interface/forms/CAMOS/rx_print.php

   1 <?  include_once ('../../globals.php'); ?>
   2 <?  include_once ('../../../library/sql.inc'); ?>
   3 <html>
   4 <head>
   5 <title>
   6 Four Pane Prescription Printer
   7 </title>
   8 </head>
   9 <body>
  10 <?
  11 //practice data
  12 $physician_name = '';
  13 $practice_fname = '';
  14 $practice_lname = '';
  15 $practice_title = '';
  16 $practice_address = '';
  17 $practice_city = '';
  18 $practice_state = '';
  19 $practice_zip  = '';
  20 $practice_phone = '';
  21 $practice_fax = '';
  22 $practice_license = '';
  23 $practice_dea = '';
  24 //patient data
  25 $patient_name = '';
  26 $patient_address = '';
  27 $patient_city = '';
  28 $patient_state = '';
  29 $patient_zip = '';
  30 $patient_phone = '';
  31 $patient_dob = '';
  32 $query = sqlStatement("select fname,lname,street,city,state,postal_code,phone_home,DATE_FORMAT(DOB,'%m/%d/%y') as DOB from patient_data where pid =" . $_SESSION['pid']);
  33 if ($result = mysql_fetch_array($query, MYSQL_ASSOC)) {
  34   $patient_name = $result['fname'] . ' ' . $result['lname'];
  35   $patient_address = $result['street'];
  36   $patient_city = $result['city'];
  37   $patient_state = $result['state'];
  38   $patient_zip = $result['postal_code'];
  39   $patient_phone = $result['phone_home'];
  40   $patient_dob = $result['DOB'];
  41 }
  42 //update user information if selected from form
  43 if ($_POST['update']) {
  44   $query = "update users set " .
  45     "fname = '" . $_POST['practice_fname'] . "', " .
  46     "lname = '" . $_POST['practice_lname'] . "', " .
  47     "title = '" . $_POST['practice_title'] . "', " .
  48     "street = '" . $_POST['practice_address'] . "', " .
  49     "city = '" . $_POST['practice_city'] . "', " .
  50     "state = '" . $_POST['practice_state'] . "', " .
  51     "zip = '" . $_POST['practice_zip'] . "', " .
  52     "phone = '" . $_POST['practice_phone'] . "', " .
  53     "fax = '" . $_POST['practice_fax'] . "', " .
  54     "federaldrugid = '" . $_POST['practice_dea'] . "' " .
  55     "where id =" . $_SESSION['authUserID'];
  56   sqlInsert($query);
  57 }
  58 //get user information
  59 $query = sqlStatement("select * from users where id =" . $_SESSION['authUserID']);
  60 if ($result = mysql_fetch_array($query, MYSQL_ASSOC)) {
  61   $physician_name = $result['fname'] . ' ' . $result['lname'] . ', ' . $result['title'];
  62   $practice_fname = $result['fname'];
  63   $practice_lname = $result['lname'];
  64   $practice_title = $result['title'];
  65   $practice_address = $result['street'];
  66   $practice_city = $result['city'];
  67   $practice_state = $result['state'];
  68   $practice_zip  = $result['zip'];
  69   $practice_phone = $result['phone'];
  70   $practice_fax = $result['fax'];
  71   $practice_dea = $result['federaldrugid'];
  72 }
  73 if ($_POST['print']) {
  74   $camos_content = array();
  75   foreach ($_POST as $key => $val) {
  76     if (substr($key,0,3) == 'ch_') {
  77       $query = sqlStatement("select content from form_CAMOS where id =" .
  78         substr($key,3));
  79       if ($result = mysql_fetch_array($query, MYSQL_ASSOC)) {
  80         $content = preg_replace('|\n|','<br/>', $result['content']);
  81         $content = preg_replace('|<br/><br/>|','<br/>', $content);
  82         array_push($camos_content,$content);
  83       }
  84     }
  85   }
  86 ?>
  87 <link rel="stylesheet" type="text/css" href="./rx.css" />
  88 </head>
  89 <body>
  90 <img src='./hline.jpg' id='hline'>
  91 <img src='./vline.jpg' id='vline'>
  92 <?
  93 if ($camos_content[0]) { //decide if we are printing this rx
  94 ?>
  95 <div id='rx1'  class='rx' >
  96   <div class='topheader'>
  97   <?
  98     print $physician_name . "<br/>\n";
  99     print $practice_address . "<br/>\n";
 100     print $practice_city . ", ";
 101     print $practice_state . " ";
 102     print $practice_zip . "<br/>\n";
 103     print $practice_phone . "<br/>\n";
 104     print 'DEA: ' . $practice_dea;
 105   ?>
 106     </div>
 107     <hr/>
 108   <div class='bottomheader'>
 109   <?
 110     print "<span class='mytagname'> Name:</span>\n";
 111     print "<span class='mydata'> $patient_name </span>\n";
 112     print "<span class='mytagname'> Address: </span>\n";
 113     print "<span class='mydata'> $patient_address, $patient_city, " .
 114       "$patient_state $patient_zip </span><br/>\n";
 115     print "<span class='mytagname'>Phone:</span>\n";
 116     print "<span class='mydata'>(954) 446 - 6958</span>\n";
 117     print "<span class='mytagname'>DOB:</span>\n";
 118     print "<span class='mydata'> $patient_dob </span>\n";
 119     print "<span class='mytagname'>Date:</span>\n";
 120     print "<span class='mydata'>" . date("F m, Y") . "</span><br/><br/>\n";
 121     print "<div class='symbol'>Rx</div><br/>\n";
 122   ?>
 123   </div>
 124   <div class='content'>
 125     <?
 126         print $camos_content[0];
 127     ?>
 128   </div>
 129   <div class='signature'>
 130     ______________________________________________<br/>
 131     Signature
 132   </div>
 133 </div> <!-- end of rx block -->
 134 <?
 135 } // end of deciding if we are printing the above rx block
 136 else {
 137   print "<img src='./xout.jpg' id='rx1'>\n";
 138 }
 139 ?>
 140 <?
 141 if ($camos_content[1]) { //decide if we are printing this rx
 142 ?>
 143 <div id='rx2'  class='rx' >
 144   <div class='topheader'>
 145   <?
 146     print $physician_name . "<br/>\n";
 147     print $practice_address . "<br/>\n";
 148     print $practice_city . ", ";
 149     print $practice_state . " ";
 150     print $practice_zip . "<br/>\n";
 151     print $practice_phone . "<br/>\n";
 152     print 'DEA: ' . $practice_dea;
 153   ?>
 154   </div>
 155     <hr/>
 156   <div class='bottomheader'>
 157   <?
 158     print "<span class='mytagname'> Name:</span>\n";
 159     print "<span class='mydata'> $patient_name </span>\n";
 160     print "<span class='mytagname'> Address: </span>\n";
 161     print "<span class='mydata'> $patient_address, $patient_city, " .
 162       "$patient_state $patient_zip </span><br/>\n";
 163     print "<span class='mytagname'>Phone:</span>\n";
 164     print "<span class='mydata'>(954) 446 - 6958</span>\n";
 165     print "<span class='mytagname'>DOB:</span>\n";
 166     print "<span class='mydata'> $patient_dob </span>\n";
 167     print "<span class='mytagname'>Date:</span>\n";
 168     print "<span class='mydata'>" . date("F m, Y") . "</span><br/><br/>\n";
 169     print "<div class='symbol'>Rx</div><br/>\n";
 170   ?>
 171   </div>
 172   <div class='content'>
 173     <?
 174         print $camos_content[1];
 175     ?>
 176   </div>
 177   <div class='signature'>
 178     ______________________________________________<br/>
 179     Signature
 180   </div>
 181 </div> <!-- end of rx block -->
 182 <?
 183 } // end of deciding if we are printing the above rx block
 184 else {
 185   print "<img src='./xout.jpg' id='rx2'>\n";
 186 }
 187 ?>
 188 <?
 189 if ($camos_content[2]) { //decide if we are printing this rx
 190 ?>
 191 <div id='rx3'  class='rx' >
 192   <div class='topheader'>
 193   <?
 194     print $physician_name . "<br/>\n";
 195     print $practice_address . "<br/>\n";
 196     print $practice_city . ", ";
 197     print $practice_state . " ";
 198     print $practice_zip . "<br/>\n";
 199     print $practice_phone . "<br/>\n";
 200     print 'DEA: ' . $practice_dea;
 201   ?>
 202   </div>
 203     <hr/>
 204   <div class='bottomheader'>
 205   <?
 206     print "<span class='mytagname'> Name:</span>\n";
 207     print "<span class='mydata'> $patient_name </span>\n";
 208     print "<span class='mytagname'> Address: </span>\n";
 209     print "<span class='mydata'> $patient_address, $patient_city, " .
 210       "$patient_state $patient_zip </span><br/>\n";
 211     print "<span class='mytagname'>Phone:</span>\n";
 212     print "<span class='mydata'>(954) 446 - 6958</span>\n";
 213     print "<span class='mytagname'>DOB:</span>\n";
 214     print "<span class='mydata'> $patient_dob </span>\n";
 215     print "<span class='mytagname'>Date:</span>\n";
 216     print "<span class='mydata'>" . date("F m, Y") . "</span><br/><br/>\n";
 217     print "<div class='symbol'>Rx</div><br/>\n";
 218   ?>
 219   </div>
 220   <div class='content'>
 221     <?
 222         print $camos_content[2];
 223     ?>
 224   </div>
 225   <div class='signature'>
 226     ______________________________________________<br/>
 227     Signature
 228   </div>
 229 </div> <!-- end of rx block -->
 230 <?
 231 } // end of deciding if we are printing the above rx block
 232 else {
 233   print "<img src='./xout.jpg' id='rx3'>\n";
 234 }
 235 ?>
 236 <?
 237 if ($camos_content[3]) { //decide if we are printing this rx
 238 ?>
 239 <div id='rx4'  class='rx' >
 240   <div class='topheader'>
 241   <?
 242     print $physician_name . "<br/>\n";
 243     print $practice_address . "<br/>\n";
 244     print $practice_city . ", ";
 245     print $practice_state . " ";
 246     print $practice_zip . "<br/>\n";
 247     print $practice_phone . "<br/>\n";
 248     print 'DEA: ' . $practice_dea;
 249   ?>
 250   </div>
 251     <hr/>
 252   <div class='bottomheader'>
 253   <?
 254     print "<span class='mytagname'> Name:</span>\n";
 255     print "<span class='mydata'> $patient_name </span>\n";
 256     print "<span class='mytagname'> Address: </span>\n";
 257     print "<span class='mydata'> $patient_address, $patient_city, " .
 258       "$patient_state $patient_zip </span><br/>\n";
 259     print "<span class='mytagname'>Phone:</span>\n";
 260     print "<span class='mydata'>(954) 446 - 6958</span>\n";
 261     print "<span class='mytagname'>DOB:</span>\n";
 262     print "<span class='mydata'> $patient_dob </span>\n";
 263     print "<span class='mytagname'>Date:</span>\n";
 264     print "<span class='mydata'>" . date("F m, Y") . "</span><br/><br/>\n";
 265     print "<div class='symbol'>Rx</div><br/>\n";
 266   ?>
 267   </div>
 268   <div class='content'>
 269     <?
 270         print $camos_content[3];
 271     ?>
 272   </div>
 273   <div class='signature'>
 274     ______________________________________________<br/>
 275     Signature
 276   </div>
 277 </div> <!-- end of rx block -->
 278 <?
 279 } // end of deciding if we are printing the above rx block
 280 else {
 281   print "<img src='./xout.jpg' id='rx4'>\n";
 282 }
 283 ?>
 284 </body>
 285 </html>
 286 <?
 287 }
 288 else {//pick
 289 ?>
 290 <h1>Select CAMOS Entries for printing</h1>
 291 <form method=POST name='pick_items'>
 292 <?
 293 $query = sqlStatement("select x.id as id, x.category, x.subcategory, x.item from " .
 294  "form_CAMOS  as x join forms as y on (x.id = y.form_id) " .
 295  "where y.encounter = " .  $_SESSION['encounter'] .
 296  " and x.pid = " . $_SESSION['pid'] .  " and x.activity = 1");
 297 $results = array();
 298 while ($result = mysql_fetch_array($query, MYSQL_ASSOC)) {
 299   echo "<input type=checkbox name='ch_" . $result['id'] . "'>" .
 300     $result['category'] . ':' . $result['subcategory'] . ':' . $result['item'] . "<br/>\n";
 301 }
 302 ?>
 303 <input type=submit name=print value=print>
 304 </form>
 305 <h1>Update User Information</h1>
 306 <form method=POST name='pick_items'>
 307 <table>
 308 <tr>
 309   <td> First Name: </td>
 310   <td> <input type=text name=practice_fname value ='<? echo $practice_fname; ?>'> </td>
 311 </tr>
 312 <tr>
 313   <td> Last Name: </td>
 314   <td> <input type=text name=practice_lname value ='<? echo $practice_lname; ?>'> </td>
 315 </tr>
 316 <tr>
 317   <td> Title: </td>
 318   <td> <input type=text name=practice_title value ='<? echo $practice_title; ?>'> </td>
 319 </tr>
 320 <tr>
 321   <td> Street Address: </td>
 322   <td> <input type=text name=practice_address value ='<? echo $practice_address; ?>'> </td>
 323 </tr>
 324 <tr>
 325   <td> City: </td>
 326   <td> <input type=text name=practice_city value ='<? echo $practice_city; ?>'> </td>
 327 </tr>
 328 <tr>
 329   <td> State: </td>
 330   <td> <input type=text name=practice_state value ='<? echo $practice_state; ?>'> </td>
 331 </tr>
 332 <tr>
 333   <td> Zip: </td>
 334   <td> <input type=text name=practice_zip value ='<? echo $practice_zip; ?>'> </td>
 335 </tr>
 336 <tr>
 337   <td> Phone: </td>
 338   <td> <input type=text name=practice_phone value ='<? echo $practice_phone; ?>'> </td>
 339 </tr>
 340 <tr>
 341   <td> Fax: </td>
 342   <td> <input type=text name=practice_fax value ='<? echo $practice_fax; ?>'> </td>
 343 </tr>
 344 <tr>
 345   <td> DEA: </td>
 346   <td> <input type=text name=practice_dea value ='<? echo $practice_dea; ?>'> </td>
 347 </tr>
 348 </table>
 349 <input type=submit name=update value=update>
 350 </form>
 351
 352 <?
 353
 354 } //end of else statement
 355 //$query = sqlStatement("");
 356 //while ($result = mysql_fetch_array($query, MYSQL_ASSOC)) {
 357 //}
 358 ?>
 359 </body>
 360 </html>
 361
 362 <?
 363 //FUNCTIONS
 364 ?>