diff --git a/resources/views/form/rapport-arise/1777029250-544db702-e048-4499-9b87-95f9ae2d94d5.blade.php b/resources/views/form/rapport-arise/1777029250-544db702-e048-4499-9b87-95f9ae2d94d5.blade.php new file mode 100644 index 00000000..da74abc6 --- /dev/null +++ b/resources/views/form/rapport-arise/1777029250-544db702-e048-4499-9b87-95f9ae2d94d5.blade.php @@ -0,0 +1,713 @@ + + + + + @include('layouts.shared/title-meta', ['title' => 'Form']) + @include('layouts.shared/head-css', ['mode' => $mode ?? '', 'demo' => $demo ?? '']) + + +
+ processing... +
+ + +
+
+
+
+
+
+ + @if (Session::has('error')) +
{{ Session::get('error') }}
+
+ @endif + @if (session('success')) +
{{ session('success') }} +
+
+ @endif +
+

(RA-2) Catch Up Camp

+
+ @if (!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes')) +
+ @if ($form->link_type == 'form') + + + @else + Back + @endif +
+ @endif + + @php + $history = Formhelper::getMultiformData( + $form->partition, + $form->form_id, + $form->user_id, + ); + @endphp + + + +
+ + +
+ + + + + + + + + + + + + + + + + + {{-- --}} + + {{-- --}} + + {{-- --}} + + {{-- --}} + + + + + + @foreach (collect($history->data->submissions)->sortByDesc('formdata.record_date') as $sub) + @php + $sub->formdata->id = $sub->id; + + @endphp + + + + + + + + + + + + + + + + {{-- --}} + + {{-- --}} + + {{-- --}} + + {{-- --}} + + + + + + @endforeach + +
Action.Camp Plan DateExecution CompletedDoctor NameMSL CodeSpecialityType of campExecution DoneReason For Not-ExecutingPatient ScreenedPatient DiagnosedForacort RxSeroflo RxDuolin RxAerocort RxGlycohale FB RxE-Voltido RxE- Foracort G RxE-Synchrobreathe range Rx
+ + {{ $sub->formdata->plan_date }}{{ isset($sub->formdata->execution_done) && $sub->formdata->execution_done == 'yes' ? 'Yes' : 'No' }} + + @if (isset($sub->formdata->contact_id) && $sub->formdata->contact_id !== '') + {{ $sub->formdata->contact_id }} + @elseif (isset($sub->formdata->doctor_name)) + {{ $sub->formdata->doctor_name }} + @else + {{-- Default value or empty string, adjust as needed --}} + {{ '' }} + @endif + {{ isset($sub->formdata->msl_code) ? $sub->formdata->msl_code : '' }} + {{ isset($sub->formdata->speciality) ? $sub->formdata->speciality : '' }} + {{ isset($sub->formdata->type_of_camp) ? $sub->formdata->type_of_camp : '' }} + {{ isset($sub->formdata->execution) ? $sub->formdata->execution : '' }} + {{ isset($sub->formdata->reason) ? $sub->formdata->reason : '' }}{{ isset($sub->formdata->patient_screened) ? $sub->formdata->patient_screened : '' }}{{ isset($sub->formdata->patients_diagnosed) ? $sub->formdata->patients_diagnosed : '' }}{{ isset($sub->formdata->foracort_rx) ? $sub->formdata->foracort_rx : '' }}{{ isset($sub->formdata->seroflo_rx) ? $sub->formdata->seroflo_rx : '' }}{{ isset($sub->formdata->duolin_rx) ? $sub->formdata->duolin_rx : '' }}{{ isset($sub->formdata->aerocort_rx) ? $sub->formdata->aerocort_rx : '' }}{{ isset($sub->formdata->glycohale_fb_rx) ? $sub->formdata->glycohale_fb_rx : '' }}{{ isset($sub->formdata->e_voltido_rx) ? $sub->formdata->e_voltido_rx : '' }}{{ isset($sub->formdata->e_foracort_g_rx) ? $sub->formdata->e_foracort_g_rx : '' }}{{ isset($sub->formdata->e_synchrobreathe_range_rx) ? $sub->formdata->e_synchrobreathe_range_rx : '' }}
+
+ +
+ +
+
+ + @csrf + @if ($id) + + @endif + @foreach ($questions as $question) + @if (in_array($question->code, [ + 'execution_date', + 'execution', + 'reason', + 'patient_screened', + 'patients_diagnosed', + 'foracort_rx', + 'seroflo_rx', + 'duolin_rx', + 'aerocort_rx', + 'glycohale_fb_rx', + 'e_voltido_rx', + 'e_foracort_g_rx', + 'e_synchrobreathe_range_rx' + ])) + @continue + @endif +
+ + @switch($question->type) + @case('hidden') + + @break + + @case('text') + @case('email') + + @case('tel') + @case('date') + required == 'yes' ? 'required' : '' }} + value="{{ isset($question->value) ? $question->value : '' }}"> + @break + + @case('number') + required == 'yes' ? 'required' : '' }} + value="{{ isset($question->value) ? $question->value : 0 }}"> + @break + + @case('textarea') + + @break + + @case('dropdown') + + @break + + @case('checkbox') + @foreach ($question->options as $option) +
+ value) && $question->value != '' && in_array($option->value, $question->value) ? 'checked' : '' }}> + +
+ @endforeach + @break + + @case('file') + + @break + @endswitch +
+ @endforeach + @if (!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes')) +
+ +
+ @endif +
+
+ +
+
+ + @csrf + + + @foreach ($questions as $question) +
+ + @switch($question->type) + @case('hidden') + + @break + + @case('text') + @case('email') + + @case('tel') + @case('date') + required == 'yes' ? 'required' : '' }} + value="{{ isset($question->value) ? $question->value : '' }}"> + @break + + @case('number') + required == 'yes' ? 'required' : '' }} + value="{{ isset($question->value) ? $question->value : 0 }}"> + @break + + @case('textarea') + + @break + + @case('dropdown') + + @break + + @case('checkbox') + @foreach ($question->options as $option) +
+ value) && $question->value != '' && in_array($option->value, $question->value) ? 'checked' : '' }}> + +
+ @endforeach + @break + + @case('file') + + @break + @endswitch +
+ @endforeach + @if (!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes')) +
+ +
+ @endif +
+
+ +
+
+ + + + +
+
+ +
+ +
+ + + @include('layouts.shared/footer-script') + + + + + + diff --git a/resources/views/form/rapport-arise/1780568628-677ceb14-e144-4667-84a8-32d939cf281a.blade.php b/resources/views/form/rapport-arise/1780568628-677ceb14-e144-4667-84a8-32d939cf281a.blade.php new file mode 100644 index 00000000..ab42aa3a --- /dev/null +++ b/resources/views/form/rapport-arise/1780568628-677ceb14-e144-4667-84a8-32d939cf281a.blade.php @@ -0,0 +1,704 @@ + + + + + @include('layouts.shared/title-meta', ['title' => 'Form']) + @include('layouts.shared/head-css', ['mode' => $mode ?? '', 'demo' => $demo ?? '']) + + +
+ processing... +
+ + +
+
+
+
+
+
+ + @if (Session::has('error')) +
{{ Session::get('error') }}
+
+ @endif + @if (session('success')) +
{{ session('success') }} +
+
+ @endif +
+

(RA-1)Catch Up Camp

+
+ @if (!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes')) +
+ @if ($form->link_type == 'form') + + + @else + Back + @endif +
+ @endif + + @php + $history = Formhelper::getMultiformData( + $form->partition, + $form->form_id, + $form->user_id, + ); + @endphp + + + +
+ + +
+ + + + + + + + + + + + + + + + + + + + + + + + + + + @foreach (collect($history->data->submissions)->sortByDesc('formdata.record_date') as $sub) + @php + $sub->formdata->id = $sub->id; + + @endphp + + + + + + + + + + + + + + + + + + + + + + + + + @endforeach + +
Action.Camp Plan DateExecution CompletedDoctor NameMSL CodeSpecialityType of campExecution DoneReason For Not-ExecutingPatient ScreenedPatient DiagnosedForacort RxDuolin RxForacort G RxGlycohale FB Rx
+ + {{ $sub->formdata->plan_date }}{{ isset($sub->formdata->execution_done) && $sub->formdata->execution_done == 'yes' ? 'Yes' : 'No' }} + + @if (isset($sub->formdata->contact_id) && $sub->formdata->contact_id !== '') + {{ $sub->formdata->contact_id }} + @elseif (isset($sub->formdata->doctor_name)) + {{ $sub->formdata->doctor_name }} + @else + {{-- Default value or empty string, adjust as needed --}} + {{ '' }} + @endif + {{ isset($sub->formdata->msl_code) ? $sub->formdata->msl_code : '' }} + {{ isset($sub->formdata->speciality) ? $sub->formdata->speciality : '' }} + {{ isset($sub->formdata->type_of_camp) ? $sub->formdata->type_of_camp : '' }} + {{ isset($sub->formdata->execution) ? $sub->formdata->execution : '' }} + {{ isset($sub->formdata->reason) ? $sub->formdata->reason : '' }}{{ isset($sub->formdata->patient_screened) ? $sub->formdata->patient_screened : '' }}{{ isset($sub->formdata->patients_diagnosed) ? $sub->formdata->patients_diagnosed : '' }}{{ isset($sub->formdata->foracort_rx) ? $sub->formdata->foracort_rx : '' }}{{ isset($sub->formdata->duolin_rx) ? $sub->formdata->duolin_rx : '' }}{{ isset($sub->formdata->foracort_g_rx) ? $sub->formdata->foracort_g_rx : '' }}{{ isset($sub->formdata->glycohale_fb_rx) ? $sub->formdata->glycohale_fb_rx : '' }}
+
+ +
+ +
+
+ + @csrf + @if ($id) + + @endif + @foreach ($questions as $question) + @if (in_array($question->code, [ + 'execution_date', + 'execution', + 'reason', + 'patient_screened', + 'patients_diagnosed', + 'foracort_rx', + 'duolin_rx', + 'foracort_g_rx', + 'glycohale_fb_rx', + + ])) + @continue + @endif +
+ + @switch($question->type) + @case('hidden') + + @break + + @case('text') + @case('email') + + @case('tel') + @case('date') + required == 'yes' ? 'required' : '' }} + value="{{ isset($question->value) ? $question->value : '' }}"> + @break + + @case('number') + required == 'yes' ? 'required' : '' }} + value="{{ isset($question->value) ? $question->value : 0 }}"> + @break + + @case('textarea') + + @break + + @case('dropdown') + + @break + + @case('checkbox') + @foreach ($question->options as $option) +
+ value) && $question->value != '' && in_array($option->value, $question->value) ? 'checked' : '' }}> + +
+ @endforeach + @break + + @case('file') + + @break + @endswitch +
+ @endforeach + @if (!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes')) +
+ +
+ @endif +
+
+ +
+
+ + @csrf + + + @foreach ($questions as $question) +
+ + @switch($question->type) + @case('hidden') + + @break + + @case('text') + @case('email') + + @case('tel') + @case('date') + required == 'yes' ? 'required' : '' }} + value="{{ isset($question->value) ? $question->value : '' }}"> + @break + + @case('number') + required == 'yes' ? 'required' : '' }} + value="{{ isset($question->value) ? $question->value : 0 }}"> + @break + + @case('textarea') + + @break + + @case('dropdown') + + @break + + @case('checkbox') + @foreach ($question->options as $option) +
+ value) && $question->value != '' && in_array($option->value, $question->value) ? 'checked' : '' }}> + +
+ @endforeach + @break + + @case('file') + + @break + @endswitch +
+ @endforeach + @if (!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes')) +
+ +
+ @endif +
+
+ +
+
+ + + + +
+
+ +
+ +
+ + + @include('layouts.shared/footer-script') + + + + + +