interface/usergroup/facilities_add.php

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