##// END OF EJS Templates
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verificado errores en controlador
verificado errores en controlador
arturo - - Load All Authors

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r0:1
r14:15
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frm_33.php
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/ trunk / components / com_data / views / frm_33.php
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arturo
creando directorios base para el desarrollo
 r0 <script>
$(function() {
$( ".txt_PDdate" ).datepicker({
showWeek: true,
dateFormat: 'dd/M/yy',
firstDay: 1
});
$('.schedule_time').timepicker({
timeOnlyTitle: 'Choose Time',
timeText:'Time',
hourText:'Hour',
minuteText:'Minute',
secondText:'Second',
currentText:'Now',
closeText:'Done'
});
});
</script>
<div style="display: block; width: 100%; text-align: center; font-family: Arial; font-size: 14px; font-weight: bold; padding-top: 10px; padding-bottom: 5px;">
ECG; 28 Day Cycle 1 Dosing Day 26
</div>
<div style="clear: both; height: 20px; width: 100%"></div>
<label>Rate: </label><input type="text" name="txt_rate" />&nbsp;<label>Intervals: </label>
PR<input type="checkbox" name="chk_opt1" />
QRS<input type="checkbox" name="chk_opt2" />
QT<input type="checkbox" name="chk_opt3" />
QTc<input type="checkbox" name="chk_opt4" />
<br/><br/>
<label>Machine Interpretation: </label><br/>
<textarea cols="50" rows="5"></textarea>
<br/>
<label>Does the Investigator agree or disagree with this interpretation?</label><br/>
<input type="radio" name="rbn_opt" />Agree
<input type="radio" name="rbn_opt" />Disagree*
<br/><br/>
<label>*If disagrees, alternative interpretation <u>must</u> be provided below:</label><br/>
<textarea cols="50" rows="5"></textarea>
<br/>
<label>Were findings clinically significant?</label><br/>
<input type="radio" name="rbn_opt" />Yes**
<input type="radio" name="rbn_opt" />No
<br/><label>**Report on AE page.</label>
<br/><br/>
<table border="1" style="width: 650px">
<thead>
<tr>
<th>Date<br/>DD/MM/YYYY</th>
<th>Interval<br/>Hoour</th>
<th>Select<br/>Appropiate</th>
<th>Target</th>
<th>Actual Time</th>
</tr>
</thead>
<tbody>
<tr>
<td><input type="text" name="txt_date1" class="txt_PDdate" style="width: 78px"/></td>
<td>Immediately<br/>(Pre-Dose)</td>
<td><input type="text" name="txt_dateRep" value="" style="width: 100px"/></td>
<td><input type="text" name="txt_dateRep" value="" style="width: 100px"/></td>
<td><input type="text" name="txt_dateRep" style="width: 100px" class="schedule_time" onfocus="if(this.value=='DD/MMM/YYYY') this.value='';" onblur="if(this.value=='') this.value='00:00';" value="00:00" /></td>
</tr>
<tr>
<td style="background-color: #A6A6A6"></td>
<td>End of<br/>Infusion(hr. 4)</td>
<td><input type="text" name="txt_dateRep" value="" style="width: 100px"/></td>
<td><input type="text" name="txt_date1" style="width: 100px"/></td>
<td><input type="text" name="txt_dateRep" style="width: 100px" class="schedule_time" onfocus="if(this.value=='DD/MMM/YYYY') this.value='';" onblur="if(this.value=='') this.value='00:00';" value="00:00" /></td>
</tr>
</tbody>
</table>
<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>