3529 lines
221 KiB
PHP
Executable File
3529 lines
221 KiB
PHP
Executable File
<?php
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$emp_health_assesmentjson=$nurse->emp_health_assesment;
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$emp_health_assesment=json_decode($emp_health_assesmentjson);
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?>
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<style>
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.mbtnsize{
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position: relative;
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top: 17px;
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}
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.cameraIcon{
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margin-top: 4px;
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padding-right: 4px;
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}
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||
.modal-header h2 {
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font-size: 20px;
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||
}
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||
.modal-header h2 {
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/* //margin-bottom: 0; */
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color: #fff;
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}
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.modal-header .page-header {
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margin-bottom: -9px;
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}
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.modal-body{
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||
position: relative;
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right: 9px;
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||
}
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.submtStl{
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position: relative;
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top: 7px;
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border: none;
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background-color: #1e9ff2;
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color: #fff;
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font-size: 20px;
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border-radius: 6px;
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padding: 10px;
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width: 104%;
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margin-top: 0px;
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}
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.takesnap{
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position: relative;
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top: 7px;
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border: none;
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background-color: #1e9ff2;
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color: #fff;
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font-size: 20px;
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border-radius: 6px;
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padding: 10px;
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width: 104%;
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margin-top: -12px;
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}
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.mdsg{
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font-size: 27px;
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color: #1e9ff2;
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background-color: #d7f2f5;
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padding: 9px;
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border-radius: 23px;
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cursor:pointer;
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}
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.closeModalClass{
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position: relative;
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left: 466px;
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}
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.far{
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color: #0c84d1
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};
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</style>
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<meta name='viewport' content='width=device-width, initial-scale=1'>
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<!-- <script src='https://kit.fontawesome.com/a076d05399.js' crossorigin='anonymous'></script> -->
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<link rel="stylesheet" href="https://use.fontawesome.com/releases/v5.8.2/css/all.css" integrity="sha384-oS3vJWv+0UjzBfQzYUhtDYW+Pj2yciDJxpsK1OYPAYjqT085Qq/1cq5FLXAZQ7Ay" crossorigin="anonymous">
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<script src="https://cdnjs.cloudflare.com/ajax/libs/webcamjs/1.0.25/webcam.min.js"></script>
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<?php
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$emp_health_assesmentjson=$nurse->emp_health_assesment;
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$emp_health_assesment=json_decode($emp_health_assesmentjson);
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?>
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<ul class="nav nav-tabs nav-linetriangle no-hover-bg" id="myTab" role="tablist" style="border: none; margin-bottom: 20px;">
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<li class="nav-item">
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<a class="nav-link doc_tab_top active" id="tab0-tab" data-toggle="tab" href="#tab-new6" role="tab" aria-selected="true" style="cursor:pointer;">
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<span class="basic_doc_status"></span>
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<?php echo lang("Basic Documents"); ?>
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</a>
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</li>
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<li class="nav-item" >
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<a class="nav-link doc_tab_top" id="medical-tab" data-toggle="tab" href="#tab-new7" role="tab" aria-selected="false" style="cursor: pointer;">
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<?php //if($progress->form2 < 5){ ?> <?php //} ?>
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<span class="medic_doc_status"></span>
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<?php echo lang("Medical Documents");?>
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</a>
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</li>
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<li class="nav-item" >
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<a class="nav-link doc_tab_top" id="licence-tab" data-toggle="tab" href="#tab-new8" role="tab" aria-selected="false" style="cursor: pointer;">
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<?php //if($progress->form2 < 5){ ?>
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<?php //} ?>
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<span class="lic_doc_status"></span>
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<?php echo lang("Licenses & Certifications");?>
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</a>
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</li>
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<li class="nav-item" >
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<a class="nav-link doc_tab_top" id="otherdoc-tab" data-toggle="tab" href="#tab-new9" role="tab" aria-selected="false" style="cursor: pointer;">
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<?php //if($progress->form2 < 5){ ?>
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<?php //} ?>
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<span class="other_doc_status"></span>
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<?php echo lang("Other Documents"); ?>
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</a>
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</li>
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</ul>
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<div class="tab-content" id="myTabContent">
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<input type="hidden" id="DocTabVerificStatus" value="<?php echo $nurse->verification_status?>">
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<div class="tab-pane fade doc_tab active in show basicDoc" id="tab-new6" role="tabpanel" aria-labelledby="" style="padding: 20px; border: 1px solid #ccc; margin-bottom: 15px; border-radius: 5px;">
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<!-- basic Document tab -->
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<div class="row">
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<div class="col-md-12 text-danger">
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<?php echo lang("Note"); ?>:
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<I>It is MANDATORY that each applicant upload all Required (*) Documents in order for us to process your application and adhere to federal and state regulatory guidelines. Please click on each section below to upload all required documents. Acceptable file types for Pics are gif/jpg/png/jpeg/pdf/webp and Text Documents are pdf/docx.</I><br><br>
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</div>
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</div>
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<hr>
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<label class="inner-heading">Caregiver's Photo</label>
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<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm" >
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<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
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<input type="hidden" name="form_tab_status" value="11">
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<div class="row">
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<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
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<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
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<input type="hidden" name="doc_type" value="<?php echo _DOC_PHOTOCODE_ ; ?>">
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<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_PHOTOCODE_][0]; ?>">
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<input type="hidden" name="progress" value="2">
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<div class="form-group col-md-4">
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<label class="required-field"><?php echo lang('Photo'); ?></label>
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<input type="file" class="form-control " name="<?php echo _DOC_PHOTOCODE_ ;?>" accept="image/*" <?php if($documentsid[_DOC_PHOTOCODE_][0]==""){ echo "required"; } ?> allowedType="gif|jpg|png|jpeg">
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</div>
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<!-- <div class="image-upload col-md-4">
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<label class="required-field"><?php echo lang('Photo (gif/jpg/png/jpeg)'); ?></label>
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<label for="file-input">
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<img height="50px" width="50px" src="https://upload.wikimedia.org/wikipedia/commons/thumb/b/bb/Octicons-cloud-upload.svg/1200px-Octicons-cloud-upload.svg.png"/>
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<span id="imagname_<?php echo _DOC_PHOTOCODE_ ;?>">Select File</span>
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</label>
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<input id="file-input" type="file" onChange="img_pathUrl(this)" style="display: none;"/>
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</div>
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<script>
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function img_pathUrl(input){
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$('#imagname_<?php echo _DOC_PHOTOCODE_ ;?>').text(input.files[0].name);
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}
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</script> -->
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<!-- <div class="form-group col-md-6">
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<label ><?php echo lang('Remarks'); ?></label>
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<input type="text" class="form-control" name="<?php echo _DOC_PHOTOCODE_ .'_remarks';?>" value="<?php echo $documentsrem[_DOC_PHOTOCODE_][0]; ?>" >
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</div> -->
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<div class="form-group col-md-1 mt-2 row">
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<div class="cameraIcon center">
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<!-- <input type="hidden" class="moliClass" name="myval" value="<?php echo _DOC_PHOTOCODE_; ?>"> -->
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<!-- <div class="mm"> -->
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<a data-toggle="modal" class="mm" myidValue="<?php echo $documentsid[_DOC_PHOTOCODE_][0]; ?>" myValue="<?php echo _DOC_PHOTOCODE_; ?>" data-dismiss="modal" aria-hidden="true" data-target=".camera_modal">
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<i class="fa fa-camera" style="font-size:24px;margin-left:18px;" onclick="open_camera(this)"></i>
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</a>
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<!-- </div> -->
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<!-- <i class="fa fa-camera" style="font-size:24px" onclick="open_camera()"></i> -->
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</div>
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<!-- <button class="btn btn-primary file-upload" name="upload" type="submit"> Upload</button> -->
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</div>
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<div class="col-md-2">
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<div class="center">
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<button class="btn btn-primary file-upload" name="upload" type="submit" style="margin-top: 24px;margin-left: 30px;"> <?php echo lang('Upload'); ?></button>
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</div>
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</div>
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<div class="form-group center col-md-2 mt-2">
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<?php if($documentsarr[_DOC_PHOTOCODE_][0]!=""){ ?>
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<!-- <a class="img-icon" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[_DOC_PHOTOCODE_][0]; ?>">
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<img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 24px;">
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</a> -->
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<a class="img-icon dwnload" data-docType="<?=_DOC_PHOTOCODE_?>" data-userid="<?=$nurse->id?>">
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<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 24px;"> -->
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<i class='far fa-arrow-alt-circle-down' style="font-size:24px;margin-left: -2px;"></i>
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</a>
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<?php }else{ ?>
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<span use="uploadContainer">
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<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 50px;"> -->
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<span class="text-danger">pending</span>
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</span>
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<?php } ?>
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</div>
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</div>
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</form>
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<hr>
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<!-- Citizenship Documents -->
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<?php $this->view('citizenship/citizenship_doc'); ?>
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<!-- Citizenship Documents -->
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<?php
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/*
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<form role="form" action="<?php echo base_url(); ?>CaregiversDashboard/ProfileUpdate" method="post" enctype="multipart/form-data" use="docDocumentType">
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<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
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<!--data-toggle="validator" novalidate="true"-->
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<input type="hidden" name="form_tab_status" value="1">
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<input type="hidden" id="basicVerificStatus" value="<?php echo $nurse->verification_status?>">
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<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
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<input type="hidden" name="form_status" value="1">
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<input type="hidden" name="form_mode" value="<?php if($nurse->form_status>0) echo 'Edit'; else echo 'Add'; ?>">
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<div class="row">
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<?php $citizen=json_decode($nurse->citizen);?>
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<input type="hidden" class="doc-type-saved-value" value="<?php echo $nurse->documents_type;?>">
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<div class="form-group col-md-4 citizen-documents-type">
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<label class="required-field"><?php echo lang('Document Type'); ?></label>
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<select class="form-control" name="documents_type" id="documents_type" onchange="getDocumentsType(this.value);" required>
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<option value="">Select</option>
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<?php
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if(isset($citizen->citizen) && $citizen->citizen==0){
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// Foreign Passport with I-94 Stamp, Permanent Resident Card, Employment Authorization Card, Valid Work Visa
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if(isset($citizen->remain_permanently) && $citizen->remain_permanently==1){
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?>
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<option value="Foreign Passport with I-94 Stamp"
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<?php if($nurse->documents_type=="Foreign Passport with I-94 Stamp"){ echo 'Selected'; }?>>
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<?php echo lang("Foreign Passport with I-94 Stamp");?>
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</option>
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<?php
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}
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?>
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<option value="Permanent Resident Card"
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<?php if($nurse->documents_type=="Permanent Resident Card"){ echo 'Selected'; }?>>
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<?php echo lang("Permanent Resident Card"); ?>
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</option>
|
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<option value="Employment Authorization Card"
|
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<?php if($nurse->documents_type=="Employment Authorization Card"){ echo 'Selected'; }?>>
|
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<?php echo lang("Employment Authorization Card");?>
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</option>
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<option value="Valid Work Visa"
|
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<?php if($nurse->documents_type=="Valid Work Visa"){ echo 'Selected'; }?>>
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<?php echo lang("Valid Work Visa");?>
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</option>
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<?php
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}
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if(isset($citizen->citizen) && $citizen->citizen==1){
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// Birth Certificate, State ID, Citizenship Certificate, US Passport
|
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?>
|
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<option value="Birth Certificate"
|
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<?php if($nurse->documents_type=="Birth Certificate"){ echo 'Selected'; }?>>
|
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<?php echo lang("Birth Certificate");?>
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</option>
|
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<option value="State ID"
|
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<?php if($nurse->documents_type=="State ID"){ echo 'Selected'; }?>>
|
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<?php echo lang("State ID");?>
|
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</option>
|
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<option value="Citizenship Certificate"
|
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<?php if($nurse->documents_type=="Citizenship Certificate"){ echo 'Selected'; }?>>
|
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<?php echo lang("Citizenship Certificate");?>
|
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</option>
|
||
<option value="US Passport"
|
||
<?php if($nurse->documents_type=="US Passport"){ echo 'Selected'; }?>>
|
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<?php echo lang("US Passport");?>
|
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</option>
|
||
<?php
|
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}
|
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?>
|
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</Select>
|
||
<div class="help-block with-errors"></div>
|
||
</div>
|
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<!-- state list -->
|
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<div class="form-group col-md-4 citizen-documents-type citizen-yes-state-list">
|
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<input type="hidden" id="doc_state_val" value="<?php echo $nurse->doc_state;?>">
|
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<label class="required-field"><?php echo lang('State'); ?></label>
|
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<select class="form-control" name="doc_state" id="state_list" onchange="getDocumentsType(this.value);" required="">
|
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<option value="">Select</option>
|
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<?php
|
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foreach($state_list as $sl){
|
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?>
|
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<option value="<?php echo $sl->name;?>" <?php if($sl->name==$nurse->doc_state){ echo 'Selected';}?>>
|
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<?php echo $sl->name;?>
|
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</option>
|
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<?php
|
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}
|
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?>
|
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</Select>
|
||
<div class="help-block with-errors"></div>
|
||
</div>
|
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<!-- state list -->
|
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<div class="form-group col-md-1">
|
||
<label></label>
|
||
<button class="btn btn-primary document-type-save" type="submit">Save</button>
|
||
</div>
|
||
</div>
|
||
</form>
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_CTZCODE_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_CTZCODE_][0]; ?>">
|
||
<input type="hidden" name="progress" value="1">
|
||
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field">
|
||
<?php echo lang('U.S. Work Authorization and ID Front (gif/jpg/png/jpeg/pdf)'); ?>
|
||
</label>
|
||
<input type="file" class="form-control " name="<?php echo _DOC_CTZCODE_ ;?>"
|
||
<?php if($documentsid[_DOC_CTZCODE_][0]==""){ echo "required"; } ?> allowedType="gif|jpg|png|jpeg|pdf">
|
||
</div>
|
||
<!-- <div class="form-group col-md-6">
|
||
<label class="required-field"><?php echo lang('Remarks'); ?></label>
|
||
<input type="text" class="form-control" name="<?php echo _DOC_CTZCODE_ .'_remarks';?>" value="<?php echo $documentsrem[_DOC_CTZCODE_][0]; ?>" required>
|
||
</div> -->
|
||
<div class="form-group col-md-2 mt-3 row">
|
||
<div class="cameraIcon">
|
||
<a data-toggle="modal" class="mm" myidValue="<?php echo $documentsid[_DOC_CTZCODE_][0]; ?>" myValue="<?php echo _DOC_CTZCODE_; ?>" data-dismiss="modal" aria-hidden="true" data-target=".camera_modal">
|
||
<i class="fa fa-camera" style="font-size:24px" onclick="open_camera(this)"></i>
|
||
</a>
|
||
</div>
|
||
<button class="btn btn-primary file-upload doc-type-upload" name="upload" type="submit">Upload</button>
|
||
</div>
|
||
<div class="form-group col-md-1 mt-3">
|
||
<?php
|
||
if($documentsarr[_DOC_CTZCODE_][0]!=""){
|
||
?>
|
||
<a class="img-icon" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[_DOC_CTZCODE_][0]; ?>">
|
||
<img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 24px;">
|
||
</a>
|
||
<?php
|
||
}else{
|
||
?>
|
||
<span use="uploadContainer">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 50px;"> -->
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php
|
||
}
|
||
?>
|
||
</div>
|
||
</div>
|
||
</form>
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_CTZBACK_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_CTZBACK_][0]; ?>">
|
||
<input type="hidden" name="progress" value="1">
|
||
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field">
|
||
<?php echo lang('U.S. Work Authorization and ID Back (gif/jpg/png/jpeg/pdf)'); ?>
|
||
</label>
|
||
<input type="file" class="form-control " name="<?php echo _DOC_CTZBACK_ ;?>" <?php if($documentsid[_DOC_CTZBACK_][0]==""){ echo "required"; } ?> allowedType="gif|jpg|png|jpeg|pdf">
|
||
</div>
|
||
<!-- <div class="form-group col-md-6">
|
||
<label class="required-field"><?php echo lang('Remarks'); ?></label>
|
||
<input type="text" class="form-control" name="<?php echo _DOC_CTZBACK_ .'_remarks';?>" value="<?php echo $documentsrem[_DOC_CTZBACK_][0]; ?>" required>
|
||
</div> -->
|
||
<div class="form-group col-md-2 mt-3 row" >
|
||
<div class="cameraIcon">
|
||
<a data-toggle="modal" class="mm" myidValue="<?php echo $documentsid[_DOC_CTZBACK_][0]; ?>" myValue="<?php echo _DOC_CTZBACK_; ?>" data-dismiss="modal" aria-hidden="true" data-target=".camera_modal">
|
||
<i class="fa fa-camera" style="font-size:24px" onclick="open_camera(this)"></i>
|
||
</a>
|
||
</div>
|
||
<button class="btn btn-primary file-upload doc-type-upload" name="upload" type="submit"> <?php echo lang("Upload"); ?></button>
|
||
</div>
|
||
<div class="form-group col-md-1 mt-3">
|
||
<?php
|
||
if($documentsarr[_DOC_CTZBACK_][0]!=""){
|
||
?>
|
||
<a class="img-icon" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[_DOC_CTZBACK_][0]; ?>">
|
||
<img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 24px;">
|
||
</a>
|
||
<?php
|
||
}else{
|
||
?>
|
||
<span use="uploadContainer">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 50px;"> -->
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php
|
||
}
|
||
?>
|
||
|
||
</div>
|
||
</div>
|
||
</form>
|
||
*/
|
||
?>
|
||
<hr>
|
||
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_SSCCODE_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_SSCCODE_][0]; ?>">
|
||
<input type="hidden" name="progress" value="1">
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field"><?php echo lang('Social Security Card'); ?></label>
|
||
<input type="file" class="form-control " name="<?php echo _DOC_SSCCODE_ ;?>" <?php if($documentsid[_DOC_SSCCODE_][0]==""){ echo "required"; } ?> allowedType="gif|jpg|png|jpeg|pdf">
|
||
</div>
|
||
<!-- <div class="form-group col-md-6">
|
||
<label class="required-field"><?php echo lang('Remarks'); ?></label>
|
||
<input type="text" class="form-control" name="<?php echo _DOC_SSCCODE_ .'_remarks';?>" value="<?php echo $documentsrem[_DOC_SSCCODE_][0]; ?>" required>
|
||
</div> -->
|
||
<div class="form-group col-md-1 mt-2 row" >
|
||
<div class="cameraIcon center">
|
||
<a data-toggle="modal" class="mm" myidValue="<?php echo $documentsid[_DOC_SSCCODE_][0]; ?>" myValue="<?php echo _DOC_SSCCODE_; ?>" data-dismiss="modal" aria-hidden="true" data-target=".camera_modal">
|
||
<i class="fa fa-camera" style="font-size:24px;margin-left:18px;" onclick="open_camera(this)"></i>
|
||
</a>
|
||
|
||
</div>
|
||
<!-- <button class="btn btn-primary file-upload" name="upload" type="submit"> <?php echo lang('Upload'); ?></button> -->
|
||
</div>
|
||
<div class="col-md-2">
|
||
<div class="center">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit" style="margin-top: 24px;margin-left: 30px;"> <?php echo lang('Upload'); ?></button>
|
||
</div>
|
||
</div>
|
||
<div class="form-group center col-md-2 mt-2">
|
||
<?php if($documentsarr[_DOC_SSCCODE_][0]!=""){ ?>
|
||
<!-- href="<?php echo base_url(); ?>Caregivers/file_downloader" -->
|
||
<a class="img-icon dwnload" data-docType="<?=_DOC_SSCCODE_?>" data-userid="<?=$nurse->id?>">
|
||
<i class='far fa-arrow-alt-circle-down' style="font-size:24px;margin-left: -2px;"></i>
|
||
</a>
|
||
<?php }else{ ?>
|
||
<span use="uploadContainer">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 50px;"> -->
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php } ?>
|
||
|
||
</div>
|
||
</div>
|
||
</form>
|
||
<hr>
|
||
|
||
<?php
|
||
/*
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_SSCBACK_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_SSCBACK_][0]; ?>">
|
||
<input type="hidden" name="progress" value="1">
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field"><?php echo lang('Social Security Card Back (gif/jpg/png/jpeg/pdf)'); ?></label>
|
||
<input type="file" class="form-control " name="<?php echo _DOC_SSCBACK_ ;?>" <?php if($documentsid[_DOC_SSCBACK_][0]==""){ echo "required"; } ?> allowedType="gif|jpg|png|jpeg|pdf">
|
||
</div>
|
||
|
||
<div class="form-group col-md-2 mt-2 row" >
|
||
<div class="cameraIcon">
|
||
<a data-toggle="modal" class="mm" myidValue="<?php echo $documentsid[_DOC_SSCBACK_][0]; ?>" myValue="<?php echo _DOC_SSCBACK_; ?>" data-dismiss="modal" aria-hidden="true" data-target=".camera_modal">
|
||
<i class="fa fa-camera" style="font-size:24px" onclick="open_camera(this)"></i>
|
||
</a>
|
||
|
||
</div>
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit"> Upload</button>
|
||
</div>
|
||
<div class="form-group col-md-1 mt-2">
|
||
<?php if($documentsarr[_DOC_SSCBACK_][0]!=""){ ?>
|
||
<a class="img-icon" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[_DOC_SSCBACK_][0]; ?>">
|
||
<img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 24px;">
|
||
</a>
|
||
<?php }else{ ?>
|
||
<span use="uploadContainer">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 50px;"> -->
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php } ?>
|
||
|
||
</div>
|
||
</div>
|
||
</form>
|
||
*/
|
||
?>
|
||
<?php
|
||
/*
|
||
<hr>
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_SIDCODE_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_SIDCODE_][0]; ?>">
|
||
<input type="hidden" name="progress" value="0">
|
||
<div class="form-group col-md-12">
|
||
<div class="form-group col-md-4">
|
||
<div><label class="required-field"><?php echo lang('State ID'); ?></label></div>
|
||
<select class="form-control" name="<?php echo _DOC_SIDCODE_ .'_documents_no';?>" required>
|
||
<option value="" selected Disabled>Select</option>
|
||
<option id="state_diver_licenses" value="State Driver Licenses" <?php if ($documentsno[_DOC_SIDCODE_][0]=='State Driver Licenses') { echo "Selected";}?>><?php echo lang('State Driver’s Licenses'); ?></option>
|
||
<option id="state_id_card" value="State ID Card" <?php if($documentsno[_DOC_SIDCODE_][0]=="State ID Card"){ echo "Selected";}?>><?php echo lang('State ID Card'); ?></option>
|
||
</select>
|
||
</div>
|
||
</div>
|
||
|
||
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field"><?php echo lang('State ID Card Front (gif/jpg/png/jpeg/pdf)'); ?></label>
|
||
<input type="file" class="form-control " name="<?php echo _DOC_SIDCODE_ ;?>" allowedType="gif|jpg|png|jpeg|pdf" required>
|
||
</div>
|
||
<!-- <div class="form-group col-md-6">
|
||
<label class="required-field"><?php echo lang('Remarks'); ?></label>
|
||
<input type="text" class="form-control" name="<?php echo _DOC_SIDCODE_ .'_remarks';?>" value="<?php echo $documentsrem[_DOC_SIDCODE_][0]; ?>" required>
|
||
</div> -->
|
||
|
||
<div class="form-group col-md-2 mt-2 row" >
|
||
<div class="cameraIcon">
|
||
<a data-toggle="modal" class="mm" myidValue="<?php echo $documentsid[_DOC_SIDCODE_][0]; ?>" myValue="<?php echo _DOC_SIDCODE_; ?>" data-dismiss="modal" aria-hidden="true" data-target=".camera_modal">
|
||
<i class="fa fa-camera" style="font-size:24px" onclick="open_camera(this)"></i>
|
||
</a>
|
||
|
||
</div>
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit"> <?php echo lang('Upload'); ?></button>
|
||
</div>
|
||
<div class="form-group col-md-1 mt-2">
|
||
<?php if($documentsarr[_DOC_SIDCODE_][0]!=""){ ?>
|
||
<a class="img-icon" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[_DOC_SIDCODE_][0]; ?>">
|
||
<img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 24px;">
|
||
</a>
|
||
<?php }else{ ?>
|
||
<span use="uploadContainer">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 50px;"> -->
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php } ?>
|
||
|
||
</div>
|
||
</div>
|
||
</form>
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_SIDBACK_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_SIDBACK_][0]; ?>">
|
||
<input type="hidden" name="progress" value="1">
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field"><?php echo lang('State ID Card Back (gif/jpg/png/jpeg/pdf)'); ?></label>
|
||
<input type="file" class="form-control " name="<?php echo _DOC_SIDBACK_ ;?>" allowedType="gif|jpg|png|jpeg|pdf" required>
|
||
</div>
|
||
<!-- <div class="form-group col-md-6">
|
||
<label class="required-field"><?php echo lang('Remarks'); ?></label>
|
||
<input type="text" class="form-control" name="<?php echo _DOC_SIDBACK_ .'_remarks';?>" value="<?php echo $documentsrem[_DOC_SIDBACK_][0]; ?>" required>
|
||
</div> -->
|
||
<div class="form-group col-md-2 mt-2 row" >
|
||
<div class="cameraIcon">
|
||
<a data-toggle="modal" class="mm" myidValue="<?php echo $documentsid[_DOC_SIDBACK_][0]; ?>" myValue="<?php echo _DOC_SIDBACK_; ?>" data-dismiss="modal" aria-hidden="true" data-target=".camera_modal">
|
||
<i class="fa fa-camera" style="font-size:24px" onclick="open_camera(this)"></i>
|
||
</a>
|
||
|
||
</div>
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit"> Upload</button>
|
||
</div>
|
||
<div class="form-group col-md-1 mt-2">
|
||
<?php if($documentsarr[_DOC_SIDBACK_][0]!=""){ ?>
|
||
<a class="img-icon" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[_DOC_SIDBACK_][0]; ?>">
|
||
<img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 24px;">
|
||
</a>
|
||
<?php }else{ ?>
|
||
<span use="uploadContainer">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 50px;"> -->
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php } ?>
|
||
|
||
</div>
|
||
</div>
|
||
</form>
|
||
*/
|
||
?>
|
||
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_RESUMECODE_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_RESUMECODE_][0]; ?>">
|
||
<input type="hidden" name="progress" value="2">
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field"><?php echo lang('Resume'); ?></label>
|
||
<input type="file" class="form-control " name="<?php echo _DOC_RESUMECODE_ ;?>" <?php if($documentsid[_DOC_RESUMECODE_][0]==""){ echo "required"; } ?> allowedType="gif|jpg|png|jpeg|pdf|docx">
|
||
</div>
|
||
<!-- <div class="form-group col-md-6">
|
||
<label class="required-field"><?php echo lang('Remarks'); ?></label>
|
||
<input type="text" class="form-control" name="<?php echo _DOC_RESUMECODE_ .'_remarks';?>" value="<?php echo $documentsrem[_DOC_RESUMECODE_][0]; ?>" required>
|
||
</div> -->
|
||
<div class="form-group col-md-1 mt-2 row" >
|
||
<div class="cameraIcon center">
|
||
<a data-toggle="modal" class="mm" myidValue="<?php echo $documentsid[_DOC_RESUMECODE_][0]; ?>" myValue="<?php echo _DOC_RESUMECODE_; ?>" data-dismiss="modal" aria-hidden="true" data-target=".camera_modal">
|
||
<i class="fa fa-camera" style="font-size:24px;margin-left: 18px;" onclick="open_camera(this)"></i>
|
||
</a>
|
||
|
||
</div>
|
||
<!-- <button class="btn btn-primary file-upload" name="upload" type="submit"> Upload</button> -->
|
||
</div>
|
||
<div class="col-md-2">
|
||
<div class="center">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit" style="margin-top: 24px;margin-left: 30px;"> <?php echo lang('Upload'); ?></button>
|
||
</div>
|
||
</div>
|
||
<div class="form-group center col-md-2 mt-2">
|
||
<?php if($documentsarr[_DOC_RESUMECODE_][0]){ ?>
|
||
<!-- <a class="img-icon file-link-after-uploaded" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[_DOC_RESUMECODE_][0]; ?>"> -->
|
||
<a class="img-icon file-link-after-uploaded dwnload" data-docType="<?=_DOC_RESUMECODE_?>" data-userid="<?=$nurse->id?>">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 24px;"> -->
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
</a>
|
||
<?php }else{ ?>
|
||
<span use="uploadContainer">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 30px;"> -->
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php } ?>
|
||
</div>
|
||
</div>
|
||
</form>
|
||
<hr>
|
||
<label class="inner-heading">Reference</label>
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_PROFETIONAL_REFERENCE ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_PROFETIONAL_REFERENCE][0]; ?>">
|
||
<input type="hidden" name="progress" value="0">
|
||
<div class="form-group col-md-3">
|
||
<label class="required-field"><?php echo lang('Professional References Name'); ?></label>
|
||
<input type="text" class="form-control" value='<?php
|
||
if (!empty($nurse->Profesonal_References_Name)){
|
||
echo $nurse->Profesonal_References_Name;
|
||
}
|
||
?>' data-error="Please fill up the field." readonly>
|
||
</div>
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field"><?php echo lang('Professional References'); ?></label>
|
||
<input type="file" class="form-control " name="<?php echo _DOC_PROFETIONAL_REFERENCE ;?>" <?php if($documentsid[_DOC_PROFETIONAL_REFERENCE][0]==""){ echo "required"; } ?> allowedType="gif|jpg|png|jpeg|pdf|docx">
|
||
</div>
|
||
<!-- <div class="form-group col-md-6">
|
||
<label class="required-field"><?php echo lang('Remarks'); ?></label>
|
||
<input type="text" class="form-control" name="<?php echo _DOC_PROFETIONAL_REFERENCE .'_remarks';?>" value="<?php echo $documentsrem[_DOC_PROFETIONAL_REFERENCE][0]; ?>" required>
|
||
</div> -->
|
||
<div class="form-group col-md-1 mt-2 row" >
|
||
<div class="cameraIcon center">
|
||
<a data-toggle="modal" class="mm" myidValue="<?php echo $documentsid[_DOC_PROFETIONAL_REFERENCE][0]; ?>" myValue="<?php echo _DOC_PROFETIONAL_REFERENCE; ?>" data-dismiss="modal" aria-hidden="true" data-target=".camera_modal">
|
||
<i class="fa fa-camera" style="font-size:24px;margin-left: 22px;" onclick="open_camera(this)"></i>
|
||
</a>
|
||
|
||
</div>
|
||
<!-- <button class="btn btn-primary file-upload" name="upload" type="submit"> Upload</button> -->
|
||
</div>
|
||
<div class="col-md-2">
|
||
<div class="center">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit" style="margin-top: 36px;margin-left: 30px;"> <?php echo lang('Upload'); ?></button>
|
||
</div>
|
||
</div>
|
||
<div class="form-group center col-md-2 mt-2">
|
||
<?php if($documentsarr[_DOC_PROFETIONAL_REFERENCE][0]){ ?>
|
||
<!-- <a class="img-icon file-link-after-uploaded" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[_DOC_PROFETIONAL_REFERENCE][0]; ?>"> -->
|
||
<a class="img-icon file-link-after-uploaded dwnload" data-docType="<?=_DOC_PROFETIONAL_REFERENCE?>" data-userid="<?=$nurse->id?>">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 24px;"> -->
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
</a>
|
||
<?php }else{ ?>
|
||
<span use="uploadContainer">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 30px;"> -->
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php } ?>
|
||
</div>
|
||
</div>
|
||
</form>
|
||
<hr>
|
||
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_REFCODE_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_REFCODE_][0]; ?>">
|
||
<input type="hidden" name="progress" value="2">
|
||
|
||
<div class="form-group col-md-3">
|
||
<label class="required-field"><?php echo lang('Professional References Name'); ?></label>
|
||
<input type="text" class="form-control" value='<?php
|
||
if (!empty($nurse->Personal_References_Name)) {
|
||
echo $nurse->Personal_References_Name;
|
||
}
|
||
?>'data-error="Please fill up the field." readonly>
|
||
</div>
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field"><?php echo lang('Professional References'); ?></label>
|
||
<input type="file" class="form-control " name="<?php echo _DOC_REFCODE_ ;?>" <?php if($documentsid[_DOC_REFCODE_][0]==""){ echo "required"; } ?> allowedType="gif|jpg|png|jpeg|pdf|docx">
|
||
</div>
|
||
<!-- <div class="form-group col-md-6">
|
||
<label class="required-field"><?php echo lang('Remarks'); ?></label>
|
||
<input type="text" class="form-control" name="<?php echo _DOC_REFCODE_ .'_remarks';?>" value="<?php echo $documentsrem[_DOC_REFCODE_][0]; ?>" required>
|
||
</div> -->
|
||
<div class="form-group col-md-1 mt-2 row" >
|
||
<div class="cameraIcon">
|
||
<a data-toggle="modal" class="mm" myidValue="<?php echo $documentsid[_DOC_REFCODE_][0]; ?>" myValue="<?php echo _DOC_REFCODE_; ?>" data-dismiss="modal" aria-hidden="true" data-target=".camera_modal">
|
||
<i class="fa fa-camera" style="font-size:24px;margin-left: 22px;margin-top:10px" onclick="open_camera(this)"></i>
|
||
</a>
|
||
|
||
</div>
|
||
<!-- <button class="btn btn-primary file-upload" name="upload" type="submit"> Upload</button> -->
|
||
</div>
|
||
<div class="col-md-2">
|
||
<div class="center">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit" style="margin-top: 34px;margin-left: 30px;"> <?php echo lang('Upload'); ?></button>
|
||
</div>
|
||
</div>
|
||
<div class="form-group center col-md-2 mt-2">
|
||
<?php if($documentsarr[_DOC_REFCODE_][0]){ ?>
|
||
<!-- <a class="img-icon file-link-after-uploaded" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[_DOC_REFCODE_][0]; ?>"> -->
|
||
<a class="img-icon file-link-after-uploaded dwnload" data-docType="<?=_DOC_REFCODE_?>" data-userid="<?=$nurse->id?>">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 24px;"> -->
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px;margin-right: 30px;margin-top: 3px;'></i>
|
||
</a>
|
||
<?php }else{ ?>
|
||
<span use="uploadContainer">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 30px;"> -->
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php } ?>
|
||
</div>
|
||
</div>
|
||
</form>
|
||
|
||
<?php
|
||
if(count($other_reference)>0){
|
||
?>
|
||
<hr>
|
||
<?php
|
||
for($i=0;$i<count($other_reference); $i++){
|
||
?>
|
||
<form role="form" action="<?php echo base_url(); ?>CaregiversDashboard/profileOtherInfo" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<!-- <?php echo $csrfHash = $this->security->get_csrf_hash();?> -->
|
||
<input type="hidden" id="csrf" value="<?php echo $this->security->get_csrf_hash();?>" name="<?php echo $this->security->get_csrf_token_name();?>" >
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>" >
|
||
<!-- <input type="hidden" name="form_status" value="0"> -->
|
||
<input type="hidden" name="progress" value="0">
|
||
<input type="hidden" name="data_type" value="Other_Reference">
|
||
<input type="hidden" name="other_reference_id" value="<?php echo $other_reference[$i]->id ?>">
|
||
<input type="hidden" name="form_mode" value="Add">
|
||
<input type="hidden" name="doc_type" value="<?php echo _OTHER_REFERENCE_CODE ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php if ( $other_reference[$i]->users_documents_id != 0) echo $other_reference[$i]->users_documents_id ?>">
|
||
|
||
<div class="row">
|
||
|
||
<div class="form-group col-md-3">
|
||
<label ><?php echo lang('Other Reference Name'); ?></label>
|
||
<input type="text" name="other_reference_name" class="form-control" value="<?php echo $other_reference[$i]->other_References_Name ?>" readonly>
|
||
</div>
|
||
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field"><?php echo lang('Other References'); ?></label>
|
||
<input type="file" class="form-control" name="<?php echo _OTHER_REFERENCE_CODE ; ?>" allowedType="gif|jpg|png|jpeg|pdf" required>
|
||
</div>
|
||
|
||
<!-- <div class="col-md-1 mt-2">
|
||
<button type="submit" name="submit" class="btn btn-info "><?php echo lang('Update'); ?></button>
|
||
</div> -->
|
||
|
||
<div class="form-group col-md-1 mt-2 row" >
|
||
<div class="cameraIcon">
|
||
<a data-toggle="modal" class="mm" myidValue="<?php if ( $other_reference[$i]->users_documents_id != 0) echo $other_reference[$i]->users_documents_id ?>" myValue="<?php echo _OTHER_REFERENCE_CODE; ?>" data-dismiss="modal" aria-hidden="true" data-target=".camera_modal">
|
||
<i class="fa fa-camera" style="font-size:24px" onclick="open_camera(this)"></i>
|
||
</a>
|
||
|
||
</div>
|
||
<!-- <button class="btn btn-primary file-upload" name="upload" type="submit"> Upload</button> -->
|
||
</div>
|
||
<div class="col-md-2">
|
||
<div class="center">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit" style="margin-top: 24px;"> <?php echo lang('Upload'); ?></button>
|
||
</div>
|
||
</div>
|
||
|
||
<div class="form-group col-md-2 mt-2 mt-2" style="position:relative;left: 20px;">
|
||
<?php if($other_reference[$i]->path!=""){ ?>
|
||
<!-- <a class="img-icon" target="_blank" href="<?php echo base_url(); ?><?php echo $other_reference[$i]->path;echo $other_reference[$i]->file_name; ?>"> -->
|
||
<a class="img-icon dwnload" data-docType="<?=_OTHER_REFERENCE_CODE?>" data-userid="<?=$nurse->id?>">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 24px;"> -->
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
</a>
|
||
<?php }else{ ?>
|
||
<span use="uploadContainer">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 50px;"> -->
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php } ?>
|
||
</div>
|
||
|
||
</div>
|
||
</form>
|
||
<?php
|
||
}
|
||
}
|
||
?>
|
||
|
||
<?php
|
||
if($nurse->qualification_type=='6' || $nurse->qualification_type=='7'){
|
||
?>
|
||
<hr>
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_CHRC102_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_CHRC102_][0]; ?>">
|
||
<input type="hidden" name="progress" value="2">
|
||
<div class="form-group col-md-6">
|
||
<label class="required-field"><?php echo lang('DOH CHRC 102 Form'); ?></label>
|
||
<input type="file" class="form-control " name="<?php echo _DOC_CHRC102_ ;?>" <?php if($documentsid[_DOC_CHRC102_][0]==""){ echo "required"; } ?> allowedType="gif|jpg|png|jpeg|pdf">
|
||
<label><a href="<?php echo base_url(); ?>forms_pdf/NYDOH_CHRC_102_FORM/<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>" target="_blank">Download</a> DOH CHRC 102 Form</label>
|
||
</div>
|
||
|
||
<div class="form-group col-md-3 mt-2">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit"> <?php echo lang('Upload'); ?></button>
|
||
</div>
|
||
<div class="form-group col-md-3 mt-2">
|
||
<?php if($documentsarr[_DOC_CHRC102_][0]){ ?>
|
||
<!-- <a class="img-icon" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[_DOC_CHRC102_][0]; ?>"> -->
|
||
<a class="img-icon dwnload" data-docType="<?=_DOC_CHRC102_?>" data-userid="<?=$nurse->id?>">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 30px;"> -->
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
</a>
|
||
<?php }else{ ?>
|
||
<span use="uploadContainer">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 30px;"> -->
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php } ?>
|
||
</div>
|
||
</div>
|
||
</form>
|
||
<hr>
|
||
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_CHRC103_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_CHRC103_][0]; ?>">
|
||
<input type="hidden" name="progress" value="2">
|
||
<div class="form-group col-md-6">
|
||
<label class="required-field"><?php echo lang('DOH CHRC 103 Form'); ?></label>
|
||
<input type="file" class="form-control " name="<?php echo _DOC_CHRC103_ ;?>" <?php if($documentsid[_DOC_CHRC103_][0]==""){ echo "required"; } ?> allowedType="gif|jpg|png|jpeg|pdf">
|
||
<label><a href="<?php echo base_url(); ?>forms_pdf/NYDOH_CHRC_103_FORM/<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>" target="_blank">Download</a> DOH CHRC 103 Form</label>
|
||
</div>
|
||
|
||
<div class="form-group col-md-3 mt-2">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit"> <?php echo lang('Upload'); ?></button>
|
||
</div>
|
||
<div class="form-group col-md-3 mt-2">
|
||
<?php if($documentsarr[_DOC_CHRC103_][0]){ ?>
|
||
<!-- <a class="img-icon" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[_DOC_CHRC103_][0]; ?>"> -->
|
||
<a class="img-icon dwnload" data-docType="<?=_DOC_CHRC103_?>" data-userid="<?=$nurse->id?>">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 30px;"> -->
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
|
||
</a>
|
||
<?php }else{ ?>
|
||
<span use="uploadContainer">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 30px;"> -->
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php } ?>
|
||
</div>
|
||
</div>
|
||
</form>
|
||
<hr>
|
||
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_RRFCODE_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_RRFCODE_][0]; ?>">
|
||
<input type="hidden" name="progress" value="2">
|
||
<div class="form-group col-md-6">
|
||
<label class="required-field"><?php echo lang('HOME CARE REGISTRY RELEASE Form'); ?></label>
|
||
<input type="file" class="form-control " name="<?php echo _DOC_RRFCODE_ ;?>" <?php if($documentsid[_DOC_RRFCODE_][0]==""){ echo "required"; } ?> allowedType="gif|jpg|png|jpeg|pdf">
|
||
<label><a href="<?php echo base_url(); ?>forms_pdf/HOME_CARE_REGISTRY_RELEASE_FORM/<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>" target="_blank"><?php echo lang('Download'); ?> </a> <?php echo lang('HOME CARE REGISTRY RELEASE Form'); ?></label>
|
||
</div>
|
||
|
||
<div class="form-group col-md-3 mt-2">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit"> <?php echo lang('Upload'); ?></button>
|
||
</div>
|
||
<div class="form-group col-md-3 mt-2">
|
||
<?php if($documentsarr[_DOC_RRFCODE_][0]){ ?>
|
||
<!-- <a class="img-icon" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[_DOC_RRFCODE_][0]; ?>"> -->
|
||
<a class="img-icon dwnload" data-docType="<?=_DOC_RRFCODE_?>" data-userid="<?=$nurse->id?>">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 30px;"> -->
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
</a>
|
||
<?php }else{ ?>
|
||
<span use="uploadContainer">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 30px;"> -->
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php } ?>
|
||
</div>
|
||
</div>
|
||
</form>
|
||
<?php
|
||
}
|
||
?>
|
||
<!-- <hr>
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_SFICODE_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_SFICODE_][0]; ?>">
|
||
<input type="hidden" name="progress" value="2">
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field"><?php echo lang('State or Federal Issued ID (gif/jpg/png/jpeg/pdf)'); ?></label>
|
||
<input type="file" class="form-control " name="<?php echo _DOC_SFICODE_ ;?>" <?php if($documentsid[_DOC_SFICODE_][0]==""){ echo "required"; } ?> allowedType="gif|jpg|png|jpeg|pdf">
|
||
</div>
|
||
<div class="form-group col-md-6">
|
||
<label class="required-field"><?php echo lang('Expiration Date'); ?></label>
|
||
<input type="date" class="form-control" name="<?php echo _DOC_SFICODE_ .'_remarks';?>" value="<?php echo $documentsrem[_DOC_SFICODE_][0]; ?>" required>
|
||
</div>
|
||
<div class="form-group col-md-1 mt-2">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit"> Upload</button>
|
||
</div>
|
||
<div class="form-group col-md-1 mt-2">
|
||
<?php if($documentsarr[_DOC_SFICODE_][0]){ ?>
|
||
<a class="img-icon" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[_DOC_SFICODE_][0]; ?>">
|
||
<img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 30px;">
|
||
</a>
|
||
<?php }else{ ?>
|
||
<span use="uploadContainer">
|
||
<img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 50px;"> -->
|
||
<!-- </span>
|
||
<?php } ?>
|
||
</div>
|
||
</div>
|
||
</form> -->
|
||
<hr>
|
||
<?php
|
||
if($nurse->qualification_type=='4' || $nurse->qualification_type=='5'){
|
||
?>
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_MICCODE_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_MICCODE_][0]; ?>">
|
||
<input type="hidden" name="progress" value="2">
|
||
|
||
<!-- <div class="col-md-12">
|
||
<label>If you currently have valid Malpractice Insurance please upload</label>
|
||
</div> -->
|
||
<div class="form-group col-md-3">
|
||
<label class="required-field"><?php echo lang('Malpractice Insurance'); ?></label>
|
||
<div class="form-check">
|
||
<input class="form-check-input ins-status-radio" type="radio" id="malPracYes" name="<?php echo _DOC_MICCODE_ ;?>_remarks" value="yes"
|
||
<?php if ($documentsrem[_DOC_MICCODE_][0]=='yes') { echo "checked"; } ?> required>
|
||
<label class="form-check-label" for="malPracYes">
|
||
Yes
|
||
</label>
|
||
</div>
|
||
<div class="form-check">
|
||
<input class="form-check-input ins-status-radio" type="radio" id="malPracNo" name="<?php echo _DOC_MICCODE_ ;?>_remarks" value="no"
|
||
<?php if ($documentsrem[_DOC_MICCODE_][0]=='no') { echo "checked"; } ?> required>
|
||
<label class="form-check-label" for="malPracNo">
|
||
No
|
||
</label>
|
||
</div>
|
||
</div>
|
||
|
||
<div class="form-group col-md-4 ins_upload_section">
|
||
<label class=""><?php echo lang('Malpractice Insurance Policy'); ?></label>
|
||
<input type="file" class="form-control malPracDoc" name="<?php echo _DOC_MICCODE_ ;?>" <?php if($documentsrem[_DOC_MICCODE_][0]=='yes'){ echo "required"; } ?> allowedType="gif|jpg|png|jpeg|pdf">
|
||
</div>
|
||
<!-- <div class="form-group col-md-6">
|
||
<label class="required-field"><?php echo lang('Expiration Date'); ?></label>
|
||
<input type="date" class="form-control" name="<?php echo _DOC_MICCODE_ .'_remarks';?>" value="<?php echo $documentsrem[_DOC_MICCODE_][0]; ?>" required>
|
||
</div> -->
|
||
<div class="form-group col-md-2 mt-2 ins_no_upload_section" >
|
||
<button class="btn btn-primary file-upload savve" name="upload" type="submit"> Save</button>
|
||
</div>
|
||
<div class="form-group col-md-1 mt-2 row ins_upload_section" >
|
||
<div class="cameraIcon center">
|
||
<a data-toggle="modal" class="mm" myidValue="<?php echo $documentsid[_DOC_MICCODE_][0]; ?>" data-dismiss="modal" aria-hidden="true" data-target=".camera_modal">
|
||
<i class="fa fa-camera" style="font-size:24px;margin-left: 22px;margin-top:10px" onclick="open_camera(this)"></i>
|
||
</a>
|
||
</div>
|
||
<!-- <button class="btn btn-primary file-upload" name="upload" type="submit"> Upload</button> -->
|
||
</div>
|
||
<div class="col-md-2 ins_upload_section">
|
||
<div class="center">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit" style="margin-top: 34px;margin-left: 30px;"> <?php echo lang('Upload'); ?></button>
|
||
</div>
|
||
</div>
|
||
<div class="form-group col-md-2 center mt-2 ins_upload_section">
|
||
<?php if($documentsarr[_DOC_MICCODE_][0]){ ?>
|
||
<!-- <a class="img-icon" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[_DOC_MICCODE_][0]; ?>"> -->
|
||
<a class="img-icon dwnload" data-docType="<?=_DOC_MICCODE_?>" data-userid="<?=$nurse->id?>">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 24px;"> -->
|
||
<i class='far fa-arrow-alt-circle-down' style="font-size:24px;margin-right: 30px;margin-top: 3px;"></i>
|
||
</a>
|
||
<?php }else{ ?>
|
||
<span use="uploadContainer">
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php } ?>
|
||
</div>
|
||
</div>
|
||
</form>
|
||
<script>
|
||
$(document).ready(function(){
|
||
var ins_value=$('.ins-status-radio:checked').val();
|
||
ins_doc_upload(ins_value);
|
||
$('input[name=<?php echo _DOC_MICCODE_ ;?>_remarks]').on('change', function(){
|
||
var ins_value=$(this).val();
|
||
// alert(ins_value);
|
||
ins_doc_upload(ins_value);
|
||
});
|
||
function ins_doc_upload(value){
|
||
var target=$(".ins_upload_section");
|
||
if(value == 'no'){
|
||
target.hide();
|
||
$(".ins_no_upload_section").show();
|
||
target.children("label").removeClass("required-field");
|
||
target.children("input").prop("required",false);
|
||
}else{
|
||
target.show();
|
||
$(".ins_no_upload_section").hide();
|
||
target.children("label").addClass("required-field");
|
||
target.children("input").prop("required",true);
|
||
}
|
||
}
|
||
});
|
||
</script>
|
||
<hr>
|
||
<?php
|
||
}
|
||
?>
|
||
|
||
<?php
|
||
if($nurse->qualification_type=='6' || $nurse->qualification_type=='7'){
|
||
?>
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_PCACODE_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_PCACODE_][0]; ?>">
|
||
<input type="hidden" name="progress" value="2">
|
||
<div class="form-group col-md-3">
|
||
<label class="required-field"><?php echo lang('PCA Document'); ?></label>
|
||
<input type="file" class="form-control " name="<?php echo _DOC_PCACODE_ ;?>" <?php if($documentsid[_DOC_PCACODE_][0]==""){ echo "required"; } ?> allowedType="gif|jpg|png|jpeg|pdf">
|
||
</div>
|
||
<div class="form-group col-md-3">
|
||
<label class="required-field"><?php echo lang('PCA Registration No.'); ?> <a href="https://apps.health.ny.gov/professionals/home_care/registry/home.action"><?php echo lang('Check PCA No'); ?>.</a></label>
|
||
<input type="text" class="form-control" name="<?php echo _DOC_PCACODE_ .'_remarks';?>" minlength="10" maxlength="10" onkeypress="return isNumberKey(event)" value="<?php echo $documentsrem[_DOC_PCACODE_][0]; ?>" required>
|
||
</div>
|
||
<div class="form-group col-md-3 mt-2">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit"> <?php echo lang('Upload'); ?></button>
|
||
</div>
|
||
<div class="form-group col-md-3 mt-2">
|
||
<?php if($documentsarr[_DOC_PCACODE_][0]){ ?>
|
||
<!-- <a class="img-icon" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[_DOC_PCACODE_][0]; ?>"> -->
|
||
<a class="img-icon dwnload" data-docType="<?=_DOC_PCACODE_?>" data-userid="<?=$nurse->id?>">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 30px;"> -->
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
|
||
</a>
|
||
<?php }else{ ?>
|
||
<span use="uploadContainer">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 50px;"> -->
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php } ?>
|
||
</div>
|
||
</div>
|
||
</form>
|
||
<hr>
|
||
<?php
|
||
}
|
||
?>
|
||
|
||
<?php
|
||
if($nurse->qualification_type=='4' || $nurse->qualification_type=='5'){
|
||
?>
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_NPICODE_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_NPICODE_][0]; ?>">
|
||
<input type="hidden" name="progress" value="2">
|
||
|
||
|
||
<div class="form-group col-md-12">
|
||
<label>(If you currently have an NPI # Please Enter Here or Check NPI No)</label>
|
||
</div>
|
||
<div class="form-group col-md-4">
|
||
<label class=""><?php echo lang('NPI Registration No'); ?>
|
||
<!-- <a href="javascript:void(0);" data-toggle="modal" data-target="#NPI_Check_Modal">Check NPI No.</a> or
|
||
<a href="https://nppes.cms.hhs.gov/" target="_blank">Apply NPI No.</a> -->
|
||
</label>
|
||
<div class="input-group">
|
||
<input type="text" class="form-control npiclass" id="<?php echo _DOC_NPICODE_ .'_remarks';?>" name="<?php echo _DOC_NPICODE_ .'_remarks';?>" minlength="10" maxlength="10" onkeypress="return isNumberKey(event)" value="<?php echo $documentsrem[_DOC_NPICODE_][0]; ?>">
|
||
<div class="input-group-append" id="npivalidateTab" style="display: none;">
|
||
<span class="input-group-text" >
|
||
<span id="npiNoValidating" style="display: none"><i class="la la-hourglass-start" style="color: blue;"></i></span>
|
||
<span id="npiValid" style="display: none"><i class="la la-check" style="color: green;">Valid</i></span>
|
||
<span id="npiinValid" style="display: none"><i class="la la-close" style="color: red;">Invalid</i></span>
|
||
</span>
|
||
</div>
|
||
</div>
|
||
</div>
|
||
<?php
|
||
/*
|
||
<div class="form-group col-md-4">
|
||
<!-- this above commented statement is wrong -->
|
||
<label class="required-field"><?php echo lang('NPI Document (gif/jpg/png/jpeg/pdf)');?></label>
|
||
<!-- modified end on 07-10-2021 -->
|
||
|
||
<input type="file" class="form-control " name="<?php echo _DOC_NPICODE_ ;?>"
|
||
<?php if($documentsid[_DOC_NPICODE_][0]==""){ echo "required"; } ?> allowedType="gif|jpg|png|jpeg|pdf">
|
||
</div>
|
||
|
||
<div class="form-group col-md-2 mt-2 upload-npi" style="display: none;">
|
||
<!-- <div class="cameraIcon">
|
||
<a data-toggle="modal" class="mm" type="vaccine" myidValue="<?php echo $documentsid[_DOC_NPICODE_][0]; ?>" myValue="<?php echo _DOC_NPICODE_; ?>" data-dismiss="modal" aria-hidden="true" >
|
||
<i class="fa fa-camera" style="font-size:24px" onclick="openCameraForDate(this)"></i>
|
||
</a>
|
||
|
||
</div> -->
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit"> <?php echo lang('Upload'); ?></button>
|
||
</div>
|
||
*/
|
||
?>
|
||
|
||
<div class="form-group col-md-2 mt-2 check-npi">
|
||
<button class="btn btn-primary file-upload" id="check-npi-btn" type="button"> <?php echo lang('Check'); ?> </button>
|
||
</div>
|
||
<div class="form-group col-md-2 mt-2 upload-npi save-only" style="display: none;">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit"> <?php echo lang('Save'); ?></button>
|
||
</div>
|
||
<div class="form-group col-md-2 mt-2">
|
||
<?php if($documentsarr[_DOC_NPICODE_][0]){ ?>
|
||
<!-- <a class="img-icon" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[_DOC_NPICODE_][0]; ?>"> -->
|
||
<a class="img-icon dwnload" data-docType="<?=_DOC_NPICODE_?>" data-userid="<?=$nurse->id?>">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 24px;"> -->
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
</a>
|
||
<?php }else{ ?>
|
||
<span use="uploadContainer-">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 50px;"> -->
|
||
<!-- <span class="text-danger">pending</span> -->
|
||
</span>
|
||
<?php } ?>
|
||
</div>
|
||
</div>
|
||
</form>
|
||
<?php
|
||
}
|
||
?>
|
||
|
||
<script>
|
||
$("#check-npi-btn").click(function(){
|
||
var npi_no=$("input[name=<?php echo _DOC_NPICODE_ .'_remarks';?>]").val();
|
||
if(npi_no!=""){
|
||
$.ajax({
|
||
url:'<?=base_url()?>referral/getNpiData?code='+npi_no,
|
||
type :'GET',
|
||
dataType: "json",
|
||
beforeSend: function() {
|
||
$("#npiValid").hide();
|
||
$("#npiinValid").hide();
|
||
$("#npiNoValidating").show();
|
||
$("#npivalidateTab").show();
|
||
$(".check-npi").hide();
|
||
$(".upload-npi").hide();
|
||
},
|
||
success:function(data){
|
||
console.log(data);
|
||
$('#phymdfName').val(data.fname);
|
||
if(data.license)
|
||
{
|
||
$("#npivalidate").val('valid');
|
||
$("#npiValid").show();
|
||
$("#npiinValid").hide();
|
||
$("#npiNoValidating").hide();
|
||
$(".npiclass").prop( "readonly", true );
|
||
$(".upload-npi").show();
|
||
}
|
||
else
|
||
{
|
||
$("#npivalidate").val('invalid');
|
||
$("#npiValid").hide();
|
||
$("#npiinValid").show();
|
||
$("#npiNoValidating").hide();
|
||
$(".check-npi").show();
|
||
}
|
||
}
|
||
});
|
||
}else{
|
||
Swal.fire({
|
||
position: 'center',
|
||
icon: 'error',
|
||
title: 'Please enter npi no.',
|
||
showConfirmButton: false,
|
||
timer: 1500
|
||
});
|
||
}
|
||
});
|
||
</script>
|
||
<script type="text/javascript">
|
||
$(".upload-npi").children("button").text("Save");
|
||
</script>
|
||
|
||
<!-- <hr> -->
|
||
<form role="form" action="<?php echo base_url(); ?>CaregiversDashboard/profileOtherInfo" method="post" enctype="multipart/form-data" use="docSaveForm" data-toggle="validator" novalidate="true">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>" >
|
||
<input type="hidden" name="form_status" value="11">
|
||
<input type="hidden" name="data_type" value="data_reference">
|
||
<!-- <div class="row">
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field"><?php echo lang('Personal References Name'); ?></label>
|
||
<input type="text" class="form-control" name="Personal_References_Name" value='<?php
|
||
if (!empty($nurse->Personal_References_Name)) {
|
||
echo $nurse->Personal_References_Name;
|
||
}
|
||
?>' required data-error="Please fill up the field.">
|
||
<div class="help-block with-errors"></div>
|
||
</div>
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field"><?php echo lang('Personal References Address'); ?></label>
|
||
<input type="text" class="form-control" name="Personal_References_Address" value='<?php
|
||
if (!empty($nurse->Personal_References_Address)) {
|
||
echo $nurse->Personal_References_Address;
|
||
}
|
||
?>' required data-error="Please fill up the field.">
|
||
<div class="help-block with-errors"></div>
|
||
</div>
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field"><?php echo lang('Personal References Telephone'); ?></label>
|
||
<input type="text" class="form-control" name="Personal_References_Telephone" onkeypress="return isNumberKey(event)" onkeyup="USformatPhoneNumber(this.value,this)" onblur="USformatPhoneNumber(this.value,this)" value='<?php
|
||
if (!empty($nurse->Personal_References_Telephone)) {
|
||
echo $nurse->Personal_References_Telephone;
|
||
}
|
||
?>' required data-error="Please fill up the field.">
|
||
<div class="help-block with-errors"></div>
|
||
</div>
|
||
</div>
|
||
<div class="row">
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field"><?php echo lang('Profesonal References Name'); ?></label>
|
||
<input type="text" class="form-control" name="Profesonal_References_Name" value='<?php
|
||
if (!empty($nurse->Profesonal_References_Name)) {
|
||
echo $nurse->Profesonal_References_Name;
|
||
}
|
||
?>' required data-error="Please fill up the field.">
|
||
<div class="help-block with-errors"></div>
|
||
</div>
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field"><?php echo lang('Profesonal References Address'); ?></label>
|
||
<input type="text" class="form-control" name="Profesonal_References_Address" value='<?php
|
||
if (!empty($nurse->Profesonal_References_Address)) {
|
||
echo $nurse->Profesonal_References_Address;
|
||
}
|
||
?>' required data-error="Please fill up the field.">
|
||
<div class="help-block with-errors"></div>
|
||
</div>
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field"><?php echo lang('Profesonal References Telephone'); ?></label>
|
||
<input type="text" class="form-control" name="Profesonal_References_Telephone" onkeypress="return isNumberKey(event)" onkeyup="USformatPhoneNumber(this.value,this)" onblur="USformatPhoneNumber(this.value,this)" value='<?php
|
||
if (!empty($nurse->Profesonal_References_Telephone)) {
|
||
echo $nurse->Profesonal_References_Telephone;
|
||
}
|
||
?>' required data-error="Please fill up the field.">
|
||
<div class="help-block with-errors"></div>
|
||
</div>
|
||
|
||
<div class="form-group col-md-12">
|
||
<button type="submit" name="submit" class="btn btn-primary pull-right"><?php echo lang('submit'); ?></button>
|
||
</div>
|
||
</div> -->
|
||
</form>
|
||
<hr>
|
||
<!-- basic Document tab -->
|
||
<div class="row">
|
||
<div class="form-group col-md-12">
|
||
<button type="button" id="next_tab_basic" class="btn btn-outline-success pull-right basicDoc_submit_btn"><?php echo lang('Next'); ?></button>
|
||
</div>
|
||
</div>
|
||
</div>
|
||
|
||
<div class="tab-pane fade doc_tab medicalDoc" id="tab-new7" role="tabpanel" aria-labelledby="" style="padding: 20px; border: 1px solid #ccc; margin-bottom: 15px; border-radius: 5px;">
|
||
<div class="row">
|
||
<div class="col-md-12 text-danger">
|
||
Note:
|
||
<I>It is MANDATORY that each applicant upload all Required (*) Documents in order for us to process your application and adhere to federal and state regulatory guidelines. Please click on each section below to upload all required documents. Acceptable file types for Pics are gif/jpg/png/jpeg/pdf/webp and Text Documents are pdf/docx.</I><br><br>
|
||
</div>
|
||
</div>
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_EHA_CODE_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_EHA_CODE_][0]; ?>">
|
||
<input type="hidden" name="progress" value="2">
|
||
|
||
<div class="col-md-12">
|
||
<label class="required-field"><?php echo lang('Physical Examination Form');?></label>
|
||
</div>
|
||
|
||
<div class="form-group col-md-4">
|
||
<input type="file" class="form-control" name="<?php echo _DOC_EHA_CODE_ ;?>" <?php if($documentsid[_DOC_EHA_CODE_][0]==""){ echo "required"; } ?> allowedType="gif|jpg|png|jpeg|pdf|webp">
|
||
<!-- <label>If Required <a href="<?php echo base_url(); ?>uploads/downloadable/EmployeeHealthAssesment.pdf" target="_blank">Download</a> Form</label> -->
|
||
</div>
|
||
|
||
<?php
|
||
/*
|
||
<div class="dateClass form-group col-md-4" style="position: relative;top: 17px;">
|
||
<label class="required-field"><?php echo lang('Date Completed'); ?></label>
|
||
<input type="date" class="form-control not_future" name="<?php echo _DOC_EHA_CODE_ .'_remarks';?>" value="<?php echo $documentsrem[_DOC_EHA_CODE_][0]; ?>" required>
|
||
</div>
|
||
*/
|
||
?>
|
||
|
||
<div class="form-group col-md-1">
|
||
<div class="cameraIcon center">
|
||
<a data-toggle="modal" class="mm" type="date" myidValue="<?php echo $documentsid[_DOC_EHA_CODE_][0]; ?>" myValue="<?php echo _DOC_EHA_CODE_; ?>" data-dismiss="modal" aria-hidden="true" >
|
||
<i class="fa fa-camera" style="font-size:24px" onclick="openCameraForDate(this)"></i>
|
||
</a>
|
||
</div>
|
||
</div>
|
||
<div class="col-md-2">
|
||
<div class="center">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit"> <?php echo lang('Upload'); ?></button>
|
||
</div>
|
||
</div>
|
||
<div class="form-group col-md-2">
|
||
<?php if($documentsarr[_DOC_EHA_CODE_][0]!=""){ ?>
|
||
<!-- <a class="img-icon" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[_DOC_EHA_CODE_][0]; ?>"> -->
|
||
<a class="img-icon dwnload" data-docType="<?=_DOC_EHA_CODE_?>" data-userid="<?=$nurse->id?>">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 24px;"> -->
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
</a>
|
||
<?php }else{ ?>
|
||
<span use="uploadContainer">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 50px;"> -->
|
||
<span class="text-danger center">pending</span>
|
||
</span>
|
||
<?php } ?>
|
||
</div>
|
||
|
||
<div class="col-md-12">
|
||
<label>
|
||
If Required
|
||
<a href="<?php echo base_url(); ?>forms_pdf/ANNUAL_PHYSICAL_EXAMINATION_FORM/<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>" target="_blank">
|
||
Download
|
||
</a>
|
||
Form
|
||
</label>
|
||
</div>
|
||
</div>
|
||
</form>
|
||
|
||
<hr>
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_HBV_CODE_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_HBV_CODE_][0]; ?>">
|
||
<input type="hidden" name="progress" value="2">
|
||
|
||
<div class="row">
|
||
<div class="col-md-12">
|
||
<label class="<?php if($nurse->hepatatis_vaccine==1){echo 'required-field';}?>">
|
||
<?php echo lang('Hepatitis B Status Acceptence'); ?>
|
||
</label>
|
||
</div>
|
||
<div class="form-group col-md-4">
|
||
<input type="file" class="form-control" name="<?php echo _DOC_HBV_CODE_ ;?>"
|
||
<?php if($documentsid[_DOC_HBV_CODE_][0]==""){ echo "required"; } ?> allowedType="gif|jpg|png|jpeg|pdf"
|
||
<?php if($nurse->hepatatis_vaccine==1){echo 'required';}?>>
|
||
<!-- <label>
|
||
If Required <a href="<?php echo base_url(); ?>uploads/downloadable/HapatitisBVaccineAcceptene.pdf" target="_blank">Download</a> Form
|
||
</label> -->
|
||
<?php if($nurse->hepatatis_vaccine==0){?>
|
||
<label>
|
||
Employee Hepatitis B Vaccine Waiver Form
|
||
<a href="<?php echo base_url(); ?>forms_pdf/EMPLOYEE_HEP_B_VACCINE_WAIVER/<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>" target="_blank">Download</a>
|
||
</label>
|
||
<?php }?>
|
||
</div>
|
||
|
||
<?php
|
||
/*
|
||
<div class="form-group col-md-3 dateClass">
|
||
<label class="<?php if($emp_health_assesment->hepatatis_vaccine==1){echo 'required-field';}?>">
|
||
<?php echo lang('Date Completed'); ?>
|
||
</label>
|
||
<input type="date" class="form-control not_future" name="<?php echo _DOC_HBV_CODE_ .'_remarks';?>" value="<?php echo $documentsrem[_DOC_HBV_CODE_][0]; ?>"
|
||
<?php if($emp_health_assesment->hepatatis_vaccine==1){echo 'required';}?>>
|
||
</div>
|
||
*/
|
||
?>
|
||
|
||
<div class="form-group col-md-1">
|
||
<div class="cameraIcon center">
|
||
<a data-toggle="modal" class="mm" type="date" myidValue="<?php echo $documentsid[_DOC_HBV_CODE_][0]; ?>" myValue="<?php echo _DOC_HBV_CODE_; ?>" data-dismiss="modal" aria-hidden="true" >
|
||
<i class="fa fa-camera" style="font-size:24px;" onclick="openCameraForDate(this)"></i>
|
||
</a>
|
||
</div>
|
||
</div>
|
||
<div class="form-group col-md-2">
|
||
<div class="center">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit"><?php echo lang('Upload');?></button>
|
||
</div>
|
||
</div>
|
||
<div class="form-group col-md-2">
|
||
<?php
|
||
if($documentsarr[_DOC_HBV_CODE_][0]!=""){
|
||
?>
|
||
<!-- <a class="img-icon" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[_DOC_HBV_CODE_][0]; ?>"> -->
|
||
<a class="img-icon dwnload" data-docType="<?=_DOC_HBV_CODE_?>" data-userid="<?=$nurse->id?>">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 24px;"> -->
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
</a>
|
||
<?php
|
||
}else{
|
||
?>
|
||
<span use="uploadContainer">
|
||
<?php if($emp_health_assesment->hepatatis_vaccine==1){echo '<span class="text-danger center">pending</span>';}?>
|
||
</span>
|
||
<?php
|
||
}
|
||
?>
|
||
</div>
|
||
<?php
|
||
if(isset($emp_health_assesment->hepatatis_vaccine) && $emp_health_assesment->hepatatis_vaccine==0){
|
||
?>
|
||
<div class="form-group col-md-12">
|
||
<label>
|
||
Please Download and complete the Waiver Form. Employee Hepatitis B Vaccine Waiver Form
|
||
<a href="<?php echo base_url(); ?>forms_pdf/EMPLOYEE_HEP_B_VACCINE_WAIVER/<?php if(!empty($nurse->caregiver_table_id)){echo $nurse->caregiver_table_id;}?>" target="_blank">
|
||
Download
|
||
</a>
|
||
</label>
|
||
</div>
|
||
<?php
|
||
}
|
||
?>
|
||
</div>
|
||
</form>
|
||
|
||
<hr>
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="progress" value="1">
|
||
<input type="hidden" name="doc_type" value="PPD">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_PPDCODE_][0]; ?>">
|
||
|
||
<div class="form-group col-md-3">
|
||
<label class="required-field"><?php echo lang('Tuberculosis Test / Quantiferon'); ?></label>
|
||
<div class="form-check">
|
||
<input class="form-check-input ppdVal" type="radio" id="PPD" name="PPD_remarks" value="PPD"
|
||
<?php if ($documentsrem[_DOC_PPDCODE_][0]=='PPD') { echo "checked"; } ?> required>
|
||
<label class="form-check-label" for="PPD">
|
||
PPD
|
||
</label>
|
||
</div>
|
||
<div class="form-check">
|
||
<input class="form-check-input ppdVal" type="radio" id="Quantiferonon" name="PPD_remarks" value="Quantiferonon"
|
||
<?php if ($documentsrem[_DOC_PPDCODE_][0]=='Quantiferonon') { echo "checked"; } ?> required>
|
||
<label class="form-check-label" for="Quantiferonon">
|
||
Quantiferon
|
||
</label>
|
||
</div>
|
||
</div>
|
||
|
||
<div class="form-group col-md-2" style="display: none;">
|
||
<label><?php echo lang('Date'); ?></label>
|
||
<input type="date" class="form-control" id="PPD_Quantiferonon_date" name="PPD_Quantiferonon_date" value="<?=$nurse->PPD_Quantiferonon_date?>">
|
||
</div>
|
||
|
||
|
||
|
||
<div class="form-group col-md-3" id="chest_X_ray_File">
|
||
<div>
|
||
<label class="required-field"><?php echo lang('PPD/Quantiferonon Report'); ?></label>
|
||
<input type="file" class="form-control" name="<?php echo _DOC_PPDCODE_ ; ?>" <?php if($documentsid[_DOC_PPDCODE_][0]==""){ echo "required"; } ?> allowedType="gif|jpg|png|jpeg|pdf">
|
||
|
||
</div>
|
||
</div>
|
||
|
||
<div class="form-group col-md-1 center">
|
||
<div class="cameraIcon" id="chest_X_ray_File_camera">
|
||
<a data-toggle="modal" class="mm" myidValue="" my_value="CXR" data-dismiss="modal" aria-hidden="true" >
|
||
|
||
<i class="fa fa-camera" style="font-size:24px" onclick="openCameraForPPD(this)"></i>
|
||
</a>
|
||
</div>
|
||
</div>
|
||
|
||
<div class="form-group col-md-2 center">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit"> <?php echo lang('Upload'); ?></button>
|
||
</div>
|
||
|
||
<div class="form-group col-md-2 center">
|
||
<?php
|
||
if($documentsarr[_DOC_PPDCODE_][0]!=""){
|
||
?>
|
||
<!-- <a class="img-icon" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[_DOC_PPDCODE_][0]; ?>"> -->
|
||
<a class="img-icon dwnload" data-docType="<?=_DOC_PPDCODE_?>" data-userid="<?=$nurse->id?>">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 24px;"> -->
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
</a>
|
||
<?php
|
||
}else{
|
||
?>
|
||
|
||
<span use="uploadContainer">
|
||
|
||
<span class="text-danger center">pending</span>
|
||
</span>
|
||
<?php
|
||
}
|
||
?>
|
||
</div>
|
||
</div>
|
||
</form>
|
||
|
||
<!-- For Positive PPD reading -->
|
||
<?php
|
||
if($nurse->positive_ppd==1){
|
||
?>
|
||
<br>
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_CHEST_X_RAYCODE_; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_CHEST_X_RAYCODE_][0]; ?>">
|
||
<input type="hidden" name="progress" value="0">
|
||
|
||
<div class="row">
|
||
<div class="col-md-12">
|
||
<label class="">
|
||
<?php echo lang('Chest X-ray'); ?>
|
||
</label>
|
||
</div>
|
||
<div class="form-group col-md-4">
|
||
<input type="file" class="form-control" name="<?php echo _DOC_CHEST_X_RAYCODE_;?>"
|
||
<?php if($documentsid[_DOC_CHEST_X_RAYCODE_][0]==""){ echo "required"; } ?> allowedType="gif|jpg|png|jpeg|pdf">
|
||
|
||
</div>
|
||
|
||
|
||
|
||
<!-- <div class="form-group col-md-1">
|
||
<div class="cameraIcon center">
|
||
<a data-toggle="modal" class="mm" type="date" myidValue="<?php echo $documentsid[_DOC_CHEST_X_RAYCODE_][0]; ?>" myValue="<?php echo _DOC_HBV_CODE_; ?>" data-dismiss="modal" aria-hidden="true" >
|
||
<i class="fa fa-camera" style="font-size:24px;" onclick="openCameraForDate(this)"></i>
|
||
</a>
|
||
</div>
|
||
</div> -->
|
||
<div class="form-group col-md-2">
|
||
<div class="center">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit"><?php echo lang('Upload');?></button>
|
||
</div>
|
||
</div>
|
||
<div class="form-group col-md-2">
|
||
<?php
|
||
if($documentsarr[_DOC_CHEST_X_RAYCODE_][0]!=""){
|
||
?>
|
||
<!-- <a class="img-icon" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[_DOC_CHEST_X_RAYCODE_][0]; ?>"> -->
|
||
<a class="img-icon dwnload" data-docType="<?=_DOC_CHEST_X_RAYCODE_?>" data-userid="<?=$nurse->id?>">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 24px;"> -->
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
</a>
|
||
<?php
|
||
}else{
|
||
?>
|
||
<span use="uploadContainer">
|
||
<span class="text-danger center">pending</span>
|
||
</span>
|
||
<?php
|
||
}
|
||
?>
|
||
</div>
|
||
|
||
</div>
|
||
</form>
|
||
<?php
|
||
}
|
||
?>
|
||
<!-- For Positive PPD reading -->
|
||
|
||
<!-- If any one Tuberculosis Questionnaire Condition is Yes then Upload Section will be visible(One
|
||
doc upload section for all Questions)-->
|
||
|
||
<?php
|
||
if($tuberculosis_status->count>0){
|
||
?>
|
||
<hr>
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_TUBERCULOSIS_QUESTIONNAIRE; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_TUBERCULOSIS_QUESTIONNAIRE][0]; ?>">
|
||
<input type="hidden" name="progress" value="0">
|
||
|
||
<div class="row">
|
||
<div class="col-md-12">
|
||
<label class="">
|
||
<?php echo lang('Tuberculosis Questionnaire Report'); ?>
|
||
</label>
|
||
</div>
|
||
<div class="form-group col-md-4">
|
||
<input type="file" class="form-control" name="<?php echo _DOC_TUBERCULOSIS_QUESTIONNAIRE;?>"
|
||
<?php if($documentsid[_DOC_TUBERCULOSIS_QUESTIONNAIRE][0]==""){ echo "required"; } ?> allowedType="gif|jpg|png|jpeg|pdf">
|
||
|
||
</div>
|
||
|
||
|
||
|
||
<!-- <div class="form-group col-md-1">
|
||
<div class="cameraIcon center">
|
||
<a data-toggle="modal" class="mm" type="date" myidValue="<?php echo $documentsid[_DOC_TUBERCULOSIS_QUESTIONNAIRE][0]; ?>" myValue="<?php echo _DOC_HBV_CODE_; ?>" data-dismiss="modal" aria-hidden="true" >
|
||
<i class="fa fa-camera" style="font-size:24px;" onclick="openCameraForDate(this)"></i>
|
||
</a>
|
||
</div>
|
||
</div> -->
|
||
<div class="form-group col-md-2">
|
||
<div class="center">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit"><?php echo lang('Upload');?></button>
|
||
</div>
|
||
</div>
|
||
<div class="form-group col-md-2">
|
||
<?php
|
||
if($documentsarr[_DOC_TUBERCULOSIS_QUESTIONNAIRE][0]!=""){
|
||
?>
|
||
<!-- <a class="img-icon" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[_DOC_TUBERCULOSIS_QUESTIONNAIRE][0]; ?>"> -->
|
||
<a class="img-icon dwnload" data-docType="<?=_DOC_TUBERCULOSIS_QUESTIONNAIRE?>" data-userid="<?=$nurse->id?>">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 24px;"> -->
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
|
||
</a>
|
||
<?php
|
||
}else{
|
||
?>
|
||
<span use="uploadContainer">
|
||
<span class="text-danger center">pending</span>
|
||
</span>
|
||
<?php
|
||
}
|
||
?>
|
||
</div>
|
||
|
||
</div>
|
||
</form>
|
||
<?php
|
||
}
|
||
?>
|
||
|
||
<!-- If any one Tuberculosis Questionnaire Condition is Yes then Upload Section will be visible(One
|
||
doc upload section for all Questions)-->
|
||
|
||
<div class="modal ppd_camera_modal" >
|
||
<div class="modal-dialog modal_small md_mr">
|
||
<div class="modal-content">
|
||
<div class="modal-header">
|
||
<header class="page-header">
|
||
<button type="button" class="close closeModalClass" data-dismiss="modal" aria-hidden="true"><b> × </b></button>
|
||
<h2><b><?php echo lang("TAKE A PICTURE"); ?></b></h2>
|
||
</header>
|
||
</div>
|
||
<div class="modal-body" >
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/updatedata" method="post" enctype="multipart/form-data" use="docSaveForm" >
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" class="doc_type_val" value="">
|
||
<input type="hidden" name="progress" value="1">
|
||
<input type="hidden" name="image" class="ppd-image-tag">
|
||
<div id="section"><!-- for dynamic controls--></div>
|
||
<div class="text-center">
|
||
<!-- <h4 class="mb-0">Coming Soon</h4> -->
|
||
<div id="ppd_dropdownbutton" style="display: none;" >
|
||
<input type=button class="takesnap" value="Take Snapshot" onclick="ppd_take_snapshot()">
|
||
</div>
|
||
|
||
|
||
<div id="ppd_picbutton" style="display: none; margin-bottom: 11px;" >
|
||
<a class="mm" my_value="">
|
||
<input type=button class="takesnap changePicture" value="Change Picture" onclick="openCameraForPPD(this)">
|
||
</a>
|
||
</div>
|
||
<!-- <i class="fa fa-camera mdsg" style="font-size:24px" onclick="open_camera()"></i> -->
|
||
<div id="ppd_my_camera"></div>
|
||
|
||
<div id="ppd_results" style="margin-top: 5px;"></div>
|
||
|
||
<div id="ppd_submitbutton" style="display: none;">
|
||
<button class="btn btn-primary file-upload submtStl" name="upload" type="submit" id="ppd_submit_pic" > Submit</button>
|
||
<!-- <input type=button class="submtStl" value="Submit" > -->
|
||
</div>
|
||
</div>
|
||
</form>
|
||
</div>
|
||
</div>
|
||
</div>
|
||
</div>
|
||
|
||
<script>
|
||
function openCameraForPPD(el) {
|
||
// alert($('#PPD_Quantiferonon_status').val());
|
||
$('#section').find('input').remove();
|
||
var selector = $(".ppdVal:checked").val();
|
||
var remarksVal = $('#PPD_Quantiferonon_status').val();
|
||
var PPD_Quantiferonon_date = $('#PPD_Quantiferonon_date').val();
|
||
var v = $(el).parents('.mm').attr('my_value');
|
||
// alert(v);
|
||
// var d = $(el).parents('.mm').attr('myidValue');
|
||
// alert(dateVal);
|
||
if(remarksVal!='' && PPD_Quantiferonon_date!='' && selector!=undefined){
|
||
$('.ppd_camera_modal').modal('show');
|
||
var newInput1 = $("<input type='hidden' value='"+PPD_Quantiferonon_date+"' />")
|
||
.attr("id", "PPD_Quantiferonon_date")
|
||
.attr("name", "PPD_Quantiferonon_date");
|
||
var newInput2 = $("<input type='hidden' value='"+remarksVal+"' />")
|
||
.attr("id", "PPD_Quantiferonon_status")
|
||
.attr("name", "PPD_Quantiferonon_status");
|
||
var newInput3 = $("<input type='hidden' value='"+selector+"' />")
|
||
.attr("id", "PPD_Quantiferonon")
|
||
.attr("name", "PPD_Quantiferonon");
|
||
$('#section').append(newInput1);
|
||
$('#section').append(newInput2);
|
||
$('#section').append(newInput3);
|
||
Webcam.set({
|
||
width: 490,
|
||
height: 390,
|
||
image_format: 'jpeg',
|
||
jpeg_quality: 90
|
||
});
|
||
|
||
|
||
Webcam.attach( '#ppd_my_camera' );
|
||
$(".doc_type_val").val(v);
|
||
$(".mm").attr('my_value', v);
|
||
$("#ppd_dropdownbutton").css('display', '');
|
||
$("#ppd_submitbutton").css('display', 'none');
|
||
$("#ppd_my_camera").show();
|
||
$("#ppd_results").hide();
|
||
$("#ppd_picbutton").css('display', 'none');
|
||
}else{
|
||
Swal.fire({
|
||
position: 'center',
|
||
icon: 'error',
|
||
title: 'Please fill up date field.',
|
||
showConfirmButton: false,
|
||
timer: 1500
|
||
});
|
||
}
|
||
|
||
}
|
||
function ppd_take_snapshot() {
|
||
$("#ppd_my_camera").hide();
|
||
$("#ppd_results").show();
|
||
Webcam.snap( function(data_uri) {
|
||
|
||
$(".ppd-image-tag").val(data_uri);
|
||
document.getElementById('ppd_results').innerHTML = '<img src="'+data_uri+'"/>';
|
||
$("#ppd_dropdownbutton").css('display', 'none');
|
||
$("#ppd_submitbutton").css('display', '');
|
||
$("#ppd_picbutton").css('display', '');
|
||
} );
|
||
}
|
||
$("#ppd_submit_pic").click(function () {
|
||
|
||
// $('#section').find('input').attr("name", '').val('');
|
||
// $('#section').find('input').remove();
|
||
$('.ppd_camera_modal').modal('toggle');
|
||
|
||
});
|
||
</script>
|
||
<hr>
|
||
|
||
<!-- <form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_RBL_CODE_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_RBL_CODE_][0]; ?>">
|
||
<input type="hidden" name="progress" value="1">
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field"><?php echo lang('Rubella Document'); ?></label>
|
||
<input type="file" class="form-control" name="<?php echo _DOC_RBL_CODE_ ;?>" <?php if($documentsid[_DOC_RBL_CODE_][0]==""){ echo ""; } ?> allowedType="gif|jpg|png|jpeg|pdf" required>
|
||
</div>
|
||
|
||
<div class="col-md-1 center">
|
||
<div class="cameraIcon">
|
||
<a data-toggle="modal" class="mm" type="RBL" myidValue="<?php echo $documentsid[_DOC_RBL_CODE_][0]; ?>" myValue="<?php echo _DOC_RBL_CODE_; ?>" data-dismiss="modal" aria-hidden="true" >
|
||
<i class="fa fa-camera" style="font-size:24px" onclick="openCameraForDate(this)"></i>
|
||
</a>
|
||
</div>
|
||
</div>
|
||
<div class="col-md-2 center">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit"> <?php echo lang('Upload'); ?></button>
|
||
</div>
|
||
|
||
<div class="form-group col-md-2 center">
|
||
<?php if($documentsarr[_DOC_RBL_CODE_][0]!=""){ ?>
|
||
<a class="img-icon dwnload" data-docType="<?=_DOC_RBL_CODE_?>" data-userid="<?=$nurse->id?>">
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
</a>
|
||
<?php }else{ ?>
|
||
<span use="uploadContainer">
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php } ?>
|
||
</div>
|
||
</div>
|
||
</form> -->
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_RRM_CODE_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_RRM_CODE_][0]; ?>">
|
||
<input type="hidden" name="progress" value="3">
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field"><?php echo lang('RRM'); ?></label>
|
||
<input type="file" class="form-control" name="<?php echo _DOC_RRM_CODE_ ;?>" <?php if($documentsid[_DOC_RRM_CODE_][0]==""){ echo ""; } ?> allowedType="gif|jpg|png|jpeg|pdf" required>
|
||
</div>
|
||
|
||
<div class="col-md-1 center">
|
||
<div class="cameraIcon">
|
||
<a data-toggle="modal" class="mm" type="RRM" myidValue="<?php echo $documentsid[_DOC_RRM_CODE_][0]; ?>" myValue="<?php echo _DOC_RRM_CODE_; ?>" data-dismiss="modal" aria-hidden="true" >
|
||
<i class="fa fa-camera" style="font-size:24px" onclick="openCameraForDate(this)"></i>
|
||
</a>
|
||
</div>
|
||
</div>
|
||
<div class="col-md-2 center">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit"> <?php echo lang('Upload'); ?></button>
|
||
</div>
|
||
|
||
<div class="form-group col-md-2 center">
|
||
<?php if($documentsarr[_DOC_RRM_CODE_][0]!=""){ ?>
|
||
<a class="img-icon dwnload" data-docType="<?=_DOC_RRM_CODE_?>" data-userid="<?=$nurse->id?>">
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
</a>
|
||
<?php }else{ ?>
|
||
<span use="uploadContainer">
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php } ?>
|
||
</div>
|
||
</div>
|
||
</form>
|
||
<script>
|
||
function openCameraForDate(el) {
|
||
// alert("hii");
|
||
$('#section2').find('input').remove();
|
||
var type = $(el).parents('.mm').attr('type');
|
||
if(type=='RBL'){
|
||
var v = $(el).parents('.mm').attr('myValue');
|
||
var d = $(el).parents('.mm').attr('myidValue');
|
||
var remarks = v+'_remarks';
|
||
var documents_no = v+'_documents_no';
|
||
alert(documents_no);
|
||
var documentsVal = $('#'+documents_no).val();
|
||
if(documentsVal== null){
|
||
Swal.fire({
|
||
position: 'center',
|
||
icon: 'error',
|
||
title: 'Please fill up dropdown field.',
|
||
showConfirmButton: false,
|
||
timer: 1500
|
||
});
|
||
}
|
||
if(documentsVal=='Not Immune'){
|
||
var remarksVal = $('.remarksClass').find("input[name="+remarks+"]").val();
|
||
if(remarksVal==''){
|
||
Swal.fire({
|
||
position: 'center',
|
||
icon: 'error',
|
||
title: 'Please fill up date field.',
|
||
showConfirmButton: false,
|
||
timer: 1500
|
||
});
|
||
}
|
||
}
|
||
if((documentsVal=='Immune') || (documentsVal=='Not Immune' && remarksVal!='')){
|
||
$('.camera_modal').modal('show');
|
||
var newInput = $("<input type='hidden' value='"+documentsVal+"' />").attr("name", documents_no);
|
||
$('#section2').append(newInput);
|
||
if(remarksVal!=''){
|
||
var newInput1 = $("<input type='hidden' value='"+remarksVal+"' />").attr("name", remarks);
|
||
$('#section2').append(newInput1);
|
||
}
|
||
Webcam.set({
|
||
width: 490,
|
||
height: 390,
|
||
image_format: 'jpeg',
|
||
jpeg_quality: 90
|
||
});
|
||
|
||
|
||
Webcam.attach( '#my_camera' );
|
||
$(".doc_type_val").val(v);
|
||
$(".doc_id_val").val(d);
|
||
$("#dropdownbutton").css('display', '');
|
||
$("#submitbutton").css('display', 'none');
|
||
$("#my_camera").show();
|
||
$("#results").hide();
|
||
$("#picbutton").css('display', 'none');
|
||
}
|
||
|
||
|
||
}else if(type=='vaccine'){
|
||
var v = $(el).parents('.mm').attr('myValue');
|
||
var remarks=v+'_remarks';
|
||
alert(remarks);
|
||
var d = $(el).parents('.mm').attr('myidValue');
|
||
if(remarks=='FLV_remarks'){
|
||
var remarksVal = $('#'+remarks).val();
|
||
}else if(remarks=='CVD_remarks'){
|
||
var remarksVal = $(".cvdVal:checked").val();
|
||
}else{
|
||
var remarksVal = $('#'+remarks).val();
|
||
}
|
||
|
||
if(remarksVal!=''){
|
||
$('.camera_modal').modal('show');
|
||
var newInput = $("<input type='hidden' value='"+remarksVal+"' />").attr("name", remarks);
|
||
$('#section2').append(newInput);
|
||
Webcam.set({
|
||
width: 490,
|
||
height: 390,
|
||
image_format: 'jpeg',
|
||
jpeg_quality: 90
|
||
});
|
||
|
||
|
||
Webcam.attach( '#my_camera' );
|
||
$(".doc_type_val").val(v);
|
||
$(".doc_id_val").val(d);
|
||
$("#dropdownbutton").css('display', '');
|
||
$("#submitbutton").css('display', 'none');
|
||
$("#my_camera").show();
|
||
$("#results").hide();
|
||
$("#picbutton").css('display', 'none');
|
||
}else{
|
||
Swal.fire({
|
||
position: 'center',
|
||
icon: 'error',
|
||
title: 'Please fill up required field.',
|
||
showConfirmButton: false,
|
||
timer: 1500
|
||
});
|
||
}
|
||
}else if(type=='date'){
|
||
var v = $(el).parents('.mm').attr('myValue');
|
||
var remarks=v+'_remarks';
|
||
var d = $(el).parents('.mm').attr('myidValue');
|
||
var dateVal = $('.dateClass').find("input[name="+remarks+"]").val();
|
||
// alert(dateVal);
|
||
if(dateVal!=''){
|
||
$('.camera_modal').modal('show');
|
||
var newInput = $("<input type='hidden' value='"+dateVal+"' />")
|
||
.attr("id", "myfieldid")
|
||
.attr("name", remarks);
|
||
$('#section2').append(newInput);
|
||
Webcam.set({
|
||
width: 490,
|
||
height: 390,
|
||
image_format: 'jpeg',
|
||
jpeg_quality: 90
|
||
});
|
||
|
||
|
||
Webcam.attach( '#my_camera' );
|
||
$(".doc_type_val").val(v);
|
||
$(".doc_id_val").val(d);
|
||
$("#dropdownbutton").css('display', '');
|
||
$("#submitbutton").css('display', 'none');
|
||
$("#my_camera").show();
|
||
$("#results").hide();
|
||
$("#picbutton").css('display', 'none');
|
||
}else{
|
||
Swal.fire({
|
||
position: 'center',
|
||
icon: 'error',
|
||
title: 'Please fill up date field.',
|
||
showConfirmButton: false,
|
||
timer: 1500
|
||
});
|
||
}
|
||
}
|
||
|
||
|
||
|
||
}
|
||
// $("input[type=radio][name=<?php echo _DOC_RBL_CODE_ .'_documents_no';?>]").click(function(){
|
||
// if($(this).val()=='Not Immune'){
|
||
// $('.rbl_Date_Completed').show();
|
||
// $('.rbl_Date_Completed').attr("required","required");
|
||
// }else{
|
||
// $('.rbl_Date_Completed').hide();
|
||
// $('.rbl_Date_Completed').removeAttr("required");
|
||
// }
|
||
// })
|
||
|
||
function rubella_titre_option(rubella_titre_option){
|
||
if(rubella_titre_option=='Not Immune'){
|
||
$('.rbl_date_Completed').show();
|
||
$('.rbl_date_Completed').attr("required","required");
|
||
}else{
|
||
$('.rbl_date_Completed').hide();
|
||
$('.rbl_date_Completed').removeAttr("required");
|
||
}
|
||
}
|
||
</script>
|
||
<hr>
|
||
|
||
<!-- <form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_RBO_CODE_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_RBO_CODE_][0]; ?>">
|
||
<input type="hidden" name="progress" value="1">
|
||
|
||
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field"><?php echo lang('Rubeola Document'); ?></label>
|
||
<input type="file" class="form-control" name="<?php echo _DOC_RBO_CODE_ ;?>" <?php if($documentsid[_DOC_RBO_CODE_][0]==""){ echo ""; } ?> allowedType="gif|jpg|png|jpeg|pdf" required>
|
||
</div>
|
||
<div class="col-md-1 center">
|
||
<div class="cameraIcon">
|
||
<a data-toggle="modal" class="mm" type="RBL" myidValue="<?php echo $documentsid[_DOC_RBO_CODE_][0]; ?>" myValue="<?php echo _DOC_RBO_CODE_; ?>" data-dismiss="modal" aria-hidden="true" >
|
||
<i class="fa fa-camera" style="font-size:24px" onclick="openCameraForDate(this)"></i>
|
||
</a>
|
||
</div>
|
||
</div>
|
||
<div class="col-md-2 center">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit"> <?php echo lang("Upload"); ?></button>
|
||
</div>
|
||
|
||
<div class="col-md-2 center">
|
||
<?php if($documentsarr[_DOC_RBO_CODE_][0]!=""){ ?>
|
||
|
||
<a class="img-icon dwnload" data-docType="<?=_DOC_RBO_CODE_?>" data-userid="<?=$nurse->id?>">
|
||
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
</a>
|
||
<?php }else{ ?>
|
||
<span use="uploadContainer">
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php } ?>
|
||
</div>
|
||
</div>
|
||
</form> -->
|
||
<hr>
|
||
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_CHICKENPOXCODE_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_CHICKENPOXCODE_][0]; ?>">
|
||
<input type="hidden" name="progress" value="1">
|
||
|
||
<div class="form-group col-md-4">
|
||
<label class="<?php if($nurse->qualification_type!="6"){echo 'required-field';}?>">
|
||
<?php echo lang('Varicella/Chickenpox'); ?>
|
||
</label>
|
||
<input type="file" class="form-control" name="<?php echo _DOC_CHICKENPOXCODE_ ;?>"
|
||
<?php if($nurse->qualification_type!="6"){if($documentsid[_DOC_CHICKENPOXCODE_][0]==""){echo "required"; }}?>
|
||
allowedType="gif|jpg|png|jpeg|pdf">
|
||
</div>
|
||
|
||
<!-- <div class="dateClass form-group col-md-4 rbl_Date_Completed">
|
||
<label class="required-field"><?php echo lang('Date Completed'); ?></label>
|
||
<input type="date" class="form-control rbl_Date_Completed not_future" name="<?php echo _DOC_CHICKENPOXCODE_ .'_remarks';?>" value="<?php echo $documentsrem[_DOC_CHICKENPOXCODE_][0]; ?>" required>
|
||
</div> -->
|
||
|
||
<!-- <div class="form-group col-md-1 mt-2 mt-2"> -->
|
||
<div class="col-md-1 center">
|
||
<div class="cameraIcon">
|
||
<a data-toggle="modal" class="mm" type="date" myidValue="<?php echo $documentsid[_DOC_CHICKENPOXCODE_][0]; ?>" myValue="<?php echo _DOC_CHICKENPOXCODE_; ?>" data-dismiss="modal" aria-hidden="true" >
|
||
<i class="fa fa-camera" style="font-size:24px" onclick="openCameraForDate(this)"></i>
|
||
</a>
|
||
</div>
|
||
</div>
|
||
<div class="col-md-2 center">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit"> <?php echo lang('Upload'); ?></button>
|
||
</div>
|
||
|
||
<div class="form-group col-md-2 center">
|
||
<?php if($documentsarr[_DOC_CHICKENPOXCODE_][0]!=""){ ?>
|
||
<!-- <a class="img-icon" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[_DOC_CHICKENPOXCODE_][0]; ?>"> -->
|
||
<a class="img-icon dwnload" data-docType="<?=_DOC_CHICKENPOXCODE_?>" data-userid="<?=$nurse->id?>">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 24px;"> -->
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
</a>
|
||
<?php }else{ ?>
|
||
<span use="uploadContainer">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 50px;"> -->
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php } ?>
|
||
</div>
|
||
</div>
|
||
</form>
|
||
<script>
|
||
// $("input[type=radio][name=<?php echo _DOC_RBO_CODE_ .'_documents_no';?>]").click(function(){
|
||
// if($(this).val()=='Not Immune'){
|
||
// $('.rbo_Date_Completed').show();
|
||
// $('.rbo_Date_Completed').attr("required","required");
|
||
// }else{
|
||
// $('.rbo_Date_Completed').hide();
|
||
// $('.rbo_Date_Completed').removeAttr("required");
|
||
// }
|
||
// })
|
||
function rubeola_titre_option(rubeola_titre_option){
|
||
if(rubeola_titre_option=='Not Immune'){
|
||
$('.rbo_Date_Completed').show();
|
||
$('.rbo_Date_Completed').attr("required","required");
|
||
}else{
|
||
$('.rbo_Date_Completed').hide();
|
||
$('.rbo_Date_Completed').removeAttr("required");
|
||
}
|
||
}
|
||
</script>
|
||
<hr>
|
||
|
||
<!-- <form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_DIPHTHERIA_CODE_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_DIPHTHERIA_CODE_][0]; ?>">
|
||
<input type="hidden" name="progress" value="1">
|
||
<input type="hidden" name="<?php echo _DOC_DIPHTHERIA_CODE_ ; ?>_documents_no" value="2">
|
||
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field"><?php echo lang('Diphtheria'); ?></label>
|
||
<input type="file" class="form-control" name="<?=_DOC_DIPHTHERIA_CODE_?>" allowedType="gif|jpg|png|jpeg|pdf" required>
|
||
</div>
|
||
<div class="col-md-1 center mt-1">
|
||
<div class="cameraIcon">
|
||
<a data-toggle="modal" class="mm" type="date" myidValue="<?php echo $documentsid[_DOC_DIPHTHERIA_CODE_][0]; ?>" myValue="<?php echo _DOC_DIPHTHERIA_CODE_; ?>" data-dismiss="modal" aria-hidden="true" >
|
||
<i class="fa fa-camera" style="font-size:24px" onclick="openCameraForDate(this)"></i>
|
||
</a>
|
||
</div>
|
||
</div>
|
||
<div class="col-md-2 center mt-1">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit">
|
||
<?php echo lang('Upload'); ?>
|
||
</button>
|
||
</div>
|
||
<div class="form-group col-md-2 center mt-1">
|
||
<?php
|
||
if($documentsarr[_DOC_DIPHTHERIA_CODE_][0]!=""){
|
||
?>
|
||
<a class="img-icon file-link-after-uploaded dwnload" data-docType="<?=_DOC_DIPHTHERIA_CODE_?>" data-userid="<?=$nurse->id?>">
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
</a>
|
||
<?php
|
||
}else{
|
||
?>
|
||
<span use="uploadContainer">
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php
|
||
}
|
||
?>
|
||
</div>
|
||
</div>
|
||
</form> -->
|
||
<hr>
|
||
|
||
<!-- <form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_TETANUS_CODE_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_TETANUS_CODE_][0]; ?>">
|
||
<input type="hidden" name="progress" value="1">
|
||
<input type="hidden" name="<?php echo _DOC_TETANUS_CODE_ ; ?>_documents_no" value="2">
|
||
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field"><?php echo lang('Tetanus'); ?></label>
|
||
<input type="file" class="form-control" name="<?=_DOC_TETANUS_CODE_?>" allowedType="gif|jpg|png|jpeg|pdf" required>
|
||
</div>
|
||
<div class="col-md-1 center mt-1">
|
||
<div class="cameraIcon">
|
||
<a data-toggle="modal" class="mm" type="date" myidValue="<?php echo $documentsid[_DOC_TETANUS_CODE_][0]; ?>" myValue="<?php echo _DOC_TETANUS_CODE_; ?>" data-dismiss="modal" aria-hidden="true" >
|
||
<i class="fa fa-camera" style="font-size:24px" onclick="openCameraForDate(this)"></i>
|
||
</a>
|
||
</div>
|
||
</div>
|
||
<div class="col-md-2 center mt-1">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit">
|
||
<?php echo lang('Upload'); ?>
|
||
</button>
|
||
</div>
|
||
<div class="form-group col-md-2 center mt-1">
|
||
<?php
|
||
if($documentsarr[_DOC_TETANUS_CODE_][0]!=""){
|
||
?>
|
||
<a class="img-icon file-link-after-uploaded dwnload" data-docType="<?=_DOC_TETANUS_CODE_?>" data-userid="<?=$nurse->id?>">
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
</a>
|
||
<?php
|
||
}else{
|
||
?>
|
||
<span use="uploadContainer">
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php
|
||
}
|
||
?>
|
||
</div>
|
||
|
||
|
||
</div>
|
||
</form> -->
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_TDAP_CODE_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_TDAP_CODE_][0]; ?>">
|
||
<input type="hidden" name="progress" value="2">
|
||
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field"><?php echo lang('TDAP'); ?></label>
|
||
<input type="file" class="form-control" name="<?=_DOC_TDAP_CODE_?>" allowedType="gif|jpg|png|jpeg|pdf" required>
|
||
</div>
|
||
<div class="col-md-1 center mt-1">
|
||
<div class="cameraIcon">
|
||
<a data-toggle="modal" class="mm" type="date" myidValue="<?php echo $documentsid[_DOC_TDAP_CODE_][0]; ?>" myValue="<?php echo _DOC_TDAP_CODE_; ?>" data-dismiss="modal" aria-hidden="true" >
|
||
<i class="fa fa-camera" style="font-size:24px" onclick="openCameraForDate(this)"></i>
|
||
</a>
|
||
</div>
|
||
</div>
|
||
<div class="col-md-2 center mt-1">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit">
|
||
<?php echo lang('Upload'); ?>
|
||
</button>
|
||
</div>
|
||
<div class="form-group col-md-2 center mt-1">
|
||
<?php
|
||
if($documentsarr[_DOC_TDAP_CODE_][0]!=""){
|
||
?>
|
||
<a class="img-icon file-link-after-uploaded dwnload" data-docType="<?=_DOC_TDAP_CODE_?>" data-userid="<?=$nurse->id?>">
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
</a>
|
||
<?php
|
||
}else{
|
||
?>
|
||
<span use="uploadContainer">
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php
|
||
}
|
||
?>
|
||
</div>
|
||
|
||
|
||
</div>
|
||
</form>
|
||
<hr>
|
||
|
||
<!-- <form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_MUMPS_CODE_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_MUMPS_CODE_][0]; ?>">
|
||
<input type="hidden" name="progress" value="1">
|
||
<input type="hidden" name="<?php echo _DOC_MUMPS_CODE_ ; ?>_documents_no" value="0">
|
||
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field"><?php echo lang('Mumps'); ?></label>
|
||
<input type="file" class="form-control" name="<?=_DOC_MUMPS_CODE_?>" allowedType="gif|jpg|png|jpeg|pdf" required>
|
||
</div>
|
||
<div class="col-md-1 center mt-1">
|
||
<div class="cameraIcon">
|
||
<a data-toggle="modal" class="mm" type="date" myidValue="<?php echo $documentsid[_DOC_MUMPS_CODE_][0]; ?>" myValue="<?php echo _DOC_MUMPS_CODE_; ?>" data-dismiss="modal" aria-hidden="true" >
|
||
<i class="fa fa-camera" style="font-size:24px" onclick="openCameraForDate(this)"></i>
|
||
</a>
|
||
</div>
|
||
</div>
|
||
<div class="col-md-2 center mt-1">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit">
|
||
<?php echo lang('Upload'); ?>
|
||
</button>
|
||
</div>
|
||
<div class="form-group col-md-2 center mt-1">
|
||
<?php
|
||
if($documentsarr[_DOC_MUMPS_CODE_][0]!=""){
|
||
?>
|
||
<a class="img-icon file-link-after-uploaded dwnload" data-docType="<?=_DOC_MUMPS_CODE_?>" data-userid="<?=$nurse->id?>">
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
</a>
|
||
<?php
|
||
}else{
|
||
?>
|
||
<span use="uploadContainer">
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php
|
||
}
|
||
?>
|
||
</div>
|
||
|
||
</div>
|
||
</form> -->
|
||
|
||
<!-- <form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_VAR_CODE_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_VAR_CODE_][0]; ?>">
|
||
<input type="hidden" name="progress" value="1">
|
||
<input type="hidden" name="<?php echo _DOC_VAR_CODE_ ; ?>_documents_no" value="2">
|
||
|
||
<div class="form-group col-md-6">
|
||
<div><label class="required-field"><?php echo lang('Var'); ?></label></div>
|
||
<div>
|
||
<div class="form-check col-md-4">
|
||
<input class="form-check-input" type="radio" id="Diphtheria_Immune" name="<?php echo _DOC_VAR_CODE_ ; ?>_remarks" value="Completed" <?php if ($documentsrem[_DOC_VAR_CODE_][0]=='Completed') { echo "checked"; } ?> required>
|
||
<label class="form-check-label" for="Diphtheria_Immune" ><?php echo lang('Completed'); ?></label>
|
||
</div>
|
||
<div class="form-check col-md-4">
|
||
<input class="form-check-input" type="radio" id="Diphtheria_Not_Immune" name="<?php echo _DOC_VAR_CODE_ ; ?>_remarks" value="Not Completed" <?php if ($documentsrem[_DOC_VAR_CODE_][0]=='Not Completed') { echo "checked"; } ?> required>
|
||
<label class="form-check-label" for="Diphtheria_Not_Immune"><?php echo lang('Not Completed'); ?></label>
|
||
</div>
|
||
</div>
|
||
</div>
|
||
|
||
<div class="form-group col-md-3 mt-2 mt-2 save-only">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit"> <?php echo lang('Save'); ?></button>
|
||
</div>
|
||
<div class="form-group col-md-3 mt-2 mt-2">
|
||
<span class="text-danger" use="pending-msg">
|
||
<?php if($documentsrem[_DOC_VAR_CODE_][0]==""){echo "pending";}else{echo "unverified";}?>
|
||
</span>
|
||
</div>
|
||
|
||
</div>
|
||
</form> -->
|
||
|
||
<?php $drugScreenArr=json_decode($nurse->drug_screen);
|
||
if($drugScreenArr->change_behaviour == 1){
|
||
?>
|
||
<hr>
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_DRUG_SCREENINGCODE_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_DRUG_SCREENINGCODE_][0]; ?>">
|
||
<input type="hidden" name="progress" value="2">
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field"><?php echo lang('Drug Screen'); ?></label>
|
||
<input type="file" class="form-control" name="<?php echo _DOC_DRUG_SCREENINGCODE_ ;?>" <?php if($documentsid[_DOC_DRUG_SCREENINGCODE_][0]==""){ echo "required"; } ?> allowedType="gif|jpg|png|jpeg|pdf">
|
||
|
||
</div>
|
||
<!-- <div class="form-group col-md-3 dateClass">
|
||
<label class="required-field"><?php echo lang('Date Completed'); ?></label>
|
||
<input type="date" class="form-control not_future" name="<?php echo _DOC_DRUG_SCREENINGCODE_ .'_remarks';?>" value="<?php echo $documentsrem[_DOC_DRUG_SCREENINGCODE_][0]; ?>" required>
|
||
</div> -->
|
||
|
||
<!-- <div class="form-group col-md-1 mt-2 mt-2"> -->
|
||
<div class="form-group col-md-1 center">
|
||
<div class="cameraIcon">
|
||
<a data-toggle="modal" class="mm" type="date" myidValue="<?php echo $documentsid[_DOC_DRUG_SCREENINGCODE_][0]; ?>" myValue="<?php echo _DOC_DRUG_SCREENINGCODE_; ?>" data-dismiss="modal" aria-hidden="true" >
|
||
<i class="fa fa-camera" style="font-size:24px" onclick="openCameraForDate(this)"></i>
|
||
</a>
|
||
|
||
</div>
|
||
</div>
|
||
<div class="col-md-2 center">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit"> <?php echo lang('Upload'); ?></button>
|
||
</div>
|
||
<div class="form-group col-md-1 center">
|
||
<?php if($documentsarr[_DOC_DRUG_SCREENINGCODE_][0]!=""){ ?>
|
||
<!-- <a class="img-icon" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[_DOC_DRUG_SCREENINGCODE_][0]; ?>"> -->
|
||
<a class="img-icon dwnload" data-docType="<?=_DOC_DRUG_SCREENINGCODE_?>" data-userid="<?=$nurse->id?>">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 24px;"> -->
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
</a>
|
||
<?php }else{ ?>
|
||
<span use="uploadContainer">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 50px;"> -->
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php } ?>
|
||
</div>
|
||
</div>
|
||
</form>
|
||
<?php
|
||
}
|
||
?>
|
||
<hr>
|
||
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_FLU_VACCINECODE_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_FLU_VACCINECODE_][0]; ?>">
|
||
<input type="hidden" name="progress" value="2">
|
||
<div class="form-group col-md-3">
|
||
<label class="required-field"><?php echo lang('Flu Vaccine Remarks'); ?></label>
|
||
<select class="form-control" onchange="flu_vaccine_option(this.value);" id="<?php echo _DOC_FLU_VACCINECODE_ .'_remarks';?>" name="<?php echo _DOC_FLU_VACCINECODE_ .'_remarks';?>" required>
|
||
<option value="" selected Disabled>Select</option>
|
||
<option value="1" <?php if($documentsrem[_DOC_FLU_VACCINECODE_][0]=="1"){ echo "Selected";}?>><?php echo lang('Completed'); ?>, <?php echo lang('less than 1 year old'); ?></option>
|
||
<option value="0" <?php if($documentsrem[_DOC_FLU_VACCINECODE_][0]=="0"){ echo "Selected";}?>><?php echo lang('I decline'); ?></option>
|
||
</select>
|
||
<label class="flu-vaccine-link" <?php if($documentsrem[_DOC_FLU_VACCINECODE_][0]!="0") { echo 'style="display:none;"' ; } ?>><a href="<?php echo base_url(); ?>forms_pdf/EMPLOYEE_HEP_B_VACCINE_WAIVER/<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>" target="_blank">Download</a> Waiver Form</label>
|
||
</div>
|
||
<!-- <div class="form-group col-md-2 mt-2 mt-25 flu-vaccine-link" <?php if($documentsrem[_DOC_FLU_VACCINECODE_][0]!="Idecline") { echo 'style="display:none;"' ; } ?>>
|
||
<a class="btn btn-primary" href="#" data-toggle="modal" data-target="#exampleModalCenter">Flu Vaccine Declination Form</a>
|
||
<a class="btn btn-primary" href="#" >Download Flu Vaccine Declination Form</a>
|
||
</div> -->
|
||
<div class="form-group col-md-3 flu-vaccine-file" class="required" >
|
||
<label class="required-field"><?php echo lang('Upload form'); ?></label>
|
||
<input type="file" class="form-control" name="<?php echo _DOC_FLU_VACCINECODE_ ;?>" <?php if($documentsid[_DOC_FLU_VACCINECODE_][0]=="Completed"){ echo "required"; } ?> allowedType="gif|jpg|png|jpeg|pdf" >
|
||
</div>
|
||
<!-- <div class="form-group col-md-1 mt-2 mt-2 flu-complete-submit"> -->
|
||
<div class="form-group col-md-3 mt-2 row flu-complete-submit" >
|
||
<div class="cameraIcon flu-vaccine-file-upload" <?php if($documentsrem[_DOC_FLU_VACCINECODE_][0]!="Completed") { echo 'style="display:none;"' ; } ?>>
|
||
<a data-toggle="modal" class="mm" type="vaccine" myidValue="<?php echo $documentsid[_DOC_FLU_VACCINECODE_][0]; ?>" myValue="<?php echo _DOC_FLU_VACCINECODE_; ?>" data-dismiss="modal" aria-hidden="true" >
|
||
<i class="fa fa-camera" style="font-size:24px" onclick="openCameraForDate(this)"></i>
|
||
</a>
|
||
|
||
</div>
|
||
<button class="btn btn-primary file-upload mb-3" name="upload" type="submit" style="margin-left: 20px;"> Submit</button>
|
||
</div>
|
||
<div class="form-group col-md-2 mt-2 mt-2 flu-complete-upload-container" style="position: relative;left: 20px;">
|
||
<?php if($documentsarr[_DOC_FLU_VACCINECODE_][0]!=""){ ?>
|
||
<!-- <a class="img-icon" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[_DOC_FLU_VACCINECODE_][0]; ?>"> -->
|
||
<a class="img-icon dwnload" data-docType="<?=_DOC_FLU_VACCINECODE_?>" data-userid="<?=$nurse->id?>">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 24px;"> -->
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
</a>
|
||
<?php }else{ ?>
|
||
<span use="uploadContainer">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 50px;"> -->
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php } ?>
|
||
</div>
|
||
</div>
|
||
</form>
|
||
<script>
|
||
function flu_vaccine_option(flu_vaccine_remarks){
|
||
if(flu_vaccine_remarks=='1'){
|
||
$(".flu-vaccine-link").hide();
|
||
$(".flu-vaccine-file").show();
|
||
$(".flu-vaccine-file-upload").show();
|
||
$(".flu-complete-submit").show();
|
||
$(".flu-complete-upload-container").show();
|
||
}else{
|
||
$(".flu-vaccine-link").show();
|
||
$(".flu-vaccine-file").show();
|
||
$(".flu-vaccine-file-upload").show();
|
||
$(".flu-complete-submit").show();
|
||
$(".flu-complete-upload-container").show();
|
||
}
|
||
}
|
||
</script>
|
||
<hr>
|
||
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_COVID_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_COVID_][0]; ?>">
|
||
<input type="hidden" name="progress" value="2">
|
||
|
||
<!-- <div class="form-group col-md-3">
|
||
<label class="required-field">Have you had a Covid-19 vaccine?</label>
|
||
<div class="form-check">
|
||
<input class="form-check-input cvdVal covid-status-radio" type="radio" id="covidtestYes" name="<?php echo _DOC_COVID_ .'_remarks';?>" value="1"
|
||
<?php if($documentsrem[_DOC_COVID_][0]==1) {echo "checked"; } ?>>
|
||
<label class="form-check-label" for="covidtestYes">
|
||
Yes
|
||
</label>
|
||
</div>
|
||
<div class="form-check">
|
||
<input class="form-check-input cvdVal covid-status-radio" type="radio" id="covidtestNo" name="<?php echo _DOC_COVID_ .'_remarks';?>" value="0"
|
||
<?php if($documentsrem[_DOC_COVID_][0]==0) {echo "checked"; } ?>>
|
||
<label class="form-check-label" for="covidtestNo">
|
||
No
|
||
</label>
|
||
</div>
|
||
</div> -->
|
||
<div class="form-group col-md-3">
|
||
<label class="required-field">Covid-19 Vaccine</label>
|
||
<select class="form-control covid-status-select" name="<?php echo _DOC_COVID_.'_remarks';?>" required>
|
||
<option value="">select---</option>
|
||
<option value="0" <?php if($documentsrem[_DOC_COVID_][0]==0){echo "selected";}?>>Not Taken Any Dose Yet</option>
|
||
<option value="1" <?php if($documentsrem[_DOC_COVID_][0]==1){echo "selected";}?>>First Dose Completed</option>
|
||
<option value="2" <?php if($documentsrem[_DOC_COVID_][0]==2){echo "selected";}?>>Second Dose Completed</option>
|
||
<option value="3" <?php if($documentsrem[_DOC_COVID_][0]==3){echo "selected";}?>>Booster Dose Completed</option>
|
||
<option value="4" <?php if($documentsrem[_DOC_COVID_][0]==4){echo "selected";}?>>Fully Vaccinated</option>
|
||
</select>
|
||
</div>
|
||
<!-- <div class="form-group col-md-4">
|
||
<label class="required-field">Have you had a Covid-19 vaccine?</label>
|
||
<div class="col-md-6">
|
||
<div class="row">
|
||
<div class="form-check width-80">
|
||
<input class="form-check-input cvdVal" type="radio" id="covidtestYes" name="<?php echo _DOC_COVID_ .'_remarks';?>" value="1"
|
||
<?php if ($documentsrem[_DOC_COVID_][0]==1) {echo "checked"; } ?>>
|
||
<label class="form-check-label" for="covidtestYes">Yes
|
||
</label>
|
||
</div>
|
||
<div class="form-check width-80">
|
||
<input class="form-check-input cvdVal" type="radio" id="covidtestNo" name="<?php echo _DOC_COVID_ .'_remarks';?>" value="0"
|
||
<?php if ($documentsrem[_DOC_COVID_][0]==0) {echo "checked"; } ?>>
|
||
<label class="form-check-label" for="covidtestNo">No
|
||
</label>
|
||
</div>
|
||
</div>
|
||
</div>
|
||
</div> -->
|
||
<div class="form-group col-md-4 covidtestreport" <?php if($documentsrem[_DOC_COVID_][0]==0){ ?>style="display: none;" <?php } ?>>
|
||
<label class="required-field"><?php echo lang('Vaccination Proof'); ?></label>
|
||
<input type="file" class="form-control covidtestreportFile" name="<?php echo _DOC_COVID_ ;?>" allowedType="gif|jpg|png|jpeg|pdf">
|
||
</div>
|
||
<!--<div class="form-group col-md-6">
|
||
<label class="required-field"><?php echo lang('SARS-CoV-2 Serology (COVID-19) Report'); ?></label>
|
||
<input type="text" class="form-control " name="<?php echo _DOC_COVID_ .'_remarks';?>" value="<?php echo $documentsrem[_DOC_COVID_][0]; ?>" required>
|
||
</div> -->
|
||
<div class="form-group col-md-1 center mt-1">
|
||
<div class="cameraIcon covidtestreport-file-upload" <?php if($documentsrem[_DOC_COVID_][0]==0) { echo 'style="display:none;"' ; } ?>>
|
||
<a data-toggle="modal" class="mm" type="vaccine" myidValue="<?php echo $documentsid[_DOC_COVID_][0]; ?>" myValue="<?php echo _DOC_COVID_; ?>" data-dismiss="modal" aria-hidden="true" >
|
||
<i class="fa fa-camera" style="font-size:24px" onclick="openCameraForDate(this)"></i>
|
||
</a>
|
||
</div>
|
||
</div>
|
||
<div class="col-md-2 center mt-1 covidtestreport">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit"> Upload</button>
|
||
</div>
|
||
<div class="col-md-2 center mt-1 covidtestNo">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit"> Submit</button>
|
||
</div>
|
||
<div class="form-group col-md-2 mbtnsize covidtestreport">
|
||
<?php
|
||
if($documentsarr[_DOC_COVID_][0]!=""){
|
||
?>
|
||
<!-- <a class="img-icon" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[_DOC_COVID_][0]; ?>"> -->
|
||
<a class="img-icon dwnload" data-docType="<?=_DOC_COVID_?>" data-userid="<?=$nurse->id?>">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 24px; margin-top: -26px;"> -->
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
</a>
|
||
<?php
|
||
}else{
|
||
?>
|
||
<span use="uploadContainer">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 50px;"> -->
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php
|
||
}
|
||
?>
|
||
</div>
|
||
</div>
|
||
<!-- <script>
|
||
$(document).ready(function(){
|
||
var ins_value=$('.ins-status-radio:checked').val();
|
||
ins_doc_upload(ins_value);
|
||
$('input[name=<?php echo _DOC_MICCODE_ ;?>_remarks]').on('change', function(){
|
||
var ins_value=$(this).val();
|
||
// alert(ins_value);
|
||
ins_doc_upload(ins_value);
|
||
});
|
||
function ins_doc_upload(value){
|
||
var target=$(".ins_upload_section");
|
||
if(value == 'no'){
|
||
target.hide();
|
||
$(".ins_no_upload_section").show();
|
||
target.children("label").removeClass("required-field");
|
||
target.children("input").prop("required",false);
|
||
}else{
|
||
target.show();
|
||
$(".ins_no_upload_section").hide();
|
||
target.children("label").addClass("required-field");
|
||
target.children("input").prop("required",true);
|
||
}
|
||
}
|
||
});
|
||
</script> -->
|
||
<!-- <script>
|
||
$(document).ready(function(){
|
||
var covid_value=$('.covid-status-radio:checked').val();
|
||
covid_doc_upload(covid_value);
|
||
$('input[name=<?php echo _DOC_COVID_ ;?>_remarks]').on('change', function(){
|
||
var covid_value=$(this).val();
|
||
covid_doc_upload(covid_value);
|
||
});
|
||
function covid_doc_upload(value){
|
||
if(value==1){
|
||
$('.covidtestreport').show();
|
||
$('.covidtestNo').hide();
|
||
$('.covidtestreport-file-upload').show();
|
||
$('.covidtestreportFile').attr("required","required");
|
||
}else{
|
||
$('.covidtestreport').hide();
|
||
$('.covidtestNo').show();
|
||
$('.covidtestreport-file-upload').hide();
|
||
$('.covidtestreportFile').removeAttr("required");
|
||
}
|
||
}
|
||
})
|
||
</script> -->
|
||
<script>
|
||
$(document).ready(function(){
|
||
var covid_value=$('.covid-status-select').val();
|
||
covid_doc_upload(covid_value);
|
||
$('select[name=<?php echo _DOC_COVID_ ;?>_remarks]').on('change', function(){
|
||
var covid_value=$(this).val();
|
||
covid_doc_upload(covid_value);
|
||
});
|
||
function covid_doc_upload(value){
|
||
if(value==1 || value==2 || value==3 || value==4){
|
||
$('.covidtestreport').show();
|
||
$('.covidtestNo').hide();
|
||
$('.covidtestreport-file-upload').show();
|
||
$('.covidtestreportFile').attr("required","required");
|
||
}
|
||
if(value==0){
|
||
$('.covidtestreport').hide();
|
||
$('.covidtestNo').show();
|
||
$('.covidtestreport-file-upload').hide();
|
||
$('.covidtestreportFile').removeAttr("required");
|
||
}
|
||
}
|
||
})
|
||
</script>
|
||
</form>
|
||
<hr>
|
||
<label class="text-danger" style="text-align: center;">
|
||
***Since you answered “YES” to this question under our Health & Physical Assessment section, an Employment Clearance letter from your physician must be uploaded.***
|
||
</label>
|
||
|
||
<!-- Health Assessment -->
|
||
<?php
|
||
$health_assesment_array=$nurse->emp_health_assessment;
|
||
foreach($health_assesment_array as $value){
|
||
if($value->status==1){
|
||
?>
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/phyDocumentSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo $value->short_code?>_doc">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[$value->short_code.'_doc'][0]; ?>">
|
||
<input type="hidden" name="progress" value="0">
|
||
<input type="hidden" name="data_type" value="health_assessment">
|
||
<input type="hidden" id="<?php echo $value->short_code ; ?>_health_id" name="health_assessment_id" value="<?php echo $value->id; ?>">
|
||
|
||
<div class="row">
|
||
<div class="col-md-12">
|
||
<label class="">
|
||
<?php echo gettingNameFromShortCode($value->short_code);?>
|
||
</label>
|
||
</div>
|
||
<div class="form-group col-md-4">
|
||
<input type="file" class="form-control" name="<?php echo $value->short_code?>_doc"
|
||
<?php if($documentsid[$value->short_code.'_doc'][0]==""){ echo "required"; } ?> allowedType="gif|jpg|png|jpeg|pdf">
|
||
|
||
</div>
|
||
|
||
<!-- <div class="form-group col-md-1">
|
||
<div class="cameraIcon center">
|
||
<a data-toggle="modal" class="mm" type="date" myidValue="<?php echo $documentsid[_DOC_HBV_CODE_][0]; ?>" myValue="<?php echo _DOC_HBV_CODE_; ?>" data-dismiss="modal" aria-hidden="true" >
|
||
<i class="fa fa-camera" style="font-size:24px;" onclick="openCameraForDate(this)"></i>
|
||
</a>
|
||
</div>
|
||
</div> -->
|
||
<div class="form-group col-md-2">
|
||
<div class="center">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit"><?php echo lang('Upload');?></button>
|
||
</div>
|
||
</div>
|
||
<div class="form-group col-md-2">
|
||
<?php
|
||
if($documentsarr[$value->short_code.'_doc'][0]!=""){
|
||
?>
|
||
<!-- <a class="img-icon" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[$value->short_code.'_doc'][0]; ?>"> -->
|
||
<a class="img-icon dwnload" data-docType="<?=$value->short_code.'_doc'?>" data-userid="<?=$nurse->id?>">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 24px;"> -->
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
</a>
|
||
<?php
|
||
}else{
|
||
?>
|
||
<span use="uploadContainer">
|
||
<span class="text-danger center">pending</span>
|
||
</span>
|
||
<?php
|
||
}
|
||
?>
|
||
</div>
|
||
|
||
</div>
|
||
</form>
|
||
<?php
|
||
}
|
||
}
|
||
?>
|
||
<!-- Health Assessment -->
|
||
|
||
<div class="row">
|
||
<div class="form-group col-md-12">
|
||
<button type="button" id="next_tab_medical" class="btn btn-outline-success pull-right medicalDoc_submit_btn"><?php echo lang('Next'); ?></button>
|
||
</div>
|
||
</div>
|
||
</div>
|
||
|
||
<div class="tab-pane fade doc_tab licensesDoc" id="tab-new8" role="tabpanel" aria-labelledby="" style="padding: 20px; border: 1px solid #ccc; margin-bottom: 15px; border-radius: 5px;">
|
||
<div class="row">
|
||
<div class="col-md-12 text-danger">
|
||
Note:
|
||
<I>It is MANDATORY that each applicant upload all Required (*) Documents in order for us to process your application and adhere to federal and state regulatory guidelines. Please click on each section below to upload all required documents. Acceptable file types for Pics are gif/jpg/png/jpeg/pdf/webp and Text Documents are pdf/docx.</I><br><br>
|
||
</div>
|
||
</div>
|
||
|
||
<hr>
|
||
<div class="row">
|
||
<div class="col-md-12">
|
||
<span class="text-danger">*** All initially added under Employment & Education ***</span>
|
||
</div>
|
||
</div>
|
||
|
||
<hr>
|
||
<div class="row">
|
||
<div class="col-md-12">
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_TRAINING_LICENCE_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_TRAINING_LICENCE_][0]; ?>">
|
||
<input type="hidden" name="progress" value="2">
|
||
|
||
<div class="form-group col-md-4">
|
||
<label ><?php echo lang('Nursing License Type'); ?></label>
|
||
<input type="text" name="nursing_license_type" class="form-control" value="<?=$nurse->nursing_license_type?>" readonly>
|
||
</div>
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field"><?php echo lang('Upload File'); ?></label>
|
||
<input type="file" class="form-control" name="<?=_DOC_TRAINING_LICENCE_?>" allowedType="gif|jpg|png|jpeg|pdf" required>
|
||
</div>
|
||
<div class="form-group col-md-2 center mt-2">
|
||
<button class="btn btn-primary file-upload mb-1" name="upload" type="submit">Upload</button>
|
||
</div>
|
||
<div class="form-group col-md-2 center mt-1">
|
||
<?php
|
||
if($documentsarr[_DOC_TRAINING_LICENCE_][0]!=""){
|
||
?>
|
||
<!-- <a class="img-icon file-link-after-uploaded" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[_DOC_TRAINING_LICENCE_][0]; ?>"> -->
|
||
<a class="img-icon file-link-after-uploaded dwnload" data-docType="<?=_DOC_TRAINING_LICENCE_?>" data-userid="<?=$nurse->id?>">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 24px;"> -->
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
</a>
|
||
<?php
|
||
}else{
|
||
?>
|
||
<span use="uploadContainer">
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php
|
||
}
|
||
?>
|
||
</div>
|
||
</div>
|
||
</form>
|
||
</div>
|
||
</div>
|
||
|
||
<div id="more_additional_certificationssss">
|
||
<!-- <span class="text-danger">*** Add all your licenses and/or Certifications ***</span> -->
|
||
<!-- <span class="text-danger">*** All initially added under Employment & Education ***</span> -->
|
||
<?php
|
||
if(count($licenses)>0){
|
||
?>
|
||
<?php
|
||
for($i=0;$i<count($licenses);$i++){
|
||
?>
|
||
<form role="form" action="<?php echo base_url();?>CaregiversDashboard/profileOtherInfo" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<!-- <?php echo $csrfHash = $this->security->get_csrf_hash();?> -->
|
||
<input type="hidden" id="csrf" value="<?php echo $this->security->get_csrf_hash();?>" name="<?php echo $this->security->get_csrf_token_name();?>" >
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>" >
|
||
<input type="hidden" name="form_status" value="5">
|
||
<input type="hidden" name="progress" value="0">
|
||
<input type="hidden" name="data_type" id="<?php echo _ADDL_CERTIFICATE_ ; ?>_data_type" value="Additional_Certifications">
|
||
<input type="hidden" name="form_mode" value="Add">
|
||
<input type="hidden" name="doc_type" value="<?php echo _ADDL_CERTIFICATE_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php if ( $licenses[$i]->users_documents_id != 0) echo $licenses[$i]->users_documents_id ?>">
|
||
<input type="hidden" name="Name_Additional_Certifications_state" value="<?php echo $licenses[$i]->state ?>">
|
||
<input type="hidden" id="<?php echo _ADDL_CERTIFICATE_ ; ?>_crt_id" name="Additional_Certifications_id" value="<?php echo $licenses[$i]->id ?>">
|
||
|
||
<div class="row">
|
||
<div class="form-group col-md-3">
|
||
<label ><?php echo lang('Nursing Licenses'); ?></label>
|
||
<input type="text" name="Additional_Certifications_Number" class="form-control" value="<?php echo $licenses[$i]->license_no ?>" readonly>
|
||
</div>
|
||
|
||
<div class="form-group col-md-3">
|
||
<label class="<?php if(isset($nurse->nursing_license_type) && $nurse->nursing_license_type!=''){echo 'required-field';}?>">
|
||
<?php echo lang('Certifications Document'); ?>
|
||
</label>
|
||
<input type="file" class="form-control" name="<?php echo _ADDL_CERTIFICATE_ ; ?>" allowedType="gif|jpg|png|jpeg|pdf"
|
||
<?php if(isset($nurse->nursing_license_type) && $nurse->nursing_license_type!=''){echo 'required';}?>>
|
||
</div>
|
||
|
||
<!-- <div class="col-md-1 mt-2">
|
||
<button type="submit" name="submit" class="btn btn-info "><?php echo lang('Update'); ?></button>
|
||
</div> -->
|
||
|
||
<div class="col-md-1 center">
|
||
<div class="cameraIcon" >
|
||
<a data-toggle="modal" class="mm" myid_value="<?php if ( $licenses[$i]->users_documents_id != 0) echo $licenses[$i]->users_documents_id ?>" my_value="<?php echo _ADDL_CERTIFICATE_ ; ?>" data-dismiss="modal" aria-hidden="true" >
|
||
|
||
<i class="fa fa-camera" style="font-size:24px" onclick="openCameraForCertificate(this)"></i>
|
||
</a>
|
||
</div>
|
||
</div>
|
||
|
||
<div class="col-md-2 center">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit"> Upload</button>
|
||
</div>
|
||
|
||
<div class="form-group col-md-2 center">
|
||
<?php if($licenses[$i]->path!=""){ ?>
|
||
<!-- <a class="img-icon" target="_blank" href="<?php echo base_url(); ?><?php echo $licenses[$i]->path;echo $licenses[$i]->file_name; ?>"> -->
|
||
<a class="img-icon dwnload" data-docType="<?=_ADDL_CERTIFICATE_?>" data-userid="<?=$nurse->id?>">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 24px;"> -->
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
</a>
|
||
<?php }else{ ?>
|
||
<span use="uploadContainer">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 50px;"> -->
|
||
<?php
|
||
if(isset($nurse->nursing_license_type) && $nurse->nursing_license_type!=''){
|
||
echo '<span class="text-danger">pending</span>';
|
||
}
|
||
?>
|
||
</span>
|
||
<?php } ?>
|
||
</div>
|
||
|
||
</div>
|
||
</form>
|
||
<?php
|
||
}
|
||
}
|
||
?>
|
||
</div>
|
||
|
||
<div class="modal crt_camera_modal" >
|
||
<div class="modal-dialog modal_small md_mr">
|
||
<div class="modal-content">
|
||
<div class="modal-header">
|
||
<header class="page-header">
|
||
<button type="button" class="close closeModalClass" data-dismiss="modal" aria-hidden="true"><b> × </b></button>
|
||
<h2><b><?php echo lang("TAKE A PICTURE"); ?></b></h2>
|
||
</header>
|
||
</div>
|
||
<div class="modal-body" >
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/profileOtherInfo" method="post" enctype="multipart/form-data" use="docSaveForm" >
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" class="doc_type_val" value="">
|
||
<input type="hidden" name="form_status" value="5">
|
||
<input type="hidden" name="progress" value="0">
|
||
<input type="hidden" name="image" class="crt-image-tag">
|
||
<div id="sectionCRT"><!-- for dynamic controls--></div>
|
||
<div class="text-center">
|
||
<!-- <h4 class="mb-0">Coming Soon</h4> -->
|
||
<div id="crt_dropdownbutton" style="display: none;" >
|
||
<input type=button class="takesnap" value="Take Snapshot" onclick="crt_take_snapshot()">
|
||
</div>
|
||
|
||
|
||
<div id="crt_picbutton" style="display: none; margin-bottom: 11px;" >
|
||
<a class="mm" my_value="">
|
||
<input type=button class="takesnap changePicture" value="Change Picture" onclick="openCameraForCertificate(this)">
|
||
</a>
|
||
</div>
|
||
<!-- <i class="fa fa-camera mdsg" style="font-size:24px" onclick="open_camera()"></i> -->
|
||
<div id="crt_my_camera"></div>
|
||
|
||
<div id="crt_results" style="margin-top: 5px;"></div>
|
||
|
||
<div id="crt_submitbutton" style="display: none;">
|
||
<button class="btn btn-primary file-upload submtStl" name="upload" type="submit" id="crt_submit_pic" > Submit</button>
|
||
<!-- <input type=button class="submtStl" value="Submit" > -->
|
||
</div>
|
||
</div>
|
||
</form>
|
||
</div>
|
||
</div>
|
||
</div>
|
||
</div>
|
||
<script>
|
||
function openCameraForCertificate(el) {
|
||
// alert($('#PPD_Quantiferonon_status').val());
|
||
$('#sectionCRT').find('input').remove();
|
||
var v = $(el).parents('.mm').attr('my_value');
|
||
alert(v);
|
||
var d = $(el).parents('.mm').attr('myidValue');
|
||
// alert(dateVal);
|
||
var Additional_Certifications_id = $('#'+v+'_crt_id').val();
|
||
var data_type = $('#'+v+'_data_type').val();
|
||
alert(v+"_data_type");
|
||
alert(data_type);
|
||
$('.crt_camera_modal').modal('show');
|
||
var newInput1 = $("<input type='hidden' value='"+Additional_Certifications_id+"' />")
|
||
.attr("id", v+"_crt_id")
|
||
.attr("name", "Additional_Certifications_id");
|
||
var newInput2 = $("<input type='hidden' value='"+data_type+"' />")
|
||
.attr("id", v+"_data_type")
|
||
.attr("name", "data_type");
|
||
|
||
$('#sectionCRT').append(newInput1);
|
||
$('#sectionCRT').append(newInput2);
|
||
Webcam.set({
|
||
width: 490,
|
||
height: 390,
|
||
image_format: 'jpeg',
|
||
jpeg_quality: 90
|
||
});
|
||
|
||
|
||
Webcam.attach( '#crt_my_camera' );
|
||
$(".doc_type_val").val(v);
|
||
$(".doc_id_val").val(d);
|
||
$(".mm").attr('my_value', v);
|
||
$(".mm").attr('myid_value', d);
|
||
$("#crt_dropdownbutton").css('display', '');
|
||
$("#crt_submitbutton").css('display', 'none');
|
||
$("#crt_my_camera").show();
|
||
$("#crt_results").hide();
|
||
$("#crt_picbutton").css('display', 'none');
|
||
|
||
|
||
}
|
||
function crt_take_snapshot() {
|
||
$("#crt_my_camera").hide();
|
||
$("#crt_results").show();
|
||
Webcam.snap( function(data_uri) {
|
||
|
||
$(".crt-image-tag").val(data_uri);
|
||
document.getElementById('crt_results').innerHTML = '<img src="'+data_uri+'"/>';
|
||
$("#crt_dropdownbutton").css('display', 'none');
|
||
$("#crt_submitbutton").css('display', '');
|
||
$("#crt_picbutton").css('display', '');
|
||
} );
|
||
}
|
||
$("#crt_submit_pic").click(function () {
|
||
|
||
// $('#section').find('input').attr("name", '').val('');
|
||
// $('#section').find('input').remove();
|
||
$('.crt_camera_modal').modal('toggle');
|
||
|
||
});
|
||
</script>
|
||
|
||
<?php
|
||
if(count($certificateDoc)>0){
|
||
?>
|
||
<hr>
|
||
<div class="row">
|
||
<?php
|
||
for($i=0;$i<count($certificateDoc); $i++){
|
||
?>
|
||
<div class="col-md-12">
|
||
<form role="form" action="<?php echo base_url(); ?>CaregiversDashboard/profileOtherInfo" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<!-- <?php echo $csrfHash = $this->security->get_csrf_hash();?> -->
|
||
<input type="hidden" id="csrf" value="<?php echo $this->security->get_csrf_hash();?>" name="<?php echo $this->security->get_csrf_token_name();?>" >
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>" >
|
||
<input type="hidden" name="form_status" value="">
|
||
<input type="hidden" name="progress" value="0">
|
||
<input type="hidden" name="data_type" value="Education_Certifications">
|
||
<input type="hidden" name="form_mode" value="Add">
|
||
<input type="hidden" name="doc_type" value="<?php echo $certificateDoc[$i]->type ?>">
|
||
<input type="hidden" name="certficateID" value="<?php echo $certificateDoc[$i]->id ?>">
|
||
<input type="hidden" name="doc_id" value="<?php if ( $certificateDoc[$i]->users_documents_id != 0) echo $certificateDoc[$i]->users_documents_id ?>">
|
||
|
||
<div class="row">
|
||
<div class="form-group col-md-4">
|
||
<label ><?php echo lang('Certificate Name'); ?></label>
|
||
<input type="text" name="certificate_name" class="form-control" value="<?php echo $certificateDoc[$i]->certificate_name ?>" readonly>
|
||
</div>
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field"><?php echo lang('Certifications Document'); ?></label>
|
||
<input type="file" class="form-control" name="<?php echo $certificateDoc[$i]->type ?>" allowedType="gif|jpg|png|jpeg|pdf" required>
|
||
</div>
|
||
<div class="form-group col-md-2 center mt-1">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit"> Upload</button>
|
||
</div>
|
||
<div class="form-group col-md-2 center mt-1">
|
||
<?php
|
||
if($certificateDoc[$i]->path!=""){
|
||
?>
|
||
<!-- <a class="img-icon file-link-after-uploaded" target="_blank" href="<?php echo base_url(); ?><?php echo $certificateDoc[$i]->path;echo $certificateDoc[$i]->file_name; ?>"> -->
|
||
<a class="img-icon file-link-after-uploaded dwnload" data-docType="<?=$certificateDoc[$i]->type?>" data-userid="<?=$nurse->id?>">
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
</a>
|
||
<?php
|
||
}else{
|
||
?>
|
||
<span use="uploadContainer">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 50px;"> -->
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php
|
||
}
|
||
?>
|
||
</div>
|
||
</div>
|
||
</form>
|
||
</div>
|
||
<?php
|
||
}
|
||
?>
|
||
</div>
|
||
<?php
|
||
}
|
||
?>
|
||
|
||
<?php
|
||
/*
|
||
if(count($certificateDoc)>0){
|
||
?>
|
||
<hr>
|
||
<?php
|
||
for($i=0;$i<count($certificateDoc); $i++){
|
||
?>
|
||
<form role="form" action="<?php echo base_url(); ?>CaregiversDashboard/profileOtherInfo" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<!-- <?php echo $csrfHash = $this->security->get_csrf_hash();?> -->
|
||
<input type="hidden" id="csrf" value="<?php echo $this->security->get_csrf_hash();?>" name="<?php echo $this->security->get_csrf_token_name();?>" >
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>" >
|
||
<input type="hidden" name="form_status" value="">
|
||
<input type="hidden" name="progress" value="0">
|
||
<input type="hidden" name="data_type" value="Education_Certifications">
|
||
<input type="hidden" name="form_mode" value="Add">
|
||
<input type="hidden" name="doc_type" value="<?php echo $certificateDoc[$i]->type ?>">
|
||
<input type="hidden" name="certficateID" value="<?php echo $certificateDoc[$i]->id ?>">
|
||
<input type="hidden" name="doc_id" value="<?php if ( $certificateDoc[$i]->users_documents_id != 0) echo $certificateDoc[$i]->users_documents_id ?>">
|
||
|
||
|
||
<div class="row">
|
||
|
||
<div class="form-group col-md-3">
|
||
<label ><?php echo lang('Certificate Name'); ?></label>
|
||
<input type="text" name="certificate_name" class="form-control" value="<?php echo $certificateDoc[$i]->certificate_name ?>" readonly>
|
||
</div>
|
||
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field"><?php echo lang('Certifications Document'); ?></label>
|
||
<input type="file" class="form-control" name="<?php echo $certificateDoc[$i]->type ?>" allowedType="gif|jpg|png|jpeg|pdf" required>
|
||
</div>
|
||
|
||
<!-- <div class="col-md-1 mt-2">
|
||
<button type="submit" name="submit" class="btn btn-info "><?php echo lang('Update'); ?></button>
|
||
</div> -->
|
||
|
||
<div class="form-group col-md-1 mt-2 mt-2">
|
||
<button class="btn btn-primary file-upload" name="upload" type="submit"> Upload</button>
|
||
</div>
|
||
|
||
<div class="form-group col-md-1 mt-2 mt-2" style="position:relative;left: 20px;">
|
||
<?php if($certificateDoc[$i]->path!=""){ ?>
|
||
<a class="img-icon" target="_blank" href="<?php echo base_url(); ?><?php echo $certificateDoc[$i]->path;echo $certificateDoc[$i]->file_name; ?>">
|
||
<img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 24px;">
|
||
</a>
|
||
<?php }else{ ?>
|
||
<span use="uploadContainer">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 50px;"> -->
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php } ?>
|
||
</div>
|
||
|
||
</div>
|
||
</form>
|
||
<?php
|
||
}
|
||
}
|
||
*/
|
||
?>
|
||
|
||
<?php
|
||
if($nurse->qualification_type=='4'){
|
||
?>
|
||
<hr>
|
||
<div class="row">
|
||
<div class="col-md-12">
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm">
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<div class="row">
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" value="<?php echo _DOC_CPR_ ; ?>">
|
||
<input type="hidden" name="doc_id" value="<?php echo $documentsid[_DOC_CPR_][0]; ?>">
|
||
<input type="hidden" name="progress" value="2">
|
||
|
||
<div class="form-group col-md-4">
|
||
<label class="required-field"><?php echo lang('CPR Report'); ?></label>
|
||
<input type="file" class="form-control" name="<?php echo _DOC_CPR_ ;?>" <?php if($documentsid[_DOC_CPR_][0]==""){ echo "required"; } ?> allowedType="gif|jpg|png|jpeg|pdf">
|
||
</div>
|
||
<!-- <div class="form-group col-md-4 dateClass">
|
||
<label class="required-field"><?php echo lang('CPR Certification (Expiration Date)'); ?></label>
|
||
<input type="date" class="form-control not-past-time" name="<?php echo _DOC_CPR_ .'_remarks';?>" value="<?php echo $documentsrem[_DOC_CPR_][0]; ?>" required>
|
||
</div> -->
|
||
<div class="form-group col-md-1 center mt-2">
|
||
<div class="cameraIcon">
|
||
<a data-toggle="modal" class="mm" type="date" myidValue="<?php echo $documentsid[_DOC_CPR_][0]; ?>" myValue="<?php echo _DOC_CPR_; ?>" data-dismiss="modal" aria-hidden="true" >
|
||
<i class="fa fa-camera" style="font-size:24px" onclick="openCameraForDate(this)"></i>
|
||
</a>
|
||
|
||
</div>
|
||
</div>
|
||
<div class="form-group col-md-2 center mt-2">
|
||
<button class="btn btn-primary file-upload mb-1" name="upload" type="submit"> Upload</button>
|
||
</div>
|
||
<div class="form-group col-md-2 center mt-2">
|
||
<?php
|
||
if($documentsarr[_DOC_CPR_][0]!=""){
|
||
?>
|
||
<!-- <a class="img-icon file-link-after-uploaded" target="_blank" href="<?php echo base_url(); ?><?php echo $documentsarr[_DOC_CPR_][0]; ?>"> -->
|
||
<a class="img-icon file-link-after-uploaded dwnload" data-docType="<?=_DOC_CPR_?>" data-userid="<?=$nurse->id?>">
|
||
<i class='far fa-arrow-alt-circle-down' style='font-size:24px'></i>
|
||
</a>
|
||
<?php
|
||
}else{
|
||
?>
|
||
<span use="uploadContainer">
|
||
<!-- <img src="<?php echo base_url(); ?>uploads/attachment.png" class="img-thumbnail" style="height: 50px;"> -->
|
||
<span class="text-danger">pending</span>
|
||
</span>
|
||
<?php
|
||
}
|
||
?>
|
||
</div>
|
||
</div>
|
||
</form>
|
||
</div>
|
||
</div>
|
||
<?php
|
||
}
|
||
?>
|
||
|
||
<hr>
|
||
<div class="row">
|
||
<div class="form-group col-md-12">
|
||
<button type="button" id="next_tab_licence" class="btn btn-outline-success pull-right licensesDoc_submit_btn"><?php echo lang('Next'); ?></button>
|
||
</div>
|
||
</div>
|
||
</div>
|
||
|
||
<div class="tab-pane fade doc_tab otherDoc" id="tab-new9" role="tabpanel" aria-labelledby="" style="padding: 20px; border: 1px solid #ccc; margin-bottom: 15px; border-radius: 5px;">
|
||
<div class="row">
|
||
<!-- <div class="col-md-12">
|
||
Note:
|
||
<I>It is MANDATORY that each applicant upload all Required (*) Documents in order for us to process your application and adhere to state and federal home care agency employment guidelines. Please click on each section below to upload all required documents</I>
|
||
</div> -->
|
||
</div>
|
||
<div id="more_other_documents">
|
||
</div>
|
||
<div class="row">
|
||
<div class="form-group col-md-12">
|
||
<button type="button" id="next_tab_other" class="btn btn-outline-success pull-right otherDoc_submit_btn create-disclosure-pdfs"><?php echo lang('Next'); ?></button>
|
||
</div>
|
||
</div>
|
||
</div>
|
||
</div>
|
||
|
||
<div class="modal camera_modal" >
|
||
<div class="modal-dialog modal_small md_mr">
|
||
<div class="modal-content">
|
||
<div class="modal-header">
|
||
<header class="page-header">
|
||
<button type="button" class="close closeModalClass" data-dismiss="modal" aria-hidden="true"><b> × </b></button>
|
||
<h2><b><?php echo lang("TAKE A PICTURE"); ?></b></h2>
|
||
</header>
|
||
</div>
|
||
<div class="modal-body" >
|
||
<form action="<?php echo base_url(); ?>CaregiversDashboard/documentsSave" method="post" enctype="multipart/form-data" use="docSaveForm" >
|
||
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name(); ?>" value="<?php echo $this->security->get_csrf_hash(); ?>" />
|
||
<input type="hidden" name="Ion_id" id="caregiver_ion_id" value="<?php if (!empty($nurse->ion_user_id)) echo $nurse->ion_user_id; ?>">
|
||
<input type="hidden" name="id" id="caregiver_id" value="<?php if (!empty($nurse->caregiver_table_id)) echo $nurse->caregiver_table_id; ?>">
|
||
<input type="hidden" name="doc_type" class="doc_type_val" value="">
|
||
<input type="hidden" name="doc_id" class="doc_id_val" value="" >
|
||
<input type="hidden" name="progress" value="2">
|
||
<input type="hidden" name="form_tab_status" value="11">
|
||
<input type="hidden" name="image" class="image-tag">
|
||
<div id="section2"><!-- for dynamic controls--></div>
|
||
<div class="text-center">
|
||
<!-- <h4 class="mb-0">Coming Soon</h4> -->
|
||
<div id="dropdownbutton" style="display: none;" >
|
||
<input type=button class="takesnap" value="Take Snapshot" onClick="take_snapshot()">
|
||
</div>
|
||
<div id="picbutton" style="display: none; margin-bottom: 11px;" >
|
||
<input type=button class="takesnap" value="Change Picture" onClick="open_camera()">
|
||
</div>
|
||
<!-- <i class="fa fa-camera mdsg" style="font-size:24px" onclick="open_camera()"></i> -->
|
||
<div id="my_camera"></div>
|
||
|
||
<div id="results" style="margin-top: 5px;"></div>
|
||
<!-- <div id="dropdownbutton" style="display: none;">
|
||
<input type=button class="takesnap" value="Take Snapshot" onClick="take_snapshot()">
|
||
</div> -->
|
||
<div id="submitbutton" style="display: none;">
|
||
<button class="btn btn-primary file-upload submtStl" name="upload" type="submit" id="submit_pic" > Submit</button>
|
||
<!-- <input type=button class="submtStl" value="Submit" > -->
|
||
</div>
|
||
</div>
|
||
</form>
|
||
</div>
|
||
</div>
|
||
<!-- /.modal-content -->
|
||
</div>
|
||
<!-- /.modal-dialog -->
|
||
</div>
|
||
|
||
|
||
|
||
<script>
|
||
function openCameraForDatesss(el) {
|
||
// alert("hii");
|
||
$('#section2').find('input').remove();
|
||
var v = $(el).parents('.mm').attr('myValue');
|
||
var remarks=v+'_remarks';
|
||
var d = $(el).parents('.mm').attr('myidValue');
|
||
var dateVal = $('.dateClass').find("input[name="+remarks+"]").val();
|
||
// alert(dateVal);
|
||
if(dateVal!=''){
|
||
$('.camera_modal').modal('show');
|
||
var newInput = $("<input type='hidden' value='"+dateVal+"' />")
|
||
.attr("id", "myfieldid")
|
||
.attr("name", remarks);
|
||
$('#section2').append(newInput);
|
||
Webcam.set({
|
||
width: 490,
|
||
height: 390,
|
||
image_format: 'jpeg',
|
||
jpeg_quality: 90
|
||
});
|
||
|
||
|
||
Webcam.attach( '#my_camera' );
|
||
$(".doc_type_val").val(v);
|
||
$(".doc_id_val").val(d);
|
||
$("#dropdownbutton").css('display', '');
|
||
$("#submitbutton").css('display', 'none');
|
||
$("#my_camera").show();
|
||
$("#results").hide();
|
||
$("#picbutton").css('display', 'none');
|
||
}else{
|
||
Swal.fire({
|
||
position: 'center',
|
||
icon: 'error',
|
||
title: 'Please fill up date field.',
|
||
showConfirmButton: false,
|
||
timer: 1500
|
||
});
|
||
}
|
||
|
||
|
||
}
|
||
function open_camera(el) {
|
||
// alert("hii");
|
||
var v = $(el).parents('.mm').attr('myValue');
|
||
var d = $(el).parents('.mm').attr('myidValue');
|
||
// alert(v);
|
||
// alert(d);
|
||
Webcam.set({
|
||
width: 490,
|
||
height: 390,
|
||
image_format: 'jpeg',
|
||
jpeg_quality: 90
|
||
});
|
||
|
||
|
||
Webcam.attach( '#my_camera' );
|
||
$(".doc_type_val").val(v);
|
||
$(".doc_id_val").val(d);
|
||
$("#dropdownbutton").css('display', '');
|
||
$("#submitbutton").css('display', 'none');
|
||
$("#my_camera").show();
|
||
$("#results").hide();
|
||
$("#picbutton").css('display', 'none');
|
||
}
|
||
|
||
function take_snapshot() {
|
||
$("#my_camera").hide();
|
||
$("#results").show();
|
||
Webcam.snap( function(data_uri) {
|
||
|
||
$(".image-tag").val(data_uri);
|
||
document.getElementById('results').innerHTML = '<img src="'+data_uri+'"/>';
|
||
$("#dropdownbutton").css('display', 'none');
|
||
$("#submitbutton").css('display', '');
|
||
$("#picbutton").css('display', '');
|
||
} );
|
||
}
|
||
$("#submit_pic").click(function () {
|
||
|
||
// $('#section2').find('input').attr("name", '').val('');
|
||
// $('#section2').find('input').remove();
|
||
$('.camera_modal').modal('toggle');
|
||
|
||
});
|
||
</script>
|
||
<script>
|
||
$("#next_tab_basic").click(function(){
|
||
$(".doc_tab").removeClass('active in show');
|
||
$(".doc_tab_top").removeClass('active');
|
||
$("#tab-new7").addClass('active in show');
|
||
$("#medical-tab").addClass('active');
|
||
})
|
||
$("#next_tab_medical").click(function(){
|
||
$(".doc_tab").removeClass('active in show');
|
||
$(".doc_tab_top").removeClass('active');
|
||
$("#tab-new8").addClass('active in show');
|
||
$("#licence-tab").addClass('active');
|
||
})
|
||
$("#next_tab_licence").click(function(){
|
||
$(".doc_tab").removeClass('active in show');
|
||
$(".doc_tab_top").removeClass('active');
|
||
$("#tab-new9").addClass('active in show');
|
||
$("#otherdoc-tab").addClass('active');
|
||
})
|
||
$("#next_tab_other").click(function(){
|
||
|
||
$.ajax({
|
||
url:'<?php echo base_url(); ?>CaregiversDashboard/load_progress?id=<?php echo $nurse->ion_user_id; ?>',
|
||
type :'GET',
|
||
success:function(data){
|
||
var obj=JSON.parse(data);
|
||
// console.log(obj.progress);
|
||
// console.log(obj.doc_status.basic_doc);
|
||
var progress='';
|
||
if(obj.progress>=100 && (obj.doc_status.basic_doc=='true') && (obj.doc_status.med_doc=='true') && (obj.doc_status.lic_doc=='true')){
|
||
$(".head-tab").removeClass('active');
|
||
$(".tab-content").removeClass('active in show');
|
||
//$(".doc_tab_top").removeClass('active');
|
||
$("#disclosures-tab").addClass('active');
|
||
$("#tab12").addClass('active in show');
|
||
//$("#otherdoc-tab").addClass('active');
|
||
}else{
|
||
Swal.fire({
|
||
title: 'Please Upload All Documents First!',
|
||
showClass: {
|
||
popup: 'animate__animated animate__fadeInDown'
|
||
},
|
||
hideClass: {
|
||
popup: 'animate__animated animate__fadeOutUp'
|
||
}
|
||
})
|
||
}
|
||
}
|
||
});
|
||
// var progress=$("span#progress_lbl").html();
|
||
// if(progress>=100){
|
||
// $(".head-tab").removeClass('active');
|
||
// $(".tab-content").removeClass('active in show');
|
||
// //$(".doc_tab_top").removeClass('active');
|
||
// $("#disclosures-tab").addClass('active');
|
||
// $("#tab12").addClass('active in show');
|
||
// //$("#otherdoc-tab").addClass('active');
|
||
// }else{
|
||
// Swal.fire({
|
||
// title: 'Please Upload All Documents First!',
|
||
// showClass: {
|
||
// popup: 'animate__animated animate__fadeInDown'
|
||
// },
|
||
// hideClass: {
|
||
// popup: 'animate__animated animate__fadeOutUp'
|
||
// }
|
||
// })
|
||
// }
|
||
});
|
||
// $( window ).on( "load", function(){
|
||
// var caregiverView = $('#DocTabVerificStatus').val();
|
||
// // alert(caregiverView);
|
||
// if(caregiverView == 'verified'){
|
||
// $(".basicDoc :input").prop("disabled", true);
|
||
// $(".basicDoc_submit_btn").hide();
|
||
// $(".medicalDoc :input").prop("disabled", true);
|
||
// $(".medicalDoc_submit_btn").hide();
|
||
// $(".licensesDoc :input").prop("disabled", true);
|
||
// $(".licensesDoc_submit_btn").hide();
|
||
// $(".otherDoc :input").prop("disabled", true);
|
||
// $(".otherDoc_submit_btn").hide();
|
||
// }else{
|
||
// $(".basicDoc :input").prop("disabled", false);
|
||
// $(".basicDoc_submit_btn").show();
|
||
// $(".medicalDoc :input").prop("disabled", false);
|
||
// $(".medicalDoc_submit_btn").show();
|
||
// $(".licensesDoc :input").prop("disabled", false);
|
||
// $(".licensesDoc_submit_btn").show();
|
||
// $(".otherDoc :input").prop("disabled", false);
|
||
// $(".otherDoc_submit_btn").show();
|
||
// }
|
||
// });
|
||
</script>
|
||
<!-- for the X-Ray -->
|
||
<!-- <script type="text/javascript">
|
||
$(document).ready(function(){
|
||
var PPD_Quantiferonon_status=$("#PPD_Quantiferonon_status").val();
|
||
|
||
$('input[name=CXR]').removeAttr('required');
|
||
if(PPD_Quantiferonon_status=='Negative'){
|
||
// $("#chest_X_ray_File").find('div').first().hide();
|
||
// $("#chest_X_ray_File_camera").hide();
|
||
$("#chest_X_ray_File").hide();
|
||
$("#chest_X_ray_File_camera").parent().hide();
|
||
}else{
|
||
//$("#chest_X_ray_File").html(html_data);
|
||
// $("#chest_X_ray_File").find('div').first().show();
|
||
// $("#chest_X_ray_File_camera").show();
|
||
$("#chest_X_ray_File").show();
|
||
$("#chest_X_ray_File_camera").parent().show();
|
||
$('input[name=CXR]').attr('required','required');
|
||
}
|
||
});
|
||
</script> -->
|
||
<script type="text/javascript">
|
||
$(document).ready(function(){
|
||
$(".create-disclosure-pdfs").click(function(){
|
||
var cg_id=<?php echo $nurse->caregiver_table_id;?>;
|
||
hitDisclosureAjax(cg_id);
|
||
});
|
||
});
|
||
</script>
|
||
<script type="text/javascript">
|
||
$(document).ready(function(){
|
||
var val=$(".doc-type-saved-value").val();
|
||
if(val==""){
|
||
$(".doc-type-upload").hide();
|
||
}else{
|
||
$(".doc-type-upload").show();
|
||
}
|
||
});
|
||
</script>
|
||
<script type="text/javascript">
|
||
$(document).on("click",".dwnload",function() {
|
||
var docType=$(this).data('doctype');
|
||
var userid=$(this).data('userid');
|
||
var link='<?=base_url()?>CaregiversDashboard/file_downloader?doctype='+docType+'&userid='+userid;
|
||
window.open(link, 'download');
|
||
});
|
||
</script>
|