function showRespondentLabRequest($respondent)
{
$returnStr = $this->showNurseHeader(Language::messageSMSTitle());
$returnStr .= '<div id="wrap">';
$returnStr .= $this->showNavBar();
$returnStr .= '<div class="container"><p>';
//begin content
$returnStr .= '<ol class="breadcrumb">';
$returnStr .= '<li>' . setSessionParamsHref(array('page' => 'nurse.search'), Language::labelSearch()) . '</li>';
$returnStr .= '<li>' . setSessionParamsHref(array('page' => 'nurse.respondent.info', 'primkey' => $respondent->getPrimkey()), Language::labelNurseRespondent() . ' ' . $respondent->getPrimkey()) . '</li>';
$returnStr .= '<li class="active">' . Language::labelNurseLabRequestForm() . '</li>';
$returnStr .= '</ol>';
$returnStr .= '<div class="panel panel-default">
<div class="panel-heading">';
$returnStr .= '<h4>' . Language::labelNurseLabRequestForm() . ': ' . $respondent->getPrimkey() . '</h4>';
$returnStr .= ' </div>
<div class="panel-body">';
$returnStr .= '<b>' . Language::labelNurseLabRequestFormTitle() . '</b><br/><br/>';
$lab = new Lab($respondent->getPrimkey());
$returnStr .= '<form method=post>';
$returnStr .= setSessionParamsPost(array('page' => 'nurse.respondent.requestform.res', 'primkey' => $respondent->getPrimkey()));
$requestForm = json_decode($lab->getRequestForm());
$requestFormres = array();
$requestFormres['date'] = '';
$requestFormres['gender'] = 0;
$requestFormres['entry1'] = '';
$requestFormres['entry2'] = '';
$requestFormres['entry3'] = '';
$requestFormres['entry4'] = '';
$requestFormres['entry5'] = '';
$requestFormres['entry6'] = '';
$requestFormres['comments'] = '';
$requestFormres['collectedby'] = '';
$requestFormres['collecteddate'] = '';
$requestFormres['collectedtime'] = '';
$requestFormres['receivedby'] = '';
$requestFormres['receiveddate'] = '';
$requestFormres['receivedtime'] = '';
foreach ($requestForm as $key => $value) {
$requestFormres[$key] = $value;
}
if ($requestFormres['date'] == '') {
$requestFormres['date'] = date('Y-m-d');
}
$returnStr .= '<table class=table>';
$returnStr .= '<tr><td style="width:120px">Date</td><td><input name=date type=text class="form-control" value="' . $requestFormres['date'] . '" style="width:120px"></tr>';
$returnStr .= '<tr><td style="width:120px">' . Language::labelNurseLabBarCode() . '</td><td><input name=labbarcode type=text class="form-control" style="width:120px" value="' . addslashes($lab->getLabBarcode()) . '"></td><tr>';
$returnStr .= '<tr><td style="width:120px">' . Language::labelNurseSex() . '</td><td><select name=gender class="form-control" style="width:120px">';
$selected = array('', '', '', '', '', '', '');
$selected[$requestFormres['gender']] = 'SELECTED';
$returnStr .= '<option value=1 ' . $selected[1] . '>' . Language::labelNurseSexMale() . '</option>';
$returnStr .= '<option value=2 ' . $selected[2] . '>' . Language::labelNurseSexFemale() . '</option>';
$returnStr .= '</select></td></tr>';
$returnStr .= '</table>';
$returnStr .= '<table class=table width="600px">';
$returnStr .= '<tr><th colspan=2>STORAGE AT AGINCOURT LAB</th><th>PROCESSING & SHIPPING INSTRUCTIONS</th></tr>';
$returnStr .= '<tr><td><input name=entry1 type=text class="form-control" style="width:40px" value="' . $requestFormres['entry1'] . '"></td>';
$returnStr .= '<td width=35%>6 ML (No anticoagulant)- Lipid profile</td>';
$returnStr .= '<td>Leave the tubes to clot @ room temperature 15-30 min; spun @ room temperature for 10 mins at 3000rpm; Aliquot 4 x 1ML; store 2 x 1ML @ -80 °C, ship 2 aliquots in < 3 days @4 °C </td>';
$returnStr .= '</tr>';
$returnStr .= '<tr><td><input name=entry2 type=text class="form-control" style="width:40px" value="' . $requestFormres['entry2'] . '"></td>';
$returnStr .= '<td>4 ML (Anticoagulant Potassium Oxalate) HbA1c</td>';
$returnStr .= '<td>Invert sample 5-10 times, let sample stand for 15- 30mins before spinning at room temperature for 10mins @3000rpm; store 2 x 1 ML plasma @ -80 °C (ship 1 cryovials).</td>';
$returnStr .= '</tr>';
$returnStr .= '<tr><td><input name=entry3 type=text class="form-control" style="width:40px" value="' . $requestFormres['entry3'] . '"></td>';
$returnStr .= '<td>6 ML (EDTA as anticoagulant)</td>';
$returnStr .= '<td>Invert tubes 5-10 times, keep tubes at room temperature/fridge at 4 °C prior to removing the buffy coats; centrifuge samples @900-1100g for 10 min @room temperature; aliquot 2 x 1ML and store @-80 °C; aliquot 0.5ML buffy from each tube and store @ -80 °C. ship both buffy tubes to SBIMB for DNA extraction.</td>';
$returnStr .= '</tr>';
$returnStr .= '<tr><td><input name=entry4 type=text class="form-control" style="width:40px" value="' . $requestFormres['entry4'] . '"></td>';
$returnStr .= '<td>5MLCD4 STABILIZATION TUBE</td>';
$returnStr .= '<td>Store @ 15-27 °C until shipment</td>';
$returnStr .= '</tr>';
$returnStr .= '<tr><td><input name=entry5 type=text class="form-control" style="width:40px" value="' . $requestFormres['entry5'] . '"></td>';
$returnStr .= '<td>20 ML Mid-stream Urine</td>';
$returnStr .= '<td>Do not store above 28 °C until ready for processing; centrifuge @2500rpm for 5 minutes; aliquot supernatant into 4 cryovials of 2 ML ach; store @-80 °C (ship 2 cryovials) </td>';
$returnStr .= '</tr>';
$returnStr .= '<tr><td><input name=entry6 type=text class="form-control" style="width:40px" value="' . $requestFormres['entry6'] . '"></td>';
$returnStr .= '<td>DBS card</td>';
$returnStr .= '<td>Store -20 °C</td>';
$returnStr .= '</tr>';
$returnStr .= '</table>';
$returnStr .= Language::labelNurseComments() . ':<br/><textarea name=comments cols=80 rows=3>' . $requestFormres['comments'] . '</textarea>';
$returnStr .= '<table class=table width="600px">';
$returnStr .= '<tr><td>' . Language::labelNurseCollectedBy() . '</td><td><input name=collectedby type=text class="form-control" style="width:180px" value="' . $requestFormres['collectedby'] . '"></td><td>Date</td><td><input name=collecteddate type=text class="form-control" style="width:120px" value="' . $requestFormres['collecteddate'] . '"></td><td>Time</td><td><input name=collectedtime type=text class="form-control" style="width:120px" value="' . $requestFormres['collectedtime'] . '"></td></tr>';
$returnStr .= '<tr><td>' . Language::labelNurseReceivedBy() . '</td><td><input name=receivedby type=text class="form-control" style="width:180px" value="' . $requestFormres['receivedby'] . '"></td><td>Date</td><td><input name=receiveddate type=text class="form-control" style="width:120px" value="' . $requestFormres['receiveddate'] . '"></td><td>Time</td><td><input name=receivedtime type=text class="form-control" style="width:120px" value="' . $requestFormres['receivedtime'] . '"></td></tr>';
$returnStr .= '</table>';
$returnStr .= '</table>';
$returnStr .= '<br/>';
$returnStr .= '<button type="submit" class="btn btn-default navbar-btn">' . Language::labelNurseButtonSave() . '</button>';
$returnStr .= '</form>';
$returnStr .= ' </div></div>';
//end content
$returnStr .= '</p></div> </div>';
//container and wrap
$returnStr .= $this->showBottomBar();
$returnStr .= $this->showFooter(false);
return $returnStr;
}
function showRespondentUploadFiles($primkey)
{
$respondent = new Respondent($primkey);
$lab = new Lab($primkey);
ob_clean();
require_once 'lab/upload/index.php';
echo uploadFile($respondent->getPrimkey(), $lab->getLabBarcode());
exit;
}
