{php}html_header_show();{/php} {literal} {/literal}
Well Child Visit
WT:
HT:
BP:
TEMP:
Years:
Months:
WT%:
HT%:
{foreach name=loops item=headings key=title from=$checks}
{if $title eq "Genitalia"}
{$title}
{else}
{$title}
{/if}
{foreach item=row key=row_title from=$headings}
{if !is_numeric($row_title)}
{$row_title}
{html_checkboxes name="checks" options=$row selected=$well_child->checks separator=" "}
{if $row_title eq "Male"} Tanner Stage: {html_options name="male_tanner" selected=$well_child->get_male_tanner() options=$well_child->tanner_stage_array} {elseif $row_title eq "Female"} Tanner Stage: {html_options name="female_tanner" selected=$well_child->get_female_tanner() options=$well_child->tanner_stage_array} {/if}
{else}
{html_checkboxes name="checks" options=$row selected=$well_child->checks separator=" "}
{if $title eq "Breast:(FEMALE)"} Tanner Stage: {html_options name="breast_tanner" selected=$well_child->get_breast_tanner() options=$well_child->tanner_stage_array} {/if}
{/if}
{/foreach}
{/foreach}
History:
{$well_child->get_history()}
Drug Allergy:
School Development:
Additional or Abnormal Findings
{$well_child->get_additional_findings()}
Assesment/Diagnosis
{$well_child->get_assesment()}
{foreach name=loops item=headings key=title from=$checks2}
{$title}
{foreach item=row key=row_title from=$headings}
{if !is_numeric($row_title)}
{$row_title}
{html_checkboxes name="checks2" options=$row selected=$well_child->checks2 separator=" "}
{else}
{html_checkboxes name="checks2" options=$row selected=$well_child->checks2 separator=" "}
{/if}
{/foreach}
{/foreach}
PPD:
UA DIP:
HCT:
LEAD:
RX
{$well_child->get_rx()}
RTC
{$well_child->get_rtc()}
Vision
Corrected
Uncorrected
OU
20/
20/
OD
20/
20/
OS
20/
20/
Audio
Frequency (HZ)
1000
2000
4000
Right Ear
Left Ear
{foreach name=loops item=headings key=title from=$checks3}
{$title}
{foreach item=row key=row_title from=$headings}
{if !is_numeric($row_title)}
{$row_title}
{html_checkboxes name="checks3" options=$row selected=$well_child->checks3 separator=" "}
{else}
{html_checkboxes name="checks3" options=$row selected=$well_child->checks3 separator=" "}
{/if}
{/foreach}
{/foreach}
[Don't Save]