예제 #1
0
    createTR($errorfax, 'fax', $LDFax, $fax, 2);
}
if (!$person_email_hide) {
    createTR($erroremail, 'email', $LDEmail, $email, 2);
}
if (!$person_citizenship_hide) {
    createTR($errorcitizen, 'citizenship', $LDCitizenship, $citizenship, 2);
}
if (!$person_sss_nr_hide) {
    createTR($errorsss, 'sss_nr', $LDSSSNr, $sss_nr, 2);
}
if (!$person_nat_id_nr_hide) {
    createTR($errornatid, 'nat_id_nr', $LDNatIdNr, $nat_id_nr, 2);
}
if (!$person_religion_hide) {
    createTR($errorreligion, 'religion', $LDReligion, $religion, 2);
}
if (!$person_ethnic_orig_hide) {
    /** Add by Jean-Philippe LIOT 13/05/2004 **/
    ?>
<tr>
<td><FONT SIZE=-1  FACE="Arial"><?php 
    if ($errortown) {
        echo "<font color=red>";
    }
    echo $LDEthnicOrigin;
    ?>
:
</td>
<td><input name="ethnic_orig_txt" type="text" size="35" value="<?php 
    echo $ethnic_orig_txt;
예제 #2
0
<?php 
if (!$GLOBAL_CONFIG['person_name_2_hide']) {
    createTR($LDName2, $name_2);
}
if (!$GLOBAL_CONFIG['person_name_3_hide']) {
    createTR($LDName3, $name_3);
}
if (!$GLOBAL_CONFIG['person_name_middle_hide']) {
    createTR($LDNameMid, $name_middle);
}
if (!$GLOBAL_CONFIG['person_name_maiden_hide']) {
    createTR($LDNameMaiden, $name_maiden);
}
if (!$GLOBAL_CONFIG['person_name_others_hide']) {
    createTR($LDNameOthers, $name_others);
}
?>

<tr>
<td bgColor="#eeeeee"><FONT SIZE=-1  FACE="Arial"><?php 
echo $LDBday;
?>
:
</td>
<td  bgcolor="#ffffee" ><FONT SIZE=-1  FACE="Arial"  color="#990000">
<b><?php 
echo @formatDate2Local($date_birth, $date_format);
?>
</b>
</td>
예제 #3
0
</option>

	<?php 
    # Generate discharge types
    while ($dis_type = $discharge_types->FetchRow()) {
        echo '<option value="' . $dis_type['nr'] . '">' . $dis_type['name'] . '</option>';
    }
    ?>

		</select>
		
	 </td>
	</tr>

	<?php 
    createTR('discharged_by', 'Discharged By', $discharged_by);
    ?>


	    <tr bgcolor="white">
	    <!--d.r. from merotech: Remove Bill Type from Archive form-->
		<!--<td background="<?php 
    echo createBgSkin($root_path, 'tableHeaderbg3.gif');
    ?>
">&nbsp;<?php 
    echo $LDBillType;
    ?>
:-->
		</td>
		<td colspan=2 bgcolor="#eeeeee">
<?php 
예제 #4
0
    createTR($errorcitizen, 'citizenship', $LDCitizenship, $citizenship, 2);
}
if (!$person_sss_nr_hide) {
    createTR($errorsss, 'sss_nr', $LDSSSNr, $sss_nr, 2);
}
if (!$person_nat_id_nr_hide) {
    createTR($errornatid, 'nat_id_nr', $LDNatIdNr, $nat_id_nr, 2);
}
if (!$person_religion_hide) {
    createTR($errorreligion, 'religion', $LDReligion, $religion, 2);
}
if (!$person_ethnic_orig_hide) {
    if (!$ethnic_orig) {
        $ethnic_orig = '';
    }
    createTR($errorethnicorig, 'ethnic_orig', $LDEthnicOrigin, $ethnic_orig, 2);
}
?>
<tr>
<td bgColor="#eeeeee"><FONT SIZE=-1  FACE="Arial" ><FONT  SIZE=2  FACE="Arial"><?php 
echo $LDRegBy;
?>
</td>
<td colspan=2><FONT SIZE=-1  FACE="Arial"><nobr>
<input  name="user_id" type="text" value=<?php 
if ($user_id != '') {
    echo '"' . $user_id . '"';
} else {
    echo '"' . $_COOKIE[$local_user . $sid] . '"';
}
?>
예제 #5
0
            $LD = $result['LD_var'];
            if (isset(${$LD}) && !empty(${$LD})) {
                echo ${$LD};
            } else {
                echo $result['name'];
            }
            echo '&nbsp;';
        }
    }
    ?>
</td>
</tr>

<?php 
    createTR('insurance_nr', $LDInsuranceNr, $insurance_nr);
    createTR('insurance_firm_name', $LDInsuranceCo, $insurance_firm_name);
    ?>

<?php 
    //if (!$GLOBAL_CONFIG['patient_care_service_hide'] && $care_ok)
    if (!$GLOBAL_CONFIG['patient_service_care_hide']) {
        ?>
<tr>
<td background="<?php 
        echo createBgSkin($root_path, 'tableHeaderbg3.gif');
        ?>
"><FONT SIZE=-1  FACE="Arial"><?php 
        echo $LDCareServiceClass;
        ?>
:
</td>
예제 #6
0
        if (!isset($nat_id_nr)) {
            $nat_id_nr = '';
        }
        createTR('nat_id_nr', $LDNatIdNr, $nat_id_nr, 2);
    }
    if (!$GLOBAL_CONFIG['person_religion_hide']) {
        if (!isset($religion)) {
            $religion = '';
        }
        createTR('religion', $LDReligion, $religion, 2);
    }
    if (!$GLOBAL_CONFIG['person_ethnic_orig_hide']) {
        if (!isset($ethnic_orig)) {
            $ethnic_orig = '';
        }
        createTR('ethnic_orig', $LDEthnicOrigin, $ethnic_orig, 2);
    }
    /*
    if (!$GLOBAL_CONFIG['insurance_ID_hide'])
    {
    if(!isset($insurance_ID)) $insurance_ID='';
    createTR('insurance_ID', $LDInsurance,$insurance_ID,2);
    }
    */
    ?>


</table>
<p>
<input type=hidden name="sid" value=<?php 
    echo $sid;