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Claim.aspx
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<%-- Copyright (c) 2016-2017 Swiss Agency for Development and Cooperation (SDC)
The program users must agree to the following terms:
Copyright notices
This program is free software: you can redistribute it and/or modify it under the terms of the GNU AGPL v3 License as published by the
Free Software Foundation, version 3 of the License.
This program is distributed in the hope that it will be useful, but WITHOUT ANY WARRANTY; without even the implied warranty of
MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the GNU AGPL v3 License for more details www.gnu.org.
Disclaimer of Warranty
There is no warranty for the program, to the extent permitted by applicable law; except when otherwise stated in writing the copyright
holders and/or other parties provide the program "as is" without warranty of any kind, either expressed or implied, including, but not
limited to, the implied warranties of merchantability and fitness for a particular purpose. The entire risk as to the quality and
performance of the program is with you. Should the program prove defective, you assume the cost of all necessary servicing, repair or correction.
Limitation of Liability
In no event unless required by applicable law or agreed to in writing will any copyright holder, or any other party who modifies and/or
conveys the program as permitted above, be liable to you for damages, including any general, special, incidental or consequential damages
arising out of the use or inability to use the program (including but not limited to loss of data or data being rendered inaccurate or losses
sustained by you or third parties or a failure of the program to operate with any other programs), even if such holder or other party has been
advised of the possibility of such damages.
In case of dispute arising out or in relation to the use of the program, it is subject to the public law of Switzerland. The place of jurisdiction is Berne.--%>
<%@ Page Language="vb" AutoEventWireup="false" MasterPageFile="~/IMIS.Master" CodeBehind="Claim.aspx.vb"
Inherits="IMIS.Claim" Title='<%$ Resources:Resource,L_CLAIMPAGETITLE%>' %>
<%@ Register Assembly="AjaxControlToolkit" Namespace="AjaxControlToolkit" TagPrefix="ajax" %>
<asp:Content ID="HeadContent" ContentPlaceHolderID="head" runat="Server">
<script type="text/javascript">
const QtyOneServices = ["OPD 2 OPD Hospital", "OPD 1 OPD PHC", "OPD 3 OPD Eye Hospital", "EMR 1 Emergency Hospital", "EMRPHC Emergency PHC", "EMR 2 Emergency Eye Hospital"];
var canClearRow = "<%=canClearRow %>";
function setCaller(flag) {
document.getElementById('<%=hfCaller.ClientID %>').value = flag;
}
function BindEventsonRowAdd() {
$(".delButton").unbind("click");
$(".delButton").click(function () { ClearRow($(this)); });
}
$(document).ready(function () {
$("a").each(function () {
if ($(this).attr("href") == "#") {
$(this).attr("href", "javascript:void 0");
}
});
function deleteAddedRow($source) {
$row = $source.parent().parent();
//if (showmodalPopup())
if ($row.attr("class") == "addedRow")
$row.remove();
return false;
}
function validateTextNumberOnly($txtbox, e) {
if (e.which < 48 || e.which > 57)
return false;
}
});
var $tr_id
function ClearRow($source) {
//Get the id of the record
var record_id = $source.attr("id");
//Get the gridview row reference
$tr_id = $source.parent().parent();
var tdCode = $tr_id.find("td").eq(0).find("input[type=text]").val();
var tdQuantity = $tr_id.find("td").eq(1).find("input[type=text]").val();
var tdValue = $tr_id.find("td").eq(2).find("input[type=text]").val();
var tdExplanation = $tr_id.find("td").eq(3).find("input[type=text]").val();
if (tdCode == "" && tdQuantity == "" && tdValue == "" && tdExplanation == "") {
return;
} else {
//ask for user's confirmation
if (canClearRow.toLowerCase() == "true") {
var msgHTML = '<%= imisgen.getMessage("M_CONFIRMROWCLEARING", True ) %>';
popup.rejectBTN_Text = "CANCEL";
popup.confirm(msgHTML, SubmitHandle);
}
}
}
$(document).ready(function () {
$(".delButton").click(function () {
ClearRow($(this));
});
$(".ClaimValue").ready(function () {
CalculateClaimTotal($("#<%=gvService.ClientID %>"));
$("#Body_txtServTotal").val(claimValue.toFixed(2));
serviceValue = claimValue;
CalculateClaimTotal($("#<%=gvItems.ClientID %>"));
itemValue = claimValue - serviceValue;
$("#Body_txtItemTotal").val(itemValue.toFixed(2));
$("#<%=txtCLAIMTOTALData.ClientID %>").val(claimValue.toFixed(2));
$("#<%=hfClaimTotalValue.ClientID %>").val(claimValue.toFixed(2));
$("#<%=hfClaimTotalValue.ClientID %>").data("InitialCLMValue", claimValue.toFixed(2));
claimValue = 0;
});
$("#<%#txtCHFIDData.ClientID %>").focus();
});
var ClaimedDate;
var VisitDateFrom;
var VisitDateTo;
var flagCheckDateLogic = 0;
// var btnClicked = false
// $(".btnDate").click(function() {
// $txtbox = $(this).siblings("input[type=text]");
// });
// alert($("#txtClaimDateCalendarExtender_daysBody").html());
$(".ajax__calendar_days td").click(function () {
$("#<%=txtClaimDate.ClientID %>").trigger("change");
});
$("#ctl00_Body_txtSTARTData_CalendarExtender_daysBody td").click(function () {
$("#ctl00$Body$txtSTARTData").trigger("change");
});
$("#txtENDData_CalendarExtender_daysBody td").click(function () {
$("#ctl00$Body$txtENData").trigger("change");
});
$("#txtClaimDateCalendarExtender_daysBody td").click(function () {
$("#<%=txtClaimDate.ClientID %>").trigger("change");
});
function CheckClaimedDate() {
ClaimedDateFill();
if (isValidDate(new Date(ClaimedDate))) {
var ServerDate = '<%= Format(Date.Today, "MM/dd/yyyy") %>';
if (new Date(ClaimedDate) > new Date(ServerDate)) {
//$('#<%=txtClaimDate.ClientID %>').val("");
$("#<%=lblMsg.ClientID %>").html('<%= imisgen.getMessage("M_CLAIMDATENOTAFTERTODAY", True ) %>');
return 0;
}
return 1;
} else {
$("#<%=lblMsg.ClientID %>").html('<%= imisgen.getMessage("M_INVALIDDATE", True ) %>');
return 0;
}
}
function CheckVisitDateFrom() {
VisitDateFromFill();
if (isValidDate(new Date(VisitDateFrom))) {
var ServerDate = '<%= Format(Date.Today, "MM/dd/yyyy") %>';
if (new Date(VisitDateFrom) > new Date(ServerDate)) {
//$('#<%=txtSTARTData.ClientID %>').val("");
$("#<%=lblMsg.ClientID %>").html('<%= imisgen.getMessage("M_VISITDATENOTAFTERTODAY", True ) %>');
return 0;
}
return 1;
} else {
$("#<%=lblMsg.ClientID %>").html('<%= imisgen.getMessage("M_INVALIDDATE", True ) %>');
return 0;
}
}
function CheckVisitDateTo() {
if ($('#<%=txtENDData.ClientID %>').val() != "") {
VisitDateToFill();
}
}
function ClaimedDateFill() {
ClaimedDate = $('#<%=txtClaimDate.ClientID %>').val();
var day = ClaimedDate.substr(0, 2);
var Month = ClaimedDate.substr(3, 2);
var Year = ClaimedDate.substr(6, 4);
ClaimedDate = Month + "/" + day + "/" + Year;
}
function VisitDateFromFill() {
VisitDateFrom = $('#<%=txtSTARTData.ClientID %>').val();
var day = VisitDateFrom.substr(0, 2);
var Month = VisitDateFrom.substr(3, 2);
var Year = VisitDateFrom.substr(6, 4);
VisitDateFrom = Month + "/" + day + "/" + Year;
}
function VisitDateToFill() {
VisitDateTo = $('#<%=txtENDData.ClientID %>').val();
var day = VisitDateTo.substr(0, 2);
var Month = VisitDateTo.substr(3, 2);
var Year = VisitDateTo.substr(6, 4);
VisitDateTo = Month + "/" + day + "/" + Year;
}
function CheckDateLogic() {
if (flagCheckDateLogic != 1) {
if ($('#<%=txtClaimDate.ClientID %>').val() != "") {
ClaimedDateFill();
}
}
if (flagCheckDateLogic != 2) {
if ($('#<%=txtSTARTData.ClientID %>').val() != "") {
VisitDateFromFill();
}
}
if (flagCheckDateLogic != 3) {
if ($('#<%=txtENDData.ClientID %>').val() != "") {
VisitDateToFill();
}
}
// checking on date isValid....added by ruzo 5 nov 2012....below
if (CheckVisitDateFrom() == 0 || CheckClaimedDate() == 0) return 0;
if (flagCheckDateLogic == 2) {
if (!isValidDate(new Date(ClaimedDate)) || !isValidDate(new Date(VisitDateFrom))) {
$("#<%=lblMsg.ClientID %>").html('<%= imisgen.getMessage("M_INVALIDDATE", True ) %>');
return 0;
}
if (new Date(ClaimedDate) < new Date(VisitDateFrom)) {
$('#<%=txtSTARTData.ClientID %>').val("");
$("#<%=lblMsg.ClientID %>").html('<%= imisgen.getMessage("M_VISITDATENOTAFTERCLAIMDATE", True ) %>');
return 0; //...added by ruzo 2 nov 2012
}
}
if (flagCheckDateLogic == 1) {
if (!isValidDate(new Date(ClaimedDate)) || !isValidDate(new Date(VisitDateFrom))) {
$("#<%=lblMsg.ClientID %>").html('<%= imisgen.getMessage("M_INVALIDDATE", True ) %>');
return 0;
}
if (new Date(ClaimedDate) < new Date(VisitDateFrom)) {
$('#<%=txtClaimDate.ClientID %>').val("");
$("#<%=lblMsg.ClientID %>").html('<%= imisgen.getMessage("M_CLAIMDATENOTBEFOREVISITDATE", True ) %>');
return 0; //...added by ruzo 2 nov 2012
}
}
if (flagCheckDateLogic == 3) {
if (!isValidDate(new Date(VisitDateFrom))) {
$("#<%=lblMsg.ClientID %>").html('<%= imisgen.getMessage("M_INVALIDDATE", True ) %>');
return 0;
}
if (new Date(VisitDateTo) < new Date(VisitDateFrom)) {
$('#<%=txtENDData.ClientID %>').val("");
$("#<%=lblMsg.ClientID %>").html('<%= imisgen.getMessage("M_VISITDATETONOTBEFOREVISITDATEFROM", True ) %>');
return 0; //...added by ruzo 2 nov 2012
}
}
return 1; //...added by ruzo 2 nov 2012
}
$(document).ready(function () {
$('#<%=B_SAVE.ClientID %>').click(function () {
//var isGuaranteeNoRequired = $("#<%= txtGuaranteeId.ClientID %>").hasClass("requiedField");
//if ($("#<%=txtCHFIDData.ClientID%>").val() == "" || $("#<%=txtCLAIMCODEData.ClientID%>").val() == "" || $("#<%=txtICDCode0.ClientID%>").val() == 0 || $("#<%=ddlVisitType.ClientID%>").val() == 0 || $("#<%=txtGuaranteeId.ClientID%>").val() == "") {
if ($("#<%=txtCHFIDData.ClientID%>").val() == "" || $("#<%=txtCLAIMCODEData.ClientID%>").val() == "" || $("#<%=txtICDCode0.ClientID%>").val() == 0 || $("#<%=ddlVisitType.ClientID%>").val() == 0 || $("#<%=ddlOPDIPD.ClientID%>").val() == 0) {
$('#<%=lblMsg.ClientID%>').html('<%= imisgen.getMessage("V_SUMMARY", True ) %>');
return false;
}
// new validation for HIB
//var flagHIBValidation = true;
//$("[id^='Body_gvService_txtQuantityS_']").each(function () {
// var ServCodeName = $(event.target).closest('td').prev().find("input[type=text]").val();
// var ServExplanation = $(event.target).closest('td').next(1).find("input[type=text]").val();
// if (QtyOneServices.includes(ServCodeName) == false) {
// if ($(this).val() != 1) {
// alert("Enter explanation for this service");
// ServExplanation.focus();
// flagHIBValidation = false;
// }
// }
//});
// date validation...added by ruzo 2 nov 2012
var check = 0;
ClaimedDateFill();
VisitDateFromFill();
VisitDateToFill();
for (var i = 1; i <= 3; i++) {
flagCheckDateLogic = i;
check = CheckDateLogic();
if (check == 0) {
break;
}
}
// CheckClaimedDate(); CheckVisitDateFrom(); CheckVisitDateTo();
// .... end of date validation...
$("#<%=hfInitialCLMTotalValue.ClientID %>").val($("#<%=hfClaimTotalValue.ClientID %>").data("InitialCLMValue"));
if (i == 4)
$("#<%=lblMsg.ClientID %>").html("");
var flagSaveLabel = true;
$("#<%=gvService.ClientID %> tr:not(:first)").each(function() {
var ServCodeNam = $(this).find("td").eq(0).find("input[type=text]").val();
var ServQty = $(this).find("td").eq(1).find("input[type=text]").val();
var ServValue = $(this).find("td").eq(2).find("input[type=text]").val();
var ServExplanation = $(this).find("td").eq(3).find("input[type=text]").val();
if (ServCodeNam != "" && ServQty == "") {
$("#<%=lblMsg.ClientID %>").html('<%= imisgen.getMessage("M_FILLSERVICEQUANTITY", True)%>');
flagSaveLabel = false;
} else if (ServCodeNam != "" && ServValue == "") {
$("#<%=lblMsg.ClientID %>").html('<%= imisgen.getMessage("M_FILLSERVICEVALUE", True)%>');
flagSaveLabel = false;
} else if (ServCodeNam == "" && ServValue != "") {
$("#<%=lblMsg.ClientID %>").html('<%= imisgen.getMessage("M_SELECTSERVICECODE", True)%>');
flagSaveLabel = false;
} else if (ServCodeNam == "" && ServQty != "") {
$("#<%=lblMsg.ClientID %>").html('<%= imisgen.getMessage("M_SELECTSERVICECODE", True ) %>');
flagSaveLabel = false;
}
if (QtyOneServices.includes(ServCodeNam) == false) {
if (ServCodeNam != "" && ServQty > 1 && ServExplanation=="") {
$("#<%=lblMsg.ClientID %>").html("Enter explanation for service: " + ServCodeNam);
flagSaveLabel = false;
}
}
});
$("#<%=gvItems.ClientID %> tr:not(:first)").each(function() {
var ItemCodeNam = $(this).find("td").eq(0).find("input[type=text]").val();
var ItemQty = $(this).find("td").eq(1).find("input[type=text]").val();
var ItemValue = $(this).find("td").eq(2).find("input[type=text]").val();
if (ItemCodeNam != "" && ItemQty == "") {
$("#<%=lblMsg.ClientID %>").html('<%= imisgen.getMessage("M_FILLITEMQUANTITY", True)%>');
flagSaveLabel = false;
} else if (ItemCodeNam != "" && ItemValue == "") {
$("#<%=lblMsg.ClientID %>").html('<%= imisgen.getMessage("M_FILLITEMVALUE", True)%>');
flagSaveLabel = false;
} else if (ItemCodeNam == "" && ItemValue != "") {
$("#<%=lblMsg.ClientID %>").html('<%= imisgen.getMessage("M_SELECTITEMCODE", True)%>');
flagSaveLabel = false;
} else if (ItemCodeNam == "" && ItemQty != "") {
$("#<%=lblMsg.ClientID %>").html('<%= imisgen.getMessage("M_SELECTITEMCODE", True ) %>');
flagSaveLabel = false;
}
});
//alert("bottom: " + flagSaveLabel + "===" + i);
return (flagSaveLabel && i == 4); // added by ruzo 2 nov 2012....
});
});
function pageLoadExtend() {
$("[id*='Body_gvService_txtValue']").attr('readonly', true);
$("[id*='Body_gvItems_txtValueI']").attr('readonly', true);
dropdown.init($("#DropDownSugTable"), function() { $('.ClaimValue').eq(0).trigger("change"); });
$(".disabled a").unbind("click").mouseover(function() {
$(this).css("opacity", 0.2);
});
showInsureePopupSearchResult();
$('#btnCancel').click(function() {
$('#SelectPic').hide();
});
$("#<%=gvService.ClientID %>").find("input[type=text]").change(function() {
$("#<%=txtAddServiceRows.ClientID %>").attr("disabled", true);
$("#<%=txtAddItemRows.ClientID %>").attr("disabled", true);
});
$(".ClaimQty").change(function() {
$(".ClaimValue").trigger("change");
});
$(".ClaimValue").change(function() {
CalculateClaimTotal($("#<%=gvService.ClientID %>"));
$("#Body_txtServTotal").val(claimValue.toFixed(2));
serviceValue = claimValue;
CalculateClaimTotal($("#<%=gvItems.ClientID %>"));
itemValue = claimValue - serviceValue;
$("#Body_txtItemTotal").val(itemValue.toFixed(2));
$("#<%=txtCLAIMTOTALData.ClientID %>").val(claimValue.toFixed(2));
$("#<%=hfClaimTotalValue.ClientID %>").val(claimValue.toFixed(2));
claimValue = 0;
});
$("#<%=txtClaimDate.ClientID %>").change(function() {
$("#<%=lblMsg.ClientID %>").html("");
CheckClaimedDate();
if ($("#<%=txtSTARTData.ClientID %>").val() != "") {
flagCheckDateLogic = 1;
CheckDateLogic();
}
});
$("#<%=txtSTARTData.ClientID %>").change(function() {
$("#<%=lblMsg.ClientID %>").html("");
CheckVisitDateFrom();
if ($("#<%=txtClaimDate.ClientID %>").val() != "") {
flagCheckDateLogic = 2;
CheckDateLogic();
}
});
$('#<%=txtENDData.ClientID %>').change(function() {
$("#<%=lblMsg.ClientID %>").html("");
CheckVisitDateTo();
if ($("#<%=txtSTARTData.ClientID %>").val() != "") {
flagCheckDateLogic = 3;
CheckDateLogic();
}
});
}
// $.ajax({
// success: function() {
// alert(" success ajax function");
// }
// });
function SubmitHandle(btn) {
if (btn == "ok") {
$tr_id.find("td").eq(0).find("input[type=text]").val("");
$tr_id.find("td").eq(1).find("input[type=text]").val("");
$tr_id.find("td").eq(2).find("input[type=text]").val("");
$tr_id.find("td").eq(3).find("input[type=text]").val("");
$('.ClaimValue').trigger("change");
} else if (btn == "cancel") {
$("#<%=lblMsg.ClientID %>").html("");
}
}
var claimValue = 0;
function CalculateClaimTotal($gv) {
var $gvRows = $gv.find("tr:not(:first)");
$gvRows.each(function() {
var Qty = $(this).find("td").eq(1).find("input[type=text]").val();
var Value = $(this).find("td").eq(2).find("input[type=text]").val();
if (Value != "" && Qty != "") {
if (isNaN(Value)) {
//alert($(this).find("td").eq(2).find("input[type=text]").val());
$("#<%=lblMsg.ClientID %>").html('<%= imisgen.getMessage("M_ENTERVALIDPRICEVALUE", True)%>');
return;
} else if (isNaN(Qty)) {
$("#<%=lblMsg.ClientID %>").html('<%= imisgen.getMessage("M_ENTERVALIDQUANTITY", True ) %>');
return;
}
claimValue += parseFloat(Qty) * parseFloat(Value);
} else return;
});
}
//ICDCode Autocomplete textbox controls Start
$(document).ready(function () {
var prm = Sys.WebForms.PageRequestManager.getInstance();
prm.add_initializeRequest(InitializeRequest);
prm.add_endRequest(EndRequest);
InitAutoCompl();
});
function InitializeRequest(sender, args) {
}
function EndRequest(sender, args) {
InitAutoCompl();
}
function InitAutoCompl() {
$("#<%=txtICDCode0.ClientID %>").focus(function () {
var datasource;
$.ajax({
url: 'AutoCompleteHandlers/AutoCompleteHandler.ashx',
dataType: "json",
type: "GET",
async: false,
cache: false,
success: function (data) {
datasource = data;
}
});
var ds = new AutoCompletedataSource(datasource);
$("#<%=txtICDCode0.ClientID %>").autocomplete({
source: function (request, response) {
var data = ds.filter(request);
response($.map(data, function (item, id) {
return {
label: item.ICDNames, value: item.ICDNames, value2: item.ICDCode, id: item.ICDID
};
}));
},
select: function (e, u) {
$('#<% = hfICDID0.ClientID%>').val(u.item.id);
}
});
});
$("#<%=txtICDCode0.ClientID %>").change(function () {
if ($(this).val() === "") {
$('#<% = hfICDID0.ClientID%>').val("")
}
});
$("#<%=txtICDCode1.ClientID %>").focus(function () {
var datasource;
$.ajax({
url: 'AutoCompleteHandlers/AutoCompleteHandler.ashx',
dataType: "json",
type: "GET",
async: false,
cache: false,
success: function (data) {
datasource = data;
}
});
var ds = new AutoCompletedataSource(datasource);
$("#<%=txtICDCode1.ClientID %>").autocomplete({
source: function (request, response) {
var data = ds.filter(request);
response($.map(data, function (item, id) {
return {
label: item.ICDNames, value: item.ICDNames, value2: item.ICDCode, id: item.ICDID
};
}));
},
select: function (e, u) {
$('#<% = hfICDID1.ClientID%>').val(u.item.id);
}
});
});
$("#<%=txtICDCode1.ClientID %>").change(function () {
if ($(this).val() === "") {
$('#<% = hfICDID1.ClientID%>').val("")
}
});
$("[id^='Body_gvService_txtQuantityS_']").change(function () {
var ServCodeNam = $(event.target).closest('td').prev().find("input[type=text]").val();
//if ((ServCodeNam == "OPD 2 OPD Hospital") || (ServCodeNam == "OPD 1 OPD PHC") || (ServCodeNam == "OPD 3 OPD Eye Hospital") || (ServCodeNam == "EMR 1 Emergency Hospital") || (ServCodeNam == "EMRPHC Emergency PHC") || (ServCodeNam == "EMR 2 Emergency Eye Hospital")) {
// alert("Quantity is limited to 1 only!");
// $(this).val(1);
//}
if (QtyOneServices.includes(ServCodeNam)) {
alert("Quantity is limited to 1 only!");
$(this).val(1);
}
});
<%--
$("#<%=txtICDCode2.ClientID %>").focus(function () {
var datasource;
$.ajax({
url: 'AutoCompleteHandlers/AutoCompleteHandler.ashx',
dataType: "json",
type: "GET",
async: false,
cache: false,
success: function (data) {
datasource = data;
}
});
var ds = new AutoCompletedataSource(datasource);
$("#<%=txtICDCode2.ClientID %>").autocomplete({
source: function (request, response) {
var data = ds.filter(request);
response($.map(data, function (item, id) {
return {
label: item.ICDNames, value: item.ICDNames, value2: item.ICDCode, id: item.ICDID
};
}));
},
select: function (e, u) {
$('#<% = hfICDID2.ClientID%>').val(u.item.id);
}
});
});
$("#<%=txtICDCode2.ClientID %>").change(function () {
if ($(this).val() === "") {
$('#<% = hfICDID2.ClientID%>').val("")
}
$("#<%=txtICDCode0.ClientID %>").autocomplete({
source: function (request, response) {
$.ajax({
url: 'AutoCompleteHandlers/AutoCompleteHandler.ashx',
// data: JSON.stringify({ prefix: request.term }),
data: { ICDCode: $("#<%=txtICDCode0.ClientID %>").val() },
dataType: "json",
type: "POST",
success: function (data) {
response($.map(data, function (item, id) {
return { label: item.ICDNames, value: item.ICDNames, id: item.ICDID };
}));
},
error: function (response) {
alert(response.responseText);
},
failure: function (response) {
alert(response.responseText);
}
});
},
select: function (e, u) {
$('#<% = hfICDID0.ClientID%>').val(u.item.id);
},
minLength: 1
});
$("#<%=txtICDCode1.ClientID %>").autocomplete({
source: function (request, response) {
$.ajax({
url: 'AutoCompleteHandlers/AutoCompleteHandler.ashx',
// data: JSON.stringify({ prefix: request.term }),
data: { ICDCode: $("#<%=txtICDCode1.ClientID %>").val() },
dataType: "json",
type: "POST",
success: function (data) {
response($.map(data, function (item, id) {
return { label: item.ICDNames, value: item.ICDNames, id: item.ICDID };
}));
},
error: function (response) {
alert(response.responseText);
},
failure: function (response) {
alert(response.responseText);
}
});
},
select: function (e, u) {
$('#<% = hfICDID1.ClientID%>').val(u.item.id);
},
minLength: 1
});
$("#<%=txtICDCode2.ClientID %>").autocomplete({
source: function (request, response) {
$.ajax({
url: 'AutoCompleteHandlers/AutoCompleteHandler.ashx',
// data: JSON.stringify({ prefix: request.term }),
data: { ICDCode: $("#<%=txtICDCode2.ClientID %>").val() },
dataType: "json",
type: "POST",
success: function (data) {
response($.map(data, function (item, id) {
return { label: item.ICDNames, value: item.ICDNames, id: item.ICDID };
}));
},
error: function (response) {
alert(response.responseText);
},
failure: function (response) {
alert(response.responseText);
}
});
},
select: function (e, u) {
$('#<% = hfICDID2.ClientID%>').val(u.item.id);
},
minLength: 1
});
$("#<%=txtICDCode3.ClientID %>").autocomplete({
source: function (request, response) {
$.ajax({
url: 'AutoCompleteHandlers/AutoCompleteHandler.ashx',
// data: JSON.stringify({ prefix: request.term }),
data: { ICDCode: $("#<%=txtICDCode3.ClientID %>").val() },
dataType: "json",
type: "POST",
success: function (data) {
response($.map(data, function (item, id) {
return { label: item.ICDNames, value: item.ICDNames, id: item.ICDID };
}));
},
error: function (response) {
alert(response.responseText);
},
failure: function (response) {
alert(response.responseText);
}
});
},
select: function (e, u) {
$('#<% = hfICDID3.ClientID%>').val(u.item.id);
},
minLength: 1
});
$("#<%=txtICDCode4.ClientID %>").autocomplete({
source: function (request, response) {
$.ajax({
url: 'AutoCompleteHandlers/AutoCompleteHandler.ashx',
// data: JSON.stringify({ prefix: request.term }),
data: { ICDCode: $("#<%=txtICDCode4.ClientID %>").val() },
dataType: "json",
type: "POST",
success: function (data) {
response($.map(data, function (item, id) {
return { label: item.ICDNames, value: item.ICDNames, id: item.ICDID };
}));
},
error: function (response) {
alert(response.responseText);
},
failure: function (response) {
alert(response.responseText);
}
});
},
select: function (e, u) {
$('#<% = hfICDID4.ClientID%>').val(u.item.id);
},
minLength: 1
});
--%>
}
</script>
<style type="text/css">
table#DropDownSugTable
{
border-width: 0px;
border-collapse: collapse;
}
table#DropDownSugTable th
{
background: #CCC;
color: #303030;
border-width: 0px;
}
table#DropDownSugTable td
{
border-width: 0px;
}
.pnlHiddenServiceCodes, .pnlHiddenItemCodes
{
display: none;
position: absolute;
background: #CCCCCC;
border: 1px solid #ccc;
font-weight: normal;
color: #000000;
z-index: 100;
padding: 3px;
height: auto;
cursor: pointer;
width: auto;
}
.popup
{
width: 220px;
height: 100px;
background-color: White;
z-index: 1002;
font-size: 14px;
text-align: center;
border: solid 2px black;
-webkit-border-radius: 12px;
-moz-border-radius: 12px;
position: absolute;
top: 40%;
left: 40%;
padding-top: 8px;
}
.backentry
{
height: 690px;
}
.footer
{
top:auto;
}
.auto-style1 {
height: 27px;
}
.auto-style2 {
height: 27px;
width: 150px;
text-align: right;
color: Blue;
font-weight: normal;
font-family: Verdana, Arial, Helvetica, sans-serif;
font-size: 11px;
padding-right: 1px;
}
.auto-style3 {
height: 27px;
width: 600px;
text-align: right;
color: Blue;
font-weight: normal;
font-family: Verdana, Arial, Helvetica, sans-serif;
font-size: 11px;
padding-right: 1px;
}
#Body_ddlICDData1, #Body_ddlICDData{
display:none;
}
.contentBox{
min-height:631px !important;
}
</style>
</asp:Content>
<asp:Content ID="Content1" ContentPlaceHolderID="Body" runat="Server">
<div class="divBody" style="height:650px;" >
<asp:Panel ID="pnlBodyCLM" runat="server">
<asp:HiddenField ID="hfICDID0" runat="server"/>
<asp:HiddenField ID="hfICDID1" runat="server"/>
<asp:HiddenField ID="hfICDID2" runat="server"/>
<asp:HiddenField ID="hfICDID3" runat="server"/>
<asp:HiddenField ID="hfICDID4" runat="server"/>
<asp:HiddenField ID="hfCompareDate" runat="server"/>
<table id="DropDownSugTable" border="0px" style="display: none; width: 100%; border-collapse: collapse;
border: 0px solid #CCC;">
<tr style="color: #303030; background: #C0C0C0;">
<th>
<%=imisgen.getMessage("L_CODE", True)%>
</th>
<th>
<%=imisgen.getMessage("L_NAME", True)%>
</th>
<th>
<%=imisgen.getMessage("L_PRICE", True) %>
</th>
</tr>
</table>
<asp:UpdatePanel ID="UpClaims" runat="server"><ContentTemplate>
<asp:HiddenField ID="hfRowAddedFlag" runat="server" Value="0" />
<asp:HiddenField ID="hfGuaranteeId" runat="server" Value="0" />
<asp:Panel ID="pnlClaimDetails" runat="server" CssClass="panel" oncontextmenu="return false;"
GroupingText='<%$ Resources:Resource,L_CLAIMDETAILS %>'>
<asp:GridView ID="gvHiddenItemCodes1" runat="server">
</asp:GridView>
<table>
<tr>
<td class="auto-style2">
<asp:Label ID="lblHFCODE" runat="server" Text='<%$ Resources:Resource,L_HFCODE %>' ></asp:Label>
</td>
<td class ="DataEntry">
<asp:Textbox ID="txtHFCode" size="10" runat="server" Enabled ="false" Width="135px"></asp:Textbox>
</td>
<td class="auto-style2">
<asp:Label ID="lblHFName" runat="server" Text='<%$ Resources:Resource,L_HFNAME %>' ></asp:Label>
</td>
<td class ="auto-style1" colspan="3" >
<asp:Textbox ID="txtHFName" runat="server" Enabled="false" width="135px" ></asp:Textbox>
</td>
<td class="auto-style3">
<asp:Label ID="lblSTART" runat="server" Text='<%$ Resources:Resource,L_VISITDATEFROM %>' ></asp:Label>
</td>
<td class ="DataEntry">
<asp:TextBox ID="txtSTARTData" runat="server" size="10" Width="100px" maxlength="10" CssClass="claimEntryFrom"> </asp:TextBox>
<asp:RegularExpressionValidator ID="RegularExpressionValidator2" runat="server"
ControlToValidate="txtSTARTData" ErrorMessage="*" SetFocusOnError="True"
ValidationExpression="^(0[1-9]|[12][0-9]|3[01])[/](0[1-9]|1[012])[/](19|20)\d\d$"
ValidationGroup="check" ForeColor="Red" Display="Dynamic"></asp:RegularExpressionValidator>
<asp:RequiredFieldValidator ID="txtSTARTData_RequiredFieldValidator"
runat="server" ErrorMessage="*" ControlToValidate="txtSTARTData"
ValidationGroup="check" Visible="True" ForeColor="Red" Display="Dynamic"></asp:RequiredFieldValidator>
<asp:Button ID="btnSTARTData" runat="server" Height="15px" padding-bottom="3px"
Width="15px" class="btnDate" />
<ajax:CalendarExtender ID="txtSTARTData_CalendarExtender" runat="server"
Format="dd/MM/yyyy" PopupButtonID="btnSTARTData" TargetControlID="txtSTARTData">
</ajax:CalendarExtender>
</td>
</tr>
<tr>
<td class="FormLabel" style="width:600px;">
<asp:Label ID="lblCHFID" runat="server" Text='<%$ Resources:Resource,L_CHFID %>' ></asp:Label>
</td>
<td class ="DataEntry">
<asp:Textbox ID="txtCHFIDData" runat="server" CssClass="check" size="11" MaxLength="12"
AutoPostBack ="true" Width="125px" ></asp:Textbox>
<asp:RequiredFieldValidator ID="RequiredFieldValidator1"
runat="server" ErrorMessage="*" ControlToValidate="txtCHFIDData"
ValidationGroup="check" Visible="True" ForeColor="Red" Display="Dynamic"></asp:RequiredFieldValidator>
</td>
<td class="FormLabel">
<asp:Label ID="lblNAME" runat="server" Text='<%$ Resources:Resource,L_PATIENTNAME %>' ></asp:Label>
</td>
<td class ="DataEntryWide">
<asp:TextBox ID="txtNAMEData" runat="server" Text="" Enabled="false" width="135px" ></asp:TextBox>
</td>
<td class="FormLabel">
<asp:Label ID="lblVisitDays" runat="server" Text="Last Visit:" ></asp:Label>
</td>
<td class ="DataEntryWide">
<asp:TextBox ID="txtVisitDays" runat="server" Enabled="false" Text="" style="text-align:right"></asp:TextBox>
</td>
<td class="FormLabel" style="width:500px;" >
<asp:Label ID="lblEND" runat="server" Text='<%$ Resources:Resource,L_VISITDATETO %>' ></asp:Label>
</td>
<td class ="DataEntry">
<asp:TextBox ID="txtENDData" runat="server" Size="10" Width="100px" maxlength="10"></asp:TextBox>
<asp:RegularExpressionValidator ID="RegularExpressionValidator3" runat="server"
ControlToValidate="txtENDData" ErrorMessage="*" SetFocusOnError="True"
ValidationExpression="^(0[1-9]|[12][0-9]|3[01])[/](0[1-9]|1[012])[/](19|20)\d\d$"
ValidationGroup="check" ForeColor="Red" Display="Dynamic"></asp:RegularExpressionValidator>
<asp:Button ID="btnENDData" runat="server" Height="15px" padding-bottom="3px"
Width="15px" style="margin-left:7px" class="btnDate" />
<ajax:CalendarExtender ID="txtENDData_CalendarExtender" runat="server"
Format="dd/MM/yyyy" PopupButtonID="btnENDData" TargetControlID="txtENDData">
</ajax:CalendarExtender>
</td>
</tr>
<tr>
<td class="FormLabel">
<asp:Label ID="lblCLAIMCODE" runat="server" Text='<%$ Resources:Resource,L_CLAIMCODE %>' ></asp:Label>
</td>
<td class ="DataEntry">
<asp:TextBox ID="txtCLAIMCODEData" runat="server" size="10" MaxLength="10" Text="" Width="130px" ></asp:TextBox>
<asp:RegularExpressionValidator ID="RegexValidator" runat="server" ControlToValidate="txtCLAIMCODEData"
ValidationExpression="^([RST][0-9]{9})$|(^[0-9]{9,10})$" ErrorMessage="Invalid Claim Code"></asp:RegularExpressionValidator>
<asp:RequiredFieldValidator ID="RequiredFieldValidator2"
runat="server" ErrorMessage="*" ControlToValidate="txtCLAIMCODEData"
ValidationGroup="check" Visible="True" ForeColor="Red" Display="Dynamic"></asp:RequiredFieldValidator>
</td>
<td class="FormLabel" style="width:600px;">
<asp:Label ID="lblCLAIMDATE" runat="server" Text='<%$ Resources:Resource,L_CLAIMDATE %>' ></asp:Label>
</td>
<td class ="DataEntry" style="width:800px;">
<asp:TextBox ID="txtClaimDate" runat="server" Size="10" maxlength="10" Width="130px" ReadOnly="true" ></asp:TextBox>
<asp:RegularExpressionValidator ID="RegularExpressionValidator1" runat="server"
ControlToValidate="txtClaimDate" ErrorMessage="*" SetFocusOnError="True"
ValidationExpression="^(0[1-9]|[12][0-9]|3[01])[/](0[1-9]|1[012])[/](19|20)\d\d$"
ValidationGroup="check" ForeColor="Red" Display="Dynamic"></asp:RegularExpressionValidator>
<asp:RequiredFieldValidator ID="RequiredFieldValidator4"
runat="server" ErrorMessage="*" ControlToValidate="txtClaimDate"
ValidationGroup="check" Visible="True" ForeColor="Red" Display="Dynamic"></asp:RequiredFieldValidator>
<%-- <asp:Button ID="btnClaimDate" runat="server" Height="15px" padding-bottom="3px"
Width="15px" class="btnDate"/>
<ajax:CalendarExtender ID="txtClaimDateCalendarExtender" runat="server"
Format="dd/MM/yyyy" PopupButtonID="btnClaimDate" TargetControlID="txtClaimDate">
</ajax:CalendarExtender> --%>
</td>
<td class="FormLabel">
<asp:Label ID="lblRemBalance" runat="server" Text="Remaining Balance" ></asp:Label>
</td>
<td class ="DataEntry">
<%--<asp:TextBox ID="txtICDCode" size="10" runat="server" MaxLength="6"></asp:TextBox>--%>
<asp:textbox ID="txtRemainingBalance" runat="server" Text="" BorderStyle="Solid" style="text-align:right" Enabled ="false"></asp:textbox>
</td>
<td class="FormLabel">
<asp:Label ID="lblCLAIMTOTAL" runat="server" style="width:600px;" Text='<%$ Resources:Resource,L_CLAIMTOTAL %>' ></asp:Label>
</td>
<td class ="DataEntry">
<asp:textbox ID="txtCLAIMTOTALData" runat="server" Text="" BorderStyle="Solid" style="text-align:right" Enabled ="false" Width="135px" ></asp:textbox>
<ajax:MaskedEditExtender ID="txtAdultPremium_MaskedEditExtender" runat="server"
CultureAMPMPlaceholder="" CultureCurrencySymbolPlaceholder="TZS"
CultureDateFormat="" CultureDatePlaceholder=""
CultureThousandsPlaceholder="," CultureTimePlaceholder="" Enabled="True"
Mask="999,999,999.99" MaskType="Number" TargetControlID="txtCLAIMTOTALData"
InputDirection="RightToLeft" PromptCharacter=" ">