frm_04.php
128 lines
| 4.2 KiB
| text/x-php
|
XmlPhpLexer
arturo
|
r0 | <?php | ||
| //var_dump($list_history); | ||||
| $html_history = ""; | ||||
| $html_ocultar = "display: none"; | ||||
| $html_ok = ""; | ||||
| if (isset($oculto)){ | ||||
| if ($oculto==1){ | ||||
| $html_ocultar = "display: block"; | ||||
| $html_ok = "checked"; | ||||
| } | ||||
| } | ||||
| if (isset($list_history)){ | ||||
| $items = count($list_history) - 1; | ||||
| for ($i=0; $i<=$items; $i++){ | ||||
| $data_mhistory = $list_history[$i]; | ||||
| $idmed_history = $data_mhistory->idmed_history; | ||||
| $idapplication = $data_mhistory->idapplication; | ||||
| $description = $data_mhistory->description; | ||||
| $bool_active = $data_mhistory->bool_active; | ||||
| $date_create = $data_mhistory->date_create; | ||||
| $date_update = $data_mhistory->date_update; | ||||
| if ($bool_active==1){ | ||||
| $marcar_1 = "<span style='color:#f00; font-size:18px; font-weigth:bold'>X</span>"; | ||||
| $marcar_0 = ""; | ||||
| }else{ | ||||
| $marcar_0 = "<span style='color:#f00; font-size:18px; font-weigth:bold'>X</span>"; | ||||
| $marcar_1 = ""; | ||||
| } | ||||
| $html_history.= "<tr>"; | ||||
| $html_history.= "<td>".($i+1)."</td>"; | ||||
| $html_history.= "<td >".$description."</td>"; | ||||
| $html_history.= "<td >".$marcar_1."</td>"; | ||||
| $html_history.= "<td >".$marcar_0."</td>"; | ||||
| $html_history.= "</tr>"; | ||||
| }// ....fin del for | ||||
| } | ||||
| ?> | ||||
| <script> | ||||
| $(function(){ | ||||
| $("#h_mh_yes").click(function(){ | ||||
| $("#div_history").css("display","block"); | ||||
| }); | ||||
| $("#h_mh_no").click(function(){ | ||||
| $("#div_history").css("display","none"); | ||||
| }); | ||||
| }) | ||||
| </script> | ||||
| <div style="width:650px; margin:0 auto;"> | ||||
| <h1>Screening Medical History</h1> | ||||
| <form name="frm_screeningmedicalhistory" method="post" action="index.php"> | ||||
| <table width="100%" id="" class="" style="" > | ||||
| <tbody> | ||||
| <tr> | ||||
| <td><p>Does the subject have any clinically significant medical history?</p></td> | ||||
| </tr> | ||||
| <tr> | ||||
| <td style="text-align:right;"><label>Yes (specific below)</label><input type="radio" <?php echo $html_ok ?> id="h_mh_yes" name="datos[mh]" value="Y"> | ||||
| <label>No</label><input type="radio" id="h_mh_no" name="datos[mh]" value="N"></td> | ||||
| </tr> | ||||
| </tbody> | ||||
| </table> | ||||
| <div> | ||||
| <input type="submit" value="save" id="btn_save" name="btn_save"><input type="reset" value="clear" id="btn_clear" name="btn_clear"> | ||||
| </div> | ||||
| <div id="div_history" style="border:1px solid #f00; width: 100%; margin-top: 10px; <?php echo $html_ocultar;?>"> | ||||
| <table id="" class="" style="" width="100%" border="1"> | ||||
| <thead> | ||||
| <tr> | ||||
| <td colspan="3" >Clinically significant Medical History</td> | ||||
| </tr> | ||||
| <tr> | ||||
| <td> List Finding Below</td> | ||||
| <td style="width:65px; text-align:center;">Active</td> | ||||
| <td style="width:65px; text-align:center;">No Active</td> | ||||
| </tr> | ||||
| </thead> | ||||
| <tbody> | ||||
| <tr> | ||||
| <td ><textarea id="finding" name="datos[finding]" value="" style="width:450px; height:50px" ></textarea></td> | ||||
| <td style="text-align:center; vertical-align:top;" ><input type="radio" id="finding_status_active" name="datos[finding_status]" value="1"></td> | ||||
| <td style="text-align:center; vertical-align:top;" ><input type="radio" id="finding_status_inactive" name="datos[finding_status]" value="0"></td> | ||||
| </tr> | ||||
| </tbody> | ||||
| <tfoot> | ||||
| <tr> | ||||
| <td colspan="3"></td> | ||||
| </tr> | ||||
| </tfoot> | ||||
| </table> | ||||
| <table border="0" width="100%" > | ||||
| <thead> | ||||
| <tr> | ||||
| <td > </td> | ||||
| <td style="text-align:center;"> </td> | ||||
| <td style="width:65px; text-align:center;">Active</td> | ||||
| <td style="width:65px; text-align:center;">No Active</td> | ||||
| </tr> | ||||
| </thead> | ||||
| <tbody> | ||||
| <?php echo $html_history?> | ||||
| </tbody> | ||||
| <tfoot> | ||||
| <tr> | ||||
| <td colspan="2"></td> | ||||
| </tr> | ||||
| </tfoot> | ||||
| </table> | ||||
| </div> | ||||
| <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_04" /> | ||||
| <input type="hidden" name="num_form" value="4" /> | ||||
| <input type="hidden" name="title_form" value="4" /> | ||||
| </form> | ||||
| </div> | ||||