interface/forms/functional_cognitive_status/new.php

   1 <?php
   2 // +-----------------------------------------------------------------------------+
   3 // Copyright (C) 2015 Z&H Consultancy Services Private Limited <sam@zhservices.com>
   4 //
   5 //
   6 // This program is free software; you can redistribute it and/or
   7 // modify it under the terms of the GNU General Public License
   8 // as published by the Free Software Foundation; either version 2
   9 // of the License, or (at your option) any later version.
  10 //
  11 //
  12 // This program is distributed in the hope that it will be useful,
  13 // but WITHOUT ANY WARRANTY; without even the implied warranty of
  14 // MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE.  See the
  15 // GNU General Public License for more details.
  16 //
  17 //
  18 // A copy of the GNU General Public License is included along with this program:
  19 // openemr/interface/login/GnuGPL.html
  20 // For more information write to the Free Software
  21 // Foundation, Inc., 59 Temple Place - Suite 330, Boston, MA  02111-1307, USA.
  22 //
  23 // Author:   Jacob T Paul <jacob@zhservices.com>
  24 //           Vinish K <vinish@zhservices.com>
  25 //
  26 // +------------------------------------------------------------------------------+
  27
  28 //SANITIZE ALL ESCAPES
  29 $sanitize_all_escapes = true;
  30
  31 //STOP FAKE REGISTER GLOBALS
  32 $fake_register_globals = false;
  33
  34 include_once("../../globals.php");
  35 include_once("$srcdir/api.inc");
  36 require_once("$srcdir/patient.inc");
  37 require_once("$srcdir/options.inc.php");
  38 require_once($GLOBALS['srcdir'] . '/csv_like_join.php');
  39 require_once($GLOBALS['fileroot'] . '/custom/code_types.inc.php');
  40
  41 formHeader("Form:Functional and Cognitive Status Form");
  42 $returnurl = 'encounter_top.php';
  43 $formid = 0 + (isset($_GET['id']) ? $_GET['id'] : '');
  44 if ($formid) {
  45     $sql = "SELECT * FROM `form_functional_cognitive_status` WHERE id=? AND pid = ? AND encounter = ?";
  46     $res = sqlStatement($sql, array($formid,$_SESSION["pid"], $_SESSION["encounter"]));
  47
  48     for ($iter = 0; $row = sqlFetchArray($res); $iter++)
  49         $all[$iter] = $row;
  50     $check_res = $all;
  51 }
  52
  53 $check_res = $formid ? $check_res : array();
  54 ?>
  55 <html>
  56     <head>
  57         <?php html_header_show(); ?>
  58         <!-- pop up calendar -->
  59         <style type="text/css">@import url(<?php echo $GLOBALS['webroot'] ?>/library/dynarch_calendar.css);</style>
  60         <script type="text/javascript" src="<?php echo $GLOBALS['webroot'] ?>/library/dynarch_calendar.js"></script>
  61         <?php include_once("{$GLOBALS['srcdir']}/dynarch_calendar_en.inc.php"); ?>
  62         <script type="text/javascript" src="<?php echo $GLOBALS['webroot'] ?>/library/dynarch_calendar_setup.js"></script>
  63         <script type="text/javascript" src="<?php echo $GLOBALS['webroot'] ?>/library/textformat.js"></script>
  64         <script type="text/javascript" src="<?php echo $GLOBALS['webroot'] ?>/library/dialog.js?v=<?php echo $v_js_includes; ?>"></script>
  65         <link rel="stylesheet" href="<?php echo $css_header; ?>" type="text/css">
  66     </head>
  67
  68     <body class="body_top">
  69         <script type="text/javascript">
  70
  71             function duplicateRow(e) {
  72                 var newRow = e.cloneNode(true);
  73                 e.parentNode.insertBefore(newRow, e.nextSibling);
  74                 changeIds('tb_row');
  75                 changeIds('description');
  76                 changeIds('activity');
  77                 changeIds('activity1');
  78                 changeIds('code');
  79                 changeIds('codetext');
  80                 changeIds('img_code_date');
  81                 changeIds('code_date');
  82                 changeIds('displaytext');
  83                 removeVal(newRow.id);
  84             }
  85
  86             function removeVal(rowid)
  87             {
  88                 rowid1 = rowid.split('tb_row_');
  89                 document.getElementById("description_" + rowid1[1]).value = '';
  90                 document.getElementById("activity_" + rowid1[1]).checked = false;
  91                 document.getElementById("activity_" + rowid1[1]).value = 0;
  92                 document.getElementById("activity1_" + rowid1[1]).value = 0;
  93                 document.getElementById("code_" + rowid1[1]).value = '';
  94                 document.getElementById("codetext_" + rowid1[1]).value = '';
  95                 document.getElementById("img_code_date_" + rowid1[1]).value = '';
  96                 document.getElementById("code_date_" + rowid1[1]).value = '';
  97                 document.getElementById("displaytext_" + rowid1[1]).innerHTML = '';
  98             }
  99
 100             function changeIds(class_val) {
 101                 var elem = document.getElementsByClassName(class_val);
 102                 for (var i = 0; i < elem.length; i++) {
 103                     if (elem[i].id) {
 104                         index = i + 1;
 105                         elem[i].id = class_val + "_" + index;
 106                     }
 107                     if (class_val == 'code_date')
 108                     {
 109                         Calendar.setup({inputField: class_val + "_" + index, ifFormat: "%Y-%m-%d", button: "img_code_date_" + index});
 110                     }
 111                 }
 112             }
 113
 114             function deleteRow(rowId)
 115             {
 116                 if (rowId != 'tb_row_1') {
 117                     var table = document.getElementById("functional_cognitive_status");
 118                     var rowIndex = document.getElementById(rowId).rowIndex;
 119                     table.deleteRow(rowIndex);
 120                 }
 121             }
 122
 123             function sel_code(id)
 124             {
 125                 id = id.split('tb_row_');
 126                 var checkId = '_' + id[1];
 127                 document.getElementById('clickId').value = checkId;
 128                 dlgopen('<?php echo $GLOBALS['webroot'] . "/interface/patient_file/encounter/" ?>find_code_popup.php?codetype=SNOMED-CT', '_blank', 700, 400);
 129             }
 130
 131             function set_related(codetype, code, selector, codedesc) {
 132                 var checkId = document.getElementById('clickId').value;
 133                 document.getElementById("code" + checkId).value = code;
 134                 document.getElementById("codetext" + checkId).value = codedesc;
 135                 document.getElementById("displaytext" + checkId).innerHTML  = codedesc;
 136             }
 137
 138             function checkVal(id)
 139             {
 140                 var id1 = id.split('activity_')
 141                 if (document.getElementById(id).checked)
 142                 {
 143                     document.getElementById(id).value = 1;
 144                     document.getElementById('activity1_' + id1[1]).value = 1;
 145                 }
 146                 else
 147                 {
 148                     document.getElementById(id).value = 0;
 149                     document.getElementById('activity1_' + id1[1]).value = 0;
 150                 }
 151             }
 152         </script>
 153         <p><span class="forms-title"><?php echo xlt('Functional and Cognitive Status Form'); ?></span></p>
 154         </br>
 155         <?php echo "<form method='post' name='my_form' " . "action='$rootdir/forms/functional_cognitive_status/save.php?id=" . attr($formid) . "'>\n"; ?>
 156         <table id="functional_cognitive_status" border="0">
 157
 158             <?php
 159             if (!empty($check_res)) {
 160                 foreach ($check_res as $key => $obj) {
 161                     ?>
 162                     <tr class="tb_row" id="tb_row_<?php echo $key + 1; ?>">
 163                         <td align="left" class="forms"><?php echo xlt('Code'); ?>:</td>
 164                         <td class="forms">
 165                             <input type="text" id="code_<?php echo $key + 1; ?>" style="width:210px" name="code[]" class="code" value="<?php echo text($obj{"code"}); ?>" onclick='sel_code(this.parentElement.parentElement.id);'><br>
 166                             <span id="displaytext_<?php echo $key + 1; ?>" style="width:210px !important;display: block;font-size:13px;color: blue;" class="displaytext"><?php echo text($obj{"codetext"}); ?></span>
 167                             <input type="hidden" id="codetext_<?php echo $key + 1; ?>" name="codetext[]" class="codetext" value="<?php echo text($obj{"codetext"}); ?>">
 168                         </td>
 169                         <td align="left" class="forms"><?php echo xlt('Description'); ?>:</td>
 170                         <td class="forms">
 171                             <textarea rows="4" id="description_<?php echo $key + 1; ?>" cols="30" name="description[]" class="description"><?php echo text($obj{"description"}); ?></textarea>
 172                         </td>
 173                         <td align="left" class="forms"><?php echo xlt('Date'); ?>:</td>
 174                         <td class="forms">
 175                             <input type='text' id="code_date_<?php echo $key + 1; ?>" size='10' name='code_date[]' class="code_date" <?php echo attr($disabled) ?> value='<?php echo attr($obj{"date"}); ?>' title='<?php echo xla('yyyy-mm-dd Date of service'); ?>' onkeyup='datekeyup(this, mypcc)' onblur='dateblur(this, mypcc)' />
 176                             <img src='../../pic/show_calendar.gif' align='absbottom' id="img_code_date_<?php echo $key + 1; ?>" width='24' height='22' class="img_code_date" border='0' alt='[?]' style='cursor:pointer;cursor:hand' title='<?php echo xla('Click here to choose a date'); ?>'>
 177                         </td>
 178                         <td align="left" class="forms"><?php echo xlt('Active'); ?>:</td>
 179                         <td>
 180                             <input type="checkbox" name="activity[]" onclick="checkVal(this.id);" id="activity_<?php echo $key + 1; ?>" value="<?php echo text($obj{"activity"}); ?>" <?php if ($obj{"activity"} == 1) echo "checked='checked'" ?> class="activity">
 181                             <input type="hidden" name="activity1[]" id="activity1_<?php echo $key + 1; ?>" value="<?php echo text($obj{"activity"}); ?>" class="activity1">
 182                         </td>
 183                         <td>
 184                             <img src='../../pic/add.png' onclick="duplicateRow(this.parentElement.parentElement);" align='absbottom' width='27' height='24' border='0' style='cursor:pointer;cursor:hand' title='<?php echo xla('Click here to duplicate the row'); ?>'>
 185                             <img src='../../pic/remove.png' onclick="deleteRow(this.parentElement.parentElement.id);" align='absbottom' width='24' height='22' border='0' style='cursor:pointer;cursor:hand' title='<?php echo xla('Click here to delete the row'); ?>'>
 186                         </td>
 187                     <script language="javascript">
 188                         /* required for popup calendar */
 189                         Calendar.setup({inputField: "code_date_<?php echo $key + 1; ?>", ifFormat: "%Y-%m-%d", button: "img_code_date_<?php echo $key + 1; ?>"});
 190                     </script>
 191                 </tr>
 192                 <?php
 193             }
 194         } else {
 195             ?>
 196             <tr class="tb_row" id="tb_row_1">
 197                 <td align="left" class="forms"><?php echo xlt('Code'); ?>:</td>
 198                 <td class="forms">
 199                     <input type="text" id="code_1" name="code[]" class="code" style="width:210px" value="<?php echo text($obj{"code"}); ?>" onclick='sel_code(this.parentElement.parentElement.id);'><br>
 200                     <span id="displaytext_1" style="width:210px !important;display: block;font-size:13px;color: blue;" class="displaytext"></span>
 201                     <input type="hidden" id="codetext_1" name="codetext[]" class="codetext" value="<?php echo text($obj{"codetext"}); ?>">
 202                 </td>
 203                 <td align="left" class="forms"><?php echo xlt('Description'); ?>:</td>
 204                 <td class="forms">
 205                     <textarea rows="4" id="description_1" cols="30" name="description[]" class="description"><?php echo text($obj{"description"}); ?></textarea>
 206                 </td>
 207                 <td align="left" class="forms"><?php echo xlt('Date'); ?>:</td>
 208                 <td class="forms">
 209                     <input type='text' id="code_date_1" size='10' name='code_date[]' class="code_date" <?php echo attr($disabled) ?> value='<?php echo attr($obj{"date"}); ?>' title='<?php echo xla('yyyy-mm-dd Date of service'); ?>' onkeyup='datekeyup(this, mypcc)' onblur='dateblur(this, mypcc)' />
 210                     <img src='../../pic/show_calendar.gif' align='absbottom' id="img_code_date_<?php echo $key + 1; ?>" width='24' height='22' class="img_code_date" border='0' alt='[?]' style='cursor:pointer;cursor:hand' title='<?php echo xla('Click here to choose a date'); ?>'>
 211                 </td>
 212                 <td align="left" class="forms"><?php echo xlt('Active'); ?>:</td>
 213                 <td>
 214                     <input type="checkbox" name="activity[]" onclick="checkVal(this.id);" id="activity_1" value="0" class="activity">
 215                     <input type="hidden" name="activity1[]" id="activity1_1" value="0" class="activity1">
 216                 </td>
 217                 <td>
 218                     <img src='../../pic/add.png' onclick="duplicateRow(this.parentElement.parentElement);" align='absbottom' width='27' height='24' border='0' style='cursor:pointer;cursor:hand' title='<?php echo xla('Click here to duplicate the row'); ?>'>
 219                     <img src='../../pic/remove.png' onclick="deleteRow(this.parentElement.parentElement.id);" align='absbottom' width='24' height='22' border='0' style='cursor:pointer;cursor:hand' title='<?php echo xla('Click here to delete the row'); ?>'>
 220                 </td>
 221             <script language="javascript">
 222                 /* required for popup calendar */
 223                 Calendar.setup({inputField: "code_date_1", ifFormat: "%Y-%m-%d", button: "img_code_date_1"});
 224             </script>
 225         </tr>
 226     <?php }
 227     ?>
 228
 229     <tr>
 230         <td align="left" colspan="5" style="padding-bottom:7px;"></td>
 231     </tr>
 232     <tr>
 233         <td colspan="2"></td>
 234         <td colspan="3">
 235             <input type="hidden" id="clickId" value="">
 236             <input type='submit'  value='<?php echo xla('Save'); ?>' class="button-css">&nbsp;
 237         </td>
 238     </tr>
 239 </table>
 240 </form>
 241 <?php
 242 formFooter();
 243 ?>