function form_consult_injury() { if (func_num_args() > 0) { $arg_list = func_get_args(); $menu_id = $arg_list[0]; $post_vars = $arg_list[1]; $get_vars = $arg_list[2]; if ($get_vars["cid"] && $get_vars["injury_ts"]) { $sql = "select injury_id, injury_mechanism, location_code, injury_date, injury_time, location_detail " . "from m_consult_injury " . "where consult_id = '" . $get_vars["cid"] . "' and injury_timestamp = '" . $get_vars["injury_ts"] . "'"; if ($result = mysql_query($sql)) { if (mysql_num_rows($result)) { $injury = mysql_fetch_array($result); } } } } print "<table width='300'>"; print "<form action = '" . $_SERVER["SELF"] . "?page=" . $get_vars["page"] . "&menu_id=" . $get_vars["menu_id"] . "&consult_id=" . $get_vars["consult_id"] . "&ptmenu=" . $get_vars["ptmenu"] . "&module=" . $get_vars["module"] . "' name='form_consult_injury' method='post'>"; print "<tr valign='top'><td>"; print "<b>" . FTITLE_INJURY_DATA . "</b><br/><br/>"; print "</td></tr>"; print "<tr valign='top'><td>"; print "<span class='boxtitle'>" . LBL_INJURY_CODE . "</span><br> "; print injury::show_injury_code($injury["injury_id"] ? $injury["injury_id"] : $post_vars["injury_id"]); print "<br/></td></tr>"; print "<tr valign='top'><td>"; print "<span class='boxtitle'>" . LBL_INJURY_MECHANISM . "</span><br> "; print "<textarea name='injury_mechanism' cols='36' rows='3' style='border: 1px solid black' class='tinylight'>" . stripslashes(nl2br($injury["injury_mechanism"] ? $injury["injury_mechanism"] : $post_vars["injury_mechanism"])) . "</textarea><br/>"; print "<small>" . INSTR_INJURY_MECHANISM . ".</small><br/>"; print "<br/></td></tr>"; print "<tr valign='top'><td>"; print "<span class='boxtitle'>" . LBL_INJURY_LOCATION . "</span><br> "; print injury::show_injury_location($injury["location_code"] ? $injury["location_code"] : $post_vars["location_code"]); print "</td></tr>"; print "<tr valign='top'><td>"; print "<span class='boxtitle'>" . LBL_INJURY_LOCATION_DETAILS . "</span><br> "; print "<textarea name='location_detail' cols='36' rows='3' style='border: 1px solid black' class='tinylight'>" . stripslashes(nl2br($injury["location_detail"] ? $injury["location_detail"] : $post_vars["location_detail"])) . "</textarea><br/>"; print "<small>" . INSTR_INJURY_LOCATION_DETAILS . "</small><br/>"; print "<br/></td></tr>"; print "<tr valign='top'><td>"; print "<span class='boxtitle'>" . LBL_INJURY_DATE . "</span><br> "; if ($injury["injury_date"]) { list($year, $month, $day) = explode("-", $injury["injury_date"]); $injury_date = "{$month}/{$day}/{$year}"; } print "<input type='text' size='15' maxlength='10' class='textbox' name='injury_date' value='" . ($injury_date ? $injury_date : $post_vars["injury_date"]) . "' style='border: 1px solid #000000'> "; print "<a href=\"javascript:show_calendar4('document.form_consult_injury.injury_date', document.form_consult_injury.injury_date.value);\"><img src='../images/cal.gif' width='16' height='16' border='0' alt='Click Here to Pick up the date'></a><br>"; print "<small>Click on the calendar icon to select date. Otherwise use MM/DD/YYYY format.</small><br>"; print "<br/></td></tr>"; print "<tr valign='top'><td>"; print "<span class='boxtitle'>" . LBL_INJURY_TIME . "</span><br> "; list($hours, $minutes, $seconds) = explode(":", $injury["injury_time"]); $injury_time = $hours . $minutes; print module::show_military_time($injury_time ? $injury_time : $post_vars["injury_time"]); print "<br/></td></tr>"; print "<tr><td>"; if ($get_vars["cid"] && $get_vars["injury_ts"]) { print "<input type='hidden' name='cid' value='" . $get_vars["cid"] . "'>"; print "<input type='hidden' name='injury_ts' value='" . $get_vars["injury_ts"] . "'>"; if ($_SESSION["priv_update"]) { print "<input type='submit' value = 'Update Injury Data' class='textbox' name='submitinjury' style='border: 1px solid #000000'> "; } if ($_SESSION["priv_delete"]) { print "<input type='submit' value = 'Delete Injury Data' class='textbox' name='submitinjury' style='border: 1px solid #000000'> "; } } else { if ($_SESSION["priv_add"]) { print "<br><input type='submit' value = 'Add Injury Data' class='textbox' name='submitinjury' style='border: 1px solid #000000'><br> "; } } print "</td></tr>"; print "</form>"; print "</table><br>"; }