frm_08.php
103 lines
| 3.4 KiB
| text/x-php
|
XmlPhpLexer
arturo
|
r0 | <?php | |
| if (!isset($date_test)) | |||
| $date_test = ""; | |||
| ?> | |||
| <script> | |||
| $(function() { | |||
| $( "#date_exam" ).datepicker({ | |||
| showWeek: true, | |||
| dateFormat: 'dd/M/yy', | |||
| firstDay: 1 | |||
| }); | |||
| }); | |||
| </script> | |||
| <?php if(isset($flag_edit) and ($flag_edit)){ ?> | |||
| <form name="frm_08" method="post" action="index.php"> | |||
| <?php } ?> | |||
| <div class="header_frm_page"> | |||
| <label class="title1">Screening Chemistry</label> | |||
| <label class="title2">(Within 21 Days prior to dose 1 )</label> | |||
| <label class="title3">(use if labs need to be transcribed)</label> | |||
| </div> | |||
| <span> | |||
| <label>Date:</label> | |||
| <?php if(isset($flag_edit) and ($flag_edit)){ ?><input type="text" id="date_exam" name="datos[txt_date]" /> | |||
| <?php }else{ ?> | |||
| <label><?php echo $date_test; ?></label> | |||
| <?php } ?> | |||
| </span> | |||
| <table width="100%" id="" class="" style=""> | |||
| <thead> | |||
| <tr> | |||
| <th style="text-align:center;">Test</th> | |||
| <th style="text-align:center;">Result<br>(include units)</th> | |||
| <th style="text-align:center;">Clinically<br> Significant?<br/>(Y/N)</th> | |||
| <th style="text-align:center;">Repeated<br/>(Y/N)</th> | |||
| <th style="text-align:center;">If no, comment</th> | |||
| </tr> | |||
| </thead> | |||
| <tbody> | |||
| <?php | |||
| if($method == "add"){ | |||
| foreach($data_fields as $data_field){ | |||
| foreach ($data_field as $value_data){ | |||
| ?> | |||
| <tr> | |||
| <td><?php echo $value_data['name_field']; ?><input type="hidden" name="var_ids[]" value="<?php echo $value_data['iddm']; ?>" /></td> | |||
| <td><?php //if($flag_edit){ ?> | |||
| <input type="text" class="txt_result" name="datos[txt_value_<?php echo $value_data['iddm']; ?>]" value="" /> | |||
| <?php //}else{ ?> | |||
| <?php //} ?> | |||
| </td> | |||
| <td> | |||
| <select id="lst_clinically_sig" name="datos[sign_<?php echo $value_data['iddm']; ?>]" class="form_select"> | |||
| <option value="1">Yes</option> | |||
| <option value="0">No</option> | |||
| </select> | |||
| </td> | |||
| <td> | |||
| <select id="lst_repeat" name="datos[repeat_<?php echo $value_data['iddm']; ?>]" class="form_select"> | |||
| <option value="1">Yes</option> | |||
| <option value="0">No</option> | |||
| </select> | |||
| </td> | |||
| <td> | |||
| <textarea name="datos[comment_<?php echo $value_data['iddm']; ?>]" id="glucose_comment" style="width:210px; height:35px;"></textarea> | |||
| </td> | |||
| </tr> | |||
| <?php | |||
| } | |||
| } | |||
| }else{ | |||
| if(isset($lst_chemistry)){ | |||
| foreach($lst_chemistry as $data_chemistry){ | |||
| ?> | |||
| <tr> | |||
| <td><?php echo $data_chemistry['name_field']; ?></td> | |||
| <td><?php echo $data_chemistry['results']; ?></td> | |||
| <td style="text-align:center;"> | |||
| <?php if($data_chemistry['clinically_significant'] == 1) echo "YES"; else echo "NO"; ; ?> | |||
| </td> | |||
| <td style="text-align:center;"><?php if($data_chemistry['repeated'] == 1) echo "YES"; else echo "NO"; ?></td> | |||
| <td><?php echo $data_chemistry['description']; ?></td> | |||
| </tr> | |||
| <?php | |||
| }// fin del foreach | |||
| } // fin del condicional if | |||
| } | |||
| ?> | |||
| </tbody> | |||
| </table> | |||
| <?php if((isset($flag_edit)) and ($flag_edit)){ ?> | |||
| <div class="tool_buttons"> | |||
| <input type="submit" value="save" id="btn_save" name="btn_save" /> | |||
| </div> | |||
| <input type="hidden" name="option" value="com_data" /> | |||
| <input type="hidden" name="controller" value="chemistry" /> | |||
| <input type="hidden" name="action" value="save" /> | |||
| <input type="hidden" name="name_form" value="frm_08" /> | |||
| <input type="hidden" name="num_form" value="8" /> | |||
| <input type="hidden" name="datos[idtest]" value="<?php echo $idtest; ?>" /> | |||
| <input type="hidden" name="title_form" value="8" /> | |||
| </form> | |||
| <?php } ?> |