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modificaciones del componente areas
modificaciones del componente areas
arturo - - Load All Authors

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frm_61.php
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/ trunk / components / com_data / views / frm_61.php
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arturo
creando directorios base para el desarrollo
 r0 <script>
$(function() {
$( "#txt_date" ).datepicker({
showWeek: true,
dateFormat: 'dd/M/yy',
firstDay: 1
});
});
</script>
<div class="header_frm_page">
<span>
<label class="title4">Study Exit, Study Day </label><input type="text" name="txt_styday" value="" style="width: 15px"/>
</span>
<label class="title1">Chemistry</label>
<label class="title3">(use if labs need to be transcribed)</label>
</div>
<div style="margin-top: 15px; margin-bottom: 15px">
<label>Date:</label>
<input type="text" name="txt_date" id="txt_date" 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" />
</div>
<table border="1" class="tbl_general" width="100%">
<thead>
<tr>
<th>Test</th>
<th>Result</th>
<th>Clinically<br/>Significant<br/>(Y/N)?</th>
<th>Repeated?<br/>(Y/N)</th>
<th>If No, Comment</th>
</tr>
</thead>
<tbody>
<tr><td>Glucose</td>
<td><input type="text" name="txt_result" /></td>
<td>
<select name="datos[value_sig]" class="form_select">
<option value="Y">Yes</option>
<option value="N">No</option>
</select>
</td>
<td><select name="datos[value_sig]" class="form_select">
<option value="Y">Yes</option>
<option value="N">No</option>
</select>
</td>
<td><input type="text" name="txt_comment" /></td>
</tr>
<tr><td>BUN</td>
<td><input type="text" name="txt_result" /></td>
<td><select name="datos[value_sig]" class="form_select">
<option value="Y">Yes</option>
<option value="N">No</option>
</select>
</td>
<td><select name="datos[value_sig]" class="form_select">
<option value="Y">Yes</option>
<option value="N">No</option>
</select>
</td>
<td><input type="text" name="txt_comment" /></td>
</tr>
<tr><td>Calcium</td>
<td><input type="text" name="txt_result" /></td>
<td><select name="datos[value_sig]" class="form_select">
<option value="Y">Yes</option>
<option value="N">No</option>
</select>
</td>
<td><select name="datos[value_sig]" class="form_select">
<option value="Y">Yes</option>
<option value="N">No</option>
</select>
</td>
<td><input type="text" name="txt_comment" /></td>
</tr>
<tr><td>Phosphorus<br/>(PO)</td>
<td><input type="text" name="txt_result" /></td>
<td>
<select name="datos[value_sig]" class="form_select">
<option value="Y">Yes</option>
<option value="N">No</option>
</select>
</td>
<td>
<select name="datos[value_sig]" class="form_select">
<option value="Y">Yes</option>
<option value="N">No</option>
</select>
</td>
<td><input type="text" name="txt_comment" /></td>
</tr>
<tr><td>Bilirubin(total)</td>
<td><input type="text" name="txt_result" /></td>
<td>
<select name="datos[value_sig]" class="form_select">
<option value="Y">Yes</option>
<option value="N">No</option>
</select>
</td>
<td>
<select name="datos[value_sig]" class="form_select">
<option value="Y">Yes</option>
<option value="N">No</option>
</select>
</td>
<td><input type="text" name="txt_comment" /></td>
</tr>
<tr><td>Bilirubin(direct)</td>
<td><input type="text" name="txt_result" /></td>
<td><select name="datos[value_sig]" class="form_select">
<option value="Y">Yes</option>
<option value="N">No</option>
</select>
</td>
<td>
<select name="datos[value_sig]" class="form_select">
<option value="Y">Yes</option>
<option value="N">No</option>
</select>
</td>
<td><input type="text" name="txt_comment" /></td>
</tr>
<tr><td>Albumin</td>
<td><input type="text" name="txt_result" /></td>
<td>
<select name="datos[value_sig]" class="form_select">
<option value="Y">Yes</option>
<option value="N">No</option>
</select>
</td>
<td>
<select name="datos[value_sig]" class="form_select">
<option value="Y">Yes</option>
<option value="N">No</option>
</select>
</td>
<td><input type="text" name="txt_comment" /></td>
</tr>
<tr><td>Alkaline<br/>phosphatase</td>
<td><input type="text" name="txt_result" /></td>
<td>
<select name="datos[value_sig]" class="form_select">
<option value="Y">Yes</option>
<option value="N">No</option>
</select>
</td>
<td>
<select name="datos[value_sig]" class="form_select">
<option value="Y">Yes</option>
<option value="N">No</option>
</select>
</td>
<td><input type="text" name="txt_comment" /></td>
</tr>
<tr>
<td>LDH</td>
<td><input type="text" name="txt_result" /></td>
<td>
<select name="datos[value_sig]" class="form_select">
<option value="Y">Yes</option>
<option value="N">No</option>
</select>
</td>
<td>
<select name="datos[value_sig]" class="form_select">
<option value="Y">Yes</option>
<option value="N">No</option>
</select>
</td>
<td><input type="text" name="txt_comment" /></td>
</tr>
<tr>
<td>ALT</td>
<td><input type="text" name="txt_result" /></td>
<td>
<select name="datos[value_sig]" class="form_select">
<option value="Y">Yes</option>
<option value="N">No</option>
</select>
</td>
<td>
<select name="datos[value_sig]" class="form_select">
<option value="Y">Yes</option>
<option value="N">No</option>
</select>
</td>
<td><input type="text" name="txt_comment" /></td>
</tr>
<tr>
<td>AST</td>
<td><input type="text" name="txt_result" /></td>
<td>
<select name="datos[value_sig]" class="form_select">
<option value="Y">Yes</option>
<option value="N">No</option>
</select>
</td>
<td>
<select name="datos[value_sig]" class="form_select">
<option value="Y">Yes</option>
<option value="N">No</option>
</select>
</td>
<td><input type="text" name="txt_comment" /></td>
</tr>
<tr><td>Cholesterol<br/>(total)</td>
<td><input type="text" name="txt_result" /></td>
<td>
<select name="datos[value_sig]" class="form_select">
<option value="Y">Yes</option>
<option value="N">No</option>
</select>
</td>
<td>
<select name="datos[value_sig]" class="form_select">
<option value="Y">Yes</option>
<option value="N">No</option>
</select>
</td>
<td><input type="text" name="txt_comment" /></td>
</tr>
<tr><td>Creatinine</td>
<td><input type="text" name="txt_result" /></td>
<td><input type="text" name="txt_cnsig" /></td>
<td><input type="text" name="txt_repeated" /></td>
<td><input type="text" name="txt_comment" /></td>
</tr>
<tr><td>Sodium</td>
<td><input type="text" name="txt_result" /></td>
<td><input type="text" name="txt_cnsig" /></td>
<td><input type="text" name="txt_repeated" /></td>
<td><input type="text" name="txt_comment" /></td>
</tr>
<tr><td>Potassium</td>
<td><input type="text" name="txt_result" /></td>
<td><input type="text" name="txt_cnsig" /></td>
<td><input type="text" name="txt_repeated" /></td>
<td><input type="text" name="txt_comment" /></td>
</tr>
<tr><td>Chloride</td>
<td><input type="text" name="txt_result" /></td>
<td><input type="text" name="txt_cnsig" /></td>
<td><input type="text" name="txt_repeated" /></td>
<td><input type="text" name="txt_comment" /></td>
</tr>
<tr><td>CO2</td>
<td><input type="text" name="txt_result" /></td>
<td><input type="text" name="txt_cnsig" /></td>
<td><input type="text" name="txt_repeated" /></td>
<td><input type="text" name="txt_comment" /></td>
</tr>
<tr><td>GGT</td>
<td><input type="text" name="txt_result" /></td>
<td><input type="text" name="txt_cnsig" /></td>
<td><input type="text" name="txt_repeated" /></td>
<td><input type="text" name="txt_comment" /></td>
</tr>
<tr><td>Serum Mg</td>
<td><input type="text" name="txt_result" /></td>
<td><input type="text" name="txt_cnsig" /></td>
<td><input type="text" name="txt_repeated" /></td>
<td><input type="text" name="txt_comment" /></td>
</tr>
<tr><td>Total Cholesterol</td>
<td><input type="text" name="txt_result" /></td>
<td><input type="text" name="txt_cnsig" /></td>
<td><input type="text" name="txt_repeated" /></td>
<td><input type="text" name="txt_comment" /></td>
</tr>
<tr><td>Triglycerides</td>
<td><input type="text" name="txt_result" /></td>
<td><input type="text" name="txt_cnsig" /></td>
<td><input type="text" name="txt_repeated" /></td>
<td><input type="text" name="txt_comment" /></td>
</tr>
<tr><td>PT/PTT</td>
<td><input type="text" name="txt_result" /></td>
<td><input type="text" name="txt_cnsig" /></td>
<td><input type="text" name="txt_repeated" /></td>
<td><input type="text" name="txt_comment" /></td>
</tr>
<tr><td>INR</td>
<td><input type="text" name="txt_result" /></td>
<td><input type="text" name="txt_cnsig" /></td>
<td><input type="text" name="txt_repeated" /></td>
<td><input type="text" name="txt_comment" /></td>
</tr>
<tr><td>Others</td>
<td><input type="text" name="txt_result" /></td>
<td><input type="text" name="txt_cnsig" /></td>
<td><input type="text" name="txt_repeated" /></td>
<td><input type="text" name="txt_comment" /></td>
</tr>
</tbody>
</table>