interface/forms/misc_billing_options/save.php

   1 <?php
   2 include_once("../../globals.php");
   3 include_once("$srcdir/api.inc");
   4 include_once("$srcdir/forms.inc");
   5
   6 if ($_POST["off_work_from"] == "0000-00-00" || $_POST["off_work_from"] == "")
   7         { $_POST["is_unable_to_work"] = "0"; $_POST["off_work_to"] = "";}
   8         else {$_POST["is_unable_to_work"] = "1";}
   9
  10 if ($_POST["hospitalization_date_from"] == "0000-00-00" || $_POST["hospitalization_date_from"] == "")
  11         { $_POST["is_hospitalized"] = "0"; $_POST["hospitalization_date_to"] = "";}
  12         else {$_POST["is_hospitalized"] = "1";}
  13
  14 foreach ($_POST as $k => $var) {
  15 $_POST[$k] = mysql_escape_string($var);
  16 echo "$var\n";
  17 }
  18 if ($encounter == "")
  19 $encounter = date("Ymd");
  20 if ($_GET["mode"] == "new"){
  21 $newid = formSubmit("form_misc_billing_options", $_POST, $_GET["id"], $userauthorized);
  22 addForm($encounter, "Misc Billing Options", $newid, "misc_billing_options", $pid, $userauthorized);
  23 }elseif ($_GET["mode"] == "update") {
  24 sqlInsert("update form_misc_billing_options set pid = {$_SESSION["pid"]},
  25         groupname='".$_SESSION["authProvider"]."',
  26         user='".$_SESSION["authUser"]."',
  27         authorized=$userauthorized,activity=1, date = NOW(),
  28         employment_related='".$_POST["employment_related"]."',
  29         auto_accident='".$_POST["auto_accident"]."',
  30         accident_state='".$_POST["accident_state"]."',
  31         other_accident='".$_POST["other_accident"]."',
  32         outside_lab='".$_POST["outside_lab"]."',
  33         lab_amount='".$_POST["lab_amount"]."',
  34         is_unable_to_work='".$_POST["is_unable_to_work"]."',
  35         off_work_from='".$_POST["off_work_from"]."',
  36         off_work_to='".$_POST["off_work_to"]."',
  37         is_hospitalized='".$_POST["is_hospitalized"]."',
  38         hospitalization_date_from='".$_POST["hospitalization_date_from"]."',
  39         hospitalization_date_to='".$_POST["hospitalization_date_to"]."',
  40         medicaid_resubmission_code='".$_POST["medicaid_resubmission_code"]."',
  41         medicaid_original_reference='".$_POST["medicaid_original_reference"]."',
  42         prior_auth_number='".$_POST["prior_auth_number"]."',
  43         comments='".$_POST["comments"]."'
  44         where id=$id");
  45 }
  46 $_SESSION["encounter"] = $encounter;
  47 formHeader("Redirecting....");
  48 formJump();
  49 formFooter();
  50 ?>