1 <!-- Work
/School Note Form created by Nikolai Vitsyn
: 2004/02/13 and update
2005/03/30
2 Copyright (C
) Open Source Medical Software
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 This program is distributed in the hope that it will be useful
,
10 but WITHOUT ANY WARRANTY
; without even the implied warranty of
11 MERCHANTABILITY
or FITNESS
FOR A PARTICULAR PURPOSE
. See the
12 GNU General
Public License
for more details
.
14 You should have received a copy of the GNU General
Public License
15 along with this program
; if not
, write to the Free Software
16 Foundation
, Inc
., 59 Temple Place
- Suite
330, Boston
, MA
02111-1307, USA
. -->
20 $fake_register_globals=false;
21 $sanitize_all_escapes=true;
23 include_once("../../globals.php");
24 include_once("$srcdir/api.inc");
25 formHeader("Form: note");
26 $returnurl = $GLOBALS['concurrent_layout'] ?
'encounter_top.php' : 'patient_encounter.php';
27 $provider_results = sqlQuery("select fname, lname from users where username=?",array($_SESSION{"authUser"}));
29 /* name of this form */
32 // get the record from the database
33 if ($_GET['id'] != "") $obj = formFetch("form_".$form_name, $_GET["id"]);
34 /* remove the time-of-day from the date fields */
35 if ($obj['date_of_signature'] != "") {
36 $dateparts = split(" ", $obj['date_of_signature']);
37 $obj['date_of_signature'] = $dateparts[0];
41 <?php
html_header_show();?
>
42 <link rel
="stylesheet" href
="<?php echo $css_header;?>" type
="text/css">
44 <!-- supporting javascript code
-->
45 <script type
="text/javascript" src
="<?php echo $GLOBALS['webroot'] ?>/library/js/jquery.js"></script
>
46 <script type
="text/javascript" src
="<?php echo $GLOBALS['webroot'] ?>/library/textformat.js"></script
>
48 <!-- pop up calendar
-->
49 <style type
="text/css">@import
url(<?php
echo $GLOBALS['webroot'] ?
>/library
/dynarch_calendar
.css
);</style
>
50 <script type
="text/javascript" src
="<?php echo $GLOBALS['webroot'] ?>/library/dynarch_calendar.js"></script
>
51 <?php
include_once("{$GLOBALS['srcdir']}/dynarch_calendar_en.inc.php"); ?
>
52 <script type
="text/javascript" src
="<?php echo $GLOBALS['webroot'] ?>/library/dynarch_calendar_setup.js"></script
>
54 <script language
="JavaScript">
55 // required for textbox date verification
56 var mypcc
= '<?php echo $GLOBALS['phone_country_code
'] ?>';
58 function PrintForm() {
59 newwin
= window
.open("<?php echo $rootdir."/forms
/".$form_name."/print.php?id
=".attr($_GET["id
"]); ?>","mywin");
65 <body
class="body_top">
67 <form method
=post action
="<?php echo $rootdir."/forms
/".$form_name."/save
.php?mode
=update
&id
=".attr($_GET["id
"]);?>" name
="my_form" id
="my_form">
68 <span
class="title"><?php
echo xlt('Work/School Note'); ?
></span
><br
></br
>
70 <div style
="margin: 10px;">
71 <input type
="button" class="save" value
=" <?php echo xla('Save'); ?> ">  
;
72 <input type
="button" class="dontsave" value
="<?php echo xla('Don\'t Save'); ?>">  
;
73 <input type
="button" class="printform" value
="<?php echo xla('Print'); ?>">  
;
76 <select name
="note_type">
77 <option value
="WORK NOTE" <?php
if ($obj['note_type']=="WORK NOTE") echo " SELECTED"; ?
>><?php
echo xlt('WORK NOTE'); ?
></option
>
78 <option value
="SCHOOL NOTE" <?php
if ($obj['note_type']=="SCHOOL NOTE") echo " SELECTED"; ?
>><?php
echo xlt('SCHOOL NOTE'); ?
></option
>
81 <b
><?php
echo xlt('MESSAGE:'); ?
></b
>
83 <textarea name
="message" id
="message" cols
="67" rows
="4"><?php
echo text($obj["message"]);?
></textarea
>
88 <span
class=text
><?php
echo xlt('Doctor:'); ?
> </span
><input type
=entry name
="doctor" value
="<?php echo attr($obj["doctor
"]);?>">
90 <span
class="text"><?php
echo xlt('Date'); ?
></span
>
91 <input type
='text' size
='10' name
='date_of_signature' id
='date_of_signature'
92 value
='<?php echo attr($obj['date_of_signature
']); ?>'
93 title
='<?php echo xla('yyyy
-mm
-dd
'); ?>'
94 onkeyup
='datekeyup(this,mypcc)' onblur
='dateblur(this,mypcc)' />
95 <img src
='../../pic/show_calendar.gif' align
='absbottom' width
='24' height
='22'
96 id
='img_date_of_signature' border
='0' alt
='[?]' style
='cursor:pointer;cursor:hand'
97 title
='<?php echo xla('Click here to choose a date
'); ?>'>
101 <div style
="margin: 10px;">
102 <input type
="button" class="save" value
=" <?php echo xla('Save'); ?> ">  
;
103 <input type
="button" class="dontsave" value
="<?php echo xla('Don\'t Save'); ?>">  
;
104 <input type
="button" class="printform" value
="<?php echo xla('Print'); ?>">  
;
111 <script language
="javascript">
112 /* required for popup calendar */
113 Calendar
.setup({inputField
:"date_of_signature", ifFormat
:"%Y-%m-%d", button
:"img_date_of_signature"});
115 // jQuery stuff to make the page a little easier to use
117 $
(document
).ready(function(){
118 $
(".save").click(function() { top
.restoreSession(); $
("#my_form").submit(); });
119 $
(".dontsave").click(function() { location
.href
='<?php echo "$rootdir/patient_file/encounter/$returnurl";?>'; });
120 $
(".printform").click(function() { PrintForm(); });
122 // disable the Print ability if the form has changed
123 // this forces the user to save their changes prior to printing
124 $
("#img_date_of_signature").click(function() { $
(".printform").attr("disabled","disabled"); });
125 $
("input").keydown(function() { $
(".printform").attr("disabled","disabled"); });
126 $
("select").change(function() { $
(".printform").attr("disabled","disabled"); });
127 $
("textarea").keydown(function() { $
(".printform").attr("disabled","disabled"); });