Rapport-Laravel/resources/views/form/rapport-oncocare/preview-1758515400-da19c8cc...

515 lines
33 KiB
PHP

<!DOCTYPE html>
<html lang="en">
<head>
@include('layouts.shared/title-meta', ['title' => 'Form'])
@include('layouts.shared/head-css', ['mode' => $mode ?? '', 'demo' => $demo ?? ''])
<link href="{{ asset('assets/libs/sweetalert2/sweetalert2.min.css') }}" rel="stylesheet" type="text/css" />
</head>
<div id="pageloader">
<img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
</div>
<body class="loading">
<div class="account-pages">
<div class="container">
<div class="row justify-content-center">
<div class="col-md-8 col-lg-6 col-xl-5 p-0">
<div class="card bg-pattern">
<div class="card-body p-3 row">
@if (Session::has('error'))
<div class="alert alert-danger">{{ Session::get('error') }}</div>
<br>
@endif
@if (session('success'))
<div class=" alert alert-success">{{ session('success') }}
</div>
<br>
@endif
<div class="col-8">
<h4 class="page-title">{{ $form->title }}</h4>
</div>
@if (!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes'))
<div class="col-4">
@if ($form->link_type == 'form')
<a href="/form/history" class="float-end pt-1">View History</a>
@else
<a href="{{ url()->previous() }}" class="float-end pt-1">Back</a>
@endif
</div>
@endif
@if (isset($form->user_info))
<div class="col-12">
<h6>Submitted By:: {{ $form->user_info->name }}</h6>
</div>
@endif
@php
$plannedBrandData = [
[
'brand' => 'EMBREMMA',
'slug' => 'patient_tracker_planned_embremma_units',
'pseudoId' => 'patient_tracker_planned_embremma_values',
'total_slug' => 'patient_tracker_planned_embremma_total_units',
'total_slug_value' => 'patient_tracker_planned_embremma_total_values',
],
[
'brand' => 'SOMALINX-LAR',
'slug' => 'patient_tracker_planned_somalinx_lar_units',
'pseudoId' => 'patient_tracker_planned_somalinx_lar_values',
'total_slug' => 'patient_tracker_planned_somalinx_lar_total_units',
'total_slug_value' => 'patient_tracker_planned_somalinx_lar_total_values',
],
[
'brand' => 'Enzuta 40mg',
'slug' => 'patient_tracker_planned_enzuta_40mg_units',
'pseudoId' => 'patient_tracker_planned_enzuta_40mg_values',
'total_slug' => 'patient_tracker_planned_enzuta_40mg_total_units',
'total_slug_value' => 'patient_tracker_planned_enzuta_40mg_total_values',
],
];
$weeks = [1, 2, 3, 4];
@endphp
@php
$average = [];
if (!empty($submitted_formdata)) {
$average['patient_tracker_planned_encicarb_1k_units_w1'] =
$submitted_formdata->patient_tracker_planned_encicarb_1k_units_w1 ?? 0;
$average['patient_tracker_planned_encicarb_1k_units_w2'] =
$submitted_formdata->patient_tracker_planned_encicarb_1k_units_w2 ?? 0;
$average['patient_tracker_planned_encicarb_1k_units_w3'] =
$submitted_formdata->patient_tracker_planned_encicarb_1k_units_w3 ?? 0;
$average['patient_tracker_planned_encicarb_1k_units_w4'] =
$submitted_formdata->patient_tracker_planned_encicarb_1k_units_w4 ?? 0;
}
// echo $average['patient_tracker_planned_encicarb_1k_units_w1'];
@endphp
<form method="POST" action="/form/submit" id="report-form" enctype="multipart/form-data">
<input type="hidden" name="form_id" value="{{ $form_id }}">
@csrf
@if ($id)
<input type="hidden" name="id" value="{{ $id }}">
@endif
@if (isset($form->manager_can_submit) && $form->manager_can_submit == true)
<div class="col-md-12 mb-2">
<label for="field-user_id" class="form-label"> Select User / Territory <span
class="text-danger">*</span> </label>
<select class="form-control" id="field-user_id" name="user_id" required>
<option value=""> -- Select -- </option>
@foreach ($form->users as $option)
<option value="{{ $option->value }}"
hierarchy="{{ $option->hierarchy_id }}"
{{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>
{{ $option->display }}</option>
@endforeach
</select>
<input type="hidden" id="field-hierarchy_id" name="hierarchy_id"
value="">
</div>
@endif
@foreach ($questions as $question)
@if (in_array($question->code, ['execution_date', 'exe_values_for_the_week_selected']))
@continue
@endif
<div class="col-md-12 mb-2">
<label for="field-{{ $question->code }}"
class="form-label">{{ $question->question }} {!! $question->required == 'yes' ? '<span class="text-danger">*</span>' : '' !!}
</label>
@switch($question->type)
@case('hidden')
<input type="{{ $question->type }}" id="field-{{ $question->code }}"
name="{{ $question->code }}"
value="{{ isset($question->value) ? $question->value : '' }}">
@break
@case('text')
@case('email')
@case('tel')
@case('date')
<input type="{{ $question->type }}" id="field-{{ $question->code }}"
name="{{ $question->code }}" class="form-control"
{{ $question->required == 'yes' ? 'required' : '' }}
value="{{ isset($question->value) ? $question->value : '' }}">
@break
@case('number')
<input type="{{ $question->type }}" min="0" max="9999999999"
step="1" id="field-{{ $question->code }}"
name="{{ $question->code }}" class="form-control"
{{ $question->required == 'yes' ? 'required' : '' }}
value="{{ isset($question->value) ? $question->value : 0 }}">
@break
@case('textarea')
<textarea id="field-{{ $question->code }}" name="{{ $question->code }}" class="form-control"
{{ $question->required == 'yes' ? 'required' : '' }}>{{ isset($question->value) ? $question->value : '' }}</textarea>
@break
@case('dropdown')
<select class="form-control" id="field-{{ $question->code }}"
name="{{ $question->code }}"
{{ $question->required == 'yes' ? 'required' : '' }}>
<option value=""> -- Select -- </option>
@foreach ($question->options as $option)
{{-- <pre>
Question Value: {{ print_r($question->value, true) }}
Option Value: {{ print_r($option->value, true) }}
</pre> --}}
<option value="{{ $option->value }}"
{{ (string) $question->value == (string) $option->value ? 'selected' : '' }}>
{{ $option->display }}
</option>
@endforeach
</select>
@break
@case('radio')
@foreach ($question->options as $option)
<div class="form-check mb-2 form-check-success">
<input class="form-check-input" type="radio"
name="{{ $question->code }}"
id="field-{{ $question->code }}_{{ $option->value }}"
value="{{ $option->value }}">
<label class="form-check-label"
for="field-{{ $question->code }}_{{ $option->value }}">{{ $option->display }}</label>
</div>
@endforeach
@break
@case('radiometrix')
@php
// Decode the first option's value to use as heading labels
$headings =
count($question->options) > 0
? json_decode($question->options[0]->value)
: [];
@endphp
{{-- Matrix Wrapper with Horizontal Scroll on Small Screens --}}
<div class="table-responsive">
<div class="d-table w-100">
{{-- Table Headers --}}
<div class="d-table-row font-weight-bold">
<div class="d-table-cell p-2" style="width: 150px;"></div>
{{-- Placeholder for row labels --}}
@foreach ($headings as $head)
<div class="d-table-cell text-center p-2">{{ $head }}
</div>
@endforeach
</div>
{{-- Table Rows --}}
@foreach ($question->options as $option)
@php $nn = json_decode($option->value); @endphp
<div class="d-table-row align-middle">
<div class="d-table-cell font-weight-bold p-2"
style="width: 150px;">
{{ $option->display }}
</div>
@foreach ($nn as $value)
<div class="d-table-cell text-center p-2">
<input type="radio"
id="field-{{ $option->display }}-{{ $value }}"
name="{{ $question->code }}[{{ $option->display }}]"
value="{{ $value }}"
class="form-check-input"
{{ isset($question->display) && $option->display != $option->display ? 'checked' : '' }}>
</div>
@endforeach
</div>
@endforeach
</div>
</div>
@break
@case('checkbox')
@foreach ($question->options as $option)
<div class="form-check mb-2 form-check-primary ms-2">
<input class="form-check-input" type="checkbox"
id="field-{{ $question->code }}-{{ $option->value }}"
name="{{ $question->code }}[]" value="{{ $option->value }}"
{{ isset($question->value) && $question->value != '' && in_array($option->value, $question->value) ? 'checked' : '' }}>
<label class="form-check-label"
for="field-{{ $question->code }}-{{ $option->value }}">{{ $option->display }}</label>
</div>
@endforeach
@break
@case('file')
@if (!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes'))
<input type="file" id="field-{{ $question->code }}"
name="{{ $question->code }}" class="form-control" value=""
{{ $question->required == 'yes' ? 'required' : '' }}>
@elseif(isset($question->value))
<img src="{{ $question->value }}" class="img-fluid">
@endif
@break
@case('multitextbox')
<div class="row">
<div
style="width: auto; overflow-y: auto; overflow-x: auto; border: 1px solid #0d6efd; border-radius: 3px; padding: 10px; margin-bottom: 10px;">
<table class="table tableclass">
<thead id="heading">
<tr>
<th>Brand Name</th>
@foreach ($weeks as $week)
<th class="text-center">W{{ $week }}
Patient Planned*</th>
{{-- <th class="text-center">W{{ $week }} Patient
Value</th> --}}
@endforeach
<th>Total Week Patient</th>
{{-- <th>Total Week Patient Values</th> --}}
</tr>
</thead>
<tbody>
@foreach ($plannedBrandData as $brand)
<tr>
<td>{{ $brand['brand'] }}</td>
@foreach ($weeks as $week)
@php
// Build dynamic keys for units and values
$unitKey =
$brand['slug'] . '_w' . $week;
$valueKey =
$brand['pseudoId'] . '_w' . $week;
$total_slug =
$brand['total_slug'];
$total_slug_value =
$brand['total_slug_value'];
@endphp
<td>
<input type="number"
id="field-{{ $unitKey }}"
name="{{ $unitKey }}"
class="form-control form-control-large"
style="width:54px;"
value="{{ $submitted_formdata->$unitKey ?? 0 }}"
required>
</td>
{{-- <td>
<input type="number"
id="field-{{ $valueKey }}"
name="{{ $valueKey }}"
class="form-control form-control-large"
style="width:100px;"
value="{{ $submitted_formdata->$valueKey ?? 0 }}"
required>
</td> --}}
@endforeach
<td>
<input type="number"
id="field-{{ $total_slug }}"
name="{{ $total_slug }}"
class="form-control form-control-large"
style="width:54px;"
value="{{ $submitted_formdata->$total_slug ?? 0 }}"
required>
</td>
{{-- <td>
<input type="number"
id="field-{{ $total_slug_value }}"
name="{{ $total_slug_value }}"
class="form-control form-control-large"
style="width:100px;"
value="{{ $submitted_formdata->$total_slug_value ?? 0 }}"
required>
</td> --}}
</tr>
@endforeach
</tbody>
</table>
</div>
</div>
@endswitch
</div>
@endforeach
@if (!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes'))
<div class="text-center d-grid mt-3">
<button class="btn btn-primary" type="submit" id="submit-btn"> Submit
</button>
</div>
@endif
</form>
</div> <!-- end card-body -->
</div>
<!-- end card -->
<!-- end row -->
</div> <!-- end col -->
</div>
<!-- end row -->
</div>
<!-- end container -->
</div>
<!-- end page -->
<style type="text/css">
#pageloader {
background: rgba(255, 255, 255, 0.8);
display: none;
height: 100%;
position: fixed;
width: 100%;
z-index: 9999;
}
#pageloader img {
left: 50%;
margin-left: -32px;
margin-top: -32px;
position: absolute;
top: 50%;
}
.form-label {
font-weight: bold;
font-size: 16px;
}
</style>
@include('layouts.shared/footer-script')
<script src="{{ asset('assets/libs/sweetalert2/sweetalert2.min.js') }}"></script>
<script type="text/javascript">
jQuery(document).ready(function($) {
$('#execution-form-wrapper').hide()
$('#field-user_id').change(function() {
let hierarchy = $('option:selected', this).attr('hierarchy');
$('#field-hierarchy_id').val(hierarchy)
event.preventDefault();
$.ajax({
type: "GET",
url: '/form/getdoctorlist?partition={{ $form->partition }}&hierarchy=' +
hierarchy,
processData: false,
contentType: false,
success: function(data) {
$("#pageloader").fadeOut();
$('#field-contact_id').html('')
$('#field-contact_id').append($("<option></option>").attr("value", '')
.text('-- Select --'));
for (let itm of data) {
$('#field-contact_id').append($("<option></option>").attr("value",
itm.value).text(itm.display));
}
},
});
console.log(hierarchy)
})
$('#report-form').on('submit', function(event) {
event.preventDefault();
$("#pageloader").fadeIn();
$.ajax({
type: "POST",
url: '/form/ajaxsubmit',
data: new FormData($('#report-form')[0]),
processData: false,
contentType: false,
success: function(data) {
$("#pageloader").fadeOut();
if (data.status == 'success') {
Swal.fire({
title: 'Great!',
text: 'Your data is successfully submitted!',
icon: 'success'
})
$('#report-form').trigger("reset");
} else {
Swal.fire({
icon: 'error',
title: data.hasOwnProperty('message') ?
'You are not mapped to any position code' :
'Data not submitted',
text: data.hasOwnProperty('message') ?
'for resolution please email Position code, L1 Manager and L2 Manager details to support1@stratawiz.com' :
'Something went wrong, please try again after some time!'
})
}
},
});
});
var today = new Date();
var dd = String(today.getDate()).padStart(2, '0');
var mm = String(today.getMonth() + 1).padStart(2, '0');
var yyyy = today.getFullYear();
today = yyyy + '-' + mm + '-' + dd;
var plandateField = document.getElementById('field-record_date');
plandateField.setAttribute('max', today);
});
const baseValues = {
encicarb_1k: 2140,
embremma: 7000,
somalinx_lar: 9350,
pegex: 960
};
$('input[id*="_units_w"]').on('input', function() {
const id = $(this).attr('id');
const brand = id.split('_units_')[0].replace('field-patient_tracker_planned_', '');
const week = id.split('_units_')[1];
const units = parseFloat($(this).val()) || 0;
const valueField1 = $(`#field-patient_tracker_planned_${brand}_values_${week}`);
const valueField2 = $(`#field-patient_tracker_planned_${brand}_units_values_${week}`);
if (baseValues[brand]) {
const calc = units * baseValues[brand];
console.log(`→ calculated: ${calc}`);
if (valueField1.length) {
valueField1.val(calc.toFixed(2));
} else if (valueField2.length) {
valueField2.val(calc.toFixed(2));
} else {
console.warn("⚠ No matching value field found for:", brand, week);
}
} else {
console.warn("⚠ No base value found for brand:", brand);
}
});
$('input, textarea').attr('readonly', true);
$('input[type="date"]').on('keydown mousedown focus', function (e) {
e.preventDefault();
$(this).blur();
});
$('select').on('focus mousedown keydown', function (e) {
e.preventDefault();
this.blur();
});
</script>
</body>
</html>