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openemr/interface/usergroup/facilities_add.php

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<?php
/**
* facilities_add.php
*
* @package OpenEMR
* @link http://www.open-emr.org
* @author Brady Miller <brady.g.miller@gmail.com>
* @copyright Copyright (c) 2019 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("$srcdir/options.inc.php");
require_once("$srcdir/erx_javascript.inc.php");
use OpenEMR\Common\Csrf\CsrfUtils;
use OpenEMR\Core\Header;
use OpenEMR\Services\FacilityService;
$facilityService = new FacilityService();
$alertmsg = '';
?>
<html>
<head>
<?php Header::setupHeader(['opener']); ?>
<script src="../main/calendar/modules/PostCalendar/pnincludes/AnchorPosition.js"></script>
<script src="../main/calendar/modules/PostCalendar/pnincludes/PopupWindow.js"></script>
<script src="../main/calendar/modules/PostCalendar/pnincludes/ColorPicker2.js"></script>
<!-- validation library -->
<!--//Not lbf forms use the new validation, please make sure you have the corresponding values in the list Page validation-->
<?php
$use_validate_js = 1;
require_once($GLOBALS['srcdir'] . "/validation/validation_script.js.php");
//Gets validation rules from Page Validation list.
//Note that for technical reasons, we are bypassing the standard validateUsingPageRules() call.
$collectthis = collectValidationPageRules("/interface/usergroup/facilities_add.php");
if (empty($collectthis)) {
$collectthis = "undefined";
} else {
$collectthis = json_sanitize($collectthis["facility-add"]["rules"]);
}
// Old Browser comp trigger on js
if (isset($_POST["mode"]) && $_POST["mode"] == "facility") {
echo '
<script>
<!--
dlgclose();
//-->
</script>
';
}
?>
<script>
/// todo, move this to a common library
var collectvalidation = <?php echo $collectthis; ?>;
function submitform() {
var valid = submitme(1, undefined, 'facility-add', collectvalidation);
if (!valid) return;
<?php if ($GLOBALS['erx_enable']) { ?>
alertMsg='';
f=document.forms[0];
for(i=0;i<f.length;i++){
if(f[i].type=='text' && f[i].value)
{
if(f[i].name == 'facility' || f[i].name == 'Washington')
{
alertMsg += checkLength(f[i].name,f[i].value,35);
alertMsg += checkFacilityName(f[i].name,f[i].value);
}
else if(f[i].name == 'street')
{
alertMsg += checkLength(f[i].name,f[i].value,35);
alertMsg += checkAlphaNumeric(f[i].name,f[i].value);
}
else if(f[i].name == 'phone' || f[i].name == 'fax')
{
alertMsg += checkPhone(f[i].name,f[i].value);
}
else if(f[i].name == 'federal_ein')
{
alertMsg += checkLength(f[i].name,f[i].value,10);
alertMsg += checkFederalEin(f[i].name,f[i].value);
}
}
}
if(alertMsg)
{
alert(alertMsg);
return false;
}
<?php } ?>
top.restoreSession();
let post_url = $("#facility-add").attr("action");
let request_method = $("#facility-add").attr("method");
let form_data = $("#facility-add").serialize();
$.ajax({
url: post_url,
type: request_method,
data: form_data
}).done(function (r) { //
dlgclose('refreshme', false);
});
return false;
}
function toggle( target, div ) {
$mode = $(target).find(".indicator").text();
if ( $mode == "collapse" ) {
$(target).find(".indicator").text( "expand" );
$(div).hide();
} else {
$(target).find(".indicator").text( "collapse" );
$(div).show();
}
}
$(function () {
$("#dem_view").click(function() {
toggle($(this), "#DEM");
});
});
$(function () {
/**
* add required/star sign to required form fields
*/
for (var prop in collectvalidation) {
//if (collectvalidation[prop].requiredSign)
if (collectvalidation[prop].presence) {
$("label[for='" + prop + "']").append('*');
}
}
});
var cp = new ColorPicker('window');
// Runs when a color is clicked
function pickColor(color) {
document.getElementById('ncolor').value = color;
}
var field;
function pick(anchorname,target) {
var cp = new ColorPicker('window');
field=target;
cp.show(anchorname);
}
function displayAlert() {
if(document.getElementById('primary_business_entity').checked==false) {
alert(<?php echo xlj('Primary Business Entity tax id is used as account id for NewCrop ePrescription. Changing the facility will affect the working in NewCrop.'); ?>);
} else if(document.getElementById('primary_business_entity').checked==true) {
alert(<?php echo xlj('Once the Primary Business Facility is set, it should not be changed. Changing the facility will affect the working in NewCrop ePrescription.'); ?>);
}
}
</script>
</head>
<body class="body_top">
<div class="container">
<h5 class="title"><?php echo xlt('Add Facility'); ?></h5>
<div class="py-3">
<div class="btn-group">
<button class="btn btn-primary btn-save" name='form_save' id='form_save' onclick="submitform();"><?php echo xlt('Save'); ?></button>
<button class="btn btn-secondary btn-cancel" onclick="dlgclose();"><?php echo xlt('Cancel'); ?></button>
</div>
</div>
<form name='facility-add' id='facility-add' method='post' action="facilities.php">
<input type="hidden" name="csrf_token_form" value="<?php echo attr(CsrfUtils::collectCsrfToken()); ?>" />
<input type="hidden" name="mode" value="facility" />
<div class="row">
<div class="col-6">
<div class="form-group">
<label for="facility"><?php echo xlt('Name'); ?>:</label>
<input class="form-control" type="text" name="facility" size="20" value="" required />
</div>
<div class="form-group">
<label for="street"><?php echo xlt('Address'); ?>:</label>
<input class="form-control" type="text" size="20" name="street" value="" />
</div>
<div class="form-group">
<label for="city"><?php echo xlt('City'); ?>:</label>
<input class="form-control" type="text" size="20" name="city" value="" />
</div>
<div class="form-group">
<label for="state"><?php echo xlt('State'); ?>:</label>
<input class="form-control" type="text" size="20" name="state" value="" />
</div>
<div class="form-group">
<label for="country_code"><?php echo xlt('Country'); ?>:</label>
<input class="form-control" type="text" size="20" name="country_code" value="" />
</div>
<div class="form-group">
<label for="website"><?php echo xlt('Website'); ?>: </label>
<input class="form-control" type="text" size="20" name="website" value="" />
</div>
<div class="form-group">
<label for="iban"><?php echo xlt('IBAN'); ?>: </label>
<input class="form-control" type="text" size="20" name="iban" value="" />
</div>
<div class="form-row custom-control custom-switch my-2">
<div class="col">
<input type="checkbox" class='custom-control-input' name="billing_location" id="billing_location" value="1" />
<label for="billing_location" class='custom-control-label'><?php echo xlt('Billing Location'); ?></label>
</div>
</div>
<div class="form-row custom-control custom-switch my-2">
<div class="col">
<input type="checkbox" class='custom-control-input' name="accepts_assignment" id="accepts_assignment" value="1" aria-describedby="assignmentHelp">
<label for="accepts_assignment" class='custom-control-label'><?php echo xlt('Accepts Assignment'); ?></label>
</div>
<div class="col">
<small id="assignmentHelp" class="text-muted">
(<?php echo xlt('only if billing location'); ?>)
</small>
</div>
</div>
<div class="form-row custom-control custom-switch my-2">
<div class="col">
<input type="checkbox" class='custom-control-input' name="service_location" id="service_location" value="1" />
<label for="service_location" class='custom-control-label'><?php echo xlt('Service Location'); ?></label>
</div>
</div>
<div class="form-row custom-control custom-switch my-2">
<div class="col">
<?php
$disabled = '';
$resPBE = $facilityService->getPrimaryBusinessEntity(array("excludedId" => ($my_fid ?? null)));
if (!empty($resPBE) && sizeof($resPBE) > 0) {
$disabled = 'disabled';
}
?>
<input type='checkbox' class='custom-control-input' name='primary_business_entity' id='primary_business_entity' value='1' <?php echo (!empty($facility['primary_business_entity']) && ($facility['primary_business_entity'] == 1)) ? 'checked' : ''; ?>
<?php if ($GLOBALS['erx_enable']) { ?>
onchange='return displayAlert()'
<?php } ?> <?php echo $disabled;?>>
<label for="primary_business_entity" class='custom-control-label'><?php echo xlt('Primary Business Entity'); ?></label>
</div>
</div>
<div class="form-group">
<label for="ncolor"><?php echo xlt('Color'); ?>: </label>
<input class="form-control" type="text" name="ncolor" id="ncolor" size="20" value="" />
<span>[<a href="javascript:void(0);" onClick="pick('pick','newcolor');return false;" NAME="pick" ID="pick"><?php echo xlt('Pick'); ?></a>]</span>
</div>
<div class="form-group">
<label for="pos_code"><?php echo xlt('POS Code'); ?>: </label>
<select class="form-control" name="pos_code">
<?php
$pc = new POSRef();
foreach ($pc->get_pos_ref() as $pos) {
echo "<option value=\"" . attr($pos["code"]) . "\" ";
echo ">" . text($pos['code']) . ": " . text($pos['title']);
echo "</option>\n";
}
?>
</select>
</div>
<div class="form-group">
<label for="domain_identifier"><?php echo xlt('CLIA Number'); ?>:</label>
<input class="form-control" type="text" name="domain_identifier" size="45" />
</div>
</div>
<div class="col-sm-6">
<div class="form-group">
<label for="phone"><?php echo xlt('Phone'); ?>:</label>
<input class="form-control" type="text" name="phone" size="20" value="" />
</div>
<div class="form-group">
<label for="fax"><?php echo xlt('Fax'); ?>:</label>
<input class="form-control" type="text" name="fax" size="20" value="" />
</div>
<div class="form-group">
<label for="postal_code"><?php echo xlt('Zip Code'); ?>:</label>
<input class="form-control" type="text" size="20" name="postal_code" value="" />
</div>
<div class="form-group">
<label for="tax_id_type"><?php echo xlt('Tax ID'); ?>:</label>
<span class="form-inline">
<select class="form-control" name="tax_id_type">
<option value="EI"><?php echo xlt('EIN'); ?></option>
<option value="SY"><?php echo xlt('SSN'); ?></option>
</select>
<input class="form-control" type="text" size="11" name="federal_ein" value="" />
</span>
</div>
<div class="form-group">
<label for="facility_npi"><?php echo ($GLOBALS['simplified_demographics'] ? xlt('Facility Code') : xlt('Facility NPI')); ?>:</label>
<input class="form-control" type="text" size="20" name="facility_npi" value="" />
</div>
<div class="form-group">
<label for="facility_taxonomy"><?php echo xlt('Facility Taxonomy'); ?>:</label>
<input class="form-control" type="text" size="20" name="facility_taxonomy" value="" />
</div>
<div class="form-group">
<label for="email"><?php echo xlt('Email'); ?>: </label>
<input class="form-control" type="text" size="20" name="email" value="" />
</div>
<div class="form-group">
<label for="attn"><?php echo xlt('Billing Attn'); ?>:</label>
<input class="form-control" type="text" name="attn" size="45" />
</div>
<div class="form-group">
<label for="facility_id"><?php echo xlt('Facility ID'); ?>:</label>
<input class="form-control" type="text" name="facility_id" size="20" />
</div>
<div class="form-group">
<label for="oid"><?php echo xlt('OID'); ?>: </label>
<input class="form-control" type="text" size="20" name="oid" value="<?php echo attr($facility["oid"] ?? '') ?>" />
</div>
</div>
</div>
<hr />
<div class="form-group">
<label for="mail_stret"><?php echo xlt('Mailing Address'); ?>: </label>
<input class="form-control" type="text" size="20" name="mail_street" value="<?php echo attr($facility["mail_street"] ?? '') ?>" />
</div>
<div class="form-group">
<label for="mail_street2"><?php echo xlt('Dept'); ?>: </label>
<input class="form-control" type="text" size="20" name="mail_street2" value="<?php echo attr($facility["mail_street2"] ?? '') ?>" />
</div>
<div class="form-group">
<label for="mail_city"><?php echo xlt('City'); ?>: </label>
<input class="form-control" type="text" size="20" name="mail_city" value="<?php echo attr($facility["mail_city"] ?? '') ?>" />
</div>
<div class="form-group">
<label for="mail_state"><?php echo xlt('State'); ?>: </label>
<input class="form-control" type="text" size="20" name="mail_state" value="<?php echo attr($facility["mail_state"] ?? '') ?>" />
</div>
<div class="form-group">
<label for="mail_zip"><?php echo xlt('Zip'); ?>: </label>
<input class="form-control" type="text" size="20" name="mail_zip" value="<?php echo attr($facility["mail_zip"] ?? '') ?>" />
</div>
<div class="form-group">
<label for="info"><?php echo xlt('Info'); ?>: </label>
<textarea class="form-control" size="20" name="info" ><?php echo attr($facility["info"] ?? '') ?></textarea>
</div>
<p class="text"><span class="mandatory">*</span> <?php echo xlt('Required'); ?></p>
</form>
<div class="py-3">
<div class="btn-group">
<button class="btn btn-primary btn-save" name='form_save' id='form_save' onclick="submitform();"><?php echo xlt('Save'); ?></button>
<button class="btn btn-secondary btn-cancel" onclick="dlgclose();"><?php echo xlt('Cancel'); ?></button>
</div>
</div>
</div>
<script>
<?php
if ($alertmsg = trim($alertmsg)) {
echo "alert(" . js_escape($alertmsg) . ");\n";
}
?>
</script>
</body>
</html>