<link href="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/js/bootstrap.min.js"></script> <script src="//code.jquery.com/jquery-1.11.1.min.js"></script> <!------ Include the above in your HEAD tag ----------> <div class="container"> <div class="row"> <div class="well col-sm-3 col-md-3"> RM234567</br> <b>Susilo Santoso</b></br> Laki-laki <br> 42 tahun / 08 Jan 1973 </br> BPJS 0001260979209 </br> Masuk 26/Feb/2015 - 09:20 <hr> <ul class="nav nav-pills nav-stacked"> <li role="presentation"><a href="#"><span class="glyphicon glyphicon-edit" aria-hidden="true"></span> Catatan Medis</a></li> <li role="presentation" ><a href="#"><span class="glyphicon glyphicon-exclamation-sign" aria-hidden="true"></span> Perhatian</a></li> <li role="presentation"><a href="#"><span class="glyphicon glyphicon-eye-open" aria-hidden="true"></span> Diagnosis</a></li> <li role="presentation"><a href="#"><span class="glyphicon glyphicon-heart" aria-hidden="true"></span> Tindakan</a></li> <li role="presentation" ><a href="#"><span class="glyphicon glyphicon-list-alt" aria-hidden="true"></span> Obat</a></li> <li role="presentation"><a href="#"><span class="glyphicon glyphicon-align-left" aria-hidden="true"></span> Lab / Radiologi</a></li> <li role="presentation" class="active"><a href="#"><span class="glyphicon glyphicon-bookmark" aria-hidden="true"></span> Ringkasan</a></li> </ul> </div> <div class="col-sm-9 col-md-9"> <h3><span class="glyphicon glyphicon-bookmark" aria-hidden="true"></span> Ringkasan</h3> <div class="panel panel-default"> <div class="panel-heading"> <h4><span class="glyphicon glyphicon-edit" aria-hidden="true"></span> Catatan Medis</h4> </div> <table class="table"> <thead> <tr> <th>Tanggal - Jam</th> <th>Nama Dokter</th> <th>Nama Catatan Medis</th> </tr> </thead> <tbody> <tr> <td>23/Feb/15 - 09:23</td> <td>dr. Panji Setioaji</td> <td><a href="#" data-toggle="modal" data-target="#asesmenTriaseModal">Asesmen Triase</a></td> </tr> <tr> <td>23/Feb/15 - 10:05</td> <td>dr. Silvia Nurahman</td> <td><a href="#" data-toggle="modal" data-target="#asesmenAwalPasienGawatDaruratModal">Asesmen Awal Pasien Gawat Darurat</a></td> </tr> </tbody> </table> </div> <div class="panel panel-default"> <div class="panel-heading"> <h4><span class="glyphicon glyphicon-exclamation-sign" aria-hidden="true"></span> Perhatian</h4> </div> <table class="table"> <thead> <tr> <th>Perihal</th> <th>Deskripsi</th> </tr> </thead> <tbody> <tr> <td>Alergi</td> <td>Lorem ipsum dolor sit amet, consectetur adipiscing elit.</td> </tr> <tr> <td> OS pasca stroke </td> <td> Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. </td> </tr> </tbody> </table> </div> <div class="panel panel-default"> <div class="panel-heading"> <h4><span class="glyphicon glyphicon-eye-open" aria-hidden="true"></span> Diagnosis</h4> </div> <table class="table"> <thead> <tr> <th>Tanggal - Jam</th> <th>Kode ICD-10</th> <th>Deskripsi diagnosis</th> </tr> </thead> <tbody> <tr> <td>23/Feb/15 - 11:05</td> <td>I77.2</td> <td>Rupture of artery</td> </tr> </tbody> </table> </div> <div class="panel panel-default"> <div class="panel-heading"> <h4><span class="glyphicon glyphicon-heart" aria-hidden="true"></span> Tindakan</h4> </div> <table class="table"> <thead> <tr> <th>Tanggal - Jam</th> <th>Kode ICD-10</th> <th>Deskripsi tindakan</th> </tr> </thead> <tbody> <tr> <td>23/Feb/15 - 11:15</td> <td>90.5</td> <td>Microscopic Examination Of Blood</td> </tr> <tr> <td>23/Feb/15 - 15:06</td> <td>99.04</td> <td>Transfusion of packed cells</td> </tr> <tr> <td>23/Feb/15 - 17:54</td> <td>83.8</td> <td>Other plastic operations on muscle, tendon, and fascia</td> </tr> </tbody> </table> </div> <div class="panel panel-default"> <div class="panel-heading"> <h4><span class="glyphicon glyphicon-list-alt" aria-hidden="true"></span> Obat</h4> </div> <table class="table"> <thead> <tr> <th> Nama Obat </th> <th> Jumlah </th> <th> Aturan Pakai </th> <th> Keterangan </th> </tr> </thead> <tbody> <td data-name="medicineName"> Asam Mefenamat </td> <td> 10 </td> <td> 500 mg / 8 jam </td> <td> Diminum bila nyeri </td> </tr> <tr> <td> Chloramphenicol salep </td> <td> 1 </td> <td> Obat luar dioles pada luka 3x sehari </td> <td> Obat luar </td> </tr> </tbody> </table> </div> <div class="panel panel-default"> <div class="panel-heading"><h4><span class="glyphicon glyphicon-align-left" aria-hidden="true"></span> Lab / Radiologi</h4></div> <table class="table"> <thead> <tr> <th>Deskripsi</th> <th>Hasil</th> <th>Lampiran</th> </tr> </thead> <tbody> <tr> <td><a href="#" data-toggle="modal" data-target="#hematologiModal">Pemeriksaan hematologi </a></td> <td>Hb10.8 Ht32.2 L9.0 Tr487 </td> <td><a href="#" data-toggle="modal" data-target="#lampiranModal"><span class="glyphicon glyphicon-paperclip" aria-hidden="true"></span> </a></td> </tr> </tbody> </table> </div> </div> </div> </div> <!-- Modal --> <div class="modal fade" id="asesmenTriaseModal" tabindex="-1" role="dialog" aria-labelledby="myModalLabel" aria-hidden="true"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button> <h4 class="modal-title" id="myModalLabel"><center>Asesmen Triase</center></h4> </div> <div class="modal-body"> 23/Feb/15 - 09:23 </br> dr. Panji Setioaji</br> </br> Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum. </div> </div> </div> </div> <!-- Modal --> <div class="modal fade" id="asesmenAwalPasienGawatDaruratModal" tabindex="-1" role="dialog" aria-labelledby="myModalLabel" aria-hidden="true"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button> <h4 class="modal-title" id="myModalLabel"><center>Asesmen Awal Pasien Gawat Darurat</center></h4> </div> <div class="modal-body"> 23/Feb/15 - 10:05 </br> dr. Silvia Nurahman </br></br> Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum </div> </div> </div> </div> <!-- Modal --> <div class="modal fade" id="hematologiModal" tabindex="-1" role="dialog" aria-labelledby="myModalLabel" aria-hidden="true"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button> <h4 class="modal-title" id="myModalLabel"><center>Permintaan Lab / Radiologi</center></h4> </div> <div class="modal-body"> 23/Feb/15 - 11:14 </br> dr. Silvia Nurahman</br> </br> <b>Deskripsi:</b> </br> Pemeriksaan hematologi </br> <b>Keterangan Klinis / Diagnosis:</b> </br> Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua.</br> <b>Informasi tambahan:</b> </br> Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. </div> </div> </div> </div> <!-- Modal --> <div class="modal fade" id="lampiranModal" tabindex="-1" role="dialog" aria-labelledby="myModalLabel" aria-hidden="true"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button> <h4 class="modal-title" id="myModalLabel"><center>Lampiran Lab / Radiologi</center></h4> </div> <div class="modal-body"> <center> <img src="http://www.felinecaninekidneydisease.com/picts-S/LabResults.gif"> </center> </div> </div> </div> </div>