function form_ccdev_firstvisit()
{
if (func_num_args() > 0) {
$arg_list = func_get_args();
$menu_id = $arg_list[0];
$post_vars = $arg_list[1];
$get_vars = $arg_list[2];
$validuser = $arg_list[3];
$isadmin = $arg_list[4];
//print_r($arg_list);
}
if ($post_vars["ccdev_id"] && $post_vars["submitccdev"]) {
$sql = "select mother_name, mother_educ_id, mother_occup_id, " . "father_name, father_educ_id, father_occup_id, " . "birth_weight, delivery_location,date_registered,mother_px_id " . "from m_patient_ccdev " . "where ccdev_id = '" . $post_vars["ccdev_id"] . "'";
if ($result = mysql_query($sql)) {
if (mysql_num_rows($result)) {
$ccdev = mysql_fetch_array($result);
}
}
}
if (empty($ccdev["date_registered"])) {
$ccdev_reg_date = '';
} else {
if ($ccdev["date_registered"] != '0000-00-00') {
list($reg_yr, $reg_month, $reg_date) = explode('-', $ccdev["date_registered"]);
$ccdev_reg_date = $reg_month . '/' . $reg_date . '/' . $reg_yr;
} else {
$ccdev_reg_date = '';
}
}
print "<a name='visit'>";
print "<table width='300'>";
print "<form action = '" . $_SERVER["SELF"] . "?page=" . $get_vars["page"] . "&menu_id={$menu_id}&consult_id=" . $get_vars["consult_id"] . "&ptmenu=" . $get_vars["ptmenu"] . "&module=" . $get_vars["module"] . "&ccdev=VISIT1' name='form_consult_ccdev' method='post'>";
print "<tr valign='top'><td>";
print "<b>" . FTITLE_CCDEV_DATA_FORM . "</b><br/><br/>";
print "</td></tr>";
print "<tr valign='top'><td>";
print "<span class='tinylight'><b>IMPORTANT:</b> " . INSTR_FIRST_VISIT . "</span><br/><br/>";
// MATERNAL DATA
print "<table bgcolor='#FFCCFF' width='300' cellpadding='3'>";
print "<tr><td>";
print "<span class='boxtitle'>DATE REGISTERED</span><br>";
print "<input type='text' size='11' class='textbox' name='ccdev_date_reg' value='{$ccdev_reg_date}' readonly></input> ";
echo "<a href=\"javascript:show_calendar4('document.form_consult_ccdev.ccdev_date_reg', document.form_consult_ccdev.ccdev_date_reg.value);\"><img src='../images/cal.gif' width='16' height='16' border='0' alt='Click Here to Pick up the date'></a>";
print "</td></tr>";
echo "<tr><td>";
if (!isset($post_vars["mother_name"])) {
$post_vars["mother_name"] = healthcenter::get_mothers_name($get_vars["consult_id"]);
}
print "<span class='boxtitle'>" . LBL_MOTHERS_NAME . "</span><br> ";
print "<input type='text' size='30' class='textbox' " . ($_SESSION["isadmin"] || !$get_vars["patient_id"] ? "" : "disabled") . " name='mother_name' value='" . ($ccdev["mother_name"] ? $ccdev["mother_name"] : $post_vars["mother_name"]) . "' style='border: 1px solid #000000'><br>";
print "</td></tr>";
echo "<tr><td>";
print "<span class='boxtitle'>PATIENT NUMBER OF MOTHERS IN CHITS</span>";
echo "<input type='text' name='mother_px_id' id='mothers' size='4' value='{$ccdev['mother_px_id']}'></input> ";
echo "<input type='button' value='Verify' onclick='verify_mother_id();'></input>.";
echo "</td></tr>";
print "<tr valign='top'><td>";
print "<span class='boxtitle'>" . LBL_MOTHERS_OCCUPATION . "</span><br> ";
$sql_moccup = "select occup_id, occup_name from m_lib_occupation order by occup_name";
if ($result = mysql_query($sql_moccup)) {
if (mysql_num_rows($result)) {
print "<select size='5' name='mother_occup' class='textbox'>";
while (list($id, $name) = mysql_fetch_array($result)) {
print "<option value='{$id}' " . ($ccdev["mother_occup_id"] == $id ? "selected" : "") . ">{$name}</option>";
}
print "</select>";
}
}
print "</td></tr>";
print "<tr valign='top'><td>";
print "<span class='boxtitle'>" . LBL_MOTHERS_EDUCATION . "</span><br> ";
$sql_meduc = "select educ_id, educ_name from m_lib_education order by educ_name";
if ($result = mysql_query($sql_meduc)) {
if (mysql_num_rows($result)) {
print "<select size='5' name='mother_educ' class='textbox'>";
while (list($id, $name) = mysql_fetch_array($result)) {
print "<option value='{$id}' " . ($ccdev["mother_educ_id"] == $id ? "selected" : "") . ">{$name}</option>";
}
print "</select>";
}
}
print "</td></tr>";
print "</table>";
print "</td></tr>";
print "<tr valign='top'><td>";
// PATERNAL DATA
print "<table bgcolor='#99CCFF' width='300' cellpadding='3'><tr><td>";
print "<span class='boxtitle'>" . LBL_FATHERS_NAME . "</span><br> ";
print "<input type='text' size='30' class='textbox' " . ($_SESSION["isadmin"] || !$get_vars["patient_id"] ? "" : "disabled") . " name='father_name' value='" . ($ccdev["father_name"] ? $ccdev["father_name"] : $post_vars["father_name"]) . "' style='border: 1px solid #000000'><br>";
print "</td></tr>";
print "<tr valign='top'><td>";
print "<span class='boxtitle'>" . LBL_FATHERS_OCCUPATION . "</span><br> ";
$sql_moccup = "select occup_id, occup_name from m_lib_occupation order by occup_name";
if ($result = mysql_query($sql_moccup)) {
if (mysql_num_rows($result)) {
print "<select size='5' name='father_occup' class='textbox'>";
while (list($id, $name) = mysql_fetch_array($result)) {
print "<option value='{$id}' " . ($ccdev["father_occup_id"] == $id ? "selected" : "") . ">{$name}</option>";
}
print "</select>";
}
}
print "</td></tr>";
print "<tr valign='top'><td>";
print "<span class='boxtitle'>" . LBL_FATHERS_EDUCATION . "</span><br> ";
$sql_meduc = "select educ_id, educ_name from m_lib_education order by educ_name";
if ($result = mysql_query($sql_meduc)) {
if (mysql_num_rows($result)) {
print "<select size='5' name='father_educ' class='textbox'>";
while (list($id, $name) = mysql_fetch_array($result)) {
print "<option value='{$id}' " . ($ccdev["father_educ_id"] == $id ? "selected" : "") . ">{$name}</option>";
}
print "</select>";
}
}
print "</td></tr>";
print "</table>";
print "</td></tr>";
print "<tr valign='top'><td>";
print "<span class='boxtitle'>" . LBL_BIRTH_WEIGHT . "</span><br> ";
print "<input type='text' class='textbox' size='10' maxlength='10' name='birth_weight' value='" . ($ccdev["birth_weight"] ? $ccdev["birth_weight"] : $post_vars["birth_weight"]) . "' style='border: 1px solid #000000'><br>";
print "</td></tr>";
print "<tr valign='top'><td>";
print "<span class='boxtitle'>" . LBL_DELIVERY_LOCATION . "</span><br> ";
print ccdev::show_delivery_location($ccdev["delivery_location"] ? $ccdev["delivery_location"] : $post_vars["delivery_location"]);
print "</td></tr>";
print "<tr><td><br/>";
if ($post_vars["ccdev_id"]) {
if ($_SESSION["priv_update"]) {
print "<input type='hidden' name='ccdev_id' value='" . $post_vars["ccdev_id"] . "' />";
print "<input type='submit' value = 'Update Data' class='textbox' name='submitccdev' style='border: 1px solid #000000'> ";
print "<input type='submit' value = 'Delete Data' class='textbox' name='submitccdev' style='border: 1px solid #000000'> ";
}
} else {
if ($_SESSION["priv_add"]) {
print "<br><input type='submit' value = 'Save Data' class='textbox' name='submitccdev' style='border: 1px solid #000000'><br>";
}
}
print "</td></tr>";
print "</form>";
print "</table><br>";
}
function form_ccdev_firstvisit() {
if (func_num_args()>0) {
$arg_list = func_get_args();
$menu_id = $arg_list[0];
$post_vars = $arg_list[1];
$get_vars = $arg_list[2];
$validuser = $arg_list[3];
$isadmin = $arg_list[4];
//print_r($arg_list);
}
if ($post_vars["ccdev_id"] && $post_vars["submitccdev"]) {
$sql = "select mother_name, mother_educ_id, mother_occup_id, ".
"father_name, father_educ_id, father_occup_id, ".
"birth_weight, delivery_location ".
"from m_patient_ccdev ".
"where ccdev_id = '".$post_vars["ccdev_id"]."'";
if ($result = mysql_query($sql)) {
if (mysql_num_rows($result)) {
$ccdev = mysql_fetch_array($result);
}
}
}
print "<a name='visit'>";
print "<table width='300'>";
print "<form action = '".$_SERVER["SELF"]."?page=".$get_vars["page"]."&menu_id=$menu_id&consult_id=".$get_vars["consult_id"]."&ptmenu=".$get_vars["ptmenu"]."&module=".$get_vars["module"]."&ccdev=VISIT1' name='form_consult_ccdev' method='post'>";
print "<tr valign='top'><td>";
print "<b>".FTITLE_CCDEV_DATA_FORM."</b><br/><br/>";
print "</td></tr>";
print "<tr valign='top'><td>";
print "<span class='tinylight'><b>IMPORTANT:</b> ".INSTR_FIRST_VISIT."</span><br/><br/>";
// MATERNAL DATA
print "<table bgcolor='#FFCCFF' width='300' cellpadding='3'><tr><td>";
if (!isset($post_vars["mother_name"])) {
$post_vars["mother_name"] = healthcenter::get_mothers_name($get_vars["consult_id"]);
}
print "<span class='boxtitle'>".LBL_MOTHERS_NAME."</span><br> ";
print "<input type='text' size='30' class='textbox' ".($_SESSION["isadmin"]||!$get_vars["patient_id"]?"":"disabled")." name='mother_name' value='".($ccdev["mother_name"]?$ccdev["mother_name"]:$post_vars["mother_name"])."' style='border: 1px solid #000000'><br>";
print "</td></tr>";
print "<tr valign='top'><td>";
print "<span class='boxtitle'>".LBL_MOTHERS_OCCUPATION."</span><br> ";
$sql_moccup = "select occup_id, occup_name from m_lib_occupation order by occup_name";
if ($result = mysql_query($sql_moccup)) {
if (mysql_num_rows($result)) {
print "<select size='5' name='mother_occup' class='textbox'>";
while (list($id, $name) = mysql_fetch_array($result)) {
print "<option value='$id' ".($ccdev["mother_occup_id"]==$id?"selected":"").">$name</option>";
}
print "</select>";
}
}
print "</td></tr>";
print "<tr valign='top'><td>";
print "<span class='boxtitle'>".LBL_MOTHERS_EDUCATION."</span><br> ";
$sql_meduc = "select educ_id, educ_name from m_lib_education order by educ_name";
if ($result = mysql_query($sql_meduc)) {
if (mysql_num_rows($result)) {
print "<select size='5' name='mother_educ' class='textbox'>";
while (list($id, $name) = mysql_fetch_array($result)) {
print "<option value='$id' ".($ccdev["mother_educ_id"]==$id?"selected":"").">$name</option>";
}
print "</select>";
}
}
print "</td></tr>";
print "</table>";
print "</td></tr>";
print "<tr valign='top'><td>";
// PATERNAL DATA
print "<table bgcolor='#99CCFF' width='300' cellpadding='3'><tr><td>";
print "<span class='boxtitle'>".LBL_FATHERS_NAME."</span><br> ";
print "<input type='text' size='30' class='textbox' ".($_SESSION["isadmin"]||!$get_vars["patient_id"]?"":"disabled")." name='father_name' value='".($ccdev["father_name"]?$ccdev["father_name"]:$post_vars["father_name"])."' style='border: 1px solid #000000'><br>";
print "</td></tr>";
print "<tr valign='top'><td>";
print "<span class='boxtitle'>".LBL_FATHERS_OCCUPATION."</span><br> ";
$sql_moccup = "select occup_id, occup_name from m_lib_occupation order by occup_name";
if ($result = mysql_query($sql_moccup)) {
if (mysql_num_rows($result)) {
print "<select size='5' name='father_occup' class='textbox'>";
while (list($id, $name) = mysql_fetch_array($result)) {
print "<option value='$id' ".($ccdev["father_occup_id"]==$id?"selected":"").">$name</option>";
}
print "</select>";
}
}
print "</td></tr>";
print "<tr valign='top'><td>";
print "<span class='boxtitle'>".LBL_FATHERS_EDUCATION."</span><br> ";
$sql_meduc = "select educ_id, educ_name from m_lib_education order by educ_name";
if ($result = mysql_query($sql_meduc)) {
if (mysql_num_rows($result)) {
print "<select size='5' name='father_educ' class='textbox'>";
while (list($id, $name) = mysql_fetch_array($result)) {
print "<option value='$id' ".($ccdev["father_educ_id"]==$id?"selected":"").">$name</option>";
}
print "</select>";
}
}
print "</td></tr>";
print "</table>";
print "</td></tr>";
print "<tr valign='top'><td>";
print "<span class='boxtitle'>".LBL_BIRTH_WEIGHT."</span><br> ";
print "<input type='text' class='textbox' size='10' maxlength='10' name='birth_weight' value='".($ccdev["birth_weight"]?$ccdev["birth_weight"]:$post_vars["birth_weight"])."' style='border: 1px solid #000000'><br>";
print "</td></tr>";
print "<tr valign='top'><td>";
print "<span class='boxtitle'>".LBL_DELIVERY_LOCATION."</span><br> ";
print ccdev::show_delivery_location($ccdev["delivery_location"]?$ccdev["delivery_location"]:$post_vars["delivery_location"]);
print "</td></tr>";
print "<tr><td><br/>";
if ($post_vars["ccdev_id"]) {
if ($_SESSION["priv_update"]) {
print "<input type='hidden' name='ccdev_id' value='".$post_vars["ccdev_id"]."' />";
print "<input type='submit' value = 'Update Data' class='textbox' name='submitccdev' style='border: 1px solid #000000'> ";
print "<input type='submit' value = 'Delete Data' class='textbox' name='submitccdev' style='border: 1px solid #000000'> ";
}
} else {
if ($_SESSION["priv_add"]) {
print "<br><input type='submit' value = 'Save Data' class='textbox' name='submitccdev' style='border: 1px solid #000000'><br>";
}
}
print "</td></tr>";
print "</form>";
print "</table><br>";
}
