interface/patient_file/encounter/other.php

   1 <?php
   2
   3 /**
   4  * other.php
   5  *
   6  * @package   OpenEMR
   7  * @link      http://www.open-emr.org
   8  * @author    Brady Miller <brady.g.miller@gmail.com>
   9  * @copyright Copyright (c) 2018 Brady Miller <brady.g.miller@gmail.com>
  10  * @license   https://github.com/openemr/openemr/blob/master/LICENSE GNU General Public License 3
  11  */
  12
  13 require_once("../../globals.php");
  14
  15 use OpenEMR\Common\Csrf\CsrfUtils;
  16 use OpenEMR\Core\Header;
  17
  18 //the number of rows to display before resetting and starting a new column:
  19 $N = 10
  20 ?>
  21
  22 <html>
  23 <head>
  24 <?php Header::setupHeader(); ?>
  25 </head>
  26 <body class="body_bottom">
  27
  28 <table class="table-borderless h-100" cellspacing='0' cellpadding='0'>
  29 <tr>
  30
  31 <td class="align-top">
  32
  33 <dl>
  34
  35 <form method='post' name='other_form' action="diagnosis.php?mode=add&type=OTHER&csrf_token_form=<?php echo attr_url(CsrfUtils::collectCsrfToken()); ?>"
  36  target='Diagnosis' onsubmit='return top.restoreSession()'>
  37 <script>
  38 function clearform(atrib){
  39 document.other_form.text.value=document.other_form.textH.value;
  40 document.other_form.code.value=document.other_form.codeH.value;
  41 document.other_form.fee.value=document.other_form.feeH.value*document.other_form.noofunits.value;
  42 document.other_form.units.value=document.other_form.noofunits.value;
  43 document.other_form.textH.value='';
  44 document.other_form.codeH.value='';
  45 document.other_form.feeH.value='';
  46 document.other_form.noofunits.value='1';
  47 }
  48 function isNumberKey(evt)
  49       {var charCode = (evt.which) ? evt.which : event.keyCode
  50          if (charCode > 31 && (charCode < 48 || charCode > 57))
  51          {
  52          alert(<?php echo xlj('Units must be a number'); ?>);
  53          return false;
  54          }
  55 return true;  }
  56 </script>
  57 <dt><span class='title'><?php echo xlt('Other'); ?></span></dt>
  58
  59 <br />
  60 <table>
  61 <tr>
  62 <td class="text"><?php echo xlt('code'); ?></td>
  63 <td class="text"><?php echo xlt('description'); ?></td>
  64 <td class="text">&nbsp;&nbsp;&nbsp;<?php echo xlt('fee'); ?></td>
  65 <td class="text"><?php echo xlt('units'); ?></td>
  66 <td></td>
  67 </tr>
  68 <tr>
  69 <input type='hidden' name='code' />
  70 <input type='hidden' name='text' />
  71 <input type='hidden' name='fee' />
  72 <input type='hidden' name='units' />
  73   <td class="text"><input type='entry' name='codeH' size='4' />&nbsp;&nbsp;</td>
  74   <td class="text"><input type='entry' name='textH' size='13' value="" />&nbsp;&nbsp;</td>
  75   <td class="text"><?php echo xlt('$'); ?> </span><input type='entry' name='feeH' size='5' /></td>
  76   <td> <input type='text' name="noofunits" onkeypress="return isNumberKey(event)" size='3' value='1' /></td>
  77   <td>&nbsp;<a class='text' onclick="clearform('clear')" href="javascript:top.restoreSession();document.other_form.submit();">
  78     <?php echo xlt('Save'); ?> </a>
  79   </td>
  80 </tr>
  81 </table>
  82 </form>
  83
  84 </dl>
  85
  86 </td>
  87 </tr>
  88 </table>
  89
  90 </body>
  91 </html>