interface/forms/dictation/new.php

   1 <?php
   2
   3 /**
   4  * Dictation form
   5  *
   6  * @package   OpenEMR
   7  * @link      http://www.open-emr.org
   8  * @author    cfapress <cfapress>
   9  * @author    Brady Miller <brady.g.miller@gmail.com>
  10  * @author    Robert Down <robertdown@live.com>
  11  * @copyright Copyright (c) 2008 cfapress <cfapress>
  12  * @copyright Copyright (c) 2013-2017 bradymiller <bradymiller@users.sourceforge.net>
  13  * @copyright Copyright (c) 2017-2023 Robert Down <robertdown@live.com>
  14  * @license   https://github.com/openemr/openemr/blob/master/LICENSE GNU General Public License 3
  15  **/
  16
  17 require_once(__DIR__ . "/../../globals.php");
  18 require_once("$srcdir/api.inc.php");
  19
  20 use OpenEMR\Common\Csrf\CsrfUtils;
  21 use OpenEMR\Core\Header;
  22
  23 $returnurl = 'encounter_top.php';
  24 ?>
  25 <html>
  26 <head>
  27     <title><?php echo xlt("Dictation"); ?></title>
  28
  29     <?php Header::setupHeader();?>
  30 </head>
  31 <body>
  32     <div class="container mt-3">
  33         <div class="row">
  34             <div class="col-12">
  35                 <h2><?php echo xlt("Dictation"); ?></h2>
  36             </div>
  37         </div>
  38         <div class="row">
  39             <div class="col-12">
  40                 <form name="my_form" method=post action="<?php echo $rootdir;?>/forms/dictation/save.php?mode=new" onsubmit="return top.restoreSession()">
  41                     <input type="hidden" name="csrf_token_form" value="<?php echo attr(CsrfUtils::collectCsrfToken()); ?>" />
  42                         <fieldset>
  43                             <legend><?php echo xlt('Dictation')?></legend>
  44                             <div class="container">
  45                                 <div class="form-group">
  46                                     <textarea name="dictation" class="form-control" cols="80" rows="15"></textarea>
  47                                 </div>
  48                             </div>
  49                         </fieldset>
  50                         <fieldset>
  51                             <legend><?php echo xlt('Additional Notes'); ?></legend>
  52                             <div class="container">
  53                                 <div class="form-group">
  54                                     <textarea name="additional_notes" class="form-control" cols="80" rows="5"></textarea>
  55                                 </div>
  56                             </div>
  57                         </fieldset>
  58                     <div class="form-group">
  59                         <div class="btn-group" role="group">
  60                             <button type='submit' onclick='top.restoreSession()' class="btn btn-primary btn-save"><?php echo xlt('Save'); ?></button>
  61                             <button type="button" class="btn btn-secondary btn-cancel" onclick="top.restoreSession(); parent.closeTab(window.name, false);"><?php echo xlt('Cancel');?></button>
  62                         </div>
  63                     </div>
  64                 </form>
  65             </div>
  66         </div>
  67     </div>
  68 </body>
  69 </html>