interface/usergroup/facilities_add.php

   1 <?php
   2 require_once("../globals.php");
   3 require_once("../../library/acl.inc");
   4 require_once("$srcdir/classes/POSRef.class.php");
   5 require_once("$srcdir/options.inc.php");
   6 require_once("$srcdir/erx_javascript.inc.php");
   7
   8 $alertmsg = '';
   9 ?>
  10 <html>
  11 <head>
  12 <link rel="stylesheet" href="<?php echo $css_header;?>" type="text/css">
  13 <link rel="stylesheet" type="text/css" href="<?php echo $GLOBALS['webroot'] ?>/library/js/fancybox/jquery.fancybox-1.2.6.css" media="screen" />
  14 <script type="text/javascript" src="<?php echo $GLOBALS['webroot'] ?>/library/dialog.js?v=<?php echo $v_js_includes; ?>"></script>
  15 <script type="text/javascript" src="<?php echo $GLOBALS['assets_static_relative'] ?>/jquery-min-1-9-1/index.js"></script>
  16 <script type="text/javascript" src="<?php echo $GLOBALS['webroot'] ?>/library/js/common.js"></script>
  17 <script type="text/javascript" src="<?php echo $GLOBALS['webroot'] ?>/library/js/fancybox/jquery.fancybox-1.2.6.js"></script>
  18 <script type="text/javascript" src="<?php echo $GLOBALS['webroot'] ?>/library/js/jquery-ui.js"></script>
  19 <script type="text/javascript" src="../main/calendar/modules/PostCalendar/pnincludes/AnchorPosition.js"></script>
  20 <script type="text/javascript" src="../main/calendar/modules/PostCalendar/pnincludes/PopupWindow.js"></script>
  21 <script type="text/javascript" src="../main/calendar/modules/PostCalendar/pnincludes/ColorPicker2.js"></script>
  22
  23 <!-- validation library -->
  24 <!--//Not lbf forms use the new validation, please make sure you have the corresponding values in the list Page validation-->
  25 <?php    $use_validate_js = 1;?>
  26 <?php  require_once($GLOBALS['srcdir'] . "/validation/validation_script.js.php"); ?>
  27 <?php
  28 //Gets validation rules from Page Validation list.
  29 //Note that for technical reasons, we are bypassing the standard validateUsingPageRules() call.
  30 $collectthis = collectValidationPageRules("/interface/usergroup/facilities_add.php");
  31 if (empty($collectthis)) {
  32     $collectthis = "undefined";
  33 }
  34 else {
  35     $collectthis = $collectthis["facility-add"]["rules"];
  36 }
  37
  38 // Old Browser comp trigger on js
  39
  40 if (isset($_POST["mode"]) && $_POST["mode"] == "facility") {
  41         echo '
  42 <script type="text/javascript">
  43 <!--
  44 parent.$.fn.fancybox.close();
  45 //-->
  46 </script>
  47
  48         ';
  49 }
  50 ?>
  51 <script type="text/javascript">
  52 /// todo, move this to a common library
  53
  54 var collectvalidation = <?php echo($collectthis); ?>;
  55
  56 function submitform() {
  57
  58     var valid = submitme(1, undefined, 'facility-add', collectvalidation);
  59     if (!valid) return;
  60
  61         <?php if($GLOBALS['erx_enable']){ ?>
  62         alertMsg='';
  63         f=document.forms[0];
  64         for(i=0;i<f.length;i++){
  65                 if(f[i].type=='text' && f[i].value)
  66                 {
  67                         if(f[i].name == 'facility' || f[i].name == 'Washington')
  68                         {
  69                                 alertMsg += checkLength(f[i].name,f[i].value,35);
  70                                 alertMsg += checkFacilityName(f[i].name,f[i].value);
  71                         }
  72                         else if(f[i].name == 'street')
  73                         {
  74                                 alertMsg += checkLength(f[i].name,f[i].value,35);
  75                                 alertMsg += checkAlphaNumeric(f[i].name,f[i].value);
  76                         }
  77                         else if(f[i].name == 'phone' || f[i].name == 'fax')
  78                         {
  79                                 alertMsg += checkPhone(f[i].name,f[i].value);
  80                         }
  81                         else if(f[i].name == 'federal_ein')
  82                         {
  83                                 alertMsg += checkLength(f[i].name,f[i].value,10);
  84                                 alertMsg += checkFederalEin(f[i].name,f[i].value);
  85                         }
  86                 }
  87         }
  88         if(alertMsg)
  89         {
  90                 alert(alertMsg);
  91                 return false;
  92         }
  93         <?php } ?>
  94
  95     top.restoreSession();
  96     document.forms[0].submit();
  97 }
  98
  99 function toggle( target, div ) {
 100
 101     $mode = $(target).find(".indicator").text();
 102     if ( $mode == "collapse" ) {
 103         $(target).find(".indicator").text( "expand" );
 104         $(div).hide();
 105     } else {
 106         $(target).find(".indicator").text( "collapse" );
 107         $(div).show();
 108     }
 109
 110 }
 111
 112 $(document).ready(function(){
 113
 114     $("#dem_view").click( function() {
 115         toggle( $(this), "#DEM" );
 116     });
 117
 118     // fancy box
 119     enable_modals();
 120
 121     tabbify();
 122
 123     // special size for
 124         $(".large_modal").fancybox( {
 125                 'overlayOpacity' : 0.0,
 126                 'showCloseButton' : true,
 127                 'frameHeight' : 600,
 128                 'frameWidth' : 1000
 129         });
 130
 131     // special size for
 132         $(".medium_modal").fancybox( {
 133                 'overlayOpacity' : 0.0,
 134                 'showCloseButton' : true,
 135                 'frameHeight' : 260,
 136                 'frameWidth' : 510
 137         });
 138
 139 });
 140
 141 $(document).ready(function(){
 142     $("#cancel").click(function() {
 143                   parent.$.fn.fancybox.close();
 144          });
 145
 146     /**
 147      * add required/star sign to required form fields
 148      */
 149     for (var prop in collectvalidation) {
 150         //if (collectvalidation[prop].requiredSign)
 151         if (collectvalidation[prop].presence)
 152             jQuery("input[name='" + prop + "']").after('*');
 153     }
 154 });
 155 var cp = new ColorPicker('window');
 156   // Runs when a color is clicked
 157 function pickColor(color) {
 158         document.getElementById('ncolor').value = color;
 159 }
 160 var field;
 161 function pick(anchorname,target) {
 162         var cp = new ColorPicker('window');
 163         field=target;
 164         cp.show(anchorname);
 165 }
 166 function displayAlert()
 167 {
 168         if(document.getElementById('primary_business_entity').checked==false)
 169         alert("<?php echo addslashes(xl('Primary Business Entity tax id is used as account id for NewCrop ePrescription. Changing the facility will affect the working in NewCrop.'));?>");
 170         else if(document.getElementById('primary_business_entity').checked==true)
 171         alert("<?php echo addslashes(xl('Once the Primary Business Facility is set, it should not be changed. Changing the facility will affect the working in NewCrop ePrescription.'));?>");
 172 }
 173 </script>
 174 <link rel="stylesheet" href="<?php echo $css_header;?>" type="text/css">
 175
 176 </head>
 177 <body class="body_top">
 178 <table>
 179 <tr><td>
 180     <span class="title"><?php xl('Add Facility','e'); ?></span>&nbsp;&nbsp;&nbsp;</td>
 181     <td colspan=5 align=center style="padding-left:2px;">
 182         <a onclick="submitform();" class="css_button large_button" name='form_save' id='form_save' href='#'>
 183             <span class='css_button_span large_button_span'><?php xl('Save','e');?></span>
 184         </a>
 185         <a class="css_button large_button" id='cancel' href='#' >
 186             <span class='css_button_span large_button_span'><?php xl('Cancel','e');?></span>
 187         </a>
 188 </td></tr>
 189 </table>
 190
 191 <br>
 192
 193 <form name='facility-add' id='facility-add' method='post' action="facilities.php" target='_parent'>
 194     <input type=hidden name=mode value="facility">
 195     <table border=0 cellpadding=0 cellspacing=0>
 196         <tr>
 197         <td><span class="text"><?php xl('Name','e'); ?>: </span></td><td><input type=entry name=facility size=20 value=""></td>
 198         <td width=20>&nbsp;</td>
 199         <td><span class="text"><?php xl('Phone','e'); ?>: </span></td><td><input type=entry name=phone size=20 value=""></td>
 200         </tr>
 201         <tr>
 202         <td><span class="text"><?php xl('Address','e'); ?>: </span></td><td><input type=entry size=20 name=street value=""></td>
 203         <td>&nbsp;</td>
 204         <td><span class="text"><?php xl('Fax','e'); ?>: </span></td><td><input type=entry name=fax size=20 value=""></td>
 205         </tr>
 206         <tr>
 207         <td><span class="text"><?php xl('City','e'); ?>: </span></td><td><input type=entry size=20 name=city value=""></td>
 208         <td>&nbsp;</td>
 209         <td><span class="text"><?php xl('Zip Code','e'); ?>: </span></td><td><input type=entry size=20 name=postal_code value=""></td>
 210         </tr>
 211         <tr>
 212         <td><span class="text"><?php xl('State','e'); ?>: </span></td><td><input type=entry size=20 name=state value=""></td>
 213         <td>&nbsp;</td>
 214         <td><span class="text"><?php xl('Tax ID','e'); ?>: </span></td><td><select name=tax_id_type><option value="EI"><?php xl('EIN','e'); ?></option><option value="SY"><?php xl('SSN','e'); ?></option></select><input type=entry size=11 name=federal_ein value=""></td>
 215         </tr>
 216         <tr>
 217         <td height="22"><span class="text"><?php xl('Country','e'); ?>: </span></td><td><input type=entry size=20 name=country_code value=""></td>
 218         <td>&nbsp;</td>
 219         <td><span class="text"><?php ($GLOBALS['simplified_demographics'] ? xl('Facility Code','e') : xl('Facility NPI','e')); ?>:
 220         </span></td><td><input type=entry size=20 name=facility_npi value=""></td>
 221         </tr>
 222                 <tr>
 223         <td><span class="text"><?php xl('Website','e'); ?>: </span></td><td><input type=entry size=20 name=website value=""></td>
 224         <td>&nbsp;</td>
 225         <td><span class="text"><?php xl('Email','e'); ?>: </span></td><td><input type=entry size=20 name=email value=""></td>
 226         </tr>
 227
 228         <tr>
 229           <td><span class='text'><?php xl('Billing Location','e'); ?>: </span></td><td><input type='checkbox' name='billing_location' value = '1'></td>
 230           <td>&nbsp;</td>
 231           <td><span class='text'><?php xl('Accepts Assignment','e'); ?><br>(<?php xl('only if billing location','e'); ?>): </span></td> <td><input type='checkbox' name='accepts_assignment' value = '1'></td>
 232         </tr>
 233         <tr>
 234           <td><span class='text'><?php xl('Service Location','e'); ?>: </span></td> <td><input type='checkbox' name='service_location' value = '1'></td>
 235           <td>&nbsp;</td>
 236           <td><span class='text'><?php echo htmlspecialchars(xl('Color'),ENT_QUOTES); ?>: </span></td> <td><input type=entry name=ncolor id=ncolor size=20 value=""><span>[<a href="javascript:void(0);" onClick="pick('pick','newcolor');return false;" NAME="pick" ID="pick"><?php echo htmlspecialchars(xl('Pick'),ENT_QUOTES); ?></a>]</span></td>
 237         </tr>
 238         <?php
 239          $disabled='';
 240          $resPBE=sqlStatement("select * from facility where primary_business_entity='1' and id!='".$my_fid."'");
 241          if(sqlNumRows($resPBE)>0)
 242          $disabled='disabled';
 243          ?>
 244          <tr>
 245           <td><span class='text'><?php xl('Primary Business Entity','e'); ?>: </span></td>
 246           <td><input type='checkbox' name='primary_business_entity' id='primary_business_entity' value='1' <?php if ($facility['primary_business_entity'] == 1) echo 'checked'; ?> <?php if($GLOBALS['erx_enable']){ ?> onchange='return displayAlert()' <?php } ?> <?php echo $disabled;?>></td>
 247           <td>&nbsp;</td>
 248          </tr>
 249         <tr>
 250             <td><span class=text><?php xl('POS Code','e'); ?>: </span></td>
 251             <td colspan="6">
 252                 <select name="pos_code">
 253                 <?php
 254                 $pc = new POSRef();
 255
 256                 foreach ($pc->get_pos_ref() as $pos) {
 257                     echo "<option value=\"" . $pos["code"] . "\" ";
 258                     echo ">" . $pos['code']  . ": ". text($pos['title']);
 259                     echo "</option>\n";
 260                 }
 261
 262                 ?>
 263                 </select>
 264             </td>
 265         </tr>
 266         <tr>
 267             <td><span class="text"><?php xl('Billing Attn','e'); ?>:</span></td>
 268             <td colspan="4"><input type="text" name="attn" size="45"></td>
 269         </tr>
 270         <tr>
 271             <td><span class="text"><?php xl('CLIA Number','e'); ?>:</span></td>
 272             <td colspan="4"><input type="text" name="domain_identifier" size="45"></td>
 273         </tr>
 274         <tr>
 275             <td><span class="text"><?php xl('Facility ID','e'); ?>:</span></td>
 276             <td colspan="4"><input type="text" name="facility_id" size="20"></td>
 277         </tr>
 278         <tr height="25" style="valign:bottom;">
 279         <td><font class="mandatory">*</font><span class="text"> <?php echo xl('Required','e'); ?></span></td><td>&nbsp;</td><td>&nbsp;</td>
 280         <td>&nbsp;</td><td>&nbsp;</td>
 281         </tr>
 282     </table>
 283 </form>
 284
 285 <script language="JavaScript">
 286 <?php
 287   if ($alertmsg = trim($alertmsg)) {
 288     echo "alert('$alertmsg');\n";
 289   }
 290 ?>
 291 </script>
 292
 293 </body>
 294 </html>