Rapport-Laravel/resources/views/form/rapport-team3/1793772514-e8e67206-8dba-47...

934 lines
47 KiB
PHP

<!DOCTYPE html>
<html lang="en">
<head>
@include('layouts.shared/title-meta', ['title' => "Form"])
@include('layouts.shared/head-css', ["mode" => $mode ?? '', "demo" => $demo ?? ''])
<link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
<link href="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/css/select2.min.css" rel="stylesheet" />
<style>
/* =========================
SELECT2 CUSTOM HIGHLIGHT
========================= */
.select2-container .select2-selection--single{
height: 38px !important;
border: 1px solid #ced4da !important;
border-radius: 6px !important;
padding-top: 4px !important;
}
.select2-container--default .select2-selection--single .select2-selection__rendered{
line-height: 28px !important;
}
.select2-container--default .select2-selection--single .select2-selection__arrow{
height: 36px !important;
}
/* Dropdown option hover */
.select2-results__option--highlighted{
background-color: #0d6efd !important;
color: white !important;
}
/* Selected option */
.select2-results__option[aria-selected=true]{
background-color: #dbe9ff !important;
color: black !important;
font-weight: 600;
}
/* Search box */
.select2-search__field{
border-radius: 5px !important;
padding: 6px !important;
}
</style>
</head>
<div id="pageloader">
<img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
</div>
<body class="loading">
<div class="account-pages">
<div class="container">
<div class="row justify-content-center">
<div class="col-md-8 col-lg-6 col-xl-5 p-0">
<div class="card bg-pattern">
<div class="card-body p-3 row">
@if(Session::has('error'))<div class="alert alert-danger">{{Session::get('error')}}</div>
<br>@endif
@if(session('success'))<div class=" alert alert-success">{{ session('success') }}
</div>
<br>@endif
<div class="col-8">
<h4 class="page-title">{{$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>
@else
<a href="{{url()->previous()}}" class="float-end pt-1">Back</a>
@endif
</div>
@endif
@if(isset($form->user_info))
<div class="col-12">
<h6>Submitted By: {{$form->user_info->name}}</h6>
</div>
@endif
@php
$submissions = Formhelper::getMultiformData( $form->partition, $form_id, $form->user_id);
$submissions = $submissions->data->submissions;
@endphp
@if(count($submissions)===0 || $id)
<form method="POST" action="/form/submit" id="report-form" enctype="multipart/form-data">
<input type="hidden" name="form_id" value="{{$form_id}}">
@csrf
@if($id)
<input type="hidden" name="id[0]" value="{{$id}}">
@endif
@if(isset($form->manager_can_submit) && $form->manager_can_submit == true)
<div class="col-md-12 mb-2">
<label for="field-user_id" class="form-label"> Select User / Territory <span class="text-danger">*</span> </label>
<select class="form-control" id="field-user_id" name="user_id" required>
<option value=""> -- Select -- </option>
@foreach($form->users as $option)
<option value="{{$option->value}}" hierarchy="{{$option->hierarchy_id}}" {{isset($question->value) && $question->value == $option->value ? 'selected':''}}>{{$option->display}}</option>
@endforeach
</select>
<input type="hidden" id="field-hierarchy_id" name="hierarchy_id" value="">
</div>
@endif
@foreach($questions as $question)
@if( !in_array($question->code,
["record_date","select_rxber_type"] ) )
@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' : '' }} {{ $question->code == 'contact_id' ? 'msl_code= ' . $option->contact->legacy_code . ' ' : '' }} {{ $question->code == 'contact_id' ? 'pcode= ' . $option->contact->msl_code . ' ' : '' }} {{ $question->code == 'doctor_name' ? 'speciality= ' . (isset($option->contact->speciality) ? $option->contact->speciality :'') . ' ' : '' }} >
{{ $option->display }}
</option>
@endforeach
</select>
@break
@endswitch
</div>
@endforeach
<div class="doctor-wrapper">
@foreach($questions as $question)
@if( in_array($question->code,
["record_date","select_rxber_type"] ) )
@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="{{$question->code}}[0]"
value="{{isset($question->value)?$question->value:''}}">
@break
@case('text')
@case('email')
@case('tel')
@case('date')
<input type="{{$question->type}}" id="field-{{$question->code}}"
name="{{$question->code}}[0]" 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}}[0]"
class="form-control" {{$question->required == 'yes'?'required':'' }}
value="{{isset($question->value)?$question->value:0}}">
@break
@case('textarea')
<textarea id="field-{{$question->code}}" name="{{$question->code}}[0]"
class="form-control"
{{$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 }}[0]"
{{ $question->required == 'yes' ? 'required' : '' }}>
<option value=""> -- Select -- </option>
@foreach ($question->options as $option)
<option value="{{ $option->value }}"
{{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}
@if($question->code == 'contact_id')
msl_code="{{ (isset($option->contact->legacy_code) ? $option->contact->legacy_code : '') }}"
pcode="{{ (isset($option->contact->msl_code) ? $option->contact->msl_code : '') }}"
speciality="{{ (isset($option->contact->speciality) ? $option->contact->speciality : '') }}"
@endif
>
{{ $option->display }}
</option>
@endforeach
</select>
@else
<select class="form-control" id="execution-{{ $question->code }}"
name="{{ $question->code }}[0]"
{{ $question->required == 'yes' ? 'required' : '' }}>
<option value=""> -- Select -- </option>
@foreach ($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}}[0]" 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')
@if(!isset($form->is_approval) || (isset($form->is_approval) &&
$form->is_approval != 'yes' ) )
<input type="file" id="field-{{$question->code}}" name="{{$question->code}}"
class="form-control" value=""
{{$question->required == 'yes'?'required':'' }}>
@elseif(isset($question->value))
<img src="{{$question->value}}" class="img-fluid">
@endif
@break
@case('multitextbox')
<div class="row">
@foreach($question->options as $option)
<div class="col-6">{{$option->display}}</div>
<div class="col-6 mb-1">
<input type="number" id="field-{{$option->value}}"
name="{{$option->value}}" class="form-control" required
value="{{isset($option->val)?$option->val:0}}">
</div>
@endforeach
</div>
@break
@endswitch
</div>
@endforeach
</div>
<div id="doctor-group-wrapper">
</div>
@if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval !=
'yes' ) )
<div class="text-center button-list">
@if(!$id)
<button class="btn btn-primary" type="button" id="adddoctor-btn"> Add Doctor </button>
@endif
<button class="btn btn-primary" type="submit" id="submit-btn"> Submit </button>
</div>
@endif
</form>
@elseif(!$id)
<h4>You have submitted 10 doctors</h4>
@endif
</div> <!-- end card-body -->
</div>
<!-- end card -->
<!-- end row -->
</div> <!-- end col -->
</div>
<!-- end row -->
</div>
<!-- end container -->
</div>
<!-- end page -->
<style type="text/css">
#pageloader {
background: rgba(255, 255, 255, 0.8);
display: none;
height: 100%;
position: fixed;
width: 100%;
z-index: 9999;
}
#pageloader img {
left: 50%;
margin-left: -32px;
margin-top: -32px;
position: absolute;
top: 50%;
}
.doctor-wrapper {
border: 1px solid #ccc;
padding: 20px;
border-radius: 10px;
margin-bottom: 20px;
}
</style>
@include('layouts.shared/footer-script')
<script src="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/js/select2.min.js"></script>
<script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
{{-- <script>
jQuery(document).ready(function($) {
// Check whether the form is loaded in Edit Mode
var isEditMode = @json((bool)$id);
// Auto-fill metadata fields (MSL Code, Pcode, Speciality) dynamically
$(document).on('change', 'select[id^="field-contact_id"]', function() {
let selectedOption = $(this).find(':selected');
let idParts = $(this).attr('id').split('-');
let suffix = idParts.length > 2 ? '-' + idParts[2] : '';
$('#field-msl_code' + suffix).val(selectedOption.attr('msl_code') || '');
$('#field-pcode' + suffix).val(selectedOption.attr('pcode') || '');
$('#field-speciality' + suffix).val(selectedOption.attr('speciality') || '');
// Refresh disabled options across all doctor dropdowns
preventDuplicateDoctors();
});
// Restrict brand name inputs to letters and spaces only
$(document).on('input', 'input[id^="field-brand_name"]', function () {
this.value = this.value.replace(/[^a-zA-Z\s]/g, '');
});
// Initialize Select2 elements helper
function initSelect2(selector, placeholderText) {
$(selector).each(function() {
if ($(this).hasClass("select2-hidden-accessible")) {
$(this).select2('destroy');
}
$(this).select2({
width: '100%',
placeholder: placeholderText || '-- Select --'
});
});
}
// Core logic to disable already selected doctors in other dropdowns
function preventDuplicateDoctors() {
let selectedDoctorIds = [];
// Step 1: Collect all currently selected doctor values
$('select[id^="field-contact_id"]').each(function () {
let val = $(this).val();
if (val && val !== '') {
selectedDoctorIds.push(String(val));
}
});
// Step 2: Traverse each doctor select element and update option states
$('select[id^="field-contact_id"]').each(function () {
let $currentSelect = $(this);
let currentVal = String($currentSelect.val() || '');
$currentSelect.find('option').each(function () {
let $option = $(this);
let optionVal = String($option.val() || '');
// Skip the default placeholder option
if (!optionVal) return;
// Clean any previously appended '(Already Added)' tags
let rawText = $option.text().replace(/\s*\(Already Added\)/g, '').trim();
// If selected in another dropdown, disable and tag it
if (selectedDoctorIds.includes(optionVal) && optionVal !== currentVal) {
$option.prop('disabled', true);
$option.text(rawText + ' (Already Added)');
} else {
$option.prop('disabled', false);
$option.text(rawText);
}
});
// Step 3: Refresh Select2 cleanly to render updated disabled states
if ($currentSelect.hasClass("select2-hidden-accessible")) {
$currentSelect.select2('destroy');
}
$currentSelect.select2({
width: '100%',
placeholder: '-- Select Doctor --'
});
// Preserve the selected value
$currentSelect.val(currentVal);
});
}
// Initial setup on page load
initSelect2('select[id^="field-contact_id"]', '-- Select Doctor --');
initSelect2('#field-user_id', '-- Select User / Territory --');
initSelect2('select[id^="execution-"]');
$('#field-msl_code,#field-pcode,#field-speciality').attr('readonly', true);
preventDuplicateDoctors();
// Calculate doctor count based on existing elements
var doctor_count = $('.doctor-wrapper').length ? ($('.doctor-wrapper').length - 1) : 0;
// Add doctor row dynamically
$('#adddoctor-btn').click(function() {
if ($('.doctor-wrapper').length >= 10) {
alert('You can only add up to 10 doctors.');
return;
}
doctor_count++;
// Clean clone of doctor options from the primary select element
let $temp = $('#field-contact_id').clone();
$temp.find('option').each(function() {
$(this).prop('disabled', false);
$(this).text($(this).text().replace(/\s*\(Already Added\)/g, '').trim());
});
let doctorName = $temp.html();
let empty_doctor = `
<div class="doctor-wrapper">
<button type="button" class="btn btn-danger btn-remove float-end" style="margin-top:-25px; margin-right:-25px">
<i class="mdi mdi-close"></i>
</button>
@foreach($questions as $question)
@if( in_array($question->code, ["record_date","select_rxber_type"] ) )
@continue;
@endif
<div class="col-md-12 mb-2">
<label for="field-{{$question->code}}-${doctor_count}" 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-{{$question->code}}-${doctor_count}" name="{{$question->code}}[${doctor_count}]" value="{{isset($question->value)?$question->value:''}}">
@break
@case('text')
@case('file')
@case('email')
@case('tel')
@case('date')
<input type="{{$question->type}}" id="field-{{$question->code}}-${doctor_count}" name="{{$question->code}}[${doctor_count}]" class="form-control" {{$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}}-${doctor_count}" name="{{$question->code}}[${doctor_count}]" class="form-control" {{$question->required == 'yes'?'required':'' }} value="{{isset($question->value)?$question->value:0}}">
@break
@case('dropdown')
<select class="form-control" id="field-{{$question->code}}-${doctor_count}" name="{{$question->code}}[${doctor_count}]" {{$question->required == 'yes'?'required':'' }}>
@if($question->code=='contact_id')
${doctorName}
@else
<option value=""> -- Select -- </option>
@foreach($question->options as $option)
<option value="{{ $option->value }}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>
{{ $option->display }}
</option>
@endforeach
@endif
</select>
@break
@case('checkbox')
<div class="checkbox-group">
@if(isset($question->options) && count($question->options) > 0)
@foreach($question->options as $option)
<div class="form-check">
<input class="form-check-input" type="checkbox" id="field-{{$question->code}}-${doctor_count}-{{ $loop->index }}" name="{{$question->code}}[${doctor_count}][]" value="{{ $option->value }}">
<label class="form-check-label" for="field-{{$question->code}}-${doctor_count}-{{ $loop->index }}">
{{ $option->display }}
</label>
</div>
@endforeach
@endif
</div>
@break
@endswitch
</div>
@endforeach
</div>`;
let $newRow = $(empty_doctor);
$('#doctor-group-wrapper').append($newRow);
// Initialize Select2 on the new elements
initSelect2('#field-contact_id-' + doctor_count, '-- Select Doctor --');
initSelect2($newRow.find('select[id^="execution-"]'));
// Set readonly attributes for metadata inputs in the new card
$('#field-msl_code-' + doctor_count).attr('readonly', true);
$('#field-pcode-' + doctor_count).attr('readonly', true);
$('#field-speciality-' + doctor_count).attr('readonly', true);
// Update duplicate validation state
preventDuplicateDoctors();
// Toggle Add Button visibility
if ($('.doctor-wrapper').length >= 10) {
$('#adddoctor-btn').hide();
}
});
// Remove a doctor row
$(document).on('click', '.btn-remove', function() {
let $row = $(this).closest('.doctor-wrapper');
$row.find('select').each(function() {
if ($(this).hasClass("select2-hidden-accessible")) {
$(this).select2('destroy');
}
});
$row.remove();
// Re-enable options freed by removing this doctor
preventDuplicateDoctors();
if ($('.doctor-wrapper').length < 10) {
$('#adddoctor-btn').show();
}
});
// Territory / User dropdown dynamic change
$('#field-user_id').change(function(event){
let hierarchy = $('option:selected', this).attr('hierarchy');
$('#field-hierarchy_id').val(hierarchy);
$('#pageloader').fadeIn();
$.ajax({
type: "GET",
url: '/form/getdoctorlist?partition={{$form->partition}}&hierarchy=' + hierarchy,
processData: false,
contentType: false,
success: function(data) {
$("#pageloader").fadeOut();
let $contactSelect = $('#field-contact_id');
$contactSelect.empty().append($("<option></option>").attr("value", '').text('-- Select --'));
for (let itm of data) {
$contactSelect.append(
$("<option></option>")
.attr("value", itm.value)
.text(itm.display)
.attr("msl_code", itm.contact ? itm.contact.msl_code : '')
.attr("pcode", itm.contact ? itm.contact.pcode : '')
.attr("speciality", itm.contact ? itm.contact.speciality : '')
);
}
$contactSelect.val('').trigger('change.select2');
preventDuplicateDoctors();
}
});
});
// Form submit handler
$('#report-form').on('submit', function(event) {
event.preventDefault();
let currentTotal = $('.doctor-wrapper').length;
// Only enforce 10 submissions in Create Mode
if (!isEditMode && currentTotal !== 10) {
alert(`You must submit 10 Doctors for Levoswitch, Current Doctors: ${currentTotal}`);
return;
}
$("#pageloader").fadeIn();
$.ajax({
type: "POST",
url: '/form/ajaxsubmitmultiple',
data: new FormData($('#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();
});
$('#report-form').trigger("reset");
} else {
Swal.fire({
icon: 'error',
title: 'Data not submitted',
text: data.message || 'Something went wrong, please try again after some time!'
});
}
},
error: function() {
$("#pageloader").fadeOut();
Swal.fire({
icon: 'error',
title: 'Server Error',
text: 'Something went wrong, please try again after some time!'
});
}
});
});
});
</script> --}}
<script>
jQuery(document).ready(function($) {
var isEditMode = @json((bool)$id);
// Auto-fill metadata fields
$(document).on('change', 'select[id^="field-contact_id"]', function() {
let selectedOption = $(this).find(':selected');
let idParts = $(this).attr('id').split('-');
let suffix = idParts.length > 2 ? '-' + idParts[2] : '';
$('#field-msl_code' + suffix).val(selectedOption.attr('msl_code') || '');
$('#field-pcode' + suffix).val(selectedOption.attr('pcode') || '');
$('#field-speciality' + suffix).val(selectedOption.attr('speciality') || '');
preventDuplicateDoctors();
});
// Restrict brand name
$(document).on('input', 'input[id^="field-brand_name"]', function () {
this.value = this.value.replace(/[^a-zA-Z\s]/g, '');
});
// Init Select2
function initSelect2(selector, placeholderText) {
$(selector).each(function() {
if ($(this).hasClass("select2-hidden-accessible")) {
$(this).select2('destroy');
}
$(this).select2({
width: '100%',
placeholder: placeholderText || '-- Select --'
});
});
}
// Duplicate doctor restriction
function preventDuplicateDoctors() {
let selectedDoctorIds = [];
$('select[id^="field-contact_id"]').each(function () {
let val = $(this).val();
if (val && val !== '') {
selectedDoctorIds.push(String(val));
}
});
$('select[id^="field-contact_id"]').each(function () {
let $currentSelect = $(this);
let currentVal = String($currentSelect.val() || '');
$currentSelect.find('option').each(function () {
let $option = $(this);
let optionVal = String($option.val() || '');
if (!optionVal) return;
let rawText = $option.text().replace(/\s*\(Already Added\)/g, '').trim();
if (selectedDoctorIds.includes(optionVal) && optionVal !== currentVal) {
$option.prop('disabled', true);
$option.text(rawText + ' (Already Added)');
} else {
$option.prop('disabled', false);
$option.text(rawText);
}
});
if ($currentSelect.hasClass("select2-hidden-accessible")) {
$currentSelect.select2('destroy');
}
$currentSelect.select2({
width: '100%',
placeholder: '-- Select Doctor --'
});
$currentSelect.val(currentVal);
});
}
// Initialize elements
initSelect2('select[id^="field-contact_id"]', '-- Select Doctor --');
initSelect2('#field-user_id', '-- Select User / Territory --');
initSelect2('select[id^="execution-"]');
$('#field-msl_code,#field-pcode,#field-speciality').attr('readonly', true);
// Populate metadata on initial edit load
$('select[id^="field-contact_id"]').trigger('change');
var doctor_count = $('.doctor-wrapper').length || 0;
// Add doctor row dynamically
$('#adddoctor-btn').click(function() {
if ($('.doctor-wrapper').length >= 10) {
alert('You can only add up to 10 doctors.');
return;
}
doctor_count++;
let $temp = $('#field-contact_id').clone();
$temp.find('option').each(function() {
$(this).prop('disabled', false);
$(this).text($(this).text().replace(/\s*\(Already Added\)/g, '').trim());
});
let doctorName = $temp.html();
let empty_doctor = `
<div class="doctor-wrapper">
<button type="button" class="btn btn-danger btn-remove float-end" style="margin-top:-25px; margin-right:-25px">
<i class="mdi mdi-close"></i>
</button>
@foreach($questions as $question)
@if( in_array($question->code, ["record_date","select_rxber_type"] ) )
@continue;
@endif
<div class="col-md-12 mb-2">
<label for="field-{{$question->code}}-${doctor_count}" 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-{{$question->code}}-${doctor_count}" name="{{$question->code}}[${doctor_count}]" value="{{isset($question->value)?$question->value:''}}">
@break
@case('text')
@case('file')
@case('email')
@case('tel')
@case('date')
<input type="{{$question->type}}" id="field-{{$question->code}}-${doctor_count}" name="{{$question->code}}[${doctor_count}]" class="form-control" {{$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}}-${doctor_count}" name="{{$question->code}}[${doctor_count}]" class="form-control" {{$question->required == 'yes'?'required':'' }} value="{{isset($question->value)?$question->value:0}}">
@break
@case('dropdown')
<select class="form-control" id="field-{{$question->code}}-${doctor_count}" name="{{$question->code}}[${doctor_count}]" {{$question->required == 'yes'?'required':'' }}>
@if($question->code=='contact_id')
${doctorName}
@else
<option value=""> -- Select -- </option>
@foreach($question->options as $option)
<option value="{{ $option->value }}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>
{{ $option->display }}
</option>
@endforeach
@endif
</select>
@break
@case('checkbox')
<div class="checkbox-group">
@if(isset($question->options) && count($question->options) > 0)
@foreach($question->options as $option)
<div class="form-check">
<input class="form-check-input" type="checkbox" id="field-{{$question->code}}-${doctor_count}-{{ $loop->index }}" name="{{$question->code}}[${doctor_count}][]" value="{{ $option->value }}">
<label class="form-check-label" for="field-{{$question->code}}-${doctor_count}-{{ $loop->index }}">
{{ $option->display }}
</label>
</div>
@endforeach
@endif
</div>
@break
@endswitch
</div>
@endforeach
</div>`;
let $newRow = $(empty_doctor);
$('#doctor-group-wrapper').append($newRow);
initSelect2('#field-contact_id-' + doctor_count, '-- Select Doctor --');
initSelect2($newRow.find('select[id^="execution-"]'));
$('#field-msl_code-' + doctor_count).attr('readonly', true);
$('#field-pcode-' + doctor_count).attr('readonly', true);
$('#field-speciality-' + doctor_count).attr('readonly', true);
preventDuplicateDoctors();
if ($('.doctor-wrapper').length >= 10) {
$('#adddoctor-btn').hide();
}
});
// Remove row
$(document).on('click', '.btn-remove', function() {
let $row = $(this).closest('.doctor-wrapper');
$row.find('select').each(function() {
if ($(this).hasClass("select2-hidden-accessible")) {
$(this).select2('destroy');
}
});
$row.remove();
preventDuplicateDoctors();
if ($('.doctor-wrapper').length < 10) {
$('#adddoctor-btn').show();
}
});
// User/Territory Change
$('#field-user_id').change(function(event){
let hierarchy = $('option:selected', this).attr('hierarchy');
$('#field-hierarchy_id').val(hierarchy);
$('#pageloader').fadeIn();
$.ajax({
type: "GET",
url: '/form/getdoctorlist?partition={{$form->partition}}&hierarchy=' + hierarchy,
processData: false,
contentType: false,
success: function(data) {
$("#pageloader").fadeOut();
let $contactSelect = $('#field-contact_id');
$contactSelect.empty().append($("<option></option>").attr("value", '').text('-- Select --'));
for (let itm of data) {
$contactSelect.append(
$("<option></option>")
.attr("value", itm.value)
.text(itm.display)
.attr("msl_code", itm.contact ? itm.contact.msl_code : '')
.attr("pcode", itm.contact ? itm.contact.pcode : '')
.attr("speciality", itm.contact ? itm.contact.speciality : '')
);
}
$contactSelect.val('').trigger('change.select2');
preventDuplicateDoctors();
}
});
});
// Form Submit
$('#report-form').on('submit', function(event) {
event.preventDefault();
let currentTotal = $('.doctor-wrapper').length;
if (!isEditMode && currentTotal !== 10) {
alert(`You must submit 10 Doctors for Levoswitch, Current Doctors: ${currentTotal}`);
return;
}
// CRITICAL FIX: Re-enable disabled options so values are not skipped in FormData
$('select option:disabled').prop('disabled', false);
$("#pageloader").fadeIn();
$.ajax({
type: "POST",
url: '/form/ajaxsubmitmultiple',
data: new FormData($('#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();
});
$('#report-form').trigger("reset");
} else {
preventDuplicateDoctors(); // Re-apply restrictions on failure
Swal.fire({
icon: 'error',
title: 'Data not submitted',
text: data.message || 'Something went wrong, please try again after some time!'
});
}
},
error: function(xhr) {
$("#pageloader").fadeOut();
preventDuplicateDoctors(); // Re-apply restrictions on failure
let errorMsg = 'Something went wrong, please try again after some time!';
if (xhr.responseJSON && xhr.responseJSON.message) {
errorMsg = xhr.responseJSON.message;
}
Swal.fire({
icon: 'error',
title: 'Server Error',
text: errorMsg
});
}
});
});
});
</script>
</body>
</html>