interface/forms/eye_mag/SpectacleRx.php

   1 <?php
   2
   3 /**
   4  * forms/eye_mag/SpectacleRx.php
   5  *
   6  * Functions for printing a glasses prescription
   7  *
   8  * Copyright (C) 2016 Raymond Magauran <magauran@MedFetch.com>
   9  *
  10  * LICENSE: This program is free software: you can redistribute it and/or modify
  11  *  it under the terms of the GNU Affero General Public License as
  12  *  published by the Free Software Foundation, either version 3 of the
  13  *  License, or (at your option) any later version.
  14  *
  15  *  This program is distributed in the hope that it will be useful,
  16  *  but WITHOUT ANY WARRANTY; without even the implied warranty of
  17  *  MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE.  See the
  18  *  GNU Affero General Public License for more details.
  19  *
  20  *  You should have received a copy of the GNU Affero General Public License
  21  *  along with this program.  If not, see <http://www.gnu.org/licenses/>.
  22  *
  23  * @package OpenEMR
  24  * @author Ray Magauran <magauran@MedFetch.com>
  25  * @link http://www.open-emr.org
  26  */
  27
  28 $fake_register_globals=false;
  29 $sanitize_all_escapes=true;
  30
  31 require_once("../../globals.php");
  32 require_once("$srcdir/html2pdf/vendor/autoload.php");
  33 require_once("$srcdir/api.inc");
  34 require_once("$srcdir/acl.inc");
  35 require_once("$srcdir/forms.inc");
  36 require_once("$srcdir/lists.inc");
  37 require_once("$srcdir/options.inc.php");
  38 require_once("$srcdir/formatting.inc.php");
  39
  40 require_once($srcdir . "/../controllers/C_Document.class.php");
  41 require_once($srcdir . "/documents.php");
  42 require_once("$srcdir/patient.inc");
  43 require_once("$srcdir/report.inc");
  44 require_once("$srcdir/classes/Document.class.php");
  45 require_once("$srcdir/classes/Note.class.php");
  46 require_once("$srcdir/html2pdf/html2pdf.class.php");
  47
  48
  49 $form_name = "Eye Form";
  50 $form_folder = "eye_mag";
  51 require_once("php/".$form_folder."_functions.php");
  52
  53 $query = "SELECT * FROM patient_data where pid=?";
  54 $pat_data =  sqlQuery($query,array($data['pid']));
  55
  56 $providerID  =  getProviderIdOfEncounter($encounter);
  57 $providerNAME = getProviderName($providerID);
  58 $query = "SELECT * FROM users where id = ?";
  59 $prov_data =  sqlQuery($query,array($providerID));
  60
  61 $query = "SELECT * FROM facility WHERE primary_business_entity='1'";
  62 $practice_data = sqlQuery($query);
  63
  64 if (!$_REQUEST['pid']) $_REQUEST['pid'] = $_REQUEST['id'];
  65 $query = "SELECT * FROM patient_data where pid=?";
  66 $pat_data =  sqlQuery($query,array($_REQUEST['pid']));
  67
  68 if ($_REQUEST['mode'] =="update") {  //store any changed fields in dispense table
  69     $table_name = "form_eye_mag_dispense";
  70     $query = "show columns from ".$table_name;
  71     $dispense_fields = sqlStatement($query);
  72     $fields = array();
  73
  74     if (sqlNumRows($dispense_fields) > 0) {
  75         while ($row = sqlFetchArray($dispense_fields)) {
  76       //exclude critical columns/fields, define below as needed
  77       if ($row['Field'] == 'id' ||
  78          $row['Field'] == 'pid' ||
  79          $row['Field'] == 'user' ||
  80          $row['Field'] == 'groupname' ||
  81          $row['Field'] == 'authorized' ||
  82          $row['Field'] == 'activity'
  83          ) continue;
  84             if (isset($_POST[$row['Field']])) $fields[$row['Field']] = $_POST[$row['Field']];
  85         }
  86         $fields['RXTYPE']=$RXTYPE;
  87
  88         $insert_this_id = formUpdate($table_name, $fields, $_POST['id'], $_SESSION['userauthorized']);
  89     }
  90     exit;
  91 } elseif ($_REQUEST['mode'] =="remove") {
  92     $query ="DELETE FROM form_eye_mag_dispense where id=?";
  93     sqlStatement($query,array($_REQUEST['delete_id']));
  94     echo xlt('Prescription successfully removed.');
  95     exit;
  96 } elseif ($_REQUEST['RXTYPE']) {  //store any changed fields
  97     $query ="UPDATE form_eye_mag_dispense set RXTYPE=? where id=?";
  98     sqlStatement($query,array($_REQUEST['RXTYPE'],$_REQUEST['id']));
  99     exit;
 100 }
 101
 102
 103 formHeader("Rx Vision: ".$prov_data[facility]);
 104
 105 if ($_REQUEST['REFTYPE']) {
 106     $REFTYPE = $_REQUEST['REFTYPE'];
 107     if ($REFTYPE == "AR") $RXTYPE = "Bifocal";
 108     if ($REFTYPE == "MR") $RXTYPE = "Bifocal";
 109     if ($REFTYPE == "CTL") $RXTYPE = "Bifocal";
 110
 111     $id = $_REQUEST['id'];
 112     $table_name = "form_eye_mag";
 113     if (!$_REQUEST['encounter']) {
 114         $encounter = $_SESSION['encounter'];
 115     } else {
 116         $encounter = $_REQUEST['encounter'];
 117     }
 118     $query = "SELECT * FROM form_eye_mag JOIN forms on forms.form_id = form_eye_mag.id
 119     where form_eye_mag.pid =? and forms.encounter=? and forms.deleted !='1'";
 120
 121     $data =  sqlQuery($query, array($id,$encounter) );
 122
 123     if ($REFTYPE =="W") {
 124         //we have rx_number 1-5 to process...
 125         $query = "select * from form_eye_mag_wearing where ENCOUNTER=? and FORM_ID=? and PID=? and RX_NUMBER=?";
 126         $wear = sqlStatement($query,array($encounter,$_REQUEST['form_id'],$_REQUEST['pid'],$_REQUEST['rx_number']));
 127         $wearing = sqlFetchArray($wear);
 128         $ODSPH = $wearing['ODSPH'];
 129         $ODAXIS = $wearing['ODAXIS'];
 130         $ODCYL = $wearing['ODCYL'];
 131         $OSSPH = $wearing['OSSPH'];
 132         $OSCYL = $wearing['OSCYL'];
 133         $OSAXIS = $wearing['OSAXIS'];
 134         $COMMENTS = $wearing['COMMENTS'];
 135         $ODMIDADD = $wearing['ODMIDADD'];
 136         $ODADD2 = $wearing['ODADD'];
 137         $OSMIDADD = $wearing['OSMIDADD'];
 138         $OSADD2 = $wearing['OSADD'];
 139         @extract($wearing);
 140         if ($wearing['RX_TYPE']=='0') {
 141             $Single="checked='checked'";
 142             $RXTYPE="Single";
 143         } elseif ($wearing['RX_TYPE']=='1'){
 144             $Bifocal ="checked='checked'";
 145             $RXTYPE="Bifocal";
 146         } elseif ($wearing['RX_TYPE']=='2'){
 147             $Trifocal ="checked='checked'";
 148             $RXTYPE="Trifocal";
 149         } elseif ($wearing['RX_TYPE']=='3'){
 150             $Progressive ="checked='checked'";
 151             $RXTYPE="Progressive";
 152         }
 153         //do LT and Lens materials
 154     } elseif ($REFTYPE =="AR") {
 155             $ODSPH = $data['ARODSPH'];
 156             $ODAXIS = $data['ARODAXIS'];
 157             $ODCYL = $data['ARODCYL'];
 158             $ODPRISM = $data['ARODPRISM'];
 159             $OSSPH = $data['AROSSPH'];
 160             $OSCYL = $data['AROSCYL'];
 161             $OSAXIS = $data['AROSAXIS'];
 162             $OSPRISM = $data['AROSPRISM'];
 163             $COMMENTS = $data['CRCOMMENTS'];
 164             $ODADD2 = $data['ARODADD'];
 165             $OSADD2 = $data['AROSADD'];
 166             $Bifocal ="checked='checked'";
 167     } elseif ($REFTYPE =="MR") {
 168             $ODSPH = $data['MRODSPH'];
 169             $ODAXIS = $data['MRODAXIS'];
 170             $ODCYL = $data['MRODCYL'];
 171             $ODPRISM = $data['MRODPRISM'];
 172             $OSSPH = $data['MROSSPH'];
 173             $OSCYL = $data['MROSCYL'];
 174             $OSAXIS = $data['MROSAXIS'];
 175             $OSPRISM = $data['MROSPRISM'];
 176             $COMMENTS = $data['CR_COMMENTS'];
 177             $ODADD2 = $data['MRODADD'];
 178             $OSADD2 = $data['MROSADD'];
 179             $Bifocal ="checked='checked'";
 180     } elseif ($REFTYPE =="CR") {
 181             $ODSPH = $data['CRODSPH'];
 182             $ODAXIS = $data['CRODAXIS'];
 183             $ODCYL = $data['CRODCYL'];
 184             $ODPRISM = $data['CRODPRISM'];
 185             $OSSPH = $data['CROSSPH'];
 186             $OSCYL = $data['CROSCYL'];
 187             $OSAXIS = $data['CROSAXIS'];
 188             $OSPRISM = $data['CROSPRISM'];
 189             $COMMENTS = $data['CRCOMMENTS'];
 190     } elseif ($REFTYPE=="CTL") {
 191             $ODSPH = $data['CTLODSPH'];
 192             $ODAXIS = $data['CTLODAXIS'];
 193             $ODCYL = $data['CTLODCYL'];
 194             $ODPRISM = $data['CTLODPRISM'];
 195
 196             $OSSPH = $data['CTLOSSPH'];
 197             $OSCYL = $data['CTLOSCYL'];
 198             $OSAXIS = $data['CTLOSAXIS'];
 199             $OSPRISM = $data['CTLOSPRISM'];
 200
 201             $ODBC = $data['CTLODBC'];
 202             $ODDIAM = $data['CTLODDIAM'];
 203             $ODADD = $data['CTLODADD'];
 204             $ODVA = $data['CTLODVA'];
 205
 206             $OSBC = $data['CTLOSBC'];
 207             $OSDIAM = $data['CTLOSDIAM'];
 208             $OSADD = $data['CTLOSADD'];
 209             $OSVA = $data['CTLOSVA'];
 210
 211             $COMMENTS = $data['CTL_COMMENTS'];
 212
 213             $CTLMANUFACTUREROD  = getListItemTitle('CTLManufacturer', $data['CTLMANUFACTUREROD']);
 214             $CTLMANUFACTUREROS  = getListItemTitle('CTLManufacturer', $data['CTLMANUFACTUREROS']);
 215             $CTLSUPPLIEROD      = getListItemTitle('CTLManufacturer', $data['CTLSUPPLIEROD']);
 216             $CTLSUPPLIEROS      = getListItemTitle('CTLManufacturer', $data['CTLSUPPLIEROS']);
 217             $CTLBRANDOD         = getListItemTitle('CTLManufacturer', $data['CTLBRANDOD']);
 218             $CTLBRANDOS         = getListItemTitle('CTLManufacturer', $data['CTLBRANDOS']);
 219    }
 220
 221     //Since we selected the Print Icon, we must be dispensing this - add to dispensed table now
 222     $table_name = "form_eye_mag_dispense";
 223     $query = "show columns from ".$table_name;
 224     $dispense_fields = sqlStatement($query);
 225     $fields = array();
 226
 227     if (sqlNumRows($dispense_fields) > 0) {
 228         while ($row = sqlFetchArray($dispense_fields)) {
 229       //exclude critical columns/fields, define below as needed
 230       if ($row['Field'] == 'id' ||
 231          $row['Field'] == 'pid' ||
 232          $row['Field'] == 'user' ||
 233          $row['Field'] == 'groupname' ||
 234          $row['Field'] == 'authorized' ||
 235          $row['Field'] == 'activity' ||
 236          $row['Field'] == 'RXTYPE' ||
 237          $row['Field'] == 'REFDATE'
 238          )
 239         continue;
 240             if (isset(${$row['Field']})) $fields[$row['Field']] = ${$row['Field']};
 241         }
 242         $fields['RXTYPE']=$RXTYPE;
 243         $fields['REFDATE'] = $data['date'];
 244
 245         $insert_this_id = formSubmit($table_name, $fields, $form_id, $_SESSION['userauthorized']);
 246     }
 247 }
 248 if ($_REQUEST['dispensed']) {
 249
 250     $query = "SELECT * from form_eye_mag_dispense where pid =? ORDER BY date DESC";
 251     $dispensed = sqlStatement($query,array($_REQUEST['pid']));
 252     ?><html>
 253         <title><?php echo xlt('Rx Dispensed History'); ?></title>
 254         <head>
 255             <script src="<?php echo $GLOBALS['assets_static_relative'] ?>/jquery-min-1-10-2/index.js"></script>
 256             <script src="<?php echo $GLOBALS['assets_static_relative'] ?>/bootstrap-3-3-4/dist/js/bootstrap.min.js"></script>
 257             <script src="<?php echo $GLOBALS['assets_static_relative'] ?>/qtip2-2-2-1/jquery.qtip.min.js"></script>
 258             <script type="text/javascript" src="<?php echo $webroot ?>/interface/main/tabs/js/include_opener.js"></script>
 259
 260             <link rel="stylesheet" href="<?php echo $GLOBALS['assets_static_relative'] ?>/jquery-ui-1-10-4/themes/ui-lightness/jquery-ui.min.css">
 261             <link rel="stylesheet" href="<?php echo $GLOBALS['assets_static_relative'] ?>/pure-0-5-0/pure-min.css">
 262             <link rel="stylesheet" href="<?php echo $GLOBALS['assets_static_relative'] ?>/bootstrap-3-3-4/dist/css/bootstrap.min.css">
 263             <link rel="stylesheet" href="<?php echo $GLOBALS['assets_static_relative'] ?>/qtip2-2-2-1/jquery.qtip.min.css" />
 264             <link rel="stylesheet" href="<?php echo $GLOBALS['css_header']; ?>" type="text/css">
 265             <link rel="stylesheet" href="<?php echo $GLOBALS['assets_static_relative'] ?>/font-awesome-4-6-3/css/font-awesome.min.css">
 266             <link rel="stylesheet" href="<?php echo $css_header;?>" type="text/css">
 267             <link rel="stylesheet" href="../../forms/<?php echo $form_folder; ?>/css/style.css" type="text/css">
 268
 269             <style>
 270                 .refraction {
 271                     top:1in;
 272                     float:left;
 273                     min-height:1.0in;
 274                     border: 1.00pt solid #000000;
 275                     padding: 5;
 276                     border-radius: 8px;
 277                     margin: 5 auto;
 278                 }
 279                 .refraction td {
 280                     text-align:center;
 281                     font-size:8pt;
 282                     padding:2;
 283                     text-align: text-middle;
 284                     text-decoration: none;
 285                 }
 286                 table {
 287                     font-size: 1.0em;
 288                     padding: 2px;
 289                     color: black;
 290                     vertical-align: text-top;
 291                 }
 292
 293                 input[type=text] {
 294                     text-align: right;
 295                     width:50px;
 296                     background-color: white;
 297                 }
 298                 .refraction  b{
 299                     text-decoration:bold;
 300                 }
 301                 .refraction td.right {
 302                     text-align: right;
 303                     text-decoration: none;
 304                     vertical-align: text-top;
 305                 }
 306                 .refraction td.left {
 307                     text-align: left;
 308                     vertical-align: top;
 309                 }
 310
 311                 .right {
 312                     text-align:right;
 313                     vertical-align: text-top;
 314                 }
 315                 .left {
 316                     text-align:left;
 317                     vertical-align: top;
 318                 }
 319                 .title {
 320                     font-size: 0.9em;
 321                     font-weight:normal;
 322                 }
 323             </style>
 324             <script language="JavaScript">
 325                 <?php       require_once("$srcdir/restoreSession.php");  ?>
 326
 327                 function delete_me(delete_id){
 328                     top.restoreSession();
 329                     var url = "../../forms/eye_mag/SpectacleRx.php";
 330                     $.ajax({
 331                        type     : 'POST',
 332                        url      : url,
 333                        data     : {
 334                             mode        : 'remove',
 335                             delete_id   : delete_id,
 336                             dispensed   : '1'
 337                         } // our data object
 338                        }).done(function(o) {
 339                         $('#RXID_'+delete_id).hide();
 340                         alert(o);
 341                     });
 342                 }
 343
 344             </script>
 345         </head>
 346         <body>
 347             <?php echo report_header($pid,"web"); ?>
 348             <div style="margin:5;text-align:center;">
 349                 <table>
 350                     <tr>
 351                         <td colspan="2"><h4 class="underline"><?php echo xlt('Rx History'); ?></h4></td>
 352                     </tr>
 353                     <?php
 354                     if (sqlNumRows($dispensed) == 0) {
 355                         echo "<tr><td colspan='2' style='font-size:1.2em;text-align:middle;padding:25px;'>".xlt('There are no Glasses or Contact Lens Presciptions on file for this patient')."</td></tr>";
 356                     }
 357                     ?>
 358                 </table>
 359                 <?php
 360                 while ($row = sqlFetchArray($dispensed)) {
 361                     $i++;
 362                     $Single ='';$Bifocal='';$Trifocal='';$Progressive='';
 363                     if ($row['RXTYPE'] == "Single") $Single = "checked='checked'";
 364                     if ($row['RXTYPE'] == "Bifocal") $Bifocal = "checked='checked'";
 365                     if ($row['RXTYPE'] == "Trifocal") $Trifocal = "checked='checked'";
 366                     if ($row['RXTYPE'] == "Progressive") $Progressive = "checked='checked'";
 367
 368                     $row['REFDATE'] = oeFormatShortDate($row['REFDATE']);
 369                     $row['date'] = oeFormatShortDate($row['REFDATE']);
 370                     ?>
 371                     <div id="RXID_<?php echo attr($row['id']); ?>" style="position:relative;width:640px;text-align:center;margin: 10 auto;">
 372                         <i class="pull-right fa fa-close" onclick="delete_me('<?php echo attr(addslashes($row['id'])); ?>');" title="<?php echo xla('Remove this Prescription from the list of RXs dispensed'); ?>"></i>
 373                         <table style="min-width:615px;">
 374                         <tr>
 375                             <td class="right bold" style="width:250px;"><b><?php echo xlt('RX Date'); ?>: </b></td>
 376                             <td>&nbsp;&nbsp;<?php echo text($row['date']); ?></td>
 377                         </tr>
 378                         <tr>
 379                             <td class="right bold"><b><?php echo xlt('Visit Date'); ?>: </b></td>
 380                             <td>&nbsp;&nbsp;<?php echo text($row['REFDATE']); ?></td>
 381                         </tr>
 382
 383                         <tr>
 384                             <td class="right bold"><?php echo xlt('Refraction Method'); ?>: </td>
 385                             <td>&nbsp;&nbsp;<?php
 386                                 if ($row['REFTYPE'] == "W") {
 387                                     echo xlt('Duplicate Rx -- unchanged from current Rx{{The refraction did not change, New Rx=old Rx}}');
 388                                 } else if ($row['REFTYPE'] == "CR") {
 389                                     echo xlt('Cycloplegic (Wet) Refraction');
 390                                 } else if ($row['REFTYPE'] == "MR") {
 391                                     echo xlt('Manifest (Dry) Refraction');
 392                                 } else if ($row['REFTYPE'] == "AR") {
 393                                     echo xlt('Auto Refraction');
 394                                 } else if ($row['REFTYPE'] == "CTL") {
 395                                     echo xlt('Contact Lens');
 396                                 }  ?>
 397                             </td>
 398                         </tr>
 399                         <tr>
 400                             <td colspan="2"> <?php
 401                                 if ($row['REFTYPE'] != "CTL") { ?>
 402                                     <table id="SpectacleRx" name="SpectacleRx" class="refraction" style="top:0px;">
 403                                         <tr style="font-style:bold;">
 404                                             <td></td>
 405                                             <td></td>
 406                                             <td class="center"><?php echo xlt('Sph{{Sphere}}'); ?></td>
 407                                             <td class="center"><?php echo xlt('Cyl{{Cylinder}}'); ?></td>
 408                                             <td class="center"><?php echo xlt('Axis{{Axis of a glasses prescription}}'); ?></td>
 409                                             <td rowspan="5" class="right bold underline" colspan="2" style="min-width:200px;font-weight:bold;">
 410                                                 <?php echo xlt('Rx Type'); ?><br /><br />
 411                                                 <?php echo xlt('Single'); ?>
 412                                                     <input type="radio" disabled <?php echo text($Single); ?>><br />
 413                                                 <?php echo xlt('Bifocal'); ?>
 414                                                     <input type="radio" disabled <?php echo text($Bifocal); ?>><br />
 415                                                 <?php echo xlt('Trifocal'); ?>
 416                                                     <input type="radio" disabled <?php echo text($Trifocal); ?>><br />
 417                                                 <?php echo xlt('Prog.{{Progressive lenses}}'); ?>
 418                                                     <input type="radio" disabled <?php echo text($Progressive); ?>><br />
 419                                             </td>
 420                                         </tr>
 421                                         <tr>
 422                                             <td rowspan="2" style="text-align:right;font-weight:bold;"><?php echo xlt('Distance'); ?></td>
 423                                             <td><b><?php echo xlt('OD{{right eye}}'); ?></b></td>
 424                                             <td><?php echo text($row['ODSPH']); ?></td>
 425                                             <td><?php echo text($row['ODCYL']); ?></td>
 426                                             <td><?php echo text($row['ODAXIS']); ?></td>
 427                                             <td><?php echo text($row['ODPRISM']); ?></td>
 428                                         </tr>
 429                                         <tr>
 430                                             <td><b><?php echo xlt('OS{{left eye}}'); ?></b></td>
 431                                             <td><?php echo text($row['OSSPH']); ?></td>
 432                                             <td><?php echo text($row['OSCYL']); ?></td>
 433                                             <td><?php echo text($row['OSAXIS']); ?></td>
 434                                             <td><?php echo text($row['OSPRISM']); ?></td>
 435                                         </tr>
 436                                         <tr class="NEAR">
 437                                             <td rowspan=2 nowrap><span style="text-decoration:none;"><?php echo xlt('ADD'); ?>:<br /><?php echo xlt("Mid{{Middle segment in a trifocal glasses prescription}}"); ?>/<?php echo xlt("Near"); ?></span></td>
 438                                             <td><b><?php echo xlt('OD{{right eye}}'); ?></b></td>
 439                                             <td class="WMid"><?php echo text($row['ODMIDADD']); ?></td>
 440                                             <td class="WAdd2"><?php echo text($row['ODADD2']); ?></td>
 441                                         </tr>
 442                                         <tr class="NEAR">
 443                                             <td><b><?php echo xlt('OS{{left eye}}'); ?></b></td>
 444                                             <td class="WMid"><?php echo text($row['OSMIDADD']); ?></td>
 445                                             <td class="WAdd2"><?php echo text($row['OSADD2']); ?></td>
 446                                         </tr>
 447                                         <tr style="">
 448                                             <td colspan="2" class="up" style="text-align:right;vertical-align:top;top:0px;font-weight:bold;"><?php echo xlt('Comments'); ?>:
 449                                             </td>
 450                                             <td colspan="4" class="up" style="text-align:left;vertical-align:middle;top:0px;">
 451                                                 <textarea style="width:100%;height:2.1em;" id="COMMENTS" disabled name="COMMENTS"><?php echo text($row['COMMENTS']); ?></textarea>
 452                                             </td>
 453                                         </tr>
 454                                     </table>
 455                                     <?php
 456                                 } else { ?>
 457                                 <center>
 458                                     <table id="CTLRx" name="CTLRx" class="refraction">
 459                                         <tr>
 460                                             <td colspan="4" class="bold underline left"><?php echo xlt('Right Lens'); ?></u></td>
 461                                         </tr>
 462                                         <tr>
 463                                             <td colspan="3" class="left"><?php echo text($row['CTLBRANDOD']); ?></td>
 464                                         </tr>
 465                                         <tr class="bold" style="text-decoration:underline;">
 466                                             <td></td>
 467                                             <td><?php echo xlt('Sph{{Sphere}}'); ?></td>
 468                                             <td><?php echo xlt('Cyl{{Cylinder}}'); ?></td>
 469                                             <td><?php echo xlt('Axis{{Axis of a glasses prescription}}'); ?></td>
 470                                             <td><?php echo xlt('BC{{Base Curve}}'); ?></td>
 471                                             <td><?php echo xlt('Diam{{Diameter}}'); ?></td>
 472                                             <td><?php echo xlt('ADD'); ?></td>
 473                                             <td><td>
 474                                             <td><?php echo xlt('Supplier'); ?></td>
 475                                         </tr>
 476                                         <tr>
 477                                             <td></td>
 478                                             <td><?php echo text($row['ODSPH']); ?></td>
 479                                             <td><?php echo text($row['ODCYL']); ?></td>
 480                                             <td><?php echo text($row['ODAXIS']); ?></td>
 481                                             <td><?php echo text($row['ODBC']); ?></td>
 482                                             <td><?php echo text($row['ODDIAM']); ?></td>
 483                                             <td><?php echo text($row['ODADD']); ?></td>
 484                                             <td colspan="3" class="right"><?php echo text($row['CTLSUPPLIEROD']); ?></td>
 485                                         </tr>
 486                                         <tr>
 487                                             <td colspan="4" class="bold underline left"><u><?php echo xlt('Left Lens'); ?></u>
 488                                             </td>
 489                                         </tr>
 490                                         <tr>
 491                                             <td colspan="3" class="left"><?php echo text($row['CTLBRANDOS']); ?></td>
 492                                         </tr>
 493                                         <tr class="bold" style="text-decoration:underline;">
 494                                             <td></td>
 495                                             <td><?php echo xlt('Sph{{Sphere}}'); ?></td>
 496                                             <td><?php echo xlt('Cyl{{Cylinder}}'); ?></td>
 497                                             <td><?php echo xlt('Axis{{Axis of a glasses prescription}}'); ?></td>
 498                                             <td><?php echo xlt('BC{{Base Curve}}'); ?></td>
 499                                             <td><?php echo xlt('Diam{{Diameter}}'); ?></td>
 500                                             <td><?php echo xlt('ADD'); ?></td>
 501                                             <td><td>
 502                                             <td><?php echo xlt('Supplier'); ?></td>
 503                                         </tr>
 504                                         <tr>
 505                                             <td></td>
 506                                             <td><?php echo text($row['OSSPH']); ?></td>
 507                                             <td><?php echo text($row['OSCYL']); ?></td>
 508                                             <td><?php echo text($row['OSAXIS']); ?></td>
 509                                             <td><?php echo text($row['OSBC']); ?></td>
 510                                             <td><?php echo text($row['OSDIAM']); ?></td>
 511                                             <td><?php echo text($row['OSADD']); ?></td>
 512                                             <td colspan="3" class="right"><?php echo text($row['CTLSUPPLIEROS']); ?></td>
 513
 514                                         </tr>
 515                                     </table>
 516                                 </center>
 517                                     <?php
 518                                 } ?>
 519                             </td>
 520                         </tr>
 521                         </table>
 522                     <hr>
 523
 524                     </div>
 525                     <?php
 526                 }
 527             ?>
 528             </div>
 529         </body>
 530     </html>
 531     <?php
 532     exit;
 533 }
 534     $filename = $pid."_".$encounter."_RX_".$REFTYPE.".pdf";
 535     $pdf = new HTML2PDF ($GLOBALS['pdf_layout'],
 536                          $GLOBALS['pdf_size'],
 537                          $GLOBALS['pdf_language'],
 538                          true,    // default unicode setting is true
 539                          'UTF-8', // default encoding setting is UTF-8
 540                          array($GLOBALS['pdf_left_margin'],$GLOBALS['pdf_top_margin'],$GLOBALS['pdf_right_margin'],$GLOBALS['pdf_bottom_margin']),
 541                          $_SESSION['language_direction'] == 'rtl' ? true : false
 542                       );
 543     ob_start();
 544     ?>
 545     <html>
 546         <head>
 547             <script src="<?php echo $GLOBALS['assets_static_relative'] ?>/jquery-min-1-10-2/index.js"></script>
 548             <script src="<?php echo $GLOBALS['assets_static_relative'] ?>/bootstrap-3-3-4/dist/js/bootstrap.min.js"></script>
 549             <script src="<?php echo $GLOBALS['assets_static_relative'] ?>/qtip2-2-2-1/jquery.qtip.min.js"></script>
 550
 551             <link rel="stylesheet" href="<?php echo $GLOBALS['assets_static_relative'] ?>/jquery-ui-1-10-4/themes/ui-lightness/jquery-ui.min.css">
 552             <link rel="stylesheet" href="<?php echo $GLOBALS['assets_static_relative'] ?>/pure-0-5-0/pure-min.css">
 553             <link rel="stylesheet" href="<?php echo $GLOBALS['assets_static_relative'] ?>/bootstrap-3-3-4/dist/css/bootstrap.min.css">
 554             <link rel="stylesheet" href="<?php echo $GLOBALS['assets_static_relative'] ?>/qtip2-2-2-1/jquery.qtip.min.css" />
 555             <link rel="stylesheet" href="<?php echo $GLOBALS['css_header']; ?>" type="text/css">
 556             <link rel="stylesheet" href="<?php echo $GLOBALS['assets_static_relative'] ?>/font-awesome-4-6-3/css/font-awesome.min.css">
 557             <link rel="stylesheet" href="<?php echo $css_header;?>" type="text/css">
 558             <link rel="stylesheet" href="../../forms/<?php echo $form_folder; ?>/css/style.css" type="text/css">
 559
 560             <style>
 561                 .title {
 562                   font-size:1em;
 563                   position:absolute;
 564                   right:10px;
 565                   top:30px;
 566                   font-size: 1em;
 567                 }
 568                 .refraction {
 569                     top:1in;
 570                     float:left;
 571                     min-height:1.0in;
 572                     border: 1.00pt solid #000000;
 573                     padding: 5;
 574                     box-shadow: 10px 10px 5px #888888;
 575                     border-radius: 8px;
 576                     margin: 5 auto 10 10;
 577                     width:5.0in;
 578                 }
 579                 .refraction td {
 580                     text-align:center;
 581                     font-size:8pt;
 582                     padding:5;
 583                     width:0.35in;
 584                     vertical-align: text-middle;
 585                     text-decoration: none;
 586                 }
 587                 table {
 588                     font-size: 1.0em;
 589                     padding: 2px;
 590                     color: black;
 591                     vertical-align: text-top;
 592                 }
 593
 594                 input[type=text] {
 595                     text-align: center;
 596                     width:60px;
 597                 }
 598                 .refraction  b{
 599                     text-decoration:bold;
 600                 }
 601                 .refraction td.right {
 602                     text-align: right;
 603                     text-decoration: none;
 604                     width:0.7in;
 605                     vertical-align: text-top;
 606                 }
 607                 .refraction td.left {
 608                     vertical-align: text-top;
 609                     text-align:left;
 610                 }
 611
 612                 .right {
 613                     text-align:right;
 614                     vertical-align: text-top;
 615                     xwidth:10%;
 616                 }
 617                 .left {
 618                     vertical-align: text-top;
 619                     text-align:left;
 620                 }
 621                 .title {
 622                     font-size: 0.9em;
 623                     font-weight:normal;
 624                 }
 625                 .bold {
 626                     font-weight:600;
 627                 }
 628                 input {
 629                     width:60px;
 630                 }
 631                 input[type="radio"] {
 632                     width:15px;
 633                 }
 634             </style>
 635                  <!-- jQuery library -->
 636
 637             <script language="JavaScript">
 638                 <?php require_once("$srcdir/restoreSession.php"); ?>
 639                 function pick_rxType(rxtype,id) {
 640                     var url = "../../forms/eye_mag/SpectacleRx.php";
 641                     var formData = {
 642                         'RXTYPE'     : rxtype,
 643                         'id'         : id
 644                     };
 645                     top.restoreSession();
 646                     $.ajax({
 647                    type         : 'POST',
 648                    url          : url,
 649                    data         : formData
 650                    });
 651                    if (rxtype == 'Trifocal') {
 652                     $("[name$='MIDADD']").show();
 653                     $("[name$='ADD2']").show();
 654                     } else if  (rxtype == 'Bifocal') {
 655                     $("[name$='MIDADD']").hide().val('');
 656                     $("[name$='ADD2']").show();
 657                     } else if  (rxtype == 'Progressive') {
 658                     $("[name$='MIDADD']").hide().val('');
 659                     $("[name$='ADD2']").show();
 660                     } else if (rxtype =="Single") {
 661                     $("[name$='MIDADD']").hide().val('');
 662                     $("[name$='ADD2']").hide().val('');
 663                    }
 664                 }
 665                 function submit_form(){
 666                     var url = "../../forms/eye_mag/SpectacleRx.php?mode=update";
 667                     formData = $("form#Spectacle").serialize();
 668                     top.restoreSession();
 669                     $.ajax({
 670                        type     : 'POST',
 671                        url      : url,
 672                        data     : formData
 673                        });
 674                 }
 675                 //add sph and cyl, flip cyl sign, rotate axis 90.
 676                 function reverse_cylinder() {
 677                     var Rsph  = $('#ODSPH').val();
 678                     var Rcyl  = $('#ODCYL').val();
 679                     var Raxis = $('#ODAXIS').val();
 680                     var Lsph  = $('#OSSPH').val();
 681                     var Lcyl  = $('#OSCYL').val();
 682                     var Laxis = $('#OSAXIS').val();
 683                     if (Rsph=='' && Rcyl =='' && Lsph=='' && lcyl =='') return;
 684                     if ((!Rcyl.match(/SPH/i)) && (Rcyl >'')) {
 685                         if (Rsph.match(/plano/i)) Rsph ='0';
 686                         Rsph = Number(Rsph);
 687                         Rcyl = Number(Rcyl);
 688                         Rnewsph = Rsph + Rcyl;
 689                         if (Rnewsph ==0) Rnewsph ="PLANO";
 690                         Rnewcyl = Rcyl * -1;
 691                         if (Rnewcyl > 0) Rnewcyl = "+"+Rnewcyl;
 692                         if (parseInt(Raxis) < 90) {
 693                             Rnewaxis = parseInt(Raxis) + 90;
 694                         } else {
 695                             Rnewaxis = parseInt(Raxis) - 90;
 696                         }
 697                         if (Rnewcyl=='0') Rnewcyl = "SPH";
 698                         if (Rnewsph =='0') {
 699                             Rnewsph ="PLANO";
 700                             if (Rnewcyl =="SPH") Rnewcyl = '';
 701                         }
 702                         $("#ODSPH").val(Rnewsph);
 703                         $("#ODCYL").val(Rnewcyl);
 704                         $("#ODAXIS").val(Rnewaxis);
 705                         $('#ODAXIS').trigger('blur');
 706                         $('#ODSPH').trigger('blur');
 707                         $('#ODCYL').trigger('blur');
 708                     }
 709                      if ((!Lcyl.match(/SPH/i)) && (Lcyl >'')) {
 710                         if (!Lsph.match(/\d/)) Lsph ='0';
 711                         Lsph = Number(Lsph);
 712                         Lcyl = Number(Lcyl);
 713                         Lnewsph = Lsph + Lcyl;
 714                         Lnewcyl = Lcyl * -1;
 715                         if (Lnewcyl > 0) Lnewcyl = "+"+ Lnewcyl;
 716                         if (parseInt(Laxis) < 90) {
 717                             Lnewaxis = parseInt(Laxis) + 90;
 718                         } else {
 719                             Lnewaxis = parseInt(Laxis) - 90;
 720                         }
 721
 722                         if (Lnewcyl=='0') Lnewcyl = "SPH";
 723                         if (Lnewsph =='0') {
 724                             Lnewsph ="PLANO";
 725                             if (Lnewcyl =="SPH") Lnewcyl = '';
 726                         }
 727
 728                         $("#OSSPH").val(Lnewsph);
 729                         $("#OSCYL").val(Lnewcyl);
 730                         $("#OSAXIS").val(Lnewaxis);
 731                         $('#OSAXIS').trigger('blur');
 732                         $('#OSSPH').trigger('blur');
 733                         $('#OSCYL').trigger('blur');
 734                     }
 735                 }
 736             </script>
 737         </head>
 738         <body>
 739             <?php echo report_header($pid,"web");
 740             $visit= getEncounterDateByEncounter($encounter);
 741             $visit_date = $visit['date'];
 742             ?>
 743             <br /><br />
 744             <form method="post" action="<?php echo $rootdir;?>/forms/<?php echo text($form_folder); ?>/SpectacleRx.php?mode=update" id="Spectacle" class="eye_mag pure-form" name="Spectacle" style="text-align:center;">
 745               <!-- start container for the main body of the form -->
 746                 <input type="hidden" name="REFDATE" id="REFDATE" value="<?php echo attr($data['date']); ?>">
 747                 <input type="hidden" name="RXTYPE" id="RXTYPE" value="<?php echo attr($RXTYPE); ?>">
 748                 <input type="hidden" name="pid" id="pid" value="<?php echo attr($pid); ?>">
 749                 <input type="hidden" name="id" id="id" value="<?php echo attr($insert_this_id); ?>">
 750                 <div style="margin:5;text-align:center;display:inline-block;">
 751
 752                     <table style="min-width:615px;">
 753                         <tr>
 754                             <td>
 755                                 <?php
 756
 757                                 if ($REFTYPE !="CTL") { ?>
 758                                     <table id="SpectacleRx" name="SpectacleRx" class="refraction bordershadow" style="min-width:610px;top:0px;">
 759                                         <tr style="font-weight:bold;text-align:center;">
 760                                             <td><i name="reverse"  id="reverse" class="fa fa-gamepad fa-2x"></i></td>
 761                                             <td></td>
 762                                             <td><?php echo xlt('Sph{{Sphere}}'); ?></td>
 763                                             <td><?php echo xlt('Cyl{{Cylinder}}'); ?></td>
 764                                             <td><?php echo xlt('Axis{{Axis of a glasses prescription}}'); ?></td>
 765                                             <td rowspan="5" class="right" colspan="3" style="min-width:200px;font-weight:bold;">
 766                                                 <b style="font-weight:bold;text-decoration:underline;"><?php echo xlt('Rx Type'); ?></b><br /><br />
 767                                                 <b id="SingleVision_span" name="SingleVision_span"><?php echo xlt('Single'); ?>
 768                                                     <input type="radio" onclick="pick_rxType('Single','<?php echo attr(addslashes($insert_this_id)); ?>');" value="Single" id="RXTYPE" name="RXTYPE" class="input-helper--radio input-helper--radio" <?php echo attr($Single); ?>></b><br />
 769                                                 <b id="Bifocal_span" name="Bifocal_span"><?php echo xlt('Bifocal'); ?>
 770                                                     <input type="radio" onclick="pick_rxType('Bifocal','<?php echo attr(addslashes($insert_this_id)); ?>');" value="Bifocal" id="RXTYPE" name="RXTYPE" <?php echo attr($Bifocal); ?>></b><br />
 771                                                 <b id="Trifocal_span" name="Trifocal_span"><?php echo xlt('Trifocal'); ?>
 772                                                     <input type="radio" onclick="pick_rxType('Trifocal','<?php echo attr(addslashes($insert_this_id)); ?>');" value="Trifocal" id="RXTYPE" name="RXTYPE" <?php echo attr($Trifocal); ?>></b><br />
 773                                                 <b id="Progressive_span"><?php echo xlt('Prog.{{Progressive lenses}}'); ?>
 774                                                     <input type="radio" onclick="pick_rxType('Progressive','<?php echo attr(addslashes($insert_this_id)); ?>');" value="Progressive" id="RXTYPE" name="RXTYPE" <?php echo attr($Progressive); ?>></b><br />
 775                                             </td>
 776                                         </tr>
 777                                         <tr class="center">
 778                                             <td rowspan="2"  style="text-align:right;font-weight:bold;"><?php echo xlt('Distance'); ?></td>
 779                                             <td style="text-align:right;font-weight:bold;"><?php echo xlt('OD{{right eye}}'); ?></td>
 780                                             <td><input type=text id="ODSPH" name="ODSPH" value="<?php echo attr($ODSPH); ?>"></td>
 781                                             <td><input type=text id="ODCYL" name="ODCYL" value="<?php echo attr($ODCYL); ?>"></td>
 782                                             <td><input type=text id="ODAXIS" name="ODAXIS" value="<?php echo attr($ODAXIS); ?>"></td>
 783                                         </tr>
 784                                         <tr class="center">
 785                                             <td name="W_wide" style="text-align:right;font-weight:bold;"><?php echo xlt('OS{{left eye}}'); ?></td>
 786                                             <td><input type=text id="OSSPH" name="OSSPH" value="<?php echo attr($OSSPH); ?>"></td>
 787                                             <td><input type=text id="OSCYL" name="OSCYL" value="<?php echo attr($OSCYL); ?>"></td>
 788                                             <td><input type=text id="OSAXIS" name="OSAXIS" value="<?php echo attr($OSAXIS); ?>"></td>
 789                                         </tr>
 790                                         <tr class="NEAR center">
 791                                             <td rowspan=2 nowrap style="text-decoration:none;text-align:right;font-weight:bold;"><?php echo xlt('ADD'); ?>:<br /><?php echo xlt("Mid{{Middle segment in a trifocal glasses prescription}}"); ?>/<?php echo xlt("Near"); ?></td>
 792                                             <td style="text-align:right;font-weight:bold;"><?php echo xlt('OD{{right eye}}'); ?></td>
 793                                             <td name="COLADD1"><input type="text" id="ODMIDADD" name="ODMIDADD" value="<?php echo attr($ODMIDADD); ?>"></td>
 794                                             <td class="WAdd2"><input type="text" id="ODADD2" name="ODADD2" value="<?php echo attr($ODADD2); ?>"></td>
 795                                         </tr>
 796                                         <tr class="NEAR center">
 797                                             <td style="text-align:right;font-weight:bold;"><?php echo xlt('OS{{left eye}}'); ?></td>
 798                                             <td name="COLADD1"><input type="text" id="OSMIDADD" name="OSMIDADD" value="<?php echo attr($OSMIDADD); ?>"></td>
 799                                             <td class="WAdd2"><input type="text" id="OSADD2" name="OSADD2" value="<?php echo attr($OSADD2); ?>"></td>
 800                                         </tr>
 801                                         <tr>
 802                                             <td colspan="2" style="text-align:right;font-weight:bold;"><?php echo xlt('Comments'); ?>:</td>
 803                                             <td colspan="4">
 804                                                 <textarea style="width:100%;height:5em;" id="COMMENTS" name="COMMENTS"><?php echo text($COMMENTS); ?></textarea>
 805                                             </td>
 806                                         </tr>
 807                                         <!-- start Dispense data -->
 808                                         <tr class="header closeButton">
 809                                             <td colspan="9" class="right">
 810                                                 <span><?php
 811                                                         if ($ODHPD||$ODHBASE||$ODVPD||$ODVBASE||$ODSLABOFF||$ODVERTEXDIST||
 812                                                             $OSHPD||$OSHBASE||$OSVPD||$OSVBASE||$OSSLABOFF||$OSVERTEXDIST||
 813                                                             $ODMPDD||$ODMPDN||$OSMPDD||$OSMPDN||$BPDD||$BPDN||
 814                                                             $LENS_MATERIAL||$LENS_TREATMENTS)
 815                                                         {
 816                                                             $detailed = '1';
 817                                                             ?><i class="fa fa-minus-square-o"></i><?php
 818                                                         } else {
 819                                                             $detailed ='0';
 820                                                             ?><i class="fa fa-plus-square-o"></i><?php
 821                                                         }
 822                                                         ?>
 823                                                 </span>
 824
 825                                             </td>
 826                                         </tr>
 827                                         <tr><td colspan="9" class="right"><xhr /></td></tr>
 828                                         <tr class="dispense_data" style="font-weight:bold;text-align:center;">
 829                                             <td name="W_wide" colspan="2"></td>
 830                                             <td name="W_wide" title="<?php echo xla('Horizontal Prism Power'); ?>"><?php echo xlt('Horiz Prism{{abbreviation for Horizontal Prism Power}}'); ?></td>
 831                                             <td name="W_wide" title="<?php echo xla('Horizontal Prism Base'); ?>"><?php echo xlt('Horiz Base{{abbreviation for Horizontal Prism Base}}'); ?></td>
 832                                             <td name="W_wide" title="<?php echo xla('Vertical Prism Power'); ?>"><?php echo xlt('Vert Prism{{abbreviation for Vertical Prism Power}}'); ?></td>
 833                                             <td name="W_wide" title="<?php echo xla('Vertical Prism Base'); ?>"><?php echo xlt('Vert Base{{abbreviation for Vertical Prism Base}}'); ?></td>
 834                                             <td name="W_wide" title="<?php echo xla('Slab Off'); ?>"><?php echo xlt('Slab Off'); ?></td>
 835                                             <td name="W_wide" title="<?php echo xla('Vertex Distance'); ?>"><?php echo xlt('Vert Distance{{abbreviation for Vertex Distance}}'); ?></td>
 836                                          </tr>
 837                                         <tr class="dispense_data">
 838                                             <td name="W_wide" style="text-align:right;font-weight:bold;" colspan="2"><?php echo xlt('OD{{right eye}}'); ?></td>
 839                                             <td name="W_wide"><input type="text" class="prism" id="ODHPD" name="ODHPD" value="<?php echo attr($ODHPD); ?>"></td>
 840                                             <td name="W_wide"><input type="text" class="prism" id="ODHBASE" name="ODHBASE" value="<?php echo attr($ODHBASE); ?>"></td>
 841                                             <td name="W_wide"><input type="text" class="prism" id="ODVPD" name="ODVPD" value="<?php echo attr($ODVPD); ?>"></td>
 842                                             <td name="W_wide"><input type="text" class="prism" id="ODVBASE" name="ODVBASE" value="<?php echo attr($ODVBASE); ?>"></td>
 843                                             <td name="W_wide"><input type="text" class="prism" id="ODSLABOFF" name="ODSLABOFF" value="<?php echo attr($ODSLABOFF); ?>"></td>
 844                                             <td name="W_wide"><input type="text" class="prism" id="ODVERTEXDIST" name="ODVERTEXDIST" value="<?php echo attr($ODVERTEXDIST); ?>"></td>
 845                                         </tr>
 846                                         <tr class="dispense_data">
 847                                             <td name="W_wide" style="text-align:right;font-weight:bold;" colspan="2"><?php echo xlt('OS{{left eye}}'); ?></td>
 848                                             <td name="W_wide"><input type="text" class="prism" id="OSHPD" name="OSHPD" value="<?php echo attr($OSHPD); ?>"></td>
 849                                             <td name="W_wide"><input type="text" class="prism" id="OSHBASE" name="OSHBASE" value="<?php echo attr($OSHBASE); ?>"></td>
 850                                             <td name="W_wide"><input type="text" class="prism" id="OSVPD" name="OSVPD" value="<?php echo attr($OSVPD); ?>"></td>
 851                                             <td name="W_wide"><input type="text" class="prism" id="OSVBASE" name="OSVBASE" value="<?php echo attr($OSVBASE); ?>"></td>
 852                                             <td name="W_wide"><input type="text" class="prism" id="OSSLABOFF" name="OSSLABOFF" value="<?php echo attr($OSSLABOFF); ?>"></td>
 853                                             <td name="W_wide"><input type="text" class="prism" id="OSVERTEXDIST" name="OSVERTEXDIST" value="<?php echo attr($OSVERTEXDIST); ?>"></td>
 854                                          </tr>
 855                                         <tr class="dispense_data"><td colspan="9" class="center"><xhr /></td></tr>
 856                                         <tr class="dispense_data" style="font-weight:bold;text-align:center;">
 857                                             <td></td>
 858                                             <td></td>
 859                                             <td name="W_wide" title="<?php echo xla('Monocular Pupillary Diameter - Distance'); ?>"><?php echo xlt('MPD-D{{abbreviation for Monocular Pupillary Diameter - Distance}}'); ?></td>
 860                                             <td name="W_wide" title="<?php echo xla('Monocular Pupillary Diameter - Near'); ?>"><?php echo xlt('MPD-N{{abbreviation for Monocular Pupillary Diameter - Near}}'); ?></td>
 861                                             <td name="W_wide" title="<?php echo xla('Binocular Pupillary Diameter - Distance'); ?>"><?php echo xlt('BPD-D{{abbreviation for Binocular Pupillary Diameter - Distance}}'); ?></td>
 862                                             <td name="W_wide" title="<?php echo xla('Binocular Pupillary Diameter - Near'); ?>"><?php echo xlt('BPD-N{{abbreviation for Binocular Pupillary Diameter - Near}}'); ?></td>
 863
 864                                             <td colspan="2">Lens Material:</td>
 865                                         </tr>
 866                                         <tr>
 867                                             <td name="W_wide" style="text-align:right;font-weight:bold;" colspan="2"><?php echo xlt('OD{{right eye}}'); ?></td>
 868                                             <td name="W_wide"><input type="text" class="prism" id="ODMPDD" name="ODMPDD" value="<?php echo attr($ODMPDD); ?>"></td>
 869                                             <td name="W_wide"><input type="text" class="prism" id="ODMPDN" name="ODMPDN" value="<?php echo attr($ODMPDN); ?>"></td>
 870                                             <td name="W_wide" rowspan="2" style="vertical-align:middle;"><input type="text" class="prism" id="BPDD" name="BPDD" value="<?php echo attr($BPDD); ?>"></td>
 871                                             <td name="W_wide" rowspan="2" style="vertical-align:middle;"><input type="text" class="prism" id="BPDN" name="BPDN" value="<?php echo attr($BPDN); ?>"></td>
 872                                             <td colspan="2">   <?php
 873                                                         echo generate_select_list("LENS_MATERIAL", "Eye_Lens_Material", "$LENS_MATERIAL",'',' ','','restoreSession;submit_form();','',array('style'=>'width:120px'));
 874                                                                 ?>
 875                                                 </td>
 876                                         </tr>
 877                                         <tr>
 878                                             <td name="W_wide" style="text-align:right;font-weight:bold;" colspan="2"><?php echo xlt('OS{{left eye}}'); ?></td>
 879                                             <td name="W_wide"><input type="text" class="prism" id="OSMPDD" name="OSMPDD" value="<?php echo attr($OSMPDD); ?>"></td>
 880                                             <td name="W_wide"><input type="text" class="prism" id="OSMPDN" name="OSMPDN" value="<?php echo attr($OSMPDN); ?>"></td>
 881                                         </tr>
 882                                         <tr class="dispense_data"><td colspan="9" class="center"><xhr /></td></tr>
 883                                         <tr style="font-weight:bold;text-align:center;">
 884                                             <td colspan="3"><?php echo xlt('Lens Treatments'); ?>
 885                                             </td>
 886                                         </tr>
 887                                         <tr style="text-align:left;vertical-align:top;">
 888                                             <td colspan="5" style="font-weight:bold;text-align:left;">
 889                                                 <?php  echo generate_lens_treatments($W,$LENS_TREATMENTS); ?>
 890                                             </td>
 891                                         </tr>
 892                                         <tr class="dispense_data"><td colspan="9" class="center"><hr /></td></tr>
 893
 894                                     </table>&nbsp;<br /><br /><br />
 895                                     <?php
 896                                 } else { ?>
 897                                     <table id="CTLRx" name="CTLRx" class="refraction">
 898                                         <tr>
 899                                             <td class="right bold underline"><?php echo xlt('Right Lens'); ?></td>
 900                                         </tr>
 901                                         <tr>
 902                                             <td colspan="2" class="right bold"><?php echo xlt('Manufacturer'); ?>:</td>
 903                                             <td colspan="2" class="left"><?php echo text($CTLMANUFACTUREROD); ?></td>
 904                                             <td class="right bold"><?php echo xlt('Brand'); ?>:</td>
 905                                             <td colspan="2" class="left"><?php echo text($CTLBRANDOD); ?></td>
 906                                         </tr>
 907                                         <tr class="bold" style="line-height:0.3em;font-size:0.6em;">
 908                                             <td><?php echo xlt('SPH{{Sphere}}'); ?></td>
 909                                             <td><?php echo xlt('CYL{{Cylinder}}'); ?></td>
 910                                             <td><?php echo xlt('AXIS{{Axis of a glasses prescription}}'); ?></td>
 911                                             <td><?php echo xlt('BC{{Base Curve}}'); ?></td>
 912                                             <td><?php echo xlt('DIAM{{Diameter}}'); ?></td>
 913                                             <td><?php echo xlt('ADD{{Bifocal Add}}'); ?></td>
 914                                             <td><?php echo xlt('ACUITY'); ?></td>
 915                                         </tr>
 916                                         <tr>
 917                                             <td><input type=text id="CTLODSPH" name="CTLODSPH" value="<?php echo attr($ODSPH); ?>"></td>
 918                                             <td><input type=text id="CTLODCYL" name="CTLODCYL" value="<?php echo attr($ODCYL); ?>"></td>
 919                                             <td><input type=text id="CTLODAXIS" name="CTLODAXIS" value="<?php echo attr($ODAXIS); ?>"></td>
 920                                             <td><input type=text id="CTLODBC" name="CTLODBC" value="<?php echo attr($ODBC); ?>"></td>
 921                                             <td><input type=text id="CTLODDIAM" name="CTLODDIAM" value="<?php echo attr($ODDIAM); ?>"></td>
 922                                             <td><input type=text id="CTLODADD" name="CTLODADD" value="<?php echo attr($ODADD); ?>"></td>
 923                                             <td><input type=text id="CTLODVA" name="CTLODVA" value="<?php echo attr($ODVA); ?>"></td>
 924                                         </tr>
 925                                         <tr><td colspan="8"><hr /></td></tr>
 926                                         <tr>
 927                                             <td class="right bold underline"><?php echo xlt('Left Lens'); ?></td>
 928                                         </tr>
 929                                         <tr>
 930                                             <td colspan="2" class="right bold"><?php echo xlt('Manufacturer'); ?>:</td>
 931                                             <td colspan="2" class="left"><?php echo text($CTLMANUFACTUREROS); ?></td>
 932                                             <td class="right bold"><?php echo xlt('Brand'); ?>:</td>
 933                                             <td colspan="2" class="left"><?php echo text($CTLBRANDOS); ?></td>
 934                                         </tr>
 935                                         <tr class="bold" style="line-height:0.3em;font-size:0.6em;">
 936                                             <td><?php echo xlt('SPH{{Sphere}}'); ?></td>
 937                                             <td><?php echo xlt('CYL{{Cylinder}}'); ?></td>
 938                                             <td><?php echo xlt('AXIS{{Axis of a glasses prescription}}'); ?></td>
 939                                             <td><?php echo xlt('BC{{Base Curve}}'); ?></td>
 940                                             <td><?php echo xlt('DIAM{{Diameter}}'); ?></td>
 941                                             <td><?php echo xlt('ADD{{Bifocal Add}}'); ?></td>
 942                                             <td><?php echo xlt('ACUITY'); ?></td>
 943                                         </tr>
 944                                         <tr>
 945                                             <td><input type=text id="CTLOSSPH" name="CTLOSSPH" value="<?php echo attr($OSSPH); ?>"></td>
 946                                             <td><input type=text id="CTLOSCYL" name="CTLOSCYL" value="<?php echo attr($OSCYL); ?>"></td>
 947                                             <td><input type=text id="CTLOSAXIS" name="CTLOSAXIS" value="<?php echo attr($OSAXIS); ?>"></td>
 948                                             <td><input type=text id="CTLOSBC" name="CTLOSBC" value="<?php echo attr($OSBC); ?>"></td>
 949                                             <td><input type=text id="CTLOSDIAM" name="CTLOSDIAM" value="<?php echo attr($OSDIAM); ?>"></td>
 950                                             <td><input type=text id="CTLOSADD" name="CTLOSADD" value="<?php echo attr($OSADD); ?>"></td>
 951                                             <td><input type=text id="CTLOSVA" name="CTLOSVA" value="<?php echo attr($OSVA); ?>"></td>
 952                                         </tr>
 953                                         <?php if ($COMMENTS >'') { ?>
 954                                         <tr><td colspan="8"><hr /></td></tr>
 955                                         <tr>
 956                                             <td class="right bold red" colspan="2" style="vertical-align:top;"><?php echo xlt('Comments'); ?>:</u></td>
 957                                             <td colspan="6" class="left">
 958                                                 <textarea cols="30" rows="4"><?php echo text($COMMENTS); ?></textarea>
 959                                             </td>
 960                                         </tr>
 961                                          <?php } ?>
 962                                     </table>
 963                                     <?php
 964                                 } ?>
 965                             </td>
 966                         </tr>
 967                         <tr>
 968                             <td style="margin:25px auto;text-align:center;">
 969                            <?php
 970                                 $signature = $GLOBALS["webserver_root"]."/interface/forms/eye_mag/images/sign_".attr($_SESSION['authUserID']).".jpg";
 971                                 if (file_exists($signature)) {
 972                                     ?>
 973                                     <span style="position:relative;padding-left:40px;">
 974                                         <img src='<?php echo $web_root; ?>/interface/forms/eye_mag/images/sign_<?php echo attr($_SESSION['authUserID']); ?>.jpg'
 975                                         style="width:240px;height:85px;border-block-end: 1pt solid black;margin:5px;" />
 976                                     </span><br />
 977
 978                                     <?php } ?>
 979
 980                         <?php echo xlt('Provider'); ?>: <?php echo text($prov_data['fname']); ?> <?php echo text($prov_data['lname']);
 981                         if ($prov_data['suffix']) { echo ", ".$prov_data['suffix'];} ?><br />
 982                                 <small><?php echo xlt('e-signed'); ?> <input type="checkbox" checked="checked"></small>
 983                             </td>
 984                         </tr>
 985                     </table>
 986                 </div>
 987             </form>
 988
 989         </body>
 990         <script>
 991             $(document).ready(function() {
 992                 $('.header').click(function () {
 993                     var $this = $(this);
 994                     $(this).nextUntil('tr.header').slideToggle(100).promise().done(function () {
 995                         $this.find('span').html(function (_, value) {
 996                         return value == '<i class="fa fa-plus-square-o"></i>' ? '<i class="fa fa-minus-square-o"></i>' : '<i class="fa fa-plus-square-o"></i>';
 997                         });
 998                     });
 999                 });
1000                 <?php if (!$detailed) { echo "$('.header').trigger('click');"; } ?>
1001
1002                 $("input[name$='PD']").blur(function() {
1003                                                                        //make it all caps
1004                                                                        var str = $(this).val();
1005                                                                        str = str.toUpperCase();
1006                                                                        $(this).val(str);
1007                                                                        });
1008                 $('input[name$="SPH"]').blur(function() {
1009                                               var mid = $(this).val();
1010                                               if (mid.match(/PLANO/i)) {
1011                                                  $(this).val('PLANO');
1012                                                  return;
1013                                              }
1014                                               if (mid.match(/^[\+\-]?\d{1}$/)) {
1015                                               mid = mid+".00";
1016                                               }
1017                                               if (mid.match(/\.[27]$/)) {
1018                                               mid = mid + '5';
1019                                               }
1020                                               if (mid.match(/\.\d$/)) {
1021                                               mid = mid + '0';
1022                                               }
1023                                               //if near is +2. make it +2.00
1024                                               if (mid.match(/\.$/)) {
1025                                               mid= mid + '00';
1026                                               }
1027                                               if ((!mid.match(/\./))&&(mid.match(00|25|50|75))) {
1028                                               var front = mid.match(/(\d{0,2})(00|25|50|75)/)[1];
1029                                               var back = mid.match(/(\d{0,2})(00|25|50|75)/)[2];
1030                                               if (front =='') front ='0';
1031                                               mid = front + "." + back;
1032                                               }
1033                                               if (!mid.match(/\./)) {
1034                                               var front = mid.match(/([\+\-]?\d{0,2})(\d{2})/)[1];
1035                                               var back  = mid.match(/(\d{0,2})(\d{2})/)[2];
1036                                               if (front =='') front ='0';
1037                                               if (front =='-') front ='-0';
1038                                               mid = front + "." + back;
1039                                               }
1040                                               if (!mid.match(/^(\+|\-){1}/)) {
1041                                               mid = "+" + mid;
1042                                               }
1043                                               $(this).val(mid);
1044                                               });
1045
1046                 $("input[name$='ADD'],input[name$='ADD2']").blur(function() {
1047                                             var add = $(this).val();
1048                                             add = add.replace(/=/g,"+");
1049                                             //if add is one digit, eg. 2, make it +2.00
1050                                             if (add.match(/^\d{1}$/)) {
1051                                                 add = "+"+add+".00";
1052                                             }
1053                                             //if add is '+'one digit, eg. +2, make it +2.00
1054                                             if (add.match(/^\+\d{1}$/)) {
1055                                                 add = add+".00";
1056                                             }
1057                                             //if add is 2.5 or 2.0 make it 2.50 or 2.00
1058                                             if (add.match(/\.[05]$/)) {
1059                                                 add = add + '0';
1060                                             }
1061                                             //if add is 2.2 or 2.7 make it 2.25 or 2.75
1062                                             if (add.match(/\.[27]$/)) {
1063                                                 add = add + '5';
1064                                             }
1065                                             //if add is +2. make it +2.00
1066                                             if (add.match(/\.$/)) {
1067                                                 add = add + '00';
1068                                             }
1069                                             if ((!add.match(/\./))&&(add.match(/(0|25|50|75)$/))) {
1070                                                 var front = add.match(/([\+]?\d{0,1})(00|25|50|75)/)[1];
1071                                                 var back  = add.match(/([\+]?\d{0,1})(00|25|50|75)/)[2];
1072                                                 if (front =='') front ='0';
1073                                                 add = front + "." + back;
1074                                             }
1075                                             if (!add.match(/^(\+)/) && (add.length >  0)) {
1076                                                 add= "+" + add;
1077                                             }
1078                                             $(this).val(add);
1079                                             if (this.id=="ODADD2") $('#OSADD2').val(add);
1080                                             if (this.id=="ODMIDADD") $('#OSMIDADD').val(add);
1081                                             if (this.id=="CTLODADD") $('#CTLOSADD').val(add);
1082                                             });
1083
1084                 $("input[name$='AXIS']").blur(function() {
1085                                              // Make this a 3 digit leading zeros number.
1086                                              // we are not translating text to numbers, just numbers to
1087                                              // a 3 digit format with leading zeroes as needed.
1088                                              // assume the end user KNOWS there are only numbers presented and
1089                                              // more than 3 digits is a mistake...
1090                                              // (although this may change with topographic answer)
1091                                              var axis = $(this).val();
1092                                              var group = this.name.replace("AXIS", "CYL");;
1093                                              var cyl = $("#"+group).val();
1094                                              if ((cyl > '') && (cyl != 'SPH')) {
1095                                              if (!axis.match(/\d\d\d/)) {
1096                                              if (!axis.match(/\d\d/)) {
1097                                              if (!axis.match(/\d/)) {
1098                                              axis = '0';
1099                                              }
1100                                              axis = '0' + axis;
1101                                              }
1102                                              axis = '0' + axis;
1103                                              }
1104                                              } else {
1105                                              axis = '';
1106                                              }
1107                                              $(this).val(axis);
1108                                              });
1109                 $("[name$='CYL']").blur(function() {
1110                                                 var mid = $(this).val();
1111                                                 var group = this.name.replace("CYL", "SPH");;
1112                                                 var sphere = $("#"+group).val();
1113                                                 if (((mid.length == 0) && (sphere.length >  0))||(mid.match(/sph/i))) {
1114                                                 $(this).val('SPH');
1115                                                 var axis = this.name.replace("CYL", "AXIS");
1116                                                 $("#"+axis).val('');
1117                                                 return;
1118                                                 } else if (sphere.length >  0) {
1119                                                 if (mid.match(/^[\+\-]?\d{1}$/)) {
1120                                                 mid = mid+".00";
1121                                                 }
1122                                                 if (mid.match(/^(\d)(\d)$/)) {
1123                                                 mid = mid[0] + '.' +mid[1];
1124                                                 }
1125                                                 //if mid is 2.5 or 2.0 make it 2.50 or 2.00
1126                                                 if (mid.match(/\.[05]$/)) {
1127                                                 mid = mid + '0';
1128                                                 }
1129                                                 //if mid is 2.2 or 2.7 make it 2.25 or 2.75
1130                                                 if (mid.match(/\.[27]$/)) {
1131                                                 mid = mid + '5';
1132                                                 }
1133                                                 //if mid is +2. make it +2.00
1134                                                 if (mid.match(/\.$/)) {
1135                                                 mid = mid + '00';
1136                                                 }
1137                                                 if (mid.match(/([\+\-]?\d{0,2})\.?(00|25|50|75)/)) {
1138                                                 var front = mid.match(/([\+\-]?\d{0,2})\.?(00|25|50|75)/)[1];
1139                                                 var back  = mid.match(/([\+\-]?\d{0,2})\.?(00|25|50|75)/)[2];
1140                                                 if (front =='') front ='0';
1141                                                 mid = front + "." + back;
1142                                                 }
1143                                                 if (!mid.match(/^(\+|\-){1}/) && (sphere.length >  0)) {
1144                                                 //Since it doesn't start with + or - then give it '+'
1145                                                 mid = "+" + mid;
1146                                                 }
1147                                                 $(this).val(mid);
1148                                                 }
1149                                                 });
1150                 $("input,textarea,text,checkbox").change(function(){
1151                                                            //$(this).css("background-color","#F0F8FF");
1152                                                            //submit_form($(this));
1153                                                            });
1154                 $("#reverse").click(function() {
1155                     //alert('Start');
1156                     reverse_cylinder('');
1157                     //alert('Finish');
1158
1159                 });
1160                                   $("input[name$='SPH'],input[name$='CYL']").on('keyup', function(e) {
1161                                                                                         if (e.keyCode=='61' || e.keyCode=='74') {
1162                                                                                         now = $(this).val();
1163                                                                                         now = now.replace(/=/g,"+").replace(/^j/g,"J");
1164                                                                                         $(this).val(now);
1165                                                                                         }
1166                                                                                         });
1167
1168             });
1169             </script>
1170     </html>
1171
1172     <?php
1173 exit;
1174     global $web_root, $webserver_root;
1175     $content = ob_get_clean();
1176     echo $content;
1177
1178     //display Rx to user, now store it too...
1179     // Fix a nasty html2pdf bug - it ignores document root!
1180     $i = 0;
1181     $wrlen = strlen($web_root);
1182     $wsrlen = strlen($webserver_root);
1183     while (true) {
1184       $i = stripos($content, " src='/", $i + 1);
1185       if ($i === false) break;
1186       if (substr($content, $i+6, $wrlen) === $web_root &&
1187           substr($content, $i+6, $wsrlen) !== $webserver_root)
1188       {
1189         $content = substr($content, 0, $i + 6) . $webserver_root . substr($content, $i + 6 + $wrlen);
1190       }
1191     }
1192     $temp_filename = '/tmp/'.$filename;
1193
1194     $query = "select id from categories where name like 'Communication'";
1195     $result = sqlStatement($query);
1196     $ID = sqlFetchArray($result);
1197     $category_id = $ID['id'];
1198     $pdf->writeHTML($content, false);
1199     $content_pdf = $pdf->Output($temp_filename, 'F');
1200     $type = "application/pdf";
1201
1202     $size = filesize($temp_filename);
1203
1204     $return = addNewDocument($filename,$type,$temp_filename,0,$size,$_SESSION['authUserID'],$pid,$category_id);
1205     $doc_id = $return['doc_id'];
1206     $sql = "UPDATE documents set encounter_id=? where id=?"; //link it to this encounter
1207     sqlQuery($sql,array($encounter,$doc_id));
1208 exit;
1209 ?>