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streamline-emr/docker/_streamline-src/Modules/Patients/Resources/views/triage/observations.blade.php
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@if ($age_group == 1)
@push('scripts')
<script src="{{ asset('js/observations/0_28_days.js') }}"></script>
@endpush
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" id="temp" value="Temperature" />
<h5 class="text-center">Temperature</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" required name="observationsValues[]" id="tempValue" value="" class="col-sm-12 compulsory form-control" style="width: 100%"
/>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">36.7 - 37.2</p>
</td>
<td style="width: 20%;">
<p id="tempKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Pulse (Awake)" />
<h5 class="text-center">Pulse (Awake)</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" required name="observationsValues[]" id="pulseValue" value="" class="col-sm-12 compulsory form-control" style="width: 100%"
/>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">110 - 160</p>
</td>
<td style="width: 20%;">
<p id="pulseKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Respirations"/>
<h5 class="text-center">Respirations</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" required name="observationsValues[]" id="respValue" value="" class="col-sm-12 compulsory form-control" style="width: 100%"
/>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">30 - 60</p>
</td>
<td style="width: 20%;">
<p id="respKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="SaO2(%)"/>
<h5 class="text-center">SaO2(%)</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" name="observationsValues[]" id="saValue" value="" class="col-sm-12 form-control" style="width: 100%" />
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center"> > 94</p>
</td>
<td style="width: 20%;">
<p id="saKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Conscious level"/>
<h5 class="text-center">Conscious level</h5>
</td>
<td style="width: 20%;" class="center">
<select name="observationsValues[]" id="conValue" required class="col-sm-12 compulsory form-control">
<option value="">--Select--</option>
<option value="alert, feeding">Alert, Feeding</option>
<option value="irritable">Irritable</option>
<option value="floppy, difficult to rouse">Floppy, Difficult to Rouse</option>
<option value="convulsing">Convulsing</option>
</select>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">Alert , Feeding</p>
</td>
<td style="width: 20%;">
<p id="conKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="MUAC"/>
<h5 class="text-center">MUAC</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" name="observationsValues[]" id="muacValue" value="" required class="col-sm-12 compulsory form-control" style="width: 100%"
/>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">>12.5cm</p>
</td>
<td style="width: 20%;">
<p id="muacKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Supplementary Oxygen?"/>
<h5 class="text-center">Supplementary Oxygen?</h5>
</td>
<td style="width: 20%;" class="center">
<select name="observationsValues[]" id="suOxValue" required class="col-sm-12 compulsory form-control">
<option value="">--select--</option>
<option value="Yes">Yes</option>
<option value="No">No</option>
</select>
</td>
<td colspan="2" style="width: 40%;"></td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Blood Pressure (bp)"/>
<h5 class="text-center">Blood Pressure (bp)</h5>
</td>
<td style="width: 20%;" class="center">
<input type="text" name="observationsValues[]" id="bpValue" value="" class="col-sm-12 form-control" style="width: 100%" />
</td>
<td colspan="2" style="width: 40%;"></td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Blood glucose"/>
<h5 class="text-center">Blood glucose</h5>
</td>
<td style="width: 20%;" class="center">
<input type="text" name="observationsValues[]" id="glucoseValue" value="" class="col-sm-12 form-control" style="width: 100%" />
</td>
<td colspan="2" style="width: 40%;"></td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Weight"/>
<h5 class="text-center">Weight</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" name="observationsValues[]" id="weightValue" required class="col-sm-12 compulsory form-control" style="width: 100%"
/>
</td>
<td colspan="2" style="width: 40%;"></td>
</tr>
@elseif ($age_group == 2)
@push('scripts')
<script src="{{ asset('js/observations/1_12_months.js') }}"></script>
@endpush
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" id="temp" value="Temperature"/>
<h5 class="text-center">Temperature</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" required name="observationsValues[]" id="tempValue" value="" class="col-sm-12 compulsory form-control" style="width: 100%"/>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">36.5 - 37.4</p>
</td>
<td style="width: 20%;">
<p id="tempKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Pulse"/>
<h5 class="text-center">Pulse</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" required name="observationsValues[]" id="pulseValue" value="" class="col-sm-12 compulsory form-control" style="width: 100%"
/>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">121 - 160</p>
</td>
<td style="width: 20%;">
<p id="pulseKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Respirations"/>
<h5 class="text-center">Respirations</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" required name="observationsValues[]" id="respValue" value="" class="col-sm-12 compulsory form-control" style="width: 100%"
/>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">31 - 55</p>
</td>
<td style="width: 20%;">
<p id="respKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="SaO2(%)"/>
<h5 class="text-center">SaO2(%)</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" name="observationsValues[]" id="saValue" class="col-sm-12 form-control" style="width: 100%" />
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">> 94</p>
</td>
<td style="width: 20%;">
<p id="saKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Respiratory Distress"/>
<h5 class="text-center">Respiratory Distress</h5>
</td>
<td style="width: 20%;" class="center">
<select name="observationsValues[]" id="respdisValue" required class="col-sm-12 compulsory form-control">
<option value="">--Select--</option>
<option value="none">None</option>
<option value="mild">Mild</option>
<option value="severe">Severe</option>
</select>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">None</p>
</td>
<td style="width: 20%;">
<p id="respdisKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Conscious level"/>
<h5 class="text-center">Conscious level</h5>
</td>
<td style="width: 20%;" class="center">
<select name="observationsValues[]" id="conValue" required class="col-sm-12 compulsory form-control">
<option value="">--Select--</option>
<option value="alert">Alert</option>
<option value="responds to voice">Responds to voice</option>
<option value="responds to pain">Responds to pain</option>
<option value="unresponsive">Unresponsive</option>
</select>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">Alert</p>
</td>
<td style="width: 20%;">
<p id="conKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Feeding"/>
<h5 class="text-center">Feeding</h5>
</td>
<td style="width: 20%;" class="center">
<select name="observationsValues[]" id="feedValue" required class="col-sm-12 compulsory form-control">
<option value="">--Select--</option>
<option value="normal">Normal</option>
<option value="drinks poorly">Drinks poorly</option>
<option value="unable to drink">Unable to drink</option>
</select>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">Normal</p>
</td>
<td style="width: 20%;">
<p id="feedKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Vomiting"/>
<h5 class="text-center">Vomiting</h5>
</td>
<td style="width: 20%;" class="center">
<select name="observationsValues[]" id="vomValue" required class="col-sm-12 compulsory form-control">
<option value="">--Select--</option>
<option value="none">None</option>
<option value="occasional">Occasional</option>
<option value="vomits everything">Vomits Everything</option>
</select>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">None</p>
</td>
<td style="width: 20%;">
<p id="vomKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Convulsions"/>
<h5 class="text-center">Convulsions</h5>
</td>
<td style="width: 20%;" class="center">
<select name="observationsValues[]" id="convValue" required class="col-sm-12 compulsory form-control">
<option value="">--Select--</option>
<option value="none">None</option>
<option value="occasional reported">Occasional Reported</option>
<option value="frequent reported">Frequent Reported</option>
<option value="convulsing">Convulsing</option>
</select>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">None</p>
</td>
<td style="width: 20%;">
<p id="convKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="MUAC"/>
<h5 class="text-center">MUAC</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" name="observationsValues[]" id="muacValue" value="" required class="col-sm-12 compulsory form-control" style="width: 100%"
/>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">>12.5cm</p>
</td>
<td style="width: 20%;">
<p id="muacKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Supplementary Oxygen?"/>
<h5 class="text-center">Supplementary Oxygen?</h5>
</td>
<td style="width: 20%;" class="center">
<select name="observationsValues[]" id="suOxValue" required class="col-sm-12 compulsory form-control">
<option value="">--select--</option>
<option value="Yes">Yes</option>
<option value="No">No</option>
</select>
</td>
<td colspan="2" style="width: 40%;"></td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Blood Pressure (bp)"/>
<h5 class="text-center">Blood Pressure (bp)</h5>
</td>
<td style="width: 20%;" class="center">
<input type="text" name="observationsValues[]" id="bpValue" value="" class="col-sm-12 form-control" style="width: 100%" />
</td>
<td colspan="2" style="width: 40%;"></td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Blood glucose"/>
<h5 class="text-center">Blood glucose</h5>
</td>
<td style="width: 20%;" class="center">
<input type="text" name="observationsValues[]" id="glucoseValue" value="" class="col-sm-12 form-control" style="width: 100%" />
</td>
<td colspan="2" style="width: 40%;"></td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Weight"/>
<h5 class="text-center">Weight</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" name="observationsValues[]" id="weightValue" required class="col-sm-12 compulsory form-control" style="width: 100%"
/>
</td>
<td colspan="2" style="width: 40%;"></td>
</tr>
@elseif ($age_group == 3)
@push('scripts')
<script src="{{ asset('js/observations/1_5_years.js') }}"></script>
@endpush
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" id="temp" value="Temperature"/>
<h5 class="text-center">Temperature</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" required name="observationsValues[]" id="tempValue" value="" class="col-sm-12 compulsory form-control" style="width: 100%"
/>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">36.5 - 37.4</p>
</td>
<td style="width: 20%;">
<p id="tempKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Pulse"/>
<h5 class="text-center">Pulse</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" required name="observationsValues[]" id="pulseValue" value="" class="col-sm-12 compulsory form-control" style="width: 100%"
/>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">76 - 130</p>
</td>
<td style="width: 20%;">
<p id="pulseKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Respirations"/>
<h5 class="text-center">Respirations</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" required name="observationsValues[]" id="respValue" value="" class="col-sm-12 compulsory form-control" style="width: 100%"
/>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">21 - 40</p>
</td>
<td style="width: 20%;">
<p id="respKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="SaO2(%)"/>
<h5 class="text-center">SaO2(%)</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" name="observationsValues[]" id="saValue" value="" class="col-sm-12 form-control" style="width: 100%" />
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center"> >94</p>
</td>
<td style="width: 20%;">
<p id="saKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Respiratory Distress"/>
<h5 class="text-center">Respiratory Distress</h5>
</td>
<td style="width: 20%;" class="center">
<select name="observationsValues[]" id="respdisValue" required class="col-sm-12 compulsory form-control">
<option value="">--Select--</option>
<option value="none">None</option>
<option value="mild">Mild</option>
<option value="severe">Severe</option>
</select>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">None</p>
</td>
<td style="width: 20%;">
<p id="respdisKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Conscious level"/>
<h5 class="text-center">Conscious level</h5>
</td>
<td style="width: 20%;" class="center">
<select name="observationsValues[]" id="conValue" required class="col-sm-12 compulsory form-control">
<option value="">--Select--</option>
<option value="alert">Alert</option>
<option value="responds to voice">Responds to voice</option>
<option value="responds to pain">Responds to pain</option>
<option value="unresponsive">Unresponsive</option>
</select>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">Alert</p>
</td>
<td style="width: 20%;">
<p id="conKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Feeding"/>
<h5 class="text-center">Feeding</h5>
</td>
<td style="width: 20%;" class="center">
<select name="observationsValues[]" id="feedValue" required class="col-sm-12 compulsory form-control">
<option value="">--Select--</option>
<option value="normal">Normal</option>
<option value="drinks poorly">Drinks poorly</option>
<option value="unable to drink">Unable to drink</option>
</select>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">Normal</p>
</td>
<td style="width: 20%;">
<p id="feedKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Vomiting"/>
<h5 class="text-center">Vomiting</h5>
</td>
<td style="width: 20%;" class="center">
<select name="observationsValues[]" id="vomValue" required class="col-sm-12 compulsory form-control">
<option value="">--Select--</option>
<option value="none">None</option>
<option value="occasional">Occasional</option>
<option value="vomits everything">Vomits Everything</option>
</select>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">None</p>
</td>
<td style="width: 20%;">
<p id="vomKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Convulsions"/>
<h5 class="text-center">Convulsions</h5>
</td>
<td style="width: 20%;" class="center">
<select name="observationsValues[]" id="convValue" required class="col-sm-12 compulsory form-control">
<option value="">--Select--</option>
<option value="none">None</option>
<option value="occasional reported">Occasional Reported</option>
<option value="frequent reported">Frequent Reported</option>
<option value="convulsing">Convulsing</option>
</select>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">None</p>
</td>
<td style="width: 20%;">
<p id="convKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="MUAC"/>
<h5 class="text-center">MUAC</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" name="observationsValues[]" id="muacValue" value="" required class="col-sm-12 compulsory form-control" style="width: 100%"
/>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">>12.5cm</p>
</td>
<td style="width: 20%;">
<p id="muacKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Supplementary Oxygen?"/>
<h5 class="text-center">Supplementary Oxygen?</h5>
</td>
<td style="width: 20%;" class="center">
<select name="observationsValues[]" id="suOxValue" required class="col-sm-12 compulsory form-control">
<option value="">--select--</option>
<option value="Yes">Yes</option>
<option value="No">No</option>
</select>
</td>
<td colspan="2" style="width: 40%;"></td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Blood Pressure (bp)"/>
<h5 class="text-center">Blood Pressure (bp)</h5>
</td>
<td style="width: 20%;" class="center">
<input type="text" name="observationsValues[]" id="bpValue" value="" class="col-sm-12 form-control" style="width: 100%" />
</td>
<td colspan="2" style="width: 40%;"></td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Blood glucose"/>
<h5 class="text-center">Blood glucose</h5>
</td>
<td style="width: 20%;" class="center">
<input type="text" name="observationsValues[]" id="glucoseValue" value="" class="col-sm-12 form-control" style="width: 100%" />
</td>
<td colspan="2" style="width: 40%;"></td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Weight"/>
<h5 class="text-center">Weight</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" name="observationsValues[]" id="weightValue" required class="col-sm-12 compulsory form-control" style="width: 100%"
/>
</td>
<td colspan="2" style="width: 40%;"></td>
</tr>
@elseif ($age_group == 4)
@push('scripts')
<script src="{{ asset('js/observations/6_12_years.js') }}"></script>
@endpush
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" id="temp" value="Temperature"/>
<h5 class="text-center">Temperature</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" required name="observationsValues[]" id="tempValue" value="" class="col-sm-12 compulsory form-control" style="width: 100%"
/>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">36.5 - 37.4</p>
</td>
<td style="width: 20%;">
<p id="tempKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Pulse"/>
<h5 class="text-center">Pulse</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" required name="observationsValues[]" id="pulseValue" value="" class="col-sm-12 compulsory form-control" style="width: 100%"
/>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">76 - 100</p>
</td>
<td style="width: 20%;">
<p id="pulseKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Respirations"/>
<h5 class="text-center">Respirations</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" required name="observationsValues[]" id="respValue" value="" class="col-sm-12 compulsory form-control" style="width: 100%"
/>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">18 - 30</p>
</td>
<td style="width: 20%;">
<p id="respKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="SaO2(%)"/>
<h5 class="text-center">SaO2(%)</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" name="observationsValues[]" id="saValue" value="" class="col-sm-12 form-control" style="width: 100%" />
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">>94</p>
</td>
<td style="width: 20%;">
<p id="saKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Respiratory Distress"/>
<h5 class="text-center">Respiratory Distress</h5>
</td>
<td style="width: 20%;" class="center">
<select name="observationsValues[]" id="respdisValue" required class="col-sm-12 compulsory form-control">
<option value="">--Select--</option>
<option value="none">None</option>
<option value="mild">Mild</option>
<option value="severe">Severe</option>
</select>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">None</p>
</td>
<td style="width: 20%;">
<p id="respdisKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Conscious level"/>
<h5 class="text-center">Conscious level</h5>
</td>
<td style="width: 20%;" class="center">
<select name="observationsValues[]" id="conValue" required class="col-sm-12 compulsory form-control">
<option value="">--Select--</option>
<option value="alert">Alert</option>
<option value="responds to voice/irritable">Responds to voice / Irritable</option>
<option value="responds to pain">Responds to pain</option>
<option value="unresponsive">Unresponsive</option>
</select>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">Alert</p>
</td>
<td style="width: 20%;">
<p id="conKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Feeding"/>
<h5 class="text-center">Feeding</h5>
</td>
<td style="width: 20%;" class="center">
<select name="observationsValues[]" id="feedValue" required class="col-sm-12 compulsory form-control">
<option value="">--Select--</option>
<option value="normal">Normal</option>
<option value="drinks poorly">Drinks poorly</option>
<option value="unable to drink">Unable to drink</option>
</select>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">Normal</p>
</td>
<td style="width: 20%;">
<p id="feedKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Vomiting"/>
<h5 class="text-center">Vomiting</h5>
</td>
<td style="width: 20%;" class="center">
<select name="observationsValues[]" id="vomValue" required class="col-sm-12 compulsory form-control">
<option value="">--Select--</option>
<option value="none">None</option>
<option value="occasional">Occasional</option>
<option value="vomits everything">Vomits Everything</option>
</select>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">None</p>
</td>
<td style="width: 20%;">
<p id="vomKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Convulsions"/>
<h5 class="text-center">Convulsions</h5>
</td>
<td style="width: 20%;" class="center">
<select name="observationsValues[]" id="convValue" required class="col-sm-12 compulsory form-control">
<option value="">--Select--</option>
<option value="none">None</option>
<option value="occasional reported">Occasional Reported</option>
<option value="frequent reported">Frequent Reported</option>
<option value="convulsing">Convulsing</option>
</select>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">None</p>
</td>
<td style="width: 20%;">
<p id="convKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="MUAC"/>
<h5 class="text-center">MUAC</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" name="observationsValues[]" id="muacValue" value="" required class="col-sm-12 compulsory form-control" style="width: 100%"
/>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">>12.5cm</p>
</td>
<td style="width: 20%;">
<p id="muacKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Supplementary Oxygen?"/>
<h5 class="text-center">Supplementary Oxygen?</h5>
</td>
<td style="width: 20%;" class="center">
<select name="observationsValues[]" id="suOxValue" required class="col-sm-12 compulsory form-control">
<option value="">--select--</option>
<option value="Yes">Yes</option>
<option value="No">No</option>
</select>
</td>
<td colspan="2" style="width: 40%;"></td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Blood Pressure (bp)"/>
<h5 class="text-center">Blood Pressure (bp)</h5>
</td>
<td style="width: 20%;" class="center">
<input type="text" name="observationsValues[]" id="bpValue" value="" class="col-sm-12 form-control" style="width: 100%" />
</td>
<td colspan="2" style="width: 40%;"></td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Blood glucose"/>
<h5 class="text-center">Blood glucose</h5>
</td>
<td style="width: 20%;" class="center">
<input type="text" name="observationsValues[]" id="glucoseValue" value="" class="col-sm-12 form-control" style="width: 100%" />
</td>
<td colspan="2" style="width: 40%;"></td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Height(m)"/>
<h5 class="text-center">Height(m)</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" step="0.1" name="observationsValues[]" id="heightValue" class="col-sm-12 compulsory form-control" required
style="width: 100%" />
</td>
<td colspan="2" style="width: 40%;">
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Weight"/>
<h5 class="text-center">Weight</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" name="observationsValues[]" id="weightValue" required class="col-sm-12 compulsory form-control" style="width: 100%"
/>
</td>
<td colspan="2" style="width: 40%">
<input type="hidden" readonly="readonly" name="observationsNames[]" value="BMI" class="col-sm-12" style="width: 100%" /> BMI &nbsp;
<input type="number" readonly="readonly" name="observationsValues[]" id="bmi" class="col-sm-4 form-control"
/>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Alcohol use"/>
<h5 class="text-center">Alcohol use</h5>
</td>
<td style="width: 20%;" class="center">
<select name="observationsValues[]" id="alcoholValue" class="col-sm-12 form-control" required>
<option value="">--select--</option>
<option value="High">High</option>
<option value="Moderate">Moderate</option>
<option value="Low">Low</option>
<option value="Nil">Nil</option>
</select>
</td>
<td colspan="2" style="width: 40%;"></td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Tobacco use"/>
<h5 class="text-center">Tobacco use</h5>
</td>
<td style="width: 20%;" class="center">
<select name="observationsValues[]" id="tobaccoValue" class="col-sm-12 form-control" required>
<option value="">--select--</option>
<option value="High">High</option>
<option value="Moderate">Moderate</option>
<option value="Low">Low</option>
<option value="Nil">Nil</option>
</select>
</td>
<td colspan="2" style="width: 40%;"></td>
</tr>
@elseif ($age_group == 5)
@push('scripts')
<script src="{{ asset('js/observations/over_12_years.js') }}"></script>
<script src="{{ asset('js/observations/over_12_years_news.js') }}"></script>
@endpush
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" id="temp" value="Temperature"/>
<h5 class="text-center">Temperature</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" required name="observationsValues[]" id="tempValue" value="" class="col-sm-12 compulsory form-control" style="width: 100%"
/>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">36.0 - 37.7</p>
</td>
<td style="width: 10%;">
<p id="tempKews" class="text-center"></p>
</td>
<td style="width: 10%;">
<p id="tempNewsText" class="text-center"></p>
<input type="hidden" id="tempNews" name="tempNews" value="" class="col-sm-12" />
<input type="hidden" name="adult" id="adult" value="adult" class="col-sm-12" />
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Pulse"/>
<h5 class="text-center">Pulse</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" required name="observationsValues[]" id="pulseValue" value="" class="col-sm-12 compulsory form-control" style="width: 100%"
/>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">51 - 100</p>
</td>
<td style="width: 10%;">
<p id="pulseKews" class="text-center"></p>
</td>
<td style="width: 10%;">
<input type="hidden" name="pulseNews" id="pulseNews" value=""/>
<p id="pulseNewsText" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Respirations"/>
<h5 class="text-center">Respirations</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" required name="observationsValues[]" id="respValue" value="" class="col-sm-12 compulsory form-control" style="width: 100%"
/>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">9 - 18</p>
</td>
<td style="width: 10%;">
<p id="respKews" class="text-center"></p>
</td>
<td style="width: 10%;">
<input type="hidden" name="respNews" id="respNews" value=""/>
<p id="respNewsText" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="SaO2(%)"/>
<h5 class="text-center">SaO2(%)</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" name="observationsValues[]" id="saValue" value="" class="col-sm-12 form-control" style="width: 100%" />
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">>94</p>
</td>
<td style="width: 10%;">
<p id="saKews" class="text-center"></p>
</td>
<td style="width: 10%;">
<input type="hidden" name="saNews" id="saNews"/>
<p id="saNewsText" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Systolic bp"/>
<h5 class="text-center">Systolic bp</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" required name="observationsValues[]" id="sysValue" value="" class="col-sm-12 compulsory form-control" style="width: 100%"
/>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">101 - 159</p>
</td>
<td style="width: 10%;">
<p id="sysKews" class="text-center"></p>
</td>
<td style="width: 10%;">
<input type="hidden" name="sysNews" id="sysNews" value=""/>
<p id="sysNewsText" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Diastolic bp"/>
<h5 class="text-center">Diastolic bp</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" required name="observationsValues[]" id="diaValue" value="" class="col-sm-12 compulsory form-control" style="width: 100%"
/>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">< 95</p>
</td>
<td style="width: 10%;">
<p id="diaKews" class="text-center"></p>
</td>
<td style="width: 10%;"></td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Conscious level"/>
<h5 class="text-center">Conscious level</h5>
</td>
<td style="width: 20%;" class="center">
<select name="observationsValues[]" id="conValue" required class="col-sm-12 compulsory form-control">
<option value="">--Select--</option>
<option value="alert">Alert</option>
<option value="responds to voice/irritated">Responds to voice / Irritated</option>
<option value="responds to pain">Responds to pain</option>
<option value="unresponsive">Unresponsive</option>
</select>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">Alert</p>
</td>
<td style="width: 10%;">
<p id="conKews" class="text-center"></p>
</td>
<td style="width: 10%;">
<input type="hidden" name="conNews" id="conNews" value=""/>
<p id="conNewsText" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Urine Output"/>
<h5 class="text-center">Urine Output</h5>
</td>
<td style="width: 20%;" class="center">
<select name="observationsValues[]" id="urValue" required class="col-sm-12 compulsory form-control">
<option value="">--Select--</option>
<option value="normal">Normal</option>
<option value="reduced">Reduced</option>
<option value="none for 24 hours">None for 24 Hours</option>
</select>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center">Normal</p>
</td>
<td style="width: 10%;">
<p id="urKews" class="text-center"></p>
</td>
<td style="width: 10%;"></td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="MUAC"/>
<h5 class="text-center">MUAC</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" name="observationsValues[]" id="muacValue" value="" required class="col-sm-12 compulsory form-control" style="width: 100%"
/>
</td>
<td style="width: 20%;">
<p style="color: #0000FF" class="text-center"> >12.5cm</p>
</td>
<td style="width: 10%;" colspan="2">
<p id="muacKews" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Supplementary Oxygen?"/>
<h5 class="text-center">Supplementary Oxygen?</h5>
</td>
<td style="width: 20%;" class="center">
<select name="observationsValues[]" id="suOxValue" required class="col-sm-12 compulsory form-control">
<option value="">--select--</option>
<option value="Yes">Yes</option>
<option value="No">No</option>
</select>
</td>
<td style="width: 20%;"></td>
<td style="width: 10%;"></td>
<td style="width: 10%;">
<input type="hidden" name="suOxNews" id="suOxNews" value=""/>
<p id="suOxNewsText" class="text-center"></p>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Height(m)"/>
<h5 class="text-center">Height(m)</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" step="0.1" name="observationsValues[]" id="heightValue" class="col-sm-12 compulsory form-control" required
style="width: 100%" />
</td>
<td colspan="3" style="width: 40%;">
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Weight"/>
<h5 class="text-center">Weight</h5>
</td>
<td style="width: 20%;" class="center">
<input type="number" name="observationsValues[]" id="weightValue" required class="col-sm-12 compulsory form-control" style="width: 100%"
/>
</td>
<td colspan="3" style="width: 40%">
<input type="hidden" readonly="readonly" name="observationsNames[]" value="BMI" class="col-sm-12" style="width: 100%" /> BMI &nbsp;
<input type="number" readonly="readonly" name="observationsValues[]" id="bmi" class="col-sm-4 form-control"
/>
</td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Alcohol use"/>
<h5 class="text-center">Alcohol use</h5>
</td>
<td style="width: 20%;" class="center">
<select name="observationsValues[]" id="alcoholValue" class="col-sm-12 form-control" required>
<option value="">--select--</option>
<option value="High">High</option>
<option value="Moderate">Moderate</option>
<option value="Low">Low</option>
<option value="Nil">Nil</option>
</select>
</td>
<td colspan="3" style="width: 40%;"></td>
</tr>
<tr>
<td style="width: 1%;">
<input type="checkbox" name="chk" id="chk" />
</td>
<td style="width: 25%;">
<input type="hidden" name="observationsNames[]" value="Tobacco use"/>
<h5 class="text-center">Tobacco use</h5>
</td>
<td style="width: 20%;" class="center">
<select name="observationsValues[]" id="tobaccoValue" class="col-sm-12 form-control" required>
<option value="">--select--</option>
<option value="High">High</option>
<option value="Moderate">Moderate</option>
<option value="Low">Low</option>
<option value="Nil">Nil</option>
</select>
</td>
<td colspan="3" style="width: 40%;"></td>
</tr>
@else
<tr>
<td colspan="5" class="center" style="width: 100%; color: maroon">Please check the patient\'s date of birth</td>
</tr>
@endif
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