Care2007/modules/registration_admission/gui_bridge/default/gui_input_show_appointment.php

   1 <script language="javascript">
   2 <!-- Script Begin
   3 function chkForm(d) {
   4         if(d.date.value==''){
   5                 alert("<?php echo $LDPlsEnterDate; ?>");
   6                 d.date.focus();
   7                 return false;
   8         }else if(d.to_dept_nr.value==''){
   9                 alert("<?php echo $LDPlsSelectDept; ?>");
  10                 d.to_dept_nr.focus();
  11                 return false;
  12         }else if(d.to_personell_name.value==''){
  13                 alert("<?php echo $LDPlsEnterDoctor; ?>");
  14                 d.to_personell_name.focus();
  15                 return false;
  16         }else if(d.purpose.value==''){
  17                 alert("<?php echo $LDPlsEnterPurpose; ?>");
  18                 d.purpose.focus();
  19                 return false;
  20         }else{
  21                 return true;
  22         }
  23 }
  24 //  Script End -->
  25 </script>
  26 <?php
  27 #
  28 # If date was in the past, show error message
  29 #
  30 if($bPastDateError) echo '<font class="warnprompt">'.$LDInvalidDate.' '.$LDNoPastDate.'</font>';
  31
  32 ?>
  33 <form method="post" name="appt_form" onSubmit="return chkForm(this)">
  34  <table border=0 cellpadding=2 width=100%>
  35    <tr bgcolor="#f6f6f6">
  36      <td><font color="red"><b>*</b><FONT SIZE=-1  FACE="Arial" color="#000066"><?php echo $LDDate; ?></td>
  37      <td>
  38                 <?php
  39                         //gjergji : new calendar
  40                         require_once ('../../js/jscalendar/calendar.php');
  41                         $calendar = new DHTML_Calendar('../../js/jscalendar/', $lang, 'calendar-system', true);
  42                         $calendar->load_files();
  43
  44                         echo $calendar->show_calendar($calendar,$date_format,'date',$date);
  45                 ?>
  46                 </td>
  47    </tr>
  48    <tr bgcolor="#f6f6f6">
  49      <td></font><FONT SIZE=-1  FACE="Arial" color="#000066"><?php echo $LDTime; ?></td>
  50      <td><input type="text" name="time" size=10 maxlength=10 value="<?php if(!empty($time)) echo convertTimeToLocal($time); ?>"></td>
  51    </tr>
  52    <tr bgcolor="#f6f6f6">
  53      <td><font color="red"><b>*</b><FONT SIZE=-1  FACE="Arial" color="#000066"><?php echo $LDDepartment; ?></td>
  54      <td>
  55             <select name="to_dept_nr">
  56                 <option value=""></option>
  57         <?php
  58
  59                 while(list($x,$v)=each($deptarray)){
  60                         echo '
  61                                 <option value="'.$v['nr'].'" ';
  62                         if($v['nr']==$to_dept_nr) echo 'selected';
  63                         echo ' >';
  64                         if(isset($$v['LD_var'])&&!empty($$v['LD_var'])) echo $$v['LD_var'];
  65                                 else  echo $v['name_formal'];
  66                         echo '</option>';
  67                 }
  68         ?>
  69         </select>
  70          </td>
  71    </tr>
  72
  73    <tr bgcolor="#f6f6f6">
  74      <td><font color="red"><b>*</b><FONT SIZE=-1  FACE="Arial" color="#000066"><?php echo "$LDPhysician/$LDClinician"; ?></td>
  75      <td><input type="text" name="to_personell_name" size=50 maxlength=60  value="<?php if(isset($to_personell_name)) echo $to_personell_name; ?>"></td>
  76    </tr>
  77
  78    <tr bgcolor="#f6f6f6">
  79      <td><font color="red"><b>*</b><FONT SIZE=-1  FACE="Arial" color="#000066"><?php echo $LDPurpose; ?></td>
  80      <td><textarea name="purpose" cols=40 rows=6 wrap="physical"><?php if(isset($purpose)) echo $purpose; ?></textarea>
  81          </td>
  82    </tr>
  83    <tr bgcolor="#f6f6f6">
  84      <td><FONT SIZE=-1  FACE="Arial" color="#000066"><?php echo $LDUrgency; ?></td>
  85      <td><FONT SIZE=-1  FACE="Arial" color="#000066">
  86                         <input type="radio" name="urgency" value="0" <?php if($urgency==0) echo 'checked'; ?>><?php echo $LDNormal; ?>
  87                         <input type="radio" name="urgency" value="3" <?php if($urgency==3) echo 'checked'; ?>><?php echo $LDPriority; ?>
  88                         <input type="radio" name="urgency" value="5" <?php if($urgency==5) echo 'checked'; ?>><?php echo $LDUrgent; ?>
  89                         <input type="radio" name="urgency" value="7" <?php if($urgency==7) echo 'checked'; ?>><?php echo $LDEmergency; ?>
  90      </td>
  91    </tr>
  92    <tr bgcolor="#f6f6f6">
  93      <td><FONT SIZE=-1  FACE="Arial" color="#000066"><?php echo $LDRemindPatient; ?> ?</td>
  94      <td><FONT SIZE=-1  FACE="Arial" color="#000066">
  95                         <input type="radio" name="remind" value="1"  <?php if($remind) echo 'checked'; ?>> <?php echo $LDYes; ?>        <input type="radio" name="remind" value="0"   <?php if(!$remind) echo 'checked'; ?>> <?php echo $LDNo; ?>
  96      </td>
  97    </tr>
  98    <tr bgcolor="#f6f6f6">
  99      <td><FONT SIZE=-1  FACE="Arial" color="#000066"><?php echo $LDRemindBy; ?></td>
 100      <td><FONT SIZE=-1  FACE="Arial" color="#000066">
 101                 <input type="checkbox" name="remind_email" value="1"   <?php if($remind_email) echo 'checked'; ?>><?php echo $LDEmail; ?>
 102                 <input type="checkbox" name="remind_phone" value="1"  <?php if($remind_phone) echo 'checked'; ?>><?php echo $LDPhone; ?>
 103                 <input type="checkbox" name="remind_mail" value="1"  <?php if($remind_mail) echo 'checked'; ?>><?php echo $LDMail; ?>
 104          </td>
 105    </tr>
 106    <tr bgcolor="#f6f6f6">
 107      <td><FONT SIZE=-1  FACE="Arial" color="#000066"><?php echo $LDPlannedEncType; ?></td>
 108      <td><FONT SIZE=-1  FACE="Arial" color="#000066">
 109 <?php
 110 if(is_object($encounter_classes)){
 111     while($result=$encounter_classes->FetchRow()) {
 112 ?>
 113                 <input name="encounter_class_nr" type="radio"  value="<?php echo $result['class_nr']; ?>" <?php if($encounter_class_nr==$result['class_nr']) echo 'checked'; ?>>
 114 <?php
 115         $LD=$result['LD_var'];
 116         if(isset($$LD)&&!empty($$LD)) echo $$LD; else echo $result['name'];
 117         echo '&nbsp;';
 118         }
 119 }
 120 ?>
 121      </td>
 122    </tr>
 123
 124  </table>
 125 <input type="hidden" name="encounter_nr" value="<?php echo $HTTP_SESSION_VARS['sess_en']; ?>">
 126 <input type="hidden" name="pid" value="<?php echo $HTTP_SESSION_VARS['sess_pid']; ?>">
 127 <?php
 128 if($mode=='select'){
 129 ?>
 130 <input type="hidden" name="nr" value="<?php echo $nr; ?>">
 131 <?php
 132 }
 133 ?>
 134
 135 <input type="hidden" name="mode" value="<?php if($mode=='select') echo 'update'; else echo 'create';?>">
 136 <input type="hidden" name="target" value="<?php echo $target; ?>">
 137 <input type="image" <?php echo createLDImgSrc($root_path,'savedisc.gif','0'); ?>>
 138
 139 </form>