interface/usergroup/facilities_add.php

   1 <?php
   2 require_once("../globals.php");
   3 require_once("../../library/acl.inc");
   4 require_once("$srcdir/sql.inc");
   5 require_once("$srcdir/formdata.inc.php");
   6 require_once("$srcdir/classes/POSRef.class.php");
   7 require_once("$srcdir/options.inc.php");
   8 require_once("$srcdir/erx_javascript.inc.php");
   9
  10 $alertmsg = '';
  11 ?>
  12 <html>
  13 <head>
  14 <link rel="stylesheet" href="<?php echo $css_header;?>" type="text/css">
  15 <link rel="stylesheet" type="text/css" href="<?php echo $GLOBALS['webroot'] ?>/library/js/fancybox/jquery.fancybox-1.2.6.css" media="screen" />
  16 <script type="text/javascript" src="<?php echo $GLOBALS['webroot'] ?>/library/dialog.js"></script>
  17 <script type="text/javascript" src="<?php echo $GLOBALS['webroot'] ?>/library/js/jquery.1.3.2.js"></script>
  18 <script type="text/javascript" src="<?php echo $GLOBALS['webroot'] ?>/library/js/common.js"></script>
  19 <script type="text/javascript" src="<?php echo $GLOBALS['webroot'] ?>/library/js/fancybox/jquery.fancybox-1.2.6.js"></script>
  20 <script type="text/javascript" src="<?php echo $GLOBALS['webroot'] ?>/library/js/jquery-ui.js"></script>
  21 <script type="text/javascript" src="../main/calendar/modules/PostCalendar/pnincludes/AnchorPosition.js"></script>
  22 <script type="text/javascript" src="../main/calendar/modules/PostCalendar/pnincludes/PopupWindow.js"></script>
  23 <script type="text/javascript" src="../main/calendar/modules/PostCalendar/pnincludes/ColorPicker2.js"></script>
  24 <?php
  25 // Old Browser comp trigger on js
  26
  27 if (isset($_POST["mode"]) && $_POST["mode"] == "facility") {
  28         echo '
  29 <script type="text/javascript">
  30 <!--
  31 parent.$.fn.fancybox.close();
  32 //-->
  33 </script>
  34
  35         ';
  36 }
  37 ?>
  38 <script type="text/javascript">
  39 /// todo, move this to a common library
  40
  41 function submitform() {
  42         <?php if($GLOBALS['erx_enable']){ ?>
  43         alertMsg='';
  44         f=document.forms[0];
  45         for(i=0;i<f.length;i++){
  46                 if(f[i].type=='text' && f[i].value)
  47                 {
  48                         if(f[i].name == 'facility' || f[i].name == 'Washington')
  49                         {
  50                                 alertMsg += checkLength(f[i].name,f[i].value,35);
  51                                 alertMsg += checkSpecialCharacter(f[i].name,f[i].value);
  52                         }
  53                         else if(f[i].name == 'street')
  54                         {
  55                                 alertMsg += checkLength(f[i].name,f[i].value,35);
  56                                 alertMsg += checkAlphaNumeric(f[i].name,f[i].value);
  57                         }
  58                         else if(f[i].name == 'phone' || f[i].name == 'fax')
  59                         {
  60                                 alertMsg += checkPhone(f[i].name,f[i].value);
  61                         }
  62                         else if(f[i].name == 'federal_ein')
  63                         {
  64                                 alertMsg += checkLength(f[i].name,f[i].value,10);
  65                                 alertMsg += checkTaxNpiDea(f[i].name,f[i].value);
  66                         }
  67                 }
  68         }
  69         if(alertMsg)
  70         {
  71                 alert(alertMsg);
  72                 return false;
  73         }
  74         <?php } ?>
  75     if (document.forms[0].facility.value.length>0 && document.forms[0].ncolor.value != '') {
  76         top.restoreSession();
  77         document.forms[0].submit();
  78         } else {
  79         if(document.forms[0].facility.value.length<=0){
  80         document.forms[0].facility.style.backgroundColor="red";
  81         document.forms[0].facility.focus();
  82         }
  83         else if(document.forms[0].ncolor.value == ''){
  84         document.forms[0].ncolor.style.backgroundColor="red";
  85         document.forms[0].ncolor.focus();
  86         }
  87     }
  88 }
  89
  90 function toggle( target, div ) {
  91
  92     $mode = $(target).find(".indicator").text();
  93     if ( $mode == "collapse" ) {
  94         $(target).find(".indicator").text( "expand" );
  95         $(div).hide();
  96     } else {
  97         $(target).find(".indicator").text( "collapse" );
  98         $(div).show();
  99     }
 100
 101 }
 102
 103 $(document).ready(function(){
 104
 105     $("#dem_view").click( function() {
 106         toggle( $(this), "#DEM" );
 107     });
 108
 109     // fancy box
 110     enable_modals();
 111
 112     tabbify();
 113
 114     // special size for
 115         $(".large_modal").fancybox( {
 116                 'overlayOpacity' : 0.0,
 117                 'showCloseButton' : true,
 118                 'frameHeight' : 600,
 119                 'frameWidth' : 1000
 120         });
 121
 122     // special size for
 123         $(".medium_modal").fancybox( {
 124                 'overlayOpacity' : 0.0,
 125                 'showCloseButton' : true,
 126                 'frameHeight' : 260,
 127                 'frameWidth' : 510
 128         });
 129
 130 });
 131
 132 $(document).ready(function(){
 133     $("#cancel").click(function() {
 134                   parent.$.fn.fancybox.close();
 135          });
 136 });
 137 var cp = new ColorPicker('window');
 138   // Runs when a color is clicked
 139 function pickColor(color) {
 140         document.getElementById('ncolor').value = color;
 141 }
 142 var field;
 143 function pick(anchorname,target) {
 144         var cp = new ColorPicker('window');
 145         field=target;
 146         cp.show(anchorname);
 147 }
 148 function displayAlert()
 149 {
 150         if(document.getElementById('primary_business_entity').checked==false)
 151         alert("<?php echo addslashes(xl('Primary Business Entity tax id is used as account id for NewCrop ePrescription. Changing the facility will affect the working in NewCrop.'));?>");
 152         else if(document.getElementById('primary_business_entity').checked==true)
 153         alert("<?php echo addslashes(xl('Once the Primary Business Facility is set, it should not be changed. Changing the facility will affect the working in NewCrop ePrescription.'));?>");
 154 }
 155 </script>
 156 <link rel="stylesheet" href="<?php echo $css_header;?>" type="text/css">
 157
 158 </head>
 159 <body class="body_top">
 160 <table>
 161 <tr><td>
 162     <span class="title"><?php xl('Add Facility','e'); ?></span>&nbsp;&nbsp;&nbsp;</td>
 163     <td colspan=5 align=center style="padding-left:2px;">
 164         <a onclick="submitform();" class="css_button large_button" name='form_save' id='form_save' href='#'>
 165             <span class='css_button_span large_button_span'><?php xl('Save','e');?></span>
 166         </a>
 167         <a class="css_button large_button" id='cancel' href='#' >
 168             <span class='css_button_span large_button_span'><?php xl('Cancel','e');?></span>
 169         </a>
 170 </td></tr>
 171 </table>
 172
 173 <br>
 174
 175 <form name='facility' method='post' action="facilities.php" target='_parent'>
 176     <input type=hidden name=mode value="facility">
 177     <table border=0 cellpadding=0 cellspacing=0>
 178         <tr>
 179         <td><span class="text"><?php xl('Name','e'); ?>: </span></td><td><input type=entry name=facility size=20 value=""><span class="mandatory">&nbsp;*</span></td>
 180         <td width=20>&nbsp;</td>
 181         <td><span class="text"><?php xl('Phone','e'); ?>: </span></td><td><input type=entry name=phone size=20 value=""></td>
 182         </tr>
 183         <tr>
 184         <td><span class="text"><?php xl('Address','e'); ?>: </span></td><td><input type=entry size=20 name=street value=""></td>
 185         <td>&nbsp;</td>
 186         <td><span class="text"><?php xl('Fax','e'); ?>: </span></td><td><input type=entry name=fax size=20 value=""></td>
 187         </tr>
 188         <tr>
 189         <td><span class="text"><?php xl('City','e'); ?>: </span></td><td><input type=entry size=20 name=city value=""></td>
 190         <td>&nbsp;</td>
 191         <td><span class="text"><?php xl('Zip Code','e'); ?>: </span></td><td><input type=entry size=20 name=postal_code value=""></td>
 192         </tr>
 193         <tr>
 194         <td><span class="text"><?php xl('State','e'); ?>: </span></td><td><input type=entry size=20 name=state value=""></td>
 195         <td>&nbsp;</td>
 196         <td><span class="text"><?php xl('Tax ID','e'); ?>: </span></td><td><select name=tax_id_type><option value="EI"><?php xl('EIN','e'); ?></option><option value="SY"><?php xl('SSN','e'); ?></option></select><input type=entry size=11 name=federal_ein value=""></td>
 197         </tr>
 198         <tr>
 199         <td height="22"><span class="text"><?php xl('Country','e'); ?>: </span></td><td><input type=entry size=20 name=country_code value=""></td>
 200         <td>&nbsp;</td>
 201         <td><span class="text"><?php ($GLOBALS['simplified_demographics'] ? xl('Facility Code','e') : xl('Facility NPI','e')); ?>:
 202         </span></td><td><input type=entry size=20 name=facility_npi value=""></td>
 203         </tr>
 204
 205         <tr>
 206           <td><span class='text'><?php xl('Billing Location','e'); ?>: </span></td><td><input type='checkbox' name='billing_location' value = '1'></td>
 207           <td>&nbsp;</td>
 208           <td><span class='text'><?php xl('Accepts Assignment','e'); ?><br>(<?php xl('only if billing location','e'); ?>): </span></td> <td><input type='checkbox' name='accepts_assignment' value = '1'></td>
 209         </tr>
 210         <tr>
 211           <td><span class='text'><?php xl('Service Location','e'); ?>: </span></td> <td><input type='checkbox' name='service_location' value = '1'></td>
 212           <td>&nbsp;</td>
 213           <td><span class='text'><?php echo htmlspecialchars(xl('Color'),ENT_QUOTES); ?>: </span><span class="mandatory">&nbsp;*</span></td> <td><input type=entry name=ncolor id=ncolor size=20 value="">[<a href="javascript:void(0);" onClick="pick('pick','newcolor');return false;" NAME="pick" ID="pick"><?php echo htmlspecialchars(xl('Pick'),ENT_QUOTES); ?></a>]</td>
 214         </tr>
 215         <?php
 216          $disabled='';
 217          $resPBE=sqlStatement("select * from facility where primary_business_entity='1' and id!='".$my_fid."'");
 218          if(sqlNumRows($resPBE)>0)
 219          $disabled='disabled';
 220          ?>
 221          <tr>
 222           <td><span class='text'><?php xl('Primary Business Entity','e'); ?>: </span></td>
 223           <td><input type='checkbox' name='primary_business_entity' id='primary_business_entity' value='1' <?php if ($facility['primary_business_entity'] == 1) echo 'checked'; ?> <?php if($GLOBALS['erx_enable']){ ?> onchange='return displayAlert()' <?php } ?> <?php echo $disabled;?>></td>
 224           <td>&nbsp;</td>
 225          </tr>
 226         <tr>
 227             <td><span class=text><?php xl('POS Code','e'); ?>: </span></td>
 228             <td colspan="6">
 229                 <select name="pos_code">
 230                 <?php
 231                 $pc = new POSRef();
 232
 233                 foreach ($pc->get_pos_ref() as $pos) {
 234                     echo "<option value=\"" . $pos["code"] . "\" ";
 235                     echo ">" . $pos['code']  . ": ". $pos['title'];
 236                     echo "</option>\n";
 237                 }
 238
 239                 ?>
 240                 </select>
 241             </td>
 242         </tr>
 243         <tr>
 244             <td><span class="text"><?php xl('Billing Attn','e'); ?>:</span></td>
 245             <td colspan="4"><input type="text" name="attn" size="45"></td>
 246         </tr>
 247         <tr>
 248             <td><span class="text"><?php xl('CLIA Number','e'); ?>:</span></td>
 249             <td colspan="4"><input type="text" name="domain_identifier" size="45"></td>
 250         </tr>
 251
 252         <tr height="25" style="valign:bottom;">
 253         <td><font class="mandatory">*</font><span class="text"> <?php echo xl('Required','e'); ?></span></td><td>&nbsp;</td><td>&nbsp;</td>
 254         <td>&nbsp;</td><td>&nbsp;</td>
 255         </tr>
 256     </table>
 257 </form>
 258
 259 <script language="JavaScript">
 260 <?php
 261   if ($alertmsg = trim($alertmsg)) {
 262     echo "alert('$alertmsg');\n";
 263   }
 264 ?>
 265 </script>
 266
 267 </body>
 268 </html>