interface/forms/dictation/new.php

   1 <?php
   2 /**
   3  * Dictation form
   4  *
   5  * @package   OpenEMR
   6  * @link      http://www.open-emr.org
   7  * @author    cfapress <cfapress>
   8  * @author    Brady Miller <brady.g.miller@gmail.com>
   9  * @author    Robert Down <robertdown@live.com>
  10  * @copyright Copyright (c) 2008 cfapress <cfapress>
  11  * @copyright Copyright (c) 2013-2017 bradymiller <bradymiller@users.sourceforge.net>
  12  * @copyright Copyright (c) 2017 Robert Down <robertdown@live.com>
  13  * @license   https://github.com/openemr/openemr/blob/master/LICENSE GNU General Public License 3
  14  **/
  15
  16
  17 require_once("../../globals.php");
  18 require_once("$srcdir/api.inc");
  19
  20 use OpenEMR\Core\Header;
  21
  22 $returnurl = 'encounter_top.php';
  23 ?>
  24 <html>
  25 <head>
  26     <title><?php echo xlt("Dictation"); ?></title>
  27
  28     <?php Header::setupHeader();?>
  29 </head>
  30 <body class="body_top">
  31     <div class="container">
  32         <div class="row">
  33             <div class="col-xs-12">
  34                 <div class="page-header">
  35                     <h2><?php echo xlt("Dictation"); ?></h2>
  36                 </div>
  37             </div>
  38         </div>
  39         <div class="row">
  40             <div class="col-xs-12">
  41                 <form name="my_form" method=post action="<?php echo $rootdir;?>/forms/dictation/save.php?mode=new" onsubmit="return top.restoreSession()">
  42                     <fieldset>
  43                         <legend><?php echo xlt('Dictation')?></legend>
  44                         <div class="form-group">
  45                             <div class="col-sm-10 col-sm-offset-1">
  46                                 <textarea name="dictation" class="form-control" cols="80" rows="15" ></textarea>
  47                             </div>
  48                         </div>
  49                     </fieldset>
  50                     <fieldset>
  51                         <legend><?php echo xlt('Additional Notes'); ?></legend>
  52                         <div class="form-group">
  53                             <div class="col-sm-10 col-sm-offset-1">
  54                                 <textarea name="additional_notes" class="form-control" cols="80" rows="5" ></textarea>
  55                             </div>
  56                         </div>
  57                     </fieldset>
  58                     <div class="form-group clearfix">
  59                         <div class="col-sm-12 col-sm-offset-1 position-override">
  60                             <div class="btn-group oe-opt-btn-group-pinch" role="group">
  61                                 <button type='submit' onclick='top.restoreSession()' class="btn btn-default btn-save"><?php echo xlt('Save'); ?></button>
  62                                 <button type="button" class="btn btn-link btn-cancel oe-opt-btn-separate-left" onclick="top.restoreSession(); parent.closeTab(window.name, false);"><?php echo xlt('Cancel');?></button>
  63                             </div>
  64                         </div>
  65                     </div>
  66                 </form>
  67             </div>
  68         </div>
  69     </div>
  70 </body>
  71 </html>