interface/usergroup/facility_admin.php

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