403 lines
21 KiB
PHP
403 lines
21 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
|
|
|
|
@php
|
|
$submissions = Formhelper::getMultiformData($form->partition, $form_id, $form->user_id);
|
|
$submissions = isset($submissions->data->submissions) ? $submissions->data->submissions : [];
|
|
@endphp
|
|
|
|
@if(count($submissions) <= 4)
|
|
<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
|
|
@if($id)
|
|
<input type="hidden" name="id" value="{{$id}}">
|
|
@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" id="field-{{ $question->code }}" name="{{ $question->code }}" data-preselected="{{ isset($question->value) ? (string)$question->value : '' }}" {{ $question->required == 'yes' ? 'required' : '' }}>
|
|
<option value=""> -- Select -- </option>
|
|
@foreach ($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->legacy_code) ? $option->contact->legacy_code : '') }}"
|
|
speciality="{{ (isset($option->contact->speciality) ? $option->contact->speciality : '') }}"
|
|
@endif
|
|
>
|
|
{{ $option->display }}
|
|
</option>
|
|
@elseif($question->code != 'contact_id')
|
|
<option value="{{ $option->value }}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>
|
|
{{ $option->display }}
|
|
</option>
|
|
@endif
|
|
@endforeach
|
|
</select>
|
|
@break
|
|
@case('checkbox')
|
|
@foreach($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, (array)$question->value) ? 'checked':''}}>
|
|
<label class="form-check-label" for="field-{{$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) && $form->is_approval != 'yes' ) )
|
|
<div class="text-center d-grid mt-3">
|
|
<button class="btn btn-primary" type="submit" id="submit-btn"> Submit </button>
|
|
</div>
|
|
@endif
|
|
</form>
|
|
@else
|
|
<div class="alert alert-danger">You have already submitted 5 Doctors <div>
|
|
@endif
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<style type="text/css">
|
|
#pageloader {
|
|
background: rgba( 255, 255, 255, 0.8 );
|
|
display: none;
|
|
height: 100%;
|
|
position: fixed;
|
|
width: 100%;
|
|
z-index: 9999;
|
|
}
|
|
#pageloader img {
|
|
left: 50%;
|
|
margin-left: -32px;
|
|
margin-top: -32px;
|
|
position: absolute;
|
|
top: 50%;
|
|
}
|
|
</style>
|
|
@include('layouts.shared/footer-script')
|
|
<script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
|
|
<script src="{{ asset('assets/libs/select2/select2.min.js') }}"></script>
|
|
<script type="text/javascript">
|
|
jQuery(document).ready(function($){
|
|
$('[data-toggle="select2"]').select2();
|
|
var hierarcies = [];
|
|
var contacts = [];
|
|
|
|
|
|
var allSubmissions = @json($submissions ?? []);
|
|
var currentEditId = '{{ $id ?? '' }}';
|
|
var submittedDoctors = [];
|
|
|
|
$('#field-msl_code,#field-speciality').prop('readonly', true);
|
|
|
|
if (Array.isArray(allSubmissions)) {
|
|
allSubmissions.forEach(function(sub) {
|
|
if (currentEditId && sub.id && String(sub.id) === String(currentEditId)) {
|
|
return;
|
|
}
|
|
if (sub && sub.formdata) {
|
|
if (sub.formdata.contact_id) {
|
|
submittedDoctors.push(String(sub.formdata.contact_id).trim().toLowerCase());
|
|
}
|
|
if (sub.formdata.cont_id) {
|
|
submittedDoctors.push(String(sub.formdata.cont_id).trim().toLowerCase());
|
|
}
|
|
}
|
|
});
|
|
}
|
|
|
|
@if(isset($form->manager_can_submit) && $form->manager_can_submit == true)
|
|
@foreach($form->users as $option)
|
|
hierarcies.push('{{$option->hierarchy_id}}');
|
|
@endforeach
|
|
$("#pageloader").fadeIn();
|
|
Promise.all(
|
|
hierarcies.map(hierarchy => {
|
|
return $.ajax({
|
|
type: "GET",
|
|
url: '/form/getdoctorlist?partition={{$form->partition}}&hierarchy=' + hierarchy,
|
|
processData: false,
|
|
contentType: false
|
|
}).then(data => {
|
|
contacts = contacts.concat(data);
|
|
}).catch(function(err) {
|
|
console.log(err);
|
|
});
|
|
})
|
|
).then(function() {
|
|
contacts = contacts.filter(function(itm) { return itm && itm.value !== 'sample'; });
|
|
|
|
function applySelect2ToDoctorDropdowns() {
|
|
$("[id^='field-contact_id']").each(function () {
|
|
var select = $(this);
|
|
if (select.data("select2")) return;
|
|
select.select2({
|
|
width: "100%",
|
|
placeholder: "-- Select --",
|
|
allowClear: true
|
|
});
|
|
});
|
|
}
|
|
|
|
function enforceUniqueDoctorSelections() {
|
|
var selectedValues = [];
|
|
|
|
$("[id^='field-contact_id']").each(function () {
|
|
var v = $(this).val();
|
|
if (v) selectedValues.push(String(v));
|
|
});
|
|
|
|
$("[id^='field-contact_id']").each(function () {
|
|
var currentSelect = $(this);
|
|
var currentVal = currentSelect.val() ? String(currentSelect.val()) : "";
|
|
|
|
currentSelect.find("option").each(function () {
|
|
var opt = $(this);
|
|
var optVal = String(opt.val() || '');
|
|
var optText = opt.text();
|
|
|
|
if (optText.indexOf("Already Added") !== -1) {
|
|
opt.prop("disabled", true);
|
|
} else if (optVal && selectedValues.includes(optVal) && optVal !== currentVal) {
|
|
opt.prop("disabled", true);
|
|
} else {
|
|
opt.prop("disabled", false);
|
|
}
|
|
});
|
|
|
|
if (currentSelect.data("select2")) {
|
|
currentSelect.trigger("change.select2");
|
|
}
|
|
});
|
|
}
|
|
|
|
$("[id^='field-contact_id']").each(function() {
|
|
var select = $(this);
|
|
var existingVal = select.attr('data-preselected') !== undefined && select.attr('data-preselected') !== ''
|
|
? String(select.attr('data-preselected'))
|
|
: (select.val() ? String(select.val()) : '');
|
|
|
|
select.empty();
|
|
select.append($("<option></option>").attr("value", '').text('-- Select --'));
|
|
|
|
contacts.forEach(function(itm) {
|
|
var itmVal = String(itm.value);
|
|
var itmText = String(itm.display);
|
|
|
|
var valCheck = itmVal.trim().toLowerCase();
|
|
var textCheck = itmText.trim().toLowerCase();
|
|
|
|
var isAlreadySubmitted = submittedDoctors.includes(valCheck) || submittedDoctors.includes(textCheck);
|
|
var isCurrentSelected = (existingVal !== '' && (existingVal.toLowerCase() === valCheck || existingVal.toLowerCase() === textCheck));
|
|
|
|
var displayText = itmText;
|
|
var isDisabled = false;
|
|
|
|
if (isAlreadySubmitted && !isCurrentSelected) {
|
|
displayText += " - Already Added";
|
|
isDisabled = true;
|
|
}
|
|
|
|
var option = $("<option></option>")
|
|
.attr("value", itm.value)
|
|
.text(displayText)
|
|
.prop("disabled", isDisabled);
|
|
|
|
if (itm.contact && itm.contact.msl_code) {
|
|
option.attr("msl_code", itm.contact.msl_code);
|
|
}
|
|
if (itm.contact && itm.contact.speciality) {
|
|
option.attr("speciality", itm.contact.speciality);
|
|
}
|
|
|
|
if (isCurrentSelected) {
|
|
option.prop('selected', true);
|
|
}
|
|
|
|
select.append(option);
|
|
});
|
|
|
|
if (existingVal) {
|
|
select.val(existingVal);
|
|
}
|
|
|
|
select.off('change').on('change', function () {
|
|
var selected = $(this).find(':selected');
|
|
var selectId = $(this).attr('id');
|
|
var match = selectId.match(/^field-contact_id(_\d+)?$/);
|
|
var suffix = match && match[1] ? match[1] : '';
|
|
|
|
var mslCodeField = $('#field-msl_code' + suffix);
|
|
var specialityField = $('#field-speciality' + suffix);
|
|
|
|
if (mslCodeField.length) {
|
|
mslCodeField.val(selected.attr('msl_code') || '');
|
|
}
|
|
if (specialityField.length) {
|
|
specialityField.val(selected.attr('speciality') || '');
|
|
}
|
|
|
|
enforceUniqueDoctorSelections();
|
|
});
|
|
});
|
|
|
|
applySelect2ToDoctorDropdowns();
|
|
|
|
$("[id^='field-contact_id']").each(function() {
|
|
var select = $(this);
|
|
var preVal = select.attr('data-preselected');
|
|
if (preVal) {
|
|
select.val(String(preVal)).trigger('change');
|
|
}
|
|
});
|
|
|
|
enforceUniqueDoctorSelections();
|
|
$("#pageloader").fadeOut();
|
|
});
|
|
@endif
|
|
|
|
$('#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'
|
|
}).then(() => {
|
|
location.reload();
|
|
});
|
|
$('#report-form').trigger("reset");
|
|
} else {
|
|
Swal.fire({
|
|
icon: 'error',
|
|
title: 'Data not submitted',
|
|
text: 'Something went wrong, please try again after some time!'
|
|
});
|
|
}
|
|
},
|
|
error: function() {
|
|
$("#pageloader").fadeOut();
|
|
Swal.fire({
|
|
icon: 'error',
|
|
title: 'Server Error',
|
|
text: 'An unexpected error occurred. Please try again.'
|
|
});
|
|
}
|
|
});
|
|
});
|
|
|
|
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');
|
|
if(plandateField) {
|
|
plandateField.setAttribute('min', "2026-11-01");
|
|
plandateField.setAttribute('max', today);
|
|
}
|
|
});
|
|
</script>
|
|
</body>
|
|
</html> |