Rapport-Laravel/resources/views/form/rapport-copd/1731660345-66002f51-1bdb-4e...

408 lines
23 KiB
PHP

<!DOCTYPE html>
<html lang="en">
<head>
@include('layouts.shared/title-meta', ['title' => "Form"])
@include('layouts.shared/head-css', ["mode" => $mode ?? '', "demo" => $demo ?? ''])
<link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
</head>
<div id="pageloader">
<img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
</div>
<body class="loading">
<div class="account-pages">
<div class="container">
<div class="row justify-content-center">
<div class="col-md-8 col-lg-6 col-xl-5 p-0">
<div class="card bg-pattern">
<div class="card-body p-3 row">
@if(Session::has('error'))<div class="alert alert-danger">{{Session::get('error')}}</div>
<br>@endif
@if(session('success'))<div class=" alert alert-success">{{ session('success') }}
</div>
<br>@endif
<div class="col-8">
<h4 class="page-title">{{$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
<!-- <div class="col-12">
<button class="btn btn-success float-end m-1" type="button" id="btn-add-doctor"> Add Doctor </button>
</div> -->
{{-- <div class="col-12 p-2 border-info border mt-2 mb-2" id="doctor-search-wrapper" style="">
<form class="row g-3">
<div class="col-4">
<label class="">Search by Name or pcode/legacy code</label>
</div>
<div class="col-6">
<input type="text" class="form-control" id="doctor-search" placeholder="Enter search parameter">
</div>
<div class="col-2">
<button type="button" class="btn btn-info float-end" id="btn-doctor-search">Search</button>
</div>
</form>
<div class="table-responsive">
</div>
</div> --}}
@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
@php
$doctorcount = 0;
@endphp
@foreach($questions as $question)
<div class="col-md-12 mb-2">
<label for="field-{{$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="{{$question->type}}" min="0" max="9999999999" step="0.01" id="field-{{$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>
@if ($question->code == 'contact_id')
@foreach ($question->options as $option)
@if( isset($option->contact->respi_clinic_dr) && $option->contact->respi_clinic_dr == 'Yes' )
<option value="{{ $option->value }}" pcode="{{isset($option->contact->pcode)?$option->contact->pcode:''}}" msl_code="{{isset($option->contact->msl_code)?$option->contact->msl_code:''}}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>
{{ $option->display }}
</option>
@php
$doctorcount++;
@endphp
@endif
@endforeach
@else
@foreach ($question->options as $option)
<option value="{{ $option->value }}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>
{{ $option->display }}
</option>
@endforeach
@endif
</select>
@break
@case('radio')
@foreach($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('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="{{$question->code}}" class="form-control" value="" {{$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
@if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes' ) )
<div class="text-center d-grid mt-3">
<button class="btn btn-primary" type="submit" id="submit-btn"> Submit </button>
</div>
@endif
</form>
</div> <!-- end card-body -->
</div>
<!-- end card -->
<!-- end row -->
</div> <!-- end col -->
</div>
<!-- end row -->
</div>
<!-- end container -->
</div>
<!-- end page -->
<style type="text/css">
#pageloader {
background: rgba( 255, 255, 255, 0.8 );
display: none;
height: 100%;
position: fixed;
width: 100%;
z-index: 9999;
}
#pageloader img {
left: 50%;
margin-left: -32px;
margin-top: -32px;
position: absolute;
top: 50%;
}
.form-label {
font-weight:bold;
font-size:16px;
}
</style>
@include('layouts.shared/footer-script')
<script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
<script type="text/javascript">
jQuery(document).ready(function($){
$('#field-user_id').change(function(){
let hierarchy = $('option:selected', this).attr('hierarchy');
$('#field-hierarchy_id').val(hierarchy)
event.preventDefault();
$.ajax({
type: "GET",
url: '/form/getdoctorlist?partition={{$form->partition}}&hierarchy='+hierarchy,
processData: false,
contentType: false,
success: function( data ) {
$("#pageloader").fadeOut();
$('#field-contact_id').html('')
$('#field-contact_id').append($("<option></option>").attr("value",'').text('-- Select --'));
for(let itm of data) {
$('#field-contact_id').append($("<option></option>").attr("value",itm.value).text(itm.display));
}
},
});
console.log(hierarchy)
})
let doctorcount = {{$doctorcount}};
if(doctorcount >= 40) {
//$('#doctor-search-wrapper').hide();
}
$('#btn-doctor-search').click(function(){
$.ajax({
type: "GET",
url: '/form/respidoctorsearch?q='+$('#doctor-search').val()+'&user_id={{$form->user_id}}',
processData: false,
contentType: false,
success: function( data ) {
let html = `<table class="table table-borderless table-nowrap table-hover table-centered m-0">
<thead class="table-light">
<tr>
<th>Action</th>
<th>Doctor Name</th>
<th>P Code</th>
<th>Legacy Code</th>
<th>Speciality</th>
</tr>
</thead>
<tbody>`;
for(let doc of data.doctors) {
html += ` <tr>
<td><button doc_id="${doc.id}" class="btn btn-xs btn-success btn-add">Add</button></td>
<td><h5 class="m-0 fw-normal">${doc.name}</h5></td>
<td>${doc.msl_code}</td>
<td>${doc.legacy_code}</td>
<td>${doc.speciality}</td>
</tr>`;
}
html += ` </tbody>
</table>`;
$('.table-responsive').html(html)
$('.btn-add').unbind()
$('.btn-add').click(function(){
$("#pageloader").fadeIn();
$.ajax({
type: "GET",
url: '/form/addrespidoctor?partition={{$form->partition}}&id='+$(this).attr('doc_id')+'&user_id={{$form->user_id}}',
processData: false,
contentType: false,
success: function( data ) {
console.log(data)
$("#pageloader").fadeOut();
$('#field-contact_id').append($("<option></option>").attr("value",data.contact.id).text(data.contact.name));
doctorcount++;
if(doctorcount >= 40) {
//$('#doctor-search-wrapper').hide();
}
},
});
})
console.log(data)
},
});
})
// $('#field-rx_count').on('input',function(e){
// let a=parseFloat($('#field-rx_count').val()||0);
// let priceOfA=291.88;
// let productOfA=(a*priceOfA).toFixed(2);
// $('#field-rx_value').val(productOfA);
// })
$('#field-duolin_forte_rotacaps_rx_count,#field-duolin_forte_inhaler_200_md_cip_in_rx_count,#field-duolin_rotacaps_60s_rx_count,#field-duolin_inhaler_1_x_200_md_rx_count').on('input',function(e){
let a=parseFloat($('#field-duolin_forte_rotacaps_rx_count').val()||0);
let b=parseFloat($('#field-duolin_forte_inhaler_200_md_cip_in_rx_count').val()||0);
let c=parseFloat($('#field-duolin_rotacaps_60s_rx_count').val()||0);
let d=parseFloat($('#field-duolin_inhaler_1_x_200_md_rx_count').val()||0);
let priceOfA=128.26;
let priceOfB=305.42;
let priceOfC=153.33;
let priceOfD=291.88;
let productOfA=(a*priceOfA).toFixed(2);
let productOfB=(b*priceOfB).toFixed(2);
let productOfC=(c*priceOfC).toFixed(2);
let productOfD=(d*priceOfD).toFixed(2);
$('#field-duolin_forte_rotacaps_value').val(productOfA);
$('#field-duolin_forte_inhaler_200_md_cip_in_value').val(productOfB);
$('#field-duolin_rotacaps_60s_value').val(productOfC);
$('#field-duolin_inhaler_1_x_200_md_value').val(productOfD);
})
$('#field-duolin_forte_rotacap_rx_count,#field-duolin_inhaler_1_x_200_md_rx_count,#field-duolin_rotacap_rx_count').attr("required",false);
$('#field-duolin_forte_rotacap_rx_count,#field-duolin_inhaler_1_x_200_md_rx_count,#field-duolin_rotacap_rx_count').parent().hide();
$('#field-select_duolin_sku').on('change',function(){
let dropDown=$('#field-select_duolin_sku').val();
console.log("DropDown is : ",dropDown);
if(dropDown==='DUOLIN INHALER 1 X 200 MD'){
$('#field-duolin_forte_rotacap_rx_count,#field-duolin_rotacap_rx_count').attr("required",false);
$('#field-duolin_forte_rotacap_rx_count,#field-duolin_rotacap_rx_count').parent().hide();
$('#field-duolin_inhaler_1_x_200_md_rx_count').attr("required",true);
$('#field-duolin_inhaler_1_x_200_md_rx_count').parent().show();
}
else if(dropDown==='DUOLIN ROTACAP'){
$('#field-duolin_forte_rotacap_rx_count,#field-duolin_inhaler_1_x_200_md_rx_count').attr("required",false);
$('#field-duolin_forte_rotacap_rx_count,#field-duolin_inhaler_1_x_200_md_rx_count').parent().hide();
$('#field-duolin_rotacap_rx_count').attr("required",true);
$('#field-duolin_rotacap_rx_count').parent().show();
}
else if(dropDown==='DUOLIN FORTE ROTACAP'){
$('#field-duolin_inhaler_1_x_200_md_rx_count,#field-duolin_rotacap_rx_count').attr("required",false);
$('#field-duolin_inhaler_1_x_200_md_rx_count,#field-duolin_rotacap_rx_count').parent().hide();
$('#field-duolin_forte_rotacap_rx_count').attr("required",true);
$('#field-duolin_forte_rotacap_rx_count').parent().show();
}
else{
$('#field-duolin_forte_rotacap_rx_count,#field-duolin_inhaler_1_x_200_md_rx_count,#field-duolin_rotacap_rx_count').attr("required",false);
$('#field-duolin_forte_rotacap_rx_count,#field-duolin_inhaler_1_x_200_md_rx_count,#field-duolin_rotacap_rx_count').parent().hide();
}
})
$('#report-form').on('submit', function(event){
event.preventDefault();
$("#pageloader").fadeIn();
$.ajax({
type: "POST",
url: '/form/ajaxsubmit',
data: new FormData($('#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'
})
$('#report-form').trigger("reset");
} 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!'
})
}
},
});
});
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>