750 lines
35 KiB
PHP
750 lines
35 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" => $demo ?? ''])
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<link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
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<link href="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/css/select2.min.css" rel="stylesheet" />
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</head>
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<div id="pageloader">
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<img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
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</div>
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@php
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// KEEP ORIGINAL DOCTOR LOGIC
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$doctors = [];
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foreach($questions as $question){
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if($question->code == 'contact_id'){
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$doctors = is_iterable($question->options ?? null) ? $question->options : [];
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}
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}
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// RX HISTORY DATA ONLY
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$history = Formhelper::getMultiformData( $form->partition, $form_id, $form->user_id );
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$categorySubmissions = [];
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$categoryDoctorSubmissions = [];
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$categoryAttributes = [
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'erdosteine' => 'erdosteine',
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'erdosteine + acebrophylline' => 'erdosteine_acebrophylline',
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'nac + acebrophylline' => 'nac_acebrophylline',
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];
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$moleculeUseToCategory = [
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'erdosteine prescriber' => 'erdosteine',
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'erdosteine' => 'erdosteine',
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'erdosteine + acebrophylline' => 'erdosteine + acebrophylline',
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'nac + acebrophylline' => 'nac + acebrophylline',
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];
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foreach (array_values($categoryAttributes) as $categoryIndex) {
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$categorySubmissions[$categoryIndex] = [];
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$categoryDoctorSubmissions[$categoryIndex] = [];
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}
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$doctorNameById = [];
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$doctorIdByName = [];
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foreach ($doctors as $doc) {
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$doctorNameById[$doc->value] = $doc->display;
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$doctorIdByName[trim($doc->display)] = $doc->value;
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}
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if (isset($history->data->submissions) && is_iterable($history->data->submissions)) {
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foreach ($history->data->submissions as $sub) {
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$formdata = $sub->formdata ?? null;
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if (!$formdata) {
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continue;
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}
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$normalizedMolecule = strtolower(trim($formdata->molecule_use ?? ''));
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$category = $moleculeUseToCategory[$normalizedMolecule] ?? $normalizedMolecule;
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if (!isset($categoryAttributes[$category])) {
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continue;
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}
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$rawDoctorId = '';
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if (!empty($formdata->contact_id)) {
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$contactId = $formdata->contact_id;
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if (is_array($contactId) || $contactId instanceof \Traversable) {
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$contactValues = array_values((array) $contactId);
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$rawDoctorId = trim((string) ($contactValues[0] ?? ''));
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} else {
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$rawDoctorId = trim((string) $contactId);
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}
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}
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$doctorId = $rawDoctorId;
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if (
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$doctorId !== '' &&
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!isset($doctorNameById[$doctorId]) &&
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isset($doctorIdByName[$doctorId])
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) {
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$doctorId = $doctorIdByName[$doctorId];
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}
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$rxSupport = $formdata->rx_support ?? '';
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if (is_array($rxSupport) || $rxSupport instanceof \Traversable) {
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$rxSupport = trim((string) (array_values((array) $rxSupport)[0] ?? ''));
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} else {
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$rxSupport = trim((string) $rxSupport);
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}
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$otherMolecule = $formdata->other_molecule_use ?? '';
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if (is_array($otherMolecule) || $otherMolecule instanceof \Traversable) {
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$otherMolecule = trim((string) (array_values((array) $otherMolecule)[0] ?? ''));
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} else {
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$otherMolecule = trim((string) $otherMolecule);
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}
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$recordDate = $formdata->record_date ?? '';
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if (is_array($recordDate) || $recordDate instanceof \Traversable) {
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$recordDate = trim((string) (array_values((array) $recordDate)[0] ?? ''));
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} else {
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$recordDate = trim((string) $recordDate);
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}
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$categoryPrefix = $categoryAttributes[$category];
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$submissionRow = [
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'submission_id' => $sub->id,
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'category' => $category,
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'category_field' => $categoryPrefix,
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'molecule_use' => $formdata->molecule_use ?? '',
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'doctor_id' => $doctorId,
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'doctor_name' => $doctorNameById[$doctorId] ?? $rawDoctorId,
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'rx_support' => $rxSupport,
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'other_molecule_use' => $otherMolecule,
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'record_date' => $recordDate,
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];
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$categorySubmissions[$categoryPrefix][] = $submissionRow;
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if ($doctorId !== '') {
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$categoryDoctorSubmissions[$categoryPrefix][$doctorId] = $submissionRow;
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}
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}
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}
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@endphp
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<body class="loading">
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<div class="account-pages">
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<div class="container">
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<div class="row justify-content-center">
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<div class="col-md-8 col-lg-6 col-xl-5 p-0">
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<div class="card bg-pattern">
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<div class="card-body p-3 row">
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@if(Session::has('error'))<div class="alert alert-danger">{{Session::get('error')}}</div>
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<br>@endif
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@if(session('success'))<div class=" alert alert-success">{{ session('success') }}
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</div>
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<br>@endif
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<div class="col-8">
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<h4 class="page-title">{{$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) && $form->manager_can_submit == true)
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<div class="col-md-12 mb-2">
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<label for="field-user_id" class="form-label"> Select User / Territory <span class="text-danger">*</span> </label>
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<select class="form-control" id="field-user_id" name="user_id" required>
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<option value=""> -- Select -- </option>
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@foreach($form->users as $option)
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<option value="{{$option->value}}" hierarchy="{{$option->hierarchy_id}}" {{isset($question->value) && $question->value == $option->value ? 'selected':''}}>{{$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" value="">
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</div>
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@endif
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@foreach($questions as $question)
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@php
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$hideFields = [
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'contact_id',
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'rx_support',
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'other_molecule_use'
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];
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@endphp
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@if(in_array($question->code, $hideFields))
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@continue
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@endif
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<div class="{{ in_array($question->code, ['upload-supporting-doc1', 'upload-supporting-doc2']) ? 'upload-doc-fields' : '' }} col-md-12 mb-2">
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<label for="field-{{$question->code}}" class="form-label">{{$question->question}} {!!$question->required == 'yes' ? '<span class="text-danger">*</span>':''!!} </label>
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@switch($question->type)
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@case('hidden')
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<input type="{{$question->type}}" id="field-{{$question->code}}" name="{{$question->code}}" value="{{isset($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-{{$question->code}}" name="{{$question->code}}" class="form-control" {{$question->required == 'yes'?'required':'' }} value="{{isset($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" step="1" id="field-{{$question->code}}" name="{{$question->code}}" class="form-control" {{$question->required == 'yes'?'required':'' }} value="{{isset($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="{{$question->code}}" class="form-control" {{$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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<select class="form-control" id="field-{{$question->code}}" name="{{$question->code}}" {{$question->required == 'yes'?'required':'' }}>
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<option value=""> -- Select -- </option>
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@foreach($question->options as $option)
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<option value="{{$option->value}}" {{isset($question->value) && $question->value == $option->value ? 'selected':''}}>{{$option->display}}</option>
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@endforeach
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</select>
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@break
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@case('radio')
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@foreach($question->options as $option)
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<div class="form-check mb-2 form-check-success">
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<input class="form-check-input" type="radio" name="{{$question->code}}" id="field-{{$question->code}}_{{$option->value}}" value="{{$option->value}}">
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<label class="form-check-label" for="field-{{$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($question->options[0]->value, true)
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: [];
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if(!is_array($headings)){
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$headings = [];
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}
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@endphp
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{{-- Matrix Wrapper with Horizontal Scroll on Small Screens --}}
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<div class="table-responsive">
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<div class="d-table w-100">
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{{-- Table Headers --}}
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<div class="d-table-row font-weight-bold">
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<div class="d-table-cell p-2" style="width: 150px;"></div>
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{{-- Placeholder for row labels --}}
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@foreach ($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 $option)
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@php
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$nn = json_decode($option->value, true);
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// fallback if invalid json
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if(!is_array($nn)){
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$nn = [];
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}
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@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}}]" value="{{$value}}" class="form-check-input"
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{{ isset($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 $option)
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<div class="form-check mb-2 form-check-primary ms-2">
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<input class="form-check-input" type="checkbox" id="field-{{$question->code}}-{{$option->value}}" name="{{$question->code}}[]" value="{{$option->value}}" {{isset($question->value) && $question->value != '' && in_array($option->value, $question->value) ? 'checked':''}}>
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<label class="form-check-label" for="field-{{$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) && $form->is_approval != 'yes' ) )
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<input
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type="file"
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id="field-{{$question->code}}"
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name="{{$question->code}}"
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class="form-control"
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accept=".jpg,.jpeg,.pdf,image/*"
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capture="environment"
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{{$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-{{$option->value}}" name="{{$option->value}}" class="form-control" required 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) && $form->is_approval != 'yes' ) )
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<div class="text-center d-gri mt-3">
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<div class="col-md-12 mt-3">
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<div class="card">
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{{-- <div class="card-header">
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<h5 class="mb-0">Tagged Doctors</h5>
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</div> --}}
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<div class="card-body p-0">
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<div class="table-responsive">
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@php
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$doctors = [];
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foreach($questions as $question){
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if($question->code == 'contact_id'){
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$doctors = $question->options ?? [];
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break;
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}
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}
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@endphp
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<table class="table table-bordered mb-0">
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<thead>
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<tr>
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<th>Doctor Name</th>
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<th>Rxn/Week Support</th>
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<th>Other Molecule Use</th>
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</tr>
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</thead>
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<tbody id="doctor-table-body">
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@for($i=1; $i<=5; $i++)
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<tr>
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<td>
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<select
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name="contact_id[]"
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class="form-control doctor-select"
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required
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>
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<option value="">-- Select Doctor --</option>
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@foreach($questions as $question)
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@if($question->code == 'contact_id')
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@foreach($question->options as $doctor)
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<option value="{{$doctor->value}}">
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{{$doctor->display}}
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</option>
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@endforeach
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@endif
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@endforeach
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</select>
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</td>
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<td>
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<select
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name="rx_support[]"
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class="form-control"
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required
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>
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<option value="">-- Select --</option>
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<option value="1-3 Rxn/Week">1-3 Rxn/Week</option>
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<option value="4-7 Rxn/Week">4-7 Rxn/Week</option>
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<option value="8-11 Rxn/Week">8-11 Rxn/Week</option>
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<option value=">11 Rxn/Week">>11 Rxn/Week</option>
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</select>
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</td>
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<td>
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<select
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name="other_molecule_use[]"
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class="form-control"
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required
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>
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<option value="">-- Select --</option>
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<option value="Erdosteine Prescriber">
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Erdosteine Prescriber
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</option>
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<option value="Erdosteine + Acebrophylline">
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Erdosteine + Acebrophylline Prescriber
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</option>
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<option value="NAC + Acebrophylline">
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NAC + Acebrophylline Prescriber
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</option>
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<option value="No">
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No
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</option>
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</select>
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</td>
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</tr>
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@endfor
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</tbody>
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</table>
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</div>
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</div>
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</div>
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</div>
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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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<!-- SAMPLE FORM MODAL -->
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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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select option:disabled {
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color: #999;
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font-style: italic;
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}
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select option:disabled {
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color: #999;
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font-style: italic;
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}
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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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.upload-doc-fields {
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display: none;
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}
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.rx_count{
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width: 70px;
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}
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</style>
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@include('layouts.shared/footer-script')
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<script src="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/js/select2.min.js"></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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var allDoctors = {!! json_encode($doctors) !!};
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var categoryAttributes = {!! json_encode($categoryAttributes) !!};
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var moleculeUseToCategory = {!! json_encode($moleculeUseToCategory) !!};
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var categorySubmissions = {!! json_encode($categorySubmissions) !!};
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var categoryDoctorSubmissions = {!! json_encode($categoryDoctorSubmissions) !!};
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jQuery(document).ready(function($){
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function resolveCategoryIndex(moleculeUse) {
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if (!moleculeUse) {
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return null;
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}
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let normalized = moleculeUse.toLowerCase().trim();
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let categoryKey = moleculeUseToCategory[normalized] || normalized;
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return categoryAttributes[categoryKey] || null;
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}
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function removeSubmissionId($row) {
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$row.find('.submission-id').remove();
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}
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function setSubmissionId($row, submissionId) {
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let $input = $row.find('.submission-id');
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if (!$input.length) {
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$input = $('<input>', {
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type: 'hidden',
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class: 'submission-id',
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name: 'id[]'
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});
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$row.find('td').first().prepend($input);
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} else {
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$input.attr('name', 'id[]');
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}
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$input.val(submissionId || '');
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}
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function clearDoctorTableRow($row) {
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removeSubmissionId($row);
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$row.find('.doctor-select').val('').trigger('change');
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$row.find('select[name="rx_support[]"]').val('');
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$row.find('select[name="other_molecule_use[]"]').val('');
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}
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function clearDoctorTable() {
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$('#doctor-table-body tr').each(function() {
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clearDoctorTableRow($(this));
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});
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$('#field-record_date').val('');
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}
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function prefillDoctorTableFromCategory(categoryIndex) {
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clearDoctorTable();
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if (!categoryIndex) {
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return;
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}
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let categoryDoctors = categoryDoctorSubmissions[categoryIndex] || {};
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let submissions = Object.values(categoryDoctors);
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if (!submissions.length) {
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return;
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}
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if (submissions[0].record_date) {
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$('#field-record_date').val(submissions[0].record_date);
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}
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$('#doctor-table-body tr').each(function(index) {
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let submission = submissions[index];
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if (!submission) {
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return false;
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}
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let $row = $(this);
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$row.find('.doctor-select')
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.val(submission.doctor_id)
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.trigger('change');
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$row.find('select[name="rx_support[]"]')
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.val(submission.rx_support || '');
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$row.find('select[name="other_molecule_use[]"]')
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.val(submission.other_molecule_use || '');
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setSubmissionId($row, submission.submission_id);
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});
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}
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function updateDoctorDropdowns() {
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let selectedDoctors = [];
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$('.doctor-select').each(function(){
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let value = $(this).val();
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if(value){
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selectedDoctors.push(value);
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}
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});
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$('.doctor-select').each(function(){
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let currentDropdown = $(this);
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let currentValue = currentDropdown.val();
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currentDropdown.find('option').each(function(){
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let option = $(this);
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let originalText =
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option.data('original-text') || option.text();
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option.data('original-text', originalText);
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option.text(originalText);
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option.prop('disabled', false);
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let optionValue = option.val();
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if(
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optionValue &&
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optionValue !== currentValue &&
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selectedDoctors.includes(optionValue)
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){
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option.prop('disabled', true);
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option.text(
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originalText +
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' (Already Added)'
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);
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}
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});
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});
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}
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$(document).on(
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'change',
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'.doctor-select',
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updateDoctorDropdowns
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);
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updateDoctorDropdowns();
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function updateOtherMoleculeDropdowns() {
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let selectedMolecule = $('#field-molecule_use').val();
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let categoryIndex = resolveCategoryIndex(selectedMolecule);
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$('select[name="other_molecule_use[]"]').each(function(){
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let ddl = $(this);
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ddl.find('option').each(function(){
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let option = $(this);
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let originalText =
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option.data('original-text') || option.text();
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option.data('original-text', originalText);
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option.text(originalText);
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option.prop('disabled', false);
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if(
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selectedMolecule &&
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option.val() === selectedMolecule
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){
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option.prop('disabled', true);
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option.text(
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originalText + ' (Already Added)'
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);
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}
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});
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});
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prefillDoctorTableFromCategory(categoryIndex);
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updateDoctorDropdowns();
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}
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$('#field-molecule_use').on('change', updateOtherMoleculeDropdowns);
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$('.doctor-select').select2({
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width: '100%',
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placeholder: 'Search Doctor',
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allowClear: true
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});
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if ($('#field-molecule_use').val()) {
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updateOtherMoleculeDropdowns();
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} else {
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clearDoctorTable();
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}
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$('#report-form').on('submit', function(event){
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event.preventDefault();
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let fd = new FormData($('#report-form')[0]);
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for (let pair of fd.entries()) {
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console.log(pair[0], pair[1]);
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}
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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($('#report-form')[0]),
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processData: false,
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contentType: false,
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success: function(data) {
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$("#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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} else {
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Swal.fire({
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icon: 'error',
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title: data.hasOwnProperty('message') ? 'You are not mapped to any position code' : 'Data not submitted',
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text: data.hasOwnProperty('message') ? 'for resolution please email Position code, L1 Manager and L2 Manager details to support1@stratawiz.com' : '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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error: function() {
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$("#pageloader").fadeOut();
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Swal.fire({
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icon: 'error',
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title: 'Error',
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text: 'Something went wrong'
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});
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}
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});
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});
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@if($id)
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setTimeout(function () {
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console.log("EDIT MODE TRIGGERED");
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$('#field-select-category').trigger('change');
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}, 300);
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@endif
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});
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</script>
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</body>
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</html> |