interface/billing/sl_eob_patient_note.php

   1 <?php
   2   // Copyright (C) 2005 Rod Roark <rod@sunsetsystems.com>
   3   //
   4   // This program is free software; you can redistribute it and/or
   5   // modify it under the terms of the GNU General Public License
   6   // as published by the Free Software Foundation; either version 2
   7   // of the License, or (at your option) any later version.
   8
   9   // This allows entry and editing of a "billing note" for the patient.
  10
  11   include_once("../globals.php");
  12   include_once("../../library/patient.inc");
  13   include_once("../../library/forms.inc");
  14
  15   $info_msg = "";
  16 ?>
  17 <html>
  18 <head>
  19 <?php html_header_show();?>
  20 <link rel=stylesheet href="<?php echo $css_header;?>" type="text/css">
  21 <title><?php xl('EOB Posting - Patient Note','e')?></title>
  22 </head>
  23 <body>
  24 <?php
  25   $patient_id = $_GET['patient_id'];
  26   if (! $patient_id) die(xl("You cannot access this page directly."));
  27
  28   if ($_POST['form_save']) {
  29     $thevalue = trim($_POST['form_note']);
  30     $thename = $thevalue ? "Billing" : "";
  31
  32     sqlStatement("UPDATE patient_data SET " .
  33       "genericname2 = '$thename', " .
  34       "genericval2 = '$thevalue' " .
  35       "WHERE pid = '$patient_id'");
  36
  37     echo "<script language='JavaScript'>\n";
  38     if ($info_msg) echo " alert('$info_msg');\n";
  39     echo " window.close();\n";
  40     echo "</script></body></html>\n";
  41     exit();
  42   }
  43
  44   $row = sqlQuery("select fname, lname, genericname2, genericval2 " .
  45     "from patient_data where pid = '$patient_id' limit 1");
  46 ?>
  47 <center>
  48
  49 <h2><?php echo xl('Billing Note for '). $row['fname'] . " " . $row['lname'] ?></h2>
  50 <p>&nbsp;</p>
  51
  52 <form method='post' action='sl_eob_patient_note.php?patient_id=<?php  echo $patient_id ?>'>
  53
  54 <p>
  55 <input type='text' name='form_note' size='60' maxlength='255'
  56  value='<?php  echo addslashes($row['genericval2']) ?>' />
  57 </p>
  58
  59 <p>&nbsp;</p>
  60 <input type='submit' name='form_save' value='<?php xl("Save","e")?>'>
  61 &nbsp;
  62 <input type='button' value='<?php xl("Cancel","e")?>' onclick='window.close()'>
  63
  64 </form>
  65 </center>
  66
  67 </body>
  68 </html>