library/specialty_forms.php

   1 <?php
   2
   3 /**
   4  * For various specialty forms to call from dialog using the
   5  * Ajax, iFrame, Alert, Confirm or HTML modes. Just follow
   6  * the example patient previous names history form pattern shown below.
   7  *
   8  * @package   OpenEMR
   9  * @link      https://www.open-emr.org
  10  * @author    Jerry Padgett <sjpadgett@gmail.com>
  11  * @copyright Copyright (c) 2021 Jerry Padgett <sjpadgett@gmail.com>
  12  * @license   https://github.com/openemr/openemr/blob/master/LICENSE GNU General Public License 3
  13  */
  14
  15 require_once(__DIR__ . "/../interface/globals.php");
  16
  17 use OpenEMR\Common\Csrf\CsrfUtils;
  18 use OpenEMR\Core\Header;
  19
  20 if (!CsrfUtils::verifyCsrfToken($_GET["csrf_token_form"])) {
  21     CsrfUtils::csrfNotVerified();
  22 }
  23
  24 $form = trim($_GET['form_handler']);
  25 echo "<script>var form=" . js_escape($form) . "</script>";
  26 ?>
  27 <!DOCTYPE html>
  28 <html>
  29 <head>
  30 <title><?php echo xlt("Specialty Form"); ?></title>
  31 <meta name="viewport" content="width=device-width, initial-scale=1.0">
  32 <?php Header::setupHeader(['opener', 'datetime-picker']); ?>
  33 <script>
  34 $(function () {
  35     $("#names_form").submit(function(event) {
  36         event.preventDefault();
  37         const url = top.webroot_url + '/library/ajax/specialty_form_ajax.php';
  38         return fetch(
  39             url,
  40             {
  41                 method: 'POST',
  42                 body: new FormData(this)
  43             }
  44         ).then(data => data.json())
  45         .then(data => {
  46             let ele = opener.document.getElementById('form_name_history');
  47             if (data !== false) {
  48                 let newOption = new Option(data.name, data.id, true, true);
  49                 ele.append(newOption);
  50             } else {
  51                 let message = xl("Previous name history already exist. Try again or Cancel.");
  52                 dialog.alert(message);
  53             }
  54         }).then(() => {
  55             dlgclose();
  56         });
  57     });
  58     $("#form_cancel").click(function(){
  59         dlgclose();
  60     });
  61     $('.datepicker').datetimepicker({
  62         <?php $datetimepicker_timepicker = false; ?>
  63         <?php $datetimepicker_showseconds = false; ?>
  64         <?php $datetimepicker_formatInput = true; ?>
  65         <?php require($GLOBALS['srcdir'] . '/js/xl/jquery-datetimepicker-2-5-4.js.php'); ?>
  66     });
  67 });
  68 </script>
  69 </head>
  70 <body>
  71 <?php if ($form === 'name_history') { ?>
  72 <div class="container-fluid">
  73 <form class="form" id="names_form">
  74     <input type="hidden" name="csrf_token_form" value="<?php echo attr(CsrfUtils::collectCsrfToken()); ?>" />
  75     <input type="hidden" name="pid" value="<?php echo attr($pid); ?>" />
  76     <input type="hidden" name="task_name_history" value="save" />
  77     <div class="col">
  78         <p class="small text-center"><?php echo xlt("Patient previous names history. Ensure to add the date the name was last used if known."); ?></p>
  79         <div class="col">
  80             <div class="form-group">
  81                 <input type="text" name="previous_name_prefix" id="previous_name_prefix" class="form-control" />
  82                 <label class="form-label" for="previous_name_prefix"><?php echo xlt("Title"); ?></label>
  83             </div>
  84         </div>
  85         <div class="col">
  86             <div class="form-group">
  87                 <input type="text" name="previous_name_first" id="previous_name_first" class="form-control" />
  88                 <label class="form-label" for="previous_name_first"><?php echo xlt("First name"); ?></label>
  89             </div>
  90         </div>
  91         <div class="col">
  92             <div class="form-group">
  93                 <input type="text" name="previous_name_middle" id="previous_name_middle" class="form-control" />
  94                 <label class="form-label" for="previous_name_middle"><?php echo xlt("Middle name"); ?></label>
  95             </div>
  96         </div>
  97         <div class="col">
  98             <div class="form-group">
  99                 <input type="text" name="previous_name_last" id="previous_name_last" class="form-control" />
 100                 <label class="form-label" for="previous_name_last"><?php echo xlt("Last name"); ?></label>
 101             </div>
 102         </div>
 103         <div class="col">
 104             <div class="form-group">
 105                 <input type="text" name="previous_name_suffix" id="previous_name_suffix" class="form-control" />
 106                 <label class="form-label" for="previous_name_suffix"><?php echo xlt("Suffix"); ?></label>
 107             </div>
 108         </div>
 109         <div class="col">
 110             <div class="form-group">
 111                 <input type="text" name="previous_name_enddate" id="previous_name_enddate" class="form-control datepicker" />
 112                 <label class="form-label" for="previous_name_enddate"><?php echo xlt("End Date"); ?></label>
 113             </div>
 114         </div>
 115     </div>
 116     <div class="col-12 text-center">
 117         <div class="form-group">
 118             <button type='submit' class='btn btn-primary' name='form_save' id='form_save' value="save"><?php echo xlt('Save'); ?></button>
 119             <button type='button' class='btn btn-secondary' name='form_cancel' id='form_cancel'><?php echo xlt('Cancel'); ?></button>
 120         </div>
 121     </div>
 122 </form>
 123 </div>
 124 <?php } ?>
 125 </body>
 126 </html>