186 lines
9.3 KiB
PHP
186 lines
9.3 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" => $demo ?? ''])
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<link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
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<link href="{{ asset('assets/libs/select2/select2.min.css') }}" rel="stylesheet" type="text/css" />
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</head>
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<div id="pageloader">
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<img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
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</div>
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<body class="loading">
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<div class="account-pages">
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<div class="container">
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<div class="row justify-content-center">
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<div class="col-md-8 col-lg-6 col-xl-5 p-0">
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<div class="card bg-pattern">
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<div class="card-body p-3 row">
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@if(Session::has('error'))<div class="alert alert-danger">{{Session::get('error')}}</div>
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<br>@endif
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@if(session('success'))<div class=" alert alert-success">{{ session('success') }}
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</div>
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<br>@endif
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<div class="col-12">
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<h4 class="page-title">{{$form->title}}</h4>
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</div>
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@if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes'
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) )
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@endif
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@if(isset($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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<input type="hidden" name="user_id" value="{{$form->user_id}}">
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@csrf
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@if($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}}" hierarchy="{{$option->hierarchy_id}}"
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{{isset($question->value) && $question->value == $option->value ? 'selected':''}}>
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{{$option->display}}
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</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" value="">
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</div>
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@endif
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<div class="col-md-12 mb-2">
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<div class="table-responsive sticky-table">
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<table id="doctor_table" class="table table-borderless table-hover table-nowrap table-centered m-0">
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<thead class="table-light">
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<tr>
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<th>Doctor Name</th>
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<th>Zita eCME</th>
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<th>Telma LN eCME</th>
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<th>RTM</th>
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</tr>
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</thead>
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<tbody>
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@php
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$doctors = [];
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foreach ($questions as $question) {
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if($question->code == 'contact_id') {
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$doctors = $question->options;
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}
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}
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@endphp
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@foreach($doctors as $i => $doctor)
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<tr>
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<th>{{$doctor->display}}<br/><small>{{isset($doctor->contact->speciality)?$doctor->contact->speciality:'-'}}<input type="hidden" name="contact_id[{{$i}}]" value="{{$doctor->value}}" /></th>
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<th><input type="checkbox" name="zita_ecme[{{$i}}]" {!! isset($doctor->contact->zita_ecme) && $doctor->contact->zita_ecme == 'Yes' ?'checked onclick="return false"':'' !!} value="Yes"/></th>
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<th><input type="checkbox" name="telma_ln_ecme[{{$i}}]" {!! isset($doctor->contact->telma_ln_ecme) && $doctor->contact->telma_ln_ecme == 'Yes' ?'checked onclick="return false"':'' !!} value="Yes"/></th>
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<th><input type="checkbox" name="rtm[{{$i}}]" {!! isset($doctor->contact->rtm) && $doctor->contact->rtm == 'Yes' ?'checked onclick="return false"':'' !!} value="Yes"/></th>
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</tr>
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@endforeach
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</tbody>
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</table>
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</div>
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</div>
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@if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval !=
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'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 </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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small {
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font-size:10px;
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}
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div.sticky-table {
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position: relative;
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height: 100%;
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max-height: 500px;
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}
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div.sticky-table table thead {
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position: sticky;
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top: 0;
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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 src="{{ asset('assets/libs/select2/select2.min.js') }}"></script>
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<script type="text/javascript">
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jQuery(document).ready(function($) {
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let doctors = [];
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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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$.ajax({
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type: "POST",
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url: '/form/ajaxsubmitmultiple',
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data: new FormData($('#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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console.log('data = ',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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// $('#doctor_table tbody').html('')
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window.location.reload()
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} else {
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Swal.fire({
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icon: 'error',
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title: 'Data not submitted',
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text: '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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});
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</script>
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</body>
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</html> |