001 <%@ page contentType="text/html;charset=UTF-8" language="java" %>
002 <%@ taglib uri="/WEB-INF/struts-bean.tld" prefix="bean" %>
003 <%@ taglib uri="/WEB-INF/struts-logic.tld" prefix="logic" %>
004 <%@ taglib uri="/WEB-INF/struts-html.tld" prefix="html" %>
005 <%@ taglib uri="/WEB-INF/sslext.tld" prefix="sslext"%>
006 <%@ page import="com.bea.medrec.utils.MedRecWebAppUtils" %>
007
008 <html:html>
009 <head>
010 <meta http-equiv="Pragma" content="no-cache" />
011 <title><bean:message key="title.MedRec"/> - <bean:message key="title.physician.app"/></title>
012 <link rel="stylesheet" type="text/css" href="stylesheet.css">
013 <html:base/>
014 </head>
015
016 <body bgcolor="white" topmargin="0" leftmargin="0">
017
018 <!-- START Header -->
019 <jsp:include page="PatientHeader.jsp" flush="true"/>
020 <!-- END Header -->
021
022 <!-- START Content -->
023 <table width="100%" border="0" cellspacing="1" cellpadding="10">
024 <tr>
025 <td>
026 <!-- FIXME - Cancel alert needed. -->
027 <!-- START Breadcrumbs -->
028 <sslext:link page="/search.do" ><span class="pagetitle-md"><bean:message key="page.title.physcian.home"/></span></sslext:link> >
029 <sslext:link page="/medicalrecord.do" ><span class="pagetitle-md"><bean:message key="page.title.patient.record"/></span></sslext:link> >
030 <sslext:link page="/visit.do" ><span class="pagetitle-md"><bean:message key="page.title.new.visit"/></span></sslext:link> >
031 <span class="pagetitle-md"><bean:message key="page.title.new.prescription"/></span>
032 <!-- END Breadcrumbs -->
033 <br/><br/>
034
035 <!-- START Form -->
036 <sslext:form method="<%=MedRecWebAppUtils.getHttpMethod()%>" action="prescription.do" focus="drug">
037 <table width="100%" border="0" cellspacing="1" cellpadding="1">
038 <tr>
039 <td class="label" colspan="2" align="left"><bean:message key="all.fields.required"/><br/><br/></td>
040 </tr>
041 <!-- START Date -->
042 <tr>
043 <td class="label">Date</td>
044 <td>
045 <%=MedRecWebAppUtils.getCurrentDate()%>
046 </td>
047 </tr>
048 <!-- END Date -->
049 <!-- START Medication -->
050 <tr>
051 <td class="label"><bean:message key="Medication"/></td>
052 <td>
053 <html:text
054 property="drug"
055 style="width: 250px; HEIGHT: 22px" size="30"
056 maxlength="30"
057 tabindex="1"/>
058 </td>
059 </tr>
060 <tr>
061 <td> </td>
062 <td>
063 <html:messages id="error" property="drug">
064 <bean:write name="error" filter="false"/>
065 </html:messages>
066 </td>
067 </tr>
068 <!-- END Medication -->
069 <!-- START Dosage -->
070 <tr>
071 <td class="label"><bean:message key="Dosage"/></td>
072 <td>
073 <html:text
074 property="dosage"
075 style="width: 250px; HEIGHT: 22px" size="30"
076 maxlength="30"
077 tabindex="2"/>
078 </td>
079 </tr>
080 <tr>
081 <td> </td>
082 <td>
083 <html:messages id="error" property="dosage">
084 <bean:write name="error" filter="false"/>
085 </html:messages>
086 </td>
087 </tr>
088 <!-- END Dosage -->
089 <!-- START Frequency -->
090 <tr>
091 <td class="label"><bean:message key="Frequency"/></td>
092 <td>
093 <html:text
094 property="frequency"
095 style="width: 250px; HEIGHT: 22px" size="30"
096 maxlength="30"
097 tabindex="3"/>
098 </td>
099 </tr>
100 <tr>
101 <td> </td>
102 <td>
103 <html:messages id="error" property="frequency">
104 <bean:write name="error" filter="false"/>
105 </html:messages>
106 </td>
107 </tr>
108 <!-- END Frequency -->
109 <!-- START Refills -->
110 <tr>
111 <td class="label"><bean:message key="Refills"/> (#)</td>
112 <td>
113 <html:text
114 property="refillsRemaining"
115 style="width: 50px; HEIGHT: 22px" size="5"
116 maxlength="5"
117 tabindex="4"/>
118 </td>
119 </tr>
120 <tr>
121 <td> </td>
122 <td>
123 <html:messages id="error" property="refillsRemaining">
124 <bean:write name="error" filter="false"/>
125 </html:messages>
126
127 </td>
128 </tr>
129 <!-- END Refills -->
130 <!-- START Instructions -->
131 <tr>
132 <td class="label" valign="top"><bean:message key="Instructions"/>
133 <font size=2pt>(<bean:message key="optional"/>)</font>
134 </td>
135 <td>
136 <html:textarea
137 style="width: 420px; HEIGHT: 90px"
138 rows="15" cols="77"
139 property="instructions"
140 tabindex="5"/>
141 <br/>
142 </td>
143 </tr>
144 <!-- END Instructions -->
145 <tr>
146 <td> </td>
147 <td>
148 <br/><br/>
149 <html:submit property="actionPrescription" tabindex="6" styleClass="graybutton">
150 <bean:message key="button.Save"/>
151 </html:submit>
152 <html:submit property="actionPrescription" tabindex="7" styleClass="graybutton">
153 <bean:message key="button.Cancel"/>
154 </html:submit>
155 </td>
156 </tr>
157 </table>
158 </sslext:form>
159 <!-- END Form -->
160
161 </td>
162 </tr>
163 </table>
164 <!-- END Content -->
165
166 </body>
167 </html:html>
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