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 = 'encounter_top.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 = explode(" ", $obj['date_of_signature']);
37 $obj['date_of_signature'] = $dateparts[0];
41 <?php
html_header_show();?
>
43 <link rel
="stylesheet" href
="<?php echo $css_header;?>" type
="text/css">
44 <link rel
="stylesheet" href
="<?php echo $GLOBALS['assets_static_relative']; ?>/jquery-datetimepicker-2-5-4/build/jquery.datetimepicker.min.css">
46 <!-- supporting javascript code
-->
47 <script type
="text/javascript" src
="<?php echo $GLOBALS['assets_static_relative']; ?>/jquery-min-3-1-1/index.js"></script
>
48 <script type
="text/javascript" src
="<?php echo $GLOBALS['webroot'] ?>/library/textformat.js?v=<?php echo $v_js_includes; ?>"></script
>
49 <script type
="text/javascript" src
="<?php echo $GLOBALS['assets_static_relative']; ?>/jquery-datetimepicker-2-5-4/build/jquery.datetimepicker.full.min.js"></script
>
51 <script language
="JavaScript">
52 // required for textbox date verification
53 var mypcc
= '<?php echo $GLOBALS['phone_country_code
'] ?>';
55 function PrintForm() {
56 newwin
= window
.open("<?php echo $rootdir."/forms
/".$form_name."/print.php?id
=".attr($_GET["id
"]); ?>","mywin");
62 <body
class="body_top">
64 <form method
=post action
="<?php echo $rootdir."/forms
/".$form_name."/save
.php?mode
=update
&id
=".attr($_GET["id
"]);?>" name
="my_form" id
="my_form">
65 <span
class="title"><?php
echo xlt('Work/School Note'); ?
></span
><br
></br
>
67 <div style
="margin: 10px;">
68 <input type
="button" class="save" value
=" <?php echo xla('Save'); ?> ">  
;
69 <input type
="button" class="dontsave" value
="<?php echo xla('Don\'t Save'); ?>">  
;
70 <input type
="button" class="printform" value
="<?php echo xla('View Printable Version'); ?>">  
;
73 <select name
="note_type">
74 <option value
="WORK NOTE" <?php
if ($obj['note_type']=="WORK NOTE") echo " SELECTED"; ?
>><?php
echo xlt('WORK NOTE'); ?
></option
>
75 <option value
="SCHOOL NOTE" <?php
if ($obj['note_type']=="SCHOOL NOTE") echo " SELECTED"; ?
>><?php
echo xlt('SCHOOL NOTE'); ?
></option
>
78 <b
><?php
echo xlt('MESSAGE:'); ?
></b
>
80 <textarea name
="message" id
="message" cols
="67" rows
="4"><?php
echo text($obj["message"]);?
></textarea
>
85 <span
class=text
><?php
echo xlt('Doctor:'); ?
> </span
><input type
=entry name
="doctor" value
="<?php echo attr($obj["doctor
"]);?>">
87 <span
class="text"><?php
echo xlt('Date'); ?
></span
>
88 <input type
='text' size
='10' class='datepicker' name
='date_of_signature' id
='date_of_signature'
89 value
='<?php echo attr($obj['date_of_signature
']); ?>'
90 title
='<?php echo xla('yyyy
-mm
-dd
'); ?>' />
94 <div style
="margin: 10px;">
95 <input type
="button" class="save" value
=" <?php echo xla('Save'); ?> ">  
;
96 <input type
="button" class="dontsave" value
="<?php echo xla('Don\'t Save'); ?>">  
;
97 <input type
="button" class="printform" value
="<?php echo xla('View Printable Version'); ?>">  
;
104 <script language
="javascript">
106 // jQuery stuff to make the page a little easier to use
108 $
(document
).ready(function(){
109 $
(".save").click(function() { top
.restoreSession(); $
("#my_form").submit(); });
110 $
(".dontsave").click(function() { location
.href
='<?php echo "$rootdir/patient_file/encounter/$returnurl";?>'; });
111 $
(".printform").click(function() { PrintForm(); });
113 // disable the Print ability if the form has changed
114 // this forces the user to save their changes prior to printing
115 $
("#img_date_of_signature").click(function() { $
(".printform").attr("disabled","disabled"); });
116 $
("input").keydown(function() { $
(".printform").attr("disabled","disabled"); });
117 $
("select").change(function() { $
(".printform").attr("disabled","disabled"); });
118 $
("textarea").keydown(function() { $
(".printform").attr("disabled","disabled"); });
120 $
('.datepicker').datetimepicker({
121 <?php
$datetimepicker_timepicker = false; ?
>
122 <?php
$datetimepicker_showseconds = false; ?
>
123 <?php
$datetimepicker_formatInput = false; ?
>
124 <?php
require($GLOBALS['srcdir'] . '/js/xl/jquery-datetimepicker-2-5-4.js.php'); ?
>
125 <?php
// can add any additional javascript settings to datetimepicker here; need to prepend first setting with a comma ?>