400 lines
22 KiB
PHP
400 lines
22 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' => $demo ?? ''])
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<link href="{{ asset('assets/libs/sweetalert2/sweetalert2.min.css') }}" rel="stylesheet" type="text/css" />
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</head>
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<div id="pageloader">
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<img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
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</div>
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{{-- <div style="display: none">
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@php
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// echo "<pre>";
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// print_r($questions);
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@endphp
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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'))
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<div class="alert alert-danger">{{ Session::get('error') }}</div>
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<br>
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@endif
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@if (session('success'))
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<div class=" alert alert-success">{{ session('success') }}
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</div>
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<br>
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@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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<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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<input type="hidden" name="user_id" value="{{ $form->user_id }}">
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@csrf
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@if ($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) && $form->manager_can_submit == true)
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<div class="col-md-12 mb-2">
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<label for="field-user_id" class="form-label"> Select User / Territory <span
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class="text-danger">*</span> </label>
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<select class="form-control" id="field-user_id" name="user_id" required>
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<option value=""> -- Select -- </option>
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@foreach ($form->users as $option)
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<option value="{{ $option->value }}"
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hierarchy="{{ $option->hierarchy_id }}"
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{{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>
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{{ $option->display }}</option>
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@endforeach
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</select>
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<input type="hidden" id="field-hierarchy_id" name="hierarchy_id"
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value="">
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</div>
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@endif
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@foreach ($questions as $question)
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<div class="col-md-12 mb-2">
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@if ($question->code == 'category')
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@else
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<label for="field-{{ $question->code }}"
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class="form-label">{{ $question->question }} {!! $question->required == 'yes' ? '<span class="text-danger">*</span>' : '' !!}
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</label>
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@endif
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@switch($question->type)
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@case('hidden')
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<input type="{{ $question->type }}" id="field-{{ $question->code }}"
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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 }}" id="field-{{ $question->code }}"
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name="{{ $question->code }}" 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="{{ $question->type }}" min="0" max="9999999999"
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step="1" id="field-{{ $question->code }}"
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name="{{ $question->code }}" 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 }}" name="{{ $question->code }}" class="form-control"
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{{ $question->required == 'yes' ? 'required' : '' }}>{{ isset($question->value) ? $question->value : '' }}</textarea>
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@break
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@case('dropdown')
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@if ($question->code == 'category')
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<div class="category"
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style="border: 1.5px solid #007bff; border-radius: 8px; padding: 10px 14px;">
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<label for="field-{{ $question->code }}"
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class="form-label">{{ $question->question }}
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{!! $question->required == 'yes' ? '<span class="text-danger">*</span>' : '' !!} </label>
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<select class="form-control" 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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{{ $option->display }}</option>
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@endforeach
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</select>
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</div>
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@elseif(preg_match('/^doctor_name_(?:[1-9]|[1-3][0-9]|4[0-5])$/', $question->code))
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<select class="form-control" 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 $option)
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@if (
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!empty($option->contact) &&
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($option->contact->type ?? '') !== 'chemist' &&
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strtolower(trim($option->contact->speciality ?? '')) === 'consulting physician')
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<option value="{{ $option->value }}" {{-- po5_synchrobreathe_non_prescriber="{{ isset($option->contact->po5_synchrobreathe_non_prescriber) ? $option->contact->po5_synchrobreathe_non_prescriber : '' }}"
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po5_ciphaler_non_prescriber="{{ isset($option->contact->po5_ciphaler_non_prescriber) ? $option->contact->po5_ciphaler_non_prescriber : '' }}" --}}
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{{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>
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{{ $option->display }}
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</option>
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@endif
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@endforeach
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</select>
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@else
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<select class="form-control" 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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{{ $option->display }}</option>
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@endforeach
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</select>
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@endif
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@break
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@case('checkbox')
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@foreach ($question->options as $option)
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<div class="form-check mb-2 form-check-primary">
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<input class="form-check-input" type="checkbox"
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id="field-{{ $question->code }}-{{ $option->value }}"
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name="{{ $question->code }}[]" value="{{ $option->value }}"
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{{ isset($question->value) && $question->value != '' && in_array($option->value, $question->value) ? 'checked' : '' }}>
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<label class="form-check-label"
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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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<input type="file" id="field-{{ $question->code }}"
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name="{{ $question->code }}" class="form-control" value=""
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accept="image/jpg, image/jpeg, image/png"
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{{ $question->required == 'yes' ? 'required' : '' }}>
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@break
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@case('multitextbox')
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<div class="row">
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@foreach ($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 }}"
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name="{{ $option->value }}" class="form-control" required
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value="{{ isset($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-grid mt-3">
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<button class="btn btn-primary" type="submit" id="submit-btn"> Submit
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</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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</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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$('#field-user_id').change(function() {
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let hierarchy = $('option:selected', this).attr('hierarchy');
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$('#field-hierarchy_id').val(hierarchy)
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event.preventDefault();
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$.ajax({
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type: "GET",
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url: '/form/getdoctorlist?partition={{ $form->partition }}&hierarchy=' +
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hierarchy,
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processData: false,
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contentType: false,
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success: function(data) {
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$("#pageloader").fadeOut();
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$('#field-contact_id').html('')
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$('#field-contact_id').append($("<option></option>").attr("value", '')
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.text('-- Select --'));
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for (let itm of data) {
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$('#field-contact_id').append($("<option></option>").attr("value",
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itm.value).text(itm.display));
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}
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},
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});
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console.log(hierarchy)
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})
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$('#report-form').on('submit', function(event) {
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event.preventDefault();
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$("#pageloader").fadeIn();
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$.ajax({
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type: "POST",
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url: '/form/ajaxsubmit',
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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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//$('#report-form').trigger("reset");
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} else {
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Swal.fire({
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icon: 'error',
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title: 'Data not submitted',
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text: 'Something went wrong, please try again after some time!'
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})
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}
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},
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});
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});
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});
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</script>
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<script>
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function updateDoctorOptions() {
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let selected = [];
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$('[id^="field-doctor_name_"]').each(function() {
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let val = $(this).val();
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if (val) selected.push(val);
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});
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$('[id^="field-doctor_name_"]').each(function() {
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let currentVal = $(this).val();
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$(this).find('option').each(function() {
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let optionVal = $(this).val();
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if (optionVal && selected.includes(optionVal) && optionVal !== currentVal) {
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$(this).prop('disabled', true);
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} else {
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$(this).prop('disabled', false);
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}
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});
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});
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}
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// trigger on change
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$(document).on('change', '[id^="field-doctor_name_"]', function() {
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updateDoctorOptions();
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});
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// trigger on page load
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$(document).ready(function() {
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updateDoctorOptions();
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});
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</script>
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@php
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// Find the first question of type 'contacts'
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$contactsQuestion = null;
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foreach ($questions as $q) {
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if (strpos($q->code, 'doctor_name_') === 0) {
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$contactsQuestion = $q;
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break;
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}
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}
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$contactArr = [];
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if ($contactsQuestion && isset($contactsQuestion->options)) {
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foreach ($contactsQuestion->options as $option) {
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if (
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isset($option->contact) &&
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isset($option->contact->type) &&
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strtolower(trim($option->contact->type)) === 'doctor' &&
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(isset($option->contact->po5_ace_meeting) && strtolower(trim($option->contact->po5_ace_meeting)) === 'yes')
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) {
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$contactArr[] = $option->contact;
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}
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}
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}
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@endphp
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<script>
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// Extract contacts of type 'contacts' and filter doctors with po5_ace_meeting == 'Yes'
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// Convert PHP doctor contacts array to JS
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var aceDoctors = {!! json_encode($contactArr) !!};
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// Example: log to console all doctors with po5_ace_meeting = Yes
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console.log("Doctors with po5_ace_meeting == Yes:", aceDoctors);
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// Ensure the hidden fields are appended inside the form element
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$(document).ready(function() {
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var $form = $('#report-form');
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// Remove any old existing_doctors[] hidden fields to avoid duplication
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$form.find('input[name="existing_doctors[]"]').remove();
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aceDoctors.forEach(function(doctor) {
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var $input = $('<input>')
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.attr('type', 'hidden')
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.attr('name', 'existing_doctors[]')
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.val(doctor.id);
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$form.append($input);
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});
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});
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// Assign each aceDoctor to its corresponding dropdown in order - first doctor to first dropdown, second to second, etc.
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$('[id^="field-doctor_name_"]').each(function(index, dropdown) {
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if (aceDoctors[index]) {
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// Set the dropdown value to the doctor's id at the same index
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$(dropdown).val(aceDoctors[index].id);
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// Optionally, trigger change for listeners
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$(dropdown).trigger('change');
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// console.log("Selected doctor for dropdown", dropdown.id, aceDoctors[index]);
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}
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});
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</script>
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</body>
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</html>
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