Rapport-Laravel/resources/views/form/rapport-pulmocare/1776418573-09a8fee4-bafe-4f...

685 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" />
</head>
<div id="pageloader">
<img src="/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">
<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">Pulmosmart G Rxer Tracker FY 26-27</h4>
</div>
@php
$history = Formhelper::getMultiformData(
$form->partition,
$form->form_id,
$form->user_id,
);
// echo "<pre>";
// print_r($history);
// echo "</pre>";
$submissions = $history->data->submissions;
$count=count($submissions);
@endphp
@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> -->
@if($count<=9)
<button type="button" class="btn btn-primary btn-xs" id="add-camp-btn">Add Doctor</button>
@else
You have already added 10 doctors
@endif
@else
<a href="{{ url()->previous() }}" class="float-end pt-1">Back</a>
@endif
</div>
@endif
<div class="col-12" id="table-wrapper">
<div class="table-responsive">
<table class="table table-borderless table-nowrap table-hover table-centered m-0">
<thead class="table-light">
<tr>
<th>Action.</th>
<th>Date</th>
<th>Conversion Done</th>
<th>Doctor Name</th>
<th>Garnet Code</th>
<th>Place</th>
<th>Speciality</th>
<th>Pulmosmart G Expected Support (Quantity)</th>
<th>Engagement Plan</th>
<th>Conversion Status</th>
<th>POB Quantity</th>
<th>POB Value</th>
</tr>
</thead>
<tbody>
@foreach (collect($history->data->submissions)->sortByDesc('formdata.record_date') as $sub)
@php
$sub->formdata->id = $sub->id;
@endphp
<tr>
<td>
@if(isset($sub->formdata->execution_done) && $sub->formdata->execution_done == 'yes')
Converted
<br>
<button type="button" class="btn btn-xs btn-info edit-btn"
plan_details="{{ json_encode($sub->formdata) }}"><i
class="mdi mdi-pencil"></i>Edit</button>
@else
<button type="button" class="btn btn-xs btn-info edit-btn"
plan_details="{{ json_encode($sub->formdata) }}"><i
class="mdi mdi-pencil"></i>Report Conversion</button>
@endif
</td>
<td>{{ $sub->formdata->plan_date }}</td>
<td>{{ isset($sub->formdata->execution_done) && $sub->formdata->execution_done == 'yes' ? 'Yes' : 'No' }}
</td>
<td>
@if (isset($sub->formdata->contact_id) && $sub->formdata->contact_id !== '')
{{ $sub->formdata->contact_id }}
@elseif (isset($sub->formdata->doctor_name))
{{ $sub->formdata->doctor_name }}
@else
{{-- Default value or empty string, adjust as needed --}}
{{ '' }}
@endif
</td>
<td>{{ isset($sub->formdata->msl_code) ? $sub->formdata->msl_code : '' }}
</td>
<td>{{ isset($sub->formdata->place) ? $sub->formdata->place : '' }}
</td>
<td>{{ isset($sub->formdata->speciality) ? $sub->formdata->speciality : '' }}
</td>
<td>{{ isset($sub->formdata->pulmosmart_g_expected_support) ? $sub->formdata->pulmosmart_g_expected_support : '' }}
</td>
<td>{{ isset($sub->formdata->engagement_plan) ? $sub->formdata->engagement_plan : '' }}
</td>
<td>{{ isset($sub->formdata->conversion_status) ? $sub->formdata->conversion_status : '' }}
</td>
<td>{{ isset($sub->formdata->pob_quantity) ? $sub->formdata->pob_quantity : '' }}
</td>
<td>{{ isset($sub->formdata->pob_value) ? $sub->formdata->pob_value : '' }}
</td>
</tr>
@endforeach
</tbody>
</table>
</div>
</div>
<div id="form-wrapper">
<form method="POST" action="/form/submit" id="report-form"
enctype="multipart/form-data">
<input type="hidden" name="form_id" value="{{ $form_id }}">
@csrf
@if ($id)
<input type="hidden" name="id" value="{{ $id }}">
@endif
@foreach ($questions as $question)
@if (in_array($question->code, [
'conversion_status',
'pob_quantity',
'pob_value'
]))
@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="0.01" 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) ? $question->value : '' }}</textarea>
@break
@case('dropdown')
@if ($question->code == 'contact_id')
<select class="form-control" id="field-{{ $question->code }}"
name="{{ $question->code }}"
{{ $question->required == 'yes' ? 'required' : '' }}>
<option value=""> -- Select -- </option>
@foreach ($question->options as $option)
{{-- @php $spec = $option->contact->speciality ?? ''; @endphp
@if (in_array($spec, ['BAMS', 'BAMS-MD', 'BHMS', 'CARDIOLOGIST', 'CHEST', 'CHEST PHY','Chest Physician','Chest Speciality','Chest/PULMO','CONSULTANAT NEPHROLOGIST','CONSULTANT PHYSICIAN','CONSULTING PHYSICIAN','CP','dch','DENTIST','DENTIST - BDS','DIABETOLOGIST','DM PAED','DNB CHEST','DNB ENT','DNB MED','DNB PAED','DTCD','ENT','General Physician','General Practice','GENERAL PRACTITIONER','GP MBBS','Gp Non-Mbbs','GYNAECOLOGIST','INTENSIVIST','MBBS','MBBS DCH','MBBS GENERAL PRACTITIONER','MBBS GENERALPRACTITIONER','MBBS MD','MBBS MD CHEST','MBBS-MD DCH','MBBS-PAED','MCH PAEDSURG','MD','MD D','MD CHEST','MD PAED','MD,DCH','MS ENT','Nephrologist/Urologist','NON MBBS GENERAL PRACTITIONER','ORTHOPEDICIAN','OTOLARYNGOLOGIST','PAEDIATRICIAN','Pedia','PEDIATRIC SURGEON','PEDIATRICIAN','PHY','PHYSICIAN','PRACTISING RHEUMATOLOGIST B','PSYCHIATRIST','PULMO','PULMONOLOGIST','SOTs','SURGEON']))
<option value="{{ $option->value }}"
{{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}
msl_code="{{ $option->contact->msl_code ?? '' }}"
speciality="{{ $spec }}">
{{ $option->display }}
</option>
@endif --}}
@if($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 : '') }}"
@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
</select>
@else
<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' : '' }}>
{{ $option->display }}</option>
@endforeach
</select>
@endif
@break
@case('checkbox')
@foreach ($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')
<input type="file" id="field-{{ $question->code }}"
name="{{ $question->code }}" class="form-control" value=""
accept="image/jpg, image/jpeg, image/png" required>
@break
@endswitch
</div>
@endforeach
@if (!isset($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="{{ $form_id }}">
@csrf
<input type="hidden" name="id" value="" id="execution-id">
<input type="hidden" name="execution_done" value="yes">
@foreach ($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="0.01" 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) && $form->is_approval != 'yes'))
<div class="text-center d-grid mt-3">
<button class="btn btn-primary" type="submit" id="submit-btn"> Submit
</button>
</div>
@endif
</form>
</div>
</div> <!-- end card-body -->
</div>
<!-- end card -->
<!-- end row -->
</div> <!-- end col -->
</div>
<!-- end row -->
</div>
<!-- end container -->
</div>
<!-- end page -->
<style type="text/css">
#pageloader {
background: rgba(255, 255, 255, 0.8);
display: none;
height: 100%;
position: fixed;
width: 100%;
z-index: 9999;
}
#pageloader img {
left: 50%;
margin-left: -32px;
margin-top: -32px;
position: absolute;
top: 50%;
}
</style>
@include('layouts.shared/footer-script')
<script src="{{ asset('assets/libs/sweetalert2/sweetalert2.min.js') }}"></script>
<script type="text/javascript">
jQuery(document).ready(function($) {
$('#form-wrapper').hide()
$('#execution-form-wrapper').hide()
// $('#add-camp-btn').click(function() {
// $('#form-wrapper').show()
// $('#table-wrapper').hide()
// })
$('#add-camp-btn').click(function() {
$('#table-wrapper').hide(0)
$('#form-wrapper').show(100, () => {
$('#add-camp-btn').hide(0);
})
})
$('.edit-btn').click(function() {
$('#execution-form-wrapper').show(100, () => {
$('#add-camp-btn').hide(0);
})
$('#table-wrapper').hide()
let contacts = document.getElementById('execution-contact_id');
contacts.addEventListener('mousedown', function(e) {
e.preventDefault();
})
let engagement_plan = document.getElementById('execution-engagement_plan');
engagement_plan.addEventListener('mousedown', function(e) {
e.preventDefault();
})
$('#execution-speciality,#execution-pob_value').prop('readonly', true)
$('#execution-plan_date').prop('readonly', true)
$('#execution-msl_code').prop('readonly', true);
$('#execution-pulmosmart_g_expected_support').prop('readonly', true);
//$('#execution-time').prop('disabled', true)
let selected = JSON.parse($(this).attr('plan_details'));
console.log("Plan Detail : ", selected);
if (selected['contact_id']) {
selected['contact_id'] = selected['contact_id'].trim();
}
console.log("Selected Doctor:", selected['contact_id']);
if(selected['contact_id']==='others'){
$('#execution-other_doctor_name,#execution-other_speciality,#execution-other_msl_code').parent().show();
$('#execution-other_doctor_name,#execution-other_speciality,#execution-other_msl_code').prop({"required":true});
$('#execution-speciality,#execution-msl_code').parent().hide();
$('#execution-speciality,#execution-msl_code').prop({"required":false});
}
if(selected['contact_id']!='others'){
$('#execution-other_doctor_name,#execution-other_speciality,#execution-other_msl_code').parent().hide();
$('#execution-other_doctor_name,#execution-other_speciality,#execution-other_msl_code').prop({"required":false});
$('#execution-speciality,#execution-msl_code').parent().show();
$('#execution-speciality,#execution-msl_code').prop({"required":true});
}
for (let k of Object.keys(selected)) {
//console.log("k",k);
if (selected[k] != '') {
if (k == 'contact_id') {
//$("#execution-contact_id option:contains(" + selected[k] + ")").prop('selected', true)
// console.log($("#execution-contact_id option:contains(" + selected[k] + ")").attr('value'))
$('#execution-contact_id').val($("#execution-contact_id option:contains(" +
selected[k] + ")").attr('value'));
} else if (k == 'upload_photo_1' || k == 'upload_photo_2') {
continue;
} else {
$('#execution-' + k).val(selected[k]);
}
}
// if(selected[k] != '')
// $('#execution-'+k).val(selected[k]);
}
let docid = $('#execution-contact_id option').map(function() {
if ($(this).text().trim() == selected['contact_id']) return this;
}).attr('value')
console.log("docid : ",docid);
$('#execution-contact_id').val(docid)
$('#execution-id').val(selected['id'])
$('#execution-pob_quantity,#execution-pob_value').parent().hide();
$('#execution-pob_quantity,#execution-pob_value').prop('required',false);
$('#execution-conversion_status').on('change',function(){
let value=$('#execution-conversion_status').val();
if(value==='Yes'){
$('#execution-pob_quantity,#execution-pob_value').parent().show();
$('#execution-pob_quantity,#execution-pob_value').prop('required',true);
}
else{
$('#execution-pob_quantity,#execution-pob_value').parent().hide();
$('#execution-pob_quantity,#execution-pob_value').prop('required',false);
}
})
$('#execution-pob_quantity').on('change',function(){
$('#execution-pob_value').val(parseFloat($('#execution-pob_quantity').val()*379.27)||0);
})
$('#execution-conversion_status').on('change',function(){
$('#execution-form input.dynamic-hidden').remove();
if ($(this).val() === 'Yes') {
$('#execution-form').append('<input type="hidden" class="dynamic-hidden" name="YES" value="1">');
}
})
$('#execution-pob_quantity').on('input', function () {
// Remove anything that's not a digit
this.value = this.value.replace(/[^0-9]/g, '');
});
})
$('#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(); // 🔥 page refresh here
});
} else {
Swal.fire({
icon: 'error',
title: 'Data not submitted',
text: 'Something went wrong, please try again after some time!'
})
}
},
});
});
$('#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-msl_code').prop('readonly', true);
$('#field-speciality').prop('readonly', true);
$('#field-other_doctor_name,#field-other_speciality,#field-other_msl_code').prop({"required":false});
$('#field-other_doctor_name,#field-other_speciality,#field-other_msl_code').parent().hide();
$('#field-contact_id').on('change',function(){
let dropDown=$('#field-contact_id').val();
if(dropDown==='others'){
$('#field-other_doctor_name,#field-other_speciality,#field-other_msl_code').parent().show();
$('#field-other_doctor_name,#field-other_speciality,#field-other_msl_code').prop({"required":true});
$('#field-speciality,#field-msl_code').parent().hide();
$('#field-speciality,#field-msl_code').prop({"required":false});
}
else{
$('#field-other_doctor_name,#field-other_speciality,#field-other_msl_code').parent().hide();
$('#field-other_doctor_name,#field-other_speciality,#field-other_msl_code').prop({"required":false});
$('#field-speciality,#field-msl_code').parent().show();
$('#field-speciality,#field-msl_code').prop({"required":true});
}
})
$('#field-contact_id').append('<option value="others">Others</option>');
$('#execution-sitazit_d_rx,#execution-sitazit_dm_rx,#execution-ziten_m_rx').on('input', function() {
var total=(
(parseInt($('#execution-sitazit_d_rx').val()) ||0)+
(parseInt($('#execution-sitazit_dm_rx').val()) ||0)+
(parseInt($('#execution-ziten_m_rx').val()) ||0)
);
$('#execution-total_camp_rx').val(total)
})
$('#field-place').on('input', function () {
let value = $(this).val();
// Allow only letters (A-Z, a-z) and space (optional)
value = value.replace(/[^a-zA-Z\s]/g, '');
$(this).val(value);
});
$('#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'
}).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 recordDateField = document.getElementById('field-plan_date');
//recordDateField.setAttribute('min', today);
var executionDateField = document.getElementById('execution-plan_date');
//executionDateField.setAttribute('min', today);
// $('.edit-btn').click(function() {
// var executionexeField = document.getElementById('execution-record_date');
// executionexeField.setAttribute('min', executionDateField.value);
// });
/* $('.edit-btn').click(function() {
var executionexeField = document.getElementById('execution-execution_date');
executionexeField.setAttribute('min', executionDateField.value);
}); */
executionDateField.addEventListener('change', function() {
console.log('gg');
var executionexeField = document.getElementById('execution-record_date');
executionexeField.setAttribute('min', executionDateField.value);
});
});
</script>
</body>
</html>