interface/usergroup/facilities_add.php

   1 <?php
   2 require_once("../globals.php");
   3 require_once("../../library/acl.inc");
   4 require_once("$srcdir/options.inc.php");
   5 require_once("$srcdir/erx_javascript.inc.php");
   6
   7 $alertmsg = '';
   8 ?>
   9 <html>
  10 <head>
  11 <link rel="stylesheet" href="<?php echo $css_header;?>" type="text/css">
  12 <link rel="stylesheet" type="text/css" href="<?php echo $GLOBALS['webroot'] ?>/library/js/fancybox/jquery.fancybox-1.2.6.css" media="screen" />
  13 <script type="text/javascript" src="<?php echo $GLOBALS['webroot'] ?>/library/dialog.js?v=<?php echo $v_js_includes; ?>"></script>
  14 <script type="text/javascript" src="<?php echo $GLOBALS['assets_static_relative'] ?>/jquery-min-1-9-1/index.js"></script>
  15 <script type="text/javascript" src="<?php echo $GLOBALS['webroot'] ?>/library/js/common.js"></script>
  16 <script type="text/javascript" src="<?php echo $GLOBALS['webroot'] ?>/library/js/fancybox/jquery.fancybox-1.2.6.js"></script>
  17 <script type="text/javascript" src="<?php echo $GLOBALS['webroot'] ?>/library/js/jquery-ui.js"></script>
  18 <script type="text/javascript" src="../main/calendar/modules/PostCalendar/pnincludes/AnchorPosition.js"></script>
  19 <script type="text/javascript" src="../main/calendar/modules/PostCalendar/pnincludes/PopupWindow.js"></script>
  20 <script type="text/javascript" src="../main/calendar/modules/PostCalendar/pnincludes/ColorPicker2.js"></script>
  21
  22 <!-- validation library -->
  23 <!--//Not lbf forms use the new validation, please make sure you have the corresponding values in the list Page validation-->
  24 <?php    $use_validate_js = 1;?>
  25 <?php  require_once($GLOBALS['srcdir'] . "/validation/validation_script.js.php"); ?>
  26 <?php
  27 //Gets validation rules from Page Validation list.
  28 //Note that for technical reasons, we are bypassing the standard validateUsingPageRules() call.
  29 $collectthis = collectValidationPageRules("/interface/usergroup/facilities_add.php");
  30 if (empty($collectthis)) {
  31     $collectthis = "undefined";
  32 }
  33 else {
  34     $collectthis = $collectthis["facility-add"]["rules"];
  35 }
  36
  37 // Old Browser comp trigger on js
  38
  39 if (isset($_POST["mode"]) && $_POST["mode"] == "facility") {
  40         echo '
  41 <script type="text/javascript">
  42 <!--
  43 parent.$.fn.fancybox.close();
  44 //-->
  45 </script>
  46
  47         ';
  48 }
  49 ?>
  50 <script type="text/javascript">
  51 /// todo, move this to a common library
  52
  53 var collectvalidation = <?php echo($collectthis); ?>;
  54
  55 function submitform() {
  56
  57     var valid = submitme(1, undefined, 'facility-add', collectvalidation);
  58     if (!valid) return;
  59
  60         <?php if($GLOBALS['erx_enable']){ ?>
  61         alertMsg='';
  62         f=document.forms[0];
  63         for(i=0;i<f.length;i++){
  64                 if(f[i].type=='text' && f[i].value)
  65                 {
  66                         if(f[i].name == 'facility' || f[i].name == 'Washington')
  67                         {
  68                                 alertMsg += checkLength(f[i].name,f[i].value,35);
  69                                 alertMsg += checkFacilityName(f[i].name,f[i].value);
  70                         }
  71                         else if(f[i].name == 'street')
  72                         {
  73                                 alertMsg += checkLength(f[i].name,f[i].value,35);
  74                                 alertMsg += checkAlphaNumeric(f[i].name,f[i].value);
  75                         }
  76                         else if(f[i].name == 'phone' || f[i].name == 'fax')
  77                         {
  78                                 alertMsg += checkPhone(f[i].name,f[i].value);
  79                         }
  80                         else if(f[i].name == 'federal_ein')
  81                         {
  82                                 alertMsg += checkLength(f[i].name,f[i].value,10);
  83                                 alertMsg += checkFederalEin(f[i].name,f[i].value);
  84                         }
  85                 }
  86         }
  87         if(alertMsg)
  88         {
  89                 alert(alertMsg);
  90                 return false;
  91         }
  92         <?php } ?>
  93
  94     top.restoreSession();
  95     document.forms[0].submit();
  96 }
  97
  98 function toggle( target, div ) {
  99
 100     $mode = $(target).find(".indicator").text();
 101     if ( $mode == "collapse" ) {
 102         $(target).find(".indicator").text( "expand" );
 103         $(div).hide();
 104     } else {
 105         $(target).find(".indicator").text( "collapse" );
 106         $(div).show();
 107     }
 108
 109 }
 110
 111 $(document).ready(function(){
 112
 113     $("#dem_view").click( function() {
 114         toggle( $(this), "#DEM" );
 115     });
 116
 117     // fancy box
 118     enable_modals();
 119
 120     tabbify();
 121
 122     // special size for
 123         $(".large_modal").fancybox( {
 124                 'overlayOpacity' : 0.0,
 125                 'showCloseButton' : true,
 126                 'frameHeight' : 600,
 127                 'frameWidth' : 1000
 128         });
 129
 130     // special size for
 131         $(".medium_modal").fancybox( {
 132                 'overlayOpacity' : 0.0,
 133                 'showCloseButton' : true,
 134                 'frameHeight' : 260,
 135                 'frameWidth' : 510
 136         });
 137
 138 });
 139
 140 $(document).ready(function(){
 141     $("#cancel").click(function() {
 142                   parent.$.fn.fancybox.close();
 143          });
 144
 145     /**
 146      * add required/star sign to required form fields
 147      */
 148     for (var prop in collectvalidation) {
 149         //if (collectvalidation[prop].requiredSign)
 150         if (collectvalidation[prop].presence)
 151             jQuery("input[name='" + prop + "']").after('*');
 152     }
 153 });
 154 var cp = new ColorPicker('window');
 155   // Runs when a color is clicked
 156 function pickColor(color) {
 157         document.getElementById('ncolor').value = color;
 158 }
 159 var field;
 160 function pick(anchorname,target) {
 161         var cp = new ColorPicker('window');
 162         field=target;
 163         cp.show(anchorname);
 164 }
 165 function displayAlert()
 166 {
 167         if(document.getElementById('primary_business_entity').checked==false)
 168         alert("<?php echo addslashes(xl('Primary Business Entity tax id is used as account id for NewCrop ePrescription. Changing the facility will affect the working in NewCrop.'));?>");
 169         else if(document.getElementById('primary_business_entity').checked==true)
 170         alert("<?php echo addslashes(xl('Once the Primary Business Facility is set, it should not be changed. Changing the facility will affect the working in NewCrop ePrescription.'));?>");
 171 }
 172 </script>
 173 <link rel="stylesheet" href="<?php echo $css_header;?>" type="text/css">
 174
 175 </head>
 176 <body class="body_top">
 177 <table>
 178 <tr><td>
 179     <span class="title"><?php xl('Add Facility','e'); ?></span>&nbsp;&nbsp;&nbsp;</td>
 180     <td colspan=5 align=center style="padding-left:2px;">
 181         <a onclick="submitform();" class="css_button large_button" name='form_save' id='form_save' href='#'>
 182             <span class='css_button_span large_button_span'><?php xl('Save','e');?></span>
 183         </a>
 184         <a class="css_button large_button" id='cancel' href='#' >
 185             <span class='css_button_span large_button_span'><?php xl('Cancel','e');?></span>
 186         </a>
 187 </td></tr>
 188 </table>
 189
 190 <br>
 191
 192 <form name='facility-add' id='facility-add' method='post' action="facilities.php" target='_parent'>
 193     <input type=hidden name=mode value="facility">
 194     <table border=0 cellpadding=0 cellspacing=0>
 195         <tr>
 196         <td><span class="text"><?php xl('Name','e'); ?>: </span></td><td><input type=entry name=facility size=20 value=""></td>
 197         <td width=20>&nbsp;</td>
 198         <td><span class="text"><?php xl('Phone','e'); ?>: </span></td><td><input type=entry name=phone size=20 value=""></td>
 199         </tr>
 200         <tr>
 201         <td><span class="text"><?php xl('Address','e'); ?>: </span></td><td><input type=entry size=20 name=street value=""></td>
 202         <td>&nbsp;</td>
 203         <td><span class="text"><?php xl('Fax','e'); ?>: </span></td><td><input type=entry name=fax size=20 value=""></td>
 204         </tr>
 205         <tr>
 206         <td><span class="text"><?php xl('City','e'); ?>: </span></td><td><input type=entry size=20 name=city value=""></td>
 207         <td>&nbsp;</td>
 208         <td><span class="text"><?php xl('Zip Code','e'); ?>: </span></td><td><input type=entry size=20 name=postal_code value=""></td>
 209         </tr>
 210         <tr>
 211         <td><span class="text"><?php xl('State','e'); ?>: </span></td><td><input type=entry size=20 name=state value=""></td>
 212         <td>&nbsp;</td>
 213         <td><span class="text"><?php xl('Tax ID','e'); ?>: </span></td><td><select name=tax_id_type><option value="EI"><?php xl('EIN','e'); ?></option><option value="SY"><?php xl('SSN','e'); ?></option></select><input type=entry size=11 name=federal_ein value=""></td>
 214         </tr>
 215         <tr>
 216         <td height="22"><span class="text"><?php xl('Country','e'); ?>: </span></td><td><input type=entry size=20 name=country_code value=""></td>
 217         <td>&nbsp;</td>
 218         <td><span class="text"><?php ($GLOBALS['simplified_demographics'] ? xl('Facility Code','e') : xl('Facility NPI','e')); ?>:
 219         </span></td><td><input type=entry size=20 name=facility_npi value=""></td>
 220         </tr>
 221                 <tr>
 222         <td><span class="text"><?php xl('Website','e'); ?>: </span></td><td><input type=entry size=20 name=website value=""></td>
 223         <td>&nbsp;</td>
 224         <td><span class="text"><?php xl('Email','e'); ?>: </span></td><td><input type=entry size=20 name=email value=""></td>
 225         </tr>
 226
 227         <tr>
 228           <td><span class='text'><?php xl('Billing Location','e'); ?>: </span></td><td><input type='checkbox' name='billing_location' value = '1'></td>
 229           <td>&nbsp;</td>
 230           <td><span class='text'><?php xl('Accepts Assignment','e'); ?><br>(<?php xl('only if billing location','e'); ?>): </span></td> <td><input type='checkbox' name='accepts_assignment' value = '1'></td>
 231         </tr>
 232         <tr>
 233           <td><span class='text'><?php xl('Service Location','e'); ?>: </span></td> <td><input type='checkbox' name='service_location' value = '1'></td>
 234           <td>&nbsp;</td>
 235           <td><span class='text'><?php echo htmlspecialchars(xl('Color'),ENT_QUOTES); ?>: </span></td> <td><input type=entry name=ncolor id=ncolor size=20 value=""><span>[<a href="javascript:void(0);" onClick="pick('pick','newcolor');return false;" NAME="pick" ID="pick"><?php echo htmlspecialchars(xl('Pick'),ENT_QUOTES); ?></a>]</span></td>
 236         </tr>
 237         <?php
 238          $disabled='';
 239          $resPBE=sqlStatement("select * from facility where primary_business_entity='1' and id!='".$my_fid."'");
 240          if(sqlNumRows($resPBE)>0)
 241          $disabled='disabled';
 242          ?>
 243          <tr>
 244           <td><span class='text'><?php xl('Primary Business Entity','e'); ?>: </span></td>
 245           <td><input type='checkbox' name='primary_business_entity' id='primary_business_entity' value='1' <?php if ($facility['primary_business_entity'] == 1) echo 'checked'; ?> <?php if($GLOBALS['erx_enable']){ ?> onchange='return displayAlert()' <?php } ?> <?php echo $disabled;?>></td>
 246           <td>&nbsp;</td>
 247          </tr>
 248         <tr>
 249             <td><span class=text><?php xl('POS Code','e'); ?>: </span></td>
 250             <td colspan="6">
 251                 <select name="pos_code">
 252                 <?php
 253                 $pc = new POSRef();
 254
 255                 foreach ($pc->get_pos_ref() as $pos) {
 256                     echo "<option value=\"" . $pos["code"] . "\" ";
 257                     echo ">" . $pos['code']  . ": ". text($pos['title']);
 258                     echo "</option>\n";
 259                 }
 260
 261                 ?>
 262                 </select>
 263             </td>
 264         </tr>
 265         <tr>
 266             <td><span class="text"><?php xl('Billing Attn','e'); ?>:</span></td>
 267             <td colspan="4"><input type="text" name="attn" size="45"></td>
 268         </tr>
 269         <tr>
 270             <td><span class="text"><?php xl('CLIA Number','e'); ?>:</span></td>
 271             <td colspan="4"><input type="text" name="domain_identifier" size="45"></td>
 272         </tr>
 273         <tr>
 274             <td><span class="text"><?php xl('Facility ID','e'); ?>:</span></td>
 275             <td colspan="4"><input type="text" name="facility_id" size="20"></td>
 276         </tr>
 277         <tr height="25" style="valign:bottom;">
 278         <td><font class="mandatory">*</font><span class="text"> <?php echo xl('Required','e'); ?></span></td><td>&nbsp;</td><td>&nbsp;</td>
 279         <td>&nbsp;</td><td>&nbsp;</td>
 280         </tr>
 281     </table>
 282 </form>
 283
 284 <script language="JavaScript">
 285 <?php
 286   if ($alertmsg = trim($alertmsg)) {
 287     echo "alert('$alertmsg');\n";
 288   }
 289 ?>
 290 </script>
 291
 292 </body>
 293 </html>