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

   1 <?php
   2 include_once($root_path.'include/care_api_classes/class_immunization.php');
   3 if(!isset($imm_obj)) $imm_obj=new Immunization;
   4 $imm_types=$imm_obj->getAppTypes();
   5 ?>
   6 <script language="JavaScript">
   7 <!-- Script Begin
   8 function chkform(d) {
   9         if(d.date.value==""){
  10                 alert("<?php echo $LDPlsEnterDate; ?>");
  11                 d.date.focus();
  12                 return false;
  13         }else if(d.type.value==""){
  14                 alert("<?php echo $LDPlsEnterMedType; ?>");
  15                 d.type.focus();
  16                 return false;
  17         }else if(d.medicine.value==""){
  18                 alert("<?php echo $LDPlsEnterMedicine; ?>");
  19                 d.medicine.focus();
  20                 return false;
  21         }else if(d.dosage.value==""){
  22                 alert("<?php echo $LDPlsEnterDosage; ?>");
  23                 d.dosage.focus();
  24                 return false;
  25         }else if(d.application_type_nr.value==""){
  26                 alert("<?php echo $LDPlsSelectAppType; ?>");
  27                 d.application_type_nr.focus();
  28                 return false;
  29         }else if(d.application_by.value==""){
  30                 alert("<?php echo $LDPlsEnterFullName; ?>");
  31                 d.application_by.focus();
  32                 return false;
  33         }else{
  34                 return true;
  35         }
  36 }
  37
  38 function popSearchWin(target,obj_val,obj_name){
  39         urlholder="./data_search.php<?php echo URL_REDIRECT_APPEND; ?>&target="+target+"&obj_val="+obj_val+"&obj_name="+obj_name;
  40         DSWIN<?php echo $sid ?>=window.open(urlholder,"wblabel<?php echo $sid ?>","menubar=no,width=400,height=550,resizable=yes,scrollbars=yes");
  41 }
  42
  43 //  Script End -->
  44 </script>
  45
  46 <form method="post" name="reportform" onSubmit="return chkform(this)">
  47  <table border=0 cellpadding=2 width=100%>
  48    <tr bgcolor="#f6f6f6">
  49      <td><FONT SIZE=-1  FACE="Arial" color="#000066"><?php echo $LDDate; ?></td>
  50      <td>
  51                  <?php
  52                         //gjergji : new calendar
  53                         require_once ('../../js/jscalendar/calendar.php');
  54                         $calendar = new DHTML_Calendar('../../js/jscalendar/', $lang, 'calendar-system', true);
  55                         $calendar->load_files();
  56
  57                         echo $calendar->show_calendar($calendar,$date_format,'date',$date);
  58                 ?>
  59         </td>
  60    </tr>
  61    <tr bgcolor="#f6f6f6">
  62      <td><FONT SIZE=-1  FACE="Arial" color="#000066"><?php echo $LDType; ?></td>
  63      <td><input type="text" name="type" size=40 maxlength=60 alue="<?php echo $type; ?>" >
  64                 <a href="javascript:popSearchWin('immunization','reportform.nr','reportform.type')"><img <?php echo createComIcon($root_path,'b-write_addr.gif','0','',TRUE) ?>></a></td>
  65    </tr>
  66    <tr bgcolor="#f6f6f6">
  67      <td><FONT SIZE=-1  FACE="Arial" color="#000066"><?php echo $LDMedicine; ?></td>
  68      <td><input type="text" name="medicine" size=50 maxlength=60></td>
  69    </tr>
  70    <tr bgcolor="#f6f6f6">
  71      <td><FONT SIZE=-1  FACE="Arial" color="#000066"><?php echo $LDDosage; ?></td>
  72      <td><input type="text" name="dosage" size=50 maxlength=60></td>
  73    </tr>
  74    <tr bgcolor="#f6f6f6">
  75      <td><FONT SIZE=-1  FACE="Arial" color="#000066"><?php echo $LDTiter; ?></td>
  76      <td><input type="text" name="titer" size=10 maxlength=10></td>
  77    </tr>
  78    <tr bgcolor="#f6f6f6">
  79      <td><FONT SIZE=-1  FACE="Arial" color="#000066"><?php echo $LDRefreshDate; ?></td>
  80      <td>
  81                  <?php
  82                         //gjergji : new calendar
  83                         echo $calendar->show_calendar($calendar,$date_format,'refresh_date');
  84                         //gjergji : end
  85                 ?>
  86          </td>
  87    </tr>
  88    <tr bgcolor="#f6f6f6">
  89      <td><FONT SIZE=-1  FACE="Arial" color="#000066"><?php echo $LDAppType; ?></td>
  90      <td><select name="application_type_nr">
  91                 <option value=""></option>
  92                 <?php
  93                         while(list($x,$v)=each($imm_types)){
  94                                 echo '<option value="'.$v['nr'].'">';
  95                                 if(isset($$v['LD_var'])&&!empty($$v['LD_var'])) echo $$v['LD_var'];
  96                                         else echo $v['name'];
  97                                 echo '</option>
  98                                 ';
  99                         }
 100                 ?>
 101          </select>
 102          </td>
 103    </tr>
 104    <tr bgcolor="#f6f6f6">
 105      <td><FONT SIZE=-1  FACE="Arial" color="#000066"><?php echo $LDAppBy; ?></td>
 106      <td><input type="text" name="application_by" size=50 maxlength=60 value="<?php echo $HTTP_SESSION_VARS['sess_user_name']; ?>" readonly></td>
 107    </tr>
 108    <tr bgcolor="#f6f6f6">
 109      <td><FONT SIZE=-1  FACE="Arial" color="#000066"><?php echo $LDNotes; ?></td>
 110      <td><textarea name="notes" cols=40 rows=3 wrap="physical"></textarea>
 111          </td>
 112    </tr>
 113  </table>
 114 <input type="hidden" name="encounter_nr" value="<?php echo $HTTP_SESSION_VARS['sess_en']; ?>">
 115 <input type="hidden" name="pid" value="<?php echo $HTTP_SESSION_VARS['sess_pid']; ?>">
 116 <input type="hidden" name="modify_id" value="<?php echo $HTTP_SESSION_VARS['sess_user_name']; ?>">
 117 <input type="hidden" name="create_id" value="<?php echo $HTTP_SESSION_VARS['sess_user_name']; ?>">
 118 <input type="hidden" name="create_time" value="null">
 119 <input type="hidden" name="mode" value="create">
 120 <input type="hidden" name="target" value="<?php echo $target; ?>">
 121 <input type="hidden" name="history" value="Created: <?php echo date('Y-m-d H:i:s'); ?> : <?php echo $HTTP_SESSION_VARS['sess_user_name']."\n"; ?>">
 122 <input type="image" <?php echo createLDImgSrc($root_path,'savedisc.gif','0'); ?>>
 123
 124 </form>