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>"; }