interface/forms/note/view.php

   1 <!-- Work/School Note Form created by Nikolai Vitsyn: 2004/02/13 and update 2005/03/30
   2      Copyright (C) Open Source Medical Software
   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 program is distributed in the hope that it will be useful,
  10      but WITHOUT ANY WARRANTY; without even the implied warranty of
  11      MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE.  See the
  12      GNU General Public License for more details.
  13
  14     You should have received a copy of the GNU General Public License
  15     along with this program; if not, write to the Free Software
  16     Foundation, Inc., 59 Temple Place - Suite 330, Boston, MA  02111-1307, USA. -->
  17
  18 <?php
  19 include_once("../../globals.php");
  20 $returnurl = $GLOBALS['concurrent_layout'] ? 'encounter_top.php' : 'patient_encounter.php';
  21 ?>
  22 <html><head>
  23 <link rel=stylesheet href="<?echo $css_header;?>" type="text/css">
  24 </head>
  25 <body <?echo $top_bg_line;?> topmargin=0 rightmargin=0 leftmargin=2 bottommargin=0 marginwidth=2 marginheight=0>
  26 <?php
  27 include_once("$srcdir/api.inc");
  28 $obj = formFetch("form_note", $_GET["id"]);
  29
  30 ?>
  31
  32 <form method=post action="<?echo $rootdir?>/forms/note/save.php?mode=update&id=<?echo $_GET["id"];?>" name="my_form">
  33 <span class="title"><?php xl('Work/School Note','e'); ?></span><br></br>
  34
  35 <a href="javascript:document.my_form.submit();" class="link_submit">[<?php xl('Save','e'); ?>]</a>
  36 <br>
  37 <a href="<?echo "$rootdir/patient_file/encounter/$returnurl";?>" class="link">[<?php xl('Don\'t Save Changes','e'); ?>]</a>
  38 </br>
  39
  40 <tr>
  41 <td>
  42 <input type=entry name="note_type" value="<?echo
  43 stripslashes($obj{"note_type"});?>" size="50">
  44 </td>
  45 </tr>
  46
  47 <span class="text"><?php xl('Message:','e'); ?></span></br>
  48 <textarea name="message" cols ="67" rows="4"  wrap="virtual name">
  49 <?echo stripslashes($obj{"message"});?></textarea>
  50 <br></br>
  51
  52 <span class=text><?php xl('Doctor:','e'); ?> </span><input type=entry name="doctor" value="<?echo stripslashes($obj{"doctor"});?>">
  53 <br></br>
  54
  55
  56 <span class=text><?php xl('Date:','e'); ?> </span><input type=entry name="date_of_signature" value="<?echo stripslashes($obj{"date_of_signature"});?>" >
  57 <br></br>
  58
  59 <a href="javascript:document.my_form.submit();" class="link_submit">[<?php xl('Save','e'); ?>]</a>
  60 <br>
  61 <a href="<?echo "$rootdir/patient_file/encounter/$returnurl";?>" class="link">[<?php xl('Don\'t Save Changes','e'); ?>]</a>
  62 </form>
  63 <?php
  64 formFooter();
  65 ?>