interface/patient_file/summary/demographics.php

   1 <?
   2  include_once("../../globals.php");
   3  include_once("$srcdir/patient.inc");
   4  include_once("$srcdir/acl.inc");
   5 ?>
   6 <html>
   7
   8 <head>
   9 <link rel=stylesheet href="<?echo $css_header;?>" type="text/css">
  10 </head>
  11
  12 <body <?echo $top_bg_line;?> topmargin=0 rightmargin=0 leftmargin=2 bottommargin=0 marginwidth=2 marginheight=0>
  13
  14 <?
  15  $thisauth = acl_check('patients', 'demo');
  16
  17  if (!$thisauth) {
  18   echo "<p>(Demographics not authorized)</p>\n";
  19   echo "</body>\n</html>\n";
  20   exit();
  21  }
  22
  23  if ($thisauth == 'write') {
  24   echo "<p><a href='demographics_full.php' target='Main'>" .
  25    "<font class='title'>Demographics</font>" .
  26    "<font class='more'>$tmore</font></a></p>\n";
  27  }
  28 ?>
  29
  30 <table border="0" width="100%">
  31  <tr>
  32   <td align="left" valign="top">
  33    <table border='0' cellpadding='0' width='100%'>
  34 <?
  35 $result = getPatientData($pid);
  36 $result2 = getEmployerData($pid);
  37 ?>
  38     <tr>
  39      <td valign='top'>
  40       <span class='bold'>Name: </span><span class='text'><?echo $result{"title"}?> <?echo $result{"fname"}?> <?echo $result{"mname"}?> <?echo $result{"lname"}?></span><br>
  41       <span class='bold'>Number: </span><span class='text'><?echo $result{"pubpid"}?></span>
  42      </td>
  43      <td valign='top'>
  44 <?
  45  if ($result{"DOB"} && $result{"DOB"} != "0000-00-00") {
  46 ?>
  47       <span class='bold'>DOB: </span>
  48       <span class='text'>
  49 <?
  50   echo $result{"DOB"};
  51  }
  52 ?>
  53       </span>
  54      </td>
  55      <td valign='top'><? if ($result{"sex"} != ""){?><span class='bold'>Sex: </span><?}?><span class='text'><?echo $result{"sex"}?></span></td>
  56      <td valign='top'><? if ($result{"ss"} != "") {?><span class='bold'>S.S.: </span><?}?><span class='text'><?echo $result{"ss"}?></span></td>
  57     </tr>
  58     <tr>
  59      <td valign='top'>
  60 <? if (($result{"street"} != "") || ($result{"city"} != "") || ($result{"state"} != "") || ($result{"country_code"} != "") || ($result{"postal_code"} != "")) {?>
  61       <span class='bold'>Address: </span>
  62 <?}?>
  63       <br><span class='text'><?echo $result{"street"}?><br><?echo $result{"city"}?><?if($result{"city"} != ""){echo ", ";}?><?echo $result{"state"};?>
  64 <? if($result{"country_code"} != ""){ echo ", "; }?><?echo $result{"country_code"}?>
  65 <?echo " ";
  66 echo $result{"postal_code"}?>
  67       </span>
  68      </td>
  69      <td valign='top'>
  70 <?
  71         if (    ($result{"contact_relationship"} != "") ||
  72                 ($result{"phone_contact"} != "") ||
  73                 ($result{"phone_home"} != "") ||
  74                 ($result{"phone_biz"} != "") ||
  75                 ($result{"email"} != "")  ||
  76                 ($result{"phone_cell"} != "")    ){
  77 ?>
  78       <span class='bold'>Emergency Contact: </span><?}?><span class='text'><?echo $result{"contact_relationship"}?><?echo " "?>
  79 <?
  80         if ($result{"phone_contact"} != "") {
  81                 echo " " . $result{"phone_contact"};
  82         }
  83         if ($result{"phone_home"} != "") {
  84                 echo "<br>Home: ";
  85                 echo $result{"phone_home"};
  86         }
  87         if ($result{"phone_biz"} != "") {
  88                 echo "<br>Work: ";
  89                 echo $result{"phone_biz"};
  90         }
  91         if ($result{"phone_cell"} != "") {
  92                 echo "<br>Mobile: ";
  93                 echo $result{"phone_cell"};
  94         }
  95         if ($result{"email"} != "") {
  96                 echo "<br>Email: </span>";
  97                 echo '<a class=link_submit href="mailto:' . $result{"email"} . '">' . $result{"email"} . '</a>';
  98         }
  99 ?>
 100      </td>
 101      <td valign='top'>
 102 <?
 103         if ($result{"status"} != "") {
 104                 echo "<span class='bold'>Marital Status: </span>";
 105                 echo "<span class='text'>" .  $result{"status"} . "</span>";
 106         }
 107 ?>
 108      </td>
 109      <td valign='top'></td>
 110     </tr>
 111
 112 <? if (! $GLOBALS['athletic_team']) { ?>
 113     <tr>
 114      <td colspan='4' valign='top'>
 115         <?
 116                 $result{"hipaa_mail"}=='NO' ? $opt_out='DOES NOT ALLOW' : $opt_out='ALLOWS' ;
 117                 echo "<span class='text'>Patient $opt_out Mailed Information </span>";
 118         ?>
 119      </td>
 120     </tr>
 121     <tr>
 122      <td colspan='4' valign='top'>
 123         <?
 124                 $result{"hipaa_voice"}=='NO' ? $opt_out='DOES NOT ALLOW' : $opt_out='ALLOWS' ;
 125                 echo "<span class='text'>Patient $opt_out Voice Messages </span>";
 126         ?>
 127      </td>
 128     </tr>
 129 <? } else { ?>
 130     <tr>
 131      <td colspan='4' valign='top'>
 132       &nbsp;
 133      </td>
 134     </tr>
 135 <? } ?>
 136
 137     <tr>
 138      <td valign='top'>
 139 <? if ($result{"occupation"} != "") {?><span class='bold'>Occupation: </span><span class='text'><?echo $result{"occupation"}?></span><br><?}?>
 140 <? if ($result2{"name"} != "") {?><span class='bold'>Employer: </span><span class='text'><?echo $result2{"name"}?></span><?}?>
 141      </td>
 142      <td valign='top'>
 143 <? if (($result2{"street"} != "") || ($result2{"city"} != "") || ($result2{"state"} != "") || ($result2{"country"} != "") || ($result2{"postal_code"} != "")) {?>
 144       <span class='bold'>Employer Address:</span>
 145 <? } ?>
 146       <br>
 147       <span class='text'>
 148 <?echo $result2{"street"}?><br><?echo $result2{"city"}?><?if($result2{"city"} != ""){echo ", ";}?><?echo $result2{"state"}?>
 149 <?if($result2{"country"} != ""){echo ", ";}?><?echo $result2{"country"}?>
 150 <?if($result2{"postal_code"} != ""){echo " ";}?>
 151 <?echo $result2{"postal_code"}?>
 152       </span>
 153      </td>
 154      <td valign='top'>
 155 <?
 156  // This stuff only applies to athletic team use of OpenEMR:
 157  if ($GLOBALS['athletic_team']) {
 158   $fitcolors = array('#00ff00', '#ffff00', '#ff8800', '#ff3333');
 159   $fitcolor = $fitcolors[0];
 160   $fitness = $_POST['form_fitness'];
 161   if ($fitness) {
 162    sqlStatement("UPDATE patient_data SET fitness = '$fitness' WHERE pid = '$pid'");
 163   } else {
 164    $fitness = $result['fitness'];
 165    if (! $fitness) $fitness = 1;
 166   }
 167   $fitcolor = $fitcolors[$fitness - 1];
 168 ?>
 169       <form method='post' action='demographics.php'>
 170       <span class='bold'>Fitness to Play:</span><br>
 171       <select name='form_fitness' onchange='document.forms[0].submit()' style='background-color:<? echo $fitcolor ?>'>
 172        <option value='1'<? if ($fitness == 1) echo ' selected' ?>>Full Play</option>
 173        <option value='2'<? if ($fitness == 2) echo ' selected' ?>>Full Training</option>
 174        <option value='3'<? if ($fitness == 3) echo ' selected' ?>>Restricted Training</option>
 175        <option value='4'<? if ($fitness == 4) echo ' selected' ?>>Injured Out</option>
 176       </select>
 177       </form>
 178 <? } ?>
 179      </td>
 180      <td valign='top'></td>
 181     </tr>
 182     <tr>
 183      <td valign='top'>
 184 <? if ($result{"ethnoracial"} != "") {?><span class='bold'>Race/Ethnicity: </span><span class='text'><?echo $result{"ethnoracial"};?></span><br><?}?>
 185 <? if ($result{"language"} != "") {?><span class='bold'>Language: </span><span class='text'><?echo ucfirst($result{"language"});?></span><br><?}?>
 186 <? if ($result{"interpretter"} != "") {?><span class='bold'>Interpretter: </span><span class='text'><?echo $result{"interpretter"};?></span><br><?}?>
 187 <? if ($result{"family_size"} != "") {?><span class='bold'>Family Size: </span><span class='text'><?echo $result{"family_size"};?></span><br><?}?>
 188      </td>
 189      <td valign='top'>
 190 <?
 191 function print_as_money($money) {
 192 preg_match("/(\d*)\.?(\d*)/",$money,$moneymatches);
 193 $tmp = wordwrap(strrev($moneymatches[1]),3,",",1);
 194 $ccheck = strrev($tmp);
 195 if ($ccheck[0] == ",") {
 196         $tmp = substr($ccheck,1,strlen($ccheck)-1);
 197 }
 198 if ($moneymatches[2] != "") {
 199         return "$ " . strrev($tmp) . "." . $moneymatches[2];
 200 } else {
 201         return "$ " . strrev($tmp);
 202 }
 203 }
 204 ?>
 205 <? if ($result{"financial_review"} != "0000-00-00 00:00:00") {?><span class='bold'>Financial Review Date: </span><span class='text'><?echo date("n/j/Y",strtotime($result{"financial_review"}));?></span><br><?}?>
 206 <? if ($result{"monthly_income"} != "") {?><span class='bold'>Monthly Income: </span><span class='text'><?echo print_as_money($result{"monthly_income"});?></span><br><?}?>
 207 <? if ($result{"migrantseasonal"} != "") {?><span class='bold'>Migrant/Seasonal: </span><span class='text'><?echo $result{"migrantseasonal"};?></span><br><?}?>
 208 <? if ($result{"homeless"} != "") {?><span class='bold'>Homeless, etc.: </span><span class='text'><?echo $result{"homeless"};?></span><br><?}?>
 209      </td>
 210      <td valign='top'>
 211       <table>
 212        <tr>
 213         <td><? if ($result{"genericname1"} != "") {?><span class='bold'><?=$result{"genericname1"}?></span>:<?}?> </td>
 214         <td><? if ($result{"genericval1"} != "") {?><span class='text'><?=$result{"genericval1"}?></span><?}?></td>
 215        </tr>
 216        <tr>
 217         <td><? if ($result{"genericname2"} != "") {?><span class='bold'><?=$result{"genericname2"}?></span>:<?}?> </td>
 218         <td><? if ($result{"genericval2"} != "") {?><span class='text'><?=$result{"genericval2"}?></span><?}?></td>
 219        </tr>
 220       </table>
 221      </td>
 222      <td valign='top'></td>
 223     </tr>
 224 <?php
 225 //////////////////////////////////REFERRAL SECTION
 226 if ($result{"referrer"} != "" || $result{"referrerID"} != "")
 227 {
 228 ?>
 229     <tr>
 230      <td valign='top'>
 231       <span class='bold'>Primary Provider: </span><span class='text'><?=getProviderName($result['providerID'])?></span><br>
 232       <!--<span class='bold'>Primary Provider ID: </span><span class='text'><?=$result{"referrerID"}?></span>-->
 233      </td>
 234      <td valign='top'></td>
 235      <td valign='top'></td>
 236      <td valign='top'></td>
 237     </tr>
 238 <?php
 239 }
 240
 241 /////////////////////////////////INSURANCE SECTION
 242 $result3 = getInsuranceData($pid, "primary");
 243 if ($result3{"provider"}) {
 244 ?>
 245     <tr>
 246      <td valign='top'>
 247       <span class='bold'>Primary Insurance Provider:</span><br><span class='text'><?echo $result3{"provider_name"}?></span><br>
 248       <span class='text'>Policy Number: <?echo $result3{"policy_number"}?><br>
 249       Plan Name: <?=$result3{"plan_name"}?><br>
 250       Group Number: <?echo $result3{"group_number"}?></span>
 251      </td>
 252      <td valign='top'>
 253       <span class='bold'>Subscriber: </span><br><span class='text'><?=$result3{"subscriber_fname"}?> <?=$result3{"subscriber_mname"}?> <?=$result3{"subscriber_lname"}?> <?if ($result3{"subscriber_relationship"} != "") {echo "(".$result3{"subscriber_relationship"}.")";}?><br>
 254       S.S.: <?echo $result3{"subscriber_ss"}?> D.O.B.: <?if ($result3{"subscriber_DOB"} != "0000-00-00 00:00:00") {echo $result3{"subscriber_DOB"};}?><br>
 255       Phone: <? echo $result3{"subscriber_phone"}?>
 256       </span>
 257      </td>
 258      <td valign='top'>
 259       <span class='bold'>Subscriber Address: </span><br><span class='text'><?echo $result3{"subscriber_street"}?><br><?echo $result3{"subscriber_city"}?><?if($result3{"subscriber_state"} != ""){echo ", ";}?><?echo $result3{"subscriber_state"}?><?if($result3{"subscriber_country"} != ""){echo ", ";}?><?echo $result3{"subscriber_country"}?> <?echo " ".$result3{"subscriber_postal_code"}?></span>
 260      </td>
 261      <td valign='top'>
 262       <span class='bold'>Subscriber Employer: </span><br><span class='text'><?echo $result3{"subscriber_employer"}?><br><?echo $result3{"subscriber_employer_street"}?><br><?echo $result3{"subscriber_employer_city"}?><?if($result3{"subscriber_employer_city"} != ""){echo ", ";}?><?echo $result3{"subscriber_employer_state"}?><?if($result3{"subscriber_employer_country"} != ""){echo ", ";}?><?echo $result3{"subscriber_employer_country"}?> <?echo " ".$result3{"subscriber_employer_postal_code"}?></span>
 263      </td>
 264     </tr>
 265     <tr>
 266      <td><? if ($result3{"copay"} != "") {?><span class='bold'>CoPay: </span><span class='text'><?=$result3{"copay"}?></span><?}?></td>
 267      <td valign='top'></td>
 268      <td valign='top'></td>
 269      <td valign='top'></td>
 270    </tr>
 271 <? } ?>
 272 <?
 273 $result4 = getInsuranceData($pid, "secondary");
 274 if ($result4{"provider"} != "") {
 275 ?>
 276     <tr>
 277      <td valign='top'>
 278       <span class='bold'>Secondary Insurance Provider:</span><br><span class='text'><?echo $result4{"provider_name"}?></span><br>
 279       <span class='text'>Policy Number: <?echo $result4{"policy_number"}?><br>
 280       Plan Name: <?=$result4{"plan_name"}?><br>
 281       Group Number: <?echo $result4{"group_number"}?></span>
 282      </td>
 283      <td valign='top'>
 284       <span class='bold'>Subscriber: </span><br><span class='text'><?=$result4{"subscriber_fname"}?> <?=$result4{"subscriber_mname"}?> <?=$result4{"subscriber_lname"}?> <?if ($result4{"subscriber_relationship"} != "") {echo "(".$result4{"subscriber_relationship"}.")";}?><br>
 285       S.S.: <?echo $result4{"subscriber_ss"}?> D.O.B.: <?if ($result4{"subscriber_DOB"} != "0000-00-00 00:00:00") {echo $result4{"subscriber_DOB"};}?><br>
 286       Phone: <? echo $result4{"subscriber_phone"}?>
 287       </span>
 288      </td>
 289      <td valign='top'>
 290       <span class='bold'>Subscriber Address: </span><br><span class='text'><?echo $result4{"subscriber_street"}?><br><?echo $result4{"subscriber_city"}?><?if($result4{"subscriber_state"} != ""){echo ", ";}?><?echo $result4{"subscriber_state"}?><?if($result4{"subscriber_country"} != ""){echo ", ";}?><?echo $result4{"subscriber_country"}?> <?echo " ".$result4{"subscriber_postal_code"}?></span>
 291      </td>
 292      <td valign='top'>
 293       <span class='bold'>Subscriber Employer: </span><br><span class='text'><?echo $result4{"subscriber_employer"}?><br><?echo $result4{"subscriber_employer_street"}?><br><?echo $result4{"subscriber_employer_city"}?><?if($result4{"subscriber_employer_city"} != ""){echo ", ";}?><?echo $result4{"subscriber_employer_state"}?><?if($result4{"subscriber_employer_country"} != ""){echo ", ";}?><?echo $result4{"subscriber_employer_country"}?> <?echo " ".$result4{"subscriber_employer_postal_code"}?></span>
 294      </td>
 295     </tr>
 296     <tr>
 297      <td>
 298       <? if ($result4{"copay"} != "") {?><span class='bold'>CoPay: </span><span class='text'><?=$result4{"copay"}?></span><?}?>
 299      </td>
 300      <td valign='top'></td>
 301      <td valign='top'></td>
 302      <td valign='top'></td>
 303     </tr>
 304 <? } ?>
 305 <?
 306 $result5 = getInsuranceData($pid, "tertiary");
 307 if ($result5{"provider"}) {
 308 ?>
 309     <tr>
 310      <td valign='top'>
 311       <span class='bold'>Tertiary Insurance Provider:</span><br><span class='text'><?echo $result5{"provider_name"}?></span><br>
 312       <span class='text'>Policy Number: <?echo $result5{"policy_number"}?><br>
 313       Plan Name: <?=$result5{"plan_name"}?><br>
 314       Group Number: <?echo $result5{"group_number"}?></span>
 315      </td>
 316      <td valign='top'>
 317       <span class='bold'>Subscriber: </span><br><span class='text'><?=$result5{"subscriber_fname"}?> <?=$result5{"subscriber_mname"}?> <?=$result5{"subscriber_lname"}?> <?if ($result5{"subscriber_relationship"} != "") {echo "(".$result5{"subscriber_relationship"}.")";}?><br>
 318       S.S.: <?echo $result5{"subscriber_ss"}?> D.O.B.: <?if ($result5{"subscriber_DOB"} != "0000-00-00 00:00:00") {echo $result5{"subscriber_DOB"};}?><br>
 319       Phone: <? echo $result5{"subscriber_phone"}?>
 320       </span>
 321      </td>
 322      <td valign='top'>
 323       <span class='bold'>Subscriber Address: </span><br><span class='text'><?echo $result5{"subscriber_street"}?><br><?echo $result5{"subscriber_city"}?><?if($result5{"subscriber_state"} != ""){echo ", ";}?><?echo $result5{"subscriber_state"}?><?if($result5{"subscriber_country"} != ""){echo ", ";}?><?echo $result5{"subscriber_country"}?> <?echo " ".$result5{"subscriber_postal_code"}?></span>
 324      </td>
 325      <td valign='top'>
 326       <span class='bold'>Subscriber Employer: </span><br><span class='text'><?echo $result5{"subscriber_employer"}?><br><?echo $result5{"subscriber_employer_street"}?><br><?echo $result5{"subscriber_employer_city"}?><?if($result5{"subscriber_employer_city"} != ""){echo ", ";}?><?echo $result5{"subscriber_employer_state"}?><?if($result5{"subscriber_employer_country"} != ""){echo ", ";}?><?echo $result5{"subscriber_employer_country"}?> <?echo " ".$result5{"subscriber_employer_postal_code"}?></span>
 327      </td>
 328     </tr>
 329     <tr>
 330      <td>
 331       <? if ($result5{"copay"} != "") {?><span class='bold'>CoPay: </span><span class='text'><?=$result5{"copay"}?></span><?}?>
 332      </td>
 333      <td valign='top'></td>
 334      <td valign='top'></td>
 335      <td valign='top'></td>
 336     </tr>
 337 <?
 338 }
 339 ?>
 340    </table>
 341   </td>
 342   <td align="right" valign="top">
 343 <?php
 344 // I can't believe this crap.  It generates a whole new document with
 345 // <html> tag and everything, and then terminates our script prematurely!
 346 // So I disabled it.  BTW the comments below re postnuke are not mine.
 347 //  -- Rod 2005-06-16
 348 //
 349 if (false && isset($pid)) { // was: if (isset($pid)) {
 350 //postnuke doesn't make it easy to set globals/get/post
 351 //didn't want to use an ifram here so I had to fake a page
 352 //load environment by setting the things that would have
 353 //been passed in the querystring
 354
 355 include_once("$srcdir/calendar.inc");
 356
 357 unset($func);
 358 unset($module);
 359 unset($Date);
 360 $_GET['module'] = "PostCalendar";
 361 $_GET['func']   = "search";
 362 $_GET['Date']   = pc_getDate();
 363 $_GET['no_nav'] = 2;
 364 $_GET['patient_id'] = intval($pid);
 365 $_GET['submit'] = "listapps";
 366 global $func,$Date,$module;
 367 $module = "PostCalendar";
 368 $func = "search";
 369 $Date = $_GET['Date'];
 370 $submit = "listapps";
 371 $no_nav = 2;
 372 $patient_id = $_GET['patient_id'];
 373
 374 //now that the environment is set, include the page, it will
 375 //behave as though it was loaded in an iframe with the querystring
 376 //variables set
 377 chdir("../../main/calendar");
 378 include("index.php");
 379 }
 380 ?>
 381   </td>
 382  </tr>
 383 </table>
 384
 385 </body>
 386 </html>