interface/forms/note/print.php

   1 <?php
   2
   3 $fake_register_globals=false;
   4 $sanitize_all_escapes=true;
   5
   6 include_once("../../globals.php");
   7 include_once("$srcdir/api.inc");
   8 formHeader("Form: note");
   9 $returnurl = $GLOBALS['concurrent_layout'] ? 'encounter_top.php' : 'patient_encounter.php';
  10 $provider_results = sqlQuery("select fname, lname from users where username=?",array($_SESSION{"authUser"}));
  11
  12 /* name of this form */
  13 $form_name = "note";
  14
  15 // get the record from the database
  16 if ($_GET['id'] != "") $obj = formFetch("form_".$form_name, $_GET["id"]);
  17 /* remove the time-of-day from the date fields */
  18 if ($obj['date_of_signature'] != "") {
  19     $dateparts = split(" ", $obj['date_of_signature']);
  20     $obj['date_of_signature'] = $dateparts[0];
  21 }
  22 ?>
  23 <html><head>
  24 <?php html_header_show();?>
  25 <link rel="stylesheet" href="<?php echo $css_header;?>" type="text/css">
  26
  27 <!-- supporting javascript code -->
  28 <script type="text/javascript" src="<?php echo $GLOBALS['webroot'] ?>/library/js/jquery.js"></script>
  29
  30 </head>
  31 <body class="body_top">
  32
  33 <form method=post action="">
  34 <span class="title"><?php echo xlt('Work/School Note'); ?></span><br></br>
  35 <?php echo xlt('Printed'); ?> <?php echo dateformat(); ?>
  36 <br><br>
  37 <select name="note_type">
  38 <option value="WORK NOTE" <?php if ($obj['note_type']=="WORK NOTE") echo " SELECTED"; ?>><?php echo xlt('WORK NOTE'); ?></option>
  39 <option value="SCHOOL NOTE" <?php if ($obj['note_type']=="SCHOOL NOTE") echo " SELECTED"; ?>><?php echo xlt('SCHOOL NOTE'); ?></option>
  40 </select>
  41 <br>
  42 <b><?php echo xlt('MESSAGE:'); ?></b>
  43 <br>
  44 <div style="border: 1px solid black; padding: 5px; margin: 5px;"><?php echo text($obj["message"]);?></div>
  45 <br></br>
  46
  47 <table>
  48 <tr><td>
  49 <span class=text><?php echo xlt('Doctor:'); ?> </span><input type=text name="doctor" value="<?php echo attr($obj["doctor"]);?>">
  50 </td><td>
  51 <span class="text"><?php echo xlt('Date'); ?></span>
  52    <input type='text' size='10' name='date_of_signature' id='date_of_signature'
  53     value='<?php echo attr($obj['date_of_signature']); ?>'
  54     />
  55 </td></tr>
  56 </table>
  57
  58 </form>
  59
  60 </body>
  61
  62 <script language="javascript">
  63 // jQuery stuff to make the page a little easier to use
  64
  65 $(document).ready(function(){
  66     window.print();
  67     window.close();
  68 });
  69
  70 </script>
  71
  72 </html>
  73