interface/usergroup/facility_admin.php

   1 <?php
   2 include_once("../globals.php");
   3 require_once("$srcdir/options.inc.php");
   4 require_once("$srcdir/erx_javascript.inc.php");
   5
   6 if (isset($_GET["fid"])) {
   7     $my_fid = $_GET["fid"];
   8 }
   9
  10 if (isset($_POST["fid"])) {
  11     $my_fid = $_POST["fid"];
  12 }
  13 if ($_POST["mode"] == "facility")
  14 {
  15
  16     echo '
  17 <script type="text/javascript">
  18 <!--
  19 parent.$.fn.fancybox.close();
  20 //-->
  21 </script>
  22
  23         ';
  24 }
  25 ?>
  26 <html>
  27 <head>
  28
  29     <link rel="stylesheet" href="<?php echo $css_header;?>" type="text/css">
  30     <link rel="stylesheet" type="text/css" href="../../library/js/fancybox/jquery.fancybox-1.2.6.css" media="screen" />
  31     <script type="text/javascript" src="../../library/dialog.js?v=<?php echo $v_js_includes; ?>"></script>
  32     <script type="text/javascript" src="<?php echo $GLOBALS['assets_static_relative'] ?>/jquery-min-1-9-1/index.js"></script>
  33     <script type="text/javascript" src="../../library/js/common.js"></script>
  34     <script type="text/javascript" src="../../library/js/fancybox/jquery.fancybox-1.2.6.js"></script>
  35     <script type="text/javascript" src="../main/calendar/modules/PostCalendar/pnincludes/AnchorPosition.js"></script>
  36     <script type="text/javascript" src="../main/calendar/modules/PostCalendar/pnincludes/PopupWindow.js"></script>
  37     <script type="text/javascript" src="../main/calendar/modules/PostCalendar/pnincludes/ColorPicker2.js"></script>
  38
  39     <!-- validation library -->
  40     <!--//Not lbf forms use the new validation, please make sure you have the corresponding values in the list Page validation-->
  41     <?php    $use_validate_js = 1;?>
  42     <?php  require_once($GLOBALS['srcdir'] . "/validation/validation_script.js.php"); ?>
  43     <?php
  44     //Gets validation rules from Page Validation list.
  45     //Note that for technical reasons, we are bypassing the standard validateUsingPageRules() call.
  46     $collectthis = collectValidationPageRules("/interface/usergroup/facility_admin.php");
  47     if (empty($collectthis)) {
  48         $collectthis = "undefined";
  49     }
  50     else {
  51         $collectthis = $collectthis["facility-form"]["rules"];
  52     }
  53     ?>
  54
  55     <script type="text/javascript">
  56
  57         /*
  58          * validation on the form with new client side validation (using validate.js).
  59          * this enable to add new rules for this form in the pageValidation list.
  60          * */
  61         var collectvalidation = <?php echo($collectthis); ?>;
  62
  63         function submitform() {
  64
  65             var valid = submitme(1, undefined, 'facility-form', collectvalidation);
  66             if (!valid) return;
  67
  68             <?php if($GLOBALS['erx_enable']){ ?>
  69             alertMsg='';
  70             f=document.forms[0];
  71             for(i=0;i<f.length;i++){
  72                 if(f[i].type=='text' && f[i].value)
  73                 {
  74                     if(f[i].name == 'facility' || f[i].name == 'Washington')
  75                     {
  76                         alertMsg += checkLength(f[i].name,f[i].value,35);
  77                         alertMsg += checkFacilityName(f[i].name,f[i].value);
  78                     }
  79                     else if(f[i].name == 'street')
  80                     {
  81                         alertMsg += checkLength(f[i].name,f[i].value,35);
  82                         alertMsg += checkAlphaNumeric(f[i].name,f[i].value);
  83                     }
  84                     else if(f[i].name == 'phone' || f[i].name == 'fax')
  85                     {
  86                         alertMsg += checkPhone(f[i].name,f[i].value);
  87                     }
  88                     else if(f[i].name == 'federal_ein')
  89                     {
  90                         alertMsg += checkLength(f[i].name,f[i].value,10);
  91                         alertMsg += checkFederalEin(f[i].name,f[i].value);
  92                     }
  93                 }
  94             }
  95             if(alertMsg)
  96             {
  97                 alert(alertMsg);
  98                 return false;
  99             }
 100             <?php } ?>
 101
 102             top.restoreSession();
 103             document.forms[0].submit();
 104         }
 105
 106         $(document).ready(function(){
 107             $("#cancel").click(function() {
 108                 parent.$.fn.fancybox.close();
 109             });
 110
 111             /**
 112              * add required/star sign to required form fields
 113              */
 114             for (var prop in collectvalidation) {
 115                 //if (collectvalidation[prop].requiredSign)
 116                 if (collectvalidation[prop].presence)
 117                     jQuery("input[name='" + prop + "']").after('*');
 118             }
 119         });
 120         var cp = new ColorPicker('window');
 121         // Runs when a color is clicked
 122         function pickColor(color) {
 123             document.getElementById('ncolor').value = color;
 124         }
 125         var field;
 126         function pick(anchorname,target) {
 127             var cp = new ColorPicker('window');
 128             field=target;
 129             cp.show(anchorname);
 130         }
 131         function displayAlert()
 132         {
 133             if(document.getElementById('primary_business_entity').checked==false)
 134                 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.'));?>");
 135             else if(document.getElementById('primary_business_entity').checked==true)
 136                 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.'));?>");
 137         }
 138     </script>
 139
 140 </head>
 141 <body class="body_top" style="width:600px;height:330px !important;">
 142
 143 <table>
 144     <tr>
 145         <td>
 146             <span class="title"><?php xl('Edit Facility','e'); ?></span>&nbsp;&nbsp;&nbsp;</td><td>
 147             <a class="css_button large_button" name='form_save' id='form_save' onclick='submitform()' href='#' >
 148                 <span class='css_button_span large_button_span'><?php xl('Save','e');?></span>
 149             </a>
 150             <a class="css_button large_button" id='cancel' href='#'>
 151                 <span class='css_button_span large_button_span'><?php xl('Cancel','e');?></span>
 152             </a>
 153         </td>
 154     </tr>
 155 </table>
 156
 157 <form name='facility-form' id="facility-form" method='post' action="facilities.php" target="_parent">
 158     <input type=hidden name=mode value="facility">
 159     <input type=hidden name=newmode value="admin_facility">     <!--    Diffrentiate Admin and add post backs -->
 160     <input type=hidden name=fid value="<?php echo $my_fid;?>">
 161     <?php $facility = sqlQuery("select * from facility where id=?", array($my_fid)); ?>
 162
 163     <table border=0 cellpadding=0 cellspacing=1 style="width:630px;">
 164         <tr>
 165             <td width='150px'><span class='text'><?php xl('Name','e'); ?>: </span></td>
 166             <td width='220px'><input type='entry' name='facility' size='20' value='<?php echo htmlspecialchars($facility['name'], ENT_QUOTES) ?>'></td>
 167             <td width='200px'><span class='text'><?php xl('Phone','e'); ?> <?php xl('as','e'); ?> (000) 000-0000:</span></td>
 168             <td width='220px'><input type='entry' name='phone' size='20' value='<?php echo htmlspecialchars($facility['phone'], ENT_QUOTES) ?>'></td>
 169         </tr>
 170         <tr>
 171             <td><span class=text><?php xl('Address','e'); ?>: </span></td><td><input type=entry size=20 name=street value="<?php echo htmlspecialchars($facility["street"], ENT_QUOTES) ?>"></td>
 172             <td><span class='text'><?php xl('Fax','e'); ?> <?php xl('as','e'); ?> (000) 000-0000:</span></td>
 173             <td><input type='entry' name='fax' size='20' value='<?php echo htmlspecialchars($facility['fax'], ENT_QUOTES) ?>'></td>
 174         </tr>
 175         <tr>
 176
 177             <td><span class=text><?php xl('City','e'); ?>: </span></td>
 178             <td><input type=entry size=20 name=city value="<?php echo htmlspecialchars($facility{"city"}, ENT_QUOTES) ?>"></td>
 179             <td><span class=text><?php xl('Zip Code','e'); ?>: </span></td><td><input type=entry size=20 name=postal_code value="<?php echo htmlspecialchars($facility{"postal_code"}, ENT_QUOTES) ?>"></td>
 180         </tr>
 181         <?php
 182         $ssn='';
 183         $ein='';
 184         if($facility['tax_id_type']=='SY'){
 185             $ssn='selected';
 186         }
 187         else{
 188             $ein='selected';
 189         }
 190         ?>
 191         <tr>
 192             <td><span class=text><?php xl('State','e'); ?>: </span></td><td><input type=entry size=20 name=state value="<?php echo htmlspecialchars($facility{"state"}, ENT_QUOTES) ?>"></td>
 193             <td><span class=text><?php xl('Tax ID','e'); ?>: </span></td><td><select name=tax_id_type><option value="EI" <?php echo $ein;?>><?php xl('EIN','e'); ?></option><option value="SY" <?php echo $ssn;?>><?php xl('SSN','e'); ?></option></select><input type=entry size=11 name=federal_ein value="<?php echo htmlspecialchars($facility{"federal_ein"}, ENT_QUOTES) ?>"></td>
 194         </tr>
 195         <tr>
 196             <td><span class=text><?php xl('Country','e'); ?>: </span></td><td><input type=entry size=20 name=country_code value="<?php echo htmlspecialchars($facility{"country_code"}, ENT_QUOTES) ?>"></td>
 197             <td width="21"><span class=text><?php ($GLOBALS['simplified_demographics'] ? xl('Facility Code','e') : xl('Facility NPI','e')); ?>:
 198           </span></td><td><input type=entry size=20 name=facility_npi value="<?php echo htmlspecialchars($facility{"facility_npi"}, ENT_QUOTES) ?>"></td>
 199         </tr>
 200         <tr>
 201             <td><span class=text><?php xl('Website','e'); ?>: </span></td><td><input type=entry size=20 name=website value="<?php echo htmlspecialchars($facility{"website"}, ENT_QUOTES) ?>"></td>
 202             <td><span class=text><?php xl('Email','e'); ?>: </span></td><td><input type=entry size=20 name=email value="<?php echo htmlspecialchars($facility{"email"}, ENT_QUOTES) ?>"></td>
 203         </tr>
 204
 205         <tr>
 206             <td><span class='text'><?php xl('Billing Location','e'); ?>: </span></td>
 207             <td><input type='checkbox' name='billing_location' value='1' <?php if ($facility['billing_location'] != 0) echo 'checked'; ?>></td>
 208             <td rowspan='2'><span class='text'><?php xl('Accepts Assignment','e'); ?><br>(<?php xl('only if billing location','e'); ?>): </span></td>
 209             <td><input type='checkbox' name='accepts_assignment' value='1' <?php if ($facility['accepts_assignment'] == 1) echo 'checked'; ?>></td>
 210         </tr>
 211         <tr>
 212             <td><span class='text'><?php xl('Service Location','e'); ?>: </span></td>
 213             <td><input type='checkbox' name='service_location' value='1' <?php if ($facility['service_location'] == 1) echo 'checked'; ?>></td>
 214             <td>&nbsp;</td>
 215         </tr>
 216         <?php
 217         $disabled='';
 218         $resPBE=sqlStatement("select * from facility where primary_business_entity='1' and id!=?", array($my_fid));
 219         if(sqlNumRows($resPBE)>0)
 220             $disabled='disabled';
 221         ?>
 222         <tr>
 223             <td><span class='text'><?php xl('Primary Business Entity','e'); ?>: </span></td>
 224             <td><input type='checkbox' name='primary_business_entity' id='primary_business_entity' value='1' <?php if ($facility['primary_business_entity'] == 1) echo 'checked'; ?> <?php if($GLOBALS['erx_enable']){ ?> onchange='return displayAlert()' <?php } ?> <?php echo $disabled;?>></td>
 225             <td>&nbsp;</td>
 226         </tr>
 227         <tr>
 228             <td><span class='text'><?php echo htmlspecialchars(xl('Color'),ENT_QUOTES); ?>: </span></td> <td><input type=entry name=ncolor id=ncolor size=20 value="<?php echo htmlspecialchars($facility{"color"}, ENT_QUOTES) ?>"></td>
 229             <td>[<a href="javascript:void(0);" onClick="pick('pick','newcolor');return false;" NAME="pick" ID="pick"><?php  echo htmlspecialchars(xl('Pick'),ENT_QUOTES); ?></a>]</td><td>&nbsp;</td>
 230
 231         <tr>
 232             <td><span class=text><?php xl('POS Code','e'); ?>: </span></td>
 233             <td colspan="6">
 234                 <select name="pos_code">
 235                     <?php
 236                     $pc = new POSRef();
 237
 238                     foreach ($pc->get_pos_ref() as $pos) {
 239                         echo "<option value=\"" . $pos["code"] . "\" ";
 240                         if ($facility['pos_code'] == $pos['code']) {
 241                             echo "selected";
 242                         }
 243                         echo ">" . $pos['code']  . ": ". text($pos['title']);
 244                         echo "</option>\n";
 245                     }
 246
 247                     ?>
 248                 </select>
 249             </td>
 250         </tr>
 251         <tr>
 252             <td><span class="text"><?php xl('Billing Attn','e'); ?>:</span></td>
 253             <td colspan="4"><input type="text" name="attn" size="45" value="<?php echo htmlspecialchars($facility['attn'], ENT_QUOTES) ?>"></td>
 254         </tr>
 255         <tr>
 256             <td><span class="text"><?php xl('CLIA Number','e'); ?>:</span></td>
 257             <td colspan="4"><input type="text" name="domain_identifier" size="45" value="<?php echo htmlspecialchars($facility['domain_identifier'], ENT_QUOTES) ?>"></td>
 258         </tr>
 259         <tr>
 260             <td><span class="text"><?php xl('Facility ID','e'); ?>:</span></td>
 261             <td colspan="4"><input type="text" name="facility_id" size="45" value="<?php echo htmlspecialchars($facility['facility_code'], ENT_QUOTES) ?>"></td>
 262         </tr>
 263         <tr height="20" valign="bottom">
 264             <td colspan=2><span class="text"><font class="mandatory">*</font> <?php echo xl('Required','e');?></span></td>
 265         </tr>
 266
 267     </table>
 268 </form>
 269
 270 </body>
 271 </html>