| {if !empty($patientdata.wifetype)}{$patientdata.wifetype} {/if}/ {$patientdata.wifename} | {if $new_dateofbirth_calc != ''} {$new_dateofbirth_calc} سنة {/if} | {if !empty($patientdata.wifejob)}{$patientdata.wifejob}{/if} | {$patientdata.address} | رقم المريضة : {$patientdata.statusno} | ||||
| متزوجة منذ :{if $mirragemonths == 0} {$mirrageyears} سنة {elseif $mirrageyears==0 } {if $mirragemonths==1}{$mirragemonths} شهر {else}{$mirragemonths} شهور {/if} {else } {$mirrageyears}سنة -{if $mirragemonths==1}{$mirragemonths} شهر {else}{$mirragemonths} شهور {/if} {/if} | {else}متزوجة منذ : | {/if}الذكور: {$patientdata.boyson} | الإناث: {$patientdata.girlson} | {/if}{if $patientdata.statuesid == 1} | {/if} | |||
| {if !empty($patientdata.husbandtype)}{$patientdata.husbandtype} {/if}/ {$patientdata.husdandname} | {if $patientdata.statuesid != 3 }{if $new_dateofbirth_husband != '' } {$new_dateofbirth_husband} سنة {/if} {/if} | {if !empty($patientdata.husbandjob)}{$patientdata.husbandjob} {/if} | ||||||
| Menstrual H | {if $idData == "yes"} {if !empty($phregualrity) && ($phregualrity->id eq 1 || $phregualrity->id eq 2) } {if $phregualrity}{$phregualrity->name} | {/if} {if $myphmenstrual->phlMP}{$myphmenstrual->phlMP} | {/if} {else} {if $myphmenstrual->menarche}{$myphmenstrual->menarche} | {/if} {if $myphmenstrual->duration}{$myphmenstrual->duration} | {/if} {if $myphmenstrual->length}{$myphmenstrual->length} | {/if} {if $phregualrity}{$phregualrity->name} | {/if} {if $phamount}{$phamount->name} | {/if} {if $phdysmenorrhoea}{$phdysmenorrhoea->name} | {/if} {if $myphmenstrual->phlMP}{$myphmenstrual->phlMP} | {/if} {/if} {else}{/if} |
| Contraception H | {if $idData1 == "yes"} {if $phcontracttype->name}{$phcontracttype->name} | {/if} {if $myallcontract->contduration}{$myallcontract->contduration} Y | {/if} {if $myallcontract->contstopped}{$myallcontract->contstopped} Y | {/if} {if $myallcontract->contranote}{$myallcontract->contranote} | {/if} {else}{/if} |
| Obstetric H | {$myallobsteric} | {$pcounter} | {$abcounter} | {$Ectopiccounter} | {$vmodelcounter} |
| Past Medical H | {assign var=i value=1} {foreach $allpastmedical as $myallpastmedical} {if $i == 1 } {$myallpastmedical.name} {else} ,{$myallpastmedical.name} {/if} {capture assign=i}{$i+1}{/capture} {/foreach} |
| Past Surgical H | {assign var=i value=1} {foreach $allpastsurgical as $myallpastsurgical} {if $i == 1 } {$myallpastsurgical.name} {else} ,{$myallpastsurgical.name} {/if} {capture assign=i}{$i+1}{/capture} {/foreach} |
| Past Gynecological | {assign var=i value=1} {foreach $allphpastgynecological as $myallphpastgynecological} {if $i == 1 } {$myallphpastgynecological.name} {else} ,{$myallphpastgynecological.name} {/if} {capture assign=i}{$i+1}{/capture} {/foreach} |
| Past ART | {assign var=i value=1} {foreach $allphpastart as $myallphpastart} {if $i == 1 } {$myallphpastart.name} {else} ,{$myallphpastart.name} {/if} {capture assign=i}{$i+1}{/capture} {/foreach} |
| Family H | {assign var=i value=1} {foreach $allphfamily as $myallphfamily} {if $i == 1 } {$myallphfamily.name} {else} ,{$myallphfamily.name} {/if} {capture assign=i}{$i+1}{/capture} {/foreach} |
| Examination | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Date | WT. | HT. | BMI | BP | pulse | Head & neck | Chest & heart | Abdomen | Pelvis | Extremitis | {if $programSetting->displaydoctorname eq 1}Doctor | {/if}
| {$myallexmination.examinationdate} | {$myallexmination.weight} | {$myallexmination.height} | {$myallexmination.bmi} | {$myallexmination.pulse} | {$myallexmination.headandneck} | {$myallexmination.chestandheart} | {$myallexmination.abdomen} | {$myallexmination.pelvis} | {$myallexmination.extremitis} | {if $programSetting->displaydoctorname eq 1}{$myallexmination.docname} | {/if}|
| Semen | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Date | Count | MotilityA | MotilityA+B | Normal | Pus cells | Notes | {if $programSetting->displaydoctorname eq 1}Doctor | {/if}||||
| {$semen.sdate} | {$semen.count} | {$semen.motilitya} | {$semen.motilityab} | {$semen.normal} | {$semen.puscell} | {$semen.notes} | {if $programSetting->displaydoctorname eq 1}{$semen.docname} | {/if}||||
| {if !empty($semen.normaltype)} Normal {/if} | {if $programSetting->displaydoctorname eq 1} | {/if} | |||||||||
| HSG | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Date | Uterus | R.tube | L.tube | Smear | Notes | {if $programSetting->displaydoctorname eq 1}Doctor | {/if}|||||
| {$hsg.sdate} | {$hsg.uterus} | {$hsg.rtube} | {$hsg.ltube} | {$hsg.smear} | {$hsg.notes} | {if $programSetting->displaydoctorname eq 1}{$hsg.docname} | {/if}|||||
| US/TVS | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Date | Uterus | R.adnexa | L.adnexa | Pelvis | Notes | {if $programSetting->displaydoctorname eq 1}Doctor | {/if}|||||
| {$ustv.sdate} | {$ustv.uterus} | {$ustv.radnexa} | {$ustv.ladnexa} | {$ustv.pelvis} | {$ustv.notes} | {if $programSetting->displaydoctorname eq 1}{$ustv.docname} | {/if}|||||
| LAPAROSCOPY | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Date | Uterus | R.adnexa | L.adnexa | Pelvis | Notes | {if $programSetting->displaydoctorname eq 1}Doctor | {/if}|||||
| {$lap.sdate} | {$lap.uterus} | {$lap.radnexa} | {$lap.ladnexa} | {$lap.pelvis} | {$lap.notes} | {if $programSetting->displaydoctorname eq 1}{$lap.docname} | {/if}|||||
| HYSTEROSCOPY | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Date | Cervix | Uterine Cavity | R.Ostium | L.Ostium | Notes | {if $programSetting->displaydoctorname eq 1}Doctor | {/if}|||||
| {$hyst.sdate} | {$hyst.cervix} | {$hyst.uterine} | {$hyst.rostium} | {$hyst.lostium} | {$hyst.notes} | {if $programSetting->displaydoctorname eq 1}{$hyst.docname} | {/if}|||||
| MRI/CT | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Date | Uterus | R.adnexa | L.adnexa | Pelvis | Notes | {if $programSetting->displaydoctorname eq 1}Doctor | {/if}|||||
| {$mri.sdate} | {$mri.uterus} | {$mri.radnexa} | {$mri.ladnexa} | {$mri.pelvis} | {$mri.notes} | {if $programSetting->displaydoctorname eq 1}{$mri.docname} | {/if}|||||
| HORMONES | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Date | FSH | LH | PRL | E2 | AMH | FreeT | TotalT | P4 | TSH | T3 | T4 | DHEAS | DHT | B.HCG | InhibinB | ASD | Notes | {if $programSetting->displaydoctorname eq 0}Doctor | {/if}|
| mIU/ml | mIU/ml | ng/ml | pg/ml | ng/ml | pg/ml | ng/dl | ng/ml | uIU/ml | ng/ml | ug/dl | ug/dl | ng/ml | mIU/ml | pg/ml | ng/ml | {if $programSetting->displaydoctorname eq 0} | {/if} | ||
| {$hormon.sdate} | {$hormon.fsh} | {$hormon.lh} | {$hormon.prl} | {$hormon.etwo} | {$hormon.amh} | {$hormon.freet} | {$hormon.totalt} | {$hormon.pfour} | {$hormon.tsh} | {$hormon.tthree} | {$hormon.tfour} | {$hormon.dheas} | {$hormon.dht} | {$hormon.bhcg} | {$hormon.inhibinb} | {$hormon.asd} | {$hormon.notes} | {if $programSetting->displaydoctorname eq 0}{$hormon.docname} | {/if}|
| PATHOLOGY | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Date | Cytology | Histopathology | {if $programSetting->displaydoctorname eq 1}Doctor | {/if}||||||||
| {$path.sdate} | {$path.cytology} | {$path.histopathology} | {if $programSetting->displaydoctorname eq 1}{$path.docname} | {/if}||||||||
| Gyna Visits | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Date | Complaint | {if $programSetting->diagnosshow eq 0}Diagnosis | {/if}Notes | {if $programSetting->displaydoctorname eq 1}Doctor | {/if}|||||||
| {$gyna_obj.gynadate} | {if $programSetting->diagnosshow eq 0}{$gyna_obj.complaintxt} | {$gyna_obj.diagnosistxt} | {else}{$gyna_obj.complaint} | {/if}{$gyna_obj.notes} | {if $programSetting->displaydoctorname eq 1}{$gyna_obj.docname} | {/if}||||||
| Folliculometry | ||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Date | Day | Right Ovary | Left Ovary | Endo | Notes | {if $ProgramesettingData->displaydoctorname eq 1}Doctor | {/if}||||||||||||||||||
| No | Size | No | Size | {if $ProgramesettingData->displaydoctorname eq 1} {/if}|||||||||||||||||||||
| {$gUs->date} | {$gUs->day} | {$gUs->ovraylno} | {$gUs->ovraylsize} | {$gUs->ovrayrno} | {$gUs->ovrayrsize} | {$gUs->endo} | {$gUs->notes} | {if $ProgramesettingData->displaydoctorname eq 1}{$gUs->doctorname} | {/if}||||||||||||||||
| Folliculometry | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Date | Day | Endo | Uterus | Cervix | OVARY Lt | OVARY Rt | LTovary | Rtovary | {if $programSetting->displaydoctorname eq 1}Doctor{/if} | ||||||||||||||||||||||
| l | w | v | l | w | v | l | w | v | l | w | v | name | Length | Width | Volume | Name | Length | Width | Volume | ||||||||||||
| {$us->date} | {$us->day} | {$us->endo} | {$us->uterusl} | {$us->uterusw} | {$us->uterusv} | {$us->cervixl} | {$us->cervixw} | {$us->cervixv} | {$us->ovrayll} | {$us->ovraylw} | {$us->ovraylv} | {$us->ovrayrl} | {$us->ovrayrw} | {$us->ovraylv} |
|
|
{if $programSetting->displaydoctorname eq 1} {$us->doctorname}{/if} | ||||||||||||||
| investigation | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Wife | Husband | ||||||||||
| {$inv.date} | {foreach $inv.investsw as $invest} {$invest->invname}: {if !empty($invest->investresult)} {$invest->investresult} {else} --- {/if}, {/foreach} | {foreach $inv.investsh as $invest} {$invest->invname}: {if !empty($invest->investresult)} {$invest->investresult} {else} --- {/if}, {/foreach} | |||||||||
| Treatment | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Wife | Husband | ||||||||||
| {$date["date"]} | {if !empty($date["drugdos"])} {$date["drugdos"]} {/if} | {if !empty($date["drugtype"])} {$date["drugtype"]} {/if} | |||||||||
| Antenatal Visits |
|---|
| Pregnancy No. {$h} | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Date | W | Complaint | {if $ProgramesettingData->diagnosshow == 0}Diagnosis | {/if}Wt | Bp | Notes | {if $programSetting->displaydoctorname eq 1}Doctor | {/if}|
|---|---|---|---|---|---|---|---|---|
| {$myObject.antenaldate} | {$myObject.w} | {if $ProgramesettingData->diagnosshow == 0}{$myObject.complaintid} | {else}{$myObject.complaint} | {/if} {if $ProgramesettingData->diagnosshow == 0}{$myObject.diagnosisid} | {/if}{$myObject.wt} | {$myObject.bp} | {$myObject.notes} | {if $programSetting->displaydoctorname eq 1}{$myObject.doctorname} | {/if}
| TTT | |||||
|---|---|---|---|---|---|
| Wife | Husband | ||||
| {$date["date"]} | {if !empty($date["drugdos"])}{$date["drugdos"]} {/if} | {if !empty($date["drugtype"])}{$date["drugtype"]} {/if} | |||
| US | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Date | N(GA) | GS | CRL | FHR | BPD | FL | Placenta | AI | FWT | Notes | {if $programSetting->displaydoctorname eq 1}Doctor{/if} |
| {$aUs.date} | {$aUs.nga} | {$aUs.gs} | {$aUs.crl} | {$aUs.fhr} | {$aUs.bpd} | {$aUs.fl} | {$aUs.placenta} | {$aUs.ai} | {$aUs.fwt} | {$aUs.notes} | {if $programSetting->displaydoctorname eq 1}{$aUs.doctorname} | {/if}
| Lab | ||
|---|---|---|
| Wife | Husband | |
| {$inv.date} | {foreach $inv.investsw as $invest} {$invest->invname}: {if !empty({$invest->investresult})}{$invest->investresult}{else} --- {/if} , {/foreach} | {foreach $inv.investsh as $invest} {$invest->invname}: {if !empty({$invest->investresult})}{$invest->investresult}{else} --- {/if} , {/foreach} |