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modificada la instancia de la clase SessionModel
modificada la instancia de la clase SessionModel
arturo - - Load All Authors

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r0:1
r11:12
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frm_46.php
146 lines | 7.5 KiB | text/x-php | XmlPhpLexer
/ trunk / components / com_data / views / frm_46.php
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arturo
creando directorios base para el desarrollo
 r0 <script>
$(function() {
$( "#date_exam" ).datepicker({
showWeek: true,
dateFormat: 'dd/M/yy',
firstDay: 1
});
});
</script>
<div class="header_frm_page">
<label class="title1">Discharge Vital Signs and Physical Exam</label>
</div>
<table id="" class="" style="" >
<tbody>
<tr>
<td>Date</td>
<td style="text-align:right;">
<input type="text" id="date_exam" name="datos[date_exam]" style="border-top: 0; border-right: 0; border-left: 0; text-align: center" onfocus="if(this.value=='DD/MMM/YYYY') this.value='';" onblur="if(this.value=='') this.value='DD/MMM/YYYY';" value="DD/MMM/YYYY" />
</td>
</tr>
</tbody>
</table>
<br/><br/>
<table width="100%" id="" class="" style="" >
<tbody>
<tr>
<td width="25%">Blood Pressure</td>
<td>Pulse Rate</td>
<td>Respirations</td>
<td>Oral Temperature</td>
</tr>
<tr>
<td>
<div style="width: 45px; float: left; border: 0px solid #f00">
<input type="text" name="txt_blood1" id="txt_blood1" style="width: 90%; border-left:0; border-right: 0; border-top: 0; border-bottom: 1px solid #000"/>
<div style="display: block; font-size: 9px; text-align: center; width: 100%; ">Supine</div>
</div>
<div style="width: 3px; float: left; border: 0px solid #f00; padding-left: 5px; padding-right: 5px;padding-top: 5px"> / </div>
<div style="width: 45px; float: left; border: 0px solid #f00">
<input type="text" name="txt_blood2" id="txt_blood2" style="width: 90%; border-left:0; border-right: 0; border-top: 0; border-bottom: 1px solid #000"/>
<div style="display: block; font-size: 9px; text-align: center; width: 100%; ">Standing</div>
</div>
<div style="font-size: 9px;float: right; border: 0px solid #f00; padding-right: 5px; padding-top: 5px"> <strong>mmhg</strong> </div>
</td>
<td><input type="text" id="date_exam" name="datos[date_exam]" value="" style="width:55px;" />&nbsp;bpm</td>
<td><input type="text" id="date_exam" name="datos[date_exam]" value="" style="width:55px;" />&nbsp;rpm</td>
<td><input type="text" id="date_exam" name="datos[date_exam]" value="" style="width:55px;" />&nbsp;C</td>
</tr>
<tr>
<td>Height</td>
<td>Weight</td>
<td colspan="2"><!-- Frame Size Elbow Breadth (circle)--></td>
</tr>
<tr>
<td><input type="text" id="date_exam" name="datos[date_exam]" value="" style="width:55px;" />&nbsp;cm.</td>
<td><input type="text" id="date_exam" name="datos[date_exam]" value="" style="width:55px;" />&nbsp;Kg.</td>
<td colspan="2">
</td>
</tr>
</tbody>
</table>
<br />
<hr />
<br />
<div>
<table id="" class="" style="" width="100%" >
<thead>
<tr>
<td rowspan="2" > Site or Organ<BR> System</td>
<td colspan="2"> Status </td>
<td rowspan="2"> * If abnormal, Specify Findings </td>
</tr>
<tr>
<td > Normal </td>
<td > Abnormal </td>
</tr>
</thead>
<tbody>
<tr>
<td >General Appearance</td>
<td style="text-align:center; vertical-align:middle;" ><input type="radio" id="ga_state_normal" name="datos[ga_state]" value="normal"></td>
<td style="text-align:center; vertical-align:middle;" ><input type="radio" id="ga_state_abnormal" name="datos[ga_state]" value="abnormal"></td>
<td style="text-align:left; vertical-align:top;" ><textarea name="datos[ga_sf]" id="ga_sf" style="width:280px; height:35px;"></textarea></td>
</tr>
<tr>
<td >Skin</td>
<td style="text-align:center; vertical-align:middle;" ><input type="radio" id="skin_state_normal" name="datos[skin_state]" value="normal"></td>
<td style="text-align:center; vertical-align:middle;" ><input type="radio" id="skin_state_abnormal" name="datos[skin_state]" value="abnormal"></td>
<td style="text-align:left; vertical-align:top;" ><textarea name="datos[skin_sf]" id="skin_sf" style="width:280px; height:35px;"></textarea></td>
</tr>
<tr>
<td >Head, Ears, Eyes, Nose, throat</td>
<td style="text-align:center; vertical-align:middle;" ><input type="radio" id="heent_state_normal" name="datos[heent_state]" value="normal"></td>
<td style="text-align:center; vertical-align:middle;" ><input type="radio" id="heent_state_abnormal" name="datos[heent_state]" value="abnormal"></td>
<td style="text-align:left; vertical-align:top;" ><textarea name="datos[heent_sf]" id="heent_sf" style="width:280px; height:35px;"></textarea></td>
</tr>
<tr>
<td >Chest and Lungs</td>
<td style="text-align:center; vertical-align:middle;" ><input type="radio" id="chestlungs_state_normal" name="datos[chestlungs_state]" value="normal"></td>
<td style="text-align:center; vertical-align:middle;" ><input type="radio" id="chestlungs_state_abnormal" name="datos[chestlungs_state]" value="abnormal"></td>
<td style="text-align:left; vertical-align:top;" ><textarea name="datos[chestlungs_sf]" id="chestlungs_sf" style="width:280px; height:35px;"></textarea></td>
</tr>
<tr>
<td >Heart</td>
<td style="text-align:center; vertical-align:middle;" ><input type="radio" id="heart_state_normal" name="datos[heart_state]" value="normal"></td>
<td style="text-align:center; vertical-align:middle;" ><input type="radio" id="heart_state_abnormal" name="datos[heart_state]" value="abnormal"></td>
<td style="text-align:left; vertical-align:top;" ><textarea name="datos[heart_sf]" id="heart_sf" style="width:280px; height:35px;"></textarea></td>
</tr>
<tr>
<td >Abdomen</td>
<td style="text-align:center; vertical-align:middle;" ><input type="radio" id="abdomen_state_normal" name="datos[abdomen_state]" value="normal"></td>
<td style="text-align:center; vertical-align:middle;" ><input type="radio" id="abdomen_state_abnormal" name="datos[abdomen_state]" value="abnormal"></td>
<td style="text-align:left; vertical-align:top;" ><textarea name="datos[abdomen_sf]" id="abdomen_sf" style="width:280px; height:35px;"></textarea></td>
</tr>
<tr>
<td >Extremities</td>
<td style="text-align:center; vertical-align:middle;" ><input type="radio" id="extremities_state_normal" name="datos[extremities_state]" value="normal"></td>
<td style="text-align:center; vertical-align:middle;" ><input type="radio" id="extremities_state_abnormal" name="datos[extremities_state]" value="abnormal"></td>
<td style="text-align:left; vertical-align:top;" ><textarea name="datos[extremities_sf]" id="extremities_sf" style="width:280px; height:35px;"></textarea></td>
</tr>
<tr>
<td >Neurologic</td>
<td style="text-align:center; vertical-align:middle;" ><input type="radio" id="neurologic_state_normal" name="datos[neurologic_state]" value="normal"></td>
<td style="text-align:center; vertical-align:middle;" ><input type="radio" id="neurologic_state_abnormal" name="datos[neurologic_state]" value="abnormal"></td>
<td style="text-align:left; vertical-align:top;" ><textarea name="datos[neurologic_sf]" id="neurologic_sf" style="width:280px; height:35px;"></textarea></td>
</tr>
<tr>
<td >Other</td>
<td style="text-align:center; vertical-align:middle;" ><input type="radio" id="other_state_normal" name="datos[other_state]" value="normal"></td>
<td style="text-align:center; vertical-align:middle;" ><input type="radio" id="other_state_abnormal" name="datos[other_state]" value="abnormal"></td>
<td style="text-align:left; vertical-align:top;" ><textarea name="datos[other_sf]" id="other_sf" style="width:280px; height:35px;"></textarea></td>
</tr>
</tbody>
</table>
</div>
<div class="tool_buttons">
<input type="submit" value="save" id="btn_save" name="btn_save" />
<input type="reset" value="clear" id="btn_clear" name="btn_clear" />
</div>