159 lines
7.5 KiB
PHP
159 lines
7.5 KiB
PHP
<x-app-layout :assets="$assets ?? []">
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<div>
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<div class="row">
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<div class="col-sm-12 col-lg-6">
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<div class="card">
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<div class="table-responsive mt-4">
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<table class="table">
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<tr>
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<td>No MR</td>
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<td>:</td>
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<td>{{ $data['pasien_identitas']->nocm }}</td>
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</tr>
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<tr>
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<td>Nama Pasien</td>
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<td>:</td>
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<td>{{ $data['pasien_identitas']->namapasien }}</td>
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</tr>
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<tr>
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<td>Jenis Kelamin</td>
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<td>:</td>
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<td>{{ $data['pasien_identitas']->jeniskelamin }}</td>
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</tr>
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<tr>
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<td>Tgl Lahir</td>
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<td>:</td>
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<td>{{ date('d-m-Y', strtotime( $data['pasien_identitas']->tgllahir )) }}</td>
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</tr>
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<tr>
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<td>Usia</td>
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<td>:</td>
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<td>
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{{ isset($data['pasien_identitas']->umur_as_year) ? $data['pasien_identitas']->umur_as_year : 0 }} Tahun,
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{{ isset($data['pasien_identitas']->umur_as_month) ? $data['pasien_identitas']->umur_as_month : 0 }} Bulan,
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{{ isset($data['pasien_identitas']->umur_as_day) ? $data['pasien_identitas']->umur_as_day : 0 }} Hari</td>
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</tr>
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</table>
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</div>
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</div>
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</div>
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<div class="col-sm-12 col-lg-6">
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<div class="card">
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<div class="table-responsive mt-4">
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<table class="table">
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<tr>
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<td>No Registrasi</td>
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<td>:</td>
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<td>{{ $data['pasien_identitas']->noregistrasi }}</td>
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</tr>
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<tr>
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<td>Poli Tujuan</td>
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<td>:</td>
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<td>{{ $data['pasien_identitas']->namaruangan }}</td>
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</tr>
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<tr>
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<td>DPJP</td>
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<td>:</td>
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<td>{{ $data['pasien_identitas']->namalengkap }}</td>
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</tr>
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<tr>
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<td>Tgl Layanan</td>
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<td>:</td>
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<td>{{ date('d-m-Y', strtotime( $data['pasien_identitas']->tglregistrasi )) }}</td>
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</tr>
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<tr>
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<td>Jaminan</td>
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<td>:</td>
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<td>{{ $data['pasien_identitas']->kelompokpasien }}</td>
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</tr>
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</table>
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</div>
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</div>
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</div>
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</div>
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<div class="row">
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<div class="col-sm-12 col-lg-6">
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<a href="{{route('dokter.emr.soap.view', ['pdnorec' => $data['pdnorec']])}}">
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<div class="card btn btn-warning col-sm-12 col-lg-12">SOAP</div>
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</a>
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</div>
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<div class="col-sm-12 col-lg-6">
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<a href="{{route('dokter.order.resep.view', ['pdnorec' => $data['pdnorec']])}}">
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<div class="card btn btn-secondary col-sm-12 col-lg-12">PERESEPAN OBAT</div>
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</a>
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</div>
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</div>
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<div class="row">
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<div class="col-sm-12 col-lg-12">
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<div class="card">
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<div class="card card-body">
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<div class="card-header d-flex justify-content-between">
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<div class="col-md-12">
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<div class="d-flex justify-content-between align-items-center flex-wrap">
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<div><h1>FORM INPUT SOAP</h1></div>
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</div>
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</div>
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</div>
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<div class="card-body">
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@if ($errors->any())
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<div class="alert alert-danger">
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<ul>
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@foreach ($errors->all() as $error)
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<li>{{ $error }}</li>
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@endforeach
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</ul>
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</div>
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@endif
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<form method="POST" action="{{ route( (isset($data['cpptnorec']) ? 'dokter.emr.soap.update' : 'dokter.emr.soap.save') , ['pdnorec' => $data['pdnorec']]) }}" data-toggle="validator">
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{{csrf_field()}}
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<input type="text" name="noregistrasifk" id="noregistrasifk" value="{{ $data['pasien_identitas']->apd_norec }}" readonly style="display:none"/>
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<input type="text" name="ruanganfk" id="ruanganfk" value="{{ $data['pasien_identitas']->id_ruangan }}" readonly style="display:none"/>
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<input type="text" name="pasienfk" id="pasienfk" value="{{ $data['pasien_identitas']->nocmfk }}" readonly style="display:none"/>
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<input type="text" name="cpptnorec" id="cpptnorec" value="{{$data['cpptnorec']}}" readonly style="display:none"/>
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<div class="col-md-12">
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<label for="subjectiveElement" class="form-label fw-bold">Subjective (S)</label>
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<textarea class="form-control" id="subjectiveElement" name="s" rows="5" required>{{ (isset($data['his_cppt']->s)) ? $data['his_cppt']->s : '' }}</textarea>
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<div class="invalid-feedback">
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Subjective wajib diisi.
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</div>
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</div>
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<br />
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<div class="col-md-12">
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<label for="objectiveElement" class="form-label fw-bold">Objective (O)</label>
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<textarea class="form-control" id="objectiveElement" name="o" rows="5" required>{{ (isset($data['his_cppt']->s)) ? $data['his_cppt']->o : '' }}</textarea>
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<div class="invalid-feedback">
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Objective wajib diisi.
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</div>
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</div>
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<br />
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<div class="col-md-12">
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<label for="assesmentElement" class="form-label fw-bold">Assesment (A)</label>
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<textarea class="form-control" id="assesmentElement" name="a" rows="5" required>{{ (isset($data['his_cppt']->s)) ? $data['his_cppt']->o : '' }}</textarea>
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<div class="invalid-feedback">
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Assesment wajib diisi.
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</div>
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</div>
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<br />
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<div class="col-md-12">
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<label for="planningElement" class="form-label fw-bold">Planning (P)</label>
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<textarea class="form-control" id="planningElement" name="p" rows="5" required>{{ (isset($data['his_cppt']->s)) ? $data['his_cppt']->o : '' }}</textarea>
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<div class="invalid-feedback">
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Planning wajib diisi.
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</div>
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</div>
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<br />
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<button type="submit" class="btn btn-primary col-12" name="smartBtnSumbmit">Simpan Data</button>
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</form>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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</x-app-layout> |