2 // Copyright (C) 2005-2011 Rod Roark <rod@sunsetsystems.com>
4 // This program is free software; you can redistribute it and/or
5 // modify it under the terms of the GNU General Public License
6 // as published by the Free Software Foundation; either version 2
7 // of the License, or (at your option) any later version.
9 require_once("../../globals.php");
10 require_once("$srcdir/lists.inc");
11 require_once("$srcdir/patient.inc");
12 require_once("$srcdir/acl.inc");
13 require_once("$srcdir/options.inc.php");
14 require_once("$srcdir/../custom/code_types.inc.php");
15 require_once("$srcdir/csv_like_join.php");
17 if ($ISSUE_TYPES['football_injury']) {
18 // Most of the logic for the "football injury" issue type comes from this
19 // included script. We might eventually refine this approach to support
20 // a plug-in architecture for custom issue types.
21 require_once("$srcdir/football_injury.inc.php");
23 if ($ISSUE_TYPES['ippf_gcac']) {
24 // Similarly for IPPF issues.
25 require_once("$srcdir/ippf_issues.inc.php");
28 $diagnosis_types = array();
29 foreach ($code_types as $code => $data) {
31 array_push($diagnosis_types, $code);
34 if (count($diagnosis_types) < 1) {
35 $diagnosis_type = 'ICD9';
37 $diagnosis_type = csv_like_join($diagnosis_types);
40 $issue = $_REQUEST['issue'];
41 $thispid = 0 +
(empty($_REQUEST['thispid']) ?
$pid : $_REQUEST['thispid']);
44 // A nonempty thisenc means we are to link the issue to the encounter.
45 $thisenc = 0 +
(empty($_REQUEST['thisenc']) ?
0 : $_REQUEST['thisenc']);
47 // A nonempty thistype is an issue type to be forced for a new issue.
48 $thistype = empty($_REQUEST['thistype']) ?
'' : $_REQUEST['thistype'];
50 $thisauth = acl_check('patients', 'med');
51 if ($issue && $thisauth != 'write') die("Edit is not authorized!");
52 if ($thisauth != 'write' && $thisauth != 'addonly') die("Add is not authorized!");
54 $tmp = getPatientData($thispid, "squad");
55 if ($tmp['squad'] && ! acl_check('squads', $tmp['squad']))
56 die("Not authorized for this squad!");
58 function QuotedOrNull($fld) {
59 if ($fld) return "'$fld'";
63 function rbvalue($rbname) {
64 $tmp = $_POST[$rbname];
65 if (! $tmp) $tmp = '0';
69 function cbvalue($cbname) {
70 return $_POST[$cbname] ?
'1' : '0';
73 function invalue($inname) {
74 return (int) trim($_POST[$inname]);
77 function txvalue($txname) {
78 return "'" . trim($_POST[$txname]) . "'";
81 function rbinput($name, $value, $desc, $colname) {
83 $ret = "<input type='radio' name='$name' value='$value'";
84 if ($irow[$colname] == $value) $ret .= " checked";
89 function rbcell($name, $value, $desc, $colname) {
90 return "<td width='25%' nowrap>" . rbinput($name, $value, $desc, $colname) . "</td>\n";
93 // Given an issue type as a string, compute its index.
94 function issueTypeIndex($tstr) {
97 foreach ($ISSUE_TYPES as $key => $value) {
98 if ($key == $tstr) break;
104 // If we are saving, then save and close the window.
106 if ($_POST['form_save']) {
109 $text_type = "unknown";
110 foreach ($ISSUE_TYPES as $key => $value) {
111 if ($i++
== $_POST['form_type']) $text_type = $key;
114 $form_begin = fixDate($_POST['form_begin'], '');
115 $form_end = fixDate($_POST['form_end'], '');
117 if ($text_type == 'football_injury') {
118 $form_injury_part = $_POST['form_injury_part'];
119 $form_injury_type = $_POST['form_injury_type'];
122 $form_injury_part = $_POST['form_medical_system'];
123 $form_injury_type = $_POST['form_medical_type'];
128 $query = "UPDATE lists SET " .
129 "type = '" . $text_type . "', " .
130 "title = '" . $_POST['form_title'] . "', " .
131 "comments = '" . $_POST['form_comments'] . "', " .
132 "begdate = " . QuotedOrNull($form_begin) . ", " .
133 "enddate = " . QuotedOrNull($form_end) . ", " .
134 "returndate = " . QuotedOrNull($form_return) . ", " .
135 "diagnosis = '" . $_POST['form_diagnosis'] . "', " .
136 "occurrence = '" . $_POST['form_occur'] . "', " .
137 "classification = '" . $_POST['form_classification'] . "', " .
138 "reinjury_id = '" . $_POST['form_reinjury_id'] . "', " .
139 "referredby = '" . $_POST['form_referredby'] . "', " .
140 "injury_grade = '" . $_POST['form_injury_grade'] . "', " .
141 "injury_part = '" . $form_injury_part . "', " .
142 "injury_type = '" . $form_injury_type . "', " .
143 "outcome = '" . $_POST['form_outcome'] . "', " .
144 "destination = '" . $_POST['form_destination'] . "', " .
145 "reaction ='" . $_POST['form_reaction'] . "' " .
146 "WHERE id = '$issue'";
147 sqlStatement($query);
148 if ($text_type == "medication" && enddate
!= '') {
149 sqlStatement('UPDATE prescriptions SET '
150 . 'medication = 0 where patient_id = ' . $thispid
151 . " and upper(trim(drug)) = '" . strtoupper($_POST['form_title']) . "' "
152 . ' and medication = 1' );
157 $issue = sqlInsert("INSERT INTO lists ( " .
158 "date, pid, type, title, activity, comments, begdate, enddate, returndate, " .
159 "diagnosis, occurrence, classification, referredby, user, groupname, " .
160 "outcome, destination, reinjury_id, injury_grade, injury_part, injury_type, " .
165 "'" . $text_type . "', " .
166 "'" . $_POST['form_title'] . "', " .
168 "'" . $_POST['form_comments'] . "', " .
169 QuotedOrNull($form_begin) . ", " .
170 QuotedOrNull($form_end) . ", " .
171 QuotedOrNull($form_return) . ", " .
172 "'" . $_POST['form_diagnosis'] . "', " .
173 "'" . $_POST['form_occur'] . "', " .
174 "'" . $_POST['form_classification'] . "', " .
175 "'" . $_POST['form_referredby'] . "', " .
176 "'" . $
$_SESSION['authUser'] . "', " .
177 "'" . $
$_SESSION['authProvider'] . "', " .
178 "'" . $_POST['form_outcome'] . "', " .
179 "'" . $_POST['form_destination'] . "', " .
180 "'" . $_POST['form_reinjury_id'] . "', " .
181 "'" . $_POST['form_injury_grade'] . "', " .
182 "'" . $form_injury_part . "', " .
183 "'" . $form_injury_type . "', " .
184 "'" . $_POST['form_reaction'] . "' " .
189 if ($text_type == 'football_injury') issue_football_injury_save($issue);
190 if ($text_type == 'ippf_gcac' ) issue_ippf_gcac_save($issue);
191 if ($text_type == 'contraceptive' ) issue_ippf_con_save($issue);
193 // If requested, link the issue to a specified encounter.
195 $query = "INSERT INTO issue_encounter ( " .
196 "pid, list_id, encounter " .
198 "'$thispid', '$issue', '$thisenc'" .
200 sqlStatement($query);
203 $tmp_title = addslashes($ISSUE_TYPES[$text_type][2] . ": $form_begin " .
204 substr($_POST['form_title'], 0, 40));
206 // Close this window and redisplay the updated list of issues.
208 echo "<html><body><script language='JavaScript'>\n";
209 if ($info_msg) echo " alert('$info_msg');\n";
211 echo " var myboss = opener ? opener : parent;\n";
212 echo " if (myboss.refreshIssue) myboss.refreshIssue($issue,'$tmp_title');\n";
213 echo " else myboss.location.reload();\n";
214 echo " if (parent.$ && parent.$.fancybox) parent.$.fancybox.close();\n";
215 echo " else window.close();\n";
217 echo "</script></body></html>\n";
223 $irow = sqlQuery("SELECT * FROM lists WHERE id = $issue");
225 $irow['type'] = $thistype;
229 if (!empty($irow['type'])) {
230 foreach ($ISSUE_TYPES as $key => $value) {
231 if ($key == $irow['type']) break;
238 <?php
html_header_show();?
>
239 <title
><?php
echo $issue ?
xl('Edit') : xl('Add New'); ?
><?php
xl('Issue','e',' '); ?
></title
>
240 <link rel
="stylesheet" href
='<?php echo $css_header ?>' type
='text/css'>
244 td
, input
, select
, textarea
{
245 font
-family
: Arial
, Helvetica
, sans
-serif
;
252 border
-color
: #0000ff;
259 <style type
="text/css">@import
url(../../../library
/dynarch_calendar
.css
);</style
>
260 <script type
="text/javascript" src
="../../../library/dynarch_calendar.js"></script
>
261 <?php
include_once("{$GLOBALS['srcdir']}/dynarch_calendar_en.inc.php"); ?
>
262 <script type
="text/javascript" src
="../../../library/dynarch_calendar_setup.js"></script
>
263 <script type
="text/javascript" src
="../../../library/textformat.js"></script
>
264 <script type
="text/javascript" src
="../../../library/dialog.js"></script
>
266 <script language
="JavaScript">
268 var mypcc
= '<?php echo $GLOBALS['phone_country_code
'] ?>';
270 var aitypes
= new Array(); // issue type attributes
271 var aopts
= new Array(); // Option objects
273 // "Clickoptions" is a feature by Mark Leeds that provides for one-click
274 // access to preselected lists of issues in each category. Here we get
275 // the issue titles from the user-customizable file and write JavaScript
276 // statements that will build an array of arrays of Option objects.
278 $clickoptions = array();
279 if (is_file($GLOBALS['OE_SITE_DIR'] . "/clickoptions.txt"))
280 $clickoptions = file($GLOBALS['OE_SITE_DIR'] . "/clickoptions.txt");
282 foreach ($ISSUE_TYPES as $key => $value) {
283 echo " aitypes[$i] = " . $value[3] . ";\n";
284 echo " aopts[$i] = new Array();\n";
285 foreach($clickoptions as $line) {
287 if (substr($line, 0, 1) != "#") {
288 if (strpos($line, $key) !== false) {
289 $text = addslashes(substr($line, strpos($line, "::") +
2));
290 echo " aopts[$i][aopts[$i].length] = new Option('$text', '$text', false, false);\n";
298 <?php
require($GLOBALS['srcdir'] . "/restoreSession.php"); ?
>
300 // React to selection of an issue type. This loads the associated
301 // shortcuts into the selection list of titles, and determines which
302 // rows are displayed or hidden.
303 function newtype(index
) {
304 var f
= document
.forms
[0];
305 var theopts
= f
.form_titles
.options
;
308 for (i
= 0; i
< aopts
[index
].length
; ++i
) {
309 theopts
[i
] = aopts
[index
][i
];
311 document
.getElementById('row_titles').style
.display
= i ?
'' : 'none';
312 // Show or hide various rows depending on issue type, except do not
313 // hide the comments or referred-by fields if they have data.
314 var comdisp
= (aitypes
[index
] == 1) ?
'none' : '';
315 var revdisp
= (aitypes
[index
] == 1) ?
'' : 'none';
316 var injdisp
= (aitypes
[index
] == 2) ?
'' : 'none';
317 var nordisp
= (aitypes
[index
] == 0) ?
'' : 'none';
318 // reaction row should be displayed only for medication allergy.
319 var alldisp
= (index
== <?php
echo issueTypeIndex('allergy'); ?
>) ?
'' : 'none';
320 document
.getElementById('row_enddate' ).style
.display
= comdisp
;
321 // Note that by default all the issues will not show the active row
322 // (which is desired functionality, since then use the end date
323 // to inactivate the item.)
324 document
.getElementById('row_active' ).style
.display
= revdisp
;
325 document
.getElementById('row_diagnosis' ).style
.display
= comdisp
;
326 document
.getElementById('row_occurrence' ).style
.display
= comdisp
;
327 document
.getElementById('row_classification').style
.display
= injdisp
;
328 document
.getElementById('row_reinjury_id' ).style
.display
= injdisp
;
329 document
.getElementById('row_reaction' ).style
.display
= alldisp
;
330 document
.getElementById('row_referredby' ).style
.display
= (f
.form_referredby
.value
) ?
'' : comdisp
;
331 document
.getElementById('row_comments' ).style
.display
= (f
.form_comments
.value
) ?
'' : revdisp
;
332 <?php
if ($GLOBALS['athletic_team']) { ?
>
333 document
.getElementById('row_returndate' ).style
.display
= comdisp
;
334 document
.getElementById('row_injury_grade' ).style
.display
= injdisp
;
335 document
.getElementById('row_injury_part' ).style
.display
= injdisp
;
336 document
.getElementById('row_injury_type' ).style
.display
= injdisp
;
337 document
.getElementById('row_medical_system').style
.display
= nordisp
;
338 document
.getElementById('row_medical_type' ).style
.display
= nordisp
;
339 // Change label text of 'title' row depending on issue type:
340 document
.getElementById('title_diagnosis').innerHTML
= '<b>' +
341 (index
== <?php
echo issueTypeIndex('allergy'); ?
> ?
342 '<?php echo xl('Allergy
') ?>' :
343 (index
== <?php
echo issueTypeIndex('general'); ?
> ?
344 '<?php echo xl('Title
') ?>' :
345 '<?php echo xl('Text Diagnosis
') ?>')) +
348 document
.getElementById('row_referredby' ).style
.display
= (f
.form_referredby
.value
) ?
'' : comdisp
;
351 if ($ISSUE_TYPES['football_injury']) {
352 // Generate more of these for football injury fields.
353 issue_football_injury_newtype();
355 if ($ISSUE_TYPES['ippf_gcac'] && !$_POST['form_save']) {
356 // Generate more of these for gcac and contraceptive fields.
357 if (empty($issue) ||
$irow['type'] == 'ippf_gcac' ) issue_ippf_gcac_newtype();
358 if (empty($issue) ||
$irow['type'] == 'contraceptive') issue_ippf_con_newtype();
363 // If a clickoption title is selected, copy it to the title field.
364 function set_text() {
365 var f
= document
.forms
[0];
366 f
.form_title
.value
= f
.form_titles
.options
[f
.form_titles
.selectedIndex
].text
;
367 f
.form_titles
.selectedIndex
= -1;
370 // Process click on Delete link.
371 function deleteme() {
372 dlgopen('../deleter.php?issue=<?php echo $issue ?>', '_blank', 500, 450);
376 // Called by the deleteme.php window on a successful delete.
377 function imdeleted() {
382 if (parent
.$
) parent
.$
.fancybox
.close();
386 // Called when the Active checkbox is clicked. For consistency we
387 // use the existence of an end date to indicate inactivity, even
388 // though the simple verion of the form does not show an end date.
389 function activeClicked(cb
) {
390 var f
= document
.forms
[0];
392 f
.form_end
.value
= '';
394 var today
= new Date();
395 f
.form_end
.value
= '' +
(today
.getYear() +
1900) +
'-' +
396 (today
.getMonth() +
1) +
'-' + today
.getDate();
400 // Called when resolved outcome is chosen and the end date is entered.
401 function outcomeClicked(cb
) {
402 var f
= document
.forms
[0];
403 if (cb
.value
== '1'){
404 var today
= new Date();
405 f
.form_end
.value
= '' +
(today
.getYear() +
1900) +
'-' +
406 (today
.getMonth() +
1) +
'-' + today
.getDate();
411 // This is for callback by the find-code popup.
412 // Appends to or erases the current list of diagnoses.
413 function set_related(codetype
, code
, selector
, codedesc
) {
414 var f
= document
.forms
[0];
415 var s
= f
.form_diagnosis
.value
;
417 if (s
.length
> 0) s +
= ';';
418 s +
= codetype +
':' + code
;
422 f
.form_diagnosis
.value
= s
;
425 // This invokes the find-code popup.
426 function sel_diagnosis() {
427 dlgopen('../encounter/find_code_popup.php?codetype=<?php echo $diagnosis_type ?>', '_blank', 500, 400);
430 // Check for errors when the form is submitted.
431 function validate() {
432 var f
= document
.forms
[0];
433 if (! f
.form_title
.value
) {
434 alert("<?php xl('Please enter a title!','e'); ?>");
437 top
.restoreSession();
441 // Supports customizable forms (currently just for IPPF).
442 function divclick(cb
, divid
) {
443 var divstyle
= document
.getElementById(divid
).style
;
445 divstyle
.display
= 'block';
447 divstyle
.display
= 'none';
456 <body
class="body_top" style
="padding-right:0.5em">
458 <form method
='post' name
='theform'
459 action
='add_edit_issue.php?issue=<?php echo $issue; ?>&thispid=<?php echo $thispid; ?>&thisenc=<?php echo $thisenc; ?>'
460 onsubmit
='return validate()'>
462 <table border
='0' width
='100%'>
465 <td valign
='top' width
='1%' nowrap
><b
><?php
xl('Type','e'); ?
>:</b
></td
>
469 foreach ($ISSUE_TYPES as $value) {
470 if ($issue ||
$thistype) {
471 if ($index == $type_index) {
473 echo "<input type='hidden' name='form_type' value='$index'>\n";
476 echo " <input type='radio' name='form_type' value='$index' onclick='newtype($index)'";
477 if ($index == $type_index) echo " checked";
478 echo " />" . $value[1] . " \n";
487 <td valign
='top' nowrap
> 
;</td
>
489 <select name
='form_titles' size
='<?php echo $GLOBALS['athletic_team
'] ? 10 : 4; ?>' onchange
='set_text()'>
490 </select
> <?php
xl('(Select one of these, or type your own title)','e'); ?
>
495 <td valign
='top' id
='title_diagnosis' nowrap
><b
><?php
echo $GLOBALS['athletic_team'] ?
xl('Text Diagnosis') : xl('Title'); ?
>:</b
></td
>
497 <input type
='text' size
='40' name
='form_title' value
='<?php echo $irow['title
'] ?>' style
='width:100%' />
501 <tr id
='row_diagnosis'>
502 <td valign
='top' nowrap
><b
><?php
xl('Diagnosis Code','e'); ?
>:</b
></td
>
504 <input type
='text' size
='50' name
='form_diagnosis'
505 value
='<?php echo $irow['diagnosis
'] ?>' onclick
='sel_diagnosis()'
506 title
='<?php xl('Click to select
or change diagnoses
','e
'); ?>'
507 style
='width:100%' readonly
/>
511 <!-- For Athletic Teams
-->
513 <tr
<?php
if (! $GLOBALS['athletic_team']) echo " style='display:none;'"; ?
> id
='row_injury_grade'>
514 <td valign
='top' nowrap
><b
><?php
xl('Grade of Injury','e'); ?
>:</b
></td
>
517 echo generate_select_list('form_injury_grade', 'injury_grade', $irow['injury_grade'], '');
522 <tr
<?php
if (! $GLOBALS['athletic_team']) echo " style='display:none;'"; ?
> id
='row_injury_part'>
523 <td valign
='top' nowrap
><b
><?php
xl('Injured Body Part','e'); ?
>:</b
></td
>
526 echo generate_select_list('form_injury_part', 'injury_part', $irow['injury_part'], '');
531 <tr
<?php
if (! $GLOBALS['athletic_team']) echo " style='display:none;'"; ?
> id
='row_injury_type'>
532 <td valign
='top' nowrap
><b
><?php
xl('Injury Type','e'); ?
>:</b
></td
>
535 echo generate_select_list('form_injury_type', 'injury_type', $irow['injury_type'], '');
540 <tr
<?php
if (! $GLOBALS['athletic_team']) echo " style='display:none;'"; ?
> id
='row_medical_system'>
541 <td valign
='top' nowrap
><b
><?php
xl('Medical System','e'); ?
>:</b
></td
>
544 echo generate_select_list('form_medical_system', 'medical_system', $irow['injury_part'], '');
549 <tr
<?php
if (! $GLOBALS['athletic_team']) echo " style='display:none;'"; ?
> id
='row_medical_type'>
550 <td valign
='top' nowrap
><b
><?php
xl('Medical Type','e'); ?
>:</b
></td
>
553 echo generate_select_list('form_medical_type', 'medical_type', $irow['injury_type'], '');
558 <!-- End
For Athletic Teams
-->
561 <td valign
='top' nowrap
><b
><?php
xl('Begin Date','e'); ?
>:</b
></td
>
564 <input type
='text' size
='10' name
='form_begin' id
='form_begin'
565 value
='<?php echo $irow['begdate
'] ?>'
566 onkeyup
='datekeyup(this,mypcc)' onblur
='dateblur(this,mypcc)'
567 title
='<?php xl('yyyy
-mm
-dd date of onset
, surgery
or start of medication
','e
'); ?>' />
568 <img src
='../../pic/show_calendar.gif' align
='absbottom' width
='24' height
='22'
569 id
='img_begin' border
='0' alt
='[?]' style
='cursor:pointer'
570 title
='<?php xl('Click here to choose a date
','e
'); ?>' />
574 <tr id
='row_enddate'>
575 <td valign
='top' nowrap
><b
><?php
xl('End Date','e'); ?
>:</b
></td
>
577 <input type
='text' size
='10' name
='form_end' id
='form_end'
578 value
='<?php echo $irow['enddate
'] ?>'
579 onkeyup
='datekeyup(this,mypcc)' onblur
='dateblur(this,mypcc)'
580 title
='<?php xl('yyyy
-mm
-dd date of recovery
or end of medication
','e
'); ?>' />
581 <img src
='../../pic/show_calendar.gif' align
='absbottom' width
='24' height
='22'
582 id
='img_end' border
='0' alt
='[?]' style
='cursor:pointer'
583 title
='<?php xl('Click here to choose a date
','e
'); ?>' />
584  
;(<?php
xl('leave blank if still active','e'); ?
>)
589 <td valign
='top' nowrap
><b
><?php
xl('Active','e'); ?
>:</b
></td
>
591 <input type
='checkbox' name
='form_active' value
='1' <?php
echo $irow['enddate'] ?
"" : "checked"; ?
>
592 onclick
='activeClicked(this);'
593 title
='<?php xl('Indicates
if this issue is currently active
','e
'); ?>' />
597 <tr
<?php
if (! $GLOBALS['athletic_team']) echo " style='display:none;'"; ?
> id
='row_returndate'>
598 <td valign
='top' nowrap
><b
><?php
xl('Returned to Play','e'); ?
>:</b
></td
>
600 <input type
='text' size
='10' name
='form_return' id
='form_return'
601 value
='<?php echo $irow['returndate
'] ?>'
602 onkeyup
='datekeyup(this,mypcc)' onblur
='dateblur(this,mypcc)'
603 title
='<?php xl('yyyy
-mm
-dd date returned to play
','e
'); ?>' />
604 <img src
='../../pic/show_calendar.gif' align
='absbottom' width
='24' height
='22'
605 id
='img_return' border
='0' alt
='[?]' style
='cursor:pointer'
606 title
='<?php xl('Click here to choose a date
','e
'); ?>' />
607  
;(<?php
xl('leave blank if still active','e'); ?
>)
611 <tr id
='row_occurrence'>
612 <td valign
='top' nowrap
><b
><?php
xl('Occurrence','e'); ?
>:</b
></td
>
615 // Modified 6/2009 by BM to incorporate the occurrence items into the list_options listings
616 generate_form_field(array('data_type'=>1,'field_id'=>'occur','list_id'=>'occurrence','empty_title'=>'SKIP'), $irow['occurrence']);
621 <tr id
='row_classification'>
622 <td valign
='top' nowrap
><b
><?php
xl('Classification','e'); ?
>:</b
></td
>
624 <select name
='form_classification'>
626 foreach ($ISSUE_CLASSIFICATIONS as $key => $value) {
627 echo " <option value='$key'";
628 if ($key == $irow['classification']) echo " selected";
636 <tr
<?php
if (! $GLOBALS['athletic_team']) echo " style='display:none;'"; ?
> id
='row_reinjury_id'>
637 <td valign
='top' nowrap
><b
><?php
xl('Re-Injury?','e'); ?
>:</b
></td
>
639 <select name
='form_reinjury_id'>
640 <option value
='0'><?php
echo xl('No'); ?
></option
>
642 $pres = sqlStatement(
643 "SELECT id, begdate, title " .
644 "FROM lists WHERE " .
645 "pid = '$thispid' AND " .
646 "type = 'football_injury' AND " .
648 "ORDER BY begdate DESC"
650 while ($prow = sqlFetchArray($pres)) {
651 echo " <option value='" . $prow['id'] . "'";
652 if ($prow['id'] == $irow['reinjury_id']) echo " selected";
653 echo ">" . $prow['begdate'] . " " . $prow['title'] . "\n";
659 <!-- Reaction
For Medication Allergy
-->
660 <tr id
='row_reaction'>
661 <td valign
='top' nowrap
><b
><?php
echo htmlspecialchars( xl('Reaction') ,ENT_NOQUOTES
); ?
>:</b
></td
>
663 <input type
='text' size
='40' name
='form_reaction' value
='<?php echo $irow['reaction
'] ?>'
664 style
='width:100%' title
='<?php echo htmlspecialchars(xl('Allergy Reaction
'),ENT_QUOTES); ?>' />
667 <!-- End of reaction
-->
669 <tr
<?php
if ($GLOBALS['athletic_team']) echo " style='display:none;'"; ?
> id
='row_referredby'>
670 <td valign
='top' nowrap
><b
><?php
xl('Referred by','e'); ?
>:</b
></td
>
672 <input type
='text' size
='40' name
='form_referredby' value
='<?php echo $irow['referredby
'] ?>'
673 style
='width:100%' title
='<?php xl('Referring physician
and practice
','e
'); ?>' />
677 <tr id
='row_comments'>
678 <td valign
='top' nowrap
><b
><?php
xl('Comments','e'); ?
>:</b
></td
>
680 <textarea name
='form_comments' rows
='4' cols
='40' wrap
='virtual' style
='width:100%'><?php
echo $irow['comments'] ?
></textarea
>
684 <tr
<?php
if ($GLOBALS['athletic_team'] ||
$GLOBALS['ippf_specific']) echo " style='display:none;'"; ?
>>
685 <td valign
='top' nowrap
><b
><?php
xl('Outcome','e'); ?
>:</b
></td
>
688 echo generate_select_list('form_outcome', 'outcome', $irow['outcome'], '', '', '', 'outcomeClicked(this);');
693 <tr
<?php
if ($GLOBALS['athletic_team'] ||
$GLOBALS['ippf_specific']) echo " style='display:none;'"; ?
>>
694 <td valign
='top' nowrap
><b
><?php
xl('Destination','e'); ?
>:</b
></td
>
697 <input type
='text' size
='40' name
='form_destination' value
='<?php echo $irow['destination
'] ?>'
698 style
='width:100%' title
='GP, Secondary care specialist, etc.' />
699 <?php
} else { // leave this here for now, please -- Rod ?>
700 <?php
echo rbinput('form_destination', '1', 'GP' , 'destination') ?
> 
;
701 <?php
echo rbinput('form_destination', '2', 'Secondary care spec', 'destination') ?
> 
;
702 <?php
echo rbinput('form_destination', '3', 'GP via physio' , 'destination') ?
> 
;
703 <?php
echo rbinput('form_destination', '4', 'GP via podiatry' , 'destination') ?
>
711 if ($ISSUE_TYPES['football_injury']) {
712 issue_football_injury_form($issue);
714 if ($ISSUE_TYPES['ippf_gcac']) {
715 if (empty($issue) ||
$irow['type'] == 'ippf_gcac')
716 issue_ippf_gcac_form($issue, $thispid);
717 if (empty($issue) ||
$irow['type'] == 'contraceptive')
718 issue_ippf_con_form($issue, $thispid);
725 <input type
='submit' name
='form_save' value
='<?php xl('Save
','e
'); ?>' />
727 <?php
if ($issue && acl_check('admin', 'super')) { ?
>
729 <input type
='button' value
='<?php xl('Delete
','e
'); ?>' style
='color:red' onclick
='deleteme()' />
733 <input type
='button' value
='<?php xl('Cancel
','e
'); ?>' onclick
='closeme();' />
739 <script language
='JavaScript'>
740 newtype(<?php
echo $type_index ?
>);
741 Calendar
.setup({inputField
:"form_begin", ifFormat
:"%Y-%m-%d", button
:"img_begin"});
742 Calendar
.setup({inputField
:"form_end", ifFormat
:"%Y-%m-%d", button
:"img_end"});
743 Calendar
.setup({inputField
:"form_return", ifFormat
:"%Y-%m-%d", button
:"img_return"});