Rapport-Laravel/resources/views/form/rapport-team3/1762930727-be65c83b-a2f3-4e...

523 lines
32 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> -->
<button type="button" class="btn btn-primary btn-xs" id="add-camp-btn">Add
Plan</button>
@else
<a href="{{ url()->previous() }}" class="float-end pt-1">Back</a>
@endif
</div>
@endif
@php
$history = Formhelper::getMultiformData($form->partition, $form->form_id, $form->user_id);
@endphp
<div class="col-md-12" id="table-wrapper">
<div class="card">
<div class="card-body p-0">
<div class="table-responsive">
<table
class="table table-striped table-hover table-nowrap table-centered m-0">
<thead class="table-light">
<tr>
<th>Action</th>
<th>Execution Done</th>
<th>Plan Date</th>
<th>Execution Date</th>
<th>Doctor Name</th>
<th>Time of camp</th>
<th>MSL Code</th>
<th>Specialty</th>
<th>Number of paramedics</th>
<th>Tentative number of patients</th>
<th>Actual number of patients</th>
<th>Number of patients detected with COPD</th>
<th>Number of patients on home nebulization</th>
<th>Budecort Rx</th>
<th>Duolin Rx</th>
<th>Levolin Rx</th>
<th>Business generated for Budecort Rx</th>
<th>Business generated for Duolin Rx</th>
<th>Business generated for Levolin Rx</th>
</tr>
</thead>
<tbody>
@foreach ($history->data->submissions as $sub)
@php
$sub->formdata->id = $sub->id;
@endphp
<tr>
<td>
@if(isset($sub->formdata->execution_done) && $sub->formdata->execution_done == 'yes') Execution Done
@elseif(isset($sub->workflow_status) && $sub->workflow_status == 'approved')
<button type="button" class="btn btn-xs btn-info edit-btn"
plan_details="{{ json_encode($sub->formdata) }}">
<i class="mdi mdi-pencil"></i> Execute
</button>
@elseif(isset($sub->workflow_status) && $sub->workflow_status == 'rejected')
<button type="button" class="btn btn-xs btn-info edit-plan"
plan_details="{{ json_encode($sub->formdata) }}">
<i class="mdi mdi-pencil"></i> Edit Plan
</button>
@endif
</td>
<td>{{ isset($sub->formdata->execution_date) && $sub->formdata->execution_date > 0 ? 'Yes' : 'No' }}
</td>
<td>{{ $sub->formdata->plan_date }}</td>
<td>{{ $sub->formdata->execution_date }}</td>
<td>{{ $sub->formdata->doctor_name }}</td>
<td>{{ $sub->formdata->time_of_camp }}</td>
<td>{{ $sub->formdata->msl_code }}</td>
<td>{{ $sub->formdata->speciality }}</td>
<td>{{ $sub->formdata->number_of_paramedics }}</td>
<td>{{ $sub->formdata->tentative_number_of_patients }}</td>
<td>{{ $sub->formdata->actual_number_of_patients }}</td>
<td>{{ $sub->formdata->number_of_patients_detected_with_copd }}
</td>
<td>{{ $sub->formdata->number_of_patients_on_home_nebulization }}
</td>
{{-- <td>{{ $sub->formdata->foracort_rx }}</td>
<td>{{ $sub->formdata->glycohale_rx }}</td> --}}
<td> {{ $sub->formdata->budecort_rx }} </td>
<td> {{ $sub->formdata->duolin_rx }} </td>
<td> {{ $sub->formdata->levolin_rx }} </td>
<td>{{ $sub->formdata->business_generated_for_budecort_rx }}</td>
<td>{{ $sub->formdata->business_generated_for_duolin_rx }}</td>
<td>{{ $sub->formdata->business_generated_for_levolin_rx }}</td>
</tr>
@endforeach
</tbody>
</table>
</div>
</div>
</div>
</div>
<div id="form-wrapper">
<form method="POST" action="/form/submit" id="report-form">
<input type="hidden" name="form_id" value="{{ $form_id }}">
@csrf
@foreach ($questions as $question)
@if (in_array($question->code, [
'execution_date',
'actual_number_of_patients',
'number_of_patients_detected_with_copd',
'number_of_patients_on_home_nebulization',
'foracort_rx',
'glycohale_rx',
'budecort_rx',
'duolin_rx',
'levolin_rx',
'business_generated_for_foracort',
'business_generated_for_glycohale',
'business_generated_for_budecort_rx',
'business_generated_for_duolin_rx',
'business_generated_for_levolin_rx',
]))
@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)
<option value="{{ $option->value }}"
{{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>
{{ $option->display }}</option>
@endforeach
</select>
@break
@case('checkbox')
@foreach ($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, $question->value) ? 'checked' : '' }}>
<label class="form-check-label"
for="field-{{ $question->code }}-{{ $option->value }}">{{ $option->display }}</label>
</div>
@endforeach
@break
@endswitch
</div>
@endforeach
@if (!isset($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>
<div id="execution-form-wrapper">
<form method="POST" action="/form/submit" id="execution-form"
enctype="multipart/form-data">
<input type="hidden" name="form_id" value="{{ $form_id }}">
@csrf
<input type="hidden" name="id" value="" id="execution-id">
@foreach ($questions as $question)
<div class="col-md-12 mb-2">
<label for="execution-{{ $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="execution-{{ $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="execution-{{ $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="execution-{{ $question->code }}"
name="{{ $question->code }}" class="form-control"
{{ $question->required == 'yes' ? 'required' : '' }}
value="{{ isset($question->value) ? $question->value : 0 }}">
@break
@case('textarea')
<textarea id="execution-{{ $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="execution-{{ $question->code }}"
name="{{ $question->code }}"
{{ $question->required == 'yes' ? 'required' : '' }}>
<option value=""> -- Select -- </option>
@foreach ($question->options as $option)
<option value="{{ $option->value }}"
{{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>
{{ $option->display }}</option>
@endforeach
</select>
@break
@case('checkbox')
@foreach ($question->options as $option)
<div class="form-check mb-2 form-check-primary">
<input class="form-check-input" type="checkbox"
id="execution-{{ $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="execution-{{ $question->code }}-{{ $option->value }}">{{ $option->display }}</label>
</div>
@endforeach
@break
@case('file')
<input type="file" id="execution-{{ $question->code }}"
name="{{ $question->code }}" class="form-control" value=""
accept="image/jpg, image/jpeg, image/png">
@break
@endswitch
</div>
@endforeach
@if (!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes'))
<div class="text-center d-grid mt-3">
<button class="btn btn-primary" type="submit" id="submit-btn"> Submit
</button>
</div>
@endif
</form>
</div>
</div> <!-- end card-body -->
</div>
<!-- end card -->
<!-- end row -->
</div> <!-- end col -->
</div>
<!-- end row -->
</div>
<!-- end container -->
</div>
<!-- end page -->
<style type="text/css">
#pageloader {
background: rgba(255, 255, 255, 0.8);
display: none;
height: 100%;
position: fixed;
width: 100%;
z-index: 9999;
}
#pageloader img {
left: 50%;
margin-left: -32px;
margin-top: -32px;
position: absolute;
top: 50%;
}
</style>
@include('layouts.shared/footer-script')
<script src="{{ asset('assets/libs/sweetalert2/sweetalert2.min.js') }}"></script>
<script type="text/javascript">
const slugify = str =>
str
.toLowerCase()
.trim()
.replace(/[^\w\s-]/g, '')
.replace(/[\s_-]+/g, '-')
.replace(/^-+|-+$/g, '');
$('#form-wrapper').hide()
$('#execution-form-wrapper').hide()
$('#add-camp-btn').click(function() {
$('#form-wrapper').show()
$('#table-wrapper').hide()
$('#execution-form-wrapper').hide()
})
$('.edit-btn').click(function() {
let selected = JSON.parse($(this).attr('plan_details'))
for (let k of Object.keys(selected)) {
if (selected[k] != '')
$('#execution-' + k).val(selected[k]);
}
$('#execution-id').val(selected['id'])
$('#form-wrapper').hide()
$('#execution-form-wrapper').show()
$('#table-wrapper').hide();
$('#execution-form').append('<input type="hidden" name="execution_done" value="yes" />');
})
$('.edit-plan').click(function() {
let selected = JSON.parse($(this).attr('plan_details'))
for (let k of Object.keys(selected)) {
if (selected[k] != '')
$('#execution-' + k).val(selected[k]);
}
$('#execution-id').val(selected['id'])
$('#form-wrapper').hide()
$('#execution-form-wrapper').show()
$('#table-wrapper').hide()
$('#execution-execution_date,#execution-actual_number_of_patients,#execution-number_of_patients_detected_with_copd,#execution-number_of_patients_on_home_nebulization,#execution-budecort_rx,#execution-duolin_rx,#execution-levolin_rx,#execution-business_generated_for_budecort_rx,#execution-business_generated_for_duolin_rx,#execution-business_generated_for_levolin_rx').parent().hide();
$('#execution-execution_date,#execution-actual_number_of_patients,#execution-number_of_patients_detected_with_copd,#execution-number_of_patients_on_home_nebulization,#execution-budecort_rx,#execution-duolin_rx,#execution-levolin_rx,#execution-business_generated_for_budecort_rx,#execution-business_generated_for_duolin_rx,#execution-business_generated_for_levolin_rx').attr('required', false);
})
jQuery(document).ready(function($) {
$('#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'
})
window.location.reload();
} else {
Swal.fire({
icon: 'error',
title: 'Data not submitted',
text: 'Something went wrong, please try again after some time!'
})
}
},
});
});
$('#execution-form').on('submit', function(event) {
event.preventDefault();
$("#pageloader").fadeIn();
$.ajax({
type: "POST",
url: '/form/ajaxsubmit',
data: new FormData($('#execution-form')[0]),
processData: false,
contentType: false,
success: function(data) {
$("#pageloader").fadeOut();
if (data.status == 'success') {
Swal.fire({
title: 'Great!',
text: 'Your data is successfully submitted!',
icon: 'success'
})
window.location.reload();
//$('#report-form').trigger("reset");
} else {
Swal.fire({
icon: 'error',
title: 'Data not submitted',
text: 'Something went wrong, please try again after some time!'
})
}
},
});
});
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;
// if(today == '2024-01-03' || today == '2024-01-04' || today == '2024-01-05' ){
// $('#add-camp-btn').attr("disabled", false);
// }else{
// $('#add-camp-btn').attr("disabled", true);
// }
const recordDateField = document.getElementById('field-plan_date_of_camp');
// recordDateField.setAttribute('min', today);
// recordDateField.addEventListener('change', function() {
// let selectedDate = this.value;
// if (selectedDate !== '2024-01-08' && selectedDate !== '2024-01-22' ) {
// this.value = '';
// alert("Plan Date Should Be 8th or 22nd January");
// }
// });
const executionPlanDateField = document.getElementById('execution-plan_date_of_camp');
// executionPlanDateField.setAttribute('min', today);
// executionPlanDateField.addEventListener('change', function() {
// let selectedDate = this.value;
// if (selectedDate !=='2024-01-08' && selectedDate !=='2024-01-22') {
// this.value = '';
// alert("Plan Date Should Be 8th or 22nd January");
// }
// });
const executionDateField = document.getElementById('execution-execution_date');
executionDateField.setAttribute('max', today);
executionDateField.addEventListener('change', function() {
// let selectedDate = this.value;
// if (selectedDate !=='2024-01-08' && selectedDate !=='2024-01-22') {
// this.value = '';
// alert("Execution Date Should Be 8th or 22nd January");
// }
});
// executionDateField.value = '2024-01-08';
// var editBtn = document.querySelector('.edit-btn');
// editBtn.addEventListener('click', function() {
// executionDateField.value = '2024-01-08';
// });
});
</script>