2 // Copyright (C) 2005-2010 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 = $ISSUE_TYPES[$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";
210 echo " window.close();\n";
211 echo " if ( opener ) { opener.location.reload(); } else { parent.location.reload(); } \n";
212 echo " if (parent.refreshIssue) parent.refreshIssue($issue,'$tmp_title'); if ( parent.$ ) parent.$.fn.fancybox.close();\n";
213 echo "</script></body></html>\n";
219 $irow = sqlQuery("SELECT * FROM lists WHERE id = $issue");
221 $irow['type'] = $thistype;
225 if (!empty($irow['type'])) {
226 foreach ($ISSUE_TYPES as $key => $value) {
227 if ($key == $irow['type']) break;
234 <?php
html_header_show();?
>
235 <title
><?php
echo $issue ?
xl('Edit') : xl('Add New'); ?
><?php
xl('Issue','e',' '); ?
></title
>
236 <link rel
="stylesheet" href
='<?php echo $css_header ?>' type
='text/css'>
240 td
, input
, select
, textarea
{
241 font
-family
: Arial
, Helvetica
, sans
-serif
;
248 border
-color
: #0000ff;
255 <style type
="text/css">@import
url(../../../library
/dynarch_calendar
.css
);</style
>
256 <script type
="text/javascript" src
="../../../library/dynarch_calendar.js"></script
>
257 <?php
include_once("{$GLOBALS['srcdir']}/dynarch_calendar_en.inc.php"); ?
>
258 <script type
="text/javascript" src
="../../../library/dynarch_calendar_setup.js"></script
>
259 <script type
="text/javascript" src
="../../../library/textformat.js"></script
>
260 <script type
="text/javascript" src
="../../../library/dialog.js"></script
>
262 <script language
="JavaScript">
264 var mypcc
= '<?php echo $GLOBALS['phone_country_code
'] ?>';
266 var aitypes
= new Array(); // issue type attributes
267 var aopts
= new Array(); // Option objects
269 // "Clickoptions" is a feature by Mark Leeds that provides for one-click
270 // access to preselected lists of issues in each category. Here we get
271 // the issue titles from the user-customizable file and write JavaScript
272 // statements that will build an array of arrays of Option objects.
274 $clickoptions = array();
275 if (is_file($GLOBALS['OE_SITE_DIR'] . "/clickoptions.txt"))
276 $clickoptions = file($GLOBALS['OE_SITE_DIR'] . "/clickoptions.txt");
278 foreach ($ISSUE_TYPES as $key => $value) {
279 echo " aitypes[$i] = " . $value[3] . ";\n";
280 echo " aopts[$i] = new Array();\n";
281 foreach($clickoptions as $line) {
283 if (substr($line, 0, 1) != "#") {
284 if (strpos($line, $key) !== false) {
285 $text = addslashes(substr($line, strpos($line, "::") +
2));
286 echo " aopts[$i][aopts[$i].length] = new Option('$text', '$text', false, false);\n";
294 <?php
require($GLOBALS['srcdir'] . "/restoreSession.php"); ?
>
296 // React to selection of an issue type. This loads the associated
297 // shortcuts into the selection list of titles, and determines which
298 // rows are displayed or hidden.
299 function newtype(index
) {
300 var f
= document
.forms
[0];
301 var theopts
= f
.form_titles
.options
;
304 for (i
= 0; i
< aopts
[index
].length
; ++i
) {
305 theopts
[i
] = aopts
[index
][i
];
307 document
.getElementById('row_titles').style
.display
= i ?
'' : 'none';
308 // Show or hide various rows depending on issue type, except do not
309 // hide the comments or referred-by fields if they have data.
310 var comdisp
= (aitypes
[index
] == 1) ?
'none' : '';
311 var revdisp
= (aitypes
[index
] == 1) ?
'' : 'none';
312 var injdisp
= (aitypes
[index
] == 2) ?
'' : 'none';
313 var nordisp
= (aitypes
[index
] == 0) ?
'' : 'none';
314 // reaction row should be displayed only for medication allergy.
315 var alldisp
= (index
== <?php
echo issueTypeIndex('allergy'); ?
>) ?
'' : 'none';
316 document
.getElementById('row_enddate' ).style
.display
= comdisp
;
317 // Note that by default all the issues will not show the active row
318 // (which is desired functionality, since then use the end date
319 // to inactivate the item.)
320 document
.getElementById('row_active' ).style
.display
= revdisp
;
321 document
.getElementById('row_diagnosis' ).style
.display
= comdisp
;
322 document
.getElementById('row_occurrence' ).style
.display
= comdisp
;
323 document
.getElementById('row_classification').style
.display
= injdisp
;
324 document
.getElementById('row_reaction' ).style
.display
= alldisp
;
325 document
.getElementById('row_referredby' ).style
.display
= (f
.form_referredby
.value
) ?
'' : comdisp
;
326 document
.getElementById('row_comments' ).style
.display
= (f
.form_comments
.value
) ?
'' : revdisp
;
327 <?php
if ($GLOBALS['athletic_team']) { ?
>
328 document
.getElementById('row_returndate' ).style
.display
= comdisp
;
329 document
.getElementById('row_injury_grade' ).style
.display
= injdisp
;
330 document
.getElementById('row_injury_part' ).style
.display
= injdisp
;
331 document
.getElementById('row_injury_type' ).style
.display
= injdisp
;
332 document
.getElementById('row_medical_system').style
.display
= nordisp
;
333 document
.getElementById('row_medical_type' ).style
.display
= nordisp
;
334 // Change label text of 'title' row depending on issue type:
335 document
.getElementById('title_diagnosis').innerHTML
= '<b>' +
336 (index
== <?php
echo issueTypeIndex('allergy'); ?
> ?
337 '<?php echo xl('Allergy
') ?>' :
338 (index
== <?php
echo issueTypeIndex('general'); ?
> ?
339 '<?php echo xl('Title
') ?>' :
340 '<?php echo xl('Text Diagnosis
') ?>')) +
343 document
.getElementById('row_referredby' ).style
.display
= (f
.form_referredby
.value
) ?
'' : comdisp
;
346 if ($ISSUE_TYPES['football_injury']) {
347 // Generate more of these for football injury fields.
348 issue_football_injury_newtype();
350 if ($ISSUE_TYPES['ippf_gcac'] && !$_POST['form_save']) {
351 // Generate more of these for gcac and contraceptive fields.
352 if (empty($issue) ||
$irow['type'] == 'ippf_gcac' ) issue_ippf_gcac_newtype();
353 if (empty($issue) ||
$irow['type'] == 'contraceptive') issue_ippf_con_newtype();
358 // If a clickoption title is selected, copy it to the title field.
359 function set_text() {
360 var f
= document
.forms
[0];
361 f
.form_title
.value
= f
.form_titles
.options
[f
.form_titles
.selectedIndex
].text
;
362 f
.form_titles
.selectedIndex
= -1;
365 // Process click on Delete link.
366 function deleteme() {
367 dlgopen('../deleter.php?issue=<?php echo $issue ?>', '_blank', 500, 450);
371 // Called by the deleteme.php window on a successful delete.
372 function imdeleted() {
377 if ( parent
.$
) parent
.$
.fn
.fancybox
.close();
381 // Called when the Active checkbox is clicked. For consistency we
382 // use the existence of an end date to indicate inactivity, even
383 // though the simple verion of the form does not show an end date.
384 function activeClicked(cb
) {
385 var f
= document
.forms
[0];
387 f
.form_end
.value
= '';
389 var today
= new Date();
390 f
.form_end
.value
= '' +
(today
.getYear() +
1900) +
'-' +
391 (today
.getMonth() +
1) +
'-' + today
.getDate();
395 // Called when resolved outcome is chosen and the end date is entered.
396 function outcomeClicked(cb
) {
397 var f
= document
.forms
[0];
398 if (cb
.value
== '1'){
399 var today
= new Date();
400 f
.form_end
.value
= '' +
(today
.getYear() +
1900) +
'-' +
401 (today
.getMonth() +
1) +
'-' + today
.getDate();
406 // This is for callback by the find-code popup.
407 // Appends to or erases the current list of diagnoses.
408 function set_related(codetype
, code
, selector
, codedesc
) {
409 var f
= document
.forms
[0];
410 var s
= f
.form_diagnosis
.value
;
412 if (s
.length
> 0) s +
= ';';
413 s +
= codetype +
':' + code
;
417 f
.form_diagnosis
.value
= s
;
420 // This invokes the find-code popup.
421 function sel_diagnosis() {
422 dlgopen('../encounter/find_code_popup.php?codetype=<?php echo $diagnosis_type ?>', '_blank', 500, 400);
425 // Check for errors when the form is submitted.
426 function validate() {
427 var f
= document
.forms
[0];
428 if (! f
.form_title
.value
) {
429 alert("<?php xl('Please enter a title!','e'); ?>");
432 top
.restoreSession();
436 // Supports customizable forms (currently just for IPPF).
437 function divclick(cb
, divid
) {
438 var divstyle
= document
.getElementById(divid
).style
;
440 divstyle
.display
= 'block';
442 divstyle
.display
= 'none';
451 <body
class="body_top" style
="padding-right:0.5em">
453 <form method
='post' name
='theform' action
='add_edit_issue.php?issue=<?php echo $issue ?>&thisenc=<?php echo $thisenc ?>'
454 onsubmit
='return validate()'>
456 <table border
='0' width
='100%'>
459 <td valign
='top' width
='1%' nowrap
><b
><?php
xl('Type','e'); ?
>:</b
></td
>
463 foreach ($ISSUE_TYPES as $value) {
464 if ($issue ||
$thistype) {
465 if ($index == $type_index) {
467 echo "<input type='hidden' name='form_type' value='$index'>\n";
470 echo " <input type='radio' name='form_type' value='$index' onclick='newtype($index)'";
471 if ($index == $type_index) echo " checked";
472 echo " />" . $value[1] . " \n";
481 <td valign
='top' nowrap
> 
;</td
>
483 <select name
='form_titles' size
='4' onchange
='set_text()'>
484 </select
> <?php
xl('(Select one of these, or type your own title)','e'); ?
>
489 <td valign
='top' id
='title_diagnosis' nowrap
><b
><?php
echo $GLOBALS['athletic_team'] ?
xl('Text Diagnosis') : xl('Title'); ?
>:</b
></td
>
491 <input type
='text' size
='40' name
='form_title' value
='<?php echo $irow['title
'] ?>' style
='width:100%' />
495 <tr id
='row_diagnosis'>
496 <td valign
='top' nowrap
><b
><?php
xl('Diagnosis Code','e'); ?
>:</b
></td
>
498 <input type
='text' size
='50' name
='form_diagnosis'
499 value
='<?php echo $irow['diagnosis
'] ?>' onclick
='sel_diagnosis()'
500 title
='<?php xl('Click to select
or change diagnoses
','e
'); ?>'
501 style
='width:100%' readonly
/>
505 <!-- For Athletic Teams
-->
507 <tr
<?php
if (! $GLOBALS['athletic_team']) echo " style='display:none;'"; ?
> id
='row_injury_grade'>
508 <td valign
='top' nowrap
><b
><?php
xl('Grade of Injury','e'); ?
>:</b
></td
>
511 echo generate_select_list('form_injury_grade', 'injury_grade', $irow['injury_grade'], '');
516 <tr
<?php
if (! $GLOBALS['athletic_team']) echo " style='display:none;'"; ?
> id
='row_injury_part'>
517 <td valign
='top' nowrap
><b
><?php
xl('Injured Body Part','e'); ?
>:</b
></td
>
520 echo generate_select_list('form_injury_part', 'injury_part', $irow['injury_part'], '');
525 <tr
<?php
if (! $GLOBALS['athletic_team']) echo " style='display:none;'"; ?
> id
='row_injury_type'>
526 <td valign
='top' nowrap
><b
><?php
xl('Injury Type','e'); ?
>:</b
></td
>
529 echo generate_select_list('form_injury_type', 'injury_type', $irow['injury_type'], '');
534 <tr
<?php
if (! $GLOBALS['athletic_team']) echo " style='display:none;'"; ?
> id
='row_medical_system'>
535 <td valign
='top' nowrap
><b
><?php
xl('Medical System','e'); ?
>:</b
></td
>
538 echo generate_select_list('form_medical_system', 'medical_system', $irow['injury_part'], '');
543 <tr
<?php
if (! $GLOBALS['athletic_team']) echo " style='display:none;'"; ?
> id
='row_medical_type'>
544 <td valign
='top' nowrap
><b
><?php
xl('Medical Type','e'); ?
>:</b
></td
>
547 echo generate_select_list('form_medical_type', 'medical_type', $irow['injury_type'], '');
552 <!-- End
For Athletic Teams
-->
555 <td valign
='top' nowrap
><b
><?php
xl('Begin Date','e'); ?
>:</b
></td
>
558 <input type
='text' size
='10' name
='form_begin' id
='form_begin'
559 value
='<?php echo $irow['begdate
'] ?>'
560 onkeyup
='datekeyup(this,mypcc)' onblur
='dateblur(this,mypcc)'
561 title
='<?php xl('yyyy
-mm
-dd date of onset
, surgery
or start of medication
','e
'); ?>' />
562 <img src
='../../pic/show_calendar.gif' align
='absbottom' width
='24' height
='22'
563 id
='img_begin' border
='0' alt
='[?]' style
='cursor:pointer'
564 title
='<?php xl('Click here to choose a date
','e
'); ?>' />
568 <tr id
='row_enddate'>
569 <td valign
='top' nowrap
><b
><?php
xl('End Date','e'); ?
>:</b
></td
>
571 <input type
='text' size
='10' name
='form_end' id
='form_end'
572 value
='<?php echo $irow['enddate
'] ?>'
573 onkeyup
='datekeyup(this,mypcc)' onblur
='dateblur(this,mypcc)'
574 title
='<?php xl('yyyy
-mm
-dd date of recovery
or end of medication
','e
'); ?>' />
575 <img src
='../../pic/show_calendar.gif' align
='absbottom' width
='24' height
='22'
576 id
='img_end' border
='0' alt
='[?]' style
='cursor:pointer'
577 title
='<?php xl('Click here to choose a date
','e
'); ?>' />
578  
;(<?php
xl('leave blank if still active','e'); ?
>)
583 <td valign
='top' nowrap
><b
><?php
xl('Active','e'); ?
>:</b
></td
>
585 <input type
='checkbox' name
='form_active' value
='1' <?php
echo $irow['enddate'] ?
"" : "checked"; ?
>
586 onclick
='activeClicked(this);'
587 title
='<?php xl('Indicates
if this issue is currently active
','e
'); ?>' />
591 <tr
<?php
if (! $GLOBALS['athletic_team']) echo " style='display:none;'"; ?
> id
='row_returndate'>
592 <td valign
='top' nowrap
><b
><?php
xl('Returned to Play','e'); ?
>:</b
></td
>
594 <input type
='text' size
='10' name
='form_return' id
='form_return'
595 value
='<?php echo $irow['returndate
'] ?>'
596 onkeyup
='datekeyup(this,mypcc)' onblur
='dateblur(this,mypcc)'
597 title
='<?php xl('yyyy
-mm
-dd date returned to play
','e
'); ?>' />
598 <img src
='../../pic/show_calendar.gif' align
='absbottom' width
='24' height
='22'
599 id
='img_return' border
='0' alt
='[?]' style
='cursor:pointer'
600 title
='<?php xl('Click here to choose a date
','e
'); ?>' />
601  
;(<?php
xl('leave blank if still active','e'); ?
>)
605 <tr id
='row_occurrence'>
606 <td valign
='top' nowrap
><b
><?php
xl('Occurrence','e'); ?
>:</b
></td
>
609 // Modified 6/2009 by BM to incorporate the occurrence items into the list_options listings
610 generate_form_field(array('data_type'=>1,'field_id'=>'occur','list_id'=>'occurrence','empty_title'=>'SKIP'), $irow['occurrence']);
615 <tr id
='row_classification'>
616 <td valign
='top' nowrap
><b
><?php
xl('Classification','e'); ?
>:</b
></td
>
618 <select name
='form_classification'>
620 foreach ($ISSUE_CLASSIFICATIONS as $key => $value) {
621 echo " <option value='$key'";
622 if ($key == $irow['classification']) echo " selected";
630 <tr
<?php
if (! $GLOBALS['athletic_team']) echo " style='display:none;'"; ?
> id
='row_reinjury_id'>
631 <td valign
='top' nowrap
><b
><?php
xl('Re-Injury?','e'); ?
>:</b
></td
>
633 <select name
='form_reinjury_id'>
634 <option value
='0'><?php
echo xl('No'); ?
></option
>
636 $pres = sqlStatement(
637 "SELECT id, begdate, title " .
638 "FROM lists WHERE " .
639 "pid = '$thispid' AND " .
640 "type = 'football_injury' AND " .
642 "ORDER BY begdate DESC"
644 while ($prow = sqlFetchArray($pres)) {
645 echo " <option value='" . $prow['id'] . "'";
646 if ($prow['id'] == $irow['reinjury_id']) echo " selected";
647 echo ">" . $prow['begdate'] . " " . $prow['title'] . "\n";
653 <!--Reaction
For Medication Allergy
--!>
654 <tr id
='row_reaction'>
655 <td valign
='top' nowrap
><b
><?php
echo htmlspecialchars( xl('Reaction') ,ENT_NOQUOTES
); ?
>:</b
></td
>
657 <input type
='text' size
='40' name
='form_reaction' value
='<?php echo $irow['reaction
'] ?>'
658 style
='width:100%' title
='<?php echo htmlspecialchars(xl('Allergy Reaction
'),ENT_QUOTES); ?>' />
661 <!--End of reaction
--!>
662 <tr
<?php
if ($GLOBALS['athletic_team']) echo " style='display:none;'"; ?
> id
='row_referredby'>
663 <td valign
='top' nowrap
><b
><?php
xl('Referred by','e'); ?
>:</b
></td
>
665 <input type
='text' size
='40' name
='form_referredby' value
='<?php echo $irow['referredby
'] ?>'
666 style
='width:100%' title
='<?php xl('Referring physician
and practice
','e
'); ?>' />
670 <tr id
='row_comments'>
671 <td valign
='top' nowrap
><b
><?php
xl('Comments','e'); ?
>:</b
></td
>
673 <textarea name
='form_comments' rows
='4' cols
='40' wrap
='virtual' style
='width:100%'><?php
echo $irow['comments'] ?
></textarea
>
677 <tr
<?php
if ($GLOBALS['athletic_team'] ||
$GLOBALS['ippf_specific']) echo " style='display:none;'"; ?
>>
678 <td valign
='top' nowrap
><b
><?php
xl('Outcome','e'); ?
>:</b
></td
>
681 echo generate_select_list('form_outcome', 'outcome', $irow['outcome'], '', '', '', 'outcomeClicked(this);');
686 <tr
<?php
if ($GLOBALS['athletic_team'] ||
$GLOBALS['ippf_specific']) echo " style='display:none;'"; ?
>>
687 <td valign
='top' nowrap
><b
><?php
xl('Destination','e'); ?
>:</b
></td
>
690 <input type
='text' size
='40' name
='form_destination' value
='<?php echo $irow['destination
'] ?>'
691 style
='width:100%' title
='GP, Secondary care specialist, etc.' />
692 <?php
} else { // leave this here for now, please -- Rod ?>
693 <?php
echo rbinput('form_destination', '1', 'GP' , 'destination') ?
> 
;
694 <?php
echo rbinput('form_destination', '2', 'Secondary care spec', 'destination') ?
> 
;
695 <?php
echo rbinput('form_destination', '3', 'GP via physio' , 'destination') ?
> 
;
696 <?php
echo rbinput('form_destination', '4', 'GP via podiatry' , 'destination') ?
>
704 if ($ISSUE_TYPES['football_injury']) {
705 issue_football_injury_form($issue);
707 if ($ISSUE_TYPES['ippf_gcac']) {
708 if (empty($issue) ||
$irow['type'] == 'ippf_gcac')
709 issue_ippf_gcac_form($issue, $thispid);
710 if (empty($issue) ||
$irow['type'] == 'contraceptive')
711 issue_ippf_con_form($issue, $thispid);
718 <input type
='submit' name
='form_save' value
='<?php xl('Save
','e
'); ?>' />
720 <?php
if ($issue && acl_check('admin', 'super')) { ?
>
722 <input type
='button' value
='<?php xl('Delete
','e
'); ?>' style
='color:red' onclick
='deleteme()' />
726 <input type
='button' value
='<?php xl('Cancel
','e
'); ?>' onclick
='closeme();' />
732 <script language
='JavaScript'>
733 newtype(<?php
echo $type_index ?
>);
734 Calendar
.setup({inputField
:"form_begin", ifFormat
:"%Y-%m-%d", button
:"img_begin"});
735 Calendar
.setup({inputField
:"form_end", ifFormat
:"%Y-%m-%d", button
:"img_end"});
736 Calendar
.setup({inputField
:"form_return", ifFormat
:"%Y-%m-%d", button
:"img_return"});