mirror of
https://gitlab.com/signalytic/client-external/streamline/streamline-emr.git
synced 2026-09-13 19:51:30 +00:00
resolved conflicts
This commit is contained in:
+63
@@ -0,0 +1,63 @@
|
||||
<div class="row">
|
||||
<div class="col-md-6">
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('first_name',__('theatre_surgeries.first_name')) }}
|
||||
{{ Form::text('first_name','',['class' => 'form-control compulsory','id'=>'asg_first_name']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('last_name',__('theatre_surgeries.last_name')) }}
|
||||
{{ Form::text('last_name','',['class' => 'form-control compulsory','id'=>'asg_last_name']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('username',__('theatre_surgeries.username')) }}
|
||||
{{ Form::text('username','',['class' => 'form-control compulsory', 'id'=>'asg_user_name']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('phone',__('theatre_surgeries.phone_number')) }}
|
||||
{{ Form::text('phone','',['class' => 'form-control','data-mask'=>"0799 999 999", 'id'=>'asg_phone_number']) }}
|
||||
<span class="font-13 text-muted">(07xx) 123-456</span>
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('email',__('theatre_surgeries.email_address')) }}
|
||||
{{ Form::email('email','',['class' => 'form-control','id'=>'asg_email']) }}
|
||||
</div>
|
||||
|
||||
</div>
|
||||
|
||||
<div class="col-md-6">
|
||||
|
||||
<div class="form-group council_hide" style="display: block;">
|
||||
{{ Form::label('registration_number',__('theatre_surgeries.registration_number')) }}
|
||||
{{ Form::text('registration_number','',['class' => 'form-control','id'=>'asg_registration_number']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('position_id',__('theatre_surgeries.position')) }}
|
||||
{{ Form::select('position_id',$positions,'',['class' => 'form-control compulsory', 'id'=>'asg_position_id']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('pin',__('theatre_surgeries.secret_pin')) }}
|
||||
{{ Form::number('pin',null,['class' => 'form-control compulsory pin','placeholder'=>'eg 12345','maxlength'=>'5','minlength'=>'5', 'id'=>'asg_secret_pin']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('security_question_id',__('theatre_surgeries.security_question')) }}
|
||||
{{ Form::select('security_question_id',$security_questions,'',['class' => 'form-control', 'id'=>'asg_security_question']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('security_answer',__('theatre_surgeries.security_answer')) }}
|
||||
{{ Form::text('security_answer','',['class' => 'form-control','id'=>'asg_security_answer']) }}
|
||||
</div>
|
||||
|
||||
|
||||
</div>
|
||||
|
||||
|
||||
</div>
|
||||
Executable
+63
@@ -0,0 +1,63 @@
|
||||
<div class="row">
|
||||
<div class="col-md-6">
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('first_name',__('theatre_surgeries.first_name')) }}
|
||||
{{ Form::text('first_name','',['class' => 'form-control compulsory','id'=>'n_first_name']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('last_name',__('theatre_surgeries.last_name')) }}
|
||||
{{ Form::text('last_name','',['class' => 'form-control compulsory','id'=>'n_last_name']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('username',__('theatre_surgeries.username')) }}
|
||||
{{ Form::text('username','',['class' => 'form-control compulsory', 'id'=>'n_user_name']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('phone',__('theatre_surgeries.phone_number')) }}
|
||||
{{ Form::text('phone','',['class' => 'form-control','data-mask'=>"0799 999 999", 'id'=>'n_phone_number']) }}
|
||||
<span class="font-13 text-muted">(07xx) 123-456</span>
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('email',__('theatre_surgeries.email_address')) }}
|
||||
{{ Form::email('email','',['class' => 'form-control','id'=>'n_email']) }}
|
||||
</div>
|
||||
|
||||
</div>
|
||||
|
||||
<div class="col-md-6">
|
||||
|
||||
<div class="form-group council_hide" style="display: block;">
|
||||
{{ Form::label('registration_number',__('theatre_surgeries.registration_number')) }}
|
||||
{{ Form::text('registration_number','',['class' => 'form-control', 'id'=>'n_registration_number']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('position_id',__('theatre_surgeries.position')) }}
|
||||
{{ Form::select('position_id',$positions,'',['class' => 'form-control compulsory', 'id'=>'n_position_id']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('pin',__('theatre_surgeries.secret_pin')) }}
|
||||
{{ Form::number('pin',null,['class' => 'form-control compulsory pin','placeholder'=>'eg 12345','maxlength'=>'5','minlength'=>'5', 'id'=>'n_secret_pin']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('security_question_id',__('theatre_surgeries.security_question')) }}
|
||||
{{ Form::select('security_question_id',$security_questions,'',['class' => 'form-control', 'id'=>'n_security_question']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('security_answer',__('theatre_surgeries.security_answer')) }}
|
||||
{{ Form::text('security_answer','',['class' => 'form-control','id'=>'n_security_answer']) }}
|
||||
</div>
|
||||
|
||||
|
||||
</div>
|
||||
|
||||
|
||||
</div>
|
||||
Executable
+93
@@ -0,0 +1,93 @@
|
||||
@php
|
||||
$procedure_categories = \Streamline\Models\ProcedureCategory::pluck('name', 'id')
|
||||
->toArray();
|
||||
|
||||
$procedure_categories = ['' => '- select -'] + $procedure_categories;
|
||||
|
||||
$chart_of_accounts = \Streamline\Models\ChartOfAccount::orderBy('name', 'asc')
|
||||
->pluck('name', 'id')
|
||||
->toArray();
|
||||
|
||||
$chart_of_accounts = ['' => '- select -'] + $chart_of_accounts;
|
||||
|
||||
$hmis_categories = \DB::table('hmis_categories')->orderBy('title', 'asc')->pluck('title', 'id')->toArray();
|
||||
|
||||
$hmis_categories = ['' => '- select -'] + $hmis_categories;
|
||||
@endphp
|
||||
|
||||
<div class="row">
|
||||
<div class="col-md-6">
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('name', __('procedures.procedure_name')) }}
|
||||
{{ Form::text('name', '', ['class' => 'form-control compulsory', 'id' => 'new_procedure_name']) }}
|
||||
<div class="help-block with-errors"></div>
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('non_insured_price', __('procedures.non_insured_price')) }}
|
||||
{{ Form::number('non_insured_price', '', ['class' => 'form-control compulsory', 'id' => 'new_procedure_non_insured_price']) }}
|
||||
<div class="help-block with-errors"></div>
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('insured_price', __('procedures.insured_price')) }}
|
||||
{{ Form::number('insured_price', 0, ['class' => 'form-control', 'id' => 'new_procedure_insured_price']) }}
|
||||
<div class="help-block with-errors"></div>
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('', __('procedures.insurance_coverage'), ["class"=>'col-md-12']) }}
|
||||
{{ __('procedures.yes') }} {{ Form::radio('insurance', 1, false, ['class' => 'check', 'data-radio'=>'iradio_flat-green', 'id' => 'new_procedure_insured_yes']) }}
|
||||
{{ __('procedures.no') }} {{ Form::radio('insurance', 0, false, ['class' => 'check', 'data-radio'=>'iradio_flat-green', 'id' => 'new_procedure_insured_no']) }}
|
||||
<div class="help-block with-errors"></div>
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('category', __('procedures.category')) }}
|
||||
{{ Form::select('category', $procedure_categories, null, ['class' => 'form-control compulsory', 'id' => 'new_procedure_category']) }}
|
||||
<div class="help-block with-errors"></div>
|
||||
</div>
|
||||
</div>
|
||||
|
||||
<div class="col-md-6">
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('hmis_number', 'HMIS No.') }}
|
||||
{{ Form::number('hmis_number', '', ['class'=>'form-control', 'id' => 'new_procedure_hmis_number']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('account_id',__('procedures.chart_of_account_name')) }}
|
||||
{{ Form::select('account_id',$chart_of_accounts,'',['class' => 'form-control compulsory', 'id' => 'new_procedure_account_id']) }}
|
||||
<div class="help-block with-errors"></div>
|
||||
</div>
|
||||
|
||||
<div class="form-group" id="wrapper">
|
||||
<div class="row input_fields_wrap1 copy1">
|
||||
<div class="col-sm-5">
|
||||
{{ Form::label('hmis_no_outpatient', 'HMIS-out-patient No.') }}
|
||||
{{ Form::text('hmis_no_outpatient[]', '', ['class'=>'form-control', 'id' => 'new_procedure_hmis_no_outpatient']) }}
|
||||
</div>
|
||||
<div class="col-sm-6">
|
||||
{{ Form::label('hmis_category', 'HMIS category (Out Patient)') }}
|
||||
{{ Form::select('hmis_category[]', $hmis_categories, '', ['class' => 'form-control', 'id' => 'new_procedure_hmis_category']) }}
|
||||
</div>
|
||||
</div>
|
||||
</div>
|
||||
<!-- <a class="add_field_hmis" style="color: blue;">{{ __('procedures.add_more') }}</a><br><br> -->
|
||||
|
||||
<div class="form-group">
|
||||
<div class="row input_fields_wrap2 copy2">
|
||||
<div class="col-sm-5">
|
||||
{{ Form::label('hmis_no_inpatient', __('diagnoses.hmis_inpatient_category')) }}
|
||||
{{ Form::text('hmis_no_inpatient', '', ['class'=>'form-control', 'id' => 'new_procedure_hmis_no_inpatient']) }}
|
||||
</div>
|
||||
<div class="col-sm-6">
|
||||
{{ Form::label('hmis_category_inpatient', 'HMIS category (In Patient)') }}
|
||||
{{ Form::select('hmis_category_inpatient', $hmis_categories, '', ['class' => 'form-control', 'id' => 'new_procedure_hmis_category_inpatient']) }}
|
||||
</div>
|
||||
</div>
|
||||
</div>
|
||||
</div>
|
||||
</div>
|
||||
Executable
+63
@@ -0,0 +1,63 @@
|
||||
<div class="row">
|
||||
<div class="col-md-6">
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('first_name',__('theatre_surgeries.first_name')) }}
|
||||
{{ Form::text('first_name','',['class' => 'form-control compulsory','id'=>'sn_first_name']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('last_name',__('theatre_surgeries.last_name')) }}
|
||||
{{ Form::text('last_name','',['class' => 'form-control compulsory','id'=>'sn_last_name']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('username',__('theatre_surgeries.username')) }}
|
||||
{{ Form::text('username','',['class' => 'form-control compulsory', 'id'=>'sn_user_name']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('phone',__('theatre_surgeries.phone_number')) }}
|
||||
{{ Form::text('phone','',['class' => 'form-control','data-mask'=>"0799 999 999", 'id'=>'sn_phone_number']) }}
|
||||
<span class="font-13 text-muted">(07xx) 123-456</span>
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('email',__('theatre_surgeries.email_address')) }}
|
||||
{{ Form::email('email','',['class' => 'form-control','id'=>'sn_email']) }}
|
||||
</div>
|
||||
|
||||
</div>
|
||||
|
||||
<div class="col-md-6">
|
||||
|
||||
<div class="form-group council_hide" style="display: block;">
|
||||
{{ Form::label('registration_number',__('theatre_surgeries.registration_number')) }}
|
||||
{{ Form::text('registration_number','',['class' => 'form-control','id'=>'sn_registration_number']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('position_id',__('theatre_surgeries.position')) }}
|
||||
{{ Form::select('position_id',$positions,'',['class' => 'form-control compulsory', 'id'=>'sn_position_id']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('pin',__('theatre_surgeries.secret_pin')) }}
|
||||
{{ Form::number('pin',null,['class' => 'form-control compulsory pin','placeholder'=>'eg 12345','maxlength'=>'5','minlength'=>'5', 'id'=>'sn_secret_pin']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('security_question_id',__('theatre_surgeries.security_question')) }}
|
||||
{{ Form::select('security_question_id',$security_questions,'',['class' => 'form-control', 'id'=>'sn_security_question']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('security_answer',__('theatre_surgeries.security_answer')) }}
|
||||
{{ Form::text('security_answer','',['class' => 'form-control','id'=>'sn_security_answer']) }}
|
||||
</div>
|
||||
|
||||
|
||||
</div>
|
||||
|
||||
|
||||
</div>
|
||||
Executable
+65
@@ -0,0 +1,65 @@
|
||||
<div class="row">
|
||||
<div class="col-md-6">
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('first_name',__('theatre_surgeries.first_name')) }}
|
||||
{{ Form::text('first_name','',['class' => 'form-control compulsory','id'=>'ss_first_name']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('last_name',__('theatre_surgeries.last_name')) }}
|
||||
{{ Form::text('last_name','',['class' => 'form-control compulsory','id'=>'ss_last_name']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('username',__('theatre_surgeries.username')) }}
|
||||
{{ Form::text('username','',['class' => 'form-control compulsory', 'id'=>'ss_user_name']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('phone',__('theatre_surgeries.phone_number')) }}
|
||||
{{ Form::text('phone','',['class' => 'form-control','data-mask'=>"0799 999 999", 'id'=>'ss_phone_number']) }}
|
||||
<span class="font-13 text-muted">(07xx) 123-456</span>
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('email',__('theatre_surgeries.email_address')) }}
|
||||
{{ Form::email('email','',['class' => 'form-control','id'=>'ss_email']) }}
|
||||
</div>
|
||||
|
||||
|
||||
|
||||
</div>
|
||||
|
||||
<div class="col-md-6">
|
||||
|
||||
<div class="form-group council_hide" style="display: block;">
|
||||
{{ Form::label('registration_number',__('theatre_surgeries.registration_number')) }}
|
||||
{{ Form::text('registration_number','',['class' => 'form-control','id'=>'ss_registration_number']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('position_id',__('theatre_surgeries.position')) }}
|
||||
{{ Form::select('position_id',$positions,'',['class' => 'form-control compulsory', 'id'=>'ss_position_id']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('pin',__('theatre_surgeries.secret_pin')) }}
|
||||
{{ Form::number('pin',null,['class' => 'form-control compulsory pin','placeholder'=>'eg 12345','maxlength'=>'5','minlength'=>'5', 'id'=>'ss_secret_pin']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('security_question_id',__('theatre_surgeries.security_question')) }}
|
||||
{{ Form::select('security_question_id',$security_questions,'',['class' => 'form-control', 'id'=>'ss_security_question']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('security_answer',__('theatre_surgeries.security_answer')) }}
|
||||
{{ Form::text('security_answer','',['class' => 'form-control','id'=>'ss_security_answer']) }}
|
||||
</div>
|
||||
|
||||
|
||||
</div>
|
||||
|
||||
|
||||
</div>
|
||||
Executable
+63
@@ -0,0 +1,63 @@
|
||||
<div class="row">
|
||||
<div class="col-md-6">
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('first_name',__('theatre_surgeries.first_name')) }}
|
||||
{{ Form::text('first_name','',['class' => 'form-control compulsory','id'=>'sg_first_name']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('last_name',__('theatre_surgeries.last_name')) }}
|
||||
{{ Form::text('last_name','',['class' => 'form-control compulsory','id'=>'sg_last_name']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('username',__('theatre_surgeries.username')) }}
|
||||
{{ Form::text('username','',['class' => 'form-control compulsory', 'placeholder'=>'eg Admin', 'id'=>'sg_user_name']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('phone',__('theatre_surgeries.phone_number')) }}
|
||||
{{ Form::text('phone','',['class' => 'form-control','data-mask'=>"0799 999 999", 'id'=>'sg_phone_number']) }}
|
||||
<span class="font-13 text-muted">(07xx) 123-456</span>
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('email',__('theatre_surgeries.email_address')) }}
|
||||
{{ Form::email('email','',['class' => 'form-control','id'=>'sg_email']) }}
|
||||
</div>
|
||||
|
||||
</div>
|
||||
|
||||
<div class="col-md-6">
|
||||
|
||||
<div class="form-group council_hide" style="display: block;">
|
||||
{{ Form::label('registration_number',__('theatre_surgeries.registration_number')) }}
|
||||
{{ Form::text('registration_number','',['class' => 'form-control','id'=>'sg_registration_number']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('position_id',__('theatre_surgeries.position')) }}
|
||||
{{ Form::select('position_id',$positions,'',['class' => 'form-control compulsory', 'id'=>'sg_position_id']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('pin',__('theatre_surgeries.secret_pin')) }}
|
||||
{{ Form::number('pin',null,['class' => 'form-control compulsory pin','placeholder'=>'eg 12345','maxlength'=>'5','minlength'=>'5', 'id'=>'sg_secret_pin']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('security_question_id',__('theatre_surgeries.security_question')) }}
|
||||
{{ Form::select('security_question_id',$security_questions,'',['class' => 'form-control', 'id'=>'sg_security_question']) }}
|
||||
</div>
|
||||
|
||||
<div class="form-group">
|
||||
{{ Form::label('security_answer',__('theatre_surgeries.security_answer')) }}
|
||||
{{ Form::text('security_answer','',['class' => 'form-control','id'=>'sg_security_answer']) }}
|
||||
</div>
|
||||
|
||||
|
||||
</div>
|
||||
|
||||
|
||||
</div>
|
||||
Reference in New Issue
Block a user