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<? include 'scripts/connexion.php';
@$err=$_GET['err'];
@$err1=$_GET['err1'];
@$err2=$_GET['err2'];
@$err3=$_GET['err3'];
@$err4=$_GET['err4'];
@$err5=$_GET['err5'];
$req="select lib_discipline from discipline_chirurgicale order by lib_discipline ";
$result=mysql_query($req,$link);
$req="select lib_ansthesiste from nom_ansthesiste order by lib_ansthesiste ";
$result1=mysql_query($req,$link);
$req="select lib_nom_chir from nom_chirurgien order by lib_nom_chir ";
$result2=mysql_query($req,$link);
$req="select lib_iade from nom_iade order by lib_iade ";
$result3=mysql_query($req,$link);
$req="select lib_ide_sspi from nom_ide_sspi order by lib_ide_sspi ";
$result4=mysql_query($req,$link);
$req="select menu from intervention_menu order by menu ";
$result5=mysql_query($req,$link);
@$val=$_POST['val'];
echo $val;
?>
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
<title>Untitled Document</title>
<link href="scripts/style.css" rel="stylesheet" type="text/css" />
<SCRIPT language=javascript>
//Ce petit script vous permet dappliquer un masque de saisie sur un champ de formulaire html.
//La fonction se présente comme suit :
function masqueSaisieDate(obj) {
var ch;
var ch_gauche, ch_droite;
ch = obj.value;
ch.toString();
if ( ( (ch.slice(2,3)) != ("-") ) && (ch.length >= 3) ){
ch_gauche = ch.slice(0,2);
ch_droite = ch.slice(2);
obj.value = ch_gauche + "-" + ch_droite;
}
if ( ( (ch.slice(5,6)) != ("-") ) && (ch.length >= 6) ){
ch_gauche = ch.slice(0,5);
ch_droite = ch.slice(5);
obj.value = ch_gauche + "-" + ch_droite;
}
return;
}
//Pour l'appeler, il suffit de mettre quelque chose de ce style
//pour appeler la fonction. Il vous restera alors à taper quelque chose du style 12122001 qui sera automatiquement formaté en 12/12/2001
function PopupCentrer(page,largeur,hauteur,options) {
var top=(screen.height-hauteur)/2;
var left=(screen.width-largeur)/2;
window.open(page,"","top="+top+",left="+left+",width="+largeur+",height="+hauteur+","+options);
}
</SCRIPT>
</head>
<body bottommargin="0" topmargin="0" leftmargin="0" rightmargin="0">
<form method="post" name="formulaire" action="envoie_form.php">
<input type="hidden" name="mod_form" value="ajout">
<table width="600" border="0" align="center" cellpadding="0" cellspacing="0" class="text_noir">
<tr>
<td width="238">Nom</td>
<td colspan="4"><input name="nom" type="text" class="zone" id="nom" /> <font color="#FF0000">
<?=$err?>
</font></td>
</tr>
<tr>
<td>Prénom</td>
<td colspan="4"><input name="prenom" type="text" class="zone" id="prenom" />
<font color="#FF0000">
<?=$err1?>
</font></td>
</tr>
<tr>
<td>Date de naissance </td>
<td colspan="4"><input name="date_naiss" type="text" class="zone" id="date_naiss" onKeyUp="masqueSaisieDate(this.form.date_naiss)"/>
<font color="#FF0000">
<?=$err2?>
</font></td>
</tr>
<tr>
<td>N°IPP</td>
<td colspan="4"><input name="num_ipp" type="text" class="zone" id="num_ipp" />
<font color="#FF0000">
<?=$err3?>
</font></td>
</tr>
<tr>
<td>Date de saisie </td>
<td colspan="4"><input name="date_saisie" type="text" class="zone" id="date_saisie" onKeyUp="masqueSaisieDate(this.form.date_saisie)"/>
<font color="#FF0000">
<?=$err4?>
</font></td>
</tr>
<tr>
<td>Heure d'entrée SSPI </td>
<td colspan="4"><input name="h_entre" type="text" class="zone" id="h_entre" /></td>
</tr>
<tr>
<td>Heure de sortieSSPI</td>
<td colspan="4"><input name="h_sortie" type="text" class="zone" id="h_sortie" /></td>
</tr>
<tr>
<td>Durée de séjour </td>
<td colspan="4"><input name="dure_sej" type="text" class="zone" id="dure_sej" /></td>
</tr>
<tr>
<td>Pré ou Post Opératoire </td>
<td colspan="2">Pré-op <input type="radio" name="pre_po" value="Pré Opératoire" /></td>
<td colspan="2">Post-op
<input type="radio" name="pre_po" value="Post Opératoire" /></td>
</tr>
<tr>
<td>Numéro du poste </td>
<td colspan="4"><input name="num_poste" type="text" class="zone" id="num_poste" /></td>
</tr>
<tr>
<td>Nom IDE de SSPI </td>
<td><select name="nom_ide_sspi">
<? while($val=mysql_fetch_array($result4)) {?>
<option value="<? echo $val["lib_ide_sspi"];?>"><? echo $val["lib_ide_sspi"];?></option>
<? }?>
</select></td>
<td> </td>
<td colspan="2"><a href='javascript:PopupCentrer("popup.php?table=nom_ide_sspi",200,110,"menubar=no,scrollbars=yes,statusbar=no")' class="det">+</a>
/ <a href='javascript:PopupCentrer("popup2.php?table=nom_ide_sspi",200,110,"menubar=no,scrollbars=yes,statusbar=no")' class="det">-</a><font color="#FF0000">
<?=$err5?>
</font></td>
</tr>
<tr>
<td rowspan="2">Type Operation</td>
<td rowspan="2"><select name="intervention_menu">
<? while($val=mysql_fetch_array($result5)) {?>
<option value="<? echo $val["menu"];?>"><? echo $val["menu"];?></option>
<? }?>
</select></td>
<td rowspan="2"></td>
<td width="152">Menu Intervention</td>
<td width="76"><a href='javascript:PopupCentrer("popup.php?table=intervention_menu",200,110,"menubar=no,scrollbars=yes,statusbar=no")' class="det">+</a>
/ <a href='javascript:PopupCentrer("popup2.php?table=intervention_menu",220,120,"menubar=no,scrollbars=yes,statusbar=no")' class="det">-</a></td>
</tr>
<tr>
<td>Sous Menu Intervention</td>
<td><a href='javascript:PopupCentrer("popup1.php?table=intervention_sous_menu",200,110,"menubar=no,scrollbars=yes,statusbar=no")' class="det">+</a>
/ <a href='javascript:PopupCentrer("popup2.php?table=intervention_sous_menu",220,120,"menubar=no,scrollbars=yes,statusbar=no")' class="det">-</a></td>
</tr>
<tr>
<td>Discipline Chirurgicale </td>
<td width="122"><select name="disc_chir">
<? while($val=mysql_fetch_array($result)) {?>
<option value="<? echo $val["lib_discipline"];?>"><? echo $val["lib_discipline"];?></option>
<? }?>
</select></td>
<td width="12"></td>
<td colspan="2"><a href='javascript:PopupCentrer("popup.php?table=discipline_chirurgicale",200,110,"menubar=no,scrollbars=yes,statusbar=no")' class="det">+</a>
/ <a href='javascript:PopupCentrer("popup2.php?table=discipline_chirurgicale",220,120,"menubar=no,scrollbars=yes,statusbar=no")' class="det">-</a></td>
</tr>
<tr>
<td>Nom Chirurgien </td>
<td><select name="nom_chir">
<? while($val=mysql_fetch_array($result2)) {?>
<option value="<? echo $val["lib_nom_chir"];?>"><? echo $val["lib_nom_chir"];?></option>
<? }?>
</select></td>
<td> </td>
<td colspan="2"><a href='javascript:PopupCentrer("popup.php?table=nom_chirurgien",200,110,"menubar=no,scrollbars=yes,statusbar=no")' class="det">+</a>
/ <a href='javascript:PopupCentrer("popup2.php?table=nom_chirurgien",200,110,"menubar=no,scrollbars=yes,statusbar=no")' class="det">-</a></td>
</tr>
<tr>
<td>Nom Anesthésiste </td>
<td><select name="nom_anthes">
<? while($val=mysql_fetch_array($result1)) {?>
<option value="<? echo $val["lib_ansthesiste"];?>"><? echo $val["lib_ansthesiste"];?></option>
<? }?>
</select></td>
<td> </td>
<td colspan="2"><a href='javascript:PopupCentrer("popup.php?table=nom_ansthesiste",200,110,"menubar=no,scrollbars=yes,statusbar=no")' class="det">+</a>
/ <a href='javascript:PopupCentrer("popup2.php?table=nom_ansthesiste",200,110,"menubar=no,scrollbars=yes,statusbar=no")' class="det">-</a>
</td>
</tr>
<tr>
<td>Nom IADE </td>
<td><select name="nom_iade">
<? while($val=mysql_fetch_array($result3)) {?>
<option value="<? echo $val["lib_iade"];?>"><? echo $val["lib_iade"];?></option>
<? }?>
</select></td>
<td> </td>
<td colspan="2"><a href='javascript:PopupCentrer("popup.php?table=nom_iade",200,110,"menubar=no,scrollbars=yes,statusbar=no")' class="det">+</a>
/ <a href='javascript:PopupCentrer("popup2.php?table=nom_iade",200,110,"menubar=no,scrollbars=yes,statusbar=no")' class="det">-</a>
</td>
</tr>
<tr>
<td>Ventilé</td>
<td colspan="2">oui
<input type="radio" name="ventile" value="oui" /></td>
<td colspan="2">non
<input type="radio" name="ventile" value="non" /></td>
</tr>
<tr>
<td>Si oui, durée </td>
<td colspan="4"><input name="dure_ventil" type="text" class="zone" id="dure_ventil" /></td>
</tr>
<tr>
<td>PCA</td>
<td colspan="2">oui
<input type="radio" name="pca" value="oui" /></td>
<td colspan="2">non
<input type="radio" name="pca" value="non" /></td>
</tr>
<tr>
<td>Si oui, Numéro de PCA </td>
<td colspan="4"><input name="num_pca" type="text" class="zone" id="num_pca" /></td>
</tr>
<tr>
<td>Transfusion</td>
<td colspan="2">oui
<input type="radio" name="transfusion" value="oui" /></td>
<td colspan="2">non
<input type="radio" name="transfusion" value="non" /></td>
</tr>
<tr>
<td>Si oui, détail </td>
<td colspan="4"><textarea name="transfusion_det" class="zone_adresse"></textarea></td>
</tr>
<tr>
<td>Remarque</td>
<td colspan="4"><textarea name="remarque" class="zone_adresse"></textarea></td>
</tr>
<tr>
<td height="48"><div align="center">
<input type="submit" class="ok" value="Envoyer" />
</div></td>
<td colspan="4"><div align="center">
<input type="reset" class="ok" value="Effacer" />
</div></td>
</tr>
</table>
<p><br>
</p>
<table class="text_noir"><tr>
<td width="574"><a href="form.php" class="det">Ajouter un nouvel enregistrement </a> | <a href="recherche.php" class="det">Recherche </a> | <a href="logout.php" class="det">Déconnexion</a> | <a href="menu.php" class="det">Accueil</a></td>
</tr>
</table>
</form>
</body>
</html> |
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