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79 lines
1.2 KiB
79 lines
1.2 KiB
<?php |
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// file new.php |
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// presents a blank form for evaluating pediatric pain |
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// this file made by andres@paglayan.com on 2004-09-23 |
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// input designed by Lowell Gordon, MD lgordon@whssf.org |
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// to max the billing complexity coding |
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require_once("../../globals.php"); |
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require_once("../../../library/api.inc"); |
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use OpenEMR\Core\Header; |
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formHeader("Pediatric Pain Evaluation"); |
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?> |
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<html><head> |
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<?php Header::setupHeader(); ?> |
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</head> |
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<body class="body_top"> |
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<!--REM note that every input method has the same name as a valid column, this will make things easier in save.php --> |
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<br /> |
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<form method='post' action="<?php echo $rootdir;?>/forms/ped_pain/save.php?mode=new" name='ped_pain' > |
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<!-- the form goes here --> |
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<?php |
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$obj = array(); // just to avoid undeclared var warning |
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require('form.php'); // to use a single file for both, empty and editing |
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?> |
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<!-- the form ends here --> |
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<!--REM note our nifty jscript submit --> |
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<a href="javascript:top.restoreSession();document.ped_pain.submit();" class="link_submit">[Save]</a> |
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<br /> |
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<a href="<?php echo $GLOBALS['form_exit_url']; ?>" class="link" onclick="top.restoreSession()">[Don't Save]</a> |
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</form> |
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<?php |
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formFooter(); |
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?>
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