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<?php
/**
* letter.php
*
* @package OpenEMR
* @link http://www.open-emr.org
* @author Rod Roark <rod@sunsetsystems.com>
* @author Brady Miller <brady.g.miller@gmail.com>
* @copyright Copyright (c) 2007-2011 Rod Roark <rod@sunsetsystems.com>
* @copyright Copyright (c) 2018 Brady Miller <brady.g.miller@gmail.com>
* @license https://github.com/openemr/openemr/blob/master/LICENSE GNU General Public License 3
*/
require_once("../globals.php");
require_once($GLOBALS['srcdir'] . "/patient.inc");
use OpenEMR\Common\Crypto\CryptoGen;
use OpenEMR\Common\Csrf\CsrfUtils;
use OpenEMR\Core\Header;
// Set up crypto object
$cryptoGen = new CryptoGen();
$template_dir = $GLOBALS['OE_SITE_DIR'] . "/documents/letter_templates";
if (!empty($_POST)) {
if (!CsrfUtils::verifyCsrfToken($_POST["csrf_token_form"])) {
CsrfUtils::csrfNotVerified();
}
}
if (!empty($_GET)) {
if (!CsrfUtils::verifyCsrfToken($_GET["csrf_token_form"])) {
CsrfUtils::csrfNotVerified();
}
}
// array of field name tags to allow internationalization
// of templates
$FIELD_TAG = array(
'DATE' => xl('DATE'),
'FROM_TITLE' => xl('FROM_TITLE'),
'FROM_FNAME' => xl('FROM_FNAME'),
'FROM_LNAME' => xl('FROM_LNAME'),
'FROM_MNAME' => xl('FROM_MNAME'),
'FROM_STREET' => xl('FROM_STREET'),
'FROM_CITY' => xl('FROM_CITY'),
'FROM_STATE' => xl('FROM_STATE'),
'FROM_POSTAL' => xl('FROM_POSTAL'),
'FROM_VALEDICTORY' => xl('FROM_VALEDICTORY'),
'FROM_PHONE' => xl('FROM_PHONE'),
'FROM_PHONECELL' => xl('FROM_PHONECELL'),
'FROM_EMAIL' => xl('FROM_EMAIL'),
'TO_TITLE' => xl('TO_TITLE'),
'TO_FNAME' => xl('TO_FNAME'),
'TO_LNAME' => xl('TO_LNAME'),
'TO_MNAME' => xl('TO_MNAME'),
'TO_STREET' => xl('TO_STREET'),
'TO_CITY' => xl('TO_CITY'),
'TO_STATE' => xl('TO_STATE'),
'TO_POSTAL' => xl('TO_POSTAL'),
'TO_VALEDICTORY' => xl('TO_VALEDICTORY'),
'TO_PHONE' => xl('TO_PHONE'),
'TO_PHONECELL' => xl('TO_PHONECELL'),
'TO_FAX' => xl('TO_FAX'),
'TO_ORGANIZATION' => xl('TO_ORGANIZATION'),
'PT_FNAME' => xl('PT_FNAME'),
'PT_LNAME' => xl('PT_LNAME'),
'PT_MNAME' => xl('PT_MNAME'),
'PT_STREET' => xl('PT_STREET'),
'PT_CITY' => xl('PT_CITY'),
'PT_STATE' => xl('PT_STATE'),
'PT_POSTAL' => xl('PT_POSTAL'),
'PT_PHONE_HOME' => xl('PT_PHONE_HOME'),
'PT_PHONE_CELL' => xl('PT_PHONE_CELL'),
'PT_SSN' => xl('PT_SSN'),
'PT_EMAIL' => xl('PT_EMAIL'),
'PT_DOB' => xl('PT_DOB')
);
$patdata = sqlQuery("SELECT " .
"p.fname, p.mname, p.lname, p.pubpid, p.DOB, " .
"p.street, p.city, p.state, p.phone_home, p.phone_cell, p.ss, p.email, p.postal_code " .
"FROM patient_data AS p " .
"WHERE p.pid = ? LIMIT 1", array($pid));
$alertmsg = ''; // anything here pops up in an alert box
// If the Generate button was clicked...
if (!empty($_POST['formaction']) && ($_POST['formaction'] == "generate")) {
$form_pid = $_POST['form_pid'];
$form_from = $_POST['form_from'];
$form_to = $_POST['form_to'];
$form_date = $_POST['form_date'];
$form_template = $_POST['form_template'];
$form_format = $_POST['form_format'];
$form_body = $_POST['form_body'];
$frow = sqlQuery("SELECT * FROM users WHERE id = ?", array($form_from));
$trow = sqlQuery("SELECT * FROM users WHERE id = ?", array($form_to));
$datestr = $form_date;
$from_title = $frow['title'] ? $frow['title'] . ' ' : '';
$to_title = $trow['title'] ? $trow['title'] . ' ' : '';
$cpstring = $_POST['form_body'];
// attempt to save to the autosaved template
$fh = fopen("$template_dir/autosaved", 'w');
// translate from definition to the constant
$temp_bodytext = $cpstring;
foreach ($FIELD_TAG as $key => $value) {
$temp_bodytext = str_replace("{" . $value . "}", "{" . $key . "}", $temp_bodytext);
}
if ($GLOBALS['drive_encryption']) {
$temp_bodytext = $cryptoGen->encryptStandard($temp_bodytext, null, 'database');
}
if (! fwrite($fh, $temp_bodytext)) {
echo xlt('Error while saving to the file') . ' ' . text($template_dir) . "/autosaved" . ' . ' .
xlt('Ensure OpenEMR has write privileges to directory') . ' ' . text($template_dir) . "/ ." ;
die;
}
fclose($fh);
$cpstring = str_replace('{' . $FIELD_TAG['DATE'] . '}', $datestr, $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['FROM_TITLE'] . '}', $from_title, $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['FROM_FNAME'] . '}', $frow['fname'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['FROM_LNAME'] . '}', $frow['lname'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['FROM_MNAME'] . '}', $frow['mname'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['FROM_STREET'] . '}', $frow['street'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['FROM_CITY'] . '}', $frow['city'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['FROM_STATE'] . '}', $frow['state'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['FROM_POSTAL'] . '}', $frow['zip'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['FROM_VALEDICTORY'] . '}', $frow['valedictory'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['FROM_PHONECELL'] . '}', $frow['phonecell'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['FROM_PHONE'] . '}', $frow['phone'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['FROM_EMAIL'] . '}', $frow['email'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['TO_TITLE'] . '}', $to_title, $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['TO_FNAME'] . '}', $trow['fname'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['TO_LNAME'] . '}', $trow['lname'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['TO_MNAME'] . '}', $trow['mname'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['TO_STREET'] . '}', $trow['street'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['TO_CITY'] . '}', $trow['city'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['TO_STATE'] . '}', $trow['state'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['TO_POSTAL'] . '}', $trow['zip'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['TO_VALEDICTORY'] . '}', $trow['valedictory'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['TO_FAX'] . '}', $trow['fax'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['TO_PHONE'] . '}', $trow['phone'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['TO_PHONECELL'] . '}', $trow['phonecell'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['TO_ORGANIZATION'] . '}', $trow['organization'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['PT_FNAME'] . '}', $patdata['fname'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['PT_LNAME'] . '}', $patdata['lname'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['PT_MNAME'] . '}', $patdata['mname'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['PT_STREET'] . '}', $patdata['street'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['PT_CITY'] . '}', $patdata['city'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['PT_STATE'] . '}', $patdata['state'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['PT_POSTAL'] . '}', $patdata['postal_code'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['PT_PHONE_HOME'] . '}', $patdata['phone_home'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['PT_PHONE_CELL'] . '}', $patdata['phone_cell'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['PT_SSN'] . '}', $patdata['ss'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['PT_EMAIL'] . '}', $patdata['email'], $cpstring);
$cpstring = str_replace('{' . $FIELD_TAG['PT_DOB'] . '}', $patdata['DOB'], $cpstring);
if ($form_format == "pdf") {
$pdf = new Cezpdf($GLOBALS['rx_paper_size']);
$pdf->ezSetMargins($GLOBALS['rx_top_margin'], $GLOBALS['rx_bottom_margin'], $GLOBALS['rx_left_margin'], $GLOBALS['rx_right_margin']);
if (file_exists($GLOBALS['OE_SITE_DIR'] . "/custom_pdf.php")) {
include($GLOBALS['OE_SITE_DIR'] . "/custom_pdf.php");
} else {
$pdf->selectFont('Helvetica');
$pdf->ezText($cpstring, 12);
}
$pdf->ezStream();
exit;
} else { // $form_format = html
$cpstring = text($cpstring); //escape to prevent stored cross script attack
$cpstring = str_replace("\n", "<br />", $cpstring);
$cpstring = str_replace("\t", "&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;", $cpstring);
?>
<html>
<head>
<style>
body {
font-family: sans-serif;
font-weight: normal;
font-size: 12pt;
background: white;
color: black;
}
.paddingdiv {
width: 524pt;
padding: 0pt;
margin-top: 50pt;
}
.navigate {
margin-top: 2.5em;
}
@media print {
.navigate {
display: none;
}
}
</style>
<title><?php echo xlt('Letter'); ?></title>
</head>
<body>
<div class='paddingdiv'>
<?php echo $cpstring; ?>
<div class="navigate">
<a href='<?php echo $GLOBALS['rootdir'] . '/patient_file/letter.php?template=autosaved&csrf_token_form=' . attr_url(CsrfUtils::collectCsrfToken()); ?>' onclick='top.restoreSession()'>(<?php echo xlt('Back'); ?>)</a>
</div>
<script>
window.print();
</script>
</body>
</div>
<?php
exit;
}
} elseif (isset($_GET['template']) && $_GET['template'] != "") {
// utilized to go back to autosaved template
$bodytext = "";
$fh = fopen("$template_dir/" . convert_very_strict_label($_GET['template']), 'r');
if (!$fh) {
die(xlt("Requested template does not exist"));
}
while (!feof($fh)) {
$bodytext .= fread($fh, 8192);
}
fclose($fh);
if ($cryptoGen->cryptCheckStandard($bodytext)) {
$bodytext = $cryptoGen->decryptStandard($bodytext, null, 'database');
}
// translate from constant to the definition
foreach ($FIELD_TAG as $key => $value) {
$bodytext = str_replace("{" . $key . "}", "{" . $value . "}", $bodytext);
}
} elseif (!empty($_POST['formaction']) && (($_POST['formaction'] == "loadtemplate") && !empty($_POST['form_template']))) {
$bodytext = "";
$fh = fopen("$template_dir/" . convert_very_strict_label($_POST['form_template']), 'r');
if (!$fh) {
die(xlt("Requested template does not exist"));
}
while (!feof($fh)) {
$bodytext .= fread($fh, 8192);
}
fclose($fh);
if ($cryptoGen->cryptCheckStandard($bodytext)) {
$bodytext = $cryptoGen->decryptStandard($bodytext, null, 'database');
}
// translate from constant to the definition
foreach ($FIELD_TAG as $key => $value) {
$bodytext = str_replace("{" . $key . "}", "{" . $value . "}", $bodytext);
}
} elseif (!empty($_POST['formaction']) && (($_POST['formaction'] == "newtemplate") && !empty($_POST['newtemplatename']))) {
// attempt to save the template
$fh = fopen("$template_dir/" . convert_very_strict_label($_POST['newtemplatename']), 'w');
// translate from definition to the constant
$temp_bodytext = $_POST['form_body'];
foreach ($FIELD_TAG as $key => $value) {
$temp_bodytext = str_replace("{" . $value . "}", "{" . $key . "}", $temp_bodytext);
}
if ($GLOBALS['drive_encryption']) {
$temp_bodytext = $cryptoGen->encryptStandard($temp_bodytext, null, 'database');
}
if (! fwrite($fh, $temp_bodytext)) {
echo xlt('Error while writing to file') . ' ' . text($template_dir) . "/" . text($_POST['newtemplatename']);
die;
}
fclose($fh);
// read the saved file back
$_POST['form_template'] = $_POST['newtemplatename'];
$fh = fopen("$template_dir/" . convert_very_strict_label($_POST['form_template']), 'r');
if (!$fh) {
die(xlt("Requested template does not exist"));
}
while (!feof($fh)) {
$bodytext = fread($fh, 8192);
}
fclose($fh);
if ($cryptoGen->cryptCheckStandard($bodytext)) {
$bodytext = $cryptoGen->decryptStandard($bodytext, null, 'database');
}
// translate from constant to the definition
foreach ($FIELD_TAG as $key => $value) {
$bodytext = str_replace("{" . $key . "}", "{" . $value . "}", $bodytext);
}
} elseif (!empty($_POST['formaction']) && (($_POST['formaction'] == "savetemplate") && !empty($_POST['form_template']))) {
// attempt to save the template
$fh = fopen("$template_dir/" . convert_very_strict_label($_POST['form_template']), 'w');
// translate from definition to the constant
$temp_bodytext = $_POST['form_body'];
foreach ($FIELD_TAG as $key => $value) {
$temp_bodytext = str_replace("{" . $value . "}", "{" . $key . "}", $temp_bodytext);
}
if ($GLOBALS['drive_encryption']) {
$temp_bodytext = $cryptoGen->encryptStandard($temp_bodytext, null, 'database');
}
if (! fwrite($fh, $temp_bodytext)) {
echo xlt('Error while writing to file') . ' ' . text($template_dir) . "/" . text($_POST['form_template']);
die;
}
fclose($fh);
// read the saved file back
$fh = fopen("$template_dir/" . convert_very_strict_label($_POST['form_template']), 'r');
if (!$fh) {
die(xlt("Requested template does not exist"));
}
while (!feof($fh)) {
$bodytext = fread($fh, 8192);
}
fclose($fh);
if ($cryptoGen->cryptCheckStandard($bodytext)) {
$bodytext = $cryptoGen->decryptStandard($bodytext, null, 'database');
}
// translate from constant to the definition
foreach ($FIELD_TAG as $key => $value) {
$bodytext = str_replace("{" . $key . "}", "{" . $value . "}", $bodytext);
}
}
// This is the case where we display the form for data entry.
// Get the users list.
$ures = sqlStatement("SELECT id, fname, lname, specialty FROM users " .
"WHERE active = 1 AND ( info IS NULL OR info NOT LIKE '%Inactive%' ) " .
"ORDER BY lname, fname");
$i = 0;
$optfrom = '';
$optto = '';
$ulist = "var ulist = new Array();\n";
while ($urow = sqlFetchArray($ures)) {
$uname = $urow['lname'];
if ($urow['fname']) {
$uname .= ", " . $urow['fname'];
}
$tmp1 = " <option value='" . attr($urow['id']) . "'";
$tmp2 = ">" . text($uname) . "</option>\n";
$optto .= $tmp1 . $tmp2;
if ($urow['id'] == $_SESSION['authUserID']) {
$tmp1 .= " selected";
}
$optfrom .= $tmp1 . $tmp2;
$ulist .= "ulist[" . attr($i) . "] = " . js_escape($uname . "|" . $urow['id'] . "|" . $urow['specialty']) . ";\n";
++$i;
}
// Get the unique specialties.
$sres = sqlStatement("SELECT DISTINCT specialty FROM users " .
"WHERE active = 1 AND ( info IS NULL OR info NOT LIKE '%Inactive%' ) " .
"ORDER BY specialty");
$optspec = "<option value='All'>" . xlt('All') . "</option>\n";
while ($srow = sqlFetchArray($sres)) {
$optspec .= " <option value='" . attr($srow['specialty']) . "'>" .
text($srow['specialty']) . "</option>\n";
}
?>
<html>
<head>
<title><?php echo xlt('Letter Generator'); ?></title>
<?php Header::setupHeader(['datetime-picker', 'topdialog']); ?>
<script>
<?php echo $ulist; ?>
// React to selection of a specialty. This rebuilds the "to" users list
// with users having that specialty, or all users if "All" is selected.
function newspecialty() {
var f = document.forms[0];
var s = f.form_specialty.value;
var theopts = f.form_to.options;
theopts.length = 0;
var j = 0;
for (var i = 0; i < ulist.length; ++i) {
tmp = ulist[i].split("|");
if (s != 'All' && s != tmp[2]) continue;
theopts[j++] = new Option(tmp[0], tmp[1], false, false);
}
}
// insert text into a textarea where the cursor is
function insertAtCaret(areaId,text) {
var txtarea = document.getElementById(areaId);
var scrollPos = txtarea.scrollTop;
var strPos = 0;
var br = ((txtarea.selectionStart || txtarea.selectionStart == '0') ?
"ff" : (document.selection ? "ie" : false ) );
if (br == "ie") {
txtarea.focus();
var range = document.selection.createRange();
range.moveStart ('character', -txtarea.value.length);
strPos = range.text.length;
}
else if (br == "ff") strPos = txtarea.selectionStart;
var front = (txtarea.value).substring(0,strPos);
var back = (txtarea.value).substring(strPos,txtarea.value.length);
txtarea.value=front+text+back;
strPos = strPos + text.length;
if (br == "ie") {
txtarea.focus();
var range = document.selection.createRange();
range.moveStart ('character', -txtarea.value.length);
range.moveStart ('character', strPos);
range.moveEnd ('character', 0);
range.select();
}
else if (br == "ff") {
txtarea.selectionStart = strPos;
txtarea.selectionEnd = strPos;
txtarea.focus();
}
txtarea.scrollTop = scrollPos;
}
function insertAtCursor(myField, myValue) {
//IE support
if (document.selection) {
myField.focus();
sel = document.selection.createRange();
sel.text = myValue;
}
//MOZILLA/NETSCAPE support
else if (myField.selectionStart || myField.selectionStart == '0') {
var startPos = myField.selectionStart;
var endPos = myField.selectionEnd;
myField.value = myField.value.substring(0, startPos)
+ myValue
+ myField.value.substring(endPos, myField.value.length);
} else {
myField.value += myValue;
}
}
</script>
</head>
<body class="body_top" onunload='imclosing()'>
<form method='post' action='letter.php' id="theform" name="theform" onsubmit="return top.restoreSession()">
<input type="hidden" name="csrf_token_form" value="<?php echo attr(CsrfUtils::collectCsrfToken()); ?>" />
<input type="hidden" name="formaction" id="formaction" value="">
<input type='hidden' name='form_pid' value='<?php echo attr($pid) ?>' />
<center>
<p>
<table width='98%'>
<tr>
<td colspan='4' align='center'>
&nbsp;<br />
<b><?php echo xlt('Generate Letter regarding ') . text($patdata['fname']) . " " .
text($patdata['lname']) . " (" . text($patdata['pubpid']) . ")" ?></b>
<br />&nbsp;
</td>
</tr>
<tr>
<td class='col-form-label'>
<?php echo xlt('From'); ?>:
</td>
<td>
<select name='form_from' class='form-control'>
<?php echo $optfrom; ?>
</select>
</td>
<td class='col-form-label'>
<?php echo xlt('Date'); ?>:
</td>
<td>
<input type='text' size='10' name='form_date' id='form_date' class='datepicker form-control'
value='<?php echo attr(oeFormatShortDate(date('Y-m-d'))); ?>'
title='<?php echo xla('Date of this letter'); ?>' />
</td>
</tr>
<tr>
<td class='col-form-label'>
<?php echo xlt('Specialty'); ?>:
</td>
<td>
<select name='form_specialty' onchange='newspecialty()' class='form-control'>
<?php echo $optspec; ?>
</select>
</td>
<td class='col-form-label'>
<?php echo xlt('Template'); ?>:
</td>
<td>
<select name="form_template" id="form_template" class='form-control'>
<option value="">(<?php echo xlt('none{{Template}}'); ?>)</option>
<?php
$tpldir = $GLOBALS['OE_SITE_DIR'] . "/documents/letter_templates";
$dh = opendir($tpldir);
if (! $dh) {
die(xlt('Cannot read') . ' ' . text($tpldir));
}
while (false !== ($tfname = readdir($dh))) {
// skip dot-files, scripts and images
if (preg_match("/^\./", $tfname)) {
continue;
}
if (preg_match("/\.php$/", $tfname)) {
continue;
}
if (preg_match("/\.jpg$/", $tfname)) {
continue;
}
if (preg_match("/\.png$/", $tfname)) {
continue;
}
echo "<option value='" . attr($tfname) . "'";
if ((!empty($_POST['form_template']) && ($tfname == $_POST['form_template'])) || (!empty($_GET['template']) && ($tfname == $_GET['template']))) {
echo " SELECTED";
}
echo ">";
if ($tfname == 'autosaved') {
echo xlt($tfname);
} else {
echo text($tfname);
}
echo "</option>";
}
closedir($dh);
?>
</select>
</td>
</tr>
</tr>
<tr>
<td class='col-form-label'>
<?php echo xlt('To{{Destination}}'); ?>:
</td>
<td>
<select name='form_to' class='form-control'>
<?php echo $optto; ?>
</select>
</td>
<td class='col-form-label'>
<?php echo xlt('Print Format'); ?>:
</td>
<td>
<select name='form_format' class='form-control'>
<option value='html'><?php echo xlt('HTML'); ?></option>
<option value='pdf'><?php echo xlt('PDF'); ?></option>
</select>
</td>
</tr>
<tr>
<td colspan='4'>
<div id="letter_toolbar" class='text' style="width: 100%; background-color: #ddd; padding: 5px; margin: 0px;">
<span class='col-form-label'><?php echo xlt('Insert special field'); ?>:</span>
<select id="letter_field" class='form-control'>
<option value="">- <?php echo xlt('Choose'); ?> -</option>
<option value="<?php echo '{' . attr($FIELD_TAG['DATE']) . '}'; ?>"><?php echo xlt('Today\'s Date'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['FROM_TITLE']) . '}'; ?>"><?php echo xlt('FROM'); ?> - <?php echo xlt('Title'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['FROM_FNAME']) . '}'; ?>"><?php echo xlt('FROM'); ?> - <?php echo xlt('First name'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['FROM_MNAME']) . '}'; ?>"><?php echo xlt('FROM'); ?> - <?php echo xlt('Middle name'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['FROM_LNAME']) . '}'; ?>"><?php echo xlt('FROM'); ?> - <?php echo xlt('Last name'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['FROM_STREET']) . '}'; ?>"><?php echo xlt('FROM'); ?> - <?php echo xlt('Street'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['FROM_CITY']) . '}'; ?>"><?php echo xlt('FROM'); ?> - <?php echo xlt('City'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['FROM_STATE']) . '}'; ?>"><?php echo xlt('FROM'); ?> - <?php echo xlt('State'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['FROM_POSTAL']) . '}'; ?>"><?php echo xlt('FROM'); ?> - <?php echo xlt('Postal Code'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['FROM_VALEDICTORY']) . '}'; ?>"><?php echo xlt('FROM'); ?> - <?php echo xlt('Valedictory'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['FROM_PHONECELL']) . '}'; ?>"><?php echo xlt('FROM'); ?> - <?php echo xlt('Cell Phone'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['FROM_PHONE']) . '}'; ?>"><?php echo xlt('FROM'); ?> - <?php echo xlt('Phone'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['FROM_EMAIL']) . '}'; ?>"><?php echo xlt('FROM'); ?> - <?php echo xlt('email'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['TO_TITLE']) . '}'; ?>"><?php echo xlt('TO{{Destination}}'); ?> - <?php echo xlt('Title'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['TO_FNAME']) . '}'; ?>"><?php echo xlt('TO{{Destination}}'); ?> - <?php echo xlt('First name'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['TO_MNAME']) . '}'; ?>"><?php echo xlt('TO{{Destination}}'); ?> - <?php echo xlt('Middle name'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['TO_LNAME']) . '}'; ?>"><?php echo xlt('TO{{Destination}}'); ?> - <?php echo xlt('Last name'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['TO_STREET']) . '}'; ?>"><?php echo xlt('TO{{Destination}}'); ?> - <?php echo xlt('Street'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['TO_CITY']) . '}'; ?>"><?php echo xlt('TO{{Destination}}'); ?> - <?php echo xlt('City'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['TO_STATE']) . '}'; ?>"><?php echo xlt('TO{{Destination}}'); ?> - <?php echo xlt('State'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['TO_POSTAL']) . '}'; ?>"><?php echo xlt('TO{{Destination}}'); ?> - <?php echo xlt('Postal Code'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['TO_VALEDICTORY']) . '}'; ?>"><?php echo xlt('TO{{Destination}}'); ?> - <?php echo xlt('Valedictory'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['TO_ORGANIZATION']) . '}'; ?>"><?php echo xlt('TO{{Destination}}'); ?> - <?php echo xlt('Organization'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['TO_FAX']) . '}'; ?>"><?php echo xlt('TO{{Destination}}'); ?> - <?php echo xlt('Fax number'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['TO_PHONE']) . '}'; ?>"><?php echo xlt('TO{{Destination}}'); ?> - <?php echo xlt('Phone number'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['TO_PHONECELL']) . '}'; ?>"><?php echo xlt('TO{{Destination}}'); ?> - <?php echo xlt('Cell phone number'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['PT_FNAME']) . '}'; ?>"><?php echo xlt('PATIENT'); ?> - <?php echo xlt('First name'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['PT_MNAME']) . '}'; ?>"><?php echo xlt('PATIENT'); ?> - <?php echo xlt('Middle name'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['PT_LNAME']) . '}'; ?>"><?php echo xlt('PATIENT'); ?> - <?php echo xlt('Last name'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['PT_STREET']) . '}'; ?>"><?php echo xlt('PATIENT'); ?> - <?php echo xlt('Street'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['PT_CITY']) . '}'; ?>"><?php echo xlt('PATIENT'); ?> - <?php echo xlt('City'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['PT_STATE']) . '}'; ?>"><?php echo xlt('PATIENT'); ?> - <?php echo xlt('State'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['PT_POSTAL']) . '}'; ?>"><?php echo xlt('PATIENT'); ?> - <?php echo xlt('Postal Code'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['PT_PHONE_HOME']) . '}'; ?>"><?php echo xlt('PATIENT'); ?> - <?php echo xlt('Phone Home'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['PT_PHONE_CELL']) . '}'; ?>"><?php echo xlt('PATIENT'); ?> - <?php echo xlt('Phone Cell'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['PT_SSN']) . '}'; ?>"><?php echo xlt('PATIENT'); ?> - <?php echo xlt('SSN'); ?></option>
<option value="<?php echo '{' . attr($FIELD_TAG['PT_DOB']) . '}'; ?>"><?php echo xlt('PATIENT'); ?> - <?php echo xlt('Date of birth'); ?></option>
</select>
</div>
<textarea name='form_body' id="form_body" class='form-control' rows='20' cols='30' style='width:100%'
title='<?php echo xla('Enter body of letter here'); ?>' /><?php echo text($bodytext ?? ''); ?></textarea>
</td>
</tr>
</table>
<div class="btn-group" role="group">
<button type='button' class='addtemplate btn btn-secondary btn-save'><?php echo xlt('Save as New'); ?></button>
<button type='button' class='btn btn-secondary btn-save' name='savetemplate' id="savetemplate"><?php echo xlt('Save Changes'); ?></button>
<button type='button' class='btn btn-secondary btn-transmit' name='form_generate' id="form_generate"><?php echo xlt('Generate Letter'); ?></button>
</div>
</center>
<!-- template DIV that appears when user chooses to add a new letter template -->
<div id="newtemplatedetail" style="margin-top: 4em; display: none; visibility: hidden;">
<span class='col-form-label'><?php echo xlt('Template Name'); ?>:</span> <input type="textbox" size="20" maxlength="30" name="newtemplatename" id="newtemplatename" class="form-control">
<br />
<div class="btn-group" role="group">
<button type="button" class="savenewtemplate btn btn-secondary btn-save"><?php echo xlt('Save new template'); ?></button>
<button type="button" class="cancelnewtemplate btn btn-link btn-cancel"><?php echo xlt('Cancel'); ?></button>
</div>
</div>
</form>
</body>
<script>
// jQuery stuff to make the page a little easier to use
$(function () {
$("#form_generate").click(function() { $("#formaction").val("generate"); $("#theform").submit(); });
$("#form_template").change(function() { $("#formaction").val("loadtemplate"); $("#theform").submit(); });
$("#savetemplate").click(function() { SaveTemplate(this); });
$("#letter_field").change(function() { insertAtCursor(document.getElementById("form_body"), $(this).val()); $(this).attr("selectedIndex", "0"); });
$(".addtemplate").click(function() { AddTemplate(this); });
$(".savenewtemplate").click(function() { SaveNewTemplate(this); });
$(".deletetemplate").click(function() { DeleteTemplate(this); });
$(".cancelnewtemplate").click(function() { CancelNewTemplate(this); });
$('.datepicker').datetimepicker({
<?php $datetimepicker_timepicker = false; ?>
<?php $datetimepicker_showseconds = false; ?>
<?php $datetimepicker_formatInput = true; ?>
<?php require($GLOBALS['srcdir'] . '/js/xl/jquery-datetimepicker-2-5-4.js.php'); ?>
<?php // can add any additional javascript settings to datetimepicker here; need to prepend first setting with a comma ?>
});
// display the 'new group' DIV
var AddTemplate = function(btnObj) {
// show the field details DIV
$('#newtemplatedetail').css('visibility', 'visible');
$('#newtemplatedetail').css('display', 'block');
$(btnObj).parent().append($("#newtemplatedetail"));
$('#newtemplatedetail > #newtemplatename').focus();
$(window).scrollTop($(document).height());
};
// save the new template
var SaveNewTemplate = function(btnObj) {
// the template name can only have letters, numbers, spaces and underscores
// AND it cannot start with a number
if ($("#newtemplatename").val().match(/^\d+/)) {
alert(<?php echo xlj('Template names cannot start with numbers.'); ?>);
return false;
}
var validname = $("#newtemplatename").val().replace(/[^A-za-z0-9]/g, "_"); // match any non-word characters and replace them
$("#newtemplatename").val(validname);
// submit the form to add a new field to a specific group
$("#formaction").val("newtemplate");
$("#theform").submit();
}
// actually delete a template file
/*
var DeleteTemplate = function(btnObj) {
var parts = $(btnObj).attr("id");
var groupname = parts.replace(/^\d+/, "");
if (confirm("WARNING - This action cannot be undone.\n Are you sure you wish to delete the entire group named '"+groupname+"'?")) {
// submit the form to add a new field to a specific group
$("#formaction").val("deletegroup");
$("#deletegroupname").val(parts);
$("#theform").submit();
}
};
*/
// just hide the new template DIV
var CancelNewTemplate = function(btnObj) {
// hide the field details DIV
$('#newtemplatedetail').css('visibility', 'hidden');
$('#newtemplatedetail').css('display', 'none');
// reset the new group values to a default
$('#newtemplatedetail > #newtemplatename').val("");
};
// save the template, overwriting the older version
var SaveTemplate = function(btnObj) {
if (! confirm(<?php echo xlj('You are about to permanently replace the existing template. Are you sure you wish to continue?'); ?>)) {
return false;
}
$("#formaction").val("savetemplate");
$("#theform").submit();
}
});
</script>
</html>