function form_ccdev_breastfeed()
{
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];
}
$patient_id = healthcenter::get_patient_id($get_vars["consult_id"]);
$ccdev_id = ccdev::registry_record_exists($patient_id);
$q_dob = mysql_query("SELECT patient_dob FROM m_patient where patient_id='{$patient_id}'") or die("Cannot query 419 " . mysql_error());
list($patient_dob) = mysql_fetch_array($q_dob);
if ($ccdev_id == '0') {
print "<font color='red'>" . LBL_NO_REGISTRY_ID . "</font><br/>";
} else {
echo "<form name='form_ccdev_bfed' action = '" . $_SERVER["SELF"] . "?page=" . $get_vars["page"] . "&menu_id={$menu_id}&consult_id=" . $get_vars["consult_id"] . "&ptmenu=" . $get_vars["ptmenu"] . "&module=" . $get_vars["module"] . "&ccdev=BFED' method='post'>";
echo "<table width='400'>";
echo "<tr><td><b>BREASTFEEDING STATUS</b></td></tr>";
echo "<tr><td><span class='tinylight'>Please tick the month if mother exclusively breastfed this\tchild. To set month 6 date to blank, just delete the contents of the date box. Dates at the end of the months are projected as well.</spans></td></tr>";
for ($i = 1; $i < 7; $i++) {
$field = 'bfed_month' . $i;
$buffer_day = $i * 30;
$month_date = alert::compute_buffer_date($patient_dob, $buffer_day);
$q_field = mysql_query("SELECT {$field}, bfed_month6_date FROM m_patient_ccdev WHERE ccdev_id='{$ccdev_id}'") or die("Cannot query: 433");
list($bfed_status, $bfed_date) = mysql_fetch_array($q_field);
echo "<tr><td>";
if ($bfed_status == 'Y') {
echo "<input type='checkbox' name='bfed_month[]' value='{$i}' checked>Month {$i} ({$month_date})</input>";
} else {
echo "<input type='checkbox' name='bfed_month[]' value='{$i}'><font color='red'>Month {$i} ({$month_date})</font></input>";
}
if ($i == 6) {
if ($bfed_date == '0000-00-00') {
$bfed_six_value = '';
} else {
list($y, $m, $d) = explode('-', $bfed_date);
$bfed_six_value = $m . '/' . $d . '/' . $y;
}
echo " <input type='text' name='date_bfed_six' size='7' value='{$bfed_six_value}'> ";
echo "<a href=\"javascript:show_calendar4('document.form_ccdev_bfed.date_bfed_six', document.form_ccdev_bfed.date_bfed_six.value);\"><img src='../images/cal.gif' width='16' height='16' border='0' alt='Click Here to Pick up the date'></a><br>";
echo "</input>";
}
echo "</td></tr>";
}
echo "<tr><td><input type='submit' name='submitccdev' value='Save Breastfeeding Status' style='border: 1px solid #000000'> <input type='reset' name='reset' value='Reset' style='border: 1px solid #000000'></td></tr>";
echo "</table>";
echo "</form>";
}
}