contrib/forms/documents/new.php

   1 <?
   2 // file new.php
   3 // presents a blank form to upload an image file
   4 // this file made by andres@paglayan.com on 2004-04-23
   5 // custom from for uploading scanned documents into the emr.
   6 include_once("../../globals.php");
   7 include_once("../../../library/api.inc");
   8 formHeader("Scanned Documents Input");
   9
  10 ?>
  11 <html><head>
  12 <link rel=stylesheet href="<?echo $css_header;?>" type="text/css">
  13 </head>
  14 <body <?echo $top_bg_line;?> topmargin=0 rightmargin=0 leftmargin=2 bottommargin=0 marginwidth=2 marginheight=0>
  15
  16 <!--REM note that every input method has the same name as a valid column, this will make things easier in save.php -->
  17
  18 <br>
  19 <form method='post' action="<?echo $rootdir;?>/forms/documents/save.php?mode=new" name='document_form' enctype="multipart/form-data">
  20 <span class=title>Scanned Documents Input</span>
  21 <br>
  22
  23 <span class=text>Document:</span><br>
  24 <input type="file" name="document_image"><br>
  25
  26 <br>
  27 <span class=text>Description:</span> <input type=text name="document_description">
  28 <br>
  29
  30 <span class=text>Who sent it?:</span> <input type=text name="document_source">
  31 <br>
  32
  33 <!--REM note our nifty jscript submit -->
  34 <input type="hidden" name="action" value="submit">
  35 <a href="javascript:document.document_form.submit();" class="link_submit">[Save]</a>
  36 <br>
  37
  38 <a href="<?php echo $GLOBALS['form_exit_url']; ?>" class="link">[Don't Save]</a>
  39 </form>
  40
  41
  42
  43
  44 <?php
  45 formFooter();
  46 ?>