interface/forms/misc_billing_options/save.php

   1 <?php
   2 require_once("../../globals.php");
   3 require_once("$srcdir/api.inc");
   4 require_once("$srcdir/forms.inc");
   5 require_once("$srcdir/formdata.inc.php");
   6
   7 if (! $encounter) { // comes from globals.php
   8  die(xl("Internal error: we do not seem to be in an encounter!"));
   9 }
  10
  11 if ($_POST["off_work_from"] == "0000-00-00" || $_POST["off_work_from"] == "")
  12         { $_POST["is_unable_to_work"] = "0"; $_POST["off_work_to"] = "";}
  13         else {$_POST["is_unable_to_work"] = "1";}
  14
  15 if ($_POST["hospitalization_date_from"] == "0000-00-00" || $_POST["hospitalization_date_from"] == "")
  16         { $_POST["is_hospitalized"] = "0"; $_POST["hospitalization_date_to"] = "";}
  17         else {$_POST["is_hospitalized"] = "1";}
  18
  19 $id = formData('id','G') + 0;
  20
  21 $sets = "pid = {$_SESSION["pid"]},
  22   groupname = '" . $_SESSION["authProvider"] . "',
  23   user = '" . $_SESSION["authUser"] . "',
  24   authorized = $userauthorized, activity=1, date = NOW(),
  25   employment_related          = '" . formData("employment_related") . "',
  26   auto_accident               = '" . formData("auto_accident") . "',
  27   accident_state              = '" . formData("accident_state") . "',
  28   other_accident              = '" . formData("other_accident") . "',
  29   outside_lab                 = '" . formData("outside_lab") . "',
  30   lab_amount                  = '" . formData("lab_amount") . "',
  31   is_unable_to_work           = '" . formData("is_unable_to_work") . "',
  32   date_initial_treatment      = '" . formData("date_initial_treatment") . "',
  33   off_work_from               = '" . formData("off_work_from") . "',
  34   off_work_to                 = '" . formData("off_work_to") . "',
  35   is_hospitalized             = '" . formData("is_hospitalized") . "',
  36   hospitalization_date_from   = '" . formData("hospitalization_date_from") . "',
  37   hospitalization_date_to     = '" . formData("hospitalization_date_to") . "',
  38   medicaid_resubmission_code  = '" . formData("medicaid_resubmission_code") . "',
  39   medicaid_original_reference = '" . formData("medicaid_original_reference") . "',
  40   prior_auth_number           = '" . formData("prior_auth_number") . "',
  41   replacement_claim           = '" . formData("replacement_claim") . "',
  42   comments                    = '" . formData("comments") . "'";
  43
  44 if (empty($id)) {
  45   $newid = sqlInsert("INSERT INTO form_misc_billing_options SET $sets");
  46   addForm($encounter, "Misc Billing Options", $newid, "misc_billing_options", $pid, $userauthorized);
  47 }
  48 else {
  49   sqlStatement("UPDATE form_misc_billing_options SET $sets WHERE id = $id");
  50 }
  51
  52 formHeader("Redirecting....");
  53 formJump();
  54 formFooter();
  55 ?>