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<?php
/**
* Patient Flow Board (Patient Tracker) (Report Based on the appointment report)
*
* This program used to select and print the information captured in the Patient Flow Board program,
* allowing the user to select and print the desired information.
*
* @package OpenEMR
* @link http://www.open-emr.org
* @author Terry Hill <terry@lilysystems.com>
* @author Brady Miller <brady.g.miller@gmail.com>
* @copyright Copyright (c) 2015 Terry Hill <terry@lillysystems.com>
* @copyright Copyright (c) 2017-2018 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("../../library/patient.inc");
require_once "$srcdir/options.inc.php";
require_once "$srcdir/appointments.inc.php";
require_once("$srcdir/patient_tracker.inc.php");
use OpenEMR\Common\Csrf\CsrfUtils;
use OpenEMR\Core\Header;
if (!empty($_POST)) {
if (!CsrfUtils::verifyCsrfToken($_POST["csrf_token_form"])) {
CsrfUtils::csrfNotVerified();
}
}
$patient = $_POST['patient'] ?? null;
if ($patient && !isset($_POST['form_from_date'])) {
// If a specific patient, default to 2 years ago.
$tmp = date('Y') - 2;
$from_date = date("$tmp-m-d");
$to_date = date('Y-m-d');
} else {
$from_date = isset($_POST['form_from_date']) ? DateToYYYYMMDD($_POST['form_from_date']) : date('Y-m-d');
$to_date = isset($_POST['form_to_date']) ? DateToYYYYMMDD($_POST['form_to_date']) : date('Y-m-d');
}
# check box information
$chk_show_details = false;
if (!empty($_POST['show_details'])) {
$chk_show_details = true;
}
$chk_show_drug_screens = false;
if (!empty($_POST['show_drug_screens'])) {
$chk_show_drug_screens = true;
}
$chk_show_completed_drug_screens = false;
if (!empty($_POST['show_completed_drug_screens'])) {
$chk_show_completed_drug_screens = true;
}
# end check box information
$provider = $_POST['form_provider'] ?? null;
$facility = $_POST['form_facility'] ?? null; #(CHEMED) facility filter
$form_orderby = (!empty($_POST['form_orderby']) && getComparisonOrder($_POST['form_orderby'])) ? $_POST['form_orderby'] : 'date';
if (!empty($_POST["form_patient"])) {
$form_patient = isset($_POST['form_patient']) ? $_POST['form_patient'] : '';
}
$form_pid = isset($_POST['form_pid']) ? $_POST['form_pid'] : '';
if (empty($form_patient)) {
$form_pid = '';
}
?>
<html>
<head>
<title><?php echo xlt('Patient Flow Board Report'); ?></title>
<?php Header::setupHeader(['datetime-picker', 'report-helper']); ?>
<script>
$(function () {
var win = top.printLogSetup ? top : opener.top;
win.printLogSetup(document.getElementById('printbutton'));
$('.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 ?>
});
});
function dosort(orderby) {
var f = document.forms[0];
f.form_orderby.value = orderby;
f.submit();
return false;
}
// CapMinds :: invokes find-patient popup.
function sel_patient() {
dlgopen('../main/calendar/find_patient_popup.php?pflag=0', '_blank', 500, 400);
}
// CapMinds :: callback by the find-patient popup.
function setpatient(pid, lname, fname, dob) {
var f = document.theform;
f.form_patient.value = lname + ', ' + fname;
f.form_pid.value = pid;
}
</script>
<style>
/* specifically include & exclude from printing */
@media print {
#report_parameters {
visibility: hidden;
display: none;
}
#report_parameters_daterange {
visibility: visible;
display: inline;
}
#report_results table {
margin-top: 0px;
}
}
/* specifically exclude some from the screen */
@media screen {
#report_parameters_daterange {
visibility: hidden;
display: none;
}
}
</style>
</head>
<body class="body_top">
<!-- Required for the popup date selectors -->
<div id="overDiv"
style="position: absolute; visibility: hidden; z-index: 1000;"></div>
<?php if ($GLOBALS['drug_screen']) { #setting the title of the page based o if drug screening is enabled ?>
<span class='title'><?php echo xlt('Patient Flow Board'); ?> - <?php echo xlt('Drug Screen Report'); ?></span>
<?php } else { ?>
<span class='title'><?php echo xlt('Patient Flow Board Report'); ?></span>
<?php } ?>
<div id="report_parameters_daterange"><?php echo text(oeFormatShortDate($from_date)) . " &nbsp; " . xlt('to{{Range}}') . " &nbsp; " . text(oeFormatShortDate($to_date)); #sets date range for calendars ?>
</div>
<form method='post' name='theform' id='theform' action='patient_flow_board_report.php' onsubmit='return top.restoreSession()'>
<input type="hidden" name="csrf_token_form" value="<?php echo attr(CsrfUtils::collectCsrfToken()); ?>" />
<div id="report_parameters">
<table>
<tr>
<td width='650px'>
<div style='float: left'>
<table class='text'>
<tr>
<td class='col-form-label'><?php echo xlt('Facility'); ?>:</td>
<td><?php dropdown_facility($facility, 'form_facility'); ?>
</td>
<td class='col-form-label'><?php echo xlt('Provider'); ?>:</td>
<td><?php
# Build a drop-down list of providers.
#
$query = "SELECT id, lname, fname FROM users WHERE " .
"authorized = 1 ORDER BY lname, fname"; #(CHEMED) facility filter
$ures = sqlStatement($query);
echo " <select name='form_provider' class='form-control'>\n";
echo " <option value=''>-- " . xlt('All') . " --\n";
while ($urow = sqlFetchArray($ures)) {
$provid = $urow['id'];
echo " <option value='" . attr($provid) . "'";
if (!empty($_POST['form_provider']) && ($provid == $_POST['form_provider'])) {
echo " selected";
}
echo ">" . text($urow['lname']) . ", " . text($urow['fname']) . "\n";
}
echo " </select>\n";
?></td>
</tr>
<tr>
<td class='col-form-label'><?php echo xlt('From'); ?>:</td>
<td><input type='text' name='form_from_date' id="form_from_date" class='datepicker form-control' size='10' value='<?php echo attr(oeFormatShortDate($from_date)); ?>'>
</td>
<td class='col-form-label'><?php echo xlt('To{{Range}}'); ?>:</td>
<td><input type='text' name='form_to_date' id="form_to_date" class='datepicker form-control' size='10' value='<?php echo attr(oeFormatShortDate($to_date)); ?>'>
</td>
</tr>
<tr>
<td class='col-form-label'><?php echo xlt('Status'); # status code drop down creation ?>:</td>
<td><?php generate_form_field(array('data_type' => 1,'field_id' => 'apptstatus','list_id' => 'apptstat','empty_title' => 'All'), ($_POST['form_apptstatus'] ?? ''));?></td>
<td><?php echo xlt('Category') #category drop down creation ?>:</td>
<td>
<select id="form_apptcat" name="form_apptcat" class="form-control">
<?php
$categories = fetchAppointmentCategories();
echo "<option value='ALL'>" . xlt("All") . "</option>";
while ($cat = sqlFetchArray($categories)) {
echo "<option value='" . attr($cat['id']) . "'";
if (!empty($_POST['form_apptcat']) && ($cat['id'] == $_POST['form_apptcat'])) {
echo " selected='true' ";
}
echo ">" . text(xl_appt_category($cat['category'])) . "</option>";
}
?>
</select>
</td>
</tr>
<tr>
<td>
&nbsp;&nbsp;<span class='text'><?php echo xlt('Patient'); ?>: </span>
</td>
<td>
<input type='text' size='20' name='form_patient' class='form-control' style='cursor:pointer' value='<?php echo (!empty($form_patient)) ? attr($form_patient) : xla('Click To Select'); ?>' onclick='sel_patient()' title='<?php echo xla('Click to select patient'); ?>' />
<input type='hidden' name='form_pid' value='<?php echo attr($form_pid); ?>' />
</td>
<td colspan="2">
<div class="checkbox">
<label><input type="checkbox" name="show_details" id="show_details" <?php echo ($chk_show_details) ? "checked" : ""; ?>>&nbsp;<?php echo xlt('Show Details'); ?></label>
</div>
</td>
</tr>
<tr>
</tr>
<?php if ($GLOBALS['drug_screen']) { ?>
<tr>
<?php # these two selects will are for the drug screen entries the Show Selected for Drug Screens will show all
# that have a yes for selected. If you just check the Show Status of Drug Screens all drug screens will be displayed
# if both are selected then only completed drug screens will be displayed. ?>
<td colspan="2">
<div class="checkbox">
<label><input type="checkbox" name="show_drug_screens" id="show_drug_screens" <?php echo ($chk_show_drug_screens) ? "checked" : ""; ?>>&nbsp;<?php echo xlt('Show Selected for Drug Screens'); ?></label>
</div>
</td>
<td colspan="2">
<div class="checkbox">
<label><input type="checkbox" name="show_completed_drug_screens" id="show_completed_drug_screens" <?php echo ($chk_show_completed_drug_screens) ? "checked" : ""; ?>>&nbsp;<?php echo xlt('Show Status of Drug Screens'); ?></label>
</div>
</td>
</tr>
<?php } ?>
</table>
</div>
</td>
<td class='h-100' align='left' valign='middle'>
<table class='w-100 h-100' style='border-left: 1px solid;'>
<tr>
<td>
<div class="text-center">
<div class="btn-group" role="group">
<a href='#' class='btn btn-secondary btn-save' onclick='$("#form_refresh").attr("value","true"); $("#theform").submit();'>
<?php echo xlt('Submit'); ?>
</a>
<?php if (!empty($_POST['form_refresh']) || !empty($_POST['form_orderby'])) { ?>
<a href='#' class='btn btn-secondary btn-print' id='printbutton'>
<?php echo xlt('Print'); ?>
</a>
<?php } ?>
</div>
</div>
</td>
</tr>
<tr>&nbsp;&nbsp;<?php echo xlt('Most column headers can be clicked to change sort order') ?></tr>
</table>
</td>
</tr>
</table>
</div>
<!-- end of search parameters --> <?php
if (!empty($_POST['form_refresh']) || !empty($_POST['form_orderby'])) {
?>
<div id="report_results">
<table class='table'>
<thead class='thead-light'>
<?php if (!$chk_show_drug_screens && !$chk_show_completed_drug_screens) { # the first part of this block is for the Patient Flow Board report ?>
<th><a href="nojs.php" onclick="return dosort('doctor')"
<?php echo ($form_orderby == "doctor") ? " style=\"color: var(--success)\"" : ""; ?>><?php echo xlt('Provider'); ?>
</a></th>
<th><a href="nojs.php" onclick="return dosort('date')" <?php echo ($form_orderby == "date") ? " style=\"color: var(--success)\"" : ""; ?>><?php echo xlt('Date'); ?></a>
</th>
<th><a href="nojs.php" onclick="return dosort('time')"
<?php echo ($form_orderby == "time") ? " style=\"color: var(--success)\"" : ""; ?>><?php echo xlt('Time'); ?></a>
</th>
<th><a href="nojs.php" onclick="return dosort('patient')"
<?php echo ($form_orderby == "patient") ? " style=\"color: var(--success)\"" : ""; ?>>&nbsp;&nbsp;&nbsp;<?php echo xlt('Patient'); ?></a>
</th>
<th><a href="nojs.php" onclick="return dosort('pubpid')"
<?php echo ($form_orderby == "pubpid") ? " style=\"color: var(--success)\"" : ""; ?>>&nbsp;<?php echo xlt('ID'); ?></a>
</th>
<th><a href="nojs.php" onclick="return dosort('type')"
<?php echo ($form_orderby == "type") ? " style=\"color: var(--success)\"" : ""; ?>><?php echo xlt('Type'); ?></a>
</th>
<?php if ($chk_show_details) { ?>
<th><a href="nojs.php" onclick="return dosort('trackerstatus')"
<?php echo ($form_orderby == "trackerstatus") ? " style=\"color: var(--success)\"" : ""; ?>><?php echo xlt('Status'); ?></a>
</th>
<?php } else { ?>
<th><a href="nojs.php" onclick="return dosort('trackerstatus')"
<?php echo ($form_orderby == "trackerstatus") ? " style=\"color: var(--success)\"" : ""; ?>><?php echo xlt('Final Status'); ?></a>
</th>
<?php } ?>
<th><?php
if ($chk_show_details) { # not sure if Sorting by Arrive Time is useful
echo xlt('Start Time');
} else {
echo xlt('Arrive Time');
}?></th>
<th><?php
if ($chk_show_details) { # not sure if Sorting by Discharge Time is useful
echo xlt('End Time');
} else {
echo xlt('Discharge Time');
}?></th>
<th><?php echo xlt('Total Time'); # not adding Sorting by Total Time yet but can see that it might be useful ?></th>
<?php } else { # this section is for the drug screen report ?>
<th><a href="nojs.php" onclick="return dosort('doctor')"
<?php echo ($form_orderby == "doctor") ? " style=\"color: var(--success)\"" : ""; ?>><?php echo xlt('Provider'); ?>
</a></th>
<th><a href="nojs.php" onclick="return dosort('date')"
<?php echo ($form_orderby == "date") ? " style=\"color: var(--success)\"" : ""; ?>><?php echo xlt('Date'); ?></a>
</th>
<th><a href="nojs.php" onclick="return dosort('time')"
<?php echo ($form_orderby == "time") ? " style=\"color: var(--success)\"" : ""; ?>><?php echo xlt('Time'); ?></a>
</th>
<th><a href="nojs.php" onclick="return dosort('patient')"
<?php echo ($form_orderby == "patient") ? " style=\"color: var(--success)\"" : ""; ?>>&nbsp;&nbsp;&nbsp;&nbsp;<?php echo xlt('Patient'); ?></a>
</th>
<?php if (!$chk_show_completed_drug_screens) { ?>
<th><a href="nojs.php" onclick="return dosort('pubpid')"
<?php echo ($form_orderby == "pubpid") ? " style=\"color: var(--success)\"" : ""; ?>>&nbsp;<?php echo xlt('ID'); ?></a>
</th>
<?php } else { ?>
<th><a href="nojs.php" onclick="return dosort('pubpid')"
<?php echo ($form_orderby == "pubpid") ? " style=\"color: var(--success)\"" : ""; ?>>&nbsp;<?php echo xlt('ID'); ?></a>
</th>
<?php } ?>
<th><?php echo xlt('Drug Screen'); # not sure if Sorting by Drug Screen is useful ?></th>
<?php if (!$chk_show_completed_drug_screens) { ?>
<th>&nbsp;</th>
<?php } else { ?>
<th><a href="nojs.php" onclick="return dosort('completed')"
<?php echo ($form_orderby == "completed") ? " style=\"color: var(--success)\"" : ""; ?>><?php echo xlt('Completed'); ?></a>
</th>
<?php } ?>
<th></th><th></th><th></th>
<?php } ?>
</thead>
<tbody>
<!-- added for better print-ability -->
<?php
$lastdocname = "";
#Appointment Status Checking
$form_apptstatus = $_POST['form_apptstatus'];
$form_apptcat = null;
if (isset($_POST['form_apptcat'])) {
if ($form_apptcat != "ALL") {
$form_apptcat = intval($_POST['form_apptcat']);
}
}
#Without provider and facility data checking
$with_out_provider = null;
$with_out_facility = null;
# get the appointments also set the trackerboard flag to true (last entry in the fetchAppointments call so we get the tracker stuff)
$appointments = fetchAppointments($from_date, $to_date, $patient, $provider, $facility, $form_apptstatus, $with_out_provider, $with_out_facility, $form_apptcat, true);
# sort the appointments by the appointment time
$appointments = sortAppointments($appointments, $form_orderby);
# $j is used to count the number of patients that match the selected criteria.
$j = 0;
//print_r2($appointments);
foreach ($appointments as $appointment) {
$patient_id = $appointment['pid'];
$tracker_id = $appointment['pt_tracker_id'];
$last_seq = $appointment['lastseq'];
$docname = $appointment['ulname'] . ', ' . $appointment['ufname'] . ' ' . $appointment['umname'];
# only get items with a tracker id.
if ($tracker_id == '') {
continue;
}
# only get the drug screens that are set to yes.
if ($chk_show_drug_screens == 1) {
if ($appointment['random_drug_test'] != '1') {
continue;
}
}
#if a patient id is entered just get that patient.
if (strlen($form_pid) != 0) {
if ($appointment['pid'] != $form_pid) {
continue;
}
}
$errmsg = "";
$newarrive = '';
$newend = '';
$no_visit = 1;
# getting arrive time and end time from the elements file.
if ($tracker_id != 0) {
$newarrive = collect_checkin($tracker_id);
$newend = collect_checkout($tracker_id);
}
if ($newend != '' && $newarrive != '') {
$no_visit = 0;
}
$tracker_status = $appointment['status'];
# get the time interval for the entire visit. to display seconds add last option of true.
# get_Tracker_Time_Interval($newarrive, $newend, true)
$timecheck2 = get_Tracker_Time_Interval($newarrive, $newend);
# Get the tracker elements.
$tracker_elements = collect_Tracker_Elements($tracker_id);
# $j is incremented for a patient that made it for display.
$j = $j + 1;
?>
<tr bgcolor='<?php echo attr($bgcolor ?? ''); ?>'>
<?php
if (!$chk_show_drug_screens && !$chk_show_completed_drug_screens) { # the first part of this block is for the Patient Flow Board report ?>
<td class="detail">&nbsp;<?php echo ($docname == $lastdocname) ? "" : $docname ?>
</td>
<td class="detail"><?php echo text(oeFormatShortDate($appointment['pc_eventDate'])) ?>
</td>
<td class="detail"><?php echo text(oeFormatTime($appointment['pc_startTime'])) ?>
</td>
<td class="detail">&nbsp;<?php echo text($appointment['fname'] . " " . $appointment['lname']) ?>
</td>
<td class="detail">&nbsp;<?php echo text($appointment['pubpid']) ?>
</td>
<td class="detail">&nbsp;<?php echo text(xl_appt_category($appointment['pc_catname'])) ?>
</td>
<td class="detail">
<?php
//Appointment Status
if ($chk_show_details) {
if ($no_visit != 1) {
echo xlt('Complete Visit Time');
}
} else {
if ($tracker_status != "") {
echo text(getListItemTitle('apptstat', $tracker_status));
}
}
?>
</td>
<td class="detail">&nbsp;<?php echo text(substr($newarrive, 11)) ?>
</td>
<td class="detail">&nbsp;<?php echo text(substr($newend, 11)) ?>
</td>
<?php if ($no_visit != 1) { ?>
<td class="detail">&nbsp;<?php echo text($timecheck2) ?></td>
<?php } else { ?>
<td class="detail">&nbsp;</td>
<?php } ?>
<?php
if ($chk_show_details) { # lets show the detail lines
$i = '0';
$k = '0';
for ($x = 1; $x <= $last_seq; $x++) {
?>
<tr valign='top' class="detail" >
<td colspan="6" class="detail" align='left'>
<?php
# get the verbiage for the status code
$track_stat = $tracker_elements[$i]['status'];
# Get Interval alert time and status color.
$colorevents = (collectApptStatusSettings($track_stat));
$alert_time = '0';
$alert_color = $colorevents['color'];
$alert_time = $colorevents['time_alert'];
if (is_checkin($track_stat) || is_checkout($track_stat)) { #bold the check in and check out times in this block.
?>
<td class="detail font-weight-bold">
<?php
} else { ?>
<td class="detail">
<?php
}
echo text(getListItemTitle("apptstat", $track_stat));
?>
</td>
<?php
if (is_checkin($track_stat) || is_checkout($track_stat)) { #bold the check in and check out times in this block.
?>
<td class="detail"><b>&nbsp;<?php echo text(substr($tracker_elements[$i]['start_datetime'], 11)); ?></b></td>
<?php
} else { ?>
<td class="detail">&nbsp;<?php echo text(substr($tracker_elements[$i]['start_datetime'], 11)); ?></td>
<?php # figure out the next time of the status
}
$k = $i + 1;
if ($k < $last_seq) {
# get the start time of the next status to determine the total time in this status
$start_tracker_time = $tracker_elements[$i]['start_datetime'];
$next_tracker_time = $tracker_elements[$k]['start_datetime'];
} else {
# since this is the last status the start and end are equal
$start_tracker_time = $tracker_elements[$i]['start_datetime'];
$next_tracker_time = $tracker_elements[$i]['start_datetime'];
}
if (is_checkin($track_stat) || is_checkout($track_stat)) { #bold the check in and check out times in this block. ?>
<td class="detail font-weight-bold">&nbsp;<?php echo text(substr($next_tracker_time, 11)) ?></td><?php
} else { ?>
<td class="detail">&nbsp;<?php echo text(substr($next_tracker_time, 11)) ?></td>
<?php # compute the total time of the status
}
$tracker_time = get_Tracker_Time_Interval($start_tracker_time, $next_tracker_time);
# add code to alert if over time interval for status
$timecheck = round(abs(strtotime($start_tracker_time) - strtotime($next_tracker_time)) / 60, 0);
if ($timecheck > $alert_time && ($alert_time != '0')) {
if (is_checkin($track_stat) || is_checkout($track_stat)) { #bold the check in and check out times in this block. ?>
<td class="detail font-weight-bold" bgcolor='<?php echo attr($alert_color) ?>'>&nbsp;<?php echo text($tracker_time); ?></td><?php
} else { ?>
<td class="detail" bgcolor='<?php echo attr($alert_color) ?>'>&nbsp;<?php echo text($tracker_time); ?></td><?php
}
} else {
if (is_checkin($track_stat) || is_checkout($track_stat)) { #bold the check in and check out times in this block. ?>
<td class="detail font-weight-bold">&nbsp;<?php echo text($tracker_time); ?></td><?php
} else { ?>
<td class="detail">&nbsp;<?php echo text($tracker_time); ?></td><?php
}
}
$i++;
}
}
?>
</td>
</tr>
<?php
} else { # this section is for the drug screen report ?>
<td class="detail">&nbsp;<?php echo ($docname == $lastdocname) ? "" : text($docname); ?>
</td>
<td class="detail"><?php echo text(oeFormatShortDate($appointment['pc_eventDate'])) ?>
</td>
<td class="detail"><?php echo text(oeFormatTime($appointment['pc_startTime'])) ?>
</td>
<td class="detail">&nbsp;<?php echo text($appointment['fname'] . " " . $appointment['lname']) ?>
</td>
<td class="detail">&nbsp;<?php echo text($appointment['pubpid']) ?></td>
<td class="detail">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<?php echo ($appointment['random_drug_test'] == '1') ? xlt('Yes') : xlt('No'); ?></td>
<?php if ($chk_show_completed_drug_screens) { ?>
<td class="detail">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<?php echo ($appointment['drug_screen_completed'] == '1') ? xlt('Yes') : xlt('No'); ?></td>
<?php } else { ?>
<td class="detail">&nbsp; </td>
<?php } ?>
<?php # these last items are used to complete the screen ?>
<td class="detail">&nbsp;</td>
<td class="detail">&nbsp;</td>
<td class="detail">&nbsp;</td>
<?php } ?>
</tr>
<?php
$lastdocname = $docname;
} # end for
?>
<tr>
<?php if (!$chk_show_drug_screens && !$chk_show_completed_drug_screens) { # is it Patient Flow Board or Drug screen ?>
<td colspan="10" align="left"><?php echo xlt('Total number of Patient Flow Board entries'); ?>&nbsp;<?php echo text($j);?>&nbsp;<?php echo xlt('Patients'); ?></td>
<?php } else { ?>
<td colspan="10" align="left"><?php echo xlt('Total number of Drug Screen entries'); ?>&nbsp;<?php echo text($j);?>&nbsp;<?php echo xlt('Patients'); ?></td>
<?php } ?>
</tr>
</tbody>
</table>
</div>
<!-- end of search results -->
<?php } else { ?>
<div class='text'><?php echo xlt('Please input search criteria above, and click Submit to view results.'); ?>
</div>
<?php } ?>
<input type="hidden" name="form_orderby" value="<?php echo attr($form_orderby) ?>" /> <input type="hidden" name="patient" value="<?php echo attr($patient) ?>" />
<input type='hidden' name='form_refresh' id='form_refresh' value='' />
</form>
</body>
</html>