function Forms2_Cardiology_report($pid, $encounter, $cols, $id)
{
$count = 0;
$data = formFetch("form_Forms2_Cardiology", $id);
if ($data) {
print "<hr><table><tr>";
foreach ($data as $key => $value) {
if ($key == "id" || $key == "pid" || $key == "user" || $key == "groupname" || $key == "authorized" || $key == "activity" || $key == "date" || $value == "" || $value == "0000-00-00 00:00:00") {
continue;
}
if ($value == "on") {
$value = "yes";
}
$key = ucwords(str_replace("_", " ", $key));
$mykey = $key . ": ";
$myval = stripslashes($value);
print "<td><span class=bold>" . xl("{$mykey}") . "</span><span class=text>" . xl("{$myval}") . "</span></td>";
$count++;
if ($count == $cols) {
$count = 0;
print "</tr><tr>\n";
}
}
}
print "</tr></table><hr>";
}
function reviewofs_report($pid, $encounter, $cols, $id)
{
$count = 0;
$data = formFetch("form_reviewofs", $id);
if ($data) {
print "<table><tr>";
foreach ($data as $key => $value) {
if ($key == "id" || $key == "pid" || $key == "user" || $key == "groupname" || $key == "authorized" || $key == "activity" || $key == "date" || $value == "" || $value == "0000-00-00 00:00:00") {
continue;
}
if ($value == "on") {
$value = "yes";
}
$key = ucwords(str_replace("_", " ", $key));
//modified by BM 07-2009 for internationalization
if ($key == "Additional Notes") {
print "<td><span class=bold>" . xl($key) . ": </span><span class=text>" . text($value) . "</span></td>";
} else {
print "<td><span class=bold>" . xl($key) . ": </span><span class=text>" . xl($value) . "</span></td>";
}
$count++;
if ($count == $cols) {
$count = 0;
print "</tr><tr>\n";
}
}
}
print "</tr></table>";
}
function psychiatrisch_onderzoek_report($pid, $encounter, $cols, $id)
{
$count = 0;
$data = formFetch("form_psychiatrisch_onderzoek", $id);
if ($data) {
print "<table>";
foreach ($data as $key => $value) {
// here we check for current ???? what ? session ?
if ($key == "id" || $key == "pid" || $key == "user" || $key == "groupname" || $key == "authorized" || $key == "activity" || $key == "date" || $value == "" || $value == "0000-00-00 00:00:00") {
continue;
}
// larry :: ??? - is this for check box or select or what ?
if ($value == "on") {
$value = "yes";
}
// Datum onderzoek
if ($key == "datum_onderzoek") {
print "<tr><td><span class=bold>" . xl('Examination Date') . ": </span><span class=text>" . nl2br(stripslashes($value)) . "</span></td></tr>";
}
// Reden van aanmelding
if ($key == "reden_van_aanmelding") {
print "<tr><td><span class=bold>" . xl('Reason for Visit') . ": </span><span class=text>" . nl2br(stripslashes($value)) . "</span></td></tr>";
}
// Conclusie van intake
if ($key == "conclusie_van_intake") {
print "<tr><td><span class=bold>" . xl('Intake Conclusion') . ": </span><span class=text>" . nl2br(stripslashes($value)) . "</span></td></tr>";
}
// Medicatie
if ($key == "medicatie") {
print "<tr><td><span class=bold>" . xl('Medications') . ": </span><span class=text>" . nl2br(stripslashes($value)) . "</span></td></tr>";
}
// Anamnese
if ($key == "anamnese") {
print "<tr><td><span class=bold>" . xl('History') . ": </span><span class=text>" . nl2br(stripslashes($value)) . "</span></td></tr>";
}
// Psychiatrisch onderzoek i.e.z.
if ($key == "psychiatrisch_onderzoek") {
print "<tr><td><span class=bold>" . xl('Psychiatric Examination') . ": </span><span class=text>" . nl2br(stripslashes($value)) . "</span></td></tr>";
}
// Beschrijvende conclusie
if ($key == "beschrijvende_conclusie") {
print "<tr><td><span class=bold>" . xl('Conclusions') . ": </span><span class=text>" . nl2br(stripslashes($value)) . "</span></td></tr>";
}
// Behandelvoorstel
if ($key == "behandelvoorstel") {
print "<tr><td><span class=bold>" . xl('Treatment Plan') . ": </span><span class=text>" . nl2br(stripslashes($value)) . "</span></td></tr>";
}
// increment records counter
$count++;
// check if not at the end close/open new row
if ($count == $cols) {
$count = 0;
print "</tr><tr>\n";
}
}
}
print "</tr></table>";
}
function CAMOS_report($pid, $encounter, $cols, $id)
{
$data = formFetch("form_CAMOS", $id);
if ($data) {
//echo "(category) ".stripslashes($data['category'])." | ";
//echo "(subcategory) ".stripslashes($data['subcategory'])." | ";
//echo "(item) ".stripslashes($data['item']);
echo "<div class='navigateLink'><a href='" . $GLOBALS['webroot'] . "/interface/forms/CAMOS/rx_print.php?sigline=embossed' target=_new>" . xl('Rx') . "</a>\n";
echo " | ";
echo "<a href='" . $GLOBALS['webroot'] . "/interface/forms/CAMOS/rx_print.php?sigline=signed' target=_new>" . xl('Signed Rx') . "</a>\n";
echo "<br>";
echo "<a href='" . $GLOBALS['webroot'] . "/interface/forms/CAMOS/rx_print.php?letterhead=true&signer=patient' target=_new>" . xl('Letterhead that patient signs') . "</a>\n";
echo " | ";
echo "<a href='" . $GLOBALS['webroot'] . "/interface/forms/CAMOS/rx_print.php?letterhead=true&signer=doctor' target=_new>" . xl('Letterhead that doctor signs') . "</a>\n";
echo "<br>";
echo "<a href='" . $GLOBALS['webroot'] . "/interface/forms/CAMOS/notegen.php?pid=" . $pid . "&encounter=" . $encounter . "' target=_new>" . xl('Print This Encounter') . "</a>\n";
echo " | ";
echo "<a href='" . $GLOBALS['webroot'] . "/interface/forms/CAMOS/notegen.php' target=_new>" . xl('Print Any Encounter') . "</a></div>\n";
// echo "<pre>".wordwrap(stripslashes(content_parser($data['content'])))."</pre><hr>\n";
echo "<pre>" . wordwrap(stripslashes(replace($pid, $encounter, $data['content']))) . "</pre><hr>\n";
}
}
function note_report($pid, $encounter, $cols, $id)
{
$count = 0;
$data = formFetch("form_note", $id);
if ($data) {
print "<table><tr>";
foreach ($data as $key => $value) {
if ($key == "id" || $key == "pid" || $key == "user" || $key == "groupname" || $key == "authorized" || $key == "activity" || $key == "date" || $value == "" || $value == "0000-00-00 00:00:00") {
continue;
}
if ($value == "on") {
$value = "yes";
}
$key = ucwords(str_replace("_", " ", $key));
print "<tr>\n";
print "<tr>\n";
if ($key == "Note Type") {
print "<td><span class=bold>" . xlt($key) . ": </span><span class=text>" . xlt($value) . "</span></td>";
} else {
print "<td><span class=bold>" . xlt($key) . ": </span><span class=text>" . text($value) . "</span></td>";
}
$count++;
if ($count == $cols) {
$count = 0;
print "</tr><tr>\n";
}
}
}
print "</tr></table>";
}
function misc_billing_options_report($pid, $encounter, $cols, $id)
{
$count = 0;
$data = formFetch("form_misc_billing_options", $id);
if ($data) {
print "<table><tr>";
foreach ($data as $key => $value) {
if ($key == "id" || $key == "pid" || $key == "user" || $key == "groupname" || $key == "authorized" || $key == "activity" || $key == "date" || $value == "" || $value == "0" || $value == "0000-00-00 00:00:00" || $value == "0000-00-00") {
continue;
}
if ($value == "1") {
$value = "yes";
}
if ($key === 'box_14_date_qual' || $key === 'box_15_date_qual') {
$value = text(qual_id_to_description($key, $value));
}
if ($key === 'provider_id') {
$trow = sqlQuery("SELECT id, lname, fname FROM users WHERE " . "id = ? ", array($value));
$value = $trow['fname'] . ' ' . $trow['lname'];
}
$key = ucwords(str_replace("_", " ", $key));
print "<td><span class=bold>{$key}: </span><span class=text>" . text($value) . "</span></td>";
$count++;
if ($count == $cols) {
$count = 0;
print "</tr><tr>\n";
}
}
}
print "</tr></table>";
}
function misc_billing_options_report($pid, $encounter, $cols, $id)
{
$count = 0;
$data = formFetch("form_misc_billing_options", $id);
if ($data) {
print "<table><tr>";
foreach ($data as $key => $value) {
if ($key == "id" || $key == "pid" || $key == "user" || $key == "groupname" || $key == "authorized" || $key == "activity" || $key == "date" || $value == "" || $value == "0" || $value == "0000-00-00 00:00:00" || $value == "0000-00-00") {
continue;
}
if ($value == "1") {
$value = "yes";
}
if ($key === 'box_14_date_qual' || $key === 'box_15_date_qual') {
$value = text(qual_id_to_description($key, $value));
}
$key = ucwords(str_replace("_", " ", $key));
print "<td><span class=bold>{$key}: </span><span class=text>{$value}</span></td>";
$count++;
if ($count == $cols) {
$count = 0;
print "</tr><tr>\n";
}
}
}
print "</tr></table>";
}
function ankleinjury_report($pid, $encounter, $cols, $id)
{
$count = 0;
$data = formFetch("form_ankleinjury", $id);
if ($data) {
print "<table>\n<tr>\n";
foreach ($data as $key => $value) {
if ($key == "id" || $key == "pid" || $key == "user" || $key == "groupname" || $key == "authorized" || $key == "activity" || $key == "date" || $value == "" || $value == "0000-00-00 00:00:00") {
continue;
}
if ($value == "on") {
$value = "yes";
}
$key = ucwords(str_replace("_", " ", $key));
$key = str_replace("Ankle ", "", $key);
$key = str_replace("Injuary", "Injury", $key);
print "<td valign='top'><span class='bold'>{$key}: </span><span class='text'>{$value}</span></td>\n";
$count++;
if ($count == $cols) {
$count = 0;
print "</tr>\n<tr>\n";
}
}
print "</tr>\n</table>\n";
}
}
function soap_report($pid, $encounter, $cols, $id)
{
$cols = 1;
// force always 1 column
$count = 0;
$data = formFetch("form_soap", $id);
if ($data) {
print "<table><tr>";
foreach ($data as $key => $value) {
if ($key == "id" || $key == "pid" || $key == "user" || $key == "groupname" || $key == "authorized" || $key == "activity" || $key == "date" || $value == "" || $value == "0000-00-00 00:00:00") {
continue;
}
if ($value == "on") {
$value = "yes";
}
$key = ucwords(str_replace("_", " ", $key));
//Updated by Sherwin 10/24/2016
print "<td><span class=bold>" . xlt($key) . ": </span><span class=text>" . nl2br(text($value)) . "</span></td>";
$count++;
if ($count == $cols) {
$count = 0;
print "</tr><tr>\n";
}
}
}
print "</tr></table>";
}
/** CHANGE THIS, the name of the function is significant and **
** must be changed to match the folder name **/
function example_report($pid, $encounter, $cols, $id)
{
/** CHANGE THIS - name of the database table associated with this form **/
$table_name = "form_example";
$count = 0;
$data = formFetch($table_name, $id);
if ($data) {
print "<table><tr>";
foreach ($data as $key => $value) {
if ($key == "id" || $key == "pid" || $key == "user" || $key == "groupname" || $key == "authorized" || $key == "activity" || $key == "date" || $value == "" || $value == "0000-00-00 00:00:00" || $value == "n") {
// skip certain fields and blank data
continue;
}
$key = ucwords(str_replace("_", " ", $key));
print "<tr>\n";
print "<tr>\n";
print "<td><span class=bold>{$key}: </span><span class=text>{$value}</span></td>";
$count++;
if ($count == $cols) {
$count = 0;
print "</tr><tr>\n";
}
}
}
print "</tr></table>";
}
function md_assessment_report($pid, $encounter, $cols, $id)
{
$count = 0;
$data = formFetch("form_md_assessment", $id);
$width = 100 / $cols;
if ($data) {
print "<table><tr>";
foreach ($data as $key => $value) {
if ($key == "id" || $key == "pid" || $key == "user" || $key == "groupname" || $key == "authorized" || $key == "activity" || $key == "date" || $value == "" || $value == "0000-00-00 00:00:00") {
continue;
}
if ($value == "on") {
$value = "yes";
}
$key = ucwords(str_replace("_", " ", $key));
print "<td width='{$width}%' valign='top'><span class=bold>{$key}: </span><span class=text>{$value}</span></td>";
$count++;
if ($count == $cols) {
$count = 0;
print "</tr><tr>\n";
}
}
}
print "</tr></table>";
}
function individual_treatment_plan_report($pid, $encounter, $cols, $id)
{
$count = 0;
print "Individual Treatment Plan";
$data = formFetch("form_individual_treatment_plan", $id);
if ($data) {
print "<table><tr>";
foreach ($data as $key => $value) {
if ($key == "id" || $key == "pid" || $key == "user" || $key == "groupname" || $key == "authorized" || $key == "activity" || $key == "date" || $value == "" || $value == "0000-00-00 00:00:00") {
continue;
}
if ($value == "on") {
$value = "yes";
}
$key = ucwords(str_replace("_", " ", $key));
print "<td><span class=bold>{$key}: </span><span class=text>{$value}</span></td>";
$count++;
if ($count == $cols) {
$count = 0;
print "</tr><tr>\n";
}
}
}
print "</tr></table>";
}
function review_of_systems_report($pid, $encounter, $cols, $id)
{
$count = 0;
$data = formFetch("form_review_of_systems", $id);
$sql = "SELECT name from form_review_of_systems_checks where foreign_id = '" . add_escape_custom($id) . "'";
$results = sqlQ($sql);
$data2 = array();
while ($row = sqlFetchArray($results)) {
$data2[] = $row['name'];
}
$data = array_merge($data, $data2);
if ($data) {
print "<table><tr>";
foreach ($data as $key => $value) {
if ($key == "id" || $key == "pid" || $key == "user" || $key == "groupname" || $key == "authorized" || $key == "activity" || $key == "date" || $value == "" || $value == "0000-00-00 00:00:00") {
continue;
}
if ($value == "on") {
$value = "yes";
}
$key = ucwords(str_replace("_", " ", $key));
if (is_numeric($key)) {
$key = "check";
}
print "<td><span class=bold>{$key}: </span><span class=text>{$value}</span></td>";
$count++;
if ($count == $cols) {
$count = 0;
print "</tr><tr>\n";
}
}
}
}
function additional_studies_report($pid, $encounter, $cols, $id)
{
$count = 0;
$cols = 2;
$data = formFetch("form_additional_studies", $id);
$width = 100 / $cols;
if ($data) {
$value = $data['additional_studies'];
$value = str_replace("\n", "<br/>", $value);
print "{$value}";
}
}
function activity_impact_report($pid, $encounter, $cols, $id)
{
$count = 0;
$cols = 2;
$data = formFetch("form_activity_impact", $id);
$width = 100 / $cols;
if ($data) {
$value = $data['activity_impact'];
$value = str_replace("\n", "<br/>", $value);
print "{$value}";
}
}
function complaint_history_report($pid, $encounter, $cols, $id)
{
$count = 0;
$cols = 2;
$data = formFetch("form_complaint_history", $id);
if ($data) {
?>
<table class='text' border='0px' cellpadding='2px' cellspacing='0px'>
<tr>
<td><?php
echo $data['complaint_history'] ? $data['complaint_history'] : " ";
?>
</td>
</tr>
</table>
<?php
}
}
function Initial_New_Patient_Physical_Exam_report($pid, $encounter, $cols, $id)
{
$count = 0;
$data = formFetch("form_Initial_New_Patient_Physical_Exam", $id);
if ($data) {
print "<hr><table><tr>";
foreach ($data as $key => $value) {
if ($key == "id" || $key == "pid" || $key == "user" || $key == "groupname" || $key == "authorized" || $key == "activity" || $key == "date" || $value == "" || $value == "0000-00-00 00:00:00") {
continue;
}
if ($value == "on") {
$value = "yes";
}
$key = ucwords(str_replace("_", " ", $key));
$mykey = $key;
$myval = $value;
//Z&H Healthcare Solutions, LLC.
//www.zhservices.com
//Adding Starts
$pos = strpos($myval, 'Negative for ');
if ($pos === false) {
} elseif (!($mykey == 'Note' || $mykey == 'Note2' || $mykey == 'Note3')) {
$myval = substr($myval, 0, $pos);
}
if (!($mykey == 'Note' || $mykey == 'Note2' || $mykey == 'Note3')) {
$myval = str_replace("Positive for ", "", $myval);
}
//Adding Ends
print "<td><span class=bold>" . xl("{$mykey}") . ": </span><span class=text>" . xl("{$myval}") . "</span></td>";
$count++;
if ($count == $cols) {
$count = 0;
print "</tr><tr>\n";
}
}
}
print "</tr></table><hr>";
}
function clinical_instructions_report($pid, $encounter, $cols, $id)
{
$count = 0;
$data = formFetch("form_clinical_instructions", $id);
if ($data) {
?>
<table style='border-collapse:collapse;border-spacing:0;width: 100%;'>
<tr>
<td align='center' style='border:1px solid #ccc;padding:4px;'><span class=bold><?php
echo xlt('Instructions');
?>
</span></td>
</tr>
<tr>
<td style='border:1px solid #ccc;padding:4px;'><span class=text><?php
echo nl2br(text($data['instruction']));
?>
</span></td>
</tr>
</table>
<?php
}
}
include_once "../../globals.php";
include_once "{$srcdir}/api.inc";
include_once "{$srcdir}/forms.inc";
include_once "{$srcdir}/calendar.inc";
include_once "{$srcdir}/lists.inc";
$frmn = 'form_plist';
$ftitle = 'Problem list';
$old = sqlStatement("select form_id, formdir from forms where (form_name='{$ftitle}') and (pid={$pid}) order by date desc limit 1");
if ($old) {
$dt = sqlFetchArray($old);
$fid = $dt['form_id'];
if ($fid && $fid != 0 && $fid != '') {
$fdir = $dt['formdir'];
unset($dt);
$dt = formFetch($frmn, $fid);
$newid = formSubmit($frmn, array_slice($dt, 7), $id, $userauthorized);
addForm($encounter, $ftitle, $newid, $fdir, $pid, $userauthorized);
$id = $newid;
formJump("{$rootdir}/patient_file/encounter/view_form.php?formname={$fdir}&id={$newid}");
exit;
}
}
?>
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"
"http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
<?php
html_header_show();
/*
* Sports Physical Form created by Jason Morrill: January 2009
*/
include_once "../../globals.php";
include_once "{$srcdir}/api.inc";
/** CHANGE THIS - name of the database table associated with this form **/
$table_name = "form_example";
/** CHANGE THIS name to the name of your form **/
$form_name = "My Example Form";
/** CHANGE THIS to match the folder you created for this form **/
$form_folder = "example";
formHeader("Form: " . $form_name);
$returnurl = $GLOBALS['concurrent_layout'] ? 'encounter_top.php' : 'patient_encounter.php';
/* load the saved record */
$record = formFetch($table_name, $_GET["id"]);
/* remove the time-of-day from the date fields */
if ($record['form_date'] != "") {
$dateparts = split(" ", $record['form_date']);
$record['form_date'] = $dateparts[0];
}
if ($record['dob'] != "") {
$dateparts = split(" ", $record['dob']);
$record['dob'] = $dateparts[0];
}
if ($record['sig_date'] != "") {
$dateparts = split(" ", $record['sig_date']);
$record['sig_date'] = $dateparts[0];
}
?>
function ros_report($pid, $encounter, $cols, $id)
{
$count = 0;
$data = formFetch("form_ros", $id);
if ($data) {
print "<div id='form_ros_values'><table class='report_results'><tr>";
foreach ($data as $key => $value) {
if ($key == "id" || $key == "pid" || $key == "user" || $key == "groupname" || $key == "activity" || $key == "authorized" || $key == "date" || $value == "" || $value == "0000-00-00 00:00:00") {
continue;
}
// skip the N/A values -- cfapress, Jan 2009
if ($value == "N/A") {
continue;
}
if ($value == "on") {
$value = "yes";
}
$key = ucwords(str_replace("_", " ", $key));
//added by BM 07-2009 to clarify labels
if ($key == "Glaucoma History") {
$key = "Glaucoma Family History";
}
if ($key == "Irritation") {
$key = "Eye Irritation";
}
if ($key == "Redness") {
$key = "Eye Redness";
}
if ($key == "Discharge") {
$key = "ENT Discharge";
}
if ($key == "Pain") {
$key = "ENT Pain";
}
if ($key == "Biopsy") {
$key = "Breast Biopsy";
}
if ($key == "Hemoptsyis") {
$key = "Hemoptysis";
}
if ($key == "Copd") {
$key = "COPD";
}
if ($key == "Pnd") {
$key = "PND";
}
if ($key == "Doe") {
$key = "DOE";
}
if ($key == "Peripheal") {
$key = "Peripheral";
}
if ($key == "Legpain Cramping") {
$key = "Leg Pain/Cramping";
}
if ($key == "Frequency") {
$key = "Urine Frequency";
}
if ($key == "Urgency") {
$key = "Urine Urgency";
}
if ($key == "Utis") {
$key = "UTIs";
}
if ($key == "Hesitancy") {
$key = "Urine Hesitancy";
}
if ($key == "Dribbling") {
$key = "Urine Dribbling";
}
if ($key == "Stream") {
$key = "Urine Stream";
}
if ($key == "G") {
$key = "Female G";
}
if ($key == "P") {
$key = "Female P";
}
if ($key == "Lc") {
$key = "Female LC";
}
if ($key == "Ap") {
$key = "Female AP";
}
if ($key == "Mearche") {
$key = "Menarche";
}
if ($key == "Lmp") {
$key = "LMP";
}
if ($key == "F Frequency") {
$key = "Menstrual Frequency";
}
if ($key == "F Flow") {
$key = "Menstrual Flow";
}
if ($key == "F Symptoms") {
$key = "Female Symptoms";
}
if ($key == "F Hirsutism") {
$key = "Hirsutism/Striae";
}
if ($key == "Swelling") {
$key = "Musc Swelling";
}
if ($key == "M Redness") {
$key = "Musc Redness";
}
if ($key == "M Warm") {
$key = "Musc Warm";
}
if ($key == "M Stiffness") {
$key = "Musc Stiffness";
}
if ($key == "M Aches") {
$key = "Musc Aches";
}
if ($key == "Fms") {
$key = "FMS";
}
if ($key == "Loc") {
$key = "LOC";
}
if ($key == "Tia") {
$key = "TIA";
}
if ($key == "N Numbness") {
$key = "Neuro Numbness";
}
if ($key == "N Weakness") {
$key = "Neuro Weakness";
}
if ($key == "N Headache") {
$key = "Headache";
}
if ($key == "S Cancer") {
$key = "Skin Cancer";
}
if ($key == "S Acne") {
$key = "Acne";
}
if ($key == "S Other") {
$key = "Skin Other";
}
if ($key == "S Disease") {
$key = "Skin Disease";
}
if ($key == "P Diagnosis") {
$key = "Psych Diagnosis";
}
if ($key == "P Medication") {
$key = "Psych Medication";
}
if ($key == "Abnormal Blood") {
$key = "Endo Abnormal Blood";
}
if ($key == "Fh Blood Problems") {
$key = "FH Blood Problems";
}
if ($key == "Hiv") {
$key = "HIV";
}
if ($key == "Hai Status") {
$key = "HAI Status";
}
//modified by BM 07-2009 for internationalization
print "<td><span class=bold>" . xl($key) . ": </span><span class=text>" . xl($value) . "</span></td>";
$count++;
if ($count == $cols) {
$count = 0;
print "</tr><tr>\n";
}
}
}
print "</tr></table></div>";
}
function intakeverslag_report($pid, $encounter, $cols, $id)
{
$count = 0;
$data = formFetch("form_intakeverslag", $id);
if ($data) {
print "<table>";
foreach ($data as $key => $value) {
// here we check for current ???? what ? session ?
if ($key == "id" || $key == "pid" || $key == "user" || $key == "groupname" || $key == "authorized" || $key == "activity" || $key == "date" || $value == "" || $value == "0000-00-00 00:00:00") {
continue;
}
// larry :: ??? - is this for check box or select or what ?
if ($value == "on") {
$value = "yes";
}
// Intakedatum
if ($key == "intakedatum") {
print "<tr><td><span class=bold>" . xl('Intake Date') . ": </span><span class=text>" . nl2br(stripslashes($value)) . "</span></td></tr>";
}
// Reden van aanmelding
if ($key == "reden_van_aanmelding") {
print "<tr><td><span class=bold>" . xl('Reason for Visit') . ": </span><span class=text>" . nl2br(stripslashes($value)) . "</span></td></tr>";
}
// Klachten/Probleemgebieden
if ($key == "klachten_probleemgebieden") {
print "<tr><td><span class=bold>" . xl('Problem List') . ": </span><span class=text>" . nl2br(stripslashes($value)) . "</span></td></tr>";
}
// Hulpverlening en/of onderzoek tot nu toe
if ($key == "hulpverlening_onderzoek") {
print "<tr><td><span class=bold>" . xl('Psychiatric History') . ": </span><span class=text>" . nl2br(stripslashes($value)) . "</span></td></tr>";
}
// Hulpvraag en doelen
if ($key == "hulpvraag_en_doelen") {
print "<tr><td><span class=bold>" . xl('Treatment Goals') . ": </span><span class=text>" . nl2br(stripslashes($value)) . "</span></td></tr>";
}
// Bijzonderheden systeem
if ($key == "bijzonderheden_systeem") {
print "<tr><td><span class=bold>" . xl('Specialty Systems') . ": </span><span class=text>" . nl2br(stripslashes($value)) . "</span></td></tr>";
}
// Werk/ opleiding/ vrije tijdsbesteding
if ($key == "werk_opleiding_vrije_tijdsbesteding") {
print "<tr><td><span class=bold>" . xl('Work/ Education/ Hobbies') . ": </span><span class=text>" . nl2br(stripslashes($value)) . "</span></td></tr>";
}
// Relatie(s)/ kinderen
if ($key == "relatie_kinderen") {
print "<tr><td><span class=bold>" . xl('Relation(s) / Children') . ": </span><span class=text>" . nl2br(stripslashes($value)) . "</span></td></tr>";
}
// Somatische context
if ($key == "somatische_context") {
print "<tr><td><span class=bold>" . xl('Somatic Context') . ": </span><span class=text>" . nl2br(stripslashes($value)) . "</span></td></tr>";
}
/////////////////////////////////////////////////////
// - one line entry forms
// alcohol
if ($key == "alcohol") {
print "<tr><td><span class=bold>" . xl('Alcohol') . ": </span><span class=text>" . nl2br(stripslashes($value)) . "</span></td></tr>";
}
// drugs
if ($key == "drugs") {
print "<tr><td><span class=bold>" . xl('Drugs') . ": </span><span class=text>" . nl2br(stripslashes($value)) . "</span></td></tr>";
}
// roken
if ($key == "roken") {
print "<tr><td><span class=bold>" . xl('Tobacco') . ": </span><span class=text>" . nl2br(stripslashes($value)) . "</span></td></tr>";
}
////////////////////////////////////////////////////////
// Medicatie
if ($key == "medicatie") {
print "<tr><td><span class=bold>" . xl('Medications') . ": </span><span class=text>" . nl2br(stripslashes($value)) . "</span></td></tr>";
}
// Familieanamnese
if ($key == "familieanamnese") {
print "<tr><td><span class=bold>" . xl('Family History') . ": </span><span class=text>" . nl2br(stripslashes($value)) . "</span></td></tr>";
}
// Indruk/observaties
if ($key == "indruk_observaties") {
print "<tr><td><span class=bold>" . xl('Assessment') . ": </span><span class=text>" . nl2br(stripslashes($value)) . "</span></td></tr>";
}
// Beschrijvende conclusie
if ($key == "beschrijvende_conclusie") {
print "<tr><td><span class=bold>" . xl('Conclusions') . ": </span><span class=text>" . nl2br(stripslashes($value)) . "</span></td></tr>";
}
// Behandelvoorstel
if ($key == "behandelvoorstel") {
print "<tr><td><span class=bold>" . xl('Treatment Plan') . ": </span><span class=text>" . nl2br(stripslashes($value)) . "</span></td></tr>";
}
// increment records counter
$count++;
// check if not at the end close/open new row
if ($count == $cols) {
$count = 0;
print "</tr><tr>\n";
}
}
}
print "</tr></table>";
}
<?php
include_once "../../globals.php";
?>
<html><head>
<?php
html_header_show();
?>
<link rel="stylesheet" href="<?php
echo $css_header;
?>
" type="text/css">
</head>
<body class="body_top">
<?php
include_once "{$srcdir}/api.inc";
$obj = formFetch("form_rosform", $_GET["id"]);
?>
<form method=post action="<?php
echo $rootdir;
?>
/forms/rosform/save.php?mode=update&id=<?php
echo $_GET["id"];
?>
" name="my_form">
<span class="title">Review of Systems</span><Br><br>
<span class=bold>General</span><br>
<span class=text>Fever: </span><input type=entry name="fever" value="<?php
echo $obj["fever"];
?>
" ><br>
<span class=text>Chills: </span><input type=entry name="chills" value="<?php
<?php
$fake_register_globals = false;
$sanitize_all_escapes = true;
include_once "../../globals.php";
include_once "{$srcdir}/api.inc";
formHeader("Form: note");
$returnurl = $GLOBALS['concurrent_layout'] ? 'encounter_top.php' : 'patient_encounter.php';
$provider_results = sqlQuery("select fname, lname from users where username=?", array($_SESSION["authUser"]));
/* name of this form */
$form_name = "note";
// get the record from the database
if ($_GET['id'] != "") {
$obj = formFetch("form_" . $form_name, $_GET["id"]);
}
/* remove the time-of-day from the date fields */
if ($obj['date_of_signature'] != "") {
$dateparts = split(" ", $obj['date_of_signature']);
$obj['date_of_signature'] = $dateparts[0];
}
?>
<html><head>
<?php
html_header_show();
?>
<link rel="stylesheet" href="<?php
echo $css_header;
?>
" type="text/css">
<!-- supporting javascript code -->
function ros2_report($pid, $encounter, $cols, $id)
{
$count = 0;
$data = formFetch("form_ros2", $id);
//echo "${data['general_headache']}";
if ($data) {
print "<table cellpadding=0 cellspacing=3px border=0>";
echo "<tr><td colspan='3'><span class='bold'><u>GENERAL:</u></span></td></tr>";
if ($data["general_headache"] != "N/A" && $data["general_headache"] != "" && $data["general_headache"] != "--" || $data["general_headache_text"] != "" && $data["general_headache_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>headache:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['general_headache']}</span>";
echo "</td>";
echo "<td>";
if ($data['general_headache_text'] != null) {
echo "<span class='text'>({$data['general_headache_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["general_fever"] != "N/A" && $data["general_fever"] != "" && $data["general_fever"] != "--" || $data["general_fever_text"] != "" && $data["general_fever_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>fever:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['general_fever']}</span>";
echo "</td>";
echo "<td>";
if ($data['general_fever_text'] != null) {
echo "<span class='text'>({$data['general_fever_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["general_chills"] != "N/A" && $data["general_chills"] != "" && $data["general_chills"] != "--" || $data["general_chills_text"] != "" && $data["general_chills_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>chills:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['general_chills']}</span>";
echo "</td>";
echo "<td>";
if ($data['general_chills_text'] != null) {
echo "<span class='text'>({$data['general_chills_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["general_body_aches"] != "N/A" && $data["general_body_aches"] != "" && $data["general_body_aches"] != "--" || $data["general_body_aches_text"] != "" && $data["general_body_aches_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>body aches:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['general_body_aches']}</span>";
echo "</td>";
echo "<td>";
if ($data['general_body_aches_text'] != null) {
echo "<span class='text'>({$data['general_body_aches_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["general_fatigue"] != "N/A" && $data["general_fatigue"] != "" && $data["general_fatigue"] != "--" || $data["general_fatigue_text"] != "" && $data["general_fatigue_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>fatigue:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['general_fatigue']}</span>";
echo "</td>";
echo "<td>";
if ($data['general_fatigue_text'] != null) {
echo "<span class='text'>({$data['general_fatigue_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["general_loss_of_appetite"] != "N/A" && $data["general_loss_of_appetite"] != "" && $data["general_loss_of_appetite"] != "--" || $data["general_loss_of_appetite_text"] != "" && $data["general_loss_of_appetite_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>loss of appetite:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['general_loss_of_appetite']}</span>";
echo "</td>";
echo "<td>";
if ($data['general_loss_of_appetite_text'] != null) {
echo "<span class='text'>({$data['general_loss_of_appetite_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["general_weight_loss"] != "N/A" && $data["general_weight_loss"] != "" && $data["general_weight_loss"] != "--" || $data["general_weight_loss_text"] != "" && $data["general_weight_loss_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>weight loss:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['general_weight_loss']}</span>";
echo "</td>";
echo "<td>";
if ($data['general_weight_loss_text'] != null) {
echo "<span class='text'>({$data['general_weight_loss_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["general_daytime_drowsiness"] != "N/A" && $data["general_daytime_drowsiness"] != "" && $data["general_daytime_drowsiness"] != "--" || $data["general_daytime_drowsiness_text"] != "" && $data["general_daytime_drowsiness_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>daytime drowsiness:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['general_daytime_drowsiness']}</span>";
echo "</td>";
echo "<td>";
if ($data['general_daytime_drowsiness_text'] != null) {
echo "<span class='text'>({$data['general_daytime_drowsiness_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["general_excessive_snoring"] != "N/A" && $data["general_excessive_snoring"] != "" && $data["general_excessive_snoring"] != "--" || $data["general_excessive_snoring_text"] != "" && $data["general_excessive_snoring_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>excessive snoring:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['general_excessive_snoring']}</span>";
echo "</td>";
echo "<td>";
if ($data['general_excessive_snoring_text'] != null) {
echo "<span class='text'>({$data['general_excessive_snoring_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
echo "<tr><td colspan='3'><span class='bold'><u>NEURO:</u></span></td></tr>";
if ($data["neuro_disorientation"] != "N/A" && $data["neuro_disorientation"] != "" && $data["neuro_disorientation"] != "--" || $data["neuro_disorientation_text"] != "" && $data["neuro_disorientation_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>disorientation:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['neuro_disorientation']}</span>";
echo "</td>";
echo "<td>";
if ($data['neuro_disorientation_text'] != null) {
echo "<span class='text'>({$data['neuro_disorientation_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["neuro_loss_of_consciousness"] != "N/A" && $data["neuro_loss_of_consciousness"] != "" && $data["neuro_loss_of_consciousness"] != "--" || $data["neuro_loss_of_consciousness_text"] != "" && $data["neuro_loss_of_consciousness_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>loss of consciousness:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['neuro_loss_of_consciousness']}</span>";
echo "</td>";
echo "<td>";
if ($data['neuro_loss_of_consciousness_text'] != null) {
echo "<span class='text'>({$data['neuro_loss_of_consciousness_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["neuro_numbness"] != "N/A" && $data["neuro_numbness"] != "" && $data["neuro_numbness"] != "--" || $data["neuro_numbness_text"] != "" && $data["neuro_numbness_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>numbness:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['neuro_numbness']}</span>";
echo "</td>";
echo "<td>";
if ($data['neuro_numbness_text'] != null) {
echo "<span class='text'>({$data['neuro_numbness_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["neuro_tingling"] != "N/A" && $data["neuro_tingling"] != "" && $data["neuro_tingling"] != "--" || $data["neuro_tingling_text"] != "" && $data["neuro_tingling_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>tingling:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['neuro_tingling']}</span>";
echo "</td>";
echo "<td>";
if ($data['neuro_tingling_text'] != null) {
echo "<span class='text'>({$data['neuro_tingling_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["neuro_restlessness"] != "N/A" && $data["neuro_restlessness"] != "" && $data["neuro_restlessness"] != "--" || $data["neuro_restlessness_text"] != "" && $data["neuro_restlessness_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>restlessness:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['neuro_restlessness']}</span>";
echo "</td>";
echo "<td>";
if ($data['neuro_restlessness_text'] != null) {
echo "<span class='text'>({$data['neuro_restlessness_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["neuro_dizziness"] != "N/A" && $data["neuro_dizziness"] != "" && $data["neuro_dizziness"] != "--" || $data["neuro_dizziness_text"] != "" && $data["neuro_dizziness_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>dizziness:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['neuro_dizziness']}</span>";
echo "</td>";
echo "<td>";
if ($data['neuro_dizziness_text'] != null) {
echo "<span class='text'>({$data['neuro_dizziness_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["neuro_vertigo"] != "N/A" && $data["neuro_vertigo"] != "" && $data["neuro_vertigo"] != "--" || $data["neuro_vertigo_text"] != "" && $data["neuro_vertigo_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>vertigo:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['neuro_vertigo']}</span>";
echo "</td>";
echo "<td>";
if ($data['neuro_vertigo_text'] != null) {
echo "<span class='text'>({$data['neuro_vertigo_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["neuro_amaurosis_fugax"] != "N/A" && $data["neuro_amaurosis_fugax"] != "" && $data["neuro_amaurosis_fugax"] != "--" || $data["neuro_amaurosis_fugax_text"] != "" && $data["neuro_amaurosis_fugax_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Amaurosis Fugax:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['neuro_amaurosis_fugax']}</span>";
echo "</td>";
echo "<td>";
if ($data['neuro_amaurosis_fugax_text'] != null) {
echo "<span class='text'>({$data['neuro_amaurosis_fugax_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["neuro_stroke"] != "N/A" && $data["neuro_stroke"] != "" && $data["neuro_stroke"] != "--" || $data["neuro_stroke_text"] != "" && $data["neuro_stroke_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Stroke:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['neuro_stroke']}</span>";
echo "</td>";
echo "<td>";
if ($data['neuro_stroke_text'] != null) {
echo "<span class='text'>({$data['neuro_stroke_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["neuro_gait_abnormality"] != "N/A" && $data["neuro_gait_abnormality"] != "" && $data["neuro_gait_abnormality"] != "--" || $data["neuro_gait_abnormality_text"] != "" && $data["neuro_gait_abnormality_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Gait Abnormality:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['neuro_gait_abnormality']}</span>";
echo "</td>";
echo "<td>";
if ($data['neuro_gait_abnormality_text'] != null) {
echo "<span class='text'>({$data['neuro_gait_abnormality_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["neuro_frequent_headaches"] != "N/A" && $data["neuro_frequent_headaches"] != "" && $data["neuro_frequent_headaches"] != "--" || $data["neuro_frequent_headaches_text"] != "" && $data["neuro_frequent_headaches_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Frequent headaches:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['neuro_frequent_headaches']}</span>";
echo "</td>";
echo "<td>";
if ($data['neuro_frequent_headaches_text'] != null) {
echo "<span class='text'>({$data['neuro_frequent_headaches_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["neuro_parathesias"] != "N/A" && $data["neuro_parathesias"] != "" && $data["neuro_parathesias"] != "--" || $data["neuro_parathesias_text"] != "" && $data["neuro_parathesias_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Parathesias:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['neuro_parathesias']}</span>";
echo "</td>";
echo "<td>";
if ($data['neuro_parathesias_text'] != null) {
echo "<span class='text'>({$data['neuro_parathesias_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["neuro_seizures"] != "N/A" && $data["neuro_seizures"] != "" && $data["neuro_seizures"] != "--" || $data["neuro_seizures_text"] != "" && $data["neuro_seizures_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Seizures:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['neuro_seizures']}</span>";
echo "</td>";
echo "<td>";
if ($data['neuro_seizures_text'] != null) {
echo "<span class='text'>({$data['neuro_seizures_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["neuro_trans_ischemic_attacks"] != "N/A" && $data["neuro_trans_ischemic_attacks"] != "" && $data["neuro_trans_ischemic_attacks"] != "--" || $data["neuro_trans_ischemic_attacks_text"] != "" && $data["neuro_trans_ischemic_attacks_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Trans Ischemic Attacks:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['neuro_trans_ischemic_attacks']}</span>";
echo "</td>";
echo "<td>";
if ($data['neuro_trans_ischemic_attacks_text'] != null) {
echo "<span class='text'>({$data['neuro_trans_ischemic_attacks_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["neuro_significant_tremors"] != "N/A" && $data["neuro_significant_tremors"] != "" && $data["neuro_significant_tremors"] != "--" || $data["neuro_significant_tremors_text"] != "" && $data["neuro_significant_tremors_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Significant Tremors:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['neuro_significant_tremors']}</span>";
echo "</td>";
echo "<td>";
if ($data['neuro_significant_tremors_text'] != null) {
echo "<span class='text'>({$data['neuro_significant_tremors_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
echo "<tr><td colspan='3'><span class='bold'><u>NECK:</u></span></td></tr>";
if ($data["neck_neck_stiffness"] != "N/A" && $data["neck_neck_stiffness"] != "" && $data["neck_neck_stiffness"] != "--" || $data["neck_neck_stiffness_text"] != "" && $data["neck_neck_stiffness_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>neck stiffness:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['neck_neck_stiffness']}</span>";
echo "</td>";
echo "<td>";
if ($data['neck_neck_stiffness_text'] != null) {
echo "<span class='text'>({$data['neck_neck_stiffness_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["neck_neck_pain"] != "N/A" && $data["neck_neck_pain"] != "" && $data["neck_neck_pain"] != "--" || $data["neck_neck_pain_text"] != "" && $data["neck_neck_pain_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>neck pain:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['neck_neck_pain']}</span>";
echo "</td>";
echo "<td>";
if ($data['neck_neck_pain_text'] != null) {
echo "<span class='text'>({$data['neck_neck_pain_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["neck_neck_masses"] != "N/A" && $data["neck_neck_masses"] != "" && $data["neck_neck_masses"] != "--" || $data["neck_neck_masses_text"] != "" && $data["neck_neck_masses_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Neck Masses:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['neck_neck_masses']}</span>";
echo "</td>";
echo "<td>";
if ($data['neck_neck_masses_text'] != null) {
echo "<span class='text'>({$data['neck_neck_masses_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["neck_neck_tenderness"] != "N/A" && $data["neck_neck_tenderness"] != "" && $data["neck_neck_tenderness"] != "--" || $data["neck_neck_tenderness_text"] != "" && $data["neck_neck_tenderness_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Neck Tenderness:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['neck_neck_tenderness']}</span>";
echo "</td>";
echo "<td>";
if ($data['neck_neck_tenderness_text'] != null) {
echo "<span class='text'>({$data['neck_neck_tenderness_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
echo "<tr><td colspan='3'><span class='bold'><u>HEENT:</u></span></td></tr>";
if ($data["heent_oral_ulcers"] != "N/A" && $data["heent_oral_ulcers"] != "" && $data["heent_oral_ulcers"] != "--" || $data["heent_oral_ulcers_text"] != "" && $data["heent_oral_ulcers_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>oral ulcers:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_oral_ulcers']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_oral_ulcers_text'] != null) {
echo "<span class='text'>({$data['heent_oral_ulcers_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_excessive_cavities"] != "N/A" && $data["heent_excessive_cavities"] != "" && $data["heent_excessive_cavities"] != "--" || $data["heent_excessive_cavities_text"] != "" && $data["heent_excessive_cavities_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Excessive Cavities:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_excessive_cavities']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_excessive_cavities_text'] != null) {
echo "<span class='text'>({$data['heent_excessive_cavities_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_gingival_disease"] != "N/A" && $data["heent_gingival_disease"] != "" && $data["heent_gingival_disease"] != "--" || $data["heent_gingival_disease_text"] != "" && $data["heent_gingival_disease_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Gingival Disease:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_gingival_disease']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_gingival_disease_text'] != null) {
echo "<span class='text'>({$data['heent_gingival_disease_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_persistent_hoarseness"] != "N/A" && $data["heent_persistent_hoarseness"] != "" && $data["heent_persistent_hoarseness"] != "--" || $data["heent_persistent_hoarseness_text"] != "" && $data["heent_persistent_hoarseness_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Persistent hoarseness:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_persistent_hoarseness']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_persistent_hoarseness_text'] != null) {
echo "<span class='text'>({$data['heent_persistent_hoarseness_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_mouth_lesions"] != "N/A" && $data["heent_mouth_lesions"] != "" && $data["heent_mouth_lesions"] != "--" || $data["heent_mouth_lesions_text"] != "" && $data["heent_mouth_lesions_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Mouth Lesions:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_mouth_lesions']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_mouth_lesions_text'] != null) {
echo "<span class='text'>({$data['heent_mouth_lesions_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_dysphagia"] != "N/A" && $data["heent_dysphagia"] != "" && $data["heent_dysphagia"] != "--" || $data["heent_dysphagia_text"] != "" && $data["heent_dysphagia_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Dysphagia:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_dysphagia']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_dysphagia_text'] != null) {
echo "<span class='text'>({$data['heent_dysphagia_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_odynophagia"] != "N/A" && $data["heent_odynophagia"] != "" && $data["heent_odynophagia"] != "--" || $data["heent_odynophagia_text"] != "" && $data["heent_odynophagia_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Odynophagia:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_odynophagia']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_odynophagia_text'] != null) {
echo "<span class='text'>({$data['heent_odynophagia_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_dental_pain"] != "N/A" && $data["heent_dental_pain"] != "" && $data["heent_dental_pain"] != "--" || $data["heent_dental_pain_text"] != "" && $data["heent_dental_pain_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>dental pain:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_dental_pain']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_dental_pain_text'] != null) {
echo "<span class='text'>({$data['heent_dental_pain_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_sore_throat"] != "N/A" && $data["heent_sore_throat"] != "" && $data["heent_sore_throat"] != "--" || $data["heent_sore_throat_text"] != "" && $data["heent_sore_throat_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>sore throat:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_sore_throat']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_sore_throat_text'] != null) {
echo "<span class='text'>({$data['heent_sore_throat_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_ear_pain"] != "N/A" && $data["heent_ear_pain"] != "" && $data["heent_ear_pain"] != "--" || $data["heent_ear_pain_text"] != "" && $data["heent_ear_pain_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>ear pain:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_ear_pain']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_ear_pain_text'] != null) {
echo "<span class='text'>({$data['heent_ear_pain_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_ear_discharge"] != "N/A" && $data["heent_ear_discharge"] != "" && $data["heent_ear_discharge"] != "--" || $data["heent_ear_discharge_text"] != "" && $data["heent_ear_discharge_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>ear discharge:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_ear_discharge']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_ear_discharge_text'] != null) {
echo "<span class='text'>({$data['heent_ear_discharge_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_tinnitus"] != "N/A" && $data["heent_tinnitus"] != "" && $data["heent_tinnitus"] != "--" || $data["heent_tinnitus_text"] != "" && $data["heent_tinnitus_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>tinnitus:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_tinnitus']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_tinnitus_text'] != null) {
echo "<span class='text'>({$data['heent_tinnitus_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_hearing_loss"] != "N/A" && $data["heent_hearing_loss"] != "" && $data["heent_hearing_loss"] != "--" || $data["heent_hearing_loss_text"] != "" && $data["heent_hearing_loss_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>hearing loss:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_hearing_loss']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_hearing_loss_text'] != null) {
echo "<span class='text'>({$data['heent_hearing_loss_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_allergic_rhinitis"] != "N/A" && $data["heent_allergic_rhinitis"] != "" && $data["heent_allergic_rhinitis"] != "--" || $data["heent_allergic_rhinitis_text"] != "" && $data["heent_allergic_rhinitis_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Allergic Rhinitis:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_allergic_rhinitis']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_allergic_rhinitis_text'] != null) {
echo "<span class='text'>({$data['heent_allergic_rhinitis_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_nasal_congestion"] != "N/A" && $data["heent_nasal_congestion"] != "" && $data["heent_nasal_congestion"] != "--" || $data["heent_nasal_congestion_text"] != "" && $data["heent_nasal_congestion_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Nasal Congestion:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_nasal_congestion']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_nasal_congestion_text'] != null) {
echo "<span class='text'>({$data['heent_nasal_congestion_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_nasal_discharge"] != "N/A" && $data["heent_nasal_discharge"] != "" && $data["heent_nasal_discharge"] != "--" || $data["heent_nasal_discharge_text"] != "" && $data["heent_nasal_discharge_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Nasal Discharge:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_nasal_discharge']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_nasal_discharge_text'] != null) {
echo "<span class='text'>({$data['heent_nasal_discharge_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_nasal_injury"] != "N/A" && $data["heent_nasal_injury"] != "" && $data["heent_nasal_injury"] != "--" || $data["heent_nasal_injury_text"] != "" && $data["heent_nasal_injury_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Nasal Injury:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_nasal_injury']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_nasal_injury_text'] != null) {
echo "<span class='text'>({$data['heent_nasal_injury_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_nasal_surgery"] != "N/A" && $data["heent_nasal_surgery"] != "" && $data["heent_nasal_surgery"] != "--" || $data["heent_nasal_surgery_text"] != "" && $data["heent_nasal_surgery_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Nasal Surgery:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_nasal_surgery']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_nasal_surgery_text'] != null) {
echo "<span class='text'>({$data['heent_nasal_surgery_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_nose_bleeds"] != "N/A" && $data["heent_nose_bleeds"] != "" && $data["heent_nose_bleeds"] != "--" || $data["heent_nose_bleeds_text"] != "" && $data["heent_nose_bleeds_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Nose Bleeds:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_nose_bleeds']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_nose_bleeds_text'] != null) {
echo "<span class='text'>({$data['heent_nose_bleeds_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_post_nasal_drip"] != "N/A" && $data["heent_post_nasal_drip"] != "" && $data["heent_post_nasal_drip"] != "--" || $data["heent_post_nasal_drip_text"] != "" && $data["heent_post_nasal_drip_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>post nasal drip:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_post_nasal_drip']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_post_nasal_drip_text'] != null) {
echo "<span class='text'>({$data['heent_post_nasal_drip_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_sinus_pressure"] != "N/A" && $data["heent_sinus_pressure"] != "" && $data["heent_sinus_pressure"] != "--" || $data["heent_sinus_pressure_text"] != "" && $data["heent_sinus_pressure_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>sinus pressure:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_sinus_pressure']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_sinus_pressure_text'] != null) {
echo "<span class='text'>({$data['heent_sinus_pressure_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_sinus_pain"] != "N/A" && $data["heent_sinus_pain"] != "" && $data["heent_sinus_pain"] != "--" || $data["heent_sinus_pain_text"] != "" && $data["heent_sinus_pain_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>sinus pain:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_sinus_pain']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_sinus_pain_text'] != null) {
echo "<span class='text'>({$data['heent_sinus_pain_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_headache"] != "N/A" && $data["heent_headache"] != "" && $data["heent_headache"] != "--" || $data["heent_headache_text"] != "" && $data["heent_headache_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>headache:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_headache']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_headache_text'] != null) {
echo "<span class='text'>({$data['heent_headache_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_eye_pain"] != "N/A" && $data["heent_eye_pain"] != "" && $data["heent_eye_pain"] != "--" || $data["heent_eye_pain_text"] != "" && $data["heent_eye_pain_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>eye pain:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_eye_pain']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_eye_pain_text'] != null) {
echo "<span class='text'>({$data['heent_eye_pain_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_eye_redness"] != "N/A" && $data["heent_eye_redness"] != "" && $data["heent_eye_redness"] != "--" || $data["heent_eye_redness_text"] != "" && $data["heent_eye_redness_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>eye redness:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_eye_redness']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_eye_redness_text'] != null) {
echo "<span class='text'>({$data['heent_eye_redness_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_visual_changes"] != "N/A" && $data["heent_visual_changes"] != "" && $data["heent_visual_changes"] != "--" || $data["heent_visual_changes_text"] != "" && $data["heent_visual_changes_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>visual changes:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_visual_changes']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_visual_changes_text'] != null) {
echo "<span class='text'>({$data['heent_visual_changes_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_blurry_vision"] != "N/A" && $data["heent_blurry_vision"] != "" && $data["heent_blurry_vision"] != "--" || $data["heent_blurry_vision_text"] != "" && $data["heent_blurry_vision_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>blurry vision:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_blurry_vision']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_blurry_vision_text'] != null) {
echo "<span class='text'>({$data['heent_blurry_vision_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_eye_discharge"] != "N/A" && $data["heent_eye_discharge"] != "" && $data["heent_eye_discharge"] != "--" || $data["heent_eye_discharge_text"] != "" && $data["heent_eye_discharge_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Eye Discharge:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_eye_discharge']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_eye_discharge_text'] != null) {
echo "<span class='text'>({$data['heent_eye_discharge_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_eye_glasses_contacts"] != "N/A" && $data["heent_eye_glasses_contacts"] != "" && $data["heent_eye_glasses_contacts"] != "--" || $data["heent_eye_glasses_contacts_text"] != "" && $data["heent_eye_glasses_contacts_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Eye Glasses/ Contacts:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_eye_glasses_contacts']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_eye_glasses_contacts_text'] != null) {
echo "<span class='text'>({$data['heent_eye_glasses_contacts_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_excess_tearing"] != "N/A" && $data["heent_excess_tearing"] != "" && $data["heent_excess_tearing"] != "--" || $data["heent_excess_tearing_text"] != "" && $data["heent_excess_tearing_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Excess Tearing:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_excess_tearing']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_excess_tearing_text'] != null) {
echo "<span class='text'>({$data['heent_excess_tearing_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_photophobia"] != "N/A" && $data["heent_photophobia"] != "" && $data["heent_photophobia"] != "--" || $data["heent_photophobia_text"] != "" && $data["heent_photophobia_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Photophobia:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_photophobia']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_photophobia_text'] != null) {
echo "<span class='text'>({$data['heent_photophobia_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_scotomata"] != "N/A" && $data["heent_scotomata"] != "" && $data["heent_scotomata"] != "--" || $data["heent_scotomata_text"] != "" && $data["heent_scotomata_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Scotomata:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_scotomata']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_scotomata_text'] != null) {
echo "<span class='text'>({$data['heent_scotomata_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_tunnel_vision"] != "N/A" && $data["heent_tunnel_vision"] != "" && $data["heent_tunnel_vision"] != "--" || $data["heent_tunnel_vision_text"] != "" && $data["heent_tunnel_vision_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Tunnel vision:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_tunnel_vision']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_tunnel_vision_text'] != null) {
echo "<span class='text'>({$data['heent_tunnel_vision_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["heent_glaucoma"] != "N/A" && $data["heent_glaucoma"] != "" && $data["heent_glaucoma"] != "--" || $data["heent_glaucoma_text"] != "" && $data["heent_glaucoma_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Glaucoma:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['heent_glaucoma']}</span>";
echo "</td>";
echo "<td>";
if ($data['heent_glaucoma_text'] != null) {
echo "<span class='text'>({$data['heent_glaucoma_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
echo "<tr><td colspan='3'><span class='bold'><u>CARDIOVASCULAR: </u></span></td></tr>";
if ($data["cardiovascular_sub_sternal_or_left_chest_pain"] != "N/A" && $data["cardiovascular_sub_sternal_or_left_chest_pain"] != "" && $data["cardiovascular_sub_sternal_or_left_chest_pain"] != "--" || $data["cardiovascular_sub_sternal_or_left_chest_pain_text"] != "" && $data["cardiovascular_sub_sternal_or_left_chest_pain_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>sub sternal or left chest pain:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['cardiovascular_sub_sternal_or_left_chest_pain']}</span>";
echo "</td>";
echo "<td>";
if ($data['cardiovascular_sub_sternal_or_left_chest_pain_text'] != null) {
echo "<span class='text'>({$data['cardiovascular_sub_sternal_or_left_chest_pain_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["cardiovascular_other_chest_pain"] != "N/A" && $data["cardiovascular_other_chest_pain"] != "" && $data["cardiovascular_other_chest_pain"] != "--" || $data["cardiovascular_other_chest_pain_text"] != "" && $data["cardiovascular_other_chest_pain_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>other chest pain:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['cardiovascular_other_chest_pain']}</span>";
echo "</td>";
echo "<td>";
if ($data['cardiovascular_other_chest_pain_text'] != null) {
echo "<span class='text'>({$data['cardiovascular_other_chest_pain_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["cardiovascular_palpitations"] != "N/A" && $data["cardiovascular_palpitations"] != "" && $data["cardiovascular_palpitations"] != "--" || $data["cardiovascular_palpitations_text"] != "" && $data["cardiovascular_palpitations_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>palpitations:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['cardiovascular_palpitations']}</span>";
echo "</td>";
echo "<td>";
if ($data['cardiovascular_palpitations_text'] != null) {
echo "<span class='text'>({$data['cardiovascular_palpitations_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["cardiovascular_irregular_rhythm"] != "N/A" && $data["cardiovascular_irregular_rhythm"] != "" && $data["cardiovascular_irregular_rhythm"] != "--" || $data["cardiovascular_irregular_rhythm_text"] != "" && $data["cardiovascular_irregular_rhythm_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>irregular rhythm:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['cardiovascular_irregular_rhythm']}</span>";
echo "</td>";
echo "<td>";
if ($data['cardiovascular_irregular_rhythm_text'] != null) {
echo "<span class='text'>({$data['cardiovascular_irregular_rhythm_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["cardiovascular_jugular_vein_distention"] != "N/A" && $data["cardiovascular_jugular_vein_distention"] != "" && $data["cardiovascular_jugular_vein_distention"] != "--" || $data["cardiovascular_jugular_vein_distention_text"] != "" && $data["cardiovascular_jugular_vein_distention_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>jugular vein distention:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['cardiovascular_jugular_vein_distention']}</span>";
echo "</td>";
echo "<td>";
if ($data['cardiovascular_jugular_vein_distention_text'] != null) {
echo "<span class='text'>({$data['cardiovascular_jugular_vein_distention_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["cardiovascular_claudication"] != "N/A" && $data["cardiovascular_claudication"] != "" && $data["cardiovascular_claudication"] != "--" || $data["cardiovascular_claudication_text"] != "" && $data["cardiovascular_claudication_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Claudication:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['cardiovascular_claudication']}</span>";
echo "</td>";
echo "<td>";
if ($data['cardiovascular_claudication_text'] != null) {
echo "<span class='text'>({$data['cardiovascular_claudication_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["cardiovascular_dizziness"] != "N/A" && $data["cardiovascular_dizziness"] != "" && $data["cardiovascular_dizziness"] != "--" || $data["cardiovascular_dizziness_text"] != "" && $data["cardiovascular_dizziness_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Dizziness:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['cardiovascular_dizziness']}</span>";
echo "</td>";
echo "<td>";
if ($data['cardiovascular_dizziness_text'] != null) {
echo "<span class='text'>({$data['cardiovascular_dizziness_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["cardiovascular_dyspnea_on_exertion"] != "N/A" && $data["cardiovascular_dyspnea_on_exertion"] != "" && $data["cardiovascular_dyspnea_on_exertion"] != "--" || $data["cardiovascular_dyspnea_on_exertion_text"] != "" && $data["cardiovascular_dyspnea_on_exertion_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Dyspnea on Exertion:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['cardiovascular_dyspnea_on_exertion']}</span>";
echo "</td>";
echo "<td>";
if ($data['cardiovascular_dyspnea_on_exertion_text'] != null) {
echo "<span class='text'>({$data['cardiovascular_dyspnea_on_exertion_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["cardiovascular_orthopnea"] != "N/A" && $data["cardiovascular_orthopnea"] != "" && $data["cardiovascular_orthopnea"] != "--" || $data["cardiovascular_orthopnea_text"] != "" && $data["cardiovascular_orthopnea_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Orthopnea:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['cardiovascular_orthopnea']}</span>";
echo "</td>";
echo "<td>";
if ($data['cardiovascular_orthopnea_text'] != null) {
echo "<span class='text'>({$data['cardiovascular_orthopnea_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["cardiovascular_noctural_dyspnea"] != "N/A" && $data["cardiovascular_noctural_dyspnea"] != "" && $data["cardiovascular_noctural_dyspnea"] != "--" || $data["cardiovascular_noctural_dyspnea_text"] != "" && $data["cardiovascular_noctural_dyspnea_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Noctural Dyspnea:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['cardiovascular_noctural_dyspnea']}</span>";
echo "</td>";
echo "<td>";
if ($data['cardiovascular_noctural_dyspnea_text'] != null) {
echo "<span class='text'>({$data['cardiovascular_noctural_dyspnea_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["cardiovascular_edema"] != "N/A" && $data["cardiovascular_edema"] != "" && $data["cardiovascular_edema"] != "--" || $data["cardiovascular_edema_text"] != "" && $data["cardiovascular_edema_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Edema:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['cardiovascular_edema']}</span>";
echo "</td>";
echo "<td>";
if ($data['cardiovascular_edema_text'] != null) {
echo "<span class='text'>({$data['cardiovascular_edema_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["cardiovascular_presyncope"] != "N/A" && $data["cardiovascular_presyncope"] != "" && $data["cardiovascular_presyncope"] != "--" || $data["cardiovascular_presyncope_text"] != "" && $data["cardiovascular_presyncope_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Presyncope:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['cardiovascular_presyncope']}</span>";
echo "</td>";
echo "<td>";
if ($data['cardiovascular_presyncope_text'] != null) {
echo "<span class='text'>({$data['cardiovascular_presyncope_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["cardiovascular_syncope"] != "N/A" && $data["cardiovascular_syncope"] != "" && $data["cardiovascular_syncope"] != "--" || $data["cardiovascular_syncope_text"] != "" && $data["cardiovascular_syncope_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Syncope:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['cardiovascular_syncope']}</span>";
echo "</td>";
echo "<td>";
if ($data['cardiovascular_syncope_text'] != null) {
echo "<span class='text'>({$data['cardiovascular_syncope_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["cardiovascular_heart_murmur"] != "N/A" && $data["cardiovascular_heart_murmur"] != "" && $data["cardiovascular_heart_murmur"] != "--" || $data["cardiovascular_heart_murmur_text"] != "" && $data["cardiovascular_heart_murmur_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Heart Murmur:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['cardiovascular_heart_murmur']}</span>";
echo "</td>";
echo "<td>";
if ($data['cardiovascular_heart_murmur_text'] != null) {
echo "<span class='text'>({$data['cardiovascular_heart_murmur_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["cardiovascular_raynauds"] != "N/A" && $data["cardiovascular_raynauds"] != "" && $data["cardiovascular_raynauds"] != "--" || $data["cardiovascular_raynauds_text"] != "" && $data["cardiovascular_raynauds_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Raynauds:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['cardiovascular_raynauds']}</span>";
echo "</td>";
echo "<td>";
if ($data['cardiovascular_raynauds_text'] != null) {
echo "<span class='text'>({$data['cardiovascular_raynauds_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["cardiovascular_severe_varicose_veins"] != "N/A" && $data["cardiovascular_severe_varicose_veins"] != "" && $data["cardiovascular_severe_varicose_veins"] != "--" || $data["cardiovascular_severe_varicose_veins_text"] != "" && $data["cardiovascular_severe_varicose_veins_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Severe Varicose Veins:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['cardiovascular_severe_varicose_veins']}</span>";
echo "</td>";
echo "<td>";
if ($data['cardiovascular_severe_varicose_veins_text'] != null) {
echo "<span class='text'>({$data['cardiovascular_severe_varicose_veins_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["cardiovascular_deep_vein_thrombosis"] != "N/A" && $data["cardiovascular_deep_vein_thrombosis"] != "" && $data["cardiovascular_deep_vein_thrombosis"] != "--" || $data["cardiovascular_deep_vein_thrombosis_text"] != "" && $data["cardiovascular_deep_vein_thrombosis_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Deep Vein Thrombosis:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['cardiovascular_deep_vein_thrombosis']}</span>";
echo "</td>";
echo "<td>";
if ($data['cardiovascular_deep_vein_thrombosis_text'] != null) {
echo "<span class='text'>({$data['cardiovascular_deep_vein_thrombosis_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["cardiovascular_thrombophlebitis"] != "N/A" && $data["cardiovascular_thrombophlebitis"] != "" && $data["cardiovascular_thrombophlebitis"] != "--" || $data["cardiovascular_thrombophlebitis_text"] != "" && $data["cardiovascular_thrombophlebitis_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Thrombophlebitis:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['cardiovascular_thrombophlebitis']}</span>";
echo "</td>";
echo "<td>";
if ($data['cardiovascular_thrombophlebitis_text'] != null) {
echo "<span class='text'>({$data['cardiovascular_thrombophlebitis_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
echo "<tr><td colspan='3'><span class='bold'><u>RESPIRATIONS:</u></span></td></tr>";
if ($data["respirations_cough"] != "N/A" && $data["respirations_cough"] != "" && $data["respirations_cough"] != "--" || $data["respirations_cough_text"] != "" && $data["respirations_cough_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>cough:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['respirations_cough']}</span>";
echo "</td>";
echo "<td>";
if ($data['respirations_cough_text'] != null) {
echo "<span class='text'>({$data['respirations_cough_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["respirations_sputum"] != "N/A" && $data["respirations_sputum"] != "" && $data["respirations_sputum"] != "--" || $data["respirations_sputum_text"] != "" && $data["respirations_sputum_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>sputum:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['respirations_sputum']}</span>";
echo "</td>";
echo "<td>";
if ($data['respirations_sputum_text'] != null) {
echo "<span class='text'>({$data['respirations_sputum_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["respirations_dyspnea"] != "N/A" && $data["respirations_dyspnea"] != "" && $data["respirations_dyspnea"] != "--" || $data["respirations_dyspnea_text"] != "" && $data["respirations_dyspnea_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>dyspnea:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['respirations_dyspnea']}</span>";
echo "</td>";
echo "<td>";
if ($data['respirations_dyspnea_text'] != null) {
echo "<span class='text'>({$data['respirations_dyspnea_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["respirations_wheezes"] != "N/A" && $data["respirations_wheezes"] != "" && $data["respirations_wheezes"] != "--" || $data["respirations_wheezes_text"] != "" && $data["respirations_wheezes_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>wheezes:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['respirations_wheezes']}</span>";
echo "</td>";
echo "<td>";
if ($data['respirations_wheezes_text'] != null) {
echo "<span class='text'>({$data['respirations_wheezes_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["respirations_rales"] != "N/A" && $data["respirations_rales"] != "" && $data["respirations_rales"] != "--" || $data["respirations_rales_text"] != "" && $data["respirations_rales_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>rales:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['respirations_rales']}</span>";
echo "</td>";
echo "<td>";
if ($data['respirations_rales_text'] != null) {
echo "<span class='text'>({$data['respirations_rales_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["respirations_labored_breathing"] != "N/A" && $data["respirations_labored_breathing"] != "" && $data["respirations_labored_breathing"] != "--" || $data["respirations_labored_breathing_text"] != "" && $data["respirations_labored_breathing_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>labored breathing:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['respirations_labored_breathing']}</span>";
echo "</td>";
echo "<td>";
if ($data['respirations_labored_breathing_text'] != null) {
echo "<span class='text'>({$data['respirations_labored_breathing_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["respirations_hemoptysis"] != "N/A" && $data["respirations_hemoptysis"] != "" && $data["respirations_hemoptysis"] != "--" || $data["respirations_hemoptysis_text"] != "" && $data["respirations_hemoptysis_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Hemoptysis:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['respirations_hemoptysis']}</span>";
echo "</td>";
echo "<td>";
if ($data['respirations_hemoptysis_text'] != null) {
echo "<span class='text'>({$data['respirations_hemoptysis_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
echo "<tr><td colspan='3'><span class='bold'><u>GU</u></span></td></tr>";
if ($data["gu_frequent_urination"] != "N/A" && $data["gu_frequent_urination"] != "" && $data["gu_frequent_urination"] != "--" || $data["gu_frequent_urination_text"] != "" && $data["gu_frequent_urination_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>frequent urination:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gu_frequent_urination']}</span>";
echo "</td>";
echo "<td>";
if ($data['gu_frequent_urination_text'] != null) {
echo "<span class='text'>({$data['gu_frequent_urination_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gu_dysuria"] != "N/A" && $data["gu_dysuria"] != "" && $data["gu_dysuria"] != "--" || $data["gu_dysuria_text"] != "" && $data["gu_dysuria_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>dysuria:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gu_dysuria']}</span>";
echo "</td>";
echo "<td>";
if ($data['gu_dysuria_text'] != null) {
echo "<span class='text'>({$data['gu_dysuria_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gu_dyspareunia"] != "N/A" && $data["gu_dyspareunia"] != "" && $data["gu_dyspareunia"] != "--" || $data["gu_dyspareunia_text"] != "" && $data["gu_dyspareunia_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>dyspareunia:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gu_dyspareunia']}</span>";
echo "</td>";
echo "<td>";
if ($data['gu_dyspareunia_text'] != null) {
echo "<span class='text'>({$data['gu_dyspareunia_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gu_discharge"] != "N/A" && $data["gu_discharge"] != "" && $data["gu_discharge"] != "--" || $data["gu_discharge_text"] != "" && $data["gu_discharge_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>discharge:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gu_discharge']}</span>";
echo "</td>";
echo "<td>";
if ($data['gu_discharge_text'] != null) {
echo "<span class='text'>({$data['gu_discharge_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gu_odor"] != "N/A" && $data["gu_odor"] != "" && $data["gu_odor"] != "--" || $data["gu_odor_text"] != "" && $data["gu_odor_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>odor:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gu_odor']}</span>";
echo "</td>";
echo "<td>";
if ($data['gu_odor_text'] != null) {
echo "<span class='text'>({$data['gu_odor_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gu_fertility_problems"] != "N/A" && $data["gu_fertility_problems"] != "" && $data["gu_fertility_problems"] != "--" || $data["gu_fertility_problems_text"] != "" && $data["gu_fertility_problems_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>fertility problems:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gu_fertility_problems']}</span>";
echo "</td>";
echo "<td>";
if ($data['gu_fertility_problems_text'] != null) {
echo "<span class='text'>({$data['gu_fertility_problems_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gu_flank_pain_kidney_stone"] != "N/A" && $data["gu_flank_pain_kidney_stone"] != "" && $data["gu_flank_pain_kidney_stone"] != "--" || $data["gu_flank_pain_kidney_stone_text"] != "" && $data["gu_flank_pain_kidney_stone_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Flank Pain Kidney Stone:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gu_flank_pain_kidney_stone']}</span>";
echo "</td>";
echo "<td>";
if ($data['gu_flank_pain_kidney_stone_text'] != null) {
echo "<span class='text'>({$data['gu_flank_pain_kidney_stone_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gu_polyuria"] != "N/A" && $data["gu_polyuria"] != "" && $data["gu_polyuria"] != "--" || $data["gu_polyuria_text"] != "" && $data["gu_polyuria_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Polyuria:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gu_polyuria']}</span>";
echo "</td>";
echo "<td>";
if ($data['gu_polyuria_text'] != null) {
echo "<span class='text'>({$data['gu_polyuria_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gu_hematuria"] != "N/A" && $data["gu_hematuria"] != "" && $data["gu_hematuria"] != "--" || $data["gu_hematuria_text"] != "" && $data["gu_hematuria_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Hematuria:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gu_hematuria']}</span>";
echo "</td>";
echo "<td>";
if ($data['gu_hematuria_text'] != null) {
echo "<span class='text'>({$data['gu_hematuria_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gu_pyuria"] != "N/A" && $data["gu_pyuria"] != "" && $data["gu_pyuria"] != "--" || $data["gu_pyuria_text"] != "" && $data["gu_pyuria_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Pyuria:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gu_pyuria']}</span>";
echo "</td>";
echo "<td>";
if ($data['gu_pyuria_text'] != null) {
echo "<span class='text'>({$data['gu_pyuria_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gu_umbilical_hernia"] != "N/A" && $data["gu_umbilical_hernia"] != "" && $data["gu_umbilical_hernia"] != "--" || $data["gu_umbilical_hernia_text"] != "" && $data["gu_umbilical_hernia_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Umbilical Hernia:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gu_umbilical_hernia']}</span>";
echo "</td>";
echo "<td>";
if ($data['gu_umbilical_hernia_text'] != null) {
echo "<span class='text'>({$data['gu_umbilical_hernia_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gu_incontinence"] != "N/A" && $data["gu_incontinence"] != "" && $data["gu_incontinence"] != "--" || $data["gu_incontinence_text"] != "" && $data["gu_incontinence_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Incontinence:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gu_incontinence']}</span>";
echo "</td>";
echo "<td>";
if ($data['gu_incontinence_text'] != null) {
echo "<span class='text'>({$data['gu_incontinence_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gu_nocturia"] != "N/A" && $data["gu_nocturia"] != "" && $data["gu_nocturia"] != "--" || $data["gu_nocturia_text"] != "" && $data["gu_nocturia_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Nocturia:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gu_nocturia']}</span>";
echo "</td>";
echo "<td>";
if ($data['gu_nocturia_text'] != null) {
echo "<span class='text'>({$data['gu_nocturia_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gu_urinary_urgency"] != "N/A" && $data["gu_urinary_urgency"] != "" && $data["gu_urinary_urgency"] != "--" || $data["gu_urinary_urgency_text"] != "" && $data["gu_urinary_urgency_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Urinary Urgency:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gu_urinary_urgency']}</span>";
echo "</td>";
echo "<td>";
if ($data['gu_urinary_urgency_text'] != null) {
echo "<span class='text'>({$data['gu_urinary_urgency_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gu_recurrent_utis"] != "N/A" && $data["gu_recurrent_utis"] != "" && $data["gu_recurrent_utis"] != "--" || $data["gu_recurrent_utis_text"] != "" && $data["gu_recurrent_utis_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Recurrent UTIs:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gu_recurrent_utis']}</span>";
echo "</td>";
echo "<td>";
if ($data['gu_recurrent_utis_text'] != null) {
echo "<span class='text'>({$data['gu_recurrent_utis_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gu_venereal_disease"] != "N/A" && $data["gu_venereal_disease"] != "" && $data["gu_venereal_disease"] != "--" || $data["gu_venereal_disease_text"] != "" && $data["gu_venereal_disease_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Venereal Disease:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gu_venereal_disease']}</span>";
echo "</td>";
echo "<td>";
if ($data['gu_venereal_disease_text'] != null) {
echo "<span class='text'>({$data['gu_venereal_disease_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
echo "<tr><td colspan='3'><span class='bold'><u>MALE GU</u></span></td></tr>";
if ($data["male_gu_erectile_dysfunction"] != "N/A" && $data["male_gu_erectile_dysfunction"] != "" && $data["male_gu_erectile_dysfunction"] != "--" || $data["male_gu_erectile_dysfunction_text"] != "" && $data["male_gu_erectile_dysfunction_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Erectile Dysfunction:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['male_gu_erectile_dysfunction']}</span>";
echo "</td>";
echo "<td>";
if ($data['male_gu_erectile_dysfunction_text'] != null) {
echo "<span class='text'>({$data['male_gu_erectile_dysfunction_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["male_gu_inguinal_hernia"] != "N/A" && $data["male_gu_inguinal_hernia"] != "" && $data["male_gu_inguinal_hernia"] != "--" || $data["male_gu_inguinal_hernia_text"] != "" && $data["male_gu_inguinal_hernia_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Inguinal Hernia:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['male_gu_inguinal_hernia']}</span>";
echo "</td>";
echo "<td>";
if ($data['male_gu_inguinal_hernia_text'] != null) {
echo "<span class='text'>({$data['male_gu_inguinal_hernia_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["male_gu_penile_lesions"] != "N/A" && $data["male_gu_penile_lesions"] != "" && $data["male_gu_penile_lesions"] != "--" || $data["male_gu_penile_lesions_text"] != "" && $data["male_gu_penile_lesions_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Penile Lesions:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['male_gu_penile_lesions']}</span>";
echo "</td>";
echo "<td>";
if ($data['male_gu_penile_lesions_text'] != null) {
echo "<span class='text'>({$data['male_gu_penile_lesions_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["male_gu_scrotal_mass"] != "N/A" && $data["male_gu_scrotal_mass"] != "" && $data["male_gu_scrotal_mass"] != "--" || $data["male_gu_scrotal_mass_text"] != "" && $data["male_gu_scrotal_mass_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Scrotal Mass:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['male_gu_scrotal_mass']}</span>";
echo "</td>";
echo "<td>";
if ($data['male_gu_scrotal_mass_text'] != null) {
echo "<span class='text'>({$data['male_gu_scrotal_mass_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["male_gu_testicular_pain"] != "N/A" && $data["male_gu_testicular_pain"] != "" && $data["male_gu_testicular_pain"] != "--" || $data["male_gu_testicular_pain_text"] != "" && $data["male_gu_testicular_pain_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Testicular Pain:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['male_gu_testicular_pain']}</span>";
echo "</td>";
echo "<td>";
if ($data['male_gu_testicular_pain_text'] != null) {
echo "<span class='text'>({$data['male_gu_testicular_pain_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["male_gu_urethral_discharge"] != "N/A" && $data["male_gu_urethral_discharge"] != "" && $data["male_gu_urethral_discharge"] != "--" || $data["male_gu_urethral_discharge_text"] != "" && $data["male_gu_urethral_discharge_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Urethral Discharge:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['male_gu_urethral_discharge']}</span>";
echo "</td>";
echo "<td>";
if ($data['male_gu_urethral_discharge_text'] != null) {
echo "<span class='text'>({$data['male_gu_urethral_discharge_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["male_gu_weak_urinary_stream"] != "N/A" && $data["male_gu_weak_urinary_stream"] != "" && $data["male_gu_weak_urinary_stream"] != "--" || $data["male_gu_weak_urinary_stream_text"] != "" && $data["male_gu_weak_urinary_stream_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Weak Urinary Stream:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['male_gu_weak_urinary_stream']}</span>";
echo "</td>";
echo "<td>";
if ($data['male_gu_weak_urinary_stream_text'] != null) {
echo "<span class='text'>({$data['male_gu_weak_urinary_stream_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
echo "<tr><td colspan='3'><span class='bold'><u>FEMALE GU</u></span></td></tr>";
if ($data["female_gu_abnormal_menses"] != "N/A" && $data["female_gu_abnormal_menses"] != "" && $data["female_gu_abnormal_menses"] != "--" || $data["female_gu_abnormal_menses_text"] != "" && $data["female_gu_abnormal_menses_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Abnormal Menses:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['female_gu_abnormal_menses']}</span>";
echo "</td>";
echo "<td>";
if ($data['female_gu_abnormal_menses_text'] != null) {
echo "<span class='text'>({$data['female_gu_abnormal_menses_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["female_gu_abnormal_vaginal_bleeding"] != "N/A" && $data["female_gu_abnormal_vaginal_bleeding"] != "" && $data["female_gu_abnormal_vaginal_bleeding"] != "--" || $data["female_gu_abnormal_vaginal_bleeding_text"] != "" && $data["female_gu_abnormal_vaginal_bleeding_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Abnormal Vaginal Bleeding:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['female_gu_abnormal_vaginal_bleeding']}</span>";
echo "</td>";
echo "<td>";
if ($data['female_gu_abnormal_vaginal_bleeding_text'] != null) {
echo "<span class='text'>({$data['female_gu_abnormal_vaginal_bleeding_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["female_gu_vaginal_discharge"] != "N/A" && $data["female_gu_vaginal_discharge"] != "" && $data["female_gu_vaginal_discharge"] != "--" || $data["female_gu_vaginal_discharge_text"] != "" && $data["female_gu_vaginal_discharge_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Vaginal Discharge :<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['female_gu_vaginal_discharge']}</span>";
echo "</td>";
echo "<td>";
if ($data['female_gu_vaginal_discharge_text'] != null) {
echo "<span class='text'>({$data['female_gu_vaginal_discharge_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
echo "<tr><td colspan='3'><span class='bold'><u>GI</u></span></td></tr>";
if ($data["gi_abdominal_pain"] != "N/A" && $data["gi_abdominal_pain"] != "" && $data["gi_abdominal_pain"] != "--" || $data["gi_abdominal_pain_text"] != "" && $data["gi_abdominal_pain_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>abdominal pain:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gi_abdominal_pain']}</span>";
echo "</td>";
echo "<td>";
if ($data['gi_abdominal_pain_text'] != null) {
echo "<span class='text'>({$data['gi_abdominal_pain_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gi_cramps"] != "N/A" && $data["gi_cramps"] != "" && $data["gi_cramps"] != "--" || $data["gi_cramps_text"] != "" && $data["gi_cramps_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>cramps:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gi_cramps']}</span>";
echo "</td>";
echo "<td>";
if ($data['gi_cramps_text'] != null) {
echo "<span class='text'>({$data['gi_cramps_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gi_tenderness"] != "N/A" && $data["gi_tenderness"] != "" && $data["gi_tenderness"] != "--" || $data["gi_tenderness_text"] != "" && $data["gi_tenderness_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>tenderness:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gi_tenderness']}</span>";
echo "</td>";
echo "<td>";
if ($data['gi_tenderness_text'] != null) {
echo "<span class='text'>({$data['gi_tenderness_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gi_vomiting"] != "N/A" && $data["gi_vomiting"] != "" && $data["gi_vomiting"] != "--" || $data["gi_vomiting_text"] != "" && $data["gi_vomiting_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>vomiting:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gi_vomiting']}</span>";
echo "</td>";
echo "<td>";
if ($data['gi_vomiting_text'] != null) {
echo "<span class='text'>({$data['gi_vomiting_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gi_frequent_diarrhea"] != "N/A" && $data["gi_frequent_diarrhea"] != "" && $data["gi_frequent_diarrhea"] != "--" || $data["gi_frequent_diarrhea_text"] != "" && $data["gi_frequent_diarrhea_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>frequent diarrhea:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gi_frequent_diarrhea']}</span>";
echo "</td>";
echo "<td>";
if ($data['gi_frequent_diarrhea_text'] != null) {
echo "<span class='text'>({$data['gi_frequent_diarrhea_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gi_significant_constipation"] != "N/A" && $data["gi_significant_constipation"] != "" && $data["gi_significant_constipation"] != "--" || $data["gi_significant_constipation_text"] != "" && $data["gi_significant_constipation_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>significant constipation:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gi_significant_constipation']}</span>";
echo "</td>";
echo "<td>";
if ($data['gi_significant_constipation_text'] != null) {
echo "<span class='text'>({$data['gi_significant_constipation_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gi_excessive_belching"] != "N/A" && $data["gi_excessive_belching"] != "" && $data["gi_excessive_belching"] != "--" || $data["gi_excessive_belching_text"] != "" && $data["gi_excessive_belching_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Excessive Belching:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gi_excessive_belching']}</span>";
echo "</td>";
echo "<td>";
if ($data['gi_excessive_belching_text'] != null) {
echo "<span class='text'>({$data['gi_excessive_belching_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gi_changed_bowel_habits"] != "N/A" && $data["gi_changed_bowel_habits"] != "" && $data["gi_changed_bowel_habits"] != "--" || $data["gi_changed_bowel_habits_text"] != "" && $data["gi_changed_bowel_habits_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Changed Bowel Habits:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gi_changed_bowel_habits']}</span>";
echo "</td>";
echo "<td>";
if ($data['gi_changed_bowel_habits_text'] != null) {
echo "<span class='text'>({$data['gi_changed_bowel_habits_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gi_excessive_flatulence"] != "N/A" && $data["gi_excessive_flatulence"] != "" && $data["gi_excessive_flatulence"] != "--" || $data["gi_excessive_flatulence_text"] != "" && $data["gi_excessive_flatulence_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Excessive Flatulence:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gi_excessive_flatulence']}</span>";
echo "</td>";
echo "<td>";
if ($data['gi_excessive_flatulence_text'] != null) {
echo "<span class='text'>({$data['gi_excessive_flatulence_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gi_hematemesis"] != "N/A" && $data["gi_hematemesis"] != "" && $data["gi_hematemesis"] != "--" || $data["gi_hematemesis_text"] != "" && $data["gi_hematemesis_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Hematemesis:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gi_hematemesis']}</span>";
echo "</td>";
echo "<td>";
if ($data['gi_hematemesis_text'] != null) {
echo "<span class='text'>({$data['gi_hematemesis_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gi_hemorrhoids"] != "N/A" && $data["gi_hemorrhoids"] != "" && $data["gi_hemorrhoids"] != "--" || $data["gi_hemorrhoids_text"] != "" && $data["gi_hemorrhoids_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Hemorrhoids:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gi_hemorrhoids']}</span>";
echo "</td>";
echo "<td>";
if ($data['gi_hemorrhoids_text'] != null) {
echo "<span class='text'>({$data['gi_hemorrhoids_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gi_hepatitis"] != "N/A" && $data["gi_hepatitis"] != "" && $data["gi_hepatitis"] != "--" || $data["gi_hepatitis_text"] != "" && $data["gi_hepatitis_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Hepatitis:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gi_hepatitis']}</span>";
echo "</td>";
echo "<td>";
if ($data['gi_hepatitis_text'] != null) {
echo "<span class='text'>({$data['gi_hepatitis_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gi_jaundice"] != "N/A" && $data["gi_jaundice"] != "" && $data["gi_jaundice"] != "--" || $data["gi_jaundice_text"] != "" && $data["gi_jaundice_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Jaundice:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gi_jaundice']}</span>";
echo "</td>";
echo "<td>";
if ($data['gi_jaundice_text'] != null) {
echo "<span class='text'>({$data['gi_jaundice_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gi_lactose_intolerance"] != "N/A" && $data["gi_lactose_intolerance"] != "" && $data["gi_lactose_intolerance"] != "--" || $data["gi_lactose_intolerance_text"] != "" && $data["gi_lactose_intolerance_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Lactose Intolerance:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gi_lactose_intolerance']}</span>";
echo "</td>";
echo "<td>";
if ($data['gi_lactose_intolerance_text'] != null) {
echo "<span class='text'>({$data['gi_lactose_intolerance_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gi_chronic_laxative_use"] != "N/A" && $data["gi_chronic_laxative_use"] != "" && $data["gi_chronic_laxative_use"] != "--" || $data["gi_chronic_laxative_use_text"] != "" && $data["gi_chronic_laxative_use_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Chronic Laxative Use:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gi_chronic_laxative_use']}</span>";
echo "</td>";
echo "<td>";
if ($data['gi_chronic_laxative_use_text'] != null) {
echo "<span class='text'>({$data['gi_chronic_laxative_use_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gi_melena"] != "N/A" && $data["gi_melena"] != "" && $data["gi_melena"] != "--" || $data["gi_melena_text"] != "" && $data["gi_melena_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Melena:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gi_melena']}</span>";
echo "</td>";
echo "<td>";
if ($data['gi_melena_text'] != null) {
echo "<span class='text'>({$data['gi_melena_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gi_frequent_nausea"] != "N/A" && $data["gi_frequent_nausea"] != "" && $data["gi_frequent_nausea"] != "--" || $data["gi_frequent_nausea_text"] != "" && $data["gi_frequent_nausea_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Frequent Nausea:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gi_frequent_nausea']}</span>";
echo "</td>";
echo "<td>";
if ($data['gi_frequent_nausea_text'] != null) {
echo "<span class='text'>({$data['gi_frequent_nausea_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gi_rectal_bleeding"] != "N/A" && $data["gi_rectal_bleeding"] != "" && $data["gi_rectal_bleeding"] != "--" || $data["gi_rectal_bleeding_text"] != "" && $data["gi_rectal_bleeding_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Rectal Bleeding:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gi_rectal_bleeding']}</span>";
echo "</td>";
echo "<td>";
if ($data['gi_rectal_bleeding_text'] != null) {
echo "<span class='text'>({$data['gi_rectal_bleeding_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gi_rectal_pain"] != "N/A" && $data["gi_rectal_pain"] != "" && $data["gi_rectal_pain"] != "--" || $data["gi_rectal_pain_text"] != "" && $data["gi_rectal_pain_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Rectal Pain:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gi_rectal_pain']}</span>";
echo "</td>";
echo "<td>";
if ($data['gi_rectal_pain_text'] != null) {
echo "<span class='text'>({$data['gi_rectal_pain_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["gi_stool_caliber_change"] != "N/A" && $data["gi_stool_caliber_change"] != "" && $data["gi_stool_caliber_change"] != "--" || $data["gi_stool_caliber_change_text"] != "" && $data["gi_stool_caliber_change_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Stool Caliber Change:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['gi_stool_caliber_change']}</span>";
echo "</td>";
echo "<td>";
if ($data['gi_stool_caliber_change_text'] != null) {
echo "<span class='text'>({$data['gi_stool_caliber_change_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
echo "<tr><td colspan='3'><span class='bold'><u>INTEGUMENT:</u></span></td></tr>";
if ($data["integument_pallor"] != "N/A" && $data["integument_pallor"] != "" && $data["integument_pallor"] != "--" || $data["integument_pallor_text"] != "" && $data["integument_pallor_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>pallor:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['integument_pallor']}</span>";
echo "</td>";
echo "<td>";
if ($data['integument_pallor_text'] != null) {
echo "<span class='text'>({$data['integument_pallor_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["integument_diaphoresis"] != "N/A" && $data["integument_diaphoresis"] != "" && $data["integument_diaphoresis"] != "--" || $data["integument_diaphoresis_text"] != "" && $data["integument_diaphoresis_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>diaphoresis:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['integument_diaphoresis']}</span>";
echo "</td>";
echo "<td>";
if ($data['integument_diaphoresis_text'] != null) {
echo "<span class='text'>({$data['integument_diaphoresis_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["integument_rash"] != "N/A" && $data["integument_rash"] != "" && $data["integument_rash"] != "--" || $data["integument_rash_text"] != "" && $data["integument_rash_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>rash:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['integument_rash']}</span>";
echo "</td>";
echo "<td>";
if ($data['integument_rash_text'] != null) {
echo "<span class='text'>({$data['integument_rash_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["integument_itching"] != "N/A" && $data["integument_itching"] != "" && $data["integument_itching"] != "--" || $data["integument_itching_text"] != "" && $data["integument_itching_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>itching:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['integument_itching']}</span>";
echo "</td>";
echo "<td>";
if ($data['integument_itching_text'] != null) {
echo "<span class='text'>({$data['integument_itching_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["integument_ulcers"] != "N/A" && $data["integument_ulcers"] != "" && $data["integument_ulcers"] != "--" || $data["integument_ulcers_text"] != "" && $data["integument_ulcers_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>ulcers:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['integument_ulcers']}</span>";
echo "</td>";
echo "<td>";
if ($data['integument_ulcers_text'] != null) {
echo "<span class='text'>({$data['integument_ulcers_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["integument_abscess"] != "N/A" && $data["integument_abscess"] != "" && $data["integument_abscess"] != "--" || $data["integument_abscess_text"] != "" && $data["integument_abscess_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>abscess:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['integument_abscess']}</span>";
echo "</td>";
echo "<td>";
if ($data['integument_abscess_text'] != null) {
echo "<span class='text'>({$data['integument_abscess_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["integument_nodules"] != "N/A" && $data["integument_nodules"] != "" && $data["integument_nodules"] != "--" || $data["integument_nodules_text"] != "" && $data["integument_nodules_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>nodules:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['integument_nodules']}</span>";
echo "</td>";
echo "<td>";
if ($data['integument_nodules_text'] != null) {
echo "<span class='text'>({$data['integument_nodules_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["integument_acne"] != "N/A" && $data["integument_acne"] != "" && $data["integument_acne"] != "--" || $data["integument_acne_text"] != "" && $data["integument_acne_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Acne:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['integument_acne']}</span>";
echo "</td>";
echo "<td>";
if ($data['integument_acne_text'] != null) {
echo "<span class='text'>({$data['integument_acne_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["integument_recurrent_boils"] != "N/A" && $data["integument_recurrent_boils"] != "" && $data["integument_recurrent_boils"] != "--" || $data["integument_recurrent_boils_text"] != "" && $data["integument_recurrent_boils_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Recurrent Boils:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['integument_recurrent_boils']}</span>";
echo "</td>";
echo "<td>";
if ($data['integument_recurrent_boils_text'] != null) {
echo "<span class='text'>({$data['integument_recurrent_boils_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["integument_chronic_eczema"] != "N/A" && $data["integument_chronic_eczema"] != "" && $data["integument_chronic_eczema"] != "--" || $data["integument_chronic_eczema_text"] != "" && $data["integument_chronic_eczema_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Chronic Eczema:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['integument_chronic_eczema']}</span>";
echo "</td>";
echo "<td>";
if ($data['integument_chronic_eczema_text'] != null) {
echo "<span class='text'>({$data['integument_chronic_eczema_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["integument_changing_moles"] != "N/A" && $data["integument_changing_moles"] != "" && $data["integument_changing_moles"] != "--" || $data["integument_changing_moles_text"] != "" && $data["integument_changing_moles_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Changing Moles:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['integument_changing_moles']}</span>";
echo "</td>";
echo "<td>";
if ($data['integument_changing_moles_text'] != null) {
echo "<span class='text'>({$data['integument_changing_moles_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["integument_nail_abnormalities"] != "N/A" && $data["integument_nail_abnormalities"] != "" && $data["integument_nail_abnormalities"] != "--" || $data["integument_nail_abnormalities_text"] != "" && $data["integument_nail_abnormalities_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Nail Abnormalities:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['integument_nail_abnormalities']}</span>";
echo "</td>";
echo "<td>";
if ($data['integument_nail_abnormalities_text'] != null) {
echo "<span class='text'>({$data['integument_nail_abnormalities_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["integument_psoriasis"] != "N/A" && $data["integument_psoriasis"] != "" && $data["integument_psoriasis"] != "--" || $data["integument_psoriasis_text"] != "" && $data["integument_psoriasis_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Psoriasis:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['integument_psoriasis']}</span>";
echo "</td>";
echo "<td>";
if ($data['integument_psoriasis_text'] != null) {
echo "<span class='text'>({$data['integument_psoriasis_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["integument_recurrent_hives"] != "N/A" && $data["integument_recurrent_hives"] != "" && $data["integument_recurrent_hives"] != "--" || $data["integument_recurrent_hives_text"] != "" && $data["integument_recurrent_hives_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Recurrent Hives:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['integument_recurrent_hives']}</span>";
echo "</td>";
echo "<td>";
if ($data['integument_recurrent_hives_text'] != null) {
echo "<span class='text'>({$data['integument_recurrent_hives_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
echo "<tr><td colspan='3'><span class='bold'><u>MUSCULOSKELETAL:</u></span></td></tr>";
if ($data["musculoskeletal_deformity"] != "N/A" && $data["musculoskeletal_deformity"] != "" && $data["musculoskeletal_deformity"] != "--" || $data["musculoskeletal_deformity_text"] != "" && $data["musculoskeletal_deformity_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>deformity:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['musculoskeletal_deformity']}</span>";
echo "</td>";
echo "<td>";
if ($data['musculoskeletal_deformity_text'] != null) {
echo "<span class='text'>({$data['musculoskeletal_deformity_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["musculoskeletal_edema"] != "N/A" && $data["musculoskeletal_edema"] != "" && $data["musculoskeletal_edema"] != "--" || $data["musculoskeletal_edema_text"] != "" && $data["musculoskeletal_edema_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>edema:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['musculoskeletal_edema']}</span>";
echo "</td>";
echo "<td>";
if ($data['musculoskeletal_edema_text'] != null) {
echo "<span class='text'>({$data['musculoskeletal_edema_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["musculoskeletal_pain"] != "N/A" && $data["musculoskeletal_pain"] != "" && $data["musculoskeletal_pain"] != "--" || $data["musculoskeletal_pain_text"] != "" && $data["musculoskeletal_pain_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>pain:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['musculoskeletal_pain']}</span>";
echo "</td>";
echo "<td>";
if ($data['musculoskeletal_pain_text'] != null) {
echo "<span class='text'>({$data['musculoskeletal_pain_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["musculoskeletal_limited_rom"] != "N/A" && $data["musculoskeletal_limited_rom"] != "" && $data["musculoskeletal_limited_rom"] != "--" || $data["musculoskeletal_limited_rom_text"] != "" && $data["musculoskeletal_limited_rom_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>limited ROM:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['musculoskeletal_limited_rom']}</span>";
echo "</td>";
echo "<td>";
if ($data['musculoskeletal_limited_rom_text'] != null) {
echo "<span class='text'>({$data['musculoskeletal_limited_rom_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["musculoskeletal_gait"] != "N/A" && $data["musculoskeletal_gait"] != "" && $data["musculoskeletal_gait"] != "--" || $data["musculoskeletal_gait_text"] != "" && $data["musculoskeletal_gait_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>gait:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['musculoskeletal_gait']}</span>";
echo "</td>";
echo "<td>";
if ($data['musculoskeletal_gait_text'] != null) {
echo "<span class='text'>({$data['musculoskeletal_gait_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["musculoskeletal_arthritis"] != "N/A" && $data["musculoskeletal_arthritis"] != "" && $data["musculoskeletal_arthritis"] != "--" || $data["musculoskeletal_arthritis_text"] != "" && $data["musculoskeletal_arthritis_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Arthritis:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['musculoskeletal_arthritis']}</span>";
echo "</td>";
echo "<td>";
if ($data['musculoskeletal_arthritis_text'] != null) {
echo "<span class='text'>({$data['musculoskeletal_arthritis_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["musculoskeletal_neck_pain"] != "N/A" && $data["musculoskeletal_neck_pain"] != "" && $data["musculoskeletal_neck_pain"] != "--" || $data["musculoskeletal_neck_pain_text"] != "" && $data["musculoskeletal_neck_pain_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Neck Pain:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['musculoskeletal_neck_pain']}</span>";
echo "</td>";
echo "<td>";
if ($data['musculoskeletal_neck_pain_text'] != null) {
echo "<span class='text'>({$data['musculoskeletal_neck_pain_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["musculoskeletal_mid_back_pain"] != "N/A" && $data["musculoskeletal_mid_back_pain"] != "" && $data["musculoskeletal_mid_back_pain"] != "--" || $data["musculoskeletal_mid_back_pain_text"] != "" && $data["musculoskeletal_mid_back_pain_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Mid Back Pain:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['musculoskeletal_mid_back_pain']}</span>";
echo "</td>";
echo "<td>";
if ($data['musculoskeletal_mid_back_pain_text'] != null) {
echo "<span class='text'>({$data['musculoskeletal_mid_back_pain_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["musculoskeletal_low_back_pain"] != "N/A" && $data["musculoskeletal_low_back_pain"] != "" && $data["musculoskeletal_low_back_pain"] != "--" || $data["musculoskeletal_low_back_pain_text"] != "" && $data["musculoskeletal_low_back_pain_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Low Back Pain:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['musculoskeletal_low_back_pain']}</span>";
echo "</td>";
echo "<td>";
if ($data['musculoskeletal_low_back_pain_text'] != null) {
echo "<span class='text'>({$data['musculoskeletal_low_back_pain_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["musculoskeletal_bursitis"] != "N/A" && $data["musculoskeletal_bursitis"] != "" && $data["musculoskeletal_bursitis"] != "--" || $data["musculoskeletal_bursitis_text"] != "" && $data["musculoskeletal_bursitis_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Bursitis:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['musculoskeletal_bursitis']}</span>";
echo "</td>";
echo "<td>";
if ($data['musculoskeletal_bursitis_text'] != null) {
echo "<span class='text'>({$data['musculoskeletal_bursitis_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["musculoskeletal_gout"] != "N/A" && $data["musculoskeletal_gout"] != "" && $data["musculoskeletal_gout"] != "--" || $data["musculoskeletal_gout_text"] != "" && $data["musculoskeletal_gout_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Gout:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['musculoskeletal_gout']}</span>";
echo "</td>";
echo "<td>";
if ($data['musculoskeletal_gout_text'] != null) {
echo "<span class='text'>({$data['musculoskeletal_gout_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["musculoskeletal_joint_injury"] != "N/A" && $data["musculoskeletal_joint_injury"] != "" && $data["musculoskeletal_joint_injury"] != "--" || $data["musculoskeletal_joint_injury_text"] != "" && $data["musculoskeletal_joint_injury_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Joint Injury:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['musculoskeletal_joint_injury']}</span>";
echo "</td>";
echo "<td>";
if ($data['musculoskeletal_joint_injury_text'] != null) {
echo "<span class='text'>({$data['musculoskeletal_joint_injury_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["musculoskeletal_joint_pain"] != "N/A" && $data["musculoskeletal_joint_pain"] != "" && $data["musculoskeletal_joint_pain"] != "--" || $data["musculoskeletal_joint_pain_text"] != "" && $data["musculoskeletal_joint_pain_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Joint Pain:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['musculoskeletal_joint_pain']}</span>";
echo "</td>";
echo "<td>";
if ($data['musculoskeletal_joint_pain_text'] != null) {
echo "<span class='text'>({$data['musculoskeletal_joint_pain_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["musculoskeletal_joint_swelling"] != "N/A" && $data["musculoskeletal_joint_swelling"] != "" && $data["musculoskeletal_joint_swelling"] != "--" || $data["musculoskeletal_joint_swelling_text"] != "" && $data["musculoskeletal_joint_swelling_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Joint Swelling:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['musculoskeletal_joint_swelling']}</span>";
echo "</td>";
echo "<td>";
if ($data['musculoskeletal_joint_swelling_text'] != null) {
echo "<span class='text'>({$data['musculoskeletal_joint_swelling_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["musculoskeletal_myalgias"] != "N/A" && $data["musculoskeletal_myalgias"] != "" && $data["musculoskeletal_myalgias"] != "--" || $data["musculoskeletal_myalgias_text"] != "" && $data["musculoskeletal_myalgias_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Myalgias:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['musculoskeletal_myalgias']}</span>";
echo "</td>";
echo "<td>";
if ($data['musculoskeletal_myalgias_text'] != null) {
echo "<span class='text'>({$data['musculoskeletal_myalgias_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["musculoskeletal_sciatica"] != "N/A" && $data["musculoskeletal_sciatica"] != "" && $data["musculoskeletal_sciatica"] != "--" || $data["musculoskeletal_sciatica_text"] != "" && $data["musculoskeletal_sciatica_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Sciatica:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['musculoskeletal_sciatica']}</span>";
echo "</td>";
echo "<td>";
if ($data['musculoskeletal_sciatica_text'] != null) {
echo "<span class='text'>({$data['musculoskeletal_sciatica_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["musculoskeletal_scoliosis"] != "N/A" && $data["musculoskeletal_scoliosis"] != "" && $data["musculoskeletal_scoliosis"] != "--" || $data["musculoskeletal_scoliosis_text"] != "" && $data["musculoskeletal_scoliosis_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Scoliosis:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['musculoskeletal_scoliosis']}</span>";
echo "</td>";
echo "<td>";
if ($data['musculoskeletal_scoliosis_text'] != null) {
echo "<span class='text'>({$data['musculoskeletal_scoliosis_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
echo "<tr><td colspan='3'><span class='bold'><u>HEMATOLOGICAL</u></span></td></tr>";
if ($data["hematological_anemia"] != "N/A" && $data["hematological_anemia"] != "" && $data["hematological_anemia"] != "--" || $data["hematological_anemia_text"] != "" && $data["hematological_anemia_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Anemia:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['hematological_anemia']}</span>";
echo "</td>";
echo "<td>";
if ($data['hematological_anemia_text'] != null) {
echo "<span class='text'>({$data['hematological_anemia_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["hematological_pallor"] != "N/A" && $data["hematological_pallor"] != "" && $data["hematological_pallor"] != "--" || $data["hematological_pallor_text"] != "" && $data["hematological_pallor_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Pallor:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['hematological_pallor']}</span>";
echo "</td>";
echo "<td>";
if ($data['hematological_pallor_text'] != null) {
echo "<span class='text'>({$data['hematological_pallor_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["hematological_bleeding_tendencies"] != "N/A" && $data["hematological_bleeding_tendencies"] != "" && $data["hematological_bleeding_tendencies"] != "--" || $data["hematological_bleeding_tendencies_text"] != "" && $data["hematological_bleeding_tendencies_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Bleeding Tendencies:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['hematological_bleeding_tendencies']}</span>";
echo "</td>";
echo "<td>";
if ($data['hematological_bleeding_tendencies_text'] != null) {
echo "<span class='text'>({$data['hematological_bleeding_tendencies_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["hematological_bruising"] != "N/A" && $data["hematological_bruising"] != "" && $data["hematological_bruising"] != "--" || $data["hematological_bruising_text"] != "" && $data["hematological_bruising_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Bruising:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['hematological_bruising']}</span>";
echo "</td>";
echo "<td>";
if ($data['hematological_bruising_text'] != null) {
echo "<span class='text'>({$data['hematological_bruising_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
echo "<tr><td colspan='3'><span class='bold'><u>ENDOCRINE</u></span></td></tr>";
if ($data["endocrine_thyroid_problems"] != "N/A" && $data["endocrine_thyroid_problems"] != "" && $data["endocrine_thyroid_problems"] != "--" || $data["endocrine_thyroid_problems_text"] != "" && $data["endocrine_thyroid_problems_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Thyroid Problems:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['endocrine_thyroid_problems']}</span>";
echo "</td>";
echo "<td>";
if ($data['endocrine_thyroid_problems_text'] != null) {
echo "<span class='text'>({$data['endocrine_thyroid_problems_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["endocrine_enlarged_thyroid"] != "N/A" && $data["endocrine_enlarged_thyroid"] != "" && $data["endocrine_enlarged_thyroid"] != "--" || $data["endocrine_enlarged_thyroid_text"] != "" && $data["endocrine_enlarged_thyroid_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Enlarged Thyroid:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['endocrine_enlarged_thyroid']}</span>";
echo "</td>";
echo "<td>";
if ($data['endocrine_enlarged_thyroid_text'] != null) {
echo "<span class='text'>({$data['endocrine_enlarged_thyroid_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["endocrine_hyperglycemia"] != "N/A" && $data["endocrine_hyperglycemia"] != "" && $data["endocrine_hyperglycemia"] != "--" || $data["endocrine_hyperglycemia_text"] != "" && $data["endocrine_hyperglycemia_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Hyperglycemia:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['endocrine_hyperglycemia']}</span>";
echo "</td>";
echo "<td>";
if ($data['endocrine_hyperglycemia_text'] != null) {
echo "<span class='text'>({$data['endocrine_hyperglycemia_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["endocrine_hypoglycemia"] != "N/A" && $data["endocrine_hypoglycemia"] != "" && $data["endocrine_hypoglycemia"] != "--" || $data["endocrine_hypoglycemia_text"] != "" && $data["endocrine_hypoglycemia_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Hypoglycemia:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['endocrine_hypoglycemia']}</span>";
echo "</td>";
echo "<td>";
if ($data['endocrine_hypoglycemia_text'] != null) {
echo "<span class='text'>({$data['endocrine_hypoglycemia_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["endocrine_cold_intolerance"] != "N/A" && $data["endocrine_cold_intolerance"] != "" && $data["endocrine_cold_intolerance"] != "--" || $data["endocrine_cold_intolerance_text"] != "" && $data["endocrine_cold_intolerance_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Cold Intolerance:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['endocrine_cold_intolerance']}</span>";
echo "</td>";
echo "<td>";
if ($data['endocrine_cold_intolerance_text'] != null) {
echo "<span class='text'>({$data['endocrine_cold_intolerance_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["endocrine_heat_intolerance"] != "N/A" && $data["endocrine_heat_intolerance"] != "" && $data["endocrine_heat_intolerance"] != "--" || $data["endocrine_heat_intolerance_text"] != "" && $data["endocrine_heat_intolerance_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Heat Intolerance:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['endocrine_heat_intolerance']}</span>";
echo "</td>";
echo "<td>";
if ($data['endocrine_heat_intolerance_text'] != null) {
echo "<span class='text'>({$data['endocrine_heat_intolerance_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["endocrine_early_awakening"] != "N/A" && $data["endocrine_early_awakening"] != "" && $data["endocrine_early_awakening"] != "--" || $data["endocrine_early_awakening_text"] != "" && $data["endocrine_early_awakening_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Early Awakening:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['endocrine_early_awakening']}</span>";
echo "</td>";
echo "<td>";
if ($data['endocrine_early_awakening_text'] != null) {
echo "<span class='text'>({$data['endocrine_early_awakening_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["endocrine_fatigue_unexplained"] != "N/A" && $data["endocrine_fatigue_unexplained"] != "" && $data["endocrine_fatigue_unexplained"] != "--" || $data["endocrine_fatigue_unexplained_text"] != "" && $data["endocrine_fatigue_unexplained_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Fatigue unexplained:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['endocrine_fatigue_unexplained']}</span>";
echo "</td>";
echo "<td>";
if ($data['endocrine_fatigue_unexplained_text'] != null) {
echo "<span class='text'>({$data['endocrine_fatigue_unexplained_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["endocrine_weight_gain"] != "N/A" && $data["endocrine_weight_gain"] != "" && $data["endocrine_weight_gain"] != "--" || $data["endocrine_weight_gain_text"] != "" && $data["endocrine_weight_gain_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Weight Gain:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['endocrine_weight_gain']}</span>";
echo "</td>";
echo "<td>";
if ($data['endocrine_weight_gain_text'] != null) {
echo "<span class='text'>({$data['endocrine_weight_gain_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["endocrine_weight_loss"] != "N/A" && $data["endocrine_weight_loss"] != "" && $data["endocrine_weight_loss"] != "--" || $data["endocrine_weight_loss_text"] != "" && $data["endocrine_weight_loss_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Weight Loss:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['endocrine_weight_loss']}</span>";
echo "</td>";
echo "<td>";
if ($data['endocrine_weight_loss_text'] != null) {
echo "<span class='text'>({$data['endocrine_weight_loss_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["endocrine_premenstrual_symptoms"] != "N/A" && $data["endocrine_premenstrual_symptoms"] != "" && $data["endocrine_premenstrual_symptoms"] != "--" || $data["endocrine_premenstrual_symptoms_text"] != "" && $data["endocrine_premenstrual_symptoms_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Premenstrual symptoms:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['endocrine_premenstrual_symptoms']}</span>";
echo "</td>";
echo "<td>";
if ($data['endocrine_premenstrual_symptoms_text'] != null) {
echo "<span class='text'>({$data['endocrine_premenstrual_symptoms_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["endocrine_hair_no_change_or_no_loss"] != "N/A" && $data["endocrine_hair_no_change_or_no_loss"] != "" && $data["endocrine_hair_no_change_or_no_loss"] != "--" || $data["endocrine_hair_no_change_or_no_loss_text"] != "" && $data["endocrine_hair_no_change_or_no_loss_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Hair (no change or no loss):<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['endocrine_hair_no_change_or_no_loss']}</span>";
echo "</td>";
echo "<td>";
if ($data['endocrine_hair_no_change_or_no_loss_text'] != null) {
echo "<span class='text'>({$data['endocrine_hair_no_change_or_no_loss_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["endocrine_hot_flashes"] != "N/A" && $data["endocrine_hot_flashes"] != "" && $data["endocrine_hot_flashes"] != "--" || $data["endocrine_hot_flashes_text"] != "" && $data["endocrine_hot_flashes_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Hot flashes:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['endocrine_hot_flashes']}</span>";
echo "</td>";
echo "<td>";
if ($data['endocrine_hot_flashes_text'] != null) {
echo "<span class='text'>({$data['endocrine_hot_flashes_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
echo "<tr><td colspan='3'><span class='bold'><u>LYMPHATIC</u></span></td></tr>";
if ($data["lymphatic_swollen_lymph_nodes"] != "N/A" && $data["lymphatic_swollen_lymph_nodes"] != "" && $data["lymphatic_swollen_lymph_nodes"] != "--" || $data["lymphatic_swollen_lymph_nodes_text"] != "" && $data["lymphatic_swollen_lymph_nodes_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Swollen lymph nodes:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['lymphatic_swollen_lymph_nodes']}</span>";
echo "</td>";
echo "<td>";
if ($data['lymphatic_swollen_lymph_nodes_text'] != null) {
echo "<span class='text'>({$data['lymphatic_swollen_lymph_nodes_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["lymphatic_swollen_extremities"] != "N/A" && $data["lymphatic_swollen_extremities"] != "" && $data["lymphatic_swollen_extremities"] != "--" || $data["lymphatic_swollen_extremities_text"] != "" && $data["lymphatic_swollen_extremities_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Swollen extremities:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['lymphatic_swollen_extremities']}</span>";
echo "</td>";
echo "<td>";
if ($data['lymphatic_swollen_extremities_text'] != null) {
echo "<span class='text'>({$data['lymphatic_swollen_extremities_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
echo "<tr><td colspan='3'><span class='bold'><u>PSYCHIATRIC</u></span></td></tr>";
if ($data["psychiatric_compulsions"] != "N/A" && $data["psychiatric_compulsions"] != "" && $data["psychiatric_compulsions"] != "--" || $data["psychiatric_compulsions_text"] != "" && $data["psychiatric_compulsions_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Compulsions:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['psychiatric_compulsions']}</span>";
echo "</td>";
echo "<td>";
if ($data['psychiatric_compulsions_text'] != null) {
echo "<span class='text'>({$data['psychiatric_compulsions_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["psychiatric_depression"] != "N/A" && $data["psychiatric_depression"] != "" && $data["psychiatric_depression"] != "--" || $data["psychiatric_depression_text"] != "" && $data["psychiatric_depression_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Depression:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['psychiatric_depression']}</span>";
echo "</td>";
echo "<td>";
if ($data['psychiatric_depression_text'] != null) {
echo "<span class='text'>({$data['psychiatric_depression_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["psychiatric_fear"] != "N/A" && $data["psychiatric_fear"] != "" && $data["psychiatric_fear"] != "--" || $data["psychiatric_fear_text"] != "" && $data["psychiatric_fear_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Fear:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['psychiatric_fear']}</span>";
echo "</td>";
echo "<td>";
if ($data['psychiatric_fear_text'] != null) {
echo "<span class='text'>({$data['psychiatric_fear_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["psychiatric_anxiety"] != "N/A" && $data["psychiatric_anxiety"] != "" && $data["psychiatric_anxiety"] != "--" || $data["psychiatric_anxiety_text"] != "" && $data["psychiatric_anxiety_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Anxiety:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['psychiatric_anxiety']}</span>";
echo "</td>";
echo "<td>";
if ($data['psychiatric_anxiety_text'] != null) {
echo "<span class='text'>({$data['psychiatric_anxiety_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["psychiatric_hallucinations"] != "N/A" && $data["psychiatric_hallucinations"] != "" && $data["psychiatric_hallucinations"] != "--" || $data["psychiatric_hallucinations_text"] != "" && $data["psychiatric_hallucinations_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Hallucinations:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['psychiatric_hallucinations']}</span>";
echo "</td>";
echo "<td>";
if ($data['psychiatric_hallucinations_text'] != null) {
echo "<span class='text'>({$data['psychiatric_hallucinations_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["psychiatric_loss_of_interest"] != "N/A" && $data["psychiatric_loss_of_interest"] != "" && $data["psychiatric_loss_of_interest"] != "--" || $data["psychiatric_loss_of_interest_text"] != "" && $data["psychiatric_loss_of_interest_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Loss of Interest:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['psychiatric_loss_of_interest']}</span>";
echo "</td>";
echo "<td>";
if ($data['psychiatric_loss_of_interest_text'] != null) {
echo "<span class='text'>({$data['psychiatric_loss_of_interest_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["psychiatric_memory_loss"] != "N/A" && $data["psychiatric_memory_loss"] != "" && $data["psychiatric_memory_loss"] != "--" || $data["psychiatric_memory_loss_text"] != "" && $data["psychiatric_memory_loss_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Memory Loss:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['psychiatric_memory_loss']}</span>";
echo "</td>";
echo "<td>";
if ($data['psychiatric_memory_loss_text'] != null) {
echo "<span class='text'>({$data['psychiatric_memory_loss_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["psychiatric_mood_swings"] != "N/A" && $data["psychiatric_mood_swings"] != "" && $data["psychiatric_mood_swings"] != "--" || $data["psychiatric_mood_swings_text"] != "" && $data["psychiatric_mood_swings_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Mood Swings:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['psychiatric_mood_swings']}</span>";
echo "</td>";
echo "<td>";
if ($data['psychiatric_mood_swings_text'] != null) {
echo "<span class='text'>({$data['psychiatric_mood_swings_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["psychiatric_pananoia"] != "N/A" && $data["psychiatric_pananoia"] != "" && $data["psychiatric_pananoia"] != "--" || $data["psychiatric_pananoia_text"] != "" && $data["psychiatric_pananoia_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Pananoia:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['psychiatric_pananoia']}</span>";
echo "</td>";
echo "<td>";
if ($data['psychiatric_pananoia_text'] != null) {
echo "<span class='text'>({$data['psychiatric_pananoia_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
if ($data["psychiatric_insomnia"] != "N/A" && $data["psychiatric_insomnia"] != "" && $data["psychiatric_insomnia"] != "--" || $data["psychiatric_insomnia_text"] != "" && $data["psychiatric_insomnia_text"] != null) {
echo "<tr>";
echo "<td>";
echo "<span class='text'>Insomnia:<span>";
echo "</td>";
echo "<td>";
echo "<span class='text'>{$data['psychiatric_insomnia']}</span>";
echo "</td>";
echo "<td>";
if ($data['psychiatric_insomnia_text'] != null) {
echo "<span class='text'>({$data['psychiatric_insomnia_text']})</span>";
} else {
echo "<br/>";
}
echo "</td>";
echo "</tr>";
}
print "</table>";
}
}
include_once "../../globals.php";
$returnurl = 'encounter_top.php';
?>
<html><head>
<?php
html_header_show();
?>
<link rel="stylesheet" href="<?php
echo $css_header;
?>
" type="text/css">
</head>
<body class="body_top">
<?php
include_once "{$srcdir}/api.inc";
$obj = formFetch("form_reviewofs", $_GET["id"]);
?>
<form method=post action="<?php
echo $rootdir;
?>
/forms/reviewofs/save.php?mode=update&id=<?php
echo $_GET["id"];
?>
"
name="my_form" onsubmit="return top.restoreSession()">
<span class="title"><?php
xl('Review of Systems Checks', 'e');
?>
</span><Br><br>
<table>
// get date of last encounter F103 or F153
$strEventDate = sqlQuery("SELECT MAX(pc_eventDate) AS max \n FROM openemr_postcalendar_events \n WHERE pc_pid = {$nPid} \n AND pc_apptstatus = '@' \n AND ( pc_catid = 17 OR pc_catid = 25 OR pc_catid = 13 OR pc_catid = 26 ) \n AND pc_eventDate >= '2007-01-01'");
// now check if there was a previous encounter
if ($strEventDate['max'] != "") {
return $strEventDate['max'];
} else {
return "00-00-0000";
}
}
$m_strEventDate = getPatientDateOfLastEncounter($result['pid']);
// get autosave id for Psychiatrisch Onderzoek
$vectAutosave = sqlQuery("SELECT id, autosave_flag, autosave_datetime FROM form_psychiatrisch_onderzoek \n WHERE pid = " . $_SESSION["pid"] . " AND groupname='" . $_SESSION["authProvider"] . "' AND user='******' AND\n authorized={$userauthorized} AND activity=1\n AND autosave_flag=1 \n ORDER by id DESC limit 1");
if ($vectAutosave['id'] && $vectAutosave['id'] != "" && $vectAutosave['id'] > 0) {
$obj = formFetch("form_psychiatrisch_onderzoek", $vectAutosave['id']);
} else {
$obj = formFetch("form_psychiatrisch_onderzoek", $_GET["id"]);
}
$tmpDate = stripslashes($obj["datum_onderzoek"]);
if ($tmpDate && $tmpDate != '0000-00-00 00:00:00') {
$m_strEventDate = $tmpDate;
}
?>
<html>
<head>
<link rel=stylesheet href="<?php
echo $css_header;
?>
" type="text/css">
</head>
// now check if there was a previous encounter
if ($strEventDate['max'] != "") {
return $strEventDate['max'];
} else {
return "00-00-0000";
}
}
$m_strEventDate = getPatientDateOfLastEncounter($result['pid']);
// get last saved id for intakeverslag
$vectIntakeverslagQuery = sqlQuery("SELECT id FROM form_intakeverslag \n WHERE pid = " . $_SESSION["pid"] . " AND groupname='" . $_SESSION["authProvider"] . "' AND user='******' AND\n authorized={$userauthorized} AND activity=1\n AND autosave_flag=0 \n ORDER by id DESC limit 1");
// get autosave id for Psychiatrisch Onderzoek
$vectAutosavePO = sqlQuery("SELECT id, autosave_flag, autosave_datetime FROM form_psychiatrisch_onderzoek \n WHERE pid = " . $_SESSION["pid"] . " AND groupname='" . $_SESSION["authProvider"] . "' AND user='******' AND\n authorized={$userauthorized} AND activity=1\n AND autosave_flag=1 \n ORDER by id DESC limit 1");
//fetch data from INTAKE-VERSLAG
$obj_iv = formFetch("form_intakeverslag", $vectIntakeverslagQuery['id']);
// fetch data from PSYCHIATRISCH ONDERZOEK
$obj_po = formFetch("form_psychiatrisch_onderzoek", $vectAutosavePO['id']);
/////////////////
// here we mix the data
// Reden van aanmelding
if ($obj_po['reden_van_aanmelding'] != '') {
$obj['reden_van_aanmelding'] = $obj_po['reden_van_aanmelding'];
} elseif ($obj_iv['reden_van_aanmelding'] != '') {
$obj['reden_van_aanmelding'] = $obj_iv['reden_van_aanmelding'];
} else {
$obj['reden_van_aanmelding'] = '';
}
// Conclusie van intake
if ($obj_po['conclusie_van_intake'] != '') {
$obj['conclusie_van_intake'] = $obj_po['conclusie_van_intake'];
} elseif ($obj_iv['beschrijvende_conclusie'] != '') {
$obj['conclusie_van_intake'] = $obj_iv['beschrijvende_conclusie'];
<?php
//================================================
//Form Created by
//Z&H Healthcare Solutions, LLC.
//www.zhservices.com
//sam@zhholdings.com
//Initial New Patient Physical Exam
//================================================
include_once "../../globals.php";
include_once "{$srcdir}/api.inc";
$obj = formFetch("form_Initial_New_Patient_Physical_Exam", $_GET["id"]);
//#Use the formFetch function from api.inc to get values for existing form.
function chkdata_Txt(&$obj, $var)
{
return htmlspecialchars($obj["{$var}"], ENT_QUOTES);
}
function chkdata_Date(&$obj, $var)
{
return htmlspecialchars($obj["{$var}"], ENT_QUOTES);
}
function chkdata_CB(&$obj, $nam, $var)
{
if (preg_match("/Negative.*{$var}/", $obj[$nam])) {
return;
} else {
return "checked";
}
}
function chkdata_Radio(&$obj, $nam, $var)
{
if (strpos($obj[$nam], $var) !== false) {
* @author Naina Mohamed <*****@*****.**>
* @link http://www.open-emr.org
*/
//SANITIZE ALL ESCAPES
$sanitize_all_escapes = true;
//STOP FAKE REGISTER GLOBALS
$fake_register_globals = false;
include_once "../../globals.php";
include_once "{$srcdir}/api.inc";
require_once "{$srcdir}/patient.inc";
require_once "{$srcdir}/options.inc.php";
require_once "{$srcdir}/htmlspecialchars.inc.php";
formHeader("Form:AfterCare Planning");
$returnurl = $GLOBALS['concurrent_layout'] ? 'encounter_top.php' : 'patient_encounter.php';
$formid = 0 + (isset($_GET['id']) ? $_GET['id'] : '');
$obj = $formid ? formFetch("form_aftercare_plan", $formid) : array();
?>
<html>
<head>
<?php
html_header_show();
?>
<script type="text/javascript" src="../../../library/dialog.js"></script>
<!-- pop up calendar -->
<style type="text/css">@import url(<?php
echo $GLOBALS['webroot'];
?>
/library/dynarch_calendar.css);</style>
<script type="text/javascript" src="<?php
echo $GLOBALS['webroot'];
?>