function form_injurycode()
{
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["injury_id"]) {
$sql = "select injury_id, injury_name from m_lib_injury where injury_id = '" . $get_vars["injury_id"] . "'";
if ($result = mysql_query($sql)) {
if (mysql_num_rows($result)) {
$injury = mysql_fetch_array($result);
}
}
}
}
print "<table width='450'>";
print "<form action = '" . $_SERVER["SELF"] . "?page=" . $get_vars["page"] . "&menu_id=" . $get_vars["menu_id"] . ($get_vars["injury_id"] ? "&injury_id=" . $get_vars["injury_id"] : "") . "' name='form_injury' method='post'>";
print "<tr valign='top'><td>";
print "<span class='library'>" . FTITLE_INJURY_CODE . "</span><br/><br/>";
print "</td></tr>";
print "<tr valign='top'><td>";
print "<span class='boxtitle'>" . LBL_INJURY_ID . "</span><br> ";
print "<input type='text' size='15' maxlength='10' " . ($get_vars["injury_id"] ? "disabled" : "") . " class='textbox' name='injury_id' value='" . ($injury["injury_id"] ? $injury["injury_id"] : $post_vars["injury_id"]) . "' style='border: 1px solid #000000'><br>";
print "<br/></td></tr>";
print "<tr valign='top'><td>";
print "<span class='boxtitle'>" . LBL_INJURY_NAME . "</span><br> ";
print "<input type='text' size='15' maxlength='50' class='textbox' name='injury_name' value='" . ($injury["injury_name"] ? $injury["injury_name"] : $post_vars["injury_name"]) . "' style='border: 1px solid #000000'><br>";
print "<br/></td></tr>";
if ($get_vars["injury_id"]) {
// map to ICD10
print "<tr valign='top'><td>";
if ($post_vars["search_term"]) {
injury::process_search($menu_id, $post_vars, $get_vars);
}
injury::form_search($menu_id, $post_vars, $get_vars);
injury::display_injury_icdcode($menu_id, $post_vars, $get_vars);
print "<br/></td></tr>";
}
print "<tr><td>";
if ($get_vars["injury_id"]) {
print "<input type='hidden' name='injury_id' value='" . $get_vars["injury_id"] . "'>";
if ($_SESSION["priv_update"]) {
print "<input type='submit' value = 'Update Injury Code' class='textbox' name='submitcode' style='border: 1px solid #000000'> ";
}
if ($_SESSION["priv_delete"]) {
print "<input type='submit' value = 'Delete Injury Code' class='textbox' name='submitcode' style='border: 1px solid #000000'> ";
print "<input type='submit' value = 'Delete ICD Codes' class='textbox' name='submitdisease' style='border: 1px solid #000000'> ";
}
} else {
if ($_SESSION["priv_add"]) {
print "<br><input type='submit' value = 'Add Injury Code' class='textbox' name='submitcode' style='border: 1px solid #000000'><br> ";
}
}
print "</td></tr>";
print "</form>";
print "</table><br>";
}
