templates/hl7/general_parse.html

   1 <html>
   2 <head>
   3 {literal}
   4  <style type="text/css" title="mystyles" media="all">
   5 <!--
   6 td {
   7         font-size:12pt;
   8         font-family:helvetica;
   9 }
  10 input {
  11         font-size:8pt;
  12         font-family:helvetica;
  13 }
  14 select {
  15         font-size:8pt;
  16         font-family:helvetica;
  17 }
  18 textarea {
  19         font-size:8pt;
  20         font-family:helvetica;
  21 }
  22 -->
  23 </style>
  24 {/literal}
  25 </head>
  26 <body bgcolor="{$STYLE.BGCOLOR2}">
  27 <form name="prescribe" method="post" action="{$FORM_ACTION}">
  28 <table CELLSPACING="0" CELLPADDING="3">
  29 <!--<tr><td>Example HL7 data<td></tr>
  30 <tr><td>MSH|^~\&|ADT1|CUH|LABADT|CUH|198808181127|SECURITY|ADT^A01|MSG00001|P|2.3|
  31 EVN|A01|198808181122||
  32 PID|||PATID1234^5^M11||RYAN^HENRY^P||19610615|M||C|1200 N ELM STREET^^GREENSBORO^NC^27401-1020|GL|(919)379-1212|(919)271-3434 ||S||PATID12345001^2^M10|123456789|987654^NC|
  33 NK1|JOHNSON^JOAN^K|WIFE||||||NK^NEXT OF KIN
  34 PV1|1|I|2000^2053^01||||004777^FISHER^BEN^J.|||SUR||||ADM|A0|</td></tr>-->
  35 <tr>
  36 <td>Paste HL7 Data</td>
  37 </tr>
  38 <tr>
  39         <td><textarea rows="10" wrap="virtual" cols="65" name="hl7data"></textarea><br /><br />
  40         <input type="submit" name="HL7" value="Parse HL7"/><br /><br />
  41         </td>
  42 </tr>
  43 {if $hl7_message_err}
  44         <tr><td>{$hl7_message_err}</td></tr>
  45 {/if}
  46 {if $hl7_array}
  47         <tr><td>
  48         <table>
  49         {foreach from=$hl7_array item=hl7item key=hl7key}
  50         <tr><td>&nbsp;</td></tr>
  51         <tr><td><td colspan="2">{$hl7key}</td></tr>
  52                 {foreach from=$hl7item item=segment_val key=segment_name}
  53                         <tr><td>&nbsp;</td><td>{$segment_name}: </td><td>{$segment_val}</td></tr>
  54                 {/foreach}
  55         {/foreach}
  56         </table>
  57         </td></tr>
  58 {/if}
  59 <input type="hidden" name="process" value="{$PROCESS}" />
  60 </table>
  61 </form>
  62
  63 </body>
  64 </html>