contrib/forms/documents/new.php

   1 <?php
   2
   3
   4 // file new.php
   5
   6 // presents a blank form to upload an image file
   7
   8 // this file made by andres@paglayan.com on 2004-04-23
   9
  10 // custom from for uploading scanned documents into the emr.
  11
  12 include_once("../../globals.php");
  13
  14 include_once("../../../library/api.inc");
  15
  16 formHeader("Scanned Documents Input");
  17
  18
  19
  20 ?>
  21
  22 <html><head>
  23 <?php html_header_show();?>
  24
  25 <link rel=stylesheet href="<?php echo $css_header;?>" type="text/css">
  26
  27 </head>
  28
  29 <body <?php echo $top_bg_line;?> topmargin=0 rightmargin=0 leftmargin=2 bottommargin=0 marginwidth=2 marginheight=0>
  30
  31
  32
  33 <!--REM note that every input method has the same name as a valid column, this will make things easier in save.php -->
  34
  35
  36
  37 <br>
  38
  39 <form method='post' action="<?php echo $rootdir;?>/forms/documents/save.php?mode=new" name='document_form' enctype="multipart/form-data">
  40
  41 <span class=title>Scanned Documents Input</span>
  42
  43 <br>
  44
  45
  46
  47 <span class=text>Document:</span><br>
  48
  49 <input type="file" name="document_image"><br>
  50
  51
  52
  53 <br>
  54
  55 <span class=text>Description:</span> <input type=text name="document_description">
  56
  57 <br>
  58
  59
  60
  61 <span class=text>Who sent it?:</span> <input type=text name="document_source">
  62
  63 <br>
  64
  65
  66
  67 <!--REM note our nifty jscript submit -->
  68
  69 <input type="hidden" name="action" value="submit">
  70
  71 <a href="javascript:top.restoreSession();document.document_form.submit();" class="link_submit">[Save]</a>
  72
  73 <br>
  74
  75
  76
  77 <a href="<?php echo $GLOBALS['form_exit_url']; ?>" class="link" onclick="top.restoreSession()">[Don't Save]</a>
  78
  79 </form>
  80
  81
  82
  83 <?php
  84
  85 formFooter();
  86
  87 ?>
  88