Rapport-Laravel/resources/views/form/rapport-xennex/1780028714-b6b01792-de35-40...

787 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" => $demo ?? ''])
<link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
<link href="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/css/select2.min.css" rel="stylesheet" />
<style>
/* =========================
SELECT2 CUSTOM HIGHLIGHT
========================= */
.select2-container .select2-selection--single{
height: 38px !important;
border: 1px solid #ced4da !important;
border-radius: 6px !important;
padding-top: 4px !important;
}
.select2-container--default .select2-selection--single .select2-selection__rendered{
line-height: 28px !important;
}
.select2-container--default .select2-selection--single .select2-selection__arrow{
height: 36px !important;
}
/* Dropdown option hover */
.select2-results__option--highlighted{
background-color: #0d6efd !important;
color: white !important;
}
/* Selected option */
.select2-results__option[aria-selected=true]{
background-color: #dbe9ff !important;
color: black !important;
font-weight: 600;
}
/* Search box */
.select2-search__field{
border-radius: 5px !important;
padding: 6px !important;
}
</style>
</head>
<div id="pageloader">
<img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
</div>
<body class="loading">
<div class="account-pages">
<div class="container">
<div class="row justify-content-center">
<div class="col-md-8 col-lg-6 col-xl-5 p-0">
<div class="card bg-pattern">
<div class="card-body p-3 row">
@if(Session::has('error'))<div class="alert alert-danger">{{Session::get('error')}}</div>
<br>@endif
@if(session('success'))<div class=" alert alert-success">{{ session('success') }}
</div>
<br>@endif
<div class="col-8">
<h4 class="page-title">{{$form->title}}</h4>
</div>
@if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes'
) )
<div class="col-4">
@if($form->link_type == 'form')
<a href="/form/history" class="float-end pt-1">View History</a>
@else
<a href="{{url()->previous()}}" class="float-end pt-1">Back</a>
@endif
</div>
@endif
@if(isset($form->user_info))
<div class="col-12">
<h6>Submitted By: {{$form->user_info->name}}</h6>
</div>
@endif
@php
$submissions = Formhelper::getMultiformData( $form->partition, $form_id, $form->user_id);
$submissions = $submissions->data->submissions;
@endphp
<form method="POST" action="/form/submit" id="report-form" enctype="multipart/form-data">
<input type="hidden" name="form_id" value="{{$form_id}}">
@csrf
@if($id)
<input type="hidden" name="id[0]" value="{{$id}}">
@endif
@if(isset($form->manager_can_submit) && $form->manager_can_submit == true)
<div class="col-md-12 mb-2">
<label for="field-user_id" class="form-label"> Select User / Territory <span class="text-danger">*</span> </label>
<select class="form-control" id="field-user_id" name="user_id" required>
<option value=""> -- Select -- </option>
@foreach($form->users as $option)
<option value="{{$option->value}}" hierarchy="{{$option->hierarchy_id}}" {{isset($question->value) && $question->value == $option->value ? 'selected':''}}>{{$option->display}}</option>
@endforeach
</select>
<input type="hidden" id="field-hierarchy_id" name="hierarchy_id" value="">
</div>
@endif
@foreach($questions as $question)
@if( !in_array($question->code,
["record_date","select_week","select_month"] ) )
@continue;
@endif
<div class="col-md-12 mb-2">
<label for="field-{{$question->code}}" class="form-label">{{$question->question}}
{!!$question->required == 'yes' ? '<span class="text-danger">*</span>':''!!}
</label>
@switch($question->type)
@case('hidden')
<input type="{{$question->type}}" id="field-{{$question->code}}"
name="{{$question->code}}"
value="{{isset($question->value)?$question->value:''}}">
@break
@case('text')
@case('email')
@case('tel')
@case('date')
<input type="{{$question->type}}" id="field-{{$question->code}}"
name="{{$question->code}}" class="form-control"
{{$question->required == 'yes'?'required':'' }}
value="{{isset($question->value)?$question->value:''}}">
@break
@case('number')
<input type="{{$question->type}}" min="0" max="9999999999" step="1"
id="field-{{$question->code}}" name="{{$question->code}}" class="form-control"
{{$question->required == 'yes'?'required':'' }}
value="{{isset($question->value)?$question->value:0}}">
@break
@case('textarea')
<textarea id="field-{{$question->code}}" name="{{$question->code}}"
class="form-control"
{{$question->required == 'yes'?'required':'' }}>{{isset($question->value)?$question->value:''}}</textarea>
@break
@case('dropdown')
<select class="form-control" id="field-{{ $question->code }}" name="{{ $question->code }}" {{ $question->required == 'yes' ? 'required' : '' }}>
<option value=""> -- Select -- </option>
@foreach ($question->options as $option)
<option value="{{ $option->value }}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'uid_number= ' . $option->contact->uid_number . ' ' : '' }} {{ $question->code == 'doctor_name' ? 'speciality= ' . (isset($option->contact->speciality) ? $option->contact->speciality :'') . ' ' : '' }} >
{{ $option->display }}
</option>
@endforeach
</select>
@break
@endswitch
</div>
@endforeach
<div class="doctor-wrapper">
@foreach($questions as $question)
@if( in_array($question->code,
["record_date","select_week","select_month"] ) )
@continue;
@endif
<div class="col-md-12 mb-2">
<label for="field-{{$question->code}}"
class="form-label">{{$question->question}} {!!$question->required == 'yes' ?
'<span class="text-danger">*</span>':''!!} </label>
@switch($question->type)
@case('hidden')
<input type="{{$question->type}}" id="field-{{$question->code}}"
name="{{$question->code}}[0]"
value="{{isset($question->value)?$question->value:''}}">
@break
@case('text')
@case('email')
@case('tel')
@case('date')
<input type="{{$question->type}}" id="field-{{$question->code}}"
name="{{$question->code}}[0]" class="form-control"
{{$question->required == 'yes'?'required':'' }}
value="{{isset($question->value)?$question->value:''}}">
@break
@case('number')
<input type="{{$question->type}}" min="0" max="9999999999" step="1"
id="field-{{$question->code}}" name="{{$question->code}}[0]"
class="form-control" {{$question->required == 'yes'?'required':'' }}
value="{{isset($question->value)?$question->value:0}}">
@break
@case('textarea')
<textarea id="field-{{$question->code}}" name="{{$question->code}}[0]"
class="form-control"
{{$question->required == 'yes'?'required':'' }}>{{isset($question->value)?$question->value:''}}</textarea>
@break
@case('dropdown')
@if ($question->code == 'contact_id')
<select class="form-control" id="field-{{ $question->code }}"
name="{{ $question->code }}[0]"
{{ $question->required == 'yes' ? 'required' : '' }}>
<option value=""> -- Select -- </option>
@foreach ($question->options as $option)
<option value="{{ $option->value }}"
{{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}
@if($question->code == 'contact_id')
uid_number="{{ (isset($option->contact->uid_number) ? $option->contact->uid_number : '') }}"
speciality="{{ (isset($option->contact->speciality) ? $option->contact->speciality : '') }}"
@endif
>
{{ $option->display }}
</option>
@endforeach
</select>
@else
<select class="form-control" id="execution-{{ $question->code }}"
name="{{ $question->code }}[0]"
{{ $question->required == 'yes' ? 'required' : '' }}>
<option value=""> -- Select -- </option>
@foreach ($question->options as $option)
<option value="{{ $option->value }}"
{{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}>
{{ $option->display }}</option>
@endforeach
</select>
@endif
@break
@case('checkbox')
@foreach($question->options as $option)
<div class="form-check mb-2 form-check-primary">
<input class="form-check-input" type="checkbox"
id="field-{{$question->code}}-{{$option->value}}"
name="{{$question->code}}[0]" value="{{$option->value}}"
{{isset($question->value) && $question->value != '' && in_array($option->value, $question->value) ? 'checked':''}}>
<label class="form-check-label"
for="field-{{$question->code}}-{{$option->value}}">{{$option->display}}</label>
</div>
@endforeach
@break
@case('file')
@if(!isset($form->is_approval) || (isset($form->is_approval) &&
$form->is_approval != 'yes' ) )
<input type="file" id="field-{{$question->code}}" name="{{$question->code}}"
class="form-control" value=""
{{$question->required == 'yes'?'required':'' }}>
@elseif(isset($question->value))
<img src="{{$question->value}}" class="img-fluid">
@endif
@break
@case('multitextbox')
<div class="row">
@foreach($question->options as $option)
<div class="col-6">{{$option->display}}</div>
<div class="col-6 mb-1">
<input type="number" id="field-{{$option->value}}"
name="{{$option->value}}" class="form-control" required
value="{{isset($option->val)?$option->val:0}}">
</div>
@endforeach
</div>
@break
@endswitch
</div>
@endforeach
</div>
<div id="doctor-group-wrapper">
</div>
@if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval !=
'yes' ) )
<div class="text-center button-list">
@if(!$id)
<button class="btn btn-primary" type="button" id="adddoctor-btn"> Add Doctor </button>
@endif
<button class="btn btn-primary" type="submit" id="submit-btn"> Submit </button>
</div>
@endif
</form>
</div> <!-- end card-body -->
</div>
<!-- end card -->
<!-- end row -->
</div> <!-- end col -->
</div>
<!-- end row -->
</div>
<!-- end container -->
</div>
<!-- end page -->
<style type="text/css">
#pageloader {
background: rgba(255, 255, 255, 0.8);
display: none;
height: 100%;
position: fixed;
width: 100%;
z-index: 9999;
}
#pageloader img {
left: 50%;
margin-left: -32px;
margin-top: -32px;
position: absolute;
top: 50%;
}
.doctor-wrapper {
border: 1px solid #ccc;
padding: 20px;
border-radius: 10px;
margin-bottom: 20px;
}
</style>
@include('layouts.shared/footer-script')
<script src="https://cdn.jsdelivr.net/npm/select2@4.1.0-rc.0/dist/js/select2.min.js"></script>
<script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
<script type="text/javascript">
jQuery(document).ready(function($) {
$('#field-record_date').attr(
'max',
new Date().toISOString().split('T')[0]
);
$('#field-contact_id').on('change',function(){
$('#field-uid_number').val($(this).find(":selected").attr("uid_number"));
})
$('#field-contact_id').on('change',function(){
$('#field-speciality').val($(this).find(":selected").attr("speciality"));
})
$('#field-uid_number,#field-speciality').attr('readonly',true);
function initializeSelect2() {
$('select[id^="field-contact_id"]').select2({
width: '100%',
placeholder: '-- Select Doctor --'
});
$('#field-user_id').select2({
width: '100%',
placeholder: '-- Select User / Territory --'
});
$('select[id^="execution-"]').select2({
width: '100%'
});
}
initializeSelect2();
preventDuplicateDoctors();
/* function preventDuplicateDoctors() {
let selectedValues = [];
// Get all selected doctor values
$('select[id^="field-contact_id"]').each(function () {
let value = $(this).val();
if (value) {
selectedValues.push(value);
}
});
// Apply duplicate prevention
$('select[id^="field-contact_id"]').each(function () {
let currentSelect = $(this);
let currentValue = currentSelect.val();
currentSelect.find('option').each(function () {
let option = $(this);
let optionValue = option.val();
if (!optionValue) return;
// Remove old text
let cleanText = option.text().replace(' (Already Added)', '');
if (
selectedValues.includes(optionValue) &&
optionValue !== currentValue
) {
option.prop('disabled', true);
option.text(cleanText + ' (Already Added)');
} else {
option.prop('disabled', false);
option.text(cleanText);
}
});
// 🔥 IMPORTANT
currentSelect.select2('destroy');
currentSelect.select2({
width: '100%',
placeholder: '-- Select Doctor --'
});
});
} */
function preventDuplicateDoctors() {
let selectedValues = [];
// Collect selected values
$('select[id^="field-contact_id"]').each(function () {
let value = $(this).val();
if (value) {
selectedValues.push(value);
}
});
$('select[id^="field-contact_id"]').each(function () {
let currentSelect = $(this);
let currentValue = currentSelect.val();
currentSelect.find('option').each(function () {
let option = $(this);
let optionValue = option.val();
if (!optionValue) return;
// remove previous label
let cleanText = option.text().replace(' (Already Added)', '');
// IMPORTANT:
// keep currently selected option enabled
if (
selectedValues.includes(optionValue) &&
optionValue !== currentValue
) {
option.prop('disabled', true);
option.text(cleanText + ' (Already Added)');
} else {
option.prop('disabled', false);
option.text(cleanText);
}
});
// refresh select2 safely
if (currentSelect.hasClass("select2-hidden-accessible")) {
currentSelect.select2('destroy');
}
currentSelect.select2({
width: '100%',
placeholder: '-- Select Doctor --'
});
// VERY IMPORTANT FOR EDIT MODE
currentSelect.val(currentValue).trigger('change.select2');
});
}
// Hide fields initially
$('#field-no_of_rx,#field-no_of_strips,#field-total_value').parent().hide();
$('#field-no_of_rx,#field-no_of_strips,#field-total_value')
.attr('required', false);
// Show when dr_converted = Yes
$('#execution-dr_converted').on('change', function(){
let value = $(this).val();
if(value === 'Yes'){
$('#field-no_of_rx,#field-no_of_strips,#field-total_value')
.parent().show();
$('#field-no_of_rx,#field-no_of_strips,#field-total_value')
.attr('required', true);
}else{
$('#field-no_of_rx,#field-no_of_strips,#field-total_value')
.parent().hide();
$('#field-no_of_rx,#field-no_of_strips,#field-total_value')
.attr('required', false);
}
});
$('#field-total_value').attr('readonly', true);
$('#field-no_of_strips').on('change keyup', function(){
let strips = parseFloat($('#field-no_of_strips').val() || 0);
let ptsValue = 365.83;
let total = strips * ptsValue;
$('#field-total_value').val(total.toFixed(2));
});
$(document).on('change', 'select[id^="field-contact_id"]', function () {
let selectedOption = $(this).find(':selected');
let id = $(this).attr('id').split('-').pop(); // get doctor_count dynamically
$('#field-uid_number-' + id).val(selectedOption.attr('uid_number'));
$('#field-speciality-' + id).val(selectedOption.attr('speciality'));
preventDuplicateDoctors();
});
var doctor_count = 0
let numberOfSubmission=0;
console.log("Number of Submission : ",numberOfSubmission);
$('#adddoctor-btn').click(function() {
let doctorName=$('#field-contact_id').html();
console.log("Doctor Name : ",doctorName);
doctor_count++;
numberOfSubmission=numberOfSubmission+1;
console.log("Number of Submission : ",numberOfSubmission);
let empty_doctor = `
<div class="doctor-wrapper"><button type="button" class="btn btn-danger btn-remove float-end" style="margin-top:-25px; margin-right:-25px"><i class="mdi mdi-close"></i></button>
@foreach($questions as $question)
@if( in_array($question->code,
["record_date","select_week","select_month"] ) )
@continue;
@endif
<div class="col-md-12 mb-2">
<label for="field-{{$question->code}}" class="form-label">{{$question->question}} {!!$question->required == 'yes' ? '<span class="text-danger">*</span>':''!!} </label>
@switch($question->type)
@case('hidden')
<input type="{{$question->type}}" id="field-{{$question->code}}-${doctor_count}" name="{{$question->code}}[${doctor_count}]" value="{{isset($question->value)?$question->value:''}}">
@break
@case('text')
@case('file')
@case('email')
@case('tel')
@case('date')
<input type="{{$question->type}}" id="field-{{$question->code}}-${doctor_count}" name="{{$question->code}}[${doctor_count}]" class="form-control" {{$question->required == 'yes'?'required':'' }} value="{{isset($question->value)?$question->value:''}}">
@break
@case('number')
<input type="{{$question->type}}" min="0" max="9999999999" step="1" id="field-{{$question->code}}-${doctor_count}" name="{{$question->code}}[${doctor_count}]" class="form-control" {{$question->required == 'yes'?'required':'' }} value="{{isset($question->value)?$question->value:0}}">
@break
@case('dropdown')
<select class="form-control" id="field-{{$question->code}}-${doctor_count}" name="{{$question->code}}[${doctor_count}]" {{$question->required == 'yes'?'required':'' }}>
@if($question->code=='contact_id')
${doctorName}
@else
<option value=""> -- Select -- </option>
@foreach($question->options as $option)
<option value="{{ $option->value }}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }} {{ $question->code == 'contact_id' ? 'uid_number= ' . $option->contact->uid_number . ' ' : '' }} {{ $question->code == 'contact_id' ? 'speciality= ' . (isset($option->contact->speciality) ? $option->contact->speciality :'') . ' ' : '' }} >
{{ $option->display }}
</option>
@endforeach
@endif
</select>
@break
@endswitch
</div>
@endforeach </div>`;
$('#doctor-group-wrapper').append(empty_doctor)
$('#field-contact_id-'+doctor_count).select2({
width: '100%',
placeholder: '-- Select Doctor --'
});
preventDuplicateDoctors();
$('select[id^="execution-"]').select2({
width: '100%'
});
setTimeout(() => {
$('#field-uid_number-'+doctor_count).attr('readonly',true);
$('#field-speciality-'+doctor_count).attr('readonly',true);
let fields =
$('#field-no_of_rx-' + doctor_count +
',#field-no_of_strips-' + doctor_count +
',#field-total_value-' + doctor_count);
fields.parent().hide();
fields.attr('required', false);
$('#field-dr_converted-' + doctor_count).on('change', function(){
let value = $(this).val();
if(value === 'Yes'){
fields.parent().show();
fields.attr('required', true);
}else{
fields.parent().hide();
fields.attr('required', false);
}
});
$('#field-total_value-' + doctor_count).attr('readonly', true);
$('#field-no_of_strips-' + doctor_count)
.on('change keyup', function(){
let strips =
parseFloat($('#field-no_of_strips-' + doctor_count).val() || 0);
let ptsValue = 365.83;
let total = strips * ptsValue;
$('#field-total_value-' + doctor_count)
.val(total.toFixed(2));
});
}, 500);
if ($('.doctor-wrapper').length >= 10) {
$('#adddoctor-btn').hide();
} else {
$('#adddoctor-btn').show();
}
$('.btn-remove').unbind();
$('.btn-remove').click(function() {
// $(this).closest('.doctor-wrapper').find('select').select2('destroy');
$(this).closest('.doctor-wrapper').find('select').each(function () {
if ($(this).hasClass('select2-hidden-accessible')) {
$(this).select2('destroy');
}
});
$(this).closest('.doctor-wrapper').remove();
numberOfSubmission--;
doctor_count--
preventDuplicateDoctors();
console.log("New Number of Submission : ",numberOfSubmission);
console.log("Number of doctors : ",doctor_count);
$('#adddoctor-btn').show();
})
})
$('#field-user_id').change(function(){
let hierarchy = $('option:selected', this).attr('hierarchy');
$('#field-hierarchy_id').val(hierarchy)
event.preventDefault();
$('#pageloader').fadeIn();
$.ajax({
type: "GET",
url: '/form/getdoctorlist?partition={{$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).attr("uid_number", itm.contact.uid_number).attr("speciality", itm.contact.speciality));
}
$('#field-contact_id').change(function() {
$('#field-uid_number').val($('option:selected', this).attr('uid_number'))
})
$('#field-contact_id').change(function() {
$('#field-speciality').val($('option:selected', this).attr('speciality'))
})
},
});
console.log(hierarchy)
})
$('#report-form').on('submit', function(event) {
event.preventDefault();
// if (numberOfSubmission !=10) {
// alert(`You must submit 10 Doctors for Ciphaler , Current Doctors : ${numberOfSubmission+1}`);
// return;
// }
$("#pageloader").fadeIn();
$.ajax({
type: "POST",
url: '/form/ajaxsubmitmultiple',
data: new FormData($('#report-form')[0]),
processData: false,
contentType: false,
success: function(data) {
$("#pageloader").fadeOut();
if (data.status == 'success') {
Swal.fire({
title: 'Great!',
text: 'Your data is successfully submitted!',
icon: 'success'
}).then(() => {
location.reload(); // 🔥 page refresh here
});
$('#report-form').trigger("reset");
} else {
Swal.fire({
icon: 'error',
title: 'Data not submitted',
text: 'Something went wrong, please try again after some time!'
})
}
},
});
});
});
</script>
</body>
</html>