interface/forms/note/print.php

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