frm_02.php
71 lines
| 2.5 KiB
| text/x-php
|
XmlPhpLexer
|
r0 | <?php | ||
switch($method){ | ||||
case "add": | ||||
$flag_edit = TRUE; | ||||
break; | ||||
case "view": | ||||
$flag_edit = FALSE; | ||||
break; | ||||
} | ||||
?> | ||||
<form name="frm_inclusion" method="post" action="index.php"> | ||||
<div style="width:650px; margin:0 auto;"> | ||||
<h1>Screening <br />Inclusion Criteria</h1> | ||||
<p>All of the following must be answered YES for the subject to qualify for study enrollment.</p> | ||||
<table id="" class="" style="" > | ||||
<thead> | ||||
<tr> | ||||
<td> </td> | ||||
<td>Criteria</td> | ||||
<td>YES</td> | ||||
<td>NO</td> | ||||
<td>N/A</td> | ||||
</tr> | ||||
</thead> | ||||
<tbody> | ||||
<?php if($flag_edit){ | ||||
foreach($data_list as $data_result){ ?> | ||||
<tr> | ||||
<td><?php echo $data_result['ordering']; ?></td> | ||||
<td><p><?php echo $data_result['name_field']; ?></p></td> | ||||
<td> | ||||
<input type="radio" class="criteria_01_yes" name="datos[criteria_<?php echo $data_result["ordering"]; ?>]" value="1" /> | ||||
<input type="hidden" name="datos[id_<?php echo $data_result["ordering"]; ?>]" value="<?php echo $data_result['iddata_general']; ?>" /> | ||||
</td> | ||||
<td style="background-color:#A6A6A6;"> | ||||
<input type="radio" id="criteria_01_no" name="datos[criteria_<?php echo $data_result["ordering"]; ?>]" value="2" /> | ||||
</td> | ||||
<td><input type="radio" id="criteria_01_na" name="datos[criteria_<?php echo $data_result["ordering"]; ?>]" value="3"></td> | ||||
</tr> | ||||
<?php } ?> | ||||
<?php }else{ ?> | ||||
<?php foreach($data_list as $data_result){ ?> | ||||
<tr> | ||||
<td><?php echo $data_result['ordering']; ?></td> | ||||
<td><p><?php echo $data_result['name_field']; ?></p></td> | ||||
<td><?php if($data_result['value'] == 1) echo "-"; ?></td> | ||||
<td><?php if($data_result['value'] == 2) echo "-"; ?></td> | ||||
<td><?php if($data_result['value'] == 3) echo "-"; ?></td> | ||||
</tr> | ||||
<?php } ?> | ||||
<?php } ?> | ||||
</tbody> | ||||
</table> | ||||
</div> | ||||
<?php if($flag_edit){ ?> | ||||
<div class="tool_buttons"> | ||||
<input type="submit" value="save" id="btn_save" name="btn_save"> | ||||
<input type="reset" value="clear" id="btn_clear" name="btn_clear"> | ||||
</div> | ||||
<?php }else{ ?> | ||||
<div class="tool_links_navigator" style="padding-top: 10px"> | ||||
<a href="index.php?option=com_data&controller=Data&action=add&name_form=frm_03">Next Form</a> | ||||
</div> | ||||
<?php } ?> | ||||
<input type="hidden" name="option" value="com_data" /> | ||||
<input type="hidden" name="controller" value="Data" /> | ||||
<input type="hidden" name="action" value="save" /> | ||||
<input type="hidden" name="name_form" value="frm_02" /> | ||||
<input type="hidden" name="num_form" value="2" /> | ||||
<input type="hidden" name="title_form" value="2" /> | ||||
</form> | ||||