contrib/forms/documents/new.php

   1 <?
   2
   3 // file new.php
   4
   5 // presents a blank form to upload an image file
   6
   7 // this file made by andres@paglayan.com on 2004-04-23
   8
   9 // custom from for uploading scanned documents into the emr.
  10
  11 include_once("../../globals.php");
  12
  13 include_once("../../../library/api.inc");
  14
  15 formHeader("Scanned Documents Input");
  16
  17
  18
  19 ?>
  20
  21 <html><head>
  22 <? html_header_show();?>
  23
  24 <link rel=stylesheet href="<?echo $css_header;?>" type="text/css">
  25
  26 </head>
  27
  28 <body <?echo $top_bg_line;?> topmargin=0 rightmargin=0 leftmargin=2 bottommargin=0 marginwidth=2 marginheight=0>
  29
  30
  31
  32 <!--REM note that every input method has the same name as a valid column, this will make things easier in save.php -->
  33
  34
  35
  36 <br>
  37
  38 <form method='post' action="<?echo $rootdir;?>/forms/documents/save.php?mode=new" name='document_form' enctype="multipart/form-data">
  39
  40 <span class=title>Scanned Documents Input</span>
  41
  42 <br>
  43
  44
  45
  46 <span class=text>Document:</span><br>
  47
  48 <input type="file" name="document_image"><br>
  49
  50
  51
  52 <br>
  53
  54 <span class=text>Description:</span> <input type=text name="document_description">
  55
  56 <br>
  57
  58
  59
  60 <span class=text>Who sent it?:</span> <input type=text name="document_source">
  61
  62 <br>
  63
  64
  65
  66 <!--REM note our nifty jscript submit -->
  67
  68 <input type="hidden" name="action" value="submit">
  69
  70 <a href="javascript:top.restoreSession();document.document_form.submit();" class="link_submit">[Save]</a>
  71
  72 <br>
  73
  74
  75
  76 <a href="<?php echo $GLOBALS['form_exit_url']; ?>" class="link" onclick="top.restoreSession()">[Don't Save]</a>
  77
  78 </form>
  79
  80
  81
  82 <?php
  83
  84 formFooter();
  85
  86 ?>
  87