CreatePrescription.jsp
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> &gt;
029     <sslext:link page="/medicalrecord.do" ><span class="pagetitle-md"><bean:message key="page.title.patient.record"/></span></sslext:link> &gt;
030     <sslext:link page="/visit.do" ><span class="pagetitle-md"><bean:message key="page.title.new.visit"/></span></sslext:link> &gt;
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>&nbsp;</td>
062         <td>
063           <html:messages id="error" property="drug">
064             <bean:write name="error" filter="false"/>
065           </html:messages>&nbsp;
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>&nbsp;</td>
082         <td>
083           <html:messages id="error" property="dosage">
084             <bean:write name="error" filter="false"/>
085           </html:messages>&nbsp;
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>&nbsp;</td>
102         <td>
103           <html:messages id="error" property="frequency">
104             <bean:write name="error" filter="false"/>
105           </html:messages>&nbsp;
106         </td>
107       </tr>
108       <!-- END Frequency -->
109       <!-- START Refills -->
110       <tr>
111         <td class="label"><bean:message key="Refills"/>&nbsp;(#)</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>&nbsp;</td>
122         <td>
123           <html:messages id="error" property="refillsRemaining">
124             <bean:write name="error" filter="false"/>
125           </html:messages>
126           &nbsp;
127         </td>
128       </tr>
129       <!-- END Refills -->
130       <!-- START Instructions -->
131       <tr>
132         <td class="label" valign="top"><bean:message key="Instructions"/>
133           &nbsp;<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>&nbsp;</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>