function form_notifiable_disease()
{
//
// called by _notifiable()
//
if (func_num_args()) {
$arg_list = func_get_args();
$menu_id = $arg_list[0];
$post_vars = $arg_list[1];
$get_vars = $arg_list[2];
if ($get_vars["disease_id"]) {
$sql = "select disease_id, disease_name " . "from m_lib_disease_notifiable where disease_id = '" . $get_vars["disease_id"] . "'";
if ($result = mysql_query($sql)) {
if (mysql_num_rows($result)) {
$disease = mysql_fetch_array($result);
}
}
}
}
print "<a name='notifiable'>";
print "<table width='400'>";
print "<form action = '" . $_SERVER["SELF"] . "?page=LIBRARIES&menu_id=" . $get_vars["menu_id"] . ($get_vars["disease_id"] ? "&disease_id=" . $get_vars["disease_id"] . "#notifiable" : "") . "' name='form_disease' method='post'>";
print "<tr valign='top'><td>";
print "<span class='library'>" . FTITLE_NOTIFIABLE_DISEASE_FORM . "</span><br><br>";
print "</td></tr>";
print "<tr valign='top'><td>";
print "<span class='boxtitle'>" . LBL_DISEASE_ID . "</span><br> ";
if ($get_vars["disease_id"]) {
$disable = "disabled";
print "<input type='hidden' name='disease_id' value='" . $disease["disease_id"] . "'>";
} else {
$disable = "";
}
print "<input type='text' class='textbox' size='10' {$disable} maxlength='10' name='disease_id' value='" . ($disease["disease_id"] ? $disease["disease_id"] : $post_vars["disease_id"]) . "' style='border: 1px solid #000000'><br>";
print "</td></tr>";
print "<tr valign='top'><td>";
print "<span class='boxtitle'>" . LBL_DISEASE_NAME . "</span><br> ";
print "<input type='text' class='textbox' size='15' maxlength='25' name='disease_name' value='" . ($disease["disease_name"] ? $disease["disease_name"] : $post_vars["disease_name"]) . "' style='border: 1px solid #000000'><br>";
print "</td></tr>";
if ($get_vars["disease_id"]) {
// map to ICD10
print "<tr valign='top'><td>";
if ($post_vars["search_term"]) {
notifiable::process_search($menu_id, $post_vars, $get_vars);
}
notifiable::form_search($menu_id, $post_vars, $get_vars);
notifiable::display_disease_icdcode($menu_id, $post_vars, $get_vars);
print "</td></tr>";
}
print "<tr><td><br>";
if ($get_vars["disease_id"]) {
print "<input type='hidden' name='disease_id' value='" . $get_vars["disease_id"] . "'>";
if ($_SESSION["priv_update"]) {
print "<input type='submit' value = 'Update Disease' class='textbox' name='submitdisease' style='border: 1px solid #000000'> ";
}
if ($_SESSION["priv_delete"]) {
print "<input type='submit' value = 'Delete Disease' class='textbox' name='submitdisease' style='border: 1px solid #000000'> ";
print "<input type='submit' value = 'Delete ICD Codes' class='textbox' name='submitdisease' style='border: 1px solid #000000'> ";
}
} else {
if ($_SESSION["priv_add"]) {
print "<input type='submit' value = 'Add Disease' class='textbox' name='submitdisease' style='border: 1px solid #000000'> ";
}
}
print "</td></tr>";
print "</form>";
print "</table><br>";
}
