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add-medication.php
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add-medication.php
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<?php include('server.php'); ?>
<!DOCTYPE html>
<html lang="en">
<head>
<title>TS Clinic IS</title>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/css/bootstrap.min.css">
<link rel="stylesheet" type="text/css" href="https://www.stud.fit.vutbr.cz/~xzubri00/IIS/style.css">
<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.3.1/jquery.min.js"></script>
<script src="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/js/bootstrap.min.js"></script>
</head>
<body>
<?php include('nav-bar.php');?>
<div class="container">
<h2 >Add new medication</h2>
<form class="margin-bottom" method="post" action="add-medication.php">
<div class="container">
<div class="form-group form-width <?php set_input_error_success("Name", $errors);?>">
<label><span class="required-field">* </span>Medication name:</label>
<?php create_input("text", "form-control", "Name", "Enter name", $arrayregex['Name'], $arrayinputerrormessages["Name"], isset($Name) ? $Name : "", "true", $errors, $arrayerrormessages, "");?>
</div>
<div class="form-group form-width <?php set_input_error_success("Maximaldose", $errors);?>">
<label><span class="required-field">* </span>Maximal dose:</label>
<?php create_input("text", "form-control", "Maximaldose", "Set maximal dose", $arrayregex['PosNum'], $arrayinputerrormessages["PosNum"], isset($Maximaldose) ? $Maximaldose : "", "true", $errors, $arrayerrormessages, "");?>
</div>
<div class="form-group form-width <?php set_input_error_success("Form", $errors);?>">
<label><span class="required-field">* </span>Form:</label>
<select name="Form" class="form-control">
<?php add_options_from_array($arrayforms, isset($Form) ? $Form : "")?>
</select>
</div>
<div class="form-group form-width <?php set_input_error_success("Activesubstance", $errors);?>">
<label><span class="required-field">* </span>Active substance:</label>
<?php create_input("text", "form-control", "Activesubstance", "Set active substance", $arrayregex['Activesubstance'], $arrayinputerrormessages["Activesubstance"], isset($Activesubstance) ? $Activesubstance : "", "true", $errors, $arrayerrormessages, "");?>
</div>
<div class="form-group form-width <?php set_input_error_success("Sideeffect", $errors);?>">
<label><span class="required-field">* </span>Side effect:</label>
<?php create_input("text", "form-control", "Sideeffect", "Set side effect", $arrayregex['Sideeffect'], $arrayinputerrormessages["Sideeffect"], isset($Sideeffect) ? $Sideeffect : "", "true", $errors, $arrayerrormessages, "list=\"medsubs\"");?>
<datalist id="medsubs">
<?php add_options_from_array($arraysideeffects, isset($Sideeffect) ? $Sideeffect : "")?>
</datalist>
</div>
<button type="submit" name="add-medication" class="btn btn-default" style="margin-top:20px;">Submit</button>
</div>
</form>
</div>
</body>
</html>