
</div>
|
|
</div>
|
|
<div class="col-lg-8 col-md-8 d-flex justify-content-around">
|
|
<div class="patient-info">
|
|
<ul class="list-unstyled">
|
|
<li>
|
|
<div class="patient-info-heading">Name:</div> <?=$datas->first_name.' '.$datas->last_name?>
|
|
</li>
|
|
<li>
|
|
<div class="patient-info-heading">Birth:</div> <?=$datas->dob?>
|
|
</li>
|
|
<li>
|
|
<div class="patient-info-heading">Email: </div> <?=$datas->patient_email?>
|
|
</li>
|
|
<li>
|
|
<div class="patient-info-heading">Contact:</div> <?=$datas->cellphone?>
|
|
</li>
|
|
</ul>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="col-lg-3 col-md-6">
|
|
<div class="card bg-gradient-y-info" style="height: 160px;">
|
|
<div class="edit_btn bg-white">
|
|
<i class="fa fa-pencil" aria-hidden="true"></i>
|
|
</div>
|
|
<div class="card-body">
|
|
<ul class="list-unstyled text-white patient-info-card">
|
|
<li><span class="patient-info-heading">Gender :</span> <?=$datas->gender?></li>
|
|
<li><span class="patient-info-heading">Merital :</span> <?=$datas->marital_stat?></li>
|
|
<li><span class="patient-info-heading">Weight :</span> <?=$datas->weight?></li>
|
|
<li><span class="patient-info-heading">Direction :</span> <?=$datas->direction?></li>
|
|
</ul>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="col-lg-3 col-md-6">
|
|
<div class="card bg-gradient-y-warning" style="height: 160px;">
|
|
<div class="edit_btn">
|
|
<i class="fa fa-pencil" aria-hidden="true"></i>
|
|
</div>
|
|
<div class="card-body">
|
|
<ul class="list-unstyled text-white patient-info-card">
|
|
<li><span class="patient-info-heading">#Soc Sec No :</span> <?=$datas->soc_sec_no?></li>
|
|
<li> <div class="patient-info-heading">Address:</div> <?=$datas->address?></li>
|
|
<li><span class="patient-info-heading">Height :</span> <?=$datas->height?></li>
|
|
<li><span class="patient-info-heading">Billing address :</span> <?=$datas->alt_billing_address?></li>
|
|
|
|
</ul>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-lg-6 col-md-6 col-sm-6">
|
|
<div class="row">
|
|
<div class="col-lg-12 col-md-12">
|
|
<div class="card pull-up">
|
|
<div class="card-content">
|
|
<div class="card-body">
|
|
<h2 class="card-title">Patient Visit Record</h2>
|
|
<div class="edit_btn">
|
|
<i class="fa fa-pencil" aria-hidden="true"></i>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 text-left">
|
|
<ul class="list-unstyled patient-info-card">
|
|
<li><span class="patient-info-heading">Date :</span><?php echo $asmData->date; ?></li>
|
|
<li><span class="patient-info-heading">day</span><?php echo $asmData->day; ?></li>
|
|
<li><span class="patient-info-heading">Time in</span><?php echo $asmData->timeIn; ?></li>
|
|
<li><span class="patient-info-heading">Time out</span><?php echo $asmData->timeOut; ?></li>
|
|
<li><span class="patient-info-heading">Patients Name</span><?php echo $data->patientName; ?></li>
|
|
<li><span class="patient-info-heading">Date of Birth</span><?php echo $asmData->dob; ?></li>
|
|
<li><span class="patient-info-heading">Diagnosis</span><?php echo $asmData->diagnosis; ?></li>
|
|
<li><span class="patient-info-heading">Allergy</span><?php echo $asmData->allergy; ?></li>
|
|
<li><span class="patient-info-heading">MD</span><?php echo $asmData->md_name; ?></li>
|
|
<li><span class="patient-info-heading">Id Confirmed</span><?php echo $asmData->id_confirmed; ?></li>
|
|
<li><span class="patient-info-heading">Reason</span><?php echo $asmData->Reason; ?></li>
|
|
<li><span class="patient-info-heading">Types Of Device Access</span><?php echo $asmData->types_of_device_access; ?></li>
|
|
<li><span class="patient-info-heading">Access Assessment</span><?php echo $asmData->accessAssessment; ?></li>
|
|
<li><span class="patient-info-heading">Action</span><?php echo $asmData->action; ?></li>
|
|
<li><span class="patient-info-heading">Taper</span><?php echo $asmData->taper; ?></li>
|
|
</ul>
|
|
|
|
</div>
|
|
|
|
<div class="col-6">
|
|
<ul class="list-unstyled patient-info-card">
|
|
<li><span class="patient-info-heading">Program Verified With</span><?php echo $asmData->program_verified_with; ?></li>
|
|
<li><span class="patient-info-heading">Bolus</span><?php echo $asmData->bolus; ?></li>
|
|
<li><span class="patient-info-heading">Pump bettery charge</span><?php echo $asmData->pump_bettery_change; ?></li>
|
|
<li><span class="patient-info-heading">Pump Res Volume</span><?php echo $asmData->pump_res_volume; ?></li>
|
|
<li><span class="patient-info-heading">Pump Rate</span><?php echo $asmData->pump_rate; ?></li>
|
|
<li><span class="patient-info-heading"><?php echo $asmData->pump_rate; ?></span><?php echo $asmData->pumpRateValue; ?></li>
|
|
<li><span class="patient-info-heading">KVO</span><?php echo $asmData->KVO; ?></li>
|
|
</ul>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="col-lg-6 col-md-6 col-sm-6">
|
|
<div class="row">
|
|
<div class="col-lg-12 col-md-12">
|
|
<div class="card pull-up">
|
|
<div class="card-content">
|
|
<div class="card-body">
|
|
<div class="edit_btn">
|
|
<h2 class="card-title">PHYSICAL ASSESSMENT</h2>
|
|
<i class="fa fa-pencil" aria-hidden="true"></i>
|
|
</div>
|
|
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<ul class="list-unstyled patient-info-card">
|
|
<li><span class="patient-info-heading">VITAL SIGNS</span><?php echo $asmData->vital_signs; ?></li>
|
|
|
|
<li><span class="patient-info-heading">Vital Signs Measurements</span><?php echo $asmData->vital_signs_measurment; ?></li>
|
|
|
|
<li><span class="patient-info-heading">CARDIOVASCULAR</span><?php echo $asmData->cardiovascular; ?></li>
|
|
|
|
<li><span class="patient-info-heading">Notes</span><?php echo $asmData->cardiovacularNotes; ?></li>
|
|
|
|
<li><span class="patient-info-heading">RESPIRATORY</span><?php echo $data->RESPIRATORY; ?></li>
|
|
|
|
<li><span class="patient-info-heading">Notes</span><?php echo $asmData->respiratory_notes; ?></li>
|
|
</ul>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<!-- </div>
|
|
<div class="col-lg-6 col-md-6 col-sm-6"> -->
|
|
<div class="row">
|
|
<div class="col-lg-12 col-md-12">
|
|
<div class="card pull-up">
|
|
<div class="card-content">
|
|
<div class="card-body">
|
|
<div class="edit_btn">
|
|
<h2 class="card-title">FOODS/FLUIDS</h2>
|
|
<i class="fa fa-pencil" aria-hidden="true"></i>
|
|
</div>
|
|
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Diet</span>
|
|
<span class="font-small-3"><?php echo $asmData->foods; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Fluid</span>
|
|
<span class="font-small-3"><?php echo $asmData->fluid; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Fluid Intake</span>
|
|
<span class="font-small-3"><?php echo $asmData->fluid_intake; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Weight Amount</span>
|
|
<span class="font-small-3"><?php echo $data->weight; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Comments</span>
|
|
<span class="font-small-3"><?php echo $asmData->fl_comments; ?></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<!-- </div>
|
|
<div class="col-lg-6 col-md-6 col-sm-6"> -->
|
|
<div class="row">
|
|
<div class="col-lg-12 col-md-12">
|
|
<div class="card pull-up">
|
|
<div class="card-content">
|
|
<div class="card-body">
|
|
<div class="edit_btn">
|
|
<h2 class="card-title">ENDOCRINE</h2>
|
|
<i class="fa fa-pencil" aria-hidden="true"></i>
|
|
</div>
|
|
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">ENDOCRINE</span>
|
|
<span class="font-small-3"><?php echo $asmData->endoCrine; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Diabetes</span>
|
|
<span class="font-small-3"><?php echo $asmData->diabetes; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Comments</span>
|
|
<span class="font-small-3"><?php echo $asmData->bs_comments; ?></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="col-lg-6 col-md-6 col-sm-6">
|
|
<div class="row">
|
|
<div class="col-lg-12 col-md-12">
|
|
<div class="card pull-up">
|
|
<div class="card-content">
|
|
<div class="card-body">
|
|
<div class="edit_btn">
|
|
<h2 class="card-title">ACTIVITY/REST</h2>
|
|
<i class="fa fa-pencil" aria-hidden="true"></i>
|
|
</div>
|
|
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">ACTIVITY/REST</span>
|
|
<span class="font-small-3"><?php echo $asmData->activity_rest; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Musculosketal</span>
|
|
<span class="font-small-3"><?php echo $asmData->musculosketal; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Activity</span>
|
|
<span class="font-small-3"><?php echo $asmData->mus_activity; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Encouraged PROM exercises to extremeties</span>
|
|
<span class="font-small-3"><?php echo $asmData->encourage_p_rom_exa_extrimist; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Ambulatory</span>
|
|
<span class="font-small-3"><?php echo $asmData->ambulatory; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Dependent</span>
|
|
<span class="font-small-3"><?php echo $asmData->dependent; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">wheelChair</span>
|
|
<span class="font-small-3"><?php echo $asmData->wheelChair; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Comments</span>
|
|
<span class="font-small-3"><?php echo $asmData->arComment; ?></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="col-lg-6 col-md-6 col-sm-6">
|
|
<div class="row">
|
|
<div class="col-lg-12 col-md-12">
|
|
<div class="card pull-up">
|
|
<div class="card-content">
|
|
<div class="card-body">
|
|
<div class="edit_btn">
|
|
<h2 class="card-title">PAIN</h2>
|
|
<i class="fa fa-pencil" aria-hidden="true"></i>
|
|
</div>
|
|
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">PAIN</span>
|
|
<span class="font-small-3"><?php echo $asmData->pain; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Pain level assessed</span>
|
|
<span class="font-small-3"><?php echo $asmData->pain_level_assessed; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Type</span>
|
|
<span class="font-small-3"><?php echo $asmData->pla_type; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Quality</span>
|
|
<span class="font-small-3"><?php echo $asmData->pla_quality; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Relief From</span>
|
|
<span class="font-small-3"><?php echo $asmData->relief_from; ?></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="col-lg-6 col-md-6 col-sm-6">
|
|
<div class="row">
|
|
<div class="col-lg-12 col-md-12">
|
|
<div class="card pull-up">
|
|
<div class="card-content">
|
|
<div class="card-body">
|
|
<div class="edit_btn">
|
|
<h2 class="card-title">SKIN</h2>
|
|
<i class="fa fa-pencil" aria-hidden="true"></i>
|
|
</div>
|
|
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">SKIN</span>
|
|
<span class="font-small-3"><?php echo $asmData->skin; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Describe</span>
|
|
<span class="font-small-3"><?php echo $asmData->sk_describe; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Bruises Location</span>
|
|
<span class="font-small-3"><?php echo $asmData->bruises_location; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Surgical Site</span>
|
|
<span class="font-small-3"><?php echo $asmData->surgikal_site; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Wound</span>
|
|
<span class="font-small-3"><?php echo $asmData->wound; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Comments</span>
|
|
<span class="font-small-3"><?php echo $asmData->woundcomment; ?></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="col-lg-6 col-md-6 col-sm-6">
|
|
<div class="row">
|
|
<div class="col-lg-12 col-md-12">
|
|
<div class="card pull-up">
|
|
<div class="card-content">
|
|
<div class="card-body">
|
|
<div class="edit_btn">
|
|
<h2 class="card-title">CIRCULATION</h2>
|
|
<i class="fa fa-pencil" aria-hidden="true"></i>
|
|
</div>
|
|
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Chest Pain</span>
|
|
<span class="font-small-3"><?php echo $asmData->circulation; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Edema</span>
|
|
<span class="font-small-3"><?php echo $asmData->edema; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Location</span>
|
|
<span class="font-small-3"><?php echo $asmData->edema_location; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Peripheral Capillary Refill</span>
|
|
<span class="font-small-3"><?php echo $asmData->peripheral_capilary_refil; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Circulation Status </span>
|
|
<span class="font-small-3"><?php echo $asmData->circulation_status; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Comments</span>
|
|
<span class="font-small-3"><?php echo $asmData->circulationStat_comment; ?></span>
|
|
</div>
|
|
</div>
|
|
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="col-lg-6 col-md-6 col-sm-6">
|
|
<div class="row">
|
|
<div class="col-lg-12 col-md-12">
|
|
<div class="card pull-up">
|
|
<div class="card-content">
|
|
<div class="card-body">
|
|
<div class="edit_btn">
|
|
<h2 class="card-title">VENTILATION</h2>
|
|
<i class="fa fa-pencil" aria-hidden="true"></i>
|
|
</div>
|
|
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">VENTILATION</span>
|
|
<span class="font-small-3"><?php echo $asmData->ventilation; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Ventilator Type </span>
|
|
<span class="font-small-3"><?php echo $asmData->ventilator_type; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Breath Sounds</span>
|
|
<span class="font-small-3"><?php echo $asmData->breathSound; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">SOB</span>
|
|
<span class="font-small-3"><?php echo $asmData->sob; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Color</span>
|
|
<span class="font-small-3"><?php echo $asmData->color; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Ventilator Settings</span>
|
|
<span class="font-small-3"><?php echo $asmData->ventilator_setting; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Ventilator Mode</span>
|
|
<span class="font-small-3"><?php echo $asmData->ventilator_mode; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Ventilator TV</span>
|
|
<span class="font-small-3"><?php echo $asmData->ventilatortv; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Ventilator Pressure</span>
|
|
<span class="font-small-3"><?php echo $asmData->ventilatorPressure; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Ventilator BR</span>
|
|
<span class="font-small-3"><?php echo $asmData->ventilatorBR; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Ventilator Oxygen Mesured In L/Min</span>
|
|
<span class="font-small-3"><?php echo $asmData->ventilatorOxygenMeasure; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Inspiratory Time</span>
|
|
<span class="font-small-3"><?php echo $asmData->inspiratory_time; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Oximeter Frequency</span>
|
|
<span class="font-small-3"><?php echo $asmData->circulationStat_comment; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Oximeter Paramteres</span>
|
|
<span class="font-small-3"><?php echo $asmData->oxymeterParameterNotes; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Other</span>
|
|
<span class="font-small-3"><?php echo $asmData->oxOtherNotes; ?></span>
|
|
</div>
|
|
</div>
|
|
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="col-lg-6 col-md-6 col-sm-6">
|
|
<div class="row">
|
|
<div class="col-lg-12 col-md-12">
|
|
<div class="card pull-up">
|
|
<div class="card-content">
|
|
<div class="card-body">
|
|
<div class="edit_btn">
|
|
<h2 class="card-title">TRACHEOTOMY CARE</h2>
|
|
<i class="fa fa-pencil" aria-hidden="true"></i>
|
|
</div>
|
|
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">TRACHEOTOMY CARE</span>
|
|
<span class="font-small-3"><?php echo $asmData->tracheotomy_care_required; ?></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<!-- </div> -->
|
|
<!-- <div class="col-lg-6 col-md-6 col-sm-6"> -->
|
|
<div class="row">
|
|
<div class="col-lg-12 col-md-12">
|
|
<div class="card pull-up">
|
|
<div class="card-content">
|
|
<div class="card-body">
|
|
<div class="edit_btn">
|
|
<h2 class="card-title">MD Orders</h2>
|
|
<i class="fa fa-pencil" aria-hidden="true"></i>
|
|
</div>
|
|
|
|
<div class="row">
|
|
<div class="col-2 ">
|
|
<span class="patient-info-heading">Notes</span>
|
|
<span class="font-small-3"><?php echo $asmData->mdOrders; ?></span>
|
|
</div>
|
|
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Trach Excoriation</span>
|
|
<span class="font-small-3"><?php echo $asmData->trachExcorition; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Notes</span>
|
|
<span class="font-small-3"><?php echo $asmData->teNotes; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Trach Drainage</span>
|
|
<span class="font-small-3"><?php echo $asmData->TrachDrainage; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Notes</span>
|
|
<span class="font-small-3"><?php echo $asmData->TrachDrainageNotes; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Redness At Trach Site</span>
|
|
<span class="font-small-3"><?php echo $asmData->rednessAtTrachSite; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Notes</span>
|
|
<span class="font-small-3"><?php echo $asmData->ratsNotes; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Trach Inner Cannula Changed</span>
|
|
<span class="font-small-3"><?php echo $asmData->trachInnerCannualChange; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Notes</span>
|
|
<span class="font-small-3"><?php echo $asmData->ticcNotes; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Trach Connector Size</span>
|
|
<span class="font-small-3"><?php echo $asmData->trachConnectorSize; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Trach Connector Length</span>
|
|
<span class="font-small-3"><?php echo $asmData->trachConnectorlength; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Trach Suction</span>
|
|
<span class="font-small-3"><?php echo $asmData->trachSuction; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Notes</span>
|
|
<span class="font-small-3"><?php echo $asmData->tsNotes; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Trach Suction Type</span>
|
|
<span class="font-small-3"><?php echo $asmData->trachSuctionType; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Trach Suction Catheter Kit</span>
|
|
<span class="font-small-3"><?php echo $asmData->trachSuctionCatheterKit; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Trach Suciton Catheter Kit Size</span>
|
|
<span class="font-small-3"><?php echo $asmData->trachSuctionCatheterKitsizes; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Notes</span>
|
|
<span class="font-small-3"><?php echo $asmData->trachSuctionNotes; ?></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="col-lg-6 col-md-6 col-sm-6">
|
|
<div class="row">
|
|
<div class="col-lg-12 col-md-12">
|
|
<div class="card pull-up">
|
|
<div class="card-content">
|
|
<div class="card-body">
|
|
<div class="edit_btn">
|
|
<h2 class="card-title">GASTROINTESTINAL</h2>
|
|
<i class="fa fa-pencil" aria-hidden="true"></i>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-12 ">
|
|
<ul class="list-unstyled patient-info-card">
|
|
|
|
<li><span class="patient-info-heading">Gastrointestinal</span>
|
|
<?php echo $asmData->gastrointestinal; ?></li>
|
|
|
|
|
|
<li><span class="patient-info-heading">Date of Last Bowel Movement</span>
|
|
<?php echo $asmData->dateOflastBowelMoment; ?></li>
|
|
|
|
|
|
<li><span class="patient-info-heading">Comments</span><?php echo $asmData->dateOflastBowelMoment; ?></li>
|
|
|
|
</ul>
|
|
|
|
</div>
|
|
</div>
|
|
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="col-lg-6 col-md-6 col-sm-6">
|
|
<div class="row">
|
|
<div class="col-lg-12 col-md-12">
|
|
<div class="card pull-up">
|
|
<div class="card-content">
|
|
<div class="card-body">
|
|
<div class="edit_btn">
|
|
<h2 class="card-title">GENITOURINARY</h2>
|
|
<i class="fa fa-pencil" aria-hidden="true"></i>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">GENITOURINARY</span>
|
|
<span class="font-small-3"><?php echo $asmData->genitourinary; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Color</span>
|
|
<span class="font-small-3"><?php echo $asmData->genitourinaryColor; ?></span>
|
|
</div>
|
|
</div>
|
|
|
|
|
|
<div class="row">
|
|
<div class="col-6 text-left">
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Cathertar</span>
|
|
<span class="font-small-3"><?php echo $asmData->catheter; ?></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="col-lg-6 col-md-6 col-sm-6">
|
|
<div class="row">
|
|
<div class="col-lg-12 col-md-12">
|
|
<div class="card pull-up">
|
|
<div class="card-content">
|
|
<div class="card-body">
|
|
<div class="edit_btn">
|
|
<h2 class="card-title">HYGINENE</h2>
|
|
<i class="fa fa-pencil" aria-hidden="true"></i>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Hyginene</span>
|
|
<span class="font-small-3"><?php echo $asmData->hyginene; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Hyginene Comment</span>
|
|
<span class="font-small-3"><?php echo $asmData->hygineneComment; ?></span>
|
|
</div>
|
|
</div>
|
|
|
|
</div>
|
|
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="col-lg-6 col-md-6 col-sm-6">
|
|
<div class="row">
|
|
<div class="col-lg-12 col-md-12">
|
|
<div class="card pull-up">
|
|
<div class="card-content">
|
|
<div class="card-body">
|
|
<div class="edit_btn">
|
|
<h2 class="card-title">INTEGUMENTARY</h2>
|
|
<i class="fa fa-pencil" aria-hidden="true"></i>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">INTEGUMENTARY</span>
|
|
<span class="font-small-3"><?php echo $asmData->integumentary; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Color Vairables</span>
|
|
<span class="font-small-3"><?php echo $asmData->ColorVairables; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Temperature Variables</span>
|
|
<span class="font-small-3"><?php echo $asmData->TemperatureVariables; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Turgor Variables</span>
|
|
<span class="font-small-3"><?php echo $asmData->TurgorVariables; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-12 ">
|
|
<span class="patient-info-heading">Notes</span>
|
|
<span class="font-small-3"><?php echo $asmData->TurgorVariablesComment; ?></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="col-lg-6 col-md-6 col-sm-6">
|
|
<div class="row">
|
|
<div class="col-lg-12 col-md-12">
|
|
<div class="card pull-up">
|
|
<div class="card-content">
|
|
<div class="card-body">
|
|
<div class="edit_btn">
|
|
<h2 class="card-title">NERUOLOGICAL</h2>
|
|
<i class="fa fa-pencil" aria-hidden="true"></i>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">NERUOLOGICAL</span>
|
|
<span class="font-small-3"><?php echo $asmData->neurological; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Status</span>
|
|
<span class="font-small-3"><?php echo $asmData->neuroStatus; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Activity </span>
|
|
<span class="font-small-3"><?php echo $asmData->neuroActivity; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Notes</span>
|
|
<span class="font-small-3"><?php echo $asmData->neuroComment; ?></span>
|
|
</div>
|
|
</div>
|
|
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="col-lg-6 col-md-6 col-sm-6">
|
|
<div class="row">
|
|
<div class="col-lg-12 col-md-12">
|
|
<div class="card pull-up">
|
|
<div class="card-content">
|
|
<div class="card-body">
|
|
<div class="edit_btn">
|
|
<h2 class="card-title">PSYCHOLOGICAL / EMOTIONAL REACTION</h2>
|
|
<i class="fa fa-pencil" aria-hidden="true"></i>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-12">
|
|
<span class="patient-info-heading">Social Support System</span>
|
|
<span class="font-small-3"><?php echo $asmData->phychologicalEmotionalReaction; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-12">
|
|
<span class="patient-info-heading">Copes Effectively with Therapy</span>
|
|
<span class="font-small-3"><?php echo $asmData->CopesEffectivelywithTherapy; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Copes Effectively with Disease</span>
|
|
<span class="font-small-3"><?php echo $asmData->CopesEffectivelywithDieases; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Notes</span>
|
|
<span class="font-small-3"><?php echo $asmData->physicalEmotionalComments; ?></span>
|
|
</div>
|
|
</div>
|
|
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="col-lg-6 col-md-6 col-sm-6">
|
|
<div class="row">
|
|
<div class="col-lg-12 col-md-12">
|
|
<div class="card pull-up">
|
|
<div class="card-content">
|
|
<div class="card-body">
|
|
<div class="edit_btn">
|
|
<h2 class="card-title">SKILLS - KNOWLEDGE ASSESSMENT</h2>
|
|
<i class="fa fa-pencil" aria-hidden="true"></i>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">TEACHING</span>
|
|
<span class="font-small-3"><?php echo $asmData->skillKnowTeaching; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Notes</span>
|
|
<span class="font-small-3"><?php echo $asmData->skillKnowComments; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">LEARNING </span>
|
|
<span class="font-small-3"><?php echo $asmData->skillKnowLearning; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Notes</span>
|
|
<span class="font-small-3"><?php echo $asmData->skillKnowLearningComment; ?></span>
|
|
</div>
|
|
</div>
|
|
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="col-lg-6 col-md-6 col-sm-6">
|
|
<div class="row">
|
|
<div class="col-lg-12 col-md-12">
|
|
<div class="card pull-up">
|
|
<div class="card-content">
|
|
<div class="card-body">
|
|
<div class="edit_btn">
|
|
<h2 class="card-title">RESPONSE TO THERAPY</h2>
|
|
<i class="fa fa-pencil" aria-hidden="true"></i>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-12">
|
|
<span class="patient-info-heading">Adverse Medication Side Effects</span>
|
|
<span class="font-small-3"><?php echo $asmData->phychologicalEmotionalReaction; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-12">
|
|
<span class="patient-info-heading">Patient Complain with Medication Thearpy</span>
|
|
<span class="font-small-3"><?php echo $asmData->CopesEffectivelywithTherapy; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Notes</span>
|
|
<span class="font-small-3"><?php echo $asmData->CopesEffectivelywithDieases; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Caregiver</span>
|
|
<span class="font-small-3"><?php echo $asmData->physicalEmotionalComments; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Copes Effectively, with Therapy or Disease process</span>
|
|
<span class="font-small-3"><?php echo $asmData->physicalEmotionalComments; ?></span>
|
|
</div>
|
|
</div>
|
|
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="col-lg-6 col-md-6 col-sm-6">
|
|
<div class="row">
|
|
<div class="col-lg-12 col-md-12">
|
|
<div class="card pull-up">
|
|
<div class="card-content">
|
|
<div class="card-body">
|
|
<div class="edit_btn">
|
|
<h2 class="card-title">MEDICATION</h2>
|
|
<i class="fa fa-pencil" aria-hidden="true"></i>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Medication Changes</span>
|
|
<span class="font-small-3"><?php echo $asmData->MedicationChanges; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Review Medication Profile Include Otc</span>
|
|
<span class="font-small-3"><?php echo $asmData->ReviewMedicationProfileIncludeOtc; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">New Meds</span>
|
|
<span class="font-small-3"><?php echo $asmData->NewMeds; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Changes & Effects Reviewed with</span>
|
|
<span class="font-small-3"><?php echo $asmData->ChangesEffectsReviewedwith; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Caregiver</span>
|
|
<span class="font-small-3"><?php echo $asmData->medicationCaregiver; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Use Of Pump</span>
|
|
<span class="font-small-3"><?php echo $asmData->useOfpump; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Prepour Medications By</span>
|
|
<span class="font-small-3"><?php echo $asmData->PrepourMedicationsBy; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Job Title</span>
|
|
<span class="font-small-3"><?php echo $asmData->JobTitle; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Patient Independent In Medication Administration</span>
|
|
<span class="font-small-3"><?php echo $asmData->PatientIndependentInMedicationAdministration; ?></span>
|
|
</div>
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">LOT#</span>
|
|
<span class="font-small-3"><?php echo $asmData->lot; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-6 ">
|
|
<span class="patient-info-heading">Expiration Date</span>
|
|
<span class="font-small-3"><?php echo $asmData->expirationDate; ?></span>
|
|
</div>
|
|
</div>
|
|
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="col-lg-6 col-md-6 col-sm-6">
|
|
<div class="row">
|
|
<div class="col-lg-12 col-md-12">
|
|
<div class="card pull-up">
|
|
<div class="card-content">
|
|
<div class="card-body">
|
|
<div class="edit_btn">
|
|
<h2 class="card-title">RESPONSE TO THERAPY</h2>
|
|
<i class="fa fa-pencil" aria-hidden="true"></i>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-12 ">
|
|
<span class="patient-info-heading">Adverse Medication Side Effects</span>
|
|
<span class="font-small-3"><?php echo $asmData->adverseMedicationSideEffects; ?></span>
|
|
</div>
|
|
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-12 ">
|
|
<span class="patient-info-heading">Patient Complain with Medication Thearpy</span>
|
|
<span class="font-small-3"><?php echo $asmData->PatientComplainwithMedicationThearpy; ?></span>
|
|
</div>
|
|
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-12 ">
|
|
<span class="patient-info-heading">Notes</span>
|
|
<span class="font-small-3"><?php echo $asmData->responseTherapyComment; ?></span>
|
|
</div>
|
|
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-12 ">
|
|
<span class="patient-info-heading">Caregiver </span>
|
|
<span class="font-small-3"><?php echo $asmData->responseTherapyCaregiver; ?></span>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-12 ">
|
|
<span class="patient-info-heading">Copes Effectively, with Therapy or Disease process </span>
|
|
<span class="font-small-3"><?php echo $asmData->Copes_Effectively_with_Therapy_or_Disease_process; ?></span>
|
|
</div>
|
|
</div>
|
|
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="col-lg-6 col-md-6 col-sm-6">
|
|
<div class="row">
|
|
<div class="col-lg-12 col-md-12">
|
|
<div class="card pull-up">
|
|
<div class="card-content">
|
|
<div class="card-body">
|
|
<div class="edit_btn">
|
|
<h2 class="card-title">EQUIPMENT</h2>
|
|
<i class="fa fa-pencil" aria-hidden="true"></i>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-12 ">
|
|
<span class="patient-info-heading">EQUIPMENT</span>
|
|
<span class="font-small-3"><?php echo $asmData->equipment; ?></span>
|
|
</div>
|
|
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-12 ">
|
|
<span class="patient-info-heading">Enviornmental Safety</span>
|
|
<span class="font-small-3"><?php echo $asmData->EnviornmentalSafety; ?></span>
|
|
</div>
|
|
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-12 ">
|
|
<span class="patient-info-heading">Safety Concernss</span>
|
|
<span class="font-small-3"><?php echo $asmData->updatePassword; ?></span>
|
|
</div>
|
|
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-12 ">
|
|
<span class="patient-info-heading">WOUND CARE</span>
|
|
<span class="font-small-3"><?php echo $asmData->woundCare; ?></span>
|
|
</div>
|
|
</div>
|
|
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
</section>
|
|
</div>
|
|
</section>
|
|
</div>
|