templates/historia_clinica/_form_new.html.twig line 1

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  1. {{ form_start(form,{ 'attr': { 'id': 'historia_form' } }) }}
  2.     <div class="row">
  3.         <div class="col-md-12" {% if app.user.id != '2' %}style="display:none"{% endif %}>
  4.             <p class="text-light bg-dark pl-1">{{ form_label(form.observacion_paciente) }}</p>    
  5.         </div>
  6.         <div class="col-md-12" {% if app.user.id != '2' %}style="display:none"{% endif %}>
  7.             {{ form_widget(form.observacion_paciente) }}
  8.         </div>
  9.         <div class="col-md-12"><br></div>
  10.         <div class="col-md-12">
  11.             <p class="text-light bg-dark pl-1">{{ form_label(form.antecedentes_familiares) }}</p>    
  12.         </div>
  13.         <div class="col-md-12">
  14.             {{ form_widget(form.antecedentes_familiares, { 'attr': {  
  15.               'rows' : '2', }}) }}
  16.         </div> 
  17.         
  18.         <div class="col-md-12">
  19.             <p class="text-light bg-dark pl-1">{{ form_label(form.mas_antecedentes_personales) }}</p>    
  20.         </div>
  21.         <div class="col-md-12">
  22.             {{ form_widget(form.mas_antecedentes_personales, { 'attr': {  
  23.               'rows' : '2', }}) }}
  24.         </div>
  25.         
  26.         <div class="col-md-12">
  27.             <p class="text-light bg-dark pl-1">{{ form_label(form.alergias) }}</p>    
  28.         </div>
  29.         <div class="col-md-12">
  30.             {{ form_widget(form.alergias, { 'attr': {  
  31.               'rows' : '1', }}) }}
  32.         </div>
  33.         
  34.         <div class="col-md-12">
  35.             <p class="text-light bg-dark pl-1">{{ form_label(form.alcohol) }}</p>    
  36.         </div>
  37.         <div class="col-md-12">
  38.             {{ form_widget(form.alcohol, { 'attr': {  
  39.               'rows' : '1', }}) }}
  40.         </div>
  41.         
  42.         <div class="col-md-12">
  43.             <p class="text-light bg-dark pl-1">{{ form_label(form.medicacion) }}</p>    
  44.         </div>
  45.         <div class="col-md-12">
  46.             {{ form_widget(form.medicacion, { 'attr': {  
  47.               'rows' : '1', }}) }}
  48.         </div>
  49.         
  50.         <div class="col-md-12">
  51.             <p class="text-light bg-dark pl-1">{{ form_label(form.evolucion) }}</p>    
  52.         </div>
  53.         <div class="col-md-12">
  54.             {{ form_widget(form.evolucion, { 'attr': {  
  55.               'rows' : '2', }}) }}
  56.         </div>
  57.         
  58.         <div class="col-md-12">
  59.             <p class="text-light bg-dark pl-1">{{ form_label(form.examen_fisico) }}</p>    
  60.         </div>
  61.         <div class="col-md-12">
  62.             {{ form_widget(form.examen_fisico, { 'attr': {  
  63.               'rows' : '2', }}) }}
  64.         </div>
  65.         <div class="col-md-8">
  66.             <p class="text-light bg-dark pl-1">Tabla IMC</p>
  67.         </div>
  68.         <div class="col-md-4">
  69.             <button type="button" id="id_boton_plus" class="btn btn-primary btn-sm" onclick="mostrar_tabla_imc();">Ver</button>
  70.             <button type="button" id="id_boton_minus" class="btn btn-warning btn-sm" onclick="ocultar_tabla_imc();" style="display: none">Ocultar</button>
  71.         </div>
  72.         <div class="table-responsive" style="display: none;" id="tabla_imc">
  73.             <table class="table table-sm">
  74.                 <thead>
  75.                     <tr>
  76.                       <th scope="col">Fecha</th>
  77.                       <th scope="col">Estatura(cm)</th>
  78.                       <th scope="col">Peso(Kg)</th>
  79.                       <th scope="col">IMC</th>
  80.                     </tr>
  81.                 </thead>
  82.                 <tbody >
  83.                 {% for preparacion in preparaciones%}
  84.                     {% set imc = 0 %}
  85.                     {% if(preparacion.peso != 0 and preparacion.estatura != 0) %}
  86.                         {% set imc = preparacion.peso / (preparacion.estatura/100 * preparacion.estatura/100) %}
  87.                     {% endif %}
  88.                     <tr>
  89.                       <th scope="row">{{preparacion.inicio | date('Y-m-d')}}</th>
  90.                       <td>{{ preparacion.estatura }}</td>
  91.                       <td>{{ preparacion.peso }}</td>
  92.                       <td>{{ imc | number_format(2, '.', ',') }}</td>
  93.                     </tr>
  94.                 {% endfor %}    
  95.                 </tbody>
  96.             </table>
  97.         </div>    
  98.         
  99.         <div class="col-md-3">
  100.             <p class="text-light bg-dark pl-1">{{ form_label(form.presion) }}</p>    
  101.         </div>
  102.         <div class="col-md-3">
  103.             <p class="text-light bg-dark pl-1">{{ form_label(form.estatura) }}</p>    
  104.         </div>
  105.         <div class="col-md-3">
  106.             <p class="text-light bg-dark pl-1">{{ form_label(form.peso) }}</p>    
  107.         </div>
  108.         <div class="col-md-3">
  109.             <p class="text-light bg-dark pl-1">IMC</p>    
  110.         </div>
  111.         <div class="col-md-3">
  112.             {{ form_widget(form.presion) }}
  113.         </div>
  114.         <div class="col-md-3">
  115.             {{ form_widget(form.estatura) }}
  116.         </div>
  117.         <div class="col-md-3">
  118.             {{ form_widget(form.peso) }}
  119.         </div>
  120.         <div class="col-md-3">
  121.             <span id="imc"></span>
  122.         </div>
  123.         <div class="col-md-4">
  124.         <br>
  125.         </div>
  126.         
  127.         <div class="col-md-12">
  128.             <p class="text-light bg-dark pl-1">{{ form_label(form.indicaciones, 'Conducta') }}</p>    
  129.         </div>
  130.         <div class="col-md-12">
  131.             {{ form_widget(form.indicaciones, { 'attr': {  
  132.               'rows' : '2', }}) }}
  133.         </div>
  134.         
  135.         <div class="col-md-12">
  136.             <p class="text-light bg-dark pl-1">{{ form_label(form.revision_actual_organos_y_sistemas, 'Impresión Diagnostica') }}</p>    
  137.         </div>
  138.         <div class="col-md-12">
  139.             {{ form_widget(form.revision_actual_organos_y_sistemas) }}
  140.         </div>
  142.         <div class="col-md-12 mt-4">
  143.             <p class="text-light bg-dark pl-1">TEST GOTA FRESCA</p>
  144.         </div>
  146.         <div class="col-md-4">
  147.             <p class="text-light bg-dark pl-1">{{ form_label(form.gota_fresca_disbiosis) }}</p>
  148.             {{ form_widget(form.gota_fresca_disbiosis) }}
  149.         </div>
  151.         <div class="col-md-4">
  152.             <p class="text-light bg-dark pl-1">{{ form_label(form.gota_fresca_cristales) }}</p>
  153.             {{ form_widget(form.gota_fresca_cristales) }}
  154.         </div>
  156.         <div class="col-md-4">
  157.             <p class="text-light bg-dark pl-1">{{ form_label(form.gota_fresca_hiperglicemia) }}</p>
  158.             {{ form_widget(form.gota_fresca_hiperglicemia) }}
  159.         </div>
  161.         <div class="col-md-4">
  162.             <p class="text-light bg-dark pl-1">{{ form_label(form.gota_fresca_hipoxia) }}</p>
  163.             {{ form_widget(form.gota_fresca_hipoxia) }}
  164.         </div>
  166.         <div class="col-md-4">
  167.             <p class="text-light bg-dark pl-1">{{ form_label(form.gota_fresca_acidez) }}</p>
  168.             {{ form_widget(form.gota_fresca_acidez) }}
  169.         </div>
  171.         <div class="col-md-4">
  172.             <p class="text-light bg-dark pl-1">{{ form_label(form.gota_fresca_inflamacion) }}</p>
  173.             {{ form_widget(form.gota_fresca_inflamacion) }}
  174.         </div>
  176.         <div class="col-md-12 mt-4">
  177.             <p class="text-light bg-dark pl-1">TEST HLB</p>
  178.         </div>
  180.         <div class="col-md-2">
  181.             <p class="text-light bg-dark pl-1">{{ form_label(form.hlb_grado) }}</p>
  182.             {{ form_widget(form.hlb_grado) }}
  183.         </div>
  185.         <div class="col-md-5">
  186.             <p class="text-light bg-dark pl-1">{{ form_label(form.hlb_intolerancia_alimenticia) }}</p>
  187.             {{ form_widget(form.hlb_intolerancia_alimenticia) }}
  188.         </div>
  190.         <div class="col-md-5">
  191.             <p class="text-light bg-dark pl-1">{{ form_label(form.hlb_terreno_degenerativo_digestivo) }}</p>
  192.             {{ form_widget(form.hlb_terreno_degenerativo_digestivo) }}
  193.         </div>
  195.         <div class="col-md-4">
  196.             <p class="text-light bg-dark pl-1">{{ form_label(form.hlb_terreno_artrosico) }}</p>
  197.             {{ form_widget(form.hlb_terreno_artrosico) }}
  198.         </div>
  200.         <div class="col-md-2">
  201.             <p class="text-light bg-dark pl-1">{{ form_label(form.hlb_cnr) }}</p>
  202.             {{ form_widget(form.hlb_cnr) }}
  203.         </div>
  205.         <div class="col-md-6">
  206.             <p class="text-light bg-dark pl-1">{{ form_label(form.hlb_irritabilidad_nerviosa) }}</p>
  207.             {{ form_widget(form.hlb_irritabilidad_nerviosa) }}
  208.         </div>
  210.         <div class="col-md-3">
  211.             <p class="text-light bg-dark pl-1">{{ form_label(form.hlb_colesterol) }}</p>
  212.             {{ form_widget(form.hlb_colesterol) }}
  213.         </div>
  215.         <div class="col-md-3">
  216.             <p class="text-light bg-dark pl-1">{{ form_label(form.hlb_proceso_hepatico) }}</p>
  217.             {{ form_widget(form.hlb_proceso_hepatico) }}
  218.         </div>
  220.         <div class="col-md-3">
  221.             <p class="text-light bg-dark pl-1">{{ form_label(form.hlb_alergia) }}</p>
  222.             {{ form_widget(form.hlb_alergia) }}
  223.         </div>
  225.         <div class="col-md-3">
  226.             <p class="text-light bg-dark pl-1">{{ form_label(form.hlb_estres) }}</p>
  227.             {{ form_widget(form.hlb_estres) }}
  228.         </div>
  230.         <div class="col-md-3">
  231.             <p class="text-light bg-dark pl-1">{{ form_label(form.hlb_inflamacion) }}</p>
  232.             {{ form_widget(form.hlb_inflamacion) }}
  233.         </div>
  235.         <div class="col-md-3">
  236.             <p class="text-light bg-dark pl-1">{{ form_label(form.hlb_anemia) }}</p>
  237.             {{ form_widget(form.hlb_anemia) }}
  238.         </div>
  240.         <div class="col-md-3">
  241.             <p class="text-light bg-dark pl-1">{{ form_label(form.hlb_afectacion_muscular) }}</p>
  242.             {{ form_widget(form.hlb_afectacion_muscular) }}
  243.         </div>
  245.         <div class="col-md-3">
  246.             <p class="text-light bg-dark pl-1">{{ form_label(form.hlb_sol_toxico) }}</p>
  247.             {{ form_widget(form.hlb_sol_toxico) }}
  248.         </div>
  250.         <div class="col-md-6">
  251.             <p class="text-light bg-dark pl-1">{{ form_label(form.hlb_congestion_linfatica) }}</p>
  252.             {{ form_widget(form.hlb_congestion_linfatica) }}
  253.         </div>
  256.        
  257.     </div>    
  258.     <!--button class="btn">{{ button_label|default('Save') }}</button-->
  260.     
  261. {{ form_end(form) }}