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@@ -75,4 +75,4 @@ nb-configuration.xml | |
| ############# | ||
| ### frontent node files ##### | ||
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| rwandaemr-imb-butaro/node | ||
| butaro-distro/node | ||
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348 changes: 348 additions & 0 deletions
348
kirehe-content/backend_configuration/htmlforms/ambulanceRecord.xml
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| <htmlform | ||
| htmlformUuid="6439dd32-97cc-4af5-abfc-b6fec42ff9a2" | ||
| formUuid="e0539cae-892c-4c13-b051-229e79143cc7" | ||
| formName="Ambulance Record Form" | ||
| formDescription="Ambulance Record Form" | ||
| formVersion="1.0" | ||
| formEncounterType="9a969edd-f02f-4339-8852-2c9218811665" | ||
| formPublished="true" | ||
| formRetired="false" | ||
| > | ||
| <macros> | ||
| paperFormId = (Fill this in) | ||
| headerColor =#009d8e | ||
| fontOnHeaderColor = white | ||
| @patient_chronic_disease_history@ = e20ab8c4-bd53-4f9f-b2e1-04fe7cb667ea | ||
| @HEART_FAILURE@ = 0670f6b9-5456-4bd3-86b1-846abc4fe2ba | ||
| @HYPERTENSION@ = 3cd50188-26fe-102b-80cb-0017a47871b2 | ||
| @stroke@ = 111103AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA | ||
| @ASTHMA@ = 3ccc4bf6-26fe-102b-80cb-0017a47871b2 | ||
| @COPD@ = be7adab0-2ed5-44d7-972e-586911b08c8e | ||
| @DIABETES_MELLITUS@ = 3cce629c-26fe-102b-80cb-0017a47871b2 | ||
| @TUBERCULOSIS@ = 3ccca7cc-26fe-102b-80cb-0017a47871b2 | ||
| @HIV@ = 3cd4dca8-26fe-102b-80cb-0017a47871b2 | ||
| @LIVER_FAILURE@ = 7018a636-4e28-4681-969d-9caf98178abb | ||
| @Cancer@ = 22e045f9-a880-416f-a6b2-0e0706d585bf | ||
| @Dialysis@ = 36200521-676e-48c8-a6f9-f101bf4a691b | ||
| @chronical_kidney_disease@ = 8611a721-9f01-484d-9405-5d88efdd9ce7 | ||
| @Patient_Medical_History@ = 9090e8f8-54cd-4ed0-b994-1130afb384bd | ||
| @OTHER_RELATIVE@ = 3ce18bec-26fe-102b-80cb-0017a47871b2 | ||
| @Other_disease_(text)@ = f9e8e946-d177-4ca9-8004-779ae6abe9df | ||
| </macros> | ||
| <style> | ||
| .field-error { | ||
| color: #ff6666; | ||
| font-size: 1.1em; | ||
| display: block; | ||
| } | ||
|
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| form fieldset { | ||
| display: block; | ||
| } | ||
|
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| .family-history-item .label { | ||
| display: inline-block; | ||
| width: 250px; | ||
| } | ||
|
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| .family-history-item .relative { | ||
| display: inline-block; | ||
| width: 120px; | ||
| } | ||
|
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| .section-header { | ||
| margin-top: 1.5em; | ||
| } | ||
|
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| .past-medical-history-item {} | ||
|
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| .past-medical-history-item input[type=checkbox] { | ||
| float: none; | ||
| vertical-align: middle; | ||
| } | ||
|
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| .past-medical-history-item input[type=text] { | ||
| min-width: 200px; | ||
| display: inline !important; | ||
| vertical-align: middle; | ||
| padding: 1px 10px; | ||
| } | ||
|
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| .past-medical-history-item>span, | ||
| .past-medical-history-item>label { | ||
| display: inline !important; | ||
| vertical-align: middle; | ||
| } | ||
|
|
||
| .two-columns { | ||
| column-count: 2; | ||
| -webkit-column-count: 2; | ||
| -moz-column-count: 2; | ||
| } | ||
|
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| .three-columns { | ||
| column-count: 3; | ||
| -webkit-column-count: 3; | ||
| -moz-column-count: 3; | ||
| } | ||
|
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| p.radio>* { | ||
| display: inline; | ||
| float: none !important; | ||
| min-width: initial; | ||
| } | ||
|
|
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| .section-container { | ||
| background: #F2F2F2; | ||
| box-shadow: 3px 3px 3px 1px rgba(0, 0, 0, 0.2); | ||
| padding: 10px 5px 10px 15px; | ||
| line-height: 1.5em; | ||
| /*add this for vertical spacing between elements*/ | ||
| } | ||
|
|
||
| .section-container-color { | ||
| background: #F2F2F2; | ||
| box-shadow: 3px 3px 3px 1px rgba(0, 0, 0, 0.2); | ||
| padding: 10px 5px 10px 15px; | ||
| line-height: 1.5em; | ||
| /*add this for vertical spacing between elements*/ | ||
| } | ||
|
|
||
| .section-container input[type="checkbox"] { | ||
| margin: 0px 5px; | ||
| /*changed values to vertical, horizontal*/ | ||
| top: 5px; | ||
| /*added to offset the checkbox position to line up*/ | ||
| } | ||
|
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||
| .section-container label { | ||
| /*new definition to override labels inside section-containers*/ | ||
| margin: 0px; | ||
| } | ||
|
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| .section { | ||
| width: 100%; | ||
| } | ||
|
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| .div { | ||
| float: left; | ||
| } | ||
|
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| form input[type="radio"], | ||
| .form input[type="radio"] { | ||
| float: none; | ||
| display: inline-block; | ||
| } | ||
|
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| .side-by-side label { | ||
| display: inline-block; | ||
| } | ||
|
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| .date-one-line { | ||
| display: flex; | ||
| } | ||
|
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| .date-one-line label { | ||
| align-self: center; | ||
| margin-right: 1em; | ||
| } | ||
|
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||
| .date-one-line span { | ||
| display: flex; | ||
| } | ||
|
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| .hasDatepicker { | ||
| min-width: 120px; | ||
| margin-top: 0px; | ||
| } | ||
|
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| .hfe-hours, | ||
| .hfe-minutes, | ||
| .hfe-seconds { | ||
| width: 70px; | ||
| min-width: 70px; | ||
| margin: 0px 10px 0px 10px; | ||
| } | ||
|
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||
| .five-columns, | ||
| .four-columns, | ||
| .three-columns, | ||
| .two-columns { | ||
| display: table; | ||
| height: 100%; | ||
| width: 100%; | ||
| } | ||
|
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||
| .two-columns>div { | ||
| display: table-cell; | ||
| width: 50%; | ||
| } | ||
|
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| .three-columns>div { | ||
| display: table-cell; | ||
| width: 33%; | ||
| } | ||
|
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| .four-columns>div { | ||
| display: table-cell; | ||
| width: 25%; | ||
| } | ||
|
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| .five-columns>div { | ||
| display: table-cell; | ||
| width: 20%; | ||
| } | ||
|
|
||
| .small-input input { | ||
| min-width: 5em; | ||
| } | ||
|
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| .flexView { | ||
| display: flex; | ||
| } | ||
| </style> | ||
|
|
||
| <style type="text/css"> | ||
| #who-when-where { | ||
| margin-bottom: 6px; | ||
| border-bottom: 1px solid #ccc; | ||
| } | ||
|
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||
| #who-when-where p { | ||
| display: inline-block; | ||
| padding-right: 20px; | ||
| } | ||
|
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| #where > | ||
|
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| input[type=text] { | ||
| display: inline-block; | ||
| } | ||
|
|
||
| .field-error { | ||
| color: #ff6666; | ||
| font-size: 1.1em; | ||
| display: block; | ||
| } | ||
|
|
||
| .date-one-line { | ||
| display: flex; | ||
| } | ||
|
|
||
| .date-one-line label { | ||
| align-self: center; | ||
| margin-right: 1em; | ||
| } | ||
|
|
||
| .date-one-line span { | ||
| display: flex; | ||
| } | ||
|
|
||
| .hasDatepicker { | ||
| min-width: 120px; | ||
| margin-top: 0px; | ||
| } | ||
|
|
||
| .hfe-hours, | ||
| .hfe-minutes, | ||
| .hfe-seconds { | ||
| width: 70px; | ||
| min-width: 70px; | ||
| margin: 0px 10px 0px 10px; | ||
| } | ||
|
|
||
| #data-collection { | ||
| display: inline-block; | ||
| width: 58%; | ||
| vertical-align: top; | ||
| } | ||
|
|
||
| #encounter-diagnoses-target { | ||
| display: inline-block; | ||
| width: 40%; | ||
| vertical-align: top; | ||
| } | ||
|
|
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| #encounter-diagnoses-app { | ||
| margin-bottom: 20px; | ||
| } | ||
|
|
||
| </style> | ||
|
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|
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| <postSubmissionAction class="org.openmrs.module.mohbilling.automation.CreateBillOnHtmlFormSubmissionAction"/> | ||
|
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|
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| <ifMode include="false" mode="VIEW"> | ||
| <h2> | ||
| <uimessage code="AMBULANCE RECORD FORM" /> | ||
| </h2> | ||
|
|
||
| <div id="who-when-where" class="section-container"> | ||
| <p id="who"> | ||
| <label> | ||
| <uimessage code="coreapps.patientDashBoard.provider" /> | ||
| </label> | ||
| <span> | ||
| <encounterProvider default="currentUser" required="true" /> | ||
| </span> | ||
| </p> | ||
| <p id="when"> | ||
| <label> | ||
| <uimessage code="coreapps.patientDashBoard.location" /> | ||
| </label> | ||
| <span> | ||
| <encounterLocation default="GlobalProperty:billing.defaultLocation" /> | ||
| </span> | ||
| </p> | ||
| <p id="where"> | ||
| <label> | ||
| <uimessage code="coreapps.patientDashBoard.date" /> | ||
| </label> | ||
| <span class="date-on-line"> | ||
| <encounterDate default="now" id="encounterDate" /> | ||
| </span> | ||
| </p> | ||
| <p class="flexView"> | ||
| <b>Insurance:</b> <font color="green"> | ||
| <lookup expression="fn.latestObs(6741).getValueText()"/>(Reg. Date:<lookup expression="fn.latestObs(6741).obsDatetime"/>)</font> | ||
| </p> | ||
| </div> | ||
| </ifMode> | ||
|
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||
| <section sectionTag="fieldset" headerTag="legend" headerStyle="title" headerCode="AMBULANCE INFO"> | ||
| <div class="section-container"> | ||
|
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||
| <p> | ||
| <label>Department</label> | ||
| <obs conceptId="c920931b-fa93-4e99-9e36-28e1e4c16cf7" required="true" /> | ||
| </p> | ||
|
|
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| <p> | ||
| <label>Provenance /Catchment Area Population</label> | ||
| <obs conceptId="f8c17ed2-38e4-4010-bd10-e27c99185eb4" | ||
| answerConceptIds="1aa519c4-ce19-4c2f-baa4-fb9808164f47,94efe7f2-9b74-4c38-b017-f77b9874d88b,a5701f65-8a41-4904-aa9c-be0a0fabcc88" /> | ||
| </p> | ||
|
|
||
| <p class="small-input flexView"> | ||
|
|
||
| <obs conceptId="3cda3efa-26fe-102b-80cb-0017a47871b2" labelText="Transfer(CS)/Transfer From:" style="" size="20"/><br/> | ||
| <obs conceptId="abd699f4-413d-4f24-ae1a-d6de750a2152" labelText="Ambulance par KM:" /> | ||
| </p> | ||
|
|
||
| </div> | ||
| </section> | ||
|
|
||
| <ifMode mode="VIEW" include="false"> | ||
| <div id="buttons"> | ||
|
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| <button id="submit" class="submitButton confirm right"> | ||
| <uimessage code="Save" /><i class="icon-spinner icon-spin icon-2x" | ||
| style="display: none; margin-left: 10px;"></i> | ||
| </button> | ||
| <button id="cancel" type="button" class="cancel"> | ||
| <uimessage code="emr.cancel" /> | ||
| </button> | ||
| </div> | ||
| </ifMode> | ||
| </htmlform> |
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