interface/forms/note/print.php

   1 <?php
   2
   3 /*
   4  * Work/School Note Form print.php
   5  *
   6  * @package   OpenEMR
   7  * @link      http://www.open-emr.org
   8  * @author    Nikolai Vitsyn
   9  * @author    Brady Miller <brady.g.miller@gmail.com>
  10  * @copyright Copyright (c) 2004-2005 Nikolai Vitsyn
  11  * @copyright Copyright (c) 2019 Brady Miller <brady.g.miller@gmail.com>
  12  * @license   https://github.com/openemr/openemr/blob/master/LICENSE GNU General Public License 3
  13  */
  14
  15
  16 require_once(__DIR__ . "/../../globals.php");
  17 require_once("$srcdir/api.inc.php");
  18
  19 use OpenEMR\Core\Header;
  20
  21 $returnurl = 'encounter_top.php';
  22 $provider_results = sqlQuery("select fname, lname from users where username=?", array($_SESSION["authUser"]));
  23
  24 /* name of this form */
  25 $form_name = "note";
  26
  27 // get the record from the database
  28 if ($_GET['id'] != "") {
  29     $obj = formFetch("form_" . $form_name, $_GET["id"]);
  30 }
  31
  32 ?>
  33 <html><head>
  34 <title><?php echo "Form: note"?></title>
  35
  36 <?php Header::setupHeader(); ?>
  37
  38 </head>
  39 <body class="body_top">
  40
  41 <form method=post action="">
  42 <span class="title"><?php echo xlt('Work/School Note'); ?></span><br /><br />
  43 <?php echo xlt('Printed'); ?> <?php echo text(dateformat()); ?>
  44 <br /><br />
  45 <select name="note_type">
  46 <option value="WORK NOTE" <?php if ($obj['note_type'] == "WORK NOTE") {
  47     echo " SELECTED";
  48                           } ?>><?php echo xlt('WORK NOTE'); ?></option>
  49 <option value="SCHOOL NOTE" <?php if ($obj['note_type'] == "SCHOOL NOTE") {
  50     echo " SELECTED";
  51                             } ?>><?php echo xlt('SCHOOL NOTE'); ?></option>
  52 </select>
  53 <br />
  54 <b><?php echo xlt('MESSAGE:'); ?></b>
  55 <br />
  56 <div style="border: 1px solid black; padding: 5px; margin: 5px;"><?php echo text($obj["message"]);?></div>
  57 <br /><br />
  58
  59 <table>
  60 <tr><td>
  61 <span class=text><?php echo xlt('Doctor:'); ?> </span><input type=text name="doctor" value="<?php echo attr($obj["doctor"]);?>">
  62 </td><td>
  63 <span class="text"><?php echo xlt('Date'); ?></span>
  64    <input type='text' size='10' name='date_of_signature' id='date_of_signature'
  65     value='<?php echo attr(oeFormatShortDate($obj['date_of_signature'])); ?>'
  66     />
  67 </td></tr>
  68 </table>
  69
  70 </form>
  71
  72 </body>
  73
  74 <script>
  75 // jQuery stuff to make the page a little easier to use
  76
  77 $(function () {
  78     var win = top.printLogPrint ? top : opener.top;
  79     win.printLogPrint(window);
  80 });
  81
  82 </script>
  83
  84 </html>