mirror of
https://gitlab.com/signalytic/client-external/streamline/streamline-emr.git
synced 2026-09-12 03:01:32 +00:00
1346 lines
73 KiB
PHP
Executable File
1346 lines
73 KiB
PHP
Executable File
@extends('layouts.main')
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@push('styles')
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<link href="{{ asset('elite/bower_components/select2/select2.min.css') }}" rel="stylesheet" />
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<link href="{{ asset('elite/bower_components/bootstrap-datepicker/bootstrap-datepicker.min.css') }}" rel="stylesheet" type="text/css"/>
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<link href="{{ asset('elite/bower_components/icheck/skins/all.css') }}" rel="stylesheet">
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<link rel="stylesheet" href="{{ asset('elite/bower_components/dropify/dist/css/dropify.min.css') }}">
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<style>
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.nav-pills .nav-link.active {
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background: #80a783;
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}
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.nav-pills .nav-link {
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border-radius: 0.25rem;
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background-color: #d0ddd4;
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}
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</style>
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@endpush
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@section('content')
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<div class="row bg-title">
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<div class="col-md-6">
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<h4 class="page-title">{{ __('insurance_members.create_insurance_member') }}</h4>
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</div>
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<div class="col-md-6">
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<ol class="breadcrumb">
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<li><a href="{{ route('home') }}">{{ __('insurance_members.dashboard') }}</a></li>
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<li><a href="/insurance/scheme_administration">{{ __('insurance.scheme_administration') }}</a></li>
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<li><a href="/insurance_members/">{{ __('insurance_members.insurance_members') }}</a></li>
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<li class="active">{{ __('insurance_members.register') }}</li>
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</ol>
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</div>
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</div>
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@include('flash::message')
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@include('insurance::insurance_members.menu')
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<div class="white-box">
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<div class="row">
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<div class="col-md-12">
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<ul class="nav nav-pills nav-justified">
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<li class="active nav-item"> <a href="#patient_nav_pill" class="nav-link" data-toggle="tab" aria-expanded="false">{{ __('insurance_members.patient_bio_data') }}</a> </li>
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<li class="nav-item" style="background-color: #a6e5e7;"> <a href="#insurance_nav_pill" class="nav-link" data-toggle="tab" aria-expanded="false">{{ __('insurance_members.insurance_member_registration') }}</a> </li>
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</ul>
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{{ Form::open(['route' => 'insurance_members.store','method'=>'POST','enctype'=>'multipart/form-data','data-toggle'=>'validator','autocomplete'=>'off']) }}
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<div class="tab-content br-n pn">
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<div id="patient_nav_pill" class="tab-pane active">
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<div class="row">
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<div class="col-sm-4">
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<div class="form-group">
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{{ Form::label('first_name',__('insurance_members.first_name')) }}
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{{ Form::text('first_name','',['class' => 'form-control compulsory', 'required', 'data-error'=>'','placeholder'=>'Christian name eg Fred', 'id' => 'first_name']) }}
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<div class="help-block with-errors"></div>
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</div>
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<div class="form-group">
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{{ Form::label('last_name',__('insurance_members.last_name')) }}
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{{ Form::text('last_name','',['class' => 'form-control compulsory', 'required','placeholder'=>'Surname eg Asiimwe', 'id' => 'last_name']) }}
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<div class="help-block with-errors"></div>
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</div>
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<label class="alert alert-danger" id="similar_patients_names" style="display: none;"></label>
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<div class="form-group">
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{{ Form::label('gender',__('insurance_members.gender')) }}
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<br>
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{{ Form::radio('gender', 1, false, ["required"]) }} {{ __('insurance_members.male') }}
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{{ Form::radio('gender', 2, false, ["required"]) }} {{ __('insurance_members.female') }}
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<div class="help-block with-errors"></div>
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</div>
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<div class="form-group">
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{{ Form::label('national_id',__('insurance_members.national_id_number')) }}
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{{ Form::text('national_id','',['class' => 'form-control','maxlength'=>15]) }}
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</div>
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<div class="form-group">
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{{ Form::label('date_of_birth',__('insurance_members.date_of_birth')) }}
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<div class="input-group">
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{{ Form::text('date_of_birth','',['class' => 'form-control compulsory','readonly','id'=>'date_of_birth']) }}
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<span class="input-group-addon"><i class="icon-calender"></i></span>
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</div>
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@if (!empty($errors->get('date_of_birth')))
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<div class="help-block with-errors alert alert-danger">
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@foreach ($errors->get('date_of_birth') as $message)
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{{ $message }}
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@endforeach
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</div>
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@endif
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</div>
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<div class="row">
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<div class="col-sm-6">
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<div class="form-group">
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{{ Form::label('age',__('insurance_members.years')) }}
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{{ Form::number('age_in_years','',['class' => 'form-control compulsory','id'=>'age_in_years','min'=>'0']) }}
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@if (!empty($errors->get('age_in_years')))
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<div class="help-block with-errors alert alert-danger">
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@foreach ($errors->get('age_in_years') as $message)
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{{ $message }}
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@endforeach
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</div>
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@endif
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</div>
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</div>
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<div class="col-xs-6 col-sm-6 col-md-6">
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<div class="form-group">
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{{ Form::label('age',__('insurance_members.months')) }}
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{{ Form::number('age_in_months','',['class' => 'form-control','id'=>'age_in_months','readonly','min'=>'0']) }}
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</div>
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</div>
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</div>
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<div class="form-group">
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{{ Form::label('marital_status',__('insurance_members.marital_status')) }}
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<br>
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@foreach($marital_statuses as $key=>$value)
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{{ Form::radio('marital_status', $key,false,['required']) }} {{ $value }}
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@endforeach
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<div class="help-block with-errors"></div>
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</div>
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<div class="form-group">
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{{ Form::label('religion',__('insurance_members.religion')) }}
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{{ Form::select('religion',$religions,'',['class' => 'form-control compulsory','required']) }}
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<div class="help-block with-errors"></div>
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group">
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{{ Form::label('occupation',__('insurance_members.occupation')) }}
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{{ Form::select('occupation',$occupations,'',['class' => 'form-control compulsory occupation', 'required']) }}
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<a href="#modal_occupation" data-toggle="modal" id="modal_occupation_link"><font size="1"> {{ __('insurance_members.add_new_occupation') }} </font></a>
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<div class="help-block with-errors"></div>
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</div>
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<div class="form-group">
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{{ Form::label('next_of_kin',__('insurance_members.next_of_kin')) }}
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{{ Form::text('next_of_kin','',['class' => 'form-control', 'onchange' => "show('kin_div')"]) }}
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</div>
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<div class="form-group" id="kin_div" style="display: none;">
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<div class="row">
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<div class="col-sm-6">
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{{ Form::label('next_of_kin_relationship',__('insurance_members.relationship_to_next_of_kin')) }}
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{{ Form::select('next_of_kin_relationship',$relationships,'',['class' => 'form-control compulsory']) }}
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</div>
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<div class="col-sm-6">
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{{ Form::label('next_of_kin_phone',__('insurance_members.next_of_kins_phone')) }}
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{{ Form::text('next_of_kin_phone','',['class' => 'form-control']) }}
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</div>
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</div>
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</div>
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<div class="form-group">
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{{ Form::label('phone',__('insurance_members.phone_number')) }}
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{{ Form::text('phone','',['class' => 'form-control', 'id' => 'phone']) }}
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<span class="font-13 text-muted">(07xx) 123-456</span>
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</div>
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<label class="alert alert-danger" id="similar_phone_number" style="display: none"></label>
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<div class="form-group">
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{{ Form::label('phone_owner',__('insurance_members.phone_owner')) }}
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<br>
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{{ Form::radio('phone_owner','self',false,['id'=>'owned',"required"]) }} {{ __('insurance_members.self') }}
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{{ Form::radio('phone_owner','other',false,['id'=>'non_owned',"required"]) }} {{ __('insurance_members.other') }}
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<div class="help-block with-errors"></div>
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</div>
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<div class="form-group owner_name" style="display: none;">
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{{ Form::label("owner_name",__('insurance_members.phone_owners_name')) }}
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{{ Form::text('owner_name','',['id'=>'owner_name','class' => 'form-control compulsory']) }}
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</div>
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<div class="form-group">
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{{ Form::label('lc_one', __('insurance_members.name_of_lc1_chairman')) }}
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{{ Form::text('lc_one','',['class' => 'form-control compulsory', 'data-error'=>'LC 1 chairman\'s name']) }}
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<div class="help-block with-errors"></div>
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</div>
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<div class="form-group">
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{{ Form::label('contact',__('insurance_members.any_hospital_contact')) }}
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<br>
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{{ Form::radio('contact','yes',false,['id'=>'h_contact_yes','required']) }} {{ __('insurance_members.yes') }}
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{{ Form::radio('contact','no',false,['id'=>'h_contact_no','required']) }} {{ __('insurance_members.no') }}
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<div class="help-block with-errors"></div>
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</div>
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<div class="form-group hosp_contact_div" style="display: none;">
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<div class="form-group">
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{{ Form::label('hospital_contact',__('insurance_members.name_of_contact_in').$hospital_information->name) }}
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{{ Form::text('hospital_contact','',['class' => 'form-control compulsory']) }}
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</div>
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</div>
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<div class="form-group">
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{{ Form::label('patient_category',__('insurance_members.patient_category'))}}
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{{ Form::select('patient_category',$patient_categories,'5',['class' => 'form-control compulsory', 'required', 'data-error'=>'']) }}
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<div class="help-block with-errors"></div>
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</div>
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</div>
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<div class="col-sm-4">
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<div class="form-group">
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{{ Form::label('language',__('insurance_members.preferred_language')) }}
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{{ Form::select('language',['vern'=>'Vernacular','eng'=>'English',],'vern',['class' => 'form-control compulsory', 'required', 'data-error'=>'Select the language']) }}
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<div class="help-block with-errors"></div>
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</div>
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<div class="form-group">
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{{ Form::label('citizenship',__('patients.citizenship')) }}
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{{ Form::select('citizenship',['1'=>'Ugandan','0'=>'Non Ugandan'],'',['class' => 'form-control compulsory', 'required', 'data-error'=>'Select the language','id' => 'citizenship']) }}
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<div class="help-block with-errors"></div>
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</div>
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<div id="not_ugandan_regions" style="display: none;">
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<div class="form-group">
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{{ Form::label('country_id',__('patients.country_of_origin')) }}
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{{ Form::select('country_id', $countries, '',['class' => 'form-control', 'data-error'=>'Select the country']) }}
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<div class="help-block with-errors"></div>
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</div>
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</div>
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<div id="ugandan_regions">
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<div id="ugandan_regions">
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<div class="form-group">
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{{ Form::label('residence','Residence') }}
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<select class="form-control col-md-12" name="residence" id="residence" style="display: block; width: 100%" required></select>
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<div class="help-block with-errors"></div>
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<a href="#modal_residence" data-toggle="modal" id="modal_residence_link"><font size="1">{{ __('patients.add_new_residence') }} </font></a>
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</div>
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</div>
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</div>
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@if(is_fingerprint_enabled())
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<div>
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{{ Form::label('fingerprint_template',__('patients.patient_fingerprint')) }}
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<div class="fingerprint_box text-center">
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<img id="fingerprint_image" height="240" width="220">
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</div>
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{{ Form::hidden('fingerprint_template', '', ['id' => 'fingerprint_template']) }}
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<button type="button" onClick='capture_fingerprint()' class="btn btn-sm btn-primary">{{ __('patients.capture_fingerprint') }}</button>
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<p id="scanner_msg"></p>
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</div>
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@endif
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{{-- <div class="form-group" id="div_district">
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{{ Form::label('district_id',__('insurance_members.district')) }}
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{{ Form::select('district_id',$districts,'',['class' => 'form-control compulsory district', 'required', 'data-error'=>'']) }}
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<a href="#modal_district" data-toggle="modal" id="modal_district_link"><font size="1">{{ __('insurance_members.add_new_district') }} </font></a>
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<div class="help-block with-errors"></div>
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</div>
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<div class="form-group" id="div_county">
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<label for='county_id'>{{ __('insurance_members.county') }}</label>
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<select class='form-control county' name='county_id' id='county_id' data-error=''>
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<option> {{ __('insurance_members.select') }} </option>
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</select>
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<a href="#modal_county" data-toggle="modal" id="modal_county_link"><font size="1">{{ __('insurance_members.add_new_county') }} </font></a>
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<div class="help-block with-errors"></div>
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</div>
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<div class="form-group" id="div_subcounty">
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<label for='subcounty_id'>{{ __('insurance_members.subcounty') }}</label>
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<select class='form-control subcounty' name='subcounty_id' id='subcounty_id' data-error=''>
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<option> {{ __('insurance_members.select') }} </option>
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</select>
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<a href="#modal_subcounty" data-toggle="modal" id="modal_subcounty_link"><font size="1">{{ __('insurance_members.add_new_subcounty') }} </font></a>
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<div class="help-block with-errors"></div>
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</div>
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<div class="form-group" id="div_parish">
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<label for='parish'>{{ __('insurance_members.parish') }}</label>
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<select class='form-control parish' name='parish' id='parish' data-error=''>
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<option> {{ __('insurance_members.select') }} </option>
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</select>
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<a href="#modal_parish" data-toggle="modal" id="modal_parish_link"><font size="1">{{ __('insurance_members.add_new_parish') }} </font></a>
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<div class="help-block with-errors"></div>
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</div>
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<div class="form-group" id="div_village">
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<label for='village'>{{ __('insurance_members.village') }}</label>
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<select class='form-control village' name='village' id="village" data-error=''>
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<option> {{ __('insurance_members.select') }} </option>
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</select>
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<a href="#modal_village" data-toggle="modal" id="modal_village_link"><font size="1">{{ __('insurance_members.add_new_village') }} </font></a>
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<div class="help-block with-errors"></div>
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</div> --}}
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</div>
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</div>
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</div>
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<div id="insurance_nav_pill" class="tab-pane">
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<div class="row">
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<div class="col-md-6">
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<div class="form-group">
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{{ Form::label('duplicate_research_id', __('insurance.research_id')) }}
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{{ Form::text('duplicate_research_id', null, ['class' => 'form-control']) }}
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@if (!empty($errors->get('duplicate_research_id')))
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<div class="help-block with-errors alert alert-danger">
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@foreach ($errors->get('duplicate_research_id') as $message)
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{{ $message }}
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@endforeach
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</div>
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@endif
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</div>
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<div class="form-group">
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{{ Form::label('is_family_head',__('insurance_members.is_member_head_of_family')) }}
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<br>
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{{ Form::radio('is_family_head', 1, false, ["required",'onclick'=>'displayFamilies(1)']) }} {{ __('insurance_members.yes') }}
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{{ Form::radio('is_family_head', 0, false, ["required",'onclick'=>'displayFamilies(0)']) }} {{ __('insurance_members.no') }}
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</div>
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<div class="family_div" style="display: none">
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<div class="form-group">
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{{ Form::label('family_id', __('insurance_members.select_family')) }}
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<select name="family_id" required class="form-control compulsory family_id">
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<option value="">{{ __('insurance_members.select') }}</option>
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@foreach($families as $id)
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<option value="{{ $id }}">{{ get_name($id, 'id', 'name', 'insurance_heads_of_family') }} ({{ get_name(get_name($id, 'id', 'group_id', 'insurance_heads_of_family'), 'id', 'name', 'insurance_groups') }})</option>
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@endforeach
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</select>
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</div>
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</div>
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<div class="family_risk_div" style="display: none">
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<div class="form-group">
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{{ Form::label('family_risk_id', __('insurance_members.family_insurance_risk')) }}
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{{ Form::select('family_risk_id[]', $chi_risks, '',['class' => 'form-control compulsory risk_id', 'data-error'=>'Select the risk', 'multiple']) }}
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<div class="help-block with-errors"></div>
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</div>
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</div>
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<div class="form-group">
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{{ Form::label('relationship_to_head', __('insurance_members.relationship_to_head')) }}
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{{ Form::select('relationship_to_head', $relations, 1, ['class' => 'form-control compulsory']) }}
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</div>
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<div class="form-group">
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{{ Form::label('group_id', __('insurance_members.insurance_group')) }}
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{{ Form::select('group_id', $insurance_groups, null, ['class' => 'form-control compulsory', 'required', 'id' => 'group_id']) }}
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</div>
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<div class="form-group">
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{{ Form::label('chi_plan', __('insurance.chi_plan')) }}
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{{ Form::select('chi_plan', $chi_plans, null, ['class' => 'form-control compulsory', 'required', 'id' => 'chi_plan']) }}
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</div>
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{{-- <div class="form-group">
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{{ Form::label('other_plan', __('insurance.other_plan')) }}
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{{ Form::select('other_plan', $chi_plans, null, ['class' => 'form-control']) }}
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</div> --}}
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<div class="form-group">
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{{ Form::label('risk_id',__('insurance.risk')) }}
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{{ Form::select('risk_id[]', $chi_risks, '',['class' => 'form-control compulsory risk_id', 'data-error'=>'Select the risk', 'required', 'multiple']) }}
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<div class="help-block with-errors"></div>
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</div>
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<div class="form-group">
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{{ Form::label('member_premium', __('insurance.member_premium')) }}
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{{ Form::number('member_premium', null, ['class' => 'form-control compulsory', 'required']) }}
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</div>
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@if( Auth::user()->can('register-chi-members-with-pre-existing-premiums'))
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<div class="form-group">
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{{ Form::label('does_member_have_existing_premium',__('insurance_members.does_member_have_existing_premium')) }}
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<br>
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{{ Form::radio('does_member_have_existing_premium', 1, false, ["required",'onclick'=>'displayPremiumActiveDateDiv(1)']) }} {{ __('insurance_members.yes') }}
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{{ Form::radio('does_member_have_existing_premium', 0, false, ["required",'onclick'=>'displayPremiumActiveDateDiv(0)']) }} {{ __('insurance_members.no') }}
|
|
</div>
|
|
|
|
<div class="existing_premiums_dates_div" style="display: none">
|
|
<div class="form-group">
|
|
{{ Form::label('existing_premium_start_date', __('insurance_members.existing_premium_start_date')) }}
|
|
<div class="input-group">
|
|
{{ Form::text('existing_premium_start_date','',['class' => 'form-control','readonly','id'=>'existing_premium_start_date']) }}
|
|
<span class="input-group-addon"><i class="icon-calender"></i></span>
|
|
</div>
|
|
<div class="help-block with-errors"></div>
|
|
</div>
|
|
|
|
<div class="form-group">
|
|
{{ Form::label('existing_premium_end_date', __('insurance_members.existing_premium_end_date')) }}
|
|
<div class="input-group">
|
|
{{ Form::text('existing_premium_end_date','',['class' => 'form-control','readonly','id'=>'existing_premium_end_date']) }}
|
|
<span class="input-group-addon"><i class="icon-calender"></i></span>
|
|
</div>
|
|
<div class="help-block with-errors"></div>
|
|
</div>
|
|
</div>
|
|
@endif
|
|
</div>
|
|
<div class="col-md-6">
|
|
<div class="form-group">
|
|
{{ Form::label('title', __('insurance.title')) }}
|
|
{{ Form::select('title', $person_titles, null, ['class' => 'form-control compulsory', 'required']) }}
|
|
</div>
|
|
|
|
<div class="form-group">
|
|
{{ Form::label('photo',__('insurance_members.photo')) }}
|
|
{{ Form::file('photo',['class' => 'form-control']) }}
|
|
</div>
|
|
|
|
<div class="form-group">
|
|
{{ Form::label('membership_start_date', __('insurance.membership_start_date')) }}
|
|
<div class="input-group">
|
|
{{ Form::text('membership_start_date','',['class' => 'form-control','readonly','id'=>'membership_start_date']) }}
|
|
<span class="input-group-addon"><i class="icon-calender"></i></span>
|
|
</div>
|
|
<div class="help-block with-errors"></div>
|
|
</div>
|
|
|
|
<div class="form-group">
|
|
{{ Form::label('membership_registration_date', __('insurance.membership_registration_date')) }}
|
|
<div class="input-group">
|
|
{{ Form::text('membership_registration_date','',['class' => 'form-control','readonly','id'=>'membership_registration_date']) }}
|
|
<span class="input-group-addon"><i class="icon-calender"></i></span>
|
|
</div>
|
|
<div class="help-block with-errors"></div>
|
|
</div>
|
|
|
|
<div class="form-group">
|
|
{{ Form::label('social_security_number', __('insurance.social_security_number')) }}
|
|
{{ Form::text('social_security_number', null, ['class' => 'form-control']) }}
|
|
</div>
|
|
|
|
<div class="form-group">
|
|
{{ Form::label('research_id', __('insurance.research_id')) }}
|
|
{{ Form::text('research_id', null, ['class' => 'form-control']) }}
|
|
@if (!empty($errors->get('research_id')))
|
|
<div class="help-block with-errors alert alert-danger">
|
|
@foreach ($errors->get('research_id') as $message)
|
|
{{ $message }}
|
|
@endforeach
|
|
</div>
|
|
@endif
|
|
</div>
|
|
|
|
<div class="form-group">
|
|
{{ Form::label('next_anniversary_date', __('insurance.next_anniversary_date_bracket_moved_with_rollover')) }}
|
|
<div class="input-group">
|
|
{{ Form::text('next_anniversary_date','',['class' => 'form-control','readonly','id'=>'next_anniversary_date']) }}
|
|
<span class="input-group-addon"><i class="icon-calender"></i></span>
|
|
</div>
|
|
<div class="help-block with-errors"></div>
|
|
</div>
|
|
|
|
{{ Form::button(__('insurance_members.submit'),['type'=>'submit','class'=>'btn btn-success waves-effect waves-light m-r-10']) }}
|
|
{{ Form::button(__('insurance_members.cancel'),['type'=>'reset','class'=>'btn btn-default waves-effect waves-light']) }}
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
{{ Form::close() }}
|
|
</div>
|
|
</div>
|
|
</div>
|
|
@endsection
|
|
|
|
<div class="modal fade" id="modal_occupation" tabindex="-1" role="dialog">
|
|
<div class="modal-dialog" role="document">
|
|
<div class="modal-content">
|
|
<div class="modal-header">
|
|
<button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span>
|
|
</button>
|
|
<h4 class="modal-title" id="exampleModalLabel1">{{ __('insurance_members.register_a_new_occupation') }}</h4>
|
|
</div>
|
|
<div class="modal-body">
|
|
<div class="controls">
|
|
<input class="form-control compulsory" id="new_occupation_name" name="new_occupation_name"
|
|
type="text"/>
|
|
</div>
|
|
</div>
|
|
<div class="modal-footer">
|
|
<button type="button" class="btn btn-default" data-dismiss="modal">{{ __('insurance_members.cancel') }}</button>
|
|
<input type="button" class="btn btn-success" id="submit_new_occupation" value="{{ __('insurance_members.save') }} "/>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="modal fade" id="modal_residence" tabindex="-1" role="dialog">
|
|
<div class="modal-dialog" role="document">
|
|
<div class="modal-content">
|
|
<div class="modal-header">
|
|
<button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button>
|
|
<h4 class="modal-title">{{ __('patients.add_new_residence') }}</h4>
|
|
</div>
|
|
<div class="modal-body">
|
|
<div class="form-group">
|
|
<label>{{ __('patients.district') }}</label>
|
|
<div id="district_id_div">{{ Form::select('district_id', $districts, '', ['id'=>'district_id','class'=>'form-control compulsory']) }}</div>
|
|
{{ Form::text('new_district_name', '', ['id' => 'new_district_name', 'class' => 'form-control compulsory', 'style' => 'display: none']) }}
|
|
<a href="#" id="modal_district_link">{{ __('patients.add_new_district') }}</a>
|
|
</div>
|
|
|
|
<div class="form-group">
|
|
<label>{{ __('patients.county') }}</label>
|
|
<div id="county_id_div"><select class='form-control' name='county_id' id='county_id'></select></div>
|
|
{{ Form::text('new_county_name', '', ['id' => 'new_county_name', 'class' => 'form-control', 'style' => 'display: none']) }}
|
|
<a href="#" id="modal_county_link">{{ __('patients.add_new_county') }}</a>
|
|
</div>
|
|
|
|
<div class="form-group">
|
|
<label>{{ __('patients.sub_county') }}</label>
|
|
<div id="subcounty_id_div"><select class='form-control' name='subcounty_id' id='subcounty_id'></select></div>
|
|
{{ Form::text('new_subcounty_name', '', ['id' => 'new_subcounty_name', 'class' => 'form-control', 'style' => 'display: none']) }}
|
|
<a href="#" id="modal_subcounty_link">{{ __('patients.add_new_subcounty') }}</a>
|
|
</div>
|
|
|
|
<div class="form-group">
|
|
<label>{{ __('patients.parish') }}</label>
|
|
<div id="parish_id_div"><select class='form-control' name='parish_id' id='parish_id'></select></div>
|
|
{{ Form::text('new_parish_name', '', ['id' => 'new_parish_name', 'class' => 'form-control', 'style' => 'display: none']) }}
|
|
<a href="#" id="modal_parish_link">{{ __('patients.add_new_parish') }}</a>
|
|
</div>
|
|
|
|
<div class="form-group">
|
|
<label>{{ __('patients.village') }}</label>
|
|
{{ Form::text('new_village_name', '', ['id' => 'new_village_name', 'class' => 'form-control compulsory']) }}
|
|
</div>
|
|
</div>
|
|
<div class="modal-footer">
|
|
<button type="button" class="btn btn-default" data-dismiss="modal">{{ __('patients.cancel') }}</button>
|
|
<a class="btn btn-success" onclick="submitResidenceVillage()">{{ __('patients.save') }}</a>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="modal fade" id="modal_district" tabindex="-1" role="dialog">
|
|
<div class="modal-dialog" role="document">
|
|
<div class="modal-content">
|
|
<div class="modal-header">
|
|
<button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span>
|
|
</button>
|
|
<h4 class="modal-title" id="exampleModalLabel1">{{ __('insurance_members.register_a_new_district') }}</h4>
|
|
</div>
|
|
<div class="modal-body">
|
|
<div class="controls">
|
|
<input class="form-control compulsory" id="new_district_name" name="new_district_name" type="text"/>
|
|
</div>
|
|
</div>
|
|
<div class="modal-footer">
|
|
<button type="button" class="btn btn-default" data-dismiss="modal">{{ __('insurance_members.cancel') }}</button>
|
|
<input type="button" class="btn btn-success" id="submit_new_district" value="{{ __('insurance_members.save') }} "/>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<!-- new county modal -->
|
|
<div class="modal fade" id="modal_county" tabindex="-1" role="dialog">
|
|
<div class="modal-dialog" role="document">
|
|
<div class="modal-content">
|
|
<div class="modal-header">
|
|
<button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span>
|
|
</button>
|
|
<h4 class="modal-title" id="exampleModalLabel1">{{ __('insurance_members.register_a_new_county') }}</h4>
|
|
</div>
|
|
<div class="modal-body">
|
|
<div class="form-group">
|
|
<label>{{ __('insurance_members.district') }}</label>
|
|
{{ Form::select('dynamic_district_name', $districts, '', ['id'=>'dynamic_district_name','class'=>'form-control compulsory']) }}
|
|
</div>
|
|
|
|
<div class="form-group">
|
|
<label>{{ __('insurance_members.county') }}</label>
|
|
<input class="form-control compulsory" id="new_county_name" name="new_county_name" type="text"/>
|
|
</div>
|
|
</div>
|
|
<div class="modal-footer">
|
|
<button type="button" class="btn btn-default" data-dismiss="modal">{{ __('insurance_members.cancel') }}</button>
|
|
<input type="button" class="btn btn-success" id="submit_new_county" value="{{ __('insurance_members.save') }} "/>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<!-- new subcounty modal -->
|
|
<div class="modal fade" id="modal_subcounty" tabindex="-1" role="dialog">
|
|
<div class="modal-dialog" role="document">
|
|
<div class="modal-content">
|
|
<div class="modal-header">
|
|
<button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span>
|
|
</button>
|
|
<h4 class="modal-title" id="exampleModalLabel1">{{ __('insurance_members.register_a_new_sub_county') }}</h4>
|
|
</div>
|
|
<div class="modal-body">
|
|
<div class="form-group">
|
|
<label>{{ __('insurance_members.county') }}</label>
|
|
{{ Form::select('dynamic_county_name', $dynamic_counties, '', ['id'=>'dynamic_county_name','class'=>'form-control compulsory']) }}
|
|
</div>
|
|
|
|
<div class="form-group">
|
|
<label>{{ __('insurance_members.subcounty') }}</label>
|
|
<input class="form-control compulsory" id="new_subcounty_name" name="new_subcounty_name"
|
|
type="text"/>
|
|
</div>
|
|
</div>
|
|
<div class="modal-footer">
|
|
<button type="button" class="btn btn-default" data-dismiss="modal">{{ __('insurance_members.cancel') }}</button>
|
|
<input type="button" class="btn btn-success" id="submit_new_subcounty" value="{{ __('insurance_members.save') }} "/>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<!-- new parish modal -->
|
|
<div class="modal fade" id="modal_parish" tabindex="-1" role="dialog">
|
|
<div class="modal-dialog" role="document">
|
|
<div class="modal-content">
|
|
<div class="modal-header">
|
|
<button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span>
|
|
</button>
|
|
<h4 class="modal-title" id="exampleModalLabel1">{{ __('insurance_members.subcounty') }}</h4>
|
|
</div>
|
|
<div class="modal-body">
|
|
<div class="form-group">
|
|
<label>{{ __('insurance_members.subcounty') }}</label>
|
|
{{ Form::select('dynamic_sub_county_name', $dynamic_sub_counties, '', ['id'=>'dynamic_sub_county_name','class'=>'form-control compulsory']) }}
|
|
</div>
|
|
|
|
<div class="form-group">
|
|
<label>{{ __('insurance_members.parish') }}</label>
|
|
<input class="form-control compulsory" id="new_parish_name" name="new_parish_name" type="text"/>
|
|
</div>
|
|
</div>
|
|
<div class="modal-footer">
|
|
<button type="button" class="btn btn-default" data-dismiss="modal">{{ __('insurance_members.cancel') }}</button>
|
|
<input type="button" class="btn btn-success" id="submit_new_parish" value="{{ __('insurance_members.save') }} "/>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<!-- new village modal -->
|
|
<div class="modal fade" id="modal_village" tabindex="-1" role="dialog">
|
|
<div class="modal-dialog" role="document">
|
|
<div class="modal-content">
|
|
<div class="modal-header">
|
|
<button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span>
|
|
</button>
|
|
<h4 class="modal-title" id="exampleModalLabel1">{{ __('insurance_members.register_a_new_village') }}</h4>
|
|
</div>
|
|
<div class="modal-body">
|
|
<div class="form-group">
|
|
<label>{{ __('insurance_members.parish') }}</label>
|
|
{{ Form::select('dynamic_parish_name', $dynamic_parishes, '', ['id'=>'dynamic_parish_name','class'=>'form-control compulsory']) }}
|
|
</div>
|
|
|
|
<div class="form-group">
|
|
<label>{{ __('insurance_members.village') }}</label>
|
|
<input class="form-control compulsory" id="new_village_name" name="new_village_name" type="text"/>
|
|
</div>
|
|
</div>
|
|
<div class="modal-footer">
|
|
<button type="button" class="btn btn-default" data-dismiss="modal">{{ __('insurance_members.cancel') }}</button>
|
|
<input type="button" class="btn btn-success" id="submit_new_village" value="{{ __('insurance_members.save') }} "/>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="modal" id="modal_similar_patients" tabindex="-1" role="dialog" aria-hidden="true">
|
|
<div class="modal-dialog modal-lg" role="document">
|
|
<div class="modal-content">
|
|
<div class="modal-header">
|
|
<h4 class="modal-title text-center"><b>Similar Patients</b></h4>
|
|
</div>
|
|
<div class="modal-body">
|
|
<div class="table-responsive" id="modal_table"></div>
|
|
</div>
|
|
<div class="modal-footer">
|
|
<button type="button" class="btn btn-default" data-dismiss="modal">Close</button>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
@push('scripts')
|
|
<script src="{{ asset('elite/bower_components/select2/select2.min.js') }}"></script>
|
|
<script src="{{ asset('js/insurance_members/create.js') }}"></script>
|
|
<script src="{{ asset('elite/js/validator.js') }}"></script>
|
|
<script src="{{ asset('elite/bower_components/icheck/icheck.min.js') }}"></script>
|
|
<script src="{{ asset('elite/bower_components/icheck/icheck.init.js') }}"></script>
|
|
<script src="{{ asset('elite/bower_components/dropify/dist/js/dropify.min.js') }}"></script>
|
|
<script src="{{ asset('elite/bower_components/bootstrap-datepicker/bootstrap-datepicker.min.js') }}"></script>
|
|
<script src="{{ asset('js/patients/create.js') }}"></script>
|
|
<script src="{{ asset('elite/js/mask.js') }}"></script>
|
|
|
|
<script type="text/javascript">
|
|
|
|
function displayFamilies(option){
|
|
if (option == 0){
|
|
document.querySelector(".family_div").style.display = "block";
|
|
document.querySelector(".family_risk_div").style.display = "none";
|
|
} else {
|
|
document.querySelector(".family_div").style.display = "none";
|
|
document.querySelector(".family_risk_div").style.display = "block";
|
|
}
|
|
}
|
|
|
|
function displayPremiumActiveDateDiv(option){
|
|
if (option == 0){
|
|
document.querySelector(".existing_premiums_dates_div").style.display = "none";
|
|
} else {
|
|
document.querySelector(".existing_premiums_dates_div").style.display = "block";
|
|
}
|
|
}
|
|
|
|
function capture_fingerprint() {
|
|
var xmlhttp = new XMLHttpRequest();
|
|
|
|
xmlhttp.onreadystatechange = function() {
|
|
if (xmlhttp.readyState == XMLHttpRequest.DONE) { // XMLHttpRequest.DONE == 4
|
|
if (xmlhttp.status == 200) {
|
|
let json_response = JSON.parse(xmlhttp.responseText);
|
|
|
|
if (json_response["ScannerError"]["errorCode"] === "0") {
|
|
let template = json_response["ApiRequestInfo"]["OperationData"]["Signature"][0]["Template"];
|
|
let pngImage = "data:image/png;base64," + json_response["ApiRequestInfo"]["OperationData"]["Signature"][0]["Image"];
|
|
|
|
$("#fingerprint_image").attr('src', pngImage);
|
|
$('#fingerprint_template').val(template);
|
|
|
|
$('#scanner_msg').text("Fingerprint Captured").css('color', 'green');
|
|
} else {
|
|
$('#scanner_msg').text("Error Code: " + json_response["ScannerError"]["errorCode"] + " - Error Message: " + json_response["ScannerError"]["errorString"]).css('color', 'red');
|
|
}
|
|
} else if (xmlhttp.status == 400) {
|
|
alert('There was an error 400');
|
|
} else {
|
|
alert('something else other than 200 was returned');
|
|
}
|
|
}
|
|
};
|
|
|
|
xmlhttp.open("GET", "http://localhost:13124/cams/fp-scanner/capture?sendimage=1&apikey=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", true);
|
|
xmlhttp.send();
|
|
}
|
|
|
|
function submitResidenceVillage() {
|
|
let district_id = $("#district_id").val();
|
|
let county_id = $("#county_id").val();
|
|
let subcounty_id = $("#subcounty_id").val();
|
|
let parish_id = $("#parish_id").val();
|
|
let new_district_name = $("#new_district_name").val();
|
|
let new_county_name = $("#new_county_name").val();
|
|
let new_subcounty_name = $("#new_subcounty_name").val();
|
|
let new_parish_name = $("#new_parish_name").val();
|
|
let new_village_name = $("#new_village_name").val();
|
|
|
|
if ((district_id === "" && new_district_name === "") || new_village_name === "") {
|
|
alert("Please make sure that you fill in a village name and a district");
|
|
return false;
|
|
}
|
|
|
|
$.ajax({
|
|
method: 'POST',
|
|
url: '/patients/quick_add_residence',
|
|
data: {
|
|
'district_id' : district_id, 'county_id' : county_id, 'subcounty_id' : subcounty_id, 'parish_id' : parish_id, 'new_district_name' : new_district_name,
|
|
'new_county_name' : new_county_name, 'new_subcounty_name' : new_subcounty_name, 'new_parish_name' : new_parish_name, 'new_village_name' : new_village_name
|
|
},
|
|
success: function(response){
|
|
$('#residence').append($('<option>', {
|
|
value: response,
|
|
text: new_village_name
|
|
})).val(response);
|
|
$('#modal_residence').modal('hide');
|
|
},
|
|
error: function(jqXHR, textStatus, errorThrown) {
|
|
console.log(JSON.stringify(jqXHR));
|
|
}
|
|
});
|
|
}
|
|
|
|
function submitCompany() {
|
|
var company_name = $("#company_name").val();
|
|
var company_contact = $("#company_contact").val();
|
|
var company_identifier = $("#company_identifier").val();
|
|
|
|
if ($("#company_name").val() === "" || !$("#company_name").val()) {
|
|
alert("Please make sure that you fill in a company name");
|
|
return false;
|
|
}
|
|
|
|
var data = {'company_name':company_name, 'company_contact': company_contact, 'company_identifier': company_identifier};
|
|
|
|
$.ajax({
|
|
method: 'POST',
|
|
url: '/patients/add_company',
|
|
data: data,
|
|
success: function(response){
|
|
if(!isNaN(response)){
|
|
//response = last inserted id
|
|
$('#company').append($('<option>', {
|
|
value: response,
|
|
text: company_name
|
|
}));
|
|
$('#company').val(response);//preselect the newly added referral
|
|
$('#modal_company').modal('hide'); //manually hide the modal
|
|
} else {
|
|
alert("error occurred");
|
|
}
|
|
},
|
|
error: function(jqXHR, textStatus, errorThrown) {
|
|
alert(JSON.stringify(jqXHR));
|
|
console.log(JSON.stringify(jqXHR));
|
|
}
|
|
});
|
|
}
|
|
|
|
function format_date(date) {
|
|
let d = new Date(date),
|
|
month = '' + (d.getMonth() + 1),
|
|
day = '' + d.getDate(),
|
|
year = d.getFullYear();
|
|
|
|
if (month.length < 2) {
|
|
month = '0' + month;
|
|
}
|
|
|
|
if (day.length < 2) {
|
|
day = '0' + day;
|
|
}
|
|
|
|
return [day, month, year].join('/');
|
|
}
|
|
|
|
$('#date_of_birth,#membership_start_date,#membership_registration_date,#next_anniversary_date,#existing_premium_start_date,#existing_premium_end_date').datepicker({
|
|
autoclose: true,
|
|
todayHighlight: true,
|
|
format: 'dd/mm/yyyy',
|
|
|
|
});
|
|
|
|
$("#date_of_birth").on('change', function () {
|
|
var today = new Date();
|
|
var birthDate = $(this).val();
|
|
var temp_date = birthDate.split("/");
|
|
birthDate = new Date(temp_date[2], (temp_date[1] - 1), temp_date[0]);
|
|
|
|
//calculate years
|
|
var age = today.getFullYear() - birthDate.getFullYear();
|
|
age = parseInt(age);
|
|
var m = today.getMonth() - birthDate.getMonth();
|
|
if (m < 0 || (m === 0 && today.getDate() < birthDate.getDate())) {
|
|
age--;
|
|
}
|
|
|
|
//calculate months
|
|
var monthBirth = birthDate.getMonth() + 1;
|
|
var monthToday = today.getMonth() + 1;
|
|
if (monthToday > monthBirth) {
|
|
var months = monthToday - monthBirth;
|
|
} else if (monthToday == monthBirth) {
|
|
var months = 0;
|
|
} else if (monthToday < monthBirth) {
|
|
var months = monthToday - monthBirth;
|
|
months = months + 12;
|
|
}
|
|
if (months < 10) {
|
|
months = '0' + months
|
|
}
|
|
|
|
//set the values
|
|
$('#age_in_years').val(age);
|
|
$('#age_in_months').val(months);
|
|
});
|
|
|
|
$('#age_in_years').on('change', function () {
|
|
let years = parseInt($(this).val());
|
|
let possibleBirthday = new Date();
|
|
|
|
if (!isNaN(years)) {
|
|
possibleBirthday.setMonth(possibleBirthday.getMonth() - (years * 12));
|
|
$('#date_of_birth').val(format_date(possibleBirthday));
|
|
} else {
|
|
alert("<?php echo __('patients.valid_number_years')?>")
|
|
}
|
|
});
|
|
|
|
$('#next_of_kin').on('change', function () {
|
|
if ($(this).val() != "" && $(this).val() != " ") {
|
|
$('#kin_div').show();
|
|
} else {
|
|
$('#kin_div').hide();
|
|
}
|
|
});
|
|
|
|
$('#div_district').on('change', function () {
|
|
var id = $('#district_id').val();
|
|
|
|
//add dropdown to immediate dependant dropdown
|
|
if (window.XMLHttpRequest) {// code for IE7+, Firefox, Chrome, Opera, Safari
|
|
xmlhttp = new XMLHttpRequest();
|
|
} else {// code for IE6, IE5
|
|
xmlhttp = new ActiveXObject("Microsoft.XMLHTTP");
|
|
}
|
|
xmlhttp.onreadystatechange = function () {
|
|
if (xmlhttp.readyState == 4 && xmlhttp.status == 200) {
|
|
//set counties dropdown options for selected district
|
|
document.getElementById("county_id").innerHTML = xmlhttp.responseText;
|
|
document.getElementById("subcounty_id").innerHTML = xmlhttp.responseText;
|
|
document.getElementById("parish").innerHTML = xmlhttp.responseText;
|
|
document.getElementById("village").innerHTML = xmlhttp.responseText;
|
|
//set sub counties dropdown options for selected district
|
|
//set parishes dropdown options for selected district
|
|
//set the villages dropdown options for the selected district
|
|
}
|
|
}
|
|
xmlhttp.open("GET", "/patients/get_counties/" + id, false);
|
|
xmlhttp.send();
|
|
});
|
|
|
|
$('#div_county').on('change', function () {
|
|
//get selected value
|
|
var id = $('#county_id').val();
|
|
|
|
//add dropdown to immediate dependant dropdown
|
|
if (window.XMLHttpRequest) {// code for IE7+, Firefox, Chrome, Opera, Safari
|
|
xmlhttp = new XMLHttpRequest();
|
|
} else {// code for IE6, IE5
|
|
xmlhttp = new ActiveXObject("Microsoft.XMLHTTP");
|
|
}
|
|
xmlhttp.onreadystatechange = function () {
|
|
if (xmlhttp.readyState == 4 && xmlhttp.status == 200) {
|
|
document.getElementById("subcounty_id").innerHTML = xmlhttp.responseText;
|
|
document.getElementById("parish").innerHTML = xmlhttp.responseText;
|
|
document.getElementById("village").innerHTML = xmlhttp.responseText;
|
|
}
|
|
}
|
|
xmlhttp.open("GET", "/patients/get_subcounties/" + id, false);
|
|
xmlhttp.send();
|
|
});
|
|
|
|
$('#div_subcounty').on('change', function () {
|
|
//get selected value
|
|
var id = $('#subcounty_id').val();
|
|
var district_id = $('#district_id').val();
|
|
|
|
//add dropdown to immediate dependant dropdown
|
|
if (window.XMLHttpRequest) {// code for IE7+, Firefox, Chrome, Opera, Safari
|
|
xmlhttp = new XMLHttpRequest();
|
|
} else {// code for IE6, IE5
|
|
xmlhttp = new ActiveXObject("Microsoft.XMLHTTP");
|
|
}
|
|
xmlhttp.onreadystatechange = function () {
|
|
if (xmlhttp.readyState == 4 && xmlhttp.status == 200) {
|
|
document.getElementById("parish").innerHTML = xmlhttp.responseText;
|
|
document.getElementById("village").innerHTML = xmlhttp.responseText;
|
|
}
|
|
}
|
|
xmlhttp.open("GET", "/patients/get_parishes/" + id, false);
|
|
xmlhttp.send();
|
|
});
|
|
|
|
$('#div_parish').on('change', function () {
|
|
//get selected value
|
|
var id = $('#parish').val();
|
|
|
|
//add dropdown to immediate dependant dropdown
|
|
if (window.XMLHttpRequest) {// code for IE7+, Firefox, Chrome, Opera, Safari
|
|
xmlhttp = new XMLHttpRequest();
|
|
} else {// code for IE6, IE5
|
|
xmlhttp = new ActiveXObject("Microsoft.XMLHTTP");
|
|
}
|
|
xmlhttp.onreadystatechange = function () {
|
|
if (xmlhttp.readyState == 4 && xmlhttp.status == 200) {
|
|
document.getElementById("village").innerHTML = xmlhttp.responseText;
|
|
}
|
|
}
|
|
xmlhttp.open("GET", "/patients/get_villages/" + id, false);
|
|
xmlhttp.send();
|
|
});
|
|
|
|
$('#district_id').on('click', function () {
|
|
var district_id = $('#district_id').val();
|
|
$.ajax({
|
|
type: 'GET',
|
|
url: '/patient_residence/' + district_id,
|
|
cache: false,
|
|
success: function (response) {
|
|
/* auto fill the subcounties based on the district that is selected */
|
|
var subcounties = response.subcounties;
|
|
for (var id in subcounties) {
|
|
var subcounty_select = document.getElementById("subcounty_id");
|
|
var subcounty_option = document.createElement("option");
|
|
subcounty_option.value = id;
|
|
subcounty_option.text = subcounties[id];
|
|
subcounty_select.appendChild(subcounty_option);
|
|
}
|
|
/* auto fill the parishes based on the selected district */
|
|
var parishes = response.parishes;
|
|
for (var id in parishes) {
|
|
var parish_select = document.getElementById("parish");
|
|
var parish_option = document.createElement("option");
|
|
parish_option.value = id;
|
|
parish_option.text = parishes[id];
|
|
parish_select.appendChild(parish_option);
|
|
}
|
|
/* auto fill the villages based on the selected district */
|
|
var villages = response.villages;
|
|
for (var id in villages) {
|
|
var village_select = document.getElementById("village");
|
|
var village_option = document.createElement("option");
|
|
village_option.value = id;
|
|
village_option.text = villages[id];
|
|
village_select.appendChild(village_option);
|
|
}
|
|
}
|
|
});
|
|
});
|
|
|
|
/* make residence drop downs searchable */
|
|
$('.district,#county_id,#subcounty_id,#parish,#village, #group_id').select2({
|
|
placeholder: "-- select --",
|
|
width: "100%"
|
|
});
|
|
$('.select2-selection.select2-selection--single').css('height', 'calc(3.85rem)');
|
|
$('.select2-selection.select2-selection--single').css('padding-top', '5px');
|
|
$('.select2-selection__arrow').css('top', '3px');
|
|
|
|
$("#submit_new_occupation").click(function () {
|
|
var new_occupation_name = $("#new_occupation_name").val();
|
|
if (new_occupation_name == '') {
|
|
alert("<?php echo __('insurance_members.please_fill_in_a_name')?>");
|
|
} else {
|
|
$.ajax({
|
|
type: "POST",
|
|
url: "/add_new_occupation_dynamically",
|
|
data: {name: new_occupation_name},
|
|
cache: false,
|
|
success: function (response) {
|
|
if (response == 'false') {
|
|
alert("<?php echo __('insurance_members.error_occured_occupation_not_added')?>");
|
|
} else {
|
|
$('.occupation').append($('<option>', {
|
|
value: response,
|
|
text: new_occupation_name
|
|
}));
|
|
$('.occupation').val(response);//preselect the newly added referral
|
|
//$('#modal_occupation').hide();
|
|
$('#modal_occupation').modal('hide');
|
|
}
|
|
}
|
|
});
|
|
}
|
|
$("#new_occupation_name").val('');
|
|
$("#modal_occupation #close").click();
|
|
});
|
|
|
|
$("#submit_new_district").click(function () {
|
|
var new_district_name = $("#new_district_name").val();
|
|
if (new_district_name == '') {
|
|
alert("Please fill out a name");
|
|
} else {
|
|
$.ajax({
|
|
type: "POST",
|
|
url: "/add_new_district_dynamically",
|
|
data: {name: new_district_name},
|
|
cache: false,
|
|
success: function (response) {
|
|
if (response == 'false') {
|
|
alert("<?php echo __('insurance_members.district_already_exists')?>");
|
|
} else {
|
|
$('.district').append($('<option>', {
|
|
value: response,
|
|
text: new_district_name
|
|
}));
|
|
$('.district').val(response);//preselect the newly added referral
|
|
//$('#modal_occupation').hide();
|
|
$('#modal_district').modal('hide');
|
|
alert("<?php echo __('insurance_members.new_district_has_been_added')?>");
|
|
}
|
|
},
|
|
error: function (error) {
|
|
console.log(error);
|
|
}
|
|
});
|
|
}
|
|
$("#new_district_name").val('');
|
|
$("#modal_district #close").click();
|
|
});
|
|
|
|
$("#submit_new_county").click(function () {
|
|
var new_county_name = $("#new_county_name").val();
|
|
var district_id = $("#dynamic_district_name").val();
|
|
//dynamic_sub_county_name
|
|
if (new_county_name == '') {
|
|
alert("Please fill out a name");
|
|
} else {
|
|
$.ajax({
|
|
type: "POST",
|
|
url: "/add_new_county_dynamically",
|
|
data: {name: new_county_name, district_id: district_id},
|
|
cache: false,
|
|
success: function (response) {
|
|
if (response == 'false') {
|
|
alert("County already Exists");
|
|
} else {
|
|
$('.county').append($('<option>', {
|
|
value: response,
|
|
text: new_county_name
|
|
}));
|
|
$('.county').val(response);//preselect the newly added referral
|
|
$('#modal_county').modal('hide');
|
|
alert("<?php echo __('insurance_members.new_county_has_been_added')?>");
|
|
}
|
|
}
|
|
});
|
|
}
|
|
$("#new_county_name").val('');
|
|
$("#modal_county #close").click();
|
|
});
|
|
|
|
$("#submit_new_subcounty").click(function () {
|
|
var new_subcounty_name = $("#new_subcounty_name").val();
|
|
var county_id = $("#dynamic_county_name").val();
|
|
if (new_subcounty_name == '') {
|
|
alert("Please fill out a name");
|
|
} else {
|
|
$.ajax({
|
|
type: "POST",
|
|
url: "/add_new_subcounty_dynamically",
|
|
data: {name: new_subcounty_name, county_id: county_id},
|
|
cache: false,
|
|
success: function (response) {
|
|
if (response == 'false') {
|
|
alert("<?php echo __('insurance_members.subcounty_already_exists')?>");
|
|
} else {
|
|
$('.subcounty').append($('<option>', {
|
|
value: response,
|
|
text: new_subcounty_name
|
|
}));
|
|
$('.subcounty').val(response);//preselect the newly added referral
|
|
$('#modal_subcounty').modal('hide');
|
|
alert("<?php echo __('insurance_members.new_subcounty_has_been_added')?>");
|
|
}
|
|
}
|
|
});
|
|
}
|
|
$("#new_subcounty_name").val('');
|
|
$("#modal_subcounty #close").click();
|
|
});
|
|
|
|
$("#submit_new_parish").click(function () {
|
|
var new_parish_name = $("#new_parish_name").val();
|
|
var subcounty_id = $("#dynamic_sub_county_name").val();
|
|
if (new_parish_name == '') {
|
|
alert("Please fill out a name");
|
|
} else {
|
|
$.ajax({
|
|
type: "POST",
|
|
url: "/add_new_parish_dynamically",
|
|
data: {name: new_parish_name, subcounty_id: subcounty_id},
|
|
cache: false,
|
|
success: function (response) {
|
|
if (response == 'false') {
|
|
alert("<?php echo __('insurance_members.parish_already_exists')?>");
|
|
} else {
|
|
$('.parish').append($('<option>', {
|
|
value: response,
|
|
text: new_parish_name
|
|
}));
|
|
$('.parish').val(response);//preselect the newly added referral
|
|
$('#modal_parish').modal('hide');
|
|
alert("<?php echo __('insurance_members.new_parish_has_been_added')?>");
|
|
}
|
|
}
|
|
});
|
|
}
|
|
$("#new_parish_name").val('');
|
|
$("#modal_parish #close").click();
|
|
});
|
|
|
|
$("#submit_new_village").click(function () {
|
|
var new_village_name = $("#new_village_name").val();
|
|
var parish_id = $("#dynamic_parish_name").val();
|
|
if (new_village_name == '') {
|
|
alert("Please fill out a name");
|
|
} else {
|
|
$.ajax({
|
|
type: "POST",
|
|
url: "/add_new_village_dynamically",
|
|
data: {name: new_village_name, parish_id: parish_id},
|
|
cache: false,
|
|
success: function (response) {
|
|
if (response == 'false') {
|
|
alert("<?php echo __('insurance_members.village_already_exists')?>");
|
|
} else {
|
|
$('.village').append($('<option>', {
|
|
value: response,
|
|
text: new_village_name
|
|
}));
|
|
$('.village').val(response);//preselect the newly added referral
|
|
$('#modal_village').modal('hide');
|
|
alert("<?php echo __('insurance_members.new_village_has_been_added')?>");
|
|
}
|
|
}
|
|
});
|
|
}
|
|
$("#new_village_name").val('');
|
|
$("#modal_village #close").click();
|
|
});
|
|
|
|
$(document).ready(function() {
|
|
// Basic
|
|
$('.dropify').dropify();
|
|
});
|
|
|
|
$('#first_name, #last_name').change(function () {
|
|
let first_name = $('#first_name').val();
|
|
let last_name = $('#last_name').val();
|
|
|
|
if (first_name !== "" && last_name !== "") {
|
|
$.ajax({
|
|
method: 'POST',
|
|
url: '/patients/check_duplicate_patients',
|
|
data: {'first_name': first_name, 'last_name': last_name},
|
|
success: function(response){
|
|
let responseArray = JSON.parse(response);
|
|
|
|
if (responseArray["results_count"] > 0) {
|
|
$("#similar_patients_names").text(responseArray["results_count"] + " patient(s) with similar names were found. Click here to view them and avoid duplicate patient records");
|
|
$("#similar_patients_names").show();
|
|
$("#modal_table").html(responseArray["html"]);
|
|
} else {
|
|
$("#similar_patients_names").hide();
|
|
}
|
|
}
|
|
});
|
|
}
|
|
});
|
|
|
|
$('#phone').change(function () {
|
|
let phone = $('#phone').val();
|
|
$.ajax({
|
|
method: 'POST',
|
|
url: '/patients/check_duplicate_patients',
|
|
data: {'phone': phone},
|
|
success: function(response){
|
|
let responseArray = JSON.parse(response);
|
|
|
|
if (responseArray["results_count"] > 0) {
|
|
$("#similar_phone_number").text(responseArray["results_count"] + " patient(s) with similar phone numbers were found. Click to view them");
|
|
$("#similar_phone_number").show();
|
|
$("#modal_table").html(responseArray["html"]);
|
|
} else {
|
|
$("#similar_phone_number").hide();
|
|
}
|
|
}
|
|
});
|
|
});
|
|
|
|
$('#similar_patients_names, #similar_phone_number').click(function () {
|
|
$('#modal_similar_patients').modal('show');
|
|
});
|
|
|
|
$('#residence').select2({
|
|
placeholder: 'Search residences',
|
|
ajax: {
|
|
url: '/patients/search_residences',
|
|
dataType: 'json',
|
|
delay: 250,
|
|
processResults: function (data) {
|
|
return {
|
|
results: $.map(data, function (item) {
|
|
return {
|
|
text: item.text,
|
|
id: item.ids
|
|
}
|
|
})
|
|
};
|
|
},
|
|
cache: true
|
|
}
|
|
});
|
|
|
|
$("#citizenship").click(function(){
|
|
var citizenship = $("#citizenship").val();
|
|
if (citizenship == 0) {
|
|
$("#not_ugandan_regions").show();
|
|
$("#ugandan_regions").hide();
|
|
} else {
|
|
$("#not_ugandan_regions").hide();
|
|
$("#ugandan_regions").show();
|
|
$("#country_id").val('');
|
|
}
|
|
});
|
|
|
|
$('.risk_id,.family_id').select2({
|
|
placeholder: "Select",
|
|
width: "100%"
|
|
});
|
|
|
|
$('#chi_plan').change(function(){
|
|
let chi_plan = $(this).val();
|
|
$.ajax({
|
|
method: 'GET',
|
|
url: '/get_chi_plan_amount/' + chi_plan,
|
|
success: function(response){
|
|
$('#member_premium').val(response);
|
|
},
|
|
error: function (error) {
|
|
console.log(error);
|
|
}
|
|
});
|
|
});
|
|
|
|
$('.family_id').change(function(){
|
|
let family_id = $(this).val();
|
|
console.log("family id ==>>> " + family_id);
|
|
//
|
|
$.ajax({
|
|
method: 'GET',
|
|
url: '/get_family_group_id/' + family_id,
|
|
success: function(response){
|
|
$('#group_id').val(response).attr("selected","selected");
|
|
},
|
|
error: function (error) {
|
|
console.log(error);
|
|
}
|
|
});
|
|
});
|
|
</script>
|
|
@endpush |