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<?php
include('dashboarddocument.php');
?>
<html>
<head>
<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/4.7.0/css/font-awesome.min.css">
<title>PHP - Sending multiple forms data through jQuery Ajax</title>
<link rel="stylesheet" href="//code.jquery.com/ui/1.12.1/themes/base/jquery-ui.css">
<link rel="stylesheet" href="bootstrap.min.css" />
<script src="https://code.jquery.com/jquery-1.12.4.js"></script>
<script src="https://code.jquery.com/ui/1.12.1/jquery-ui.js"></script>
</head>
<body>
<div class="content-wrapper">
<!-- Content Header (Page header) -->
<section class="content-header">
<div class="container">
<p align="right">
<button type="button" name="add" id="add" class="btn btn-success btn-xs"><i class="fa fa-plus" aria-hidden="true"></i>Add Medication</button>
</p>
</div>
<br />
<form method="post" id="user_form">
<div class="table-responsive">
<table class="table table-striped table-bordered" id="user_data">
<tr>
<th>Drug</th>
<th>Dose(mg)</th>
<th>Route</th>
<th>Frequency</th>
<th>Duration</th>
<th>Action</th>
</tr>
</table>
</div>
<div align="center">
<input type="submit" name="insert" id="insert" class="btn btn-success btn-xs" value="Submit Medicine" />
</div>
</form>
<br />
</div>
<div id="user_dialog" title="Add Data">
<div class="form-group">
<label>Drug Name</label>
<input type="text" placeholder="Name" name="drug" id="drug" class="form-control" />
<span id="error_drug" class="text-danger"></span>
</div>
<div class="form-group">
<label>Dose</label>
<input type="text" placeholder="In mg" name="dose" id="dose" class="form-control" />
<span id="error_dose" class="text-danger"></span>
</div>
<div class="form-group">
<label>Route</label>
<select class="form-control" name="Route" id="Route" name="Route">
<option value="" disabled selected>Route </option>
<option value="Orally">Orally</option>
<option value="IV/IM">IV/IM</option>
<option value="Sublingually/ Buccally">Sublingually/ Buccally</option>
<option value="Vaginally">Vaginally</option>
<option value="Ocular/ Otic"> Ocular/ Otic </option>
<option value="Nasally">Nasally</option>
<option value="Inhalation/Nebulization">Inhalation/Nebulization</option>
<option value="cutaneously/systemic">cutaneously/systemic</option>
<option value="transdermally">transdermally</option>
</select></td>
<span id="error_Route" class="text-danger"></span>
</div>
<div class="form-group">
<label> Frequency</label>
<select class="form-control"name="Frequency" id="Frequency" class="form-control">
<option value="" disabled selected>Frequency </option>
<option value="OD (Once Daily)">OD (Once Daily)</option>
<option value="BID/b.i.d. (twice a day)">BID/b.i.d. (twice a day)</option>
<option value="TID/t.id. (three times a day)">TID/t.id. (three times a day)</option>
<option value="QID/q.i.d. (four times a day)">QID/q.i.d. (four times a day)</option>
<option value="QHS (every bedtime)"> QHS (every bedtime) </option>
<option value="Q4h (every 4 hours)">Q4h (every 4 hours)</option>
<option value="Q4-6h (every 4 to 6 hours)">Q4-6h (every 4 to 6 hours)</option>
<option value="QWK (every week)">QWK (every week)</option>
</select>
<span id="error_Frequency" class="text-danger"></span>
</div>
<div class="form-group">
<label> Duration</label>
<select class="form-control"name="duration" id="duration" class="form-control">
<option value="" disabled selected>Duration </option>
<option value="Till Next Visit">Till Next Visit</option>
<option value="One Day">One Day</option>
<option value="Two Days">Two Days</option>
<option value="Three Days">Three Days</option>
<option value="Four days"> Four days </option>
<option value="Five Days">Five Days</option>
<option value="Six Days">Six Days</option>
<option value="One Week">One Week</option>
<option value="Two Week">Two Week</option>
<option value="Two Week">Three Week</option>
<option value="One Month">One Month</option>
<option value="Two Month">Two Month</option>
<option value="Three Month">Three Month</option>
<option value="Four Month">Four Month</option>
<option value="Five Month">Five Month</option>
<option value="Six Month">Six Month</option>
<option value="Seven Month">Seven Month</option>
<option value="Eight Month">Eight Month</option>
<option value="Nine Month">Nine Month</option>
<option value="Ten Month">Ten Month</option>
<option value="Eleven Month">Eleven Month</option>
<option value="twelve Month">twelve Month</option>
<option value="Lifetime">Lifetime</option>
</select>
<span id="error_duration" class="text-danger"></span>
</div>
<div class="form-group">
<input type="hidden" placeholder="Name" name="patientid" id="patientid" class="form-control" />
</div>
<div class="form-group">
<input type="hidden" placeholder="Name" name="prescriptionid" id="prescriptionid" class="form-control" />
</div>
<div class="form-group">
<input type="hidden" placeholder="Name" name="poa" id="poa" class="form-control" />
</div>
<div class="form-group" align="center">
<input type="hidden" name="row_id" id="hidden_row_id" />
<button type="button" name="save" id="save" class="btn btn-info">Save</button>
</div>
</div>
<div id="action_alert" title="Action">
</div>
</body>
</html>
<script>
$(document).ready(function(){
var count = 0;
$('#user_dialog').dialog({
autoOpen:false,
width:350
});
$('#add').click(function(){
$('#user_dialog').dialog('option', 'title', 'Add Medication');
$('#drug').val('');
$('#dose').val('');
$('#Route').val('');
$('#Frequency').val('');
$('#patientid').val('');
$('#error_drug').text('');
$('#error_dose').text('');
$('#error_Route').text('');
$('#error_Frequency').text('');
$('#error_duration').text('');
$('#drug').css('border-color', '');
$('#dose').css('border-color', '');
$('#Route').css('border-color', '');
$('#Frequency').css('border-color', '');
$('#duration').css('border-color', '');
$('#save').text('Save');
$('#user_dialog').dialog('open');
});
$('#save').click(function(){
var error_drug = '';
var error_dose = '';
var error_Route = '';
var error_Frequency = '';
var error_duration = '';
var drug = '';
var dose = '';
var Route = '';
var Frequency = '';
var duration = '';
if($('#drug').val() == '')
{
error_drug = 'First Name is required';
$('#error_drug').text(error_drug);
$('#drug').css('border-color', '#cc0000');
drug = '';
}
else
{
error_drug = '';
$('#error_drug').text(error_drug);
$('#drug').css('border-color', '');
drug = $('#drug').val();
}
if($('#dose').val() == '')
{
error_dose = 'Last Name is required';
$('#error_dose').text(error_dose);
$('#dose').css('border-color', '#cc0000');
dose = '';
}
else
{
error_dose = '';
$('#error_dose').text(error_dose);
$('#dose').css('border-color', '');
dose = $('#dose').val();
}
if($('#Route').val() == '')
{
error_Route = 'Route is required';
$('#Route').text(error_Route);
$('#Route').css('border-color', '#cc0000');
Route = '';
}
else
{
error_Route = '';
$('#error_Route').text(error_Route);
$('#Route').css('border-color', '');
Route = $('#Route').val();
}
if($('#Frequency').val() == '')
{
error_Frequency = 'Frequency is required';
$('#error_Frequency').text(error_Frequency);
$('#Frequency').css('border-color', '#cc0000');
dose = '';
}
else
{
error_Frequency = '';
$('#error_Frequency').text(error_Frequency);
$('#Frequency').css('border-color', '');
Frequency = $('#Frequency').val();
}
if($('#duration').val() == '')
{
error_duration = 'duration is required';
$('#error_duration').text(error_duration);
$('#duration').css('border-color', '#cc0000');
duration = '';
}
else
{
error_duration = '';
$('#error_duration').text(error_duration);
$('#duration').css('border-color', '');
duration = $('#duration').val();
}
if(error_drug != '' || error_dose != ''|| error_Route != ''|| error_Frequency != ''|| error_duration != '')
{
return false;
}
else
{
if($('#save').text() == 'Save')
{
count = count + 1;
output = '<tr id="row_'+count+'">';
output += '<td>'+drug+' <input type="hidden" name="hidden_drug[]" id="drug'+count+'" class="drug" value="'+drug+'" /></td>';
output += '<td>'+dose+' <input type="hidden" name="hidden_dose[]" id="dose'+count+'" value="'+dose+'" /></td>';
output += '<td>'+Route+' <input type="hidden" name="hidden_Route[]" id="Route'+count+'" value="'+Route+'" /></td>';
output += '<td>'+Frequency+' <input type="hidden" name="hidden_Frequency[]" id="Frequency'+count+'" value="'+Frequency+'" /></td>';
output += '<td>'+duration+' <input type="hidden" name="hidden_duration[]" id="duration'+count+'" value="'+duration+'" /></td>';
output += ''+patientid+' <input type="hidden" name="hidden_patientid[]" id="patientid'+count+'" value="<?php echo"$_GET[patientid]" ?>" />';
output += ''+prescriptionid+' <input type="hidden" name="hidden_prescriptionid[]" id="prescriptionid'+count+'" value="<?php echo"$_GET[prescriptionid]" ?>" />';
output += ''+poa+' <input type="hidden" name="hidden_poa[]" id="poa'+count+'" value="anathesia" ?>" />';
output += '<td><button type="button" name="view_details" class="btn btn-warning btn-xs view_details" id="'+count+'"><i class="fa fa-edit" aria-hidden="true"></i></button>';
output += '<button type="button" name="remove_details" class="btn btn-danger btn-xs remove_details" id="'+count+'"><i class="fa fa-trash" aria-hidden="true"></i></button></td>';
output += '</tr>';
$('#user_data').append(output);
}
else
{
var row_id = $('#hidden_row_id').val();
output = '<td>'+drug+' <input type="hidden" name="hidden_drug[]" id="drug'+row_id+'" class="drug" value="'+drug+'" /></td>';
output += '<td>'+dose+' <input type="hidden" name="hidden_dose[]" id="dose'+row_id+'" value="'+dose+'" /></td>';
output += '<td>'+Route+' <input type="hidden" name="hidden_Route[]" id="Route'+row_id+'" value="'+Route+'" /></td>';
output += '<td>'+Frequency+' <input type="hidden" name="hidden_Frequency[]" id="Frequency'+row_id+'" value="'+Frequency+'" /></td>';
output += '<td>'+duration+' <input type="hidden" name="hidden_duration[]" id="duration'+row_id+'" value="'+duration+'" /></td>';
output += ''+patientid+' <input type="hidden" name="hidden_patientid[]" id="patientid'+row_id+'" value="<?php echo"varanaya" ?>" />';
output += ''+prescriptionid+' <input type="hidden" name="hidden_prescriptionid[]" id="prescriptionid'+row_id+'" value="<?php echo"varanayuy" ?>" />';
output += ''+poa+' <input type="hidden" name="hidden_poa[]" id="poa'+row_id+'" value="poa" />';
output += '<td><button type="button" name="view_details" class="btn btn-warning btn-xs view_details" id="'+row_id+'"><i class="fa fa-edit" aria-hidden="true"></i></button>';
output += '<button type="button" name="remove_details" class="btn btn-danger btn-xs remove_details" id="'+row_id+'"><i class="fa fa-trash" aria-hidden="true"></i></button></td>';
$('#row_'+row_id+'').html(output);
}
$('#user_dialog').dialog('close');
}
});
$(document).on('click', '.view_details', function(){
var row_id = $(this).attr("id");
var drug = $('#drug'+row_id+'').val();
var dose = $('#dose'+row_id+'').val();
var Route = $('#Route'+row_id+'').val();
var Frequency = $('#Frequency'+row_id+'').val();
var duration = $('#duration'+row_id+'').val();
$('#drug').val(drug);
$('#dose').val(dose);
$('#Route').val(Route);
$('#Frequency').val(Frequency);
$('#duration').val(duration);
$('#save').text('Edit');
$('#hidden_row_id').val(row_id);
$('#user_dialog').dialog('option', 'title', 'Edit Data');
$('#user_dialog').dialog('open');
});
$(document).on('click', '.remove_details', function(){
var row_id = $(this).attr("id");
if(confirm("Are you sure you want to remove this row data?"))
{
$('#row_'+row_id+'').remove();
}
else
{
return false;
}
});
$('#action_alert').dialog({
autoOpen:false
});
$('#user_form').on('submit', function(event){
event.preventDefault();
var count_data = 0;
$('.drug').each(function(){
count_data = count_data + 1;
});
if(count_data > 0)
{
var form_data = $(this).serialize();
$.ajax({
url:"meditest2.php",
method:"POST",
data:form_data,
success:function(data)
{
$('#user_data').find("tr:gt(0)").remove();
$('#action_alert').html('<p>Medication Inserted Successfully</p>');
$('#action_alert').dialog('open');
}
})
}
else
{
$('#action_alert').html('<p>Please Add atleast one data</p>');
$('#action_alert').dialog('open');
}
});
});
</script>