602 lines
27 KiB
PHP
602 lines
27 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" => $demo ?? ''])
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<link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
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</head>
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<div id="pageloader">
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<img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
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</div>
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<body class="loading">
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<div class="account-pages">
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<div class="container">
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<div class="row justify-content-center">
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<div class="col-md-8 col-lg-6 col-xl-5 p-0">
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<div class="card bg-pattern">
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<div class="card-body p-3 row">
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@if(Session::has('error'))<div class="alert alert-danger">{{Session::get('error')}}</div>
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<br>@endif
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@if(session('success'))<div class=" alert alert-success">{{ session('success') }}
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</div>
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<br>@endif
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<div class="col-8">
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<h4 class="page-title">{{$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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@php
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$multiDoctorFormId = '1793767249-069bf040-1469-4117-b364-e4851e1f4bdf';
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$doctorFieldCodes = [
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'contact_id',
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'legacy_code',
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'msl_code',
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'speciality'
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];
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$doctorQuestions = collect($questions)->keyBy('code');
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@endphp
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@if($form_id == $multiDoctorFormId)
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<div class="col-md-12 mb-3" id="doctor-section">
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<div id="doctor-wrapper-1" class="doctor-wrapper border rounded p-3 mb-3">
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<h5>Doctor 1</h5>
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<div class="mb-2">
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<label class="form-label">HCP Name <span class="text-danger">*</span></label>
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<select name="contact_id[]" class="form-control doctor-contact" required>
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<option value="">-- Select Doctor --</option>
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</select>
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</div>
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<div class="mb-2">
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<label class="form-label">MSL Code</label>
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<input type="text" name="legacy_code[]" class="form-control doctor-legacy-code" readonly>
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</div>
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<div class="mb-2">
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<label class="form-label">Pcode</label>
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<input type="text" name="msl_code[]" class="form-control doctor-msl-code" readonly>
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</div>
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<div class="mb-2">
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<label class="form-label">Speciality</label>
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<input type="text" name="speciality[]" class="form-control doctor-speciality" readonly>
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</div>
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</div>
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@for($i = 2; $i <= 5; $i++)
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<div id="doctor-wrapper-{{ $i }}"
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class="doctor-wrapper border rounded p-3 mb-3"
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style="display:none;">
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<h5>Doctor {{ $i }}</h5>
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<div class="mb-2">
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<label class="form-label">HCP Name <span class="text-danger">*</span></label>
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<select name="contact_id[]" class="form-control doctor-contact">
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<option value="">-- Select Doctor --</option>
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</select>
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</div>
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<div class="mb-2">
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<label class="form-label">MSL Code</label>
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<input type="text" name="legacy_code[]" class="form-control doctor-legacy-code" readonly>
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</div>
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<div class="mb-2">
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<label class="form-label">Pcode</label>
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<input type="text" name="msl_code[]" class="form-control doctor-msl-code" readonly>
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</div>
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<div class="mb-2">
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<label class="form-label">Speciality</label>
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<input type="text" name="speciality[]" class="form-control doctor-speciality" readonly>
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</div>
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</div>
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@endfor
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<button type="button" class="btn btn-secondary" id="add-doctor-btn">
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Add Doctor
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</button>
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</div>
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{{-- Render all other questions normally --}}
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@foreach($questions as $question)
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@if(!in_array($question->code, $doctorFieldCodes))
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<div class="col-md-12 mb-2">
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<label for="field-{{$question->code}}" class="form-label">
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{{$question->question}}
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{!!$question->required == 'yes' ? '<span class="text-danger">*</span>':''!!}
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</label>
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@switch($question->type)
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@case('hidden')
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<input type="hidden"
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id="field-{{$question->code}}"
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name="{{$question->code}}"
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value="{{isset($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}}"
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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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{{$question->required == 'yes'?'required':''}}
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value="{{isset($question->value)?$question->value:''}}">
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@break
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@case('number')
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<input type="number"
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min="0"
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max="9999999999"
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step="1"
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id="field-{{$question->code}}"
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name="{{$question->code}}"
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class="form-control"
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{{$question->required == 'yes'?'required':''}}
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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-{{$question->code}}"
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name="{{$question->code}}"
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class="form-control"
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{{$question->required == 'yes'?'required':''}}>{{isset($question->value)?$question->value:''}}</textarea>
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@break
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@case('dropdown')
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<select class="form-control"
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id="field-{{$question->code}}"
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name="{{$question->code}}"
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{{$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}}"
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{{isset($question->value) && $question->value == $option->value ? 'selected':''}}>
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{{$option->display}}
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</option>
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@endforeach
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</select>
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@break
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@case('radio')
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@foreach($question->options as $option)
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<div class="form-check mb-2 form-check-success">
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<input class="form-check-input"
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type="radio"
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name="{{$question->code}}"
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id="field-{{$question->code}}_{{$option->value}}"
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value="{{$option->value}}">
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<label class="form-check-label"
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for="field-{{$question->code}}_{{$option->value}}">
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{{$option->display}}
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</label>
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</div>
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@endforeach
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@break
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@case('checkbox')
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@foreach($question->options as $option)
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<div class="form-check mb-2 form-check-primary ms-2">
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<input class="form-check-input"
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type="checkbox"
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id="field-{{$question->code}}-{{$option->value}}"
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name="{{$question->code}}[]"
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value="{{$option->value}}">
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<label class="form-check-label"
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for="field-{{$question->code}}-{{$option->value}}">
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{{$option->display}}
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</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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<input 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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{{$question->required == 'yes'?'required':''}}>
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@break
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@endswitch
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</div>
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@endif
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@endforeach
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@else
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{{-- Keep your existing question-rendering code here for all other forms. --}}
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@endif
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@if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes' ) )
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<div class="text-center d-grid mt-3">
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<button class="btn btn-primary" type="submit" id="submit-btn"> Submit </button>
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</div>
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@endif
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</form>
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</div> <!-- end card-body -->
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</div>
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<!-- end card -->
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<!-- end row -->
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</div> <!-- end col -->
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</div>
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<!-- end row -->
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</div>
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<!-- end container -->
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</div>
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<!-- end page -->
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<style type="text/css">
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#pageloader {
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background: rgba( 255, 255, 255, 0.8 );
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display: none;
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height: 100%;
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position: fixed;
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width: 100%;
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z-index: 9999;
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}
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#pageloader img {
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left: 50%;
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margin-left: -32px;
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margin-top: -32px;
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position: absolute;
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top: 50%;
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}
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.form-label {
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font-weight:bold;
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font-size:16px;
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}
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</style>
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@include('layouts.shared/footer-script')
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<script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
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<script type="text/javascript">
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jQuery(document).ready(function($){
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// Store all doctors returned by the API
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let allDoctors = [];
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// Load doctors using the current form hierarchy
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function loadDoctorList(hierarchy) {
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if (!hierarchy) {
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console.error('Hierarchy is missing');
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return;
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}
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$("#pageloader").fadeIn();
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$.ajax({
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type: "GET",
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url: '/form/getdoctorlist',
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data: {
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partition: @json($form->partition),
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hierarchy: hierarchy
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},
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success: function(data) {
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$("#pageloader").fadeOut();
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console.log('Doctors received:', data);
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allDoctors = data;
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// Populate every doctor dropdown
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$('.doctor-contact').each(function() {
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let dropdown = $(this);
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dropdown.empty();
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dropdown.append(
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$('<option></option>')
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.val('')
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.text('-- Select Doctor --')
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);
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$.each(allDoctors, function(index, itm) {
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let contact = itm.contact || {};
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let option = $('<option></option>')
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.val(itm.value)
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.text(itm.display)
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.attr('msl_code', contact.msl_code || '')
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.attr('legacy_code', contact.legacy_code || '')
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.attr('speciality', contact.speciality || '');
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dropdown.append(option);
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});
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});
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},
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error: function(xhr) {
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$("#pageloader").fadeOut();
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console.error('Doctor API error:', xhr.responseText);
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Swal.fire(
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'Error',
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'Unable to load doctor list.',
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'error'
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);
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}
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});
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}
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// Load automatically when the form opens
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loadDoctorList(@json($form->hierarchy_id ?? ''));
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$(document).on('change', '.doctor-contact', function() {
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let selectedOption = $(this).find('option:selected');
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let wrapper = $(this).closest('.doctor-wrapper');
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let mslCode = selectedOption.attr('msl_code') || '';
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let legacyCode = selectedOption.attr('legacy_code') || '';
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let speciality = selectedOption.attr('speciality') || '';
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wrapper.find('.doctor-msl-code').val(mslCode);
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wrapper.find('.doctor-legacy-code').val(legacyCode);
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wrapper.find('.doctor-speciality').val(speciality);
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console.log('Doctor:', selectedOption.text());
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console.log('MSL Code:', mslCode);
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console.log('Legacy Code:', legacyCode);
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console.log('Speciality:', speciality);
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});
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// If the form has a User/Territory dropdown, load when it changes.
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$('#field-user_id').on('change', function () {
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let hierarchy = $(this).find(':selected').attr('hierarchy');
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$('#field-hierarchy_id').val(hierarchy || '');
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if (hierarchy) {
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loadDoctorList(hierarchy);
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}
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});
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$(document).on('change', '.doctor-contact', function () {
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let selectedOption = $(this).find('option:selected');
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let wrapper = $(this).closest('.doctor-wrapper');
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let legacyCode = selectedOption.attr('legacy_code') || '';
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let mslCode = selectedOption.attr('msl_code') || '';
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let speciality = selectedOption.attr('speciality') || '';
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wrapper.find('.doctor-legacy-code').val(legacyCode);
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wrapper.find('.doctor-msl-code').val(mslCode);
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wrapper.find('.doctor-speciality').val(speciality);
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console.log('Selected doctor:', selectedOption.text());
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console.log('Legacy Code:', legacyCode);
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console.log('MSL Code:', mslCode);
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console.log('Speciality:', speciality);
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});
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// Add doctor wrappers one by one
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let visibleDoctors = 1;
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$('#add-doctor-btn').on('click', function() {
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if (visibleDoctors >= 5) {
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return;
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}
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visibleDoctors++;
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let wrapper = $('#doctor-wrapper-' + visibleDoctors);
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wrapper.slideDown();
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if (visibleDoctors === 5) {
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$('#add-doctor-btn').hide();
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}
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});
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// Make a newly selected doctor required
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$(document).on('change', '.doctor-contact', function () {
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let wrapper = $(this).closest('.doctor-wrapper');
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$(this).prop('required', true);
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if ($(this).val() === '') {
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$(this).prop('required', false);
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}
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});
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$(document).on('change', '.doctor-contact', function () {
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let selectedValue = $(this).val();
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let currentSelect = this;
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let isDuplicate = false;
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if (!selectedValue) {
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return;
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}
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$('.doctor-contact').not(currentSelect).each(function () {
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if ($(this).val() === selectedValue) {
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isDuplicate = true;
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return false;
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}
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});
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if (isDuplicate) {
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Swal.fire(
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'Duplicate Doctor',
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'This doctor has already been selected. Please select another doctor.',
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'warning'
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);
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$(this).val('').trigger('change');
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}
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});
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$('#report-form').on('submit', function(event) {
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event.preventDefault();
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let selectedDoctors = [];
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$('.doctor-contact').each(function() {
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let doctorId = $(this).val();
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if (doctorId) {
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selectedDoctors.push(doctorId);
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}
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});
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// Exactly 5 doctors must be selected.
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if (selectedDoctors.length !== 5) {
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Swal.fire({
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title: 'Warning',
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text: 'Please select all 5 doctors before submitting the form.',
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icon: 'warning',
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confirmButtonText: 'OK'
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});
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return false;
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}
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// Continue with your existing AJAX submission below.
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$("#pageloader").fadeIn();
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let formData = new FormData(this);
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console.log('Submitting form data:');
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for (let [key, value] of formData.entries()) {
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console.log(key, value);
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}
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$.ajax({
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type: "POST",
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url: '/form/ajaxsubmitmultiple',
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data: formData,
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processData: false,
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contentType: false,
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success: function(data) {
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$("#pageloader").fadeOut();
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console.log('Submission response:', data);
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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!',
|
|
icon: 'success'
|
|
}).then(() => {
|
|
window.location.reload();
|
|
});
|
|
|
|
} else {
|
|
|
|
Swal.fire({
|
|
icon: 'error',
|
|
title: 'Data not submitted',
|
|
text: data.message || 'Something went wrong. Please try again.'
|
|
});
|
|
|
|
}
|
|
},
|
|
|
|
error: function(xhr) {
|
|
|
|
$("#pageloader").fadeOut();
|
|
|
|
console.error('Submission error:', xhr.responseText);
|
|
|
|
Swal.fire(
|
|
'Error',
|
|
'Submission failed. Check the browser console and Network response.',
|
|
'error'
|
|
);
|
|
}
|
|
});
|
|
});
|
|
|
|
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 plandateField = document.getElementById('field-record_date');
|
|
|
|
plandateField.setAttribute('max', today);
|
|
});
|
|
</script>
|
|
</body>
|
|
|
|
</html> |