contrib/forms/ped_GI/new.php

   1 <?php
   2
   3 // file new.php for pediatric EMESIS evaluation
   4
   5 // presents a blank form for evaluating pediatric FEVER
   6
   7 // this file made by andres@paglayan.com on 2004-09-23
   8
   9 // input designed by Lowell Gordon, MD lgordon@whssf.org
  10
  11 // to max the billing complexity coding
  12
  13
  14
  15 require_once("../../globals.php");
  16
  17 require_once("../../../library/api.inc.php");
  18
  19 use OpenEMR\Core\Header;
  20
  21 formHeader("Pediatric GI Evaluation");
  22
  23
  24
  25 ?>
  26
  27 <html><head>
  28
  29     <?php Header::setupHeader(); ?>
  30
  31 </head>
  32
  33 <body class="body_top">
  34
  35
  36
  37 <!--REM note that every input method has the same name as a valid column, this will make things easier in save.php -->
  38
  39
  40
  41 <br />
  42
  43 <form method='post' action="<?php echo $rootdir;?>/forms/ped_GI/save.php?mode=new" name='ped_GI' >
  44
  45
  46
  47 <!-- the form goes here -->
  48
  49 <?php
  50
  51     $obj = array(); // just to avoid undeclared var warning
  52
  53     require('form.php'); // to use a single file for both, empty and editing
  54
  55 ?>
  56
  57 <!-- the form ends here -->
  58
  59
  60
  61 <!--REM note our nifty jscript submit -->
  62
  63 <a href="javascript:top.restoreSession();document.ped_GI.submit();" class="link_submit">[Save]</a>
  64
  65 <br />
  66
  67
  68
  69 <a href="<?php echo $GLOBALS['form_exit_url']; ?>" class="link" onclick="top.restoreSession()">[Don't Save]</a>
  70
  71 </form>
  72
  73
  74
  75 <?php
  76
  77 formFooter();
  78
  79 ?>