416 lines
24 KiB
PHP
416 lines
24 KiB
PHP
<!DOCTYPE html>
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<html lang="en">
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<head>
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@include('layouts.shared/title-meta', ['title' => 'Form'])
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@include('layouts.shared/head-css', ['mode' => $mode ?? '', 'demo' => $demo ?? ''])
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<link href="{{ asset('assets/libs/sweetalert2/sweetalert2.min.css') }}" rel="stylesheet" type="text/css" />
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</head>
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<div id="pageloader">
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<img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
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</div>
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<body class="loading">
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<div class="account-pages">
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<div class="container">
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<div class="row justify-content-center">
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<div class="col-md-8 col-lg-6 col-xl-5 p-0">
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<div class="card bg-pattern">
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<div class="card-body p-3 row">
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@if (Session::has('error'))
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<div class="alert alert-danger">{{ Session::get('error') }}</div>
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<br>
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@endif
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@if (session('success'))
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<div class=" alert alert-success">{{ session('success') }}
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</div>
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<br>
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@endif
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<div class="col-8">
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<h4 class="page-title">{{ $form->title }}</h4>
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</div>
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@if (!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes'))
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<div class="col-4">
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@if ($form->link_type == 'form')
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<a href="/form/history" class="float-end pt-1">View History</a>
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@else
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<a href="{{ url()->previous() }}" class="float-end pt-1">Back</a>
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@endif
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</div>
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@endif
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@if (isset($form->user_info))
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<div class="col-12">
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<h6>Submitted By: {{ $form->user_info->name }}</h6>
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</div>
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@endif
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<form method="POST" action="/form/submit" id="report-form" enctype="multipart/form-data">
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<input type="hidden" name="form_id" value="{{ $form_id }}">
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@csrf
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@if ($id)
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<input type="hidden" name="id" value="{{ $id }}">
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@endif
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@if (isset($form->manager_can_submit) && $form->manager_can_submit == true)
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<div class="col-md-12 mb-2">
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<label for="field-user_id" class="form-label"> Select User / Territory <span
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class="text-danger">*</span> </label>
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<select class="form-control" id="field-user_id" name="user_id" required>
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<option value=""> -- Select -- </option>
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@foreach ($form->users as $option)
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<option value="{{ $option->value }}"
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hierarchy="{{ $option->hierarchy_id }}"
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{{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>
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{{ $option->display }}</option>
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@endforeach
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</select>
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<input type="hidden" id="field-hierarchy_id" name="hierarchy_id"
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value="">
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</div>
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@endif
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@php
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$history = Formhelper::getMultiformData(
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$form->partition,
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'1756354787-47cecdc2-8df4-4b7c-adbe-e579dcb42b13',
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$form->user_id,
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);
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// echo '<pre>';
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// print_r($history->data->submissions);
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// exit;
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@endphp
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@foreach ($questions as $question)
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<div class="col-md-12 mb-2">
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<label for="field-{{ $question->code }}"
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class="form-label">{{ $question->question }} {!! $question->required == 'yes' ? '<span class="text-danger">*</span>' : '' !!}
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</label>
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@switch($question->type)
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@case('hidden')
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<input type="{{ $question->type }}" id="field-{{ $question->code }}"
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name="{{ $question->code }}"
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value="{{ isset($question->value) ? $question->value : '' }}">
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@break
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@case('text')
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@case('email')
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@case('tel')
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@case('date')
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<input type="{{ $question->type }}" id="field-{{ $question->code }}"
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name="{{ $question->code }}" class="form-control"
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{{ $question->required == 'yes' ? 'required' : '' }}
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value="{{ isset($question->value) ? $question->value : '' }}">
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@break
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@case('number')
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<input type="{{ $question->type }}" min="0" max="9999999999"
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step="1" id="field-{{ $question->code }}"
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name="{{ $question->code }}" class="form-control"
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{{ $question->required == 'yes' ? 'required' : '' }}
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value="{{ isset($question->value) ? $question->value : 0 }}">
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@break
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@case('textarea')
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<textarea id="field-{{ $question->code }}" name="{{ $question->code }}" class="form-control"
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{{ $question->required == 'yes' ? 'required' : '' }}>{{ isset($question->value) ? $question->value : '' }}</textarea>
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@break
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@case('dropdown')
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@if ($question->code == 'contact_id')
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@php
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$allowedContacts = [];
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if (!empty($history->data->submissions)) {
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foreach ($history->data->submissions as $submission) {
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$formdata = $submission->formdata ?? null;
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if ($formdata) {
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// Case 1: Regular contact exists
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if (!empty($formdata->cont_id) && !empty($submission->contacts)) {
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foreach ($submission->contacts as $contact) {
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if ($contact->id == $formdata->cont_id) {
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$allowedContacts[$contact->id] = $contact;
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}
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}
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}
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// Case 2: Other doctor (no cont_id)
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if (empty($formdata->cont_id) && !empty($formdata->other_doctor_name)) {
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$tempContact = new stdClass();
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$tempContact->id = $formdata->other_doctor_name; // use name as value
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$tempContact->name = $formdata->other_doctor_name;
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$tempContact->msl_code = $formdata->msl_code ?? '';
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$tempContact->speciality = '';
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$allowedContacts[$formdata->other_doctor_name] = $tempContact;
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}
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}
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}
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}
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@endphp
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<select class="form-control" id="field-{{ $question->code }}"
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name="{{ $question->code }}"
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{{ $question->required == 'yes' ? 'required' : '' }}>
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<option value=""> -- Select -- </option>
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@foreach ($allowedContacts as $contact)
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<option value="{{ $contact->id }}"
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{{ (isset($question->value) && $question->value == $contact->id) ? 'selected' : '' }}
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data-msl_code="{{ $contact->msl_code ?? '' }}"
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data-speciality="{{ $contact->speciality ?? '' }}">
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{{ $contact->name }}
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</option>
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@endforeach
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</select>
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@else
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<select class="form-control" id="field-{{ $question->code }}"
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name="{{ $question->code }}"
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{{ $question->required == 'yes' ? 'required' : '' }}>
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<option value=""> -- Select -- </option>
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@foreach ($question->options as $option)
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<option value="{{ $option->value }}"
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{{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>
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{{ $option->display }}</option>
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@endforeach
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</select>
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@endif
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@break
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@case('radio')
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@foreach ($question->options as $option)
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<div class="form-check mb-2 form-check-success">
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<input class="form-check-input" type="radio"
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name="{{ $question->code }}"
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id="field-{{ $question->code }}_{{ $option->value }}"
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value="{{ $option->value }}">
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<label class="form-check-label"
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for="field-{{ $question->code }}_{{ $option->value }}">{{ $option->display }}</label>
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</div>
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@endforeach
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@break
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@case('radiometrix')
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@php
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// Decode the first option's value to use as heading labels
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$headings =
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count($question->options) > 0
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? json_decode($question->options[0]->value)
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: [];
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@endphp
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{{-- Matrix Wrapper with Horizontal Scroll on Small Screens --}}
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<div class="table-responsive">
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<div class="d-table w-100">
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{{-- Table Headers --}}
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<div class="d-table-row font-weight-bold">
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<div class="d-table-cell p-2" style="width: 150px;"></div>
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{{-- Placeholder for row labels --}}
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@foreach ($headings as $head)
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<div class="d-table-cell text-center p-2">{{ $head }}
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</div>
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@endforeach
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</div>
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{{-- Table Rows --}}
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@foreach ($question->options as $option)
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@php $nn = json_decode($option->value); @endphp
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<div class="d-table-row align-middle">
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<div class="d-table-cell font-weight-bold p-2"
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style="width: 150px;">
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{{ $option->display }}
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</div>
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@foreach ($nn as $value)
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<div class="d-table-cell text-center p-2">
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<input type="radio"
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id="field-{{ $option->display }}-{{ $value }}"
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name="{{ $question->code }}[{{ $option->display }}]"
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value="{{ $value }}"
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class="form-check-input"
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{{ isset($question->display) && $option->display != $option->display ? 'checked' : '' }}>
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</div>
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@endforeach
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</div>
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@endforeach
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</div>
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</div>
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@break
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@case('checkbox')
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@foreach ($question->options as $option)
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<div class="form-check mb-2 form-check-primary ms-2">
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<input class="form-check-input" type="checkbox"
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id="field-{{ $question->code }}-{{ $option->value }}"
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name="{{ $question->code }}[]" value="{{ $option->value }}"
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{{ isset($question->value) && $question->value != '' && in_array($option->value, $question->value) ? 'checked' : '' }}>
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<label class="form-check-label"
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for="field-{{ $question->code }}-{{ $option->value }}">{{ $option->display }}</label>
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</div>
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@endforeach
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@break
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@case('file')
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@if (!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes'))
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<input type="file" id="field-{{ $question->code }}"
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name="{{ $question->code }}" class="form-control" value=""
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{{ $question->required == 'yes' ? 'required' : '' }}>
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@elseif(isset($question->value))
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<img src="{{ $question->value }}" class="img-fluid">
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@endif
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@break
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@case('multitextbox')
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<div class="row">
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@foreach ($question->options as $option)
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<div class="col-6">{{ $option->display }}</div>
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<div class="col-6 mb-1">
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<input type="number" id="field-{{ $option->value }}"
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name="{{ $option->value }}" class="form-control" required
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value="{{ isset($option->val) ? $option->val : 0 }}">
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</div>
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@endforeach
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</div>
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@break
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@endswitch
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</div>
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@endforeach
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@if (!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes'))
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<div class="text-center d-grid mt-3">
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<button class="btn btn-primary" type="submit" id="submit-btn"> Submit
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</button>
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</div>
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@endif
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</form>
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</div> <!-- end card-body -->
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</div>
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<!-- end card -->
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<!-- end row -->
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</div> <!-- end col -->
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</div>
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<!-- end row -->
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</div>
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<!-- end container -->
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</div>
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<!-- end page -->
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<style type="text/css">
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#pageloader {
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background: rgba(255, 255, 255, 0.8);
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display: none;
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height: 100%;
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position: fixed;
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width: 100%;
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z-index: 9999;
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}
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#pageloader img {
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left: 50%;
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margin-left: -32px;
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margin-top: -32px;
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position: absolute;
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top: 50%;
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}
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.form-label {
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font-weight: bold;
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font-size: 16px;
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}
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</style>
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@include('layouts.shared/footer-script')
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<script src="{{ asset('assets/libs/sweetalert2/sweetalert2.min.js') }}"></script>
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<script type="text/javascript">
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jQuery(document).ready(function($) {
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$('#field-user_id').change(function() {
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let hierarchy = $('option:selected', this).attr('hierarchy');
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$('#field-hierarchy_id').val(hierarchy)
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event.preventDefault();
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$.ajax({
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type: "GET",
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url: '/form/getdoctorlist?partition={{ $form->partition }}&hierarchy=' +
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hierarchy,
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processData: false,
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contentType: false,
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success: function(data) {
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$("#pageloader").fadeOut();
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$('#field-contact_id').html('')
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$('#field-contact_id').append($("<option></option>").attr("value", '')
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.text('-- Select --'));
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for (let itm of data) {
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$('#field-contact_id').append($("<option></option>").attr("value",
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itm.value).text(itm.display));
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}
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},
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});
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console.log(hierarchy)
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})
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$('#report-form').on('submit', function(event) {
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event.preventDefault();
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$("#pageloader").fadeIn();
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$.ajax({
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type: "POST",
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url: '/form/ajaxsubmit',
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data: new FormData($('#report-form')[0]),
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processData: false,
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contentType: false,
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success: function(data) {
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$("#pageloader").fadeOut();
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if (data.status == 'success') {
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Swal.fire({
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title: 'Great!',
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text: 'Your data is successfully submitted!',
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icon: 'success'
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})
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$('#report-form').trigger("reset");
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} else {
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Swal.fire({
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icon: 'error',
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title: data.hasOwnProperty('message') ?
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'You are not mapped to any position code' :
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'Data not submitted',
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text: data.hasOwnProperty('message') ?
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'for resolution please email Position code, L1 Manager and L2 Manager details to support1@stratawiz.com' :
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'Something went wrong, please try again after some time!'
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})
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}
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},
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});
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});
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var today = new Date();
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var dd = String(today.getDate()).padStart(2, '0');
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var mm = String(today.getMonth() + 1).padStart(2, '0');
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var yyyy = today.getFullYear();
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today = yyyy + '-' + mm + '-' + dd;
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var plandateField = document.getElementById('field-record_date');
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plandateField.setAttribute('max', today);
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});
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</script>
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<script type="text/javascript">
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jQuery(document).ready(function($) {
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$('#field-msl_code').prop('readonly', true);
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$('#field-contact_id').on('change', function() {
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var msl_code = $(this).find(":selected").data("msl_code") || "";
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$('#field-msl_code').val(msl_code);
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});
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// Trigger once on load (if already selected)
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$('#field-contact_id').trigger('change');
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});
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</script>
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</body>
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</html>
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