streamline-emr/docker/statistics/Modules/ClinicalData/Resources/views/diagnoses/create.blade.php

@extends('layouts.main')

@push('styles')
    <link href="{{ asset('elite/bower_components/icheck/skins/all.css') }}" rel="stylesheet">
    <link href="{{ asset('elite/bower_components/select2/select2.min.css') }}" rel="stylesheet" />
    <link href="{{ asset('elite/bower_components/icheck/skins/all.css') }}" rel="stylesheet">
@endpush

@section('content')
<div class="row bg-title">
    <div class="col-lg-3 col-md-4 col-sm-4 col-xs-12">
        <h4 class="page-title">{{ __('diagnoses.add_diagnosis') }}</h4>
    </div>
    <div class="col-lg-9 col-sm-8 col-md-8 col-xs-12">
        <ol class="breadcrumb">
            <li><a href="{{ route('home') }}">{{ __('diagnoses.dashboard') }}</a></li>
            <li><a href="{{ route('diagnoses.index') }}">{{ __('diagnoses.diagnosis') }}</a></li>
            <li class="active">{{ __('diagnoses.create') }}</li>
        </ol>
    </div>
</div>

@include('clinical_data::diagnoses.menu')

<div class="row">
    <div class="col-sm-12">
        <!--Flash messages at the top -->
        @include('flash::message')
        <div class="white-box">
            {{ Form::open(['route' => 'diagnoses.store', 'data-toggle' => 'validator']) }}

            <div class="row">
                <div class="col-sm-6">
                    <div class="form-group">
                        {{ Form::label('name', __('diagnoses.diagnosis_name')) }}
                        {{ Form::text('name', '', ['class' => 'form-control compulsory', 'required']) }}
                        <div class="help-block with-errors"></div>
                        @if (!empty($errors->get('name')))
                            <div class="help-block with-errors alert alert-danger">
                                @foreach ($errors->get('name') as $message)
                                    {{ $message }}
                                @endforeach
                            </div>
                        @endif 
                    </div>

                    <div class="form-group">
                        {{ Form::label('icd10_code', __('diagnoses.icd_10_code')) }}
                        {{ Form::text('icd10_code', '', ['class' => 'form-control']) }}
                    </div>
                    
                    <p> HMIS Outpatient Report (105) </p>
                    <div class="form-group">
                        {{ Form::select('outpatient_hmis_category', $outpatient_hmis_categories, '', ['class' => 'form-control compulsory', 'id'=>'outpatient_hmis_category', 'required']) }}
                        <div class="help-block with-errors"></div>
                    </div>
                    <div class="form-group">
                        <select class="form-control" id="outpatient_hmis_category_option" name="outpatient_hmis_category_option" required>
                            <option value="" selected disabled>- Select HMIS Outpatient category first -</option>                                                               
                        </select>
                        <div class="help-block with-errors"></div>
                    </div>
                    <div class="form-group" id="outpatient_parent_dependent_option">
                        {{ Form::label('outpatient_dependent_option', 'Outpatient Dependent Option') }}
                        <select class="form-control" id="outpatient_dependent_option" name="outpatient_dependent_option">
                            <option value="" selected disabled>- Select Dependent Option -</option>
                        </select>
                        <div class="help-block with-errors"></div>
                    </div>
                    <div class="form-group" id="outpatient_district_code">
                        {{ Form::label('district_code', 'District Disease Code') }}
                        {{ Form::text('district_code', '', ['class' => 'form-control', 'id'=>'district_code']) }}
                        <div class="help-block with-errors"></div>
                    </div>
                    <hr>
                    <p> HMIS Inpatient Report (108) </p>
                    <div class="form-group">
                        {{-- {{ Form::label('hmis_category', __('diagnoses.hmis_category')) }} --}}
                        {{ Form::select('hmis_category', $inpatient_hmis_categories, '', ['class' => 'form-control compulsory', 'id'=>'hmis_category_inpatient', 'required']) }}
                        <div class="help-block with-errors"></div>
                    </div>

                    <div class="form-group">
                        {{ Form::label('hmis_category_inpatient_options', __('diagnoses.hmis_inpatient_category')) }}
                        <select class="form-control" id="hmis_category_inpatient_options" name="hmis_no_inpatient" required>
                            <option value="" selected disabled>- Select HMIS category first -</option>                                                               
                        </select>
                        <div class="help-block with-errors"></div>
                    </div>
                    <div class="form-group" id="dependent_option">
                        {{ Form::label('hysterectomy_type', 'Dependent Option') }}
                        <select class="form-control" id="parent_dependent_option" name="parent_dependent_option">
                            <option value="" selected disabled>- Select Dependent Option -</option>
                        </select>
                        <div class="help-block with-errors"></div>
                    </div>

                    
                </div>

                <div class="col-sm-6">
                    @if(is_chi_enabled())
                        <div class="form-group" id="drugs_dropdown">
                            {{ Form::label('insurance_tariffs', 'Insurance Tariffs') }}
                            {{ Form::select('insurance_tariffs[]', $insurance_tariffs,'',['id'=>'insurance_tariffs', 'multiple', 'class' => 'form-control']) }}
                        </div>
                    @endif
                    <div class="form-group">
                        {{ Form::label('prompts', __('diagnoses.diagnosis_prompt')) }}
                        {{ Form::textArea('prompts', '', ['class'=>'form-control', 'rows' => 5]) }}
                    </div>

                    <div class="form-group">
                        {{ Form::label('', __('diagnoses.chronic_status'), ["class"=>'col-md-12']) }}
                        &nbsp;{{ __('diagnoses.yes') }} {{ Form::radio('chronic_status', 1, false, ["required", 'class' => 'check form-control', 'data-radio'=>'iradio_flat-green']) }}
                        &nbsp;{{ __('diagnoses.no') }} {{ Form::radio('chronic_status', 0, false, ["required", 'class' => 'check form-control', 'data-radio'=>'iradio_flat-green']) }}
                        <div class="help-block with-errors"></div>
                    </div>                    

                    <div class="form-group">
                        {{ Form::label('available', __('diagnoses.is_diagnosis_available'), ["class"=>'col-md-12']) }}
                        &nbsp;{{ __('diagnoses.yes') }} {{ Form::radio('available', 1, false,  ["required", 'class' => 'check form-control', 'data-radio'=>'iradio_flat-green']) }}
                        &nbsp;{{ __('diagnoses.no') }} {{ Form::radio('available', 0, false, ["required", 'class' => 'check form-control', 'data-radio'=>'iradio_flat-green']) }}
                        <div class="help-block with-errors"></div>
                    </div>
                    <div class="form-group">
                        {{ Form::label('diagnosis_category', __('diagnoses.diagnosis_category')) }}
                        {{ Form::select('diagnosis_category', $diagnosis_categories, '', ['class' => 'form-control']) }}
                    </div>

                    <div class="form-group">
                        {{ Form::label('reference_areas', __('diagnoses.reference_areas')) }}
                        <div class="row input_fields_wrap copy" id="copy">
                            <br><br>
                            <div class="col-md-5">
                                {{ Form::text('reference_names[]', '', ['class' => 'form-control', 'placeholder' => 'Reference name']) }}
                            </div>
                            <div class="col-md-6">
                                {{ Form::text('reference_areas[]', '', ['class' => 'form-control', 'placeholder' => 'e.g. http://google.com']) }}
                            </div>
                            <br><br>
                        </div>
                    </div>
                    <a class="add_field btn btn-primary">{{ __('diagnoses.add_more')}}</a>
                    <br><br>
                </div>
            </div>

            {{ Form::button(__('diagnoses.submit'),['type'=>'submit','class'=>'btn btn-success waves-effect waves-light m-r-10']) }}
            {{ Form::button(__('diagnoses.cancel'),['type'=>'reset','class'=>'btn btn-default waves-effect waves-light']) }}

            {{ Form::close() }}
        </div>
    </div>
</div>
@endsection

@push('scripts')
    <script src="{{ asset('elite/js/validator.js') }}"></script>
    <script src="{{ asset('js/diagnosis/create.js') }}"></script>
    <script src="{{ asset('elite/bower_components/select2/select2.min.js') }}"></script>

    <!-- icheck -->
    <script src="{{ asset('elite/bower_components/icheck/icheck.min.js') }}"></script>
    <script src="{{ asset('elite/bower_components/icheck/icheck.init.js') }}"></script>

    <script>
        $('#insurance_tariffs').select2({
            placeholder: "Select",
            width: "100%"
        });
        $('#hmis_category_inpatient_options, #hmis_category_inpatient, #parent_dependent_option, #outpatient_hmis_category, #outpatient_hmis_category_option, #outpatient_dependent_option').select2();
        $('#dependent_option, #outpatient_parent_dependent_option, #outpatient_district_code').hide();
        
        $('#hmis_category_inpatient_options').change(function(e) {  
            var parent_id = $('#hmis_category_inpatient_options').val();
            var div = 'parent_dependent_option';
            const parents = Object.values(@json($parent_categories));
            // console.log(parents.findIndex(check_options));
            if (parents.findIndex(check_options) !== -1) {
                dependent_category_options(parent_id, div);
                $('#dependent_option').show();
            }else if ($('#dependent_option').is(':visible')) {
                $('#dependent_option').hide();
                $('#parent_dependent_option').prop('selectedIndex',0);
                $('#parent_dependent_option').prop('required',false);
            }
            
        });
        $('#outpatient_hmis_category_option').change(function(){
            var option = $('#outpatient_hmis_category_option').val();
            var div = 'outpatient_dependent_option';
            const parent_options = Object.values(@json($parent_categories));
            if(option == '655'){
                $('#outpatient_district_code').show();
                $('#district_code').addClass('compulsory');
                $('#district_code').prop('required', true);
            }else {
                if($('#district_code').is(':visible')) $('#district_code').val('');
                if (parent_options.findIndex(check_option) !== -1) {
                    dependent_category_options(option, div);
                    $('#outpatient_parent_dependent_option').show();
                }else if ($('#outpatient_parent_dependent_option').is(':visible')) {
                    $('#outpatient_parent_dependent_option').hide();
                    $('#outpatient_dependent_option').prop('selectedIndex',0);
                    $('#outpatient_dependent_option').prop('required',false);
                }else if ($('#outpatient_district_code').is(':visible')) {
                    $('#district_code').prop('required', false);
                    $('#district_code').removeClass('compulsory');                    
                    $('#outpatient_district_code').hide();
                }
            }
        });

        function check_options(parent_id) {
            return parent_id == $('#hmis_category_inpatient_options').val();
        }

        function check_option(parent_id) {
            return parent_id == $('#outpatient_hmis_category_option').val();
        }


        $('#hmis_category_inpatient').change(function(e) {
            category_options('hmis_category_inpatient');            
        });

        $('#outpatient_hmis_category').change(function(e) {
            category_options('outpatient_hmis_category');            
        });
        
        function category_options(data){
            let category = $('#'+data).val();    
            $.ajax({
                type: "POST",
                url: "/get_hmis_categories_options",
                data: {hmis_category: category},
                cache: false,
                success: function (response) {
                    if(response == 'false'){
                        alert("<?php echo __('procedures.failed_options'); ?>");
                    } else {  
                        var option = (data == 'hmis_category_inpatient')? 'hmis_category_inpatient_options':'outpatient_hmis_category_option';                  
                        $('#'+option).html(response);
                    }
                }
            });
        }

        function dependent_category_options(option, div){
            let category = option;    
            $.ajax({
                type: "POST",
                url: "/get_dependent_hmis_category_options",
                data: {parent_category: category},
                cache: false,
                success: function (response) {
                    if(response == 'false'){
                        alert("<?php echo __('procedures.failed_options'); ?>");
                    } else {                    
                        $('#' + div).html(response);
                        $('#' + div).prop('required',true);
                    }
                }
            });
        }
    </script>
@endpush