added ability to delete a transaction
[openemr.git] / templates / hl7 / general_parse.html
blob142acac5f6ed7aa9daf15eb37bcd77ccce4b656a
1 <html>
2 <head>
3 {php}html_header_show();{/php}
5 {literal}
6 <style type="text/css" title="mystyles" media="all">
7 <!--
8 td {
9 font-size:12pt;
10 font-family:helvetica;
12 input {
13 font-size:8pt;
14 font-family:helvetica;
16 select {
17 font-size:8pt;
18 font-family:helvetica;
20 textarea {
21 font-size:8pt;
22 font-family:helvetica;
24 -->
25 </style>
26 {/literal}
27 </head>
28 <body bgcolor="{$STYLE.BGCOLOR2}">
29 <form name="prescribe" method="post" action="{$FORM_ACTION}" onsubmit="return top.restoreSession()">
30 <table CELLSPACING="0" CELLPADDING="3">
31 <!--<tr><td>Example HL7 data<td></tr>
32 <tr><td>MSH|^~\&|ADT1|CUH|LABADT|CUH|198808181127|SECURITY|ADT^A01|MSG00001|P|2.3|
33 EVN|A01|198808181122||
34 PID|||PATID1234^5^M11||RYAN^HENRY^P||19610615|M||C|1200 N ELM STREET^^GREENSBORO^NC^27401-1020|GL|(919)379-1212|(919)271-3434 ||S||PATID12345001^2^M10|123456789|987654^NC|
35 NK1|JOHNSON^JOAN^K|WIFE||||||NK^NEXT OF KIN
36 PV1|1|I|2000^2053^01||||004777^FISHER^BEN^J.|||SUR||||ADM|A0|</td></tr>-->
37 <tr>
38 <td>{xl t='Paste HL7 Data'}</td>
39 </tr>
40 <tr>
41 <td><textarea rows="10" wrap="virtual" cols="65" name="hl7data"></textarea><br /><br />
42 <input type="submit" name="HL7" value="{xl t='Parse HL7'}"/><br /><br />
43 </td>
44 </tr>
45 {if $hl7_message_err}
46 <tr><td>{$hl7_message_err}</td></tr>
47 {/if}
48 {if $hl7_array}
49 <tr><td>
50 <table>
51 {foreach from=$hl7_array item=hl7item key=hl7key}
52 <tr><td>&nbsp;</td></tr>
53 <tr><td><td colspan="2">{$hl7key}</td></tr>
54 {foreach from=$hl7item item=segment_val key=segment_name}
55 <tr><td>&nbsp;</td><td>{$segment_name}: </td><td>{$segment_val}</td></tr>
56 {/foreach}
57 {/foreach}
58 </table>
59 </td></tr>
60 {/if}
61 <input type="hidden" name="process" value="{$PROCESS}" />
62 </table>
63 </form>
65 </body>
66 </html>