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iaditya/Encounters...add.ctp

Created January 4, 2017 09:41
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Encounters...add.ctp
<?php
echo $this->Html->script('moment/moment.min');
echo $this->Html->css('AdminLTE./plugins/datepicker/datepicker3');
echo $this->Html->css('AdminLTE./bootstrap/css/bootstrap-datetimepicker.min');
echo $this->Html->script('AdminLTE./bootstrap/js/bootstrap-datetimepicker');
echo $this->Html->script('AdminLTE./plugins/datepicker/bootstrap-datepicker');
?>
<script type="text/javascript">
$(function () {
$('#datetimepicker4').datetimepicker({
format: 'YYYY-MM-DD HH:mm:00'
});
});
</script>
<section class="content">
<!--<h2 class="page-header">Social Widgets</h2> -->
<div class="row">
<!-- /.col -->
<div class="col-md-12">
<!-- Widget: user widget style 1 -->
<div class="box box-widget widget-user">
<!-- Add the bg color to the header using any of the bg-* classes -->
<div class="widget-user-header bg-aqua-active">
<div class="row">
<div class="col-md-8 col-md-offset-1">
<h3 class="widget-user-username">Aditya Name</h3>
<h5 class="widget-user-desc">Age | Gender</h5>
<h5 class="widget-user-desc">56 | Male</h5>
</div>
<div class="col-md-pull-1 col-md-3 ">
<h5 class="widget-user-desc">Last Visit BMI: 100</h5>
<h5 class="widget-user-desc">Difference: X Increase/Decrease</h5>
<h5 class="widget-user-desc">X Kg to loose for Healty BMI</h5>
</div>
</div>
</div>
<div class="widget-user-image">
<?php echo $this->Html->image('user1-128x128.jpg', ['alt' => 'User Avatar', 'class' => 'img-circle']); ?>
</div>
<div class="box-footer">
<div class="row">
<div class="col-sm-2 border-right">
<div class="description-block">
<h5 class="description-header">Last Visit Date</h5>
<span class="description-text">12/12/2016</span>
</div>
<!-- /.description-block -->
</div>
<div class="col-sm-2 border-right">
<div class="description-block">
<h5 class="description-header">Last Diagnosis Date</h5>
<span class="description-text">12/12/2016</span>
</div>
<!-- /.description-block -->
</div>
<div class="col-sm-2 border-right">
<div class="description-block">
<h5 class="description-header">Height</h5>
<span class="description-text">29</span>
</div>
<!-- /.description-block -->
</div>
<div class="col-sm-2 border-right">
<div class="description-block">
<h5 class="description-header">Weight</h5>
<span class="description-text">29</span>
</div>
<!-- /.description-block -->
</div>
<div class="col-sm-2 border-right">
<div class="description-block">
<h5 class="description-header">BMI</h5>
<span class="description-text">29</span>
</div>
<!-- /.description-block -->
</div>
<div class="col-sm-2 border-right">
<div class="description-block">
<h5 class="description-header">Prescription</h5>
<span class="description-text">Click</span>
</div>
<!-- /.description-block -->
</div>
<!-- /.col -->
</div>
<!-- /.row -->
</div>
</div>
<!-- /.widget-user -->
</div>
<!-- /.col -->
<!-- /.col -->
</div>
<!-- /.row -->
<!-- /.row -->
</section>
<section class="content">
<div class="box box-widget">
<div class="row">
<!-- /.col -->
<div class="col-md-12">
<div>
<ul class="nav nav-pills">
<li class="active"><a data-toggle="pill" href="#visit-notes">Add Current Visit Notes</a></li>
<li><a data-toggle="pill" href="#medical-history">Medical History</a></li>
<li><a data-toggle="pill" href="#summary">Summary</a></li>
</ul>
</div>
<div class="tab-content">
<div id="visit-notes" class="tab-pane fade in active">
<!--<div class="panel panel-default"> -->
<div class="row">
<div class="col-md-12">
<!-- Box Comment -->
<div class="box box-widget">
<div class="box-body">
<div class="box-body no-padding">
<?= $this->Form->create($encounter, ['type' => 'file']); ?>
<fieldset>
<div class="col-md-6">
<?php
if ($facility_id == null) {
echo $this->Form->input('facility_id', ['options' => $facilities]);
} else {
echo $this->Form->hidden('facility_id', ['value' => $facility_id]);
}
if ($patient_id == null) {
echo $this->Form->input('patient_id', ['options' => $patients, 'empty' => true]);
} else {
echo $this->Form->hidden('patient_id', ['value' => $patient_id]);
}
if ($provider_id == null) {
echo $this->Form->input('provider_id', ['options' => $providers, 'empty' => true]);
} else {
echo $this->Form->hidden('provider_id', ['value' => $provider_id]);
}
if ($event_id == null) {
echo $this->Form->input('event_id', ['options' => $events, 'empty' => true]);
} else {
echo $this->Form->hidden('event_id', ['value' => $event_id]);
}
?>
<label>Visit Date</label>
<?php
if (isset($event)) { ?>
<input name="visitdate"
value="<?= $event->start->i18nFormat('yyyy-MM-dd HH:mm:ss') ?>"
type='text'
class="form-control" id='datetimepicker4'/>
<?php } else { ?>
<input name="visitdate" type='text' class="form-control"
id='datetimepicker4'/>
<?php }
echo $this->Form->input('reason');
echo $this->Form->input('icd10code_id', ['label' => 'ICD-10 Code', 'class' => 'icd-select']);
//echo $this->Form->input('diagnosis');
//echo $this->Taxonomy->input('group', $patient, ['label' => __d('Taxonomy', 'Group'), 'placeholder' => 'Depression, Sleepless, Anxiety Disorder, Insomniac, ...']);
//echo $this->Taxonomy->input('group', $p, ['label' => __d('Taxonomy', 'Group')]);
// echo $this->Form->input('casenotes');
//echo $this->Html->tag('span', "Case Notes", array('class' => 'welcome'));
?>
<div class="table-responsive">
<table class="table">
<tr>
<td class="col-md-4"><?php echo $this->Form->input('revision_date', ['label' => 'Review Date', 'type' => 'text', 'class' => 'datepicker']); ?></td>
<td class="col-md-4"></td>
<td class="col-md-4"></td>
</tr>
</table>
</div>
</div>
<div class="col-md-6">
<div class="control-label"><b>Case Sheet Notes</b></div>
<div class="table-responsive">
<table class="table">
<tr>
<td><?= $this->Form->input('subjective'); ?></td>
<td><?= $this->Form->input('objective'); ?></td>
</tr>
<tr>
<td><?= $this->Form->input('assessment_findings'); ?></td>
<td><?= $this->Form->input('plan'); ?></td>
</tr>
</table>
</div>
<?php
echo $this->Form->input('billing_note');
echo $this->Form->input('attachment', ['type' => 'file', 'required' => false]);
?>
</div>
</fieldset>
<input type="hidden" name="revision_label" , value="0" ,
id="revision-label">
<?= $this->Form->button(__('Submit'), ['class' => 'btn-success', 'id' => "submit-form"]) ?>
<?= $this->Form->end() ?>
</div>
</div>
</div>
</div>
</div>
</div>
<div id="medical-history" class="tab-pane fade">
<div class="row">
<div class="col-md-12">
<!-- Box Comment -->
<div class="box box-widget">
<div class="box-body">
<div class="box-body no-padding">
This is medical history div.
</div>
</div>
</div>
</div>
</div>
</div>
<div id="summary" class="tab-pane fade">
<div class="row">
<div class="col-md-12">
<!-- Box Comment -->
<div class="box box-widget">
<div class="container col-md-12">
<h2>Case sheets &nbsp;&nbsp;&nbsp;<span
class="badge success"><?= "Total case sheet count" ?></span></h2>
<div class="panel-group" id="accordion">
<?php // foreach ($casesheets as $casesheets): ?>
<div class="panel panel-primary">
<div class="panel-heading">
<h4 class="panel-title">
<div class="pull-right"><?php //echo $this->Time->timeAgoInWords($casesheet->created); ?>
Case Sheet Date: 12/12/2016
</div>
<a data-toggle="collapse" data-parent="#accordion"
href="#<?php //echo $casesheet->id; ?>1"><?php //echo $casesheet->get('title'); ?>
Case sheet title</a>
</h4>
</div>
<div id="<?php //echo $casesheet->id; ?>1"
class="panel-collapse collapse">
<div class="panel-body"><?php //echo $casesheet->get('body'); ?>case
sheet details. <br> aksjdkajdakld <br> aksjdlakd
</div>
</div>
</div>
<div class="panel panel-primary">
<div class="panel-heading">
<h4 class="panel-title">
<div class="pull-right"><?php //echo $this->Time->timeAgoInWords($casesheet->created); ?>
Case Sheet Date: 12/12/2016
</div>
<a data-toggle="collapse" data-parent="#accordion"
href="#<?php //echo $casesheet->id; ?>2"><?php //echo $casesheet->get('title'); ?>
Case sheet title 2</a>
</h4>
</div>
<div id="<?php //echo $casesheet->id; ?>2"
class="panel-collapse collapse">
<div class="panel-body"><?php //echo $casesheet->get('body'); ?>case
sheet details. <br> aksjdkajdakld <br> aksjdlakd
</div>
</div>
</div>
<?php // endforeach; ?>
</div>
</div>
<div class="box-body">
<div class="box-body no-padding">
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</section>
<script>
$(".icd-select").select2({
placeholder: 'Click and type',
allowClear: true,
ajax: {
url: function (params) {
return '/icd10codes/pindex.json?q=' + params.term;
},
dataType: 'json',
delay: 500,
processResults: function (data, params) {
//console.log(JSON.stringify(data.icd10codes));
return {
results: data.icd10codes,
};
},
cache: false
},
});
</script>
<script>
$(document).ready(function () {
$('.datepicker').datepicker({
autoclose: true
});
});
</script>
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