function echoLine($lino, $codetype, $code, $modifier, $ndc_info = '', $auth = TRUE, $del = FALSE, $units = NULL, $fee = NULL, $id = NULL, $billed = FALSE, $code_text = NULL, $justify = NULL, $provider_id = 0, $notecodes = '') { global $code_types, $ndc_applies, $ndc_uom_choices, $justinit, $pid; global $contraception, $usbillstyle, $hasCharges; if ($codetype == 'COPAY') { if (!$code_text) { $code_text = 'Cash'; } if ($fee > 0) { $fee = 0 - $fee; } } if (!$code_text) { $query = "select id, units, code_text from codes where code_type = '" . $code_types[$codetype]['id'] . "' and " . "code = '{$code}' and "; if ($modifier) { $query .= "modifier = '{$modifier}'"; } else { $query .= "(modifier is null or modifier = '')"; } $result = sqlQuery($query); $code_text = $result['code_text']; if (empty($units)) { $units = max(1, intval($result['units'])); } if (!isset($fee)) { // Fees come from the prices table now. $query = "SELECT prices.pr_price " . "FROM patient_data, prices WHERE " . "patient_data.pid = '{$pid}' AND " . "prices.pr_id = '" . $result['id'] . "' AND " . "prices.pr_selector = '' AND " . "prices.pr_level = patient_data.pricelevel " . "LIMIT 1"; echo "\n<!-- {$query} -->\n"; // debugging $prrow = sqlQuery($query); $fee = empty($prrow) ? 0 : $prrow['pr_price']; } } $fee = sprintf('%01.2f', $fee); if (empty($units)) { $units = 1; } $units = max(1, intval($units)); // We put unit price on the screen, not the total line item fee. $price = $fee / $units; $strike1 = $id && $del ? "<strike>" : ""; $strike2 = $id && $del ? "</strike>" : ""; echo " <tr>\n"; echo " <td class='billcell'>{$strike1}" . ($codetype == 'COPAY' ? xl($codetype) : $codetype) . $strike2; if ($id) { echo "<input type='hidden' name='bill[{$lino}][id]' value='{$id}'>"; } echo "<input type='hidden' name='bill[{$lino}][code_type]' value='{$codetype}'>"; echo "<input type='hidden' name='bill[{$lino}][code]' value='{$code}'>"; echo "<input type='hidden' name='bill[{$lino}][billed]' value='{$billed}'>"; echo "</td>\n"; if ($codetype != 'COPAY') { echo " <td class='billcell'>{$strike1}{$code}{$strike2}</td>\n"; } else { echo " <td class='billcell'> </td>\n"; } if ($billed) { if (modifiers_are_used(true)) { echo " <td class='billcell'>{$strike1}{$modifier}{$strike2}" . "<input type='hidden' name='bill[{$lino}][mod]' value='{$modifier}'></td>\n"; } if (fees_are_used()) { echo " <td class='billcell' align='right'>" . oeFormatMoney($price) . "</td>\n"; if ($codetype != 'COPAY') { echo " <td class='billcell' align='center'>{$units}</td>\n"; } else { echo " <td class='billcell'> </td>\n"; } echo " <td class='billcell' align='center'{$usbillstyle}>{$justify}</td>\n"; } // Show provider for this line. echo " <td class='billcell' align='center'>"; genProviderSelect('', '-- Default --', $provider_id, true); echo "</td>\n"; if ($codetype == 'HCPCS' || $codetype == 'CPT4') { echo " <td class='billcell' align='center'{$usbillstyle}>" . htmlspecialchars($notecodes, ENT_NOQUOTES) . "</td>\n"; } else { echo " <td class='billcell' align='center'{$usbillstyle}></td>\n"; } echo " <td class='billcell' align='center'{$usbillstyle}><input type='checkbox'" . ($auth ? " checked" : "") . " disabled /></td>\n"; echo " <td class='billcell' align='center'><input type='checkbox'" . " disabled /></td>\n"; } else { // not billed if (modifiers_are_used(true)) { if ($codetype != 'COPAY' && ($code_types[$codetype]['mod'] || $modifier)) { echo " <td class='billcell'><input type='text' name='bill[{$lino}][mod]' " . "value='{$modifier}' " . "title='" . xl("Multiple modifiers can be separated by colons or spaces, maximum of 4 (M1:M2:M3:M4)") . "' " . "value='{$modifier}' size='" . $code_types[$codetype]['mod'] . "'></td>\n"; } else { echo " <td class='billcell'> </td>\n"; } } if (fees_are_used()) { if ($codetype == 'COPAY' || $code_types[$codetype]['fee'] || $fee != 0) { echo " <td class='billcell' align='right'>" . "<input type='text' name='bill[{$lino}][price]' " . "value='{$price}' size='6'"; if (acl_check('acct', 'disc')) { echo " style='text-align:right'"; } else { echo " style='text-align:right;background-color:transparent' readonly"; } echo "></td>\n"; echo " <td class='billcell' align='center'>"; if ($codetype != 'COPAY') { echo "<input type='text' name='bill[{$lino}][units]' " . "value='{$units}' size='2' style='text-align:right'>"; } else { echo "<input type='hidden' name='bill[{$lino}][units]' value='{$units}'>"; } echo "</td>\n"; if ($code_types[$codetype]['just'] || $justify) { echo " <td class='billcell' align='center'{$usbillstyle} "; echo "title='" . xl("Select one or more diagnosis codes to justify the service") . "' >"; echo "<select name='bill[{$lino}][justify]' onchange='setJustify(this)'>"; echo "<option value='{$justify}'>{$justify}</option></select>"; echo "</td>\n"; $justinit .= "setJustify(f['bill[{$lino}][justify]']);\n"; } else { echo " <td class='billcell'{$usbillstyle}> </td>\n"; } } else { echo " <td class='billcell'> </td>\n"; echo " <td class='billcell'> </td>\n"; echo " <td class='billcell'{$usbillstyle}> </td>\n"; // justify } } // Provider drop-list for this line. echo " <td class='billcell' align='center'>"; genProviderSelect("bill[{$lino}][provid]", '-- Default --', $provider_id); echo "</td>\n"; if ($codetype == 'HCPCS' || $codetype == 'CPT4') { echo " <td class='billcell' align='center'{$usbillstyle}><input type='text' name='bill[{$lino}][notecodes]' " . "value='" . htmlspecialchars($notecodes, ENT_QUOTES) . "' maxlength='10' size='8' /></td>\n"; } else { echo " <td class='billcell' align='center'{$usbillstyle}></td>\n"; } echo " <td class='billcell' align='center'{$usbillstyle}><input type='checkbox' name='bill[{$lino}][auth]' " . "value='1'" . ($auth ? " checked" : "") . " /></td>\n"; echo " <td class='billcell' align='center'><input type='checkbox' name='bill[{$lino}][del]' " . "value='1'" . ($del ? " checked" : "") . " /></td>\n"; } echo " <td class='billcell'>{$strike1}" . ucfirst(strtolower($code_text)) . "{$strike2}</td>\n"; echo " </tr>\n"; // If NDC info exists or may be required, add a line for it. if ($codetype == 'HCPCS' && $ndc_applies && !$billed) { $ndcnum = ''; $ndcuom = ''; $ndcqty = ''; if (preg_match('/^N4(\\S+)\\s+(\\S\\S)(.*)/', $ndc_info, $tmp)) { $ndcnum = $tmp[1]; $ndcuom = $tmp[2]; $ndcqty = $tmp[3]; } echo " <tr>\n"; echo " <td class='billcell' colspan='2'> </td>\n"; echo " <td class='billcell' colspan='6'> NDC: "; echo "<input type='text' name='bill[{$lino}][ndcnum]' value='{$ndcnum}' " . "size='11' style='background-color:transparent'>"; echo " Qty: "; echo "<input type='text' name='bill[{$lino}][ndcqty]' value='{$ndcqty}' " . "size='3' style='background-color:transparent;text-align:right'>"; echo " "; echo "<select name='bill[{$lino}][ndcuom]' style='background-color:transparent'>"; foreach ($ndc_uom_choices as $key => $value) { echo "<option value='{$key}'"; if ($key == $ndcuom) { echo " selected"; } echo ">{$value}</option>"; } echo "</select>"; echo "</td>\n"; echo " </tr>\n"; } else { if ($ndc_info) { echo " <tr>\n"; echo " <td class='billcell' colspan='2'> </td>\n"; echo " <td class='billcell' colspan='6'> NDC Data: {$ndc_info}</td>\n"; echo " </tr>\n"; } } // For IPPF. Track contraceptive services. if (!$del) { $contraception |= contraceptionClass($codetype, $code); } if ($fee != 0) { $hasCharges = true; } }
function echoLine($lino, $codetype, $code, $modifier, $ndc_info = '', $auth = TRUE, $del = FALSE, $units = NULL, $fee = NULL, $id = NULL, $billed = FALSE, $code_text = NULL, $justify = NULL, $provider_id = 0, $notecodes = '') { global $code_types, $ndc_applies, $ndc_uom_choices, $justinit, $pid; global $contraception, $usbillstyle, $hasCharges; // If using line item billing and user wishes to default to a selected provider, then do so. if ($GLOBALS['default_fee_sheet_line_item_provider'] == 1 && $GLOBALS['support_fee_sheet_line_item_provider'] == 1) { if ($provider_id == 0) { $provider_id = 0 + findProvider(); } } if ($codetype == 'COPAY') { if (!$code_text) { $code_text = 'Cash'; } if ($fee > 0) { $fee = 0 - $fee; } } if (!$code_text) { $sqlArray = array(); $query = "select id, units, code_text from codes where code_type = ? " . " and " . "code = ? and "; array_push($sqlArray, $code_types[$codetype]['id'], $code); if ($modifier) { $query .= "modifier = ?"; array_push($sqlArray, $modifier); } else { $query .= "(modifier is null or modifier = '')"; } $result = sqlQuery($query, $sqlArray); $code_text = $result['code_text']; if (empty($units)) { $units = max(1, intval($result['units'])); } if (!isset($fee)) { // Fees come from the prices table now. $query = "SELECT prices.pr_price " . "FROM patient_data, prices WHERE " . "patient_data.pid = ? AND " . "prices.pr_id = ? AND " . "prices.pr_selector = '' AND " . "prices.pr_level = patient_data.pricelevel " . "LIMIT 1"; echo "\n<!-- {$query} -->\n"; // debugging $prrow = sqlQuery($query, array($pid, $result['id'])); $fee = empty($prrow) ? 0 : $prrow['pr_price']; } } $fee = sprintf('%01.2f', $fee); if (empty($units)) { $units = 1; } $units = max(1, intval($units)); // We put unit price on the screen, not the total line item fee. $price = $fee / $units; $strike1 = $id && $del ? "<strike>" : ""; $strike2 = $id && $del ? "</strike>" : ""; echo " <tr>\n"; echo " <td class='billcell'>{$strike1}" . ($codetype == 'COPAY' ? xl($codetype) : $codetype) . $strike2; //if the line to ouput is copay, show the date here passed as $ndc_info, //since this variable is not applicable in the case of copay. if ($codetype == 'COPAY') { echo "(" . htmlspecialchars($ndc_info) . ")"; $ndc_info = ''; } if ($id) { echo "<input type='hidden' name='bill[" . attr($lino) . "][id]' value='{$id}'>"; } echo "<input type='hidden' name='bill[" . attr($lino) . "][code_type]' value='" . attr($codetype) . "'>"; echo "<input type='hidden' name='bill[" . attr($lino) . "][code]' value='" . attr($code) . "'>"; echo "<input type='hidden' name='bill[" . attr($lino) . "][billed]' value='" . attr($billed) . "'>"; echo "</td>\n"; if ($codetype != 'COPAY') { echo " <td class='billcell'>{$strike1}" . text($code) . "{$strike2}</td>\n"; } else { echo " <td class='billcell'> </td>\n"; } if ($billed) { if (modifiers_are_used(true)) { echo " <td class='billcell'>{$strike1}" . text($modifier) . "{$strike2}" . "<input type='hidden' name='bill[" . attr($lino) . "][mod]' value='" . attr($modifier) . "'></td>\n"; } if (fees_are_used()) { echo " <td class='billcell' align='right'>" . text(oeFormatMoney($price)) . "</td>\n"; if ($codetype != 'COPAY') { echo " <td class='billcell' align='center'>" . text($units) . "</td>\n"; } else { echo " <td class='billcell'> </td>\n"; } } if (justifiers_are_used()) { echo " <td class='billcell' align='center'{$usbillstyle}>" . text($justify) . "</td>\n"; } // Show provider for this line (if using line item billing). if ($GLOBALS['support_fee_sheet_line_item_provider'] == 1) { echo " <td class='billcell' align='center'>"; } else { echo " <td class='billcell' align='center' style='display: none'>"; } genProviderSelect('', '-- ' . xl("Default") . ' --', $provider_id, true); echo "</td>\n"; if ($code_types[$codetype]['claim'] && !$code_types[$codetype]['diag']) { echo " <td class='billcell' align='center'{$usbillstyle}>" . htmlspecialchars($notecodes, ENT_NOQUOTES) . "</td>\n"; } else { echo " <td class='billcell' align='center'{$usbillstyle}></td>\n"; } echo " <td class='billcell' align='center'{$usbillstyle}><input type='checkbox'" . ($auth ? " checked" : "") . " disabled /></td>\n"; echo " <td class='billcell' align='center'><input type='checkbox'" . " disabled /></td>\n"; } else { // not billed if (modifiers_are_used(true)) { if ($codetype != 'COPAY' && ($code_types[$codetype]['mod'] || $modifier)) { echo " <td class='billcell'><input type='text' name='bill[" . attr($lino) . "][mod]' " . "value='" . attr($modifier) . "' " . "title='" . xla("Multiple modifiers can be separated by colons or spaces, maximum of 4 (M1:M2:M3:M4)") . "' " . "value='" . attr($modifier) . "' size='" . attr($code_types[$codetype]['mod']) . "'></td>\n"; } else { echo " <td class='billcell'> </td>\n"; } } if (fees_are_used()) { if ($codetype == 'COPAY' || $code_types[$codetype]['fee'] || $fee != 0) { echo " <td class='billcell' align='right'>" . "<input type='text' name='bill[" . attr($lino) . "][price]' " . "value='" . attr($price) . "' size='6'"; if (acl_check('acct', 'disc')) { echo " style='text-align:right'"; } else { echo " style='text-align:right;background-color:transparent' readonly"; } echo "></td>\n"; echo " <td class='billcell' align='center'>"; if ($codetype != 'COPAY') { echo "<input type='text' name='bill[" . attr($lino) . "][units]' " . "value='" . attr($units) . "' size='2' style='text-align:right'>"; } else { echo "<input type='hidden' name='bill[" . attr($lino) . "][units]' value='" . attr($units) . "'>"; } echo "</td>\n"; } else { echo " <td class='billcell'> </td>\n"; echo " <td class='billcell'> </td>\n"; } } if (justifiers_are_used()) { if ($code_types[$codetype]['just'] || $justify) { echo " <td class='billcell' align='center'{$usbillstyle} "; echo "title='" . xla("Select one or more diagnosis codes to justify the service") . "' >"; echo "<select name='bill[" . attr($lino) . "][justify]' onchange='setJustify(this)'>"; echo "<option value='" . attr($justify) . "'>" . text($justify) . "</option></select>"; echo "</td>\n"; $justinit .= "setJustify(f['bill[" . attr($lino) . "][justify]']);\n"; } else { echo " <td class='billcell'{$usbillstyle}> </td>\n"; } } // Show provider for this line (if using line item billing) if ($GLOBALS['support_fee_sheet_line_item_provider'] == 1) { echo " <td class='billcell' align='center'>"; } else { echo " <td class='billcell' align='center' style='display: none'>"; } genProviderSelect("bill[{$lino}][provid]", '-- ' . xl("Default") . ' --', $provider_id); echo "</td>\n"; if ($code_types[$codetype]['claim'] && !$code_types[$codetype]['diag']) { echo " <td class='billcell' align='center'{$usbillstyle}><input type='text' name='bill[" . attr($lino) . "][notecodes]' " . "value='" . htmlspecialchars($notecodes, ENT_QUOTES) . "' maxlength='10' size='8' /></td>\n"; } else { echo " <td class='billcell' align='center'{$usbillstyle}></td>\n"; } echo " <td class='billcell' align='center'{$usbillstyle}><input type='checkbox' name='bill[" . attr($lino) . "][auth]' " . "value='1'" . ($auth ? " checked" : "") . " /></td>\n"; echo " <td class='billcell' align='center'><input type='checkbox' name='bill[" . attr($lino) . "][del]' " . "value='1'" . ($del ? " checked" : "") . " /></td>\n"; } echo " <td class='billcell'>{$strike1}" . text($code_text) . "{$strike2}</td>\n"; echo " </tr>\n"; // If NDC info exists or may be required, add a line for it. if ($codetype == 'HCPCS' && $ndc_applies && !$billed) { $ndcnum = ''; $ndcuom = ''; $ndcqty = ''; if (preg_match('/^N4(\\S+)\\s+(\\S\\S)(.*)/', $ndc_info, $tmp)) { $ndcnum = $tmp[1]; $ndcuom = $tmp[2]; $ndcqty = $tmp[3]; } echo " <tr>\n"; echo " <td class='billcell' colspan='2'> </td>\n"; echo " <td class='billcell' colspan='6'> NDC: "; echo "<input type='text' name='bill[" . attr($lino) . "][ndcnum]' value='" . attr($ndcnum) . "' " . "size='11' style='background-color:transparent'>"; echo " Qty: "; echo "<input type='text' name='bill[" . attr($lino) . "][ndcqty]' value='" . attr($ndcqty) . "' " . "size='3' style='background-color:transparent;text-align:right'>"; echo " "; echo "<select name='bill[" . attr($lino) . "][ndcuom]' style='background-color:transparent'>"; foreach ($ndc_uom_choices as $key => $value) { echo "<option value='" . attr($key) . "'"; if ($key == $ndcuom) { echo " selected"; } echo ">" . text($value) . "</option>"; } echo "</select>"; echo "</td>\n"; echo " </tr>\n"; } else { if ($ndc_info) { echo " <tr>\n"; echo " <td class='billcell' colspan='2'> </td>\n"; echo " <td class='billcell' colspan='6'> " . xlt("NDC Data") . ": " . text($ndc_info) . "</td>\n"; echo " </tr>\n"; } } // For IPPF. Track contraceptive services. if (!$del) { $contraception |= contraceptionClass($codetype, $code); } if ($fee != 0) { $hasCharges = true; } }
<img src='../../pic/show_calendar.gif' align='absbottom' width='24' height='22' id='img_off_work_to' border='0' alt='[?]' style='cursor:pointer' title='<?php echo xla("Click here to choose a date"); ?> '></td> </tr> <br><br> <td class='label'><?php echo xlt('BOX 17. Provider'); ?> :</td> <td><?php # Build a drop-down list of providers. # Added (TLH) genProviderSelect('provider_id', '-- ' . xl("Please Select") . ' --', $obj["provider_id"]); ?> </td> <td><span class=text><?php echo xlt('BOX 17. Provider Qualifier'); ?> : </span> <tr><td><?php echo generate_select_list('provider_qualifier_code', 'provider_qualifier_code', $obj["provider_qualifier_code"], 'Provider Qualifier Code'); ?> </td> </tr></td> <br><br> <tr> <td><span class=text><?php echo xlt('BOX 18. Hospitalization date from');