Rapport-Laravel/resources/views/form/rapport-team4/1781090899-2cedf382-9fbb-45...

724 lines
36 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" />
</head>
<div id="pageloader">
<img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
</div>
@php
// KEEP ORIGINAL DOCTOR LOGIC
$doctors = [];
foreach($questions as $question){
if($question->code == 'contact_id'){
$doctors = is_iterable($question->options ?? null) ? $question->options : [];
}
}
// RX HISTORY DATA ONLY
$history = Formhelper::getMultiformData( $form->partition, $form_id, $form->user_id );
$categorySubmissions = [];
$categoryDoctorSubmissions = [];
$categoryAttributes = [
'erdosteine' => 'erdosteine',
'erdosteine + acebrophylline' => 'erdosteine_acebrophylline',
'nac + acebrophylline' => 'nac_acebrophylline',
];
$categoryMoleculeUse = [
'erdosteine' => 'Erdosteine Prescriber',
'erdosteine + acebrophylline' => 'Erdosteine + Acebrophylline',
'nac + acebrophylline' => 'NAC + Acebrophylline',
];
$moleculeUseToCategory = [
'erdosteine prescriber' => 'erdosteine',
'erdosteine' => 'erdosteine',
'erdosteine + acebrophylline' => 'erdosteine + acebrophylline',
'nac + acebrophylline' => 'nac + acebrophylline',
];
foreach (array_values($categoryAttributes) as $categoryIndex) {
$categorySubmissions[$categoryIndex] = [];
$categoryDoctorSubmissions[$categoryIndex] = [];
}
$doctorNameById = [];
$doctorIdByName = [];
foreach ($doctors as $doc) {
$doctorNameById[$doc->value] = $doc->display;
$doctorIdByName[trim($doc->display)] = $doc->value;
}
if (isset($history->data->submissions) && is_iterable($history->data->submissions)) {
foreach ($history->data->submissions as $sub) {
$formdata = $sub->formdata ?? null;
if (!$formdata) {
continue;
}
$normalizedMolecule = strtolower(trim($formdata->molecule_use ?? ''));
$category = $moleculeUseToCategory[$normalizedMolecule] ?? $normalizedMolecule;
if (!isset($categoryAttributes[$category])) {
continue;
}
$rawDoctorId = '';
if (!empty($formdata->contact_id)) {
$contactId = $formdata->contact_id;
if (is_array($contactId) || $contactId instanceof \Traversable) {
$contactValues = array_values((array) $contactId);
$rawDoctorId = trim((string) ($contactValues[0] ?? ''));
} else {
$rawDoctorId = trim((string) $contactId);
}
}
$doctorId = $rawDoctorId;
if (
$doctorId !== '' &&
!isset($doctorNameById[$doctorId]) &&
isset($doctorIdByName[$doctorId])
) {
$doctorId = $doctorIdByName[$doctorId];
}
$rxSupport = $formdata->rx_support ?? '';
if (is_array($rxSupport) || $rxSupport instanceof \Traversable) {
$rxSupport = trim((string) (array_values((array) $rxSupport)[0] ?? ''));
} else {
$rxSupport = trim((string) $rxSupport);
}
$otherMolecule = $formdata->other_molecule_use ?? '';
if (is_array($otherMolecule) || $otherMolecule instanceof \Traversable) {
$otherMolecule = trim((string) (array_values((array) $otherMolecule)[0] ?? ''));
} else {
$otherMolecule = trim((string) $otherMolecule);
}
$recordDate = $formdata->record_date ?? '';
if (is_array($recordDate) || $recordDate instanceof \Traversable) {
$recordDate = trim((string) (array_values((array) $recordDate)[0] ?? ''));
} else {
$recordDate = trim((string) $recordDate);
}
$categoryPrefix = $categoryAttributes[$category];
$submissionRow = [
'submission_id' => $sub->id,
'category' => $category,
'category_field' => $categoryPrefix,
'molecule_use' => $formdata->molecule_use ?? '',
'doctor_id' => $doctorId,
'doctor_name' => $doctorNameById[$doctorId] ?? $rawDoctorId,
'rx_support' => $rxSupport,
'other_molecule_use' => $otherMolecule,
'record_date' => $recordDate,
];
$categorySubmissions[$categoryPrefix][] = $submissionRow;
if ($doctorId !== '') {
$categoryDoctorSubmissions[$categoryPrefix][$doctorId] = $submissionRow;
}
}
}
@endphp
<body class="loading">
<div class="account-pages">
<div class="container">
<div class="row justify-content-center">
<div class="col-md-8 col-lg-6 col-xl-5 p-0">
<div class="card bg-pattern">
<div class="card-body p-3 row">
@if(Session::has('error'))<div class="alert alert-danger">{{Session::get('error')}}</div>
<br>@endif
@if(session('success'))<div class=" alert alert-success">{{ session('success') }}
</div>
<br>@endif
<div class="col-8">
<h4 class="page-title">{{$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
<form method="POST" action="/form/submit" id="report-form" enctype="multipart/form-data">
<input type="hidden" name="form_id" value="{{$form_id}}">
@csrf
@if($id)
<input type="hidden" name="id" value="{{$id}}">
@endif
@if(isset($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)
@php
$hideFields = [
'contact_id',
'rx_support',
'other_molecule_use',
'molecule_use',
];
@endphp
@if(in_array($question->code, $hideFields))
@continue
@endif
<div class="{{ in_array($question->code, ['upload-supporting-doc1', 'upload-supporting-doc2']) ? 'upload-doc-fields' : '' }} 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 == $option->value ? 'selected':''}}>{{$option->display}}</option>
@endforeach
</select>
@break
@case('radio')
@foreach($question->options as $option)
<div class="form-check mb-2 form-check-success">
<input class="form-check-input" type="radio" name="{{$question->code}}" id="field-{{$question->code}}_{{$option->value}}" value="{{$option->value}}">
<label class="form-check-label" for="field-{{$question->code}}_{{$option->value}}">{{$option->display}}</label>
</div>
@endforeach
@break
@case('radiometrix')
@php
// Decode the first option's value to use as heading labels
$headings =
count($question->options) > 0
? json_decode($question->options[0]->value, true)
: [];
if(!is_array($headings)){
$headings = [];
}
@endphp
{{-- Matrix Wrapper with Horizontal Scroll on Small Screens --}}
<div class="table-responsive">
<div class="d-table w-100">
{{-- Table Headers --}}
<div class="d-table-row font-weight-bold">
<div class="d-table-cell p-2" style="width: 150px;"></div>
{{-- Placeholder for row labels --}}
@foreach ($headings as $head)
<div class="d-table-cell text-center p-2">{{ $head }}
</div>
@endforeach
</div>
{{-- Table Rows --}}
@foreach ($question->options as $option)
@php
$nn = json_decode($option->value, true);
// fallback if invalid json
if(!is_array($nn)){
$nn = [];
}
@endphp
<div class="d-table-row align-middle">
<div class="d-table-cell font-weight-bold p-2"
style="width: 150px;">
{{ $option->display }}
</div>
@foreach ($nn as $value)
<div class="d-table-cell text-center p-2">
<input type="radio"
id="field-{{ $option->display }}-{{ $value }}"
name="{{ $question->code }}[{{$option->display}}]" value="{{$value}}" class="form-check-input"
{{ isset($question->display) && $option->display != $option->display ? 'checked' : '' }}>
</div>
@endforeach
</div>
@endforeach
</div>
</div>
@break
@case('checkbox')
@foreach($question->options as $option)
<div class="form-check mb-2 form-check-primary ms-2">
<input class="form-check-input" type="checkbox" id="field-{{$question->code}}-{{$option->value}}" name="{{$question->code}}[]" value="{{$option->value}}" {{isset($question->value) && $question->value != '' && in_array($option->value, $question->value) ? 'checked':''}}>
<label class="form-check-label" for="field-{{$question->code}}-{{$option->value}}">{{$option->display}}</label>
</div>
@endforeach
@break
@case('file')
@if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes' ) )
<input
type="file"
id="field-{{$question->code}}"
name="{{$question->code}}"
class="form-control"
accept=".jpg,.jpeg,.pdf,image/*"
capture="environment"
{{$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
@if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes' ) )
<div class="text-center d-gri mt-3">
@php $globalRowIndex = 0; @endphp
@foreach($categoryAttributes as $categoryLabel => $categoryPrefix)
<div class="col-md-12 mt-3">
<div class="card">
<div class="card-header">
<h5 class="mb-0">{{ ucwords($categoryLabel) }}</h5>
</div>
<div class="card-body p-0">
<div class="table-responsive">
<table class="table table-bordered mb-0">
<thead>
<tr>
<th>Doctor Name</th>
<th>Rxn/Week Support</th>
<th>Other Molecule Use</th>
</tr>
</thead>
<tbody
class="doctor-table-body"
data-category="{{ $categoryPrefix }}"
data-molecule-use="{{ $categoryMoleculeUse[$categoryLabel] }}"
>
@for($i = 1; $i <= 5; $i++)
<tr class="doctor-row" data-row-index="{{ $globalRowIndex }}">
<td>
<select
class="form-control doctor-select"
required
>
<option value="">-- Select Doctor --</option>
@foreach($doctors as $doctor)
<option value="{{ $doctor->value }}">{{ $doctor->display }}</option>
@endforeach
</select>
</td>
<td>
<select class="form-control rx-support-select" required>
<option value="">-- Select --</option>
<option value="1-3 Rxn/Week">1-3 Rxn/Week</option>
<option value="4-7 Rxn/Week">4-7 Rxn/Week</option>
<option value="8-11 Rxn/Week">8-11 Rxn/Week</option>
<option value=">11 Rxn/Week">&gt;11 Rxn/Week</option>
</select>
</td>
<td>
<select class="form-control other-molecule-select" required>
<option value="">-- Select --</option>
<option value="Erdosteine Prescriber">Erdosteine Prescriber</option>
<option value="Erdosteine + Acebrophylline">Erdosteine + Acebrophylline Prescriber</option>
<option value="NAC + Acebrophylline">NAC + Acebrophylline Prescriber</option>
<option value="No">No</option>
</select>
</td>
</tr>
@php $globalRowIndex++; @endphp
@endfor
</tbody>
</table>
</div>
</div>
</div>
</div>
@endforeach
<button class="btn btn-primary" type="submit" id="submit-btn"> Submit </button>
</div>
@endif
</form>
<!-- SAMPLE FORM MODAL -->
</div> <!-- end card-body -->
</div>
<!-- end card -->
<!-- end row -->
</div> <!-- end col -->
</div>
<!-- end row -->
</div>
<!-- end container -->
</div>
<!-- end page -->
<style type="text/css">
select option:disabled {
color: #999;
font-style: italic;
}
select option:disabled {
color: #999;
font-style: italic;
}
#pageloader {
background: rgba( 255, 255, 255, 0.8 );
display: none;
height: 100%;
position: fixed;
width: 100%;
z-index: 9999;
}
#pageloader img {
left: 50%;
margin-left: -32px;
margin-top: -32px;
position: absolute;
top: 50%;
}
.form-label {
font-weight:bold;
font-size:16px;
}
.upload-doc-fields {
display: none;
}
.rx_count{
width: 70px;
}
</style>
@include('layouts.shared/footer-script')
<script src="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/js/select2.min.js"></script>
<script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
<script type="text/javascript">
var categoryDoctorSubmissions = {!! json_encode($categoryDoctorSubmissions) !!};
jQuery(document).ready(function($){
function getDoctorRows() {
let rows = [];
$('.doctor-table-body').each(function() {
let $tbody = $(this);
let moleculeUse = $tbody.data('molecule-use');
$tbody.find('tr.doctor-row').each(function() {
rows.push({
$row: $(this),
moleculeUse: moleculeUse,
rowIndex: $(this).data('row-index')
});
});
});
return rows;
}
function removeSubmissionId($row) {
$row.removeAttr('data-submission-id');
$row.find('.submission-id').remove();
}
function setSubmissionId($row, submissionId) {
if (submissionId) {
$row.attr('data-submission-id', submissionId);
} else {
removeSubmissionId($row);
}
}
function clearDoctorTableRow($row) {
removeSubmissionId($row);
$row.find('.doctor-select').val('').trigger('change');
$row.find('.rx-support-select').val('');
$row.find('.other-molecule-select').val('');
}
function prefillDoctorTableSection($tbody, categoryPrefix) {
let categoryDoctors = categoryDoctorSubmissions[categoryPrefix] || {};
let submissions = Object.values(categoryDoctors);
if (!submissions.length) {
return;
}
if (submissions[0].record_date && !$('#field-record_date').val()) {
$('#field-record_date').val(submissions[0].record_date);
}
$tbody.find('tr.doctor-row').each(function(index) {
let submission = submissions[index];
if (!submission) {
return false;
}
let $row = $(this);
$row.find('.doctor-select')
.val(submission.doctor_id)
.trigger('change');
$row.find('.rx-support-select')
.val(submission.rx_support || '');
$row.find('.other-molecule-select')
.val(submission.other_molecule_use || '');
setSubmissionId($row, submission.submission_id);
});
}
function prefillAllDoctorTables() {
$('.doctor-table-body').each(function() {
prefillDoctorTableSection($(this), $(this).data('category'));
});
}
function updateDoctorDropdowns($tbody) {
let selectedDoctors = [];
$tbody.find('.doctor-select').each(function() {
let value = $(this).val();
if (value) {
selectedDoctors.push(value);
}
});
$tbody.find('.doctor-select').each(function() {
let currentDropdown = $(this);
let currentValue = currentDropdown.val();
currentDropdown.find('option').each(function() {
let option = $(this);
let originalText = option.data('original-text') || option.text();
option.data('original-text', originalText);
option.text(originalText);
option.prop('disabled', false);
let optionValue = option.val();
if (
optionValue &&
optionValue !== currentValue &&
selectedDoctors.includes(optionValue)
) {
option.prop('disabled', true);
option.text(originalText + ' (Already Added)');
}
});
});
}
function updateOtherMoleculeDropdowns($tbody) {
let sectionMolecule = $tbody.data('molecule-use');
$tbody.find('.other-molecule-select').each(function() {
let ddl = $(this);
ddl.find('option').each(function() {
let option = $(this);
let originalText = option.data('original-text') || option.text();
option.data('original-text', originalText);
option.text(originalText);
option.prop('disabled', false);
if (sectionMolecule && option.val() === sectionMolecule) {
option.prop('disabled', true);
option.text(originalText + ' (Already Added)');
}
});
});
}
function buildSubmitFormData() {
let fd = new FormData();
let form = $('#report-form')[0];
let rowFieldClasses = ['doctor-select', 'rx-support-select', 'other-molecule-select'];
Array.from(form.elements).forEach(function(el) {
if (!el.name || el.disabled) {
return;
}
if (el.name.match(/^id(\[|$)/)) {
return;
}
if (rowFieldClasses.some(function(cls) { return el.classList.contains(cls); })) {
return;
}
if (el.type === 'file') {
if (el.files.length) {
fd.append(el.name, el.files[0]);
}
return;
}
if (el.type === 'checkbox') {
if (el.checked) {
fd.append(el.name, el.value);
}
return;
}
if (el.type === 'radio') {
if (el.checked) {
fd.append(el.name, el.value);
}
return;
}
if (el.tagName === 'SELECT' && el.multiple) {
Array.from(el.selectedOptions).forEach(function(option) {
fd.append(el.name, option.value);
});
return;
}
fd.append(el.name, el.value);
});
getDoctorRows().forEach(function(item) {
let $row = item.$row;
fd.append('contact_id[]', $row.find('.doctor-select').val());
fd.append('rx_support[]', $row.find('.rx-support-select').val());
fd.append('other_molecule_use[]', $row.find('.other-molecule-select').val());
fd.append('molecule_use[]', item.moleculeUse);
let submissionId = $row.attr('data-submission-id');
if (submissionId) {
fd.append('id[' + item.rowIndex + ']', submissionId);
}
});
return fd;
}
$(document).on('change', '.doctor-select', function() {
updateDoctorDropdowns($(this).closest('.doctor-table-body'));
});
$('.doctor-select').select2({
width: '100%',
placeholder: 'Search Doctor',
allowClear: true
});
prefillAllDoctorTables();
$('.doctor-table-body').each(function() {
let $tbody = $(this);
updateOtherMoleculeDropdowns($tbody);
updateDoctorDropdowns($tbody);
});
$('#report-form').on('submit', function(event) {
event.preventDefault();
$("#pageloader").fadeIn();
$.ajax({
type: "POST",
url: '/form/ajaxsubmitmultiple',
data: buildSubmitFormData(),
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'
});
} else {
Swal.fire({
icon: 'error',
title: data.hasOwnProperty('message') ? 'You are not mapped to any position code' : 'Data not submitted',
text: data.hasOwnProperty('message') ? 'for resolution please email Position code, L1 Manager and L2 Manager details to support1@stratawiz.com' : 'Something went wrong, please try again after some time!'
});
}
},
error: function() {
$("#pageloader").fadeOut();
Swal.fire({
icon: 'error',
title: 'Error',
text: 'Something went wrong'
});
}
});
});
});
</script>
</body>
</html>