interface/forms/note/print.php

   1 <?php
   2
   3
   4
   5
   6 include_once("../../globals.php");
   7 include_once("$srcdir/api.inc");
   8 formHeader("Form: note");
   9 $returnurl = 'encounter_top.php';
  10 $provider_results = sqlQuery("select fname, lname from users where username=?", array($_SESSION{"authUser"}));
  11
  12 /* name of this form */
  13 $form_name = "note";
  14
  15 // get the record from the database
  16 if ($_GET['id'] != "") {
  17     $obj = formFetch("form_".$form_name, $_GET["id"]);
  18 }
  19
  20 /* remove the time-of-day from the date fields */
  21 if ($obj['date_of_signature'] != "") {
  22     $dateparts = explode(" ", $obj['date_of_signature']);
  23     $obj['date_of_signature'] = $dateparts[0];
  24 }
  25 ?>
  26 <html><head>
  27 <?php html_header_show();?>
  28 <link rel="stylesheet" href="<?php echo $css_header;?>" type="text/css">
  29
  30 <!-- supporting javascript code -->
  31 <script type="text/javascript" src="<?php echo $GLOBALS['assets_static_relative']; ?>/jquery-min-1-2-2/index.js"></script>
  32
  33 </head>
  34 <body class="body_top">
  35
  36 <form method=post action="">
  37 <span class="title"><?php echo xlt('Work/School Note'); ?></span><br></br>
  38 <?php echo xlt('Printed'); ?> <?php echo dateformat(); ?>
  39 <br><br>
  40 <select name="note_type">
  41 <option value="WORK NOTE" <?php if ($obj['note_type']=="WORK NOTE") {
  42     echo " SELECTED";
  43 } ?>><?php echo xlt('WORK NOTE'); ?></option>
  44 <option value="SCHOOL NOTE" <?php if ($obj['note_type']=="SCHOOL NOTE") {
  45     echo " SELECTED";
  46 } ?>><?php echo xlt('SCHOOL NOTE'); ?></option>
  47 </select>
  48 <br>
  49 <b><?php echo xlt('MESSAGE:'); ?></b>
  50 <br>
  51 <div style="border: 1px solid black; padding: 5px; margin: 5px;"><?php echo text($obj["message"]);?></div>
  52 <br></br>
  53
  54 <table>
  55 <tr><td>
  56 <span class=text><?php echo xlt('Doctor:'); ?> </span><input type=text name="doctor" value="<?php echo attr($obj["doctor"]);?>">
  57 </td><td>
  58 <span class="text"><?php echo xlt('Date'); ?></span>
  59    <input type='text' size='10' name='date_of_signature' id='date_of_signature'
  60     value='<?php echo attr($obj['date_of_signature']); ?>'
  61     />
  62 </td></tr>
  63 </table>
  64
  65 </form>
  66
  67 </body>
  68
  69 <script language="javascript">
  70 // jQuery stuff to make the page a little easier to use
  71
  72 $(document).ready(function(){
  73     var win = top.printLogPrint ? top : opener.top;
  74     win.printLogPrint(window);
  75 });
  76
  77 </script>
  78
  79 </html>
  80