templates/prescription/general_edit.html

   1 <html>
   2 <head>
   3 {literal}
   4  <style type="text/css" title="mystyles" media="all">
   5 <!--
   6 td {
   7         font-size:8pt;
   8         font-family:helvetica;
   9 }
  10 input {
  11         font-size:8pt;
  12         font-family:helvetica;
  13 }
  14 select {
  15         font-size:8pt;
  16         font-family:helvetica;
  17 }
  18 textarea {
  19         font-size:8pt;
  20         font-family:helvetica;
  21 }
  22 -->
  23 </style>
  24 <script type="text/javascript" src="library/dialog.js"></script>
  25 <script language='JavaScript'>
  26
  27  // This holds all the default drug attributes.
  28 {/literal}
  29  var drugopts = [{$DRUG_ATTRIBUTES}];
  30 {literal}
  31
  32  // Helper to choose an option from its value.
  33  function selchoose(sel, value) {
  34   var o = sel.options;
  35   for (i = 0; i < o.length; ++i) {
  36    o[i].selected = (o[i].value == value);
  37   }
  38  }
  39
  40  // Fill in default values when a drop-down drug is selected.
  41  function drugselected(sel) {
  42   var f = document.forms[0];
  43   var i = f.drug_id.selectedIndex - 1;
  44   if (i >= 0) {
  45    var d = drugopts[i];
  46    f.drug.value = d[0];
  47    selchoose(f.form, d[1]);
  48    f.dosage.value = d[2];
  49    f.size.value = d[3];
  50    selchoose(f.unit, d[4]);
  51    selchoose(f.route, d[5]);
  52    selchoose(f.interval, d[6]);
  53    selchoose(f.substitute, d[7]);
  54    f.quantity.value = d[8];
  55    f.disp_quantity.value = d[8];
  56    selchoose(f.refills, d[9]);
  57    f.per_refill.value = d[10];
  58   }
  59  }
  60
  61  // Invoke the popup to dispense a drug.
  62  function dispense() {
  63   var f = document.forms[0];
  64   dlgopen('interface/drugs/dispense_drug.php' +
  65    {/literal}'?drug_id={$prescription->get_drug_id()}' +{literal}
  66    '&prescription=' + f.id.value +
  67    '&quantity=' + f.disp_quantity.value +
  68    '&fee=' + f.disp_fee.value,
  69    '_blank', 400, 200);
  70  }
  71
  72  function quantityChanged() {
  73   var f = document.forms[0];
  74   f.per_refill.value = f.quantity.value;
  75   if (f.disp_quantity) {
  76    f.disp_quantity.value = f.quantity.value;
  77   }
  78  }
  79
  80 </script>
  81 {/literal}
  82 </head>
  83 <body {$STYLE.BOTTOM_BG_LINE}>
  84 <form name="prescribe" method="post" action="{$FORM_ACTION}" onsubmit="return top.restoreSession()">
  85 <table CELLSPACING="0" CELLPADDING="3">
  86 <tr>
  87   <td COLSPAN="1" ALIGN="LEFT" VALIGN="MIDDLE" >{xl t='Currently Active'}</td>
  88   <td COLSPAN="2" ALIGN="LEFT" VALIGN="MIDDLE" >
  89     <input type="checkbox" name="active" value="1"{if $prescription->get_active() > 0} checked{/if} />
  90   </td>
  91 </tr>
  92 <tr>
  93         <td COLSPAN="1" ALIGN="LEFT" VALIGN="MIDDLE" >{xl t='Starting Date'}</td>
  94         <td COLSPAN="2" ALIGN="LEFT" VALIGN="MIDDLE" >
  95                 {html_select_date start_year="-10" end_year="+5" time=$prescription->start_date prefix="start_date_"}
  96         </td>
  97 </tr>
  98 <tr>
  99         <td COLSPAN="1" ALIGN="LEFT" VALIGN="MIDDLE" >{xl t='Provider'}</td>
 100         <td COLSPAN="2" ALIGN="LEFT" VALIGN="MIDDLE" >
 101                 {html_options name="provider_id" options=$prescription->provider->utility_provider_array() selected=$prescription->provider->get_id()}
 102                 <input type="hidden" name="patient_id" value="{$prescription->patient->id}" />
 103         </td>
 104 </tr>
 105 <!--
 106 <tr>
 107         <td COLSPAN="1" ALIGN="LEFT" VALIGN="MIDDLE" >Patient Name</td>
 108         <td COLSPAN="2" ALIGN="LEFT" VALIGN="MIDDLE" >{$prescription->patient->get_name_display()}</td>
 109 </tr>
 110 -->
 111 <tr>
 112         <td COLSPAN="1" ALIGN="LEFT" VALIGN="MIDDLE" >{xl t='Drug'}</td>
 113         <td COLSPAN="2" ALIGN="LEFT" VALIGN="MIDDLE" >
 114                 <input type="input" size="20" name="drug" value="{$prescription->drug}"/><input class="button" type="BUTTON" onClick="drugPopup=window.open('controller.php?prescription&lookup', 'drugPopup', 'width=400,height=50,menubar=no,titlebar=no,left = 825,top = 400'); drugPopup.opener=self; return true;" value="Drug Lookup"/>
 115         </td>
 116 </tr>
 117
 118 {if $DRUG_ARRAY_VALUES}
 119 <tr>
 120         <td COLSPAN="1" ALIGN="LEFT" VALIGN="MIDDLE" >&nbsp; {xl t='in-house'}</td>
 121         <td COLSPAN="2" ALIGN="LEFT" VALIGN="MIDDLE" >
 122                 <select name="drug_id" onchange="drugselected(this)">
 123                 {html_options values=$DRUG_ARRAY_VALUES output=$DRUG_ARRAY_OUTPUT}
 124                 </select>
 125         </td>
 126 </tr>
 127 {/if}
 128
 129 <tr>
 130         <td COLSPAN="1" ALIGN="LEFT" VALIGN="MIDDLE" >{xl t='Quantity'}</td>
 131         <td COLSPAN="2" ALIGN="LEFT" VALIGN="MIDDLE" >
 132                 <input TYPE="TEXT" NAME="quantity" SIZE="10" MAXLENGTH="10"
 133                  VALUE="{$prescription->quantity}"
 134                  onchange="quantityChanged()" />
 135         </td>
 136 </tr>
 137 {if $SIMPLIFIED_PRESCRIPTIONS && !$prescription->size}
 138 <tr style='display:none;'>
 139 {else}
 140 <tr>
 141 {/if}
 142         <td COLSPAN="1" ALIGN="LEFT" VALIGN="MIDDLE" >{xl t='Medicine Units'}</td>
 143         <td COLSPAN="2" ALIGN="LEFT" VALIGN="MIDDLE" >
 144                 <input TYPE="TEXT" NAME="size" SIZE="11" MAXLENGTH="10" VALUE="{$prescription->size}"/>
 145                 <select name="unit">{html_options options=$prescription->unit_array selected=$prescription->unit}</select>
 146         </td>
 147 </tr>
 148 <tr>
 149         <td COLSPAN="1" ALIGN="LEFT" VALIGN="MIDDLE" >{xl t='Take'}</td>
 150         <td COLSPAN="2" ALIGN="LEFT" VALIGN="MIDDLE" >
 151 {if $SIMPLIFIED_PRESCRIPTIONS && !$prescription->form && !$prescription->route && !$prescription->interval}
 152                 <input TYPE="text" NAME="dosage" SIZE="30" MAXLENGTH="100" VALUE="{$prescription->dosage}" />
 153                 <input type="hidden" name="form" value="0" />
 154                 <input type="hidden" name="route" value="0" />
 155                 <input type="hidden" name="interval" value="0" />
 156 {else}
 157                 <input TYPE="TEXT" NAME="dosage" SIZE="2" MAXLENGTH="10" VALUE="{$prescription->dosage}"/> {xl t='in'}
 158                 <select name="form">{html_options options=$prescription->form_array selected=$prescription->form}</select>
 159                 <select name="route">{html_options options=$prescription->route_array selected=$prescription->route}</select>
 160                 <select name="interval">{html_options options=$prescription->interval_array selected=$prescription->interval}</select>
 161 {/if}
 162         </td>
 163 </tr>
 164 <tr>
 165         <td COLSPAN="1" ALIGN="LEFT" VALIGN="MIDDLE" >{xl t='Refills'}</td>
 166         <td COLSPAN="2" ALIGN="LEFT" VALIGN="MIDDLE" >
 167                 {html_options name="refills" options=$prescription->refills_array selected=$prescription->refills}
 168 {if $SIMPLIFIED_PRESCRIPTIONS}
 169                 <input TYPE="hidden" ID="per_refill" NAME="per_refill" VALUE="{$prescription->per_refill}" />
 170 {else}
 171                 &nbsp; &nbsp; # {xl t='of tablets'}:
 172                 <input TYPE="TEXT" ID="per_refill" NAME="per_refill" SIZE="2" MAXLENGTH="10" VALUE="{$prescription->per_refill}" />
 173 {/if}
 174         </td>
 175 </tr>
 176 <!--
 177 <tr>
 178         <td COLSPAN="1" ALIGN="LEFT" VALIGN="MIDDLE" >{xl t='Substitution'}</td>
 179         <td COLSPAN="2" ALIGN="LEFT" VALIGN="MIDDLE" >
 180     {html_options name="substitute" options=$prescription->substitute_array selected=$prescription->substitute}
 181         </td>
 182 </tr>
 183 -->
 184 <tr>
 185         <td COLSPAN="1" ALIGN="LEFT" VALIGN="MIDDLE" >{xl t='Notes'}</td>
 186         <td COLSPAN="2" ALIGN="LEFT" VALIGN="MIDDLE" >
 187         <textarea name="note" cols="30" rows="2" wrap="virtual">{$prescription->note}</textarea>
 188         </td>
 189 </tr>
 190 <tr>
 191 {if $WEIGHT_LOSS_CLINIC}
 192   <td COLSPAN="1" ALIGN="LEFT" VALIGN="MIDDLE" >{xl t='Substitution'}</td>
 193   <td COLSPAN="2" ALIGN="LEFT" VALIGN="MIDDLE" >
 194     {html_options name="substitute" options=$prescription->substitute_array selected=$prescription->substitute}
 195   </td>
 196 {else}
 197   <td COLSPAN="1" ALIGN="LEFT" VALIGN="MIDDLE" >{xl t='Add to Medication List'}</td>
 198   <td COLSPAN="2" ALIGN="LEFT" VALIGN="MIDDLE" >
 199     {html_radios name="medication" options=$prescription->medication_array selected=$prescription->medication}
 200     &nbsp; &nbsp;
 201     {html_options name="substitute" options=$prescription->substitute_array selected=$prescription->substitute}
 202   </td>
 203 {/if}
 204 </tr>
 205 <tr>
 206         <td colspan="3">
 207                 <input type="submit" value="{xl t='Save'}" />
 208                 {if $DRUG_ARRAY_VALUES}
 209                 &nbsp; &nbsp; &nbsp; &nbsp;
 210                 {if $prescription->get_refills() >= $prescription->get_dispensation_count()}
 211                 <input type="submit" name="disp_button" value="{xl t='Save and Dispense'}" />
 212                 <input type="text" name="disp_quantity" size="2" maxlength="10" value="{$DISP_QUANTITY}" />
 213                 units, $
 214                 <input type="text" name="disp_fee" size="5" maxlength="10" value="{$DISP_FEE}" />
 215                 {else}
 216                 {xl t=' prescription has reached its limit of'} {$prescription->get_refills()} {xl t='refills'}.
 217                 {/if}
 218                 {/if}
 219         </td>
 220 </tr>
 221 </table>
 222 <input type="hidden" name="id" value="{$prescription->id}" />
 223 <input type="hidden" name="process" value="{$PROCESS}" />
 224 <script language='JavaScript'>
 225 {$ENDING_JAVASCRIPT}
 226 </script>
 227 </form>
 228 </body>
 229 </html>