streamline-emr/docker/statistics/Modules/ClinicalData/Resources/views/procedures/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" />
@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">{{ __('procedures.add_procedure') }}</h4>
    </div>
    <div class="col-lg-9 col-sm-8 col-md-8 col-xs-12">
        <ol class="breadcrumb">
            <li><a href="{{ route('home') }}">{{ __('procedures.dashboard') }}</a></li>
            <li><a href="/procedures/index">{{ __('procedures.procedures') }}</a></li>
            <li class="active">{{ __('procedures.create') }}</li>
        </ol>
    </div>
</div>

<div class="row">
    <div class="col-sm-12">
        @include('clinical_data::procedures.menu')
    </div>
</div>
@php
    $section_number = '3';
    $inpatient =array_filter($hmis_categories, function ($item) use ($section_number) {
        return $item['section_number'] == $section_number;
    });
    $type = '0';
    $outpatient =array_filter($hmis_categories, function ($item) use ($type) {
        return $item['type'] == $type;
    });
@endphp 

<div class="row">
    <div class="col-sm-12">
        <!--Flash messages at the top -->
        @include('flash::message')
        <div class="white-box">
            @if (session()->has('streamline_setup'))
                <h3><font color="blue">Stre@mline {{ __('procedures.setup') }} ({{ __('procedures.step') }} 9 {{ __('procedures.of') }} 12)</font></h3>
                {{ Form::open(['route' => 'procedures.store']) }}

                <div class="row">
                    <div class="col-sm-6">
                        <div class="form-group">
                            {{ Form::label('name', __('procedures.procedure_name')) }}
                            {{ Form::text('name', '', ['class' => 'form-control']) }}
                            <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']) }}
                            <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']) }}
                            <div class="help-block with-errors"></div>
                        </div>

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

                        <div class="form-group">
                            {{ Form::label('hmis_number', 'HMIS No.') }}
                            {{ Form::number('hmis_number', '', ['class'=>'form-control']) }}
                        </div>

                        <div class="form-group">
                            {{ Form::label('account_id',__('procedures.chart_of_account_name')) }}
                            {{ Form::select('account_id',$chart_of_accounts,'',['class' => 'form-control']) }}
                            <div class="help-block with-errors"></div>
                        </div>
                    </div>
                    <div class="col-sm-2"></div>
                    <div class="col-sm-4" style="background: #eceeef;">
                        <h4>{{ __('procedures.select_any_from_list') }}</h4>
                        <input id="select_all" type="checkbox"> <b>Select All</b><br><br>
                        @foreach ($procedures as $defaultProcedure)
                            <div class="form-group">
                                {{ Form::checkbox('selected_procedures[]', $defaultProcedure['Procedure_Name'], false, ['class' => 'item_checkbox']) }} {{ $defaultProcedure['Procedure_Name'] }} &nbsp;&nbsp;
                            </div>
                        @endforeach
                    </div>
                </div>
                {{ Form::button(__('procedures.next'),['type'=>'submit','class'=>'btn btn-success waves-effect waves-light m-r-10 next']) }}
                {{ Form::button(__('procedures.skip'),['type'=>'submit','name' => 'skip','value'=>'Skip','class'=>'btn btn-default waves-effect waves-light m-r-10']) }}
            @else

                {{ Form::open(['route' => 'procedures.store', 'data-toggle' => 'validator']) }}

                <div class="form-group">
                    {{ Form::label('name', __('procedures.procedure_name')) }}
                    {{ Form::text('name', '', ['class' => 'form-control compulsory']) }}
                    <div class="help-block with-errors"></div>
                </div>

                <div class="form-group">
                    {{ Form::label('code', 'Item Code') }}
                    {{ Form::text('code', '', ['class' => 'form-control']) }}
                </div>

                <div class="form-group">
                    {{ Form::label('non_insured_price', __('procedures.non_insured_price')) }}
                    {{ Form::number('non_insured_price', '', ['class' => 'form-control compulsory', 'id' => 'non_insured_price']) }}
                    <div class="help-block with-errors"></div>
                </div>

                @php
                    $price_list_categories = \Streamline\Models\PriceListCategories::select('patient_category_id', 'id')->get();
                @endphp

                @foreach($price_list_categories as $record)
                    <div class="form-group">
                        {{ Form::label('non_insured_price', get_name($record->patient_category_id, 'id', 'name', 'patient_categories').' Price') }}
                        {{ Form::hidden('price_list_category_id[]', $record->id) }}
                        {{ Form::number('price_list_price[]', '', ['class'=>'form-control price_list_price']) }}
                    </div>
                @endforeach

                <div class="form-group">
                    {{ Form::label('category', __('procedures.category')) }}
                    {{ Form::select('category', $procedure_categories, null, ['class' => 'form-control compulsory', 'id' =>'category']) }}
                    <div class="help-block with-errors"></div>
                </div>
                
                <div class="form-group">
                    {{ Form::label('available', __('procedures.is_procedure_available'), ["class"=>'col-md-12']) }}
                    &nbsp;{{ __('procedures.yes') }} {{ Form::radio('available', 1, false,  ["required", 'class' => 'check form-control', 'data-radio'=>'iradio_flat-green']) }}
                    &nbsp;{{ __('procedures.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('reference_text', __('symptoms.reference_area')) }}
                    <div class="row">
                        <div class="col-sm-4">
                            {{ Form::text('reference_text[]', '', ['class'=>'form-control', 'placeholder' => 'reference name']) }}
                        </div>
                        <div class="col-sm-8">
                            {{ Form::url('reference_link[]', '', ['class'=>'form-control', 'placeholder' => 'eg http://www.google.com']) }}
                        </div>                       
                        <div class="col-sm-12 refrence_input_fields_wrap"></div>
                        <div class="col-sm-12"><a class="add_field_button" style="color: blue;">{{ __('symptoms.add_more') }}</a></div>
                    </div>
                </div>

                <div class="form-group">
                    {{ Form::label('hmis_number', 'HMIS No.') }}
                    {{ Form::number('hmis_number', '', ['class'=>'form-control']) }}
                </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' =>'account_id', 'required']) }}
                    <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']) }}
                        </div>
                        <div class="col-sm-6">
                            {{ Form::label('hmis_category', 'HMIS category (Out Patient)') }}
                            <select class="form-control" id="hmis_category_outpatient" name="hmis_category_outpatient">
                                <option value="" selected disabled>- Select HMIS Out Patient Category -</option>
                                @foreach ($outpatient as $outpatient_item)
                                    <option value="{{ $outpatient_item['id'] }}">{{ $outpatient_item['title'] }}</option> 
                                @endforeach                                
                            </select>
                        </div>
                    </div>                     
                    <!-- {{ Form::label('hmis_no_outpatient', 'HMIS-out-patient No.') }}
                    {{ Form::text('hmis_no_outpatient', '', ['class'=>'form-control']) }} -->
                </div>
                <a class="add_field_hmis" style="color: blue;">{{ __('procedures.add_more') }}</a><br><br>
                <hr>
                <p> HMIS Inpatient Report (108) </p>
                <div class="form-group">
                    <select class="form-control required compulsory" id="procedure_type" name="procedure_type">
                        <option value="" selected disabled>Select Procedure type</option>
                        <option value="0">Non-Surgical</option> 
                        <option value="1">Surgical</option>                              
                    </select>
                    <div class="help-block with-errors"></div>
                </div>
                <div class="row" id="input_fields_wrap2">
                        {{-- <div class="form-group col-sm-6">
                            {{ Form::label('hmis_no_inpatient', 'HMIS-in-patient No.') }}
                            {{ Form::text('hmis_no_inpatient', '', ['class'=>'form-control']) }}
                        </div> --}}                       
                        <div class="form-group col-sm-4">
                            {{ Form::label('hmis_category_inpatient', __('diagnoses.hmis_inpatient_category')) }}
                            <select class="form-control" id="hmis_category_inpatient" name="hmis_category_inpatient">
                                <option value="" selected disabled>- Select HMIS category -</option>
                                @foreach ($inpatient as $inpatient_item)
                                    <option value="{{ $inpatient_item['id'] }}">{{ $inpatient_item['title'] }}</option> 
                                @endforeach                                
                            </select>
                        </div>
                        <div class="form-group col-sm-4">
                            {{ Form::label('hmis_category_inpatient_options', __('diagnoses.hmis_inpatient_category')) }}
                            <select class="form-control" id="hmis_category_inpatient_options" name="hmis_category_inpatient_options">
                                <option value="" selected disabled>- Select HMIS category first -</option>                                                               
                            </select>
                        </div>
                        <div class="form-group col-sm-4" id="hysterectomy_type">
                            {{ Form::label('hysterectomy_type', 'Hysterectomy type') }}
                            <select class="form-control" id="hysterectomy_type_option" name="hysterectomy_type">
                                <option value="" selected disabled>- Select Hysterectomy type -</option>
                                <option value="SP05a">Total Hysterectomy</option> 
                                <option value="SP05b">Sub-total Hysterectomy</option>                              
                            </select>
                        </div>
                </div>                
                {{ Form::button(__('procedures.submit'),['type'=>'submit','class'=>'btn btn-success waves-effect waves-light m-r-10 submit-btn']) }}
                {{ Form::button(__('procedures.cancel'),['type'=>'reset','class'=>'btn btn-default waves-effect waves-light']) }}
            @endif

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

@push('scripts')
<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/select2/select2.min.js') }}"></script>
<script type="text/javascript">
    $(".next,.submit-btn").click(function (e) { // make sure that all compulsory fields have been filled out
        var empty_compulsory_fields = [];
        $(".compulsory").each(function () {
            if ($(this).val() == "") {
                var textname = $(this).attr('name');
                $(this).focus();
                empty_compulsory_fields.push(textname);
                $(this).css('border','1px solid #F08080');
            }
        });
        /* check if the array containing empty compulsory fields is not empty then return false */
        if (empty_compulsory_fields.length != 0) {
            alert("<?php echo __('procedures.compulsory_fields_warning') ?>");
            console.log(empty_compulsory_fields);
            e.preventDefault();
            return false;
        }
    });

    var max_fields1 = 4; //maximum reference area/name divs allowed
    var x1 = 1; //initial reference area/name div count
    
    $(".add_field_hmis").on("click", function (e) {
        //alert('clicked here');
        e.preventDefault();
        if (x1 < max_fields1) {
            x1++;
            var copy1 = $('.copy1').clone();
            copy1.attr("class", 'row input_fields_wrap1');
            copy1.attr("id", 'copy1' + x1);
            copy1.append('<a href="#" class="remove_field1" style="color: maroon"><sup>X</sup></a>');
            copy1.insertAfter('.copy1');
        }
    });

    $("#wrapper").on("click", ".remove_field1", function (e) {
        e.preventDefault();
        $(this).parent('div').remove();
        x1--;
    });

    $('#select_all').change(function() {
        if (this.checked === true) {
            $(".item_checkbox").each(function() {
                this.checked = true;
            });
        } else {
            $(".item_checkbox").each(function() {
                this.checked = false;
            });
        }
    });

    $('#non_insured_price').change(function(e) {
        var non_insured_price = $(this).val();
        if (non_insured_price > 0) {
            $(".price_list_price").each(function () {
                $(this).val(non_insured_price);
            });
        }
    });

    $(document).ready(function () {
        var max_fields = 4; //maximum input boxes allowed
        var wrapper = $(".refrence_input_fields_wrap"); //Fields wrapper

        var x = 1; //initlal text box count
        $(".add_field_button").click(function (e) { //on add input button click
            e.preventDefault();
            if (x < max_fields) { //max input box allowed
                x++; //text box increment
                $(wrapper).append('<br><div class="row"><div class="col-sm-4"><input type="text" class="form-control compulsory" placeholder="Reference name" name="reference_text[]" required/></div>' +
                        '<div class="col-sm-7"><input type="url" placeholder="eg http://www.google.com" class="form-control compulsory" name="reference_link[]" required/></div>'
                        + '<a href="#" class="remove_field" style="color: maroon"><sup>X</sup></a></div>'); //add input box
            }else  {
                $(".add_field_button").hide();
                alert('Only four references can be added.');
            }
        });

        $(wrapper).on("click", ".remove_field", function (e) { //user click on remove text
            e.preventDefault();
            $(this).parent('div').remove();
            x--;
        })
    });

    $('#input_fields_wrap2').hide();
    $('#hysterectomy_type').hide();
    $('#account_id, #category, #hmis_category_outpatient').select2();
    $('#category, #account_id, #procedure_type').prop('required',true);
    $('#procedure_type').change(function(e) {
        if(this.value == '1') {
            $('#input_fields_wrap2').show();
            $('#hmis_category_inpatient').select2();
            $('#hmis_category_inpatient_options').select2();
            $('#hmis_category_inpatient').prop('required',true);
        }
        else { 
            let option = '<option value="" selected disabled>- Select HMIS category first -</option>';
            $('#input_fields_wrap2, #hysterectomy_type').hide();
            $('#hmis_category_inpatient_options').html(option);
            $('#hmis_category_inpatient, #hysterectomy_type_option').prop('selectedIndex',0);
            $('#hmis_category_inpatient, #hysterectomy_type_option').prop('required',false);
        }
    });

    $('#hmis_category_inpatient').change(function(e) {
        category_options();
    });
     
    function category_options(){
        let category = $('#hmis_category_inpatient').val();    console.log(category);    
        $.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 {                    
                    $('#hmis_category_inpatient_options').html(response);
                    if(category != '46') $('#hysterectomy_type').hide();
                    $('#hmis_category_inpatient_options').prop('required',true);
                    $('#hysterectomy_type_option').prop('selectedIndex',0);
                    $('#hysterectomy_type_option').prop('required',false);
                }
            }
        });
    }

    $('#hmis_category_inpatient_options').change(function(e) {
        if(this.value == '5') {
            $('#hysterectomy_type').show();
            $('#hysterectomy_type_option').prop('required',true);
        }
        else {
            $('#hysterectomy_type').hide();
            $('#hysterectomy_type_option').prop('required',false);
            $('#hysterectomy_type_option').prop('selectedIndex',0);
        }
    });
</script>
@endpush