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<?php
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if (!isset($date_test))
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$date_test = "";
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?>
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<script>
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$(function() {
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$( "#date_exam" ).datepicker({
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showWeek: true,
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dateFormat: 'dd/M/yy',
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firstDay: 1
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});
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});
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</script>
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<?php if(isset($flag_edit) and ($flag_edit)){ ?>
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<form name="frm_08" method="post" action="index.php">
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<?php } ?>
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<div class="header_frm_page">
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<label class="title1">Screening Chemistry</label>
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<label class="title2">(Within 21 Days prior to dose 1 )</label>
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<label class="title3">(use if labs need to be transcribed)</label>
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</div>
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<span>
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<label>Date:</label>
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<?php if(isset($flag_edit) and ($flag_edit)){ ?><input type="text" id="date_exam" name="datos[txt_date]" />
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<?php }else{ ?>
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<label><?php echo $date_test; ?></label>
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<?php } ?>
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</span>
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<table width="100%" id="" class="" style="">
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<thead>
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<tr>
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<th style="text-align:center;">Test</th>
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<th style="text-align:center;">Result<br>(include units)</th>
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<th style="text-align:center;">Clinically<br> Significant?<br/>(Y/N)</th>
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<th style="text-align:center;">Repeated<br/>(Y/N)</th>
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<th style="text-align:center;">If no, comment</th>
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</tr>
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</thead>
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<tbody>
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<?php
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if($method == "add"){
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foreach($data_fields as $data_field){
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foreach ($data_field as $value_data){
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?>
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<tr>
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<td><?php echo $value_data['name_field']; ?><input type="hidden" name="var_ids[]" value="<?php echo $value_data['iddm']; ?>" /></td>
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<td><?php //if($flag_edit){ ?>
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<input type="text" class="txt_result" name="datos[txt_value_<?php echo $value_data['iddm']; ?>]" value="" />
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<?php //}else{ ?>
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<?php //} ?>
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</td>
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<td>
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<select id="lst_clinically_sig" name="datos[sign_<?php echo $value_data['iddm']; ?>]" class="form_select">
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<option value="1">Yes</option>
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<option value="0">No</option>
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</select>
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</td>
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<td>
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<select id="lst_repeat" name="datos[repeat_<?php echo $value_data['iddm']; ?>]" class="form_select">
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<option value="1">Yes</option>
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|
<option value="0">No</option>
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</select>
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</td>
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|
<td>
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|
<textarea name="datos[comment_<?php echo $value_data['iddm']; ?>]" id="glucose_comment" style="width:210px; height:35px;"></textarea>
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|
</td>
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|
</tr>
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|
<?php
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}
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}
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}else{
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if(isset($lst_chemistry)){
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foreach($lst_chemistry as $data_chemistry){
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?>
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<tr>
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<td><?php echo $data_chemistry['name_field']; ?></td>
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<td><?php echo $data_chemistry['results']; ?></td>
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<td style="text-align:center;">
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<?php if($data_chemistry['clinically_significant'] == 1) echo "YES"; else echo "NO"; ; ?>
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</td>
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<td style="text-align:center;"><?php if($data_chemistry['repeated'] == 1) echo "YES"; else echo "NO"; ?></td>
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|
<td><?php echo $data_chemistry['description']; ?></td>
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|
</tr>
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|
<?php
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}// fin del foreach
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|
} // fin del condicional if
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|
}
|
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|
?>
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|
</tbody>
|
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|
</table>
|
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|
<?php if((isset($flag_edit)) and ($flag_edit)){ ?>
|
|
|
<div class="tool_buttons">
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|
<input type="submit" value="save" id="btn_save" name="btn_save" />
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|
</div>
|
|
|
<input type="hidden" name="option" value="com_data" />
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|
<input type="hidden" name="controller" value="chemistry" />
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|
<input type="hidden" name="action" value="save" />
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|
<input type="hidden" name="name_form" value="frm_08" />
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|
<input type="hidden" name="num_form" value="8" />
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|
<input type="hidden" name="datos[idtest]" value="<?php echo $idtest; ?>" />
|
|
|
<input type="hidden" name="title_form" value="8" />
|
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|
</form>
|
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|
<?php } ?>
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