Rapport-Laravel/resources/views/form/rapport-zenova/1788239728-6f7f3c27-c5dc-4e...

900 lines
42 KiB
PHP

<!DOCTYPE html>
<html lang="en">
<head>
@include('layouts.shared/title-meta', ['title' => "Form"])
@include('layouts.shared/head-css', ["mode" => $mode ?? '', "demo" => $demo ?? ''])
<link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
<link href="{{ asset('assets/libs/select2/select2.min.css') }}" rel="stylesheet" type="text/css" />
</head>
<div id="pageloader">
<img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
</div>
<body class="loading">
<div class="account-pages">
<div class="container">
<div class="row justify-content-center">
<div class="col-md-8 col-lg-6 col-xl-5 p-0">
<div class="card bg-pattern">
<div class="card-body p-3 row">
@if(Session::has('error'))<div class="alert alert-danger">{{Session::get('error')}}</div>
<br>@endif
@if(session('success'))<div class=" alert alert-success">{{ session('success') }}
</div>
<br>@endif
<div class="col-8">
<h4 class="page-title">{{$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
<form method="POST" action="/form/submit" id="report-form" enctype="multipart/form-data">
<input type="hidden" name="form_id" value="{{$form_id}}">
<input type="hidden" name="user_id" value="{{$form->user_id}}">
@csrf
<input type="hidden" name="glipiq_rx_total" value="0" >
<input type="hidden" name="glipiq_pob_total" value="0" >
<input type="hidden" name="glipiq_new_conversion" value="0" >
<input type="hidden" name="glipiq_existing_conversion" value="0" >
<input type="hidden" name="sitazit_new_conversion" value="0">
<input type="hidden" name="sitazit_existing_conversion" value="0">
<input type="hidden" name="sankalp_lead_recieved" value="0">
<input type="hidden" name="sankalp_lead_enrolled" value="0">
<input type="hidden" name="pmos_dr_count" value="0">
<input type="hidden" name="qbs_dr_count" value="0">
<input type="hidden" name="adboard_dr_count" value="0">
<input type="hidden" name="fb_live_dr_count" value="0">
<input type="hidden" name="ecme_dr_count" value="0">
<input type="hidden" name="rtm_dr_count" value="0">
<input type="hidden" name="h1_cardio_conference_count" value="0">
<input type="hidden" name="absi_camp_count" value="0">
@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 $question)
<div class="col-md-12 mb-2">
<label for="field-{{$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)?$question->value:''}}</textarea>
@break
@case('dropdown')
<select class="form-control" {!!($question->code
== 'contact_id')?'data-toggle="select2"':'' !!} id="field-{{ $question->code }}" name="{{ $question->code }}" {{ $question->required == 'yes' ? 'required' : '' }}>
<option value=""> -- Select -- </option>
@foreach ($question->options as $option)
@if($question->code == 'contact_id' && isset($option->contact->type) && $option->contact->type == 'doctor' )
<option value="{{ $option->value }}"
@if(isset($question->value) && $question->value == $option->value) selected @endif
@if($question->code == 'contact_id')
msl_code="{{ (isset($option->contact->msl_code) ? $option->contact->msl_code : '') }}"
speciality="{{ (isset($option->contact->speciality) ? $option->contact->speciality : '') }}"
lead_recieved="{{ (isset($option->contact->sankalp_lead_received_penvial) ? $option->contact->sankalp_lead_received_penvial : '') }}"
lead_enrolled="{{ (isset($option->contact->sankalp_lead_enrolled_penvial) ? $option->contact->sankalp_lead_enrolled_penvial : '') }}"
pmos_dr="{{ (isset($option->contact->pmos_dr) ? $option->contact->pmos_dr : '') }}"
qbs_dr="{{ (isset($option->contact->qbs_dr) ? $option->contact->qbs_dr : '') }}"
adboard_dr="{{ (isset($option->contact->adboard_dr) ? $option->contact->adboard_dr : '') }}"
fb_live_dr="{{ (isset($option->contact->fb_live_dr) ? $option->contact->fb_live_dr : '') }}"
ecme_dr="{{ (isset($option->contact->ecme_dr) ? $option->contact->ecme_dr : '') }}"
rtm_dr="{{ (isset($option->contact->rtm_dr) ? $option->contact->rtm_dr : '') }}"
absi_camp="{{ (isset($option->contact->absi_camp) ? $option->contact->absi_camp : '') }}"
h1_cardio_conference="{{ (isset($option->contact->h1_cardio_conference) ? $option->contact->h1_cardio_conference : '') }}"
@endif
>
{{ $option->display }}
</option>
@elseif($question->code != 'contact_id')
<option value="{{ $option->value }}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'pcode= ' . (isset($option->contact->pcode)?$option->contact->pcode:'') . ' ' : '' }} {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'speciality= ' . (isset($option->contact->speciality) ? $option->contact->speciality :'') . ' ' : '' }} >
{{ $option->display }}
</option>
@endif
@endforeach
{{-- @if($question->code=='contact_id')
<option value="others" {{ isset($question->value) && $question->value == 'others' ? 'selected' : '' }}>Others</option>
@endif --}}
</select>
@break
@case('checkbox')
@foreach($question->options as $option)
<div class="form-check mb-2 form-check-primary">
<input class="form-check-input" type="checkbox" id="field-{{$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">
@foreach($question->options as $option)
<div class="col-6">{{$option->display}}</div>
<div class="col-6 mb-1">
<input type="number" id="field-{{$option->value}}" name="{{$option->value}}" class="form-control" required value="{{isset($option->val)?$option->val:0}}">
</div>
@endforeach
</div>
@break
@case('time')
<input type="time"
id="field-{{$question->code}}"
name="{{$question->code}}"
class="form-control"
{{$question->required == 'yes' ? 'required' : ''}}
value="{{isset($question->value) ? $question->value : ''}}">
@break
@endswitch
</div>
@endforeach
@if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes' ) )
<div class="text-center d-grid mt-3">
<button class="btn btn-primary" type="submit" id="submit-btn"> Submit </button>
</div>
@endif
</form>
</div> <!-- end card-body -->
</div>
<!-- end card -->
<!-- end row -->
</div> <!-- end col -->
</div>
<!-- end row -->
</div>
<!-- end container -->
</div>
<!-- end page -->
<style type="text/css">
#pageloader {
background: rgba( 255, 255, 255, 0.8 );
display: none;
height: 100%;
position: fixed;
width: 100%;
z-index: 9999;
}
#pageloader img {
left: 50%;
margin-left: -32px;
margin-top: -32px;
position: absolute;
top: 50%;
}
</style>
@include('layouts.shared/footer-script')
<script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
<script src="{{ asset('assets/libs/select2/select2.min.js') }}"></script>
<script type="text/javascript">
jQuery(document).ready(function($){
$('[data-toggle="select2"]').select2();
$('#field-user_id').change(function(){
let hierarchy = $('option:selected', this).attr('hierarchy');
$('#field-hierarchy_id').val(hierarchy)
event.preventDefault();
$("#pageloader").fadeIn();
$.ajax({
type: "GET",
url: '/form/getdoctorlist?partition={{$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) {
let absiCamp = itm.contact.absi_camp;
console.log("Doctor:", itm.display);
console.log("ABSI from API:", absiCamp);
$('#field-contact_id').append(
$("<option></option>")
.attr("value", itm.value)
.text(itm.display)
.attr("msl_code", itm.contact.msl_code || '')
.attr("speciality", itm.contact.speciality || '')
.attr("absi_camp", absiCamp || '')
);
}
$('#field-contact_id').change(function() {
$('#field-msl_code').val($('option:selected', this).attr('msl_code'))
})
$('#field-contact_id').change(function() {
$('#field-speciality').val($('option:selected', this).attr('speciality'))
})
},
});
console.log(hierarchy)
})
$('#field-contact_id').change(function() {
$('#field-speciality').val($('option:selected', this).attr('speciality'))
})
$('#field-contact_id').change(function() {
$('#field-msl_code').val($('option:selected', this).attr('msl_code'))
})
$('#field-contact_id').change(function() {
$('#field-sankalp_lead_received_penvial').val($('option:selected', this).attr('lead_recieved'))
})
$('#field-contact_id').change(function() {
$('#field-sankalp_lead_enrolled_penvial').val($('option:selected', this).attr('lead_enrolled'))
})
$('#field-contact_id').change(function() {
$('#field-pmos_dr').val($('option:selected', this).attr('pmos_dr'))
})
$('#field-contact_id').change(function() {
$('#field-qbs_dr').val($('option:selected', this).attr('qbs_dr'))
})
$('#field-contact_id').change(function() {
$('#field-adboard_dr').val($('option:selected', this).attr('adboard_dr'))
})
$('#field-contact_id').change(function() {
$('#field-fb_live_dr').val($('option:selected', this).attr('fb_live_dr'))
})
$('#field-contact_id').change(function() {
$('#field-ecme_dr').val($('option:selected', this).attr('ecme_dr'))
})
$('#field-contact_id').change(function() {
$('#field-rtm_dr').val($('option:selected', this).attr('rtm_dr'))
})
$('#field-contact_id').change(function() {
const selectedDoctor = $('option:selected', this);
let absiCamp = selectedDoctor.attr('absi_camp') || '';
console.log("Selected doctor:", selectedDoctor.text());
console.log("ABSI attribute:", absiCamp);
// Convert 1/0 to Yes/No if required
if (absiCamp == 1 || absiCamp === '1') {
absiCamp = 'Yes';
}
else if (absiCamp == 0 || absiCamp === '0') {
absiCamp = 'No';
}
$('#field-absi_camp').val(absiCamp);
// This will show/hide No of Patients Screened
toggleAbsiPatientsField();
});
$('#field-contact_id').change(function() {
$('#field-h1_cardio_conference').val(
$('option:selected', this).attr('h1_cardio_conference') || ''
);
});
$('#field-sankalp_lead_received_penvial').on('change',function(){
let value=$(this).val();
if(value=='Yes'){
$('#report-form').append('<input type="hidden" name="sankalp_lead_received" value="1">')
}
})
$('#field-sankalp_lead_enrolled_penvial').on('change',function(){
let value=$(this).val();
if(value=='Yes'){
$('#report-form').append('<input type="hidden" name="sankalp_lead_enrolled" value="1">')
}
})
$('#field-pmos_dr').on('change',function(){
let value=$(this).val();
if(value=='Yes'){
$('#report-form').append('<input type="hidden" name="pmos_dr_count" value="1">')
}
})
$('#field-qbs_dr').on('change',function(){
let value=$(this).val();
if(value=='Yes'){
$('#report-form').append('<input type="hidden" name="qbs_dr_count" value="1">')
}
})
$('#field-adboard_dr').on('change',function(){
let value=$(this).val();
if(value=='Yes'){
$('#report-form').append('<input type="hidden" name="adboard_dr_count" value="1">')
}
})
$('#field-fb_live_dr').on('change',function(){
let value=$(this).val();
if(value=='Yes'){
$('#report-form').append('<input type="hidden" name="fb_live_dr_count" value="1">')
}
})
$('#field-ecme_dr').on('change',function(){
let value=$(this).val();
if(value=='Yes'){
$('#report-form').append('<input type="hidden" name="ecme_dr_count" value="1">')
}
})
$('#field-rtm_dr').on('change',function(){
let value=$(this).val();
if(value=='Yes'){
$('#report-form').append('<input type="hidden" name="rtm_dr_count" value="1">')
}
})
$('#field-absi_camp').on('change', function(){
let value = $(this).val();
if(value == 'Yes'){
$('#report-form input[name="absi_camp_count"]').val(1);
} else {
$('#report-form input[name="absi_camp_count"]').val(0);
}
toggleAbsiPatientsField();
});
$('#field-h1_cardio_conference').on('change',function(){
let value=$(this).val();
if(value=='Yes'){
$('#report-form').append('<input type="hidden" name="h1_cardio_conference_count" value="1">')
}
})
$('#field-msl_code,#field-speciality').attr('readonly',true);
const glipiFields = [
'#field-pen_rx_count','#field-vial_rx_count','#field-pen_pob_units',
'#field-vial_pob_units','#field-sankalp_lead_received_penvial',
'#field-pmos_dr','#field-qbs_dr','#field-adboard_dr',
'#field-fb_live_dr','#field-ecme_dr','#field-rtm_dr','#field-absi_camp','#field-h1_cardio_conference',
'#field-sankalp_lead_enrolled_penvial','#field-upload_glipiq_rxn'
].join(',');
const sitazitFields = [
'#field-rx_count','#field-pob_units','#field-brand_sku', '#field-upload_sitazit_rxn'
].join(',');
function toggleFields(selector, show) {
$(selector).parent().toggle(show);
$(selector).prop('required', show);
}
function toggleAbsiPatientsField() {
let absiCamp = $('#field-absi_camp').val();
const brand = $('#field-select_brand').val();
// Convert stored 1/0 values to Yes/No
if (absiCamp == 1 || absiCamp === '1') {
absiCamp = 'Yes';
$('#field-absi_camp').val('Yes');
}
else if (absiCamp == 0 || absiCamp === '0') {
absiCamp = 'No';
$('#field-absi_camp').val('No');
}
const $patientsField = $('#field-no_of_patients_screened');
const $patientsWrapper = $patientsField.closest('.col-md-12');
console.log("Brand:", brand);
console.log("ABSI:", absiCamp);
if (brand === 'Glipiq' && absiCamp === 'Yes') {
$patientsWrapper.show();
$patientsField.prop('required', true);
} else {
$patientsField.val('');
$patientsWrapper.hide();
$patientsField.prop('required', false);
}
}
// Initial hide
toggleFields(glipiFields, false);
toggleFields(sitazitFields, false);
$('#field-no_of_patients_screened').parent().hide();
$('#field-no_of_patients_screened').prop('required', false);
$('#field-select_brand').on('change', function () {
const brand = $(this).val();
console.log("Brand is :",brand);
toggleFields(glipiFields, brand === 'Glipiq');
toggleFields(sitazitFields, brand === 'Sitazit');
toggleAbsiPatientsField();
if(brand==='Glipiq'){
/* $('#report-form').append('<input type="hidden" name="glipiq_rx_total" value="0" >');
$('#report-form').append('<input type="hidden" name="glipiq_pob_total" value="0" >');
$('#report-form').append('<input type="hidden" name="glipiq_new_conversion" value="0" >');
$('#report-form').append('<input type="hidden" name="glipiq_existing_conversion" value="0" >'); */
$('#field-conversion_status').on('change',function(){
let value=$(this).val();
if(value==='New Conversion'){
$('#report-form input[name="glipiq_new_conversion"]').val(1);
}
else if(value==='Existing Prescriber'){
$('#report-form input[name="glipiq_existing_conversion"]').val(1);
}
else{
$('#report-form input[name="glipiq_new_conversion"]').val(0);
$('#report-form input[name="glipiq_existing_conversion"]').val(0);
}
});
}
else if(brand==='Sitazit'){
/* $('#report-form').append('<input type="hidden" name="sitazit_new_conversion">');
$('#report-form').append('<input type="hidden" name="sitazit_existing_conversion">'); */
$('#field-sankalp_lead_received_penvial').val("")
$('#field-sankalp_lead_enrolled_penvial').val("")
$('#field-pmos_dr').val("")
$('#field-qbs_dr').val("")
$('#field-adboard_dr').val("")
$('#field-fb_live_dr').val("")
$('#field-ecme_dr').val("")
$('#field-rtm_dr').val("")
$('#field-absi_camp').val("");
$('#field-h1_cardio_conference').val("");
toggleAbsiPatientsField();
$('#report-form input[name="glipiq_new_conversion"]').val(0);
$('#report-form input[name="glipiq_existing_conversion"]').val(0);
$('#report-form input[name="glipiq_rx_total"]').val(0);
$('#report-form input[name="glipiq_pob_total"]').val(0);
$('#field-conversion_status').on('change',function(){
let value=$(this).val();
if(value==='New Conversion'){
$('#report-form input[name="sitazit_new_conversion"]').val(1);
$('#report-form input[name="glipiq_new_conversion"]').val(0);
$('#report-form input[name="glipiq_existing_conversion"]').val(0);
}
else if(value==='Existing Prescriber'){
$('#report-form input[name="sitazit_existing_conversion"]').val(1);
$('#report-form input[name="glipiq_new_conversion"]').val(0);
$('#report-form input[name="glipiq_existing_conversion"]').val(0);
}
else{
$('#report-form input[name="sitazit_new_conversion"]').val(0);
$('#report-form input[name="sitazit_existing_conversion"]').val(0);
$('#report-form input[name="glipiq_new_conversion"]').val(0);
$('#report-form input[name="glipiq_existing_conversion"]').val(0);
}
});
}
else{
$('#report-form input[name="glipiq_new_conversion"]').val(0);
$('#report-form input[name="glipiq_existing_conversion"]').val(0);
$('#report-form input[name="sitazit_new_conversion"]').val(0);
$('#report-form input[name="sitazit_existing_conversion"]').val(0);
}
})
$('#field-pen_rx_count,#field-vial_rx_count,#field-pen_pob_units,#field-vial_pob_units').on('change',function(){
let pen_rx=parseInt($('#field-pen_rx_count').val())||0;
let viral_rx=parseInt($('#field-vial_rx_count').val())||0;
let pen_pob=parseInt($('#field-pen_pob_units').val())||0;
let viral_pob=parseInt($('#field-vial_pob_units').val())||0;
console.log("pen & viral :",pen_rx,viral_rx);
console.log("pen & viral :",pen_pob,viral_pob);
let total_rx=pen_rx+viral_rx;
let total_pob=pen_pob+viral_pob;
$('#report-form input[name="glipiq_rx_total"]').val(total_rx);
$('#report-form input[name="glipiq_pob_total"]').val(total_pob);
console.log("Total RX :", total_rx);
console.log("Total POB :", total_pob);
})
$('#field-file_upload, #field-upload_sitazit_rxn, #field-upload_glipiq_rxn').on('change', function () {
let file = this.files[0];
if (file) {
let allowedTypes = [
'application/pdf',
'image/png',
'image/jpeg'
];
let maxSize = 10 * 1024 * 1024; // 10 MB
if (!allowedTypes.includes(file.type)) {
alert('Only PDF, PNG, JPG and JPEG files are allowed.');
$(this).val('');
return;
}
if (file.size > maxSize) {
alert('File size should not exceed 10 MB.');
$(this).val('');
return;
}
}
});
$(document).ready(function () {
$('#field-contact_id').trigger('change');
});
$('#field-city,#field-state,#field-departmental_head_name').on('input', function () {
this.value = this.value.replace(/[^a-zA-Z\s]/g, '');
});
let sku_brand_maps = [
{sku_code:'sitazit', brand:'SITAZIT', sku:'Sitazit', material_code:'421112261'},
{sku_code:'sitazit_dm', brand:'SITAZIT', sku:'Sitazit DM', material_code:'421112413'},
{sku_code:'sitazit_d', brand:'SITAZIT', sku:'Sitazit D', material_code:'421112413'},
{sku_code:'sitazit_m', brand:'SITAZIT', sku:'Sitazit M', material_code:'421112413'},
{sku_code:'sitazit_trio', brand:'SITAZIT', sku:'Sitazit Trio', material_code:'421112413'},
]
$(document).ready(function () {
$('#field-select_brand').trigger('change');
});
// =====================================================
// FETCH PREVIOUS SUBMISSION FOR SELECTED DOCTOR
// ONLY FOR THIS FORM
// =====================================================
const targetFormId = '1788239728-6f7f3c27-c5dc-4e6e-a042-aefd5681af3a';
$('#field-contact_id').on('change.previousData', function () {
const currentFormId = $('input[name="form_id"]').val();
// Run only for this form
if (currentFormId !== targetFormId) {
return;
}
const doctorId = $(this).val();
if (!doctorId) {
return;
}
const userId = $('#field-user_id').val();
const partition = '{{ $form->partition }}';
if (!userId) {
return;
}
$("#pageloader").fadeIn();
$.ajax({
type: "POST",
url: "/form/getformfielddata",
data: {
_token: $('input[name="_token"]').val(),
form_id: targetFormId,
user_id: userId,
partition: partition,
// We are NOT looking for a particular date.
// We want all previous submissions.
record_date: ''
},
success: function (response) {
$("#pageloader").fadeOut();
if (
!response.submissions ||
!Array.isArray(response.submissions)
) {
return;
}
// ==========================================
// FIND PREVIOUS SUBMISSIONS FOR THIS DOCTOR
// ==========================================
const doctorSubmissions = response.submissions.filter(function (submission) {
if (!submission.formdata) {
return false;
}
return String(submission.formdata.contact_id || '') === String(doctorId);
});
if (doctorSubmissions.length === 0) {
// No previous data for this doctor
return;
}
// ==========================================
// GET LATEST SUBMISSION
// ==========================================
doctorSubmissions.sort(function (a, b) {
const dateA = new Date(
a.updatedAt || a.createdAt || 0
);
const dateB = new Date(
b.updatedAt || b.createdAt || 0
);
return dateB - dateA;
});
const previousData = doctorSubmissions[0].formdata;
// ==========================================
// AUTO POPULATE ALL PREVIOUS FIELDS
// ==========================================
Object.keys(previousData).forEach(function (fieldCode) {
const field = $('#field-' + fieldCode);
if (!field.length) {
return;
}
// Don't change the selected doctor
if (fieldCode === 'contact_id') {
return;
}
// Doctor contact attribute is the source of truth
if (fieldCode === 'absi_camp' || fieldCode === 'h1_cardio_conference') {
return;
}
// Don't populate file inputs
if (field.attr('type') === 'file') {
return;
}
const value = previousData[fieldCode];
if (value === null || value === undefined) {
return;
}
field.val(value);
// Important for dropdowns such as Select Brand
field.trigger('change');
});
},
error: function (xhr) {
$("#pageloader").fadeOut();
console.log(
"Failed to fetch previous submission:",
xhr.responseText
);
}
});
});
$('#report-form').on('submit', function(event){
event.preventDefault();
const formData = new FormData($('#report-form')[0]);
// Log form data to console
for (let [key, value] of formData.entries()) {
console.log(key, value);
}
$("#pageloader").fadeIn();
if ($('#field-select_brand').val() === 'Sitazit') {
$('#report-form').append(
'<input type="hidden" name="' + $('#field-brand_sku').val() + '_rx_count" value="' + $('#field-rx_count').val() + '">'
);
$('#report-form').append(
'<input type="hidden" name="' + $('#field-brand_sku').val() + '_pob_units" value="' + $('#field-pob_units').val() + '">'
);
let sku_brand_map = sku_brand_maps.find(
sb => sb.sku_code === $('#field-brand_sku').val()
);
if (sku_brand_map) {
$('#report-form').append(
'<input type="hidden" name="sku_name" value="' + sku_brand_map.sku + '">'
);
}
let lead_recieved=$('#field-sankalp_lead_received_penvial').val();
if(lead_recieved==="Yes"){
$('#report-form input[name="sankalp_lead_recieved"]').val(1);
}
}
$.ajax({
type: "POST",
url: '/form/ajaxsubmit',
data: new FormData($('#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'
}).then(() => {
location.reload(); // 🔥 page refresh here
});
$('#report-form').trigger("reset");
} else {
Swal.fire({
icon: 'error',
title: 'Data not submitted',
text: '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('min', "2026-08-01");
plandateField.setAttribute('max', today);
$('#field-record_date').on('change', function () {
var selectedDate = $(this).val();
if (selectedDate > today) {
alert('Record date cannot be greater than today.');
$(this).val('');
return false;
}
});
});
</script>
</body>
</html>