1 # Copyright 2016 Paul Hänsch
3 # This file is part of Confetti.
5 # Confetti is free software: you can redistribute it and/or modify
6 # it under the terms of the GNU Affero General Public License as published by
7 # the Free Software Foundation, either version 3 of the License, or
8 # (at your option) any later version.
10 # Confetti is distributed in the hope that it will be useful,
11 # but WITHOUT ANY WARRANTY; without even the implied warranty of
12 # MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the
13 # GNU Affero General Public License for more details.
15 # You should have received a copy of the GNU Affero General Public License
16 # along with Confetti. If not, see <http://www.gnu.org/licenses/>.
19 <form method=GET action="">
23 <h2>Flrbrlprrf Zoidberg</h2>
24 <a href="?p=patienten">< zur Patientenliste</a>
25 <span class="insurance">Gemeinsame Betriebskrankenkasse der Gesellschaften der Textilgruppe Hof</span>
28 <div class="prescription">
30 <button type=submit name=prescreviewed value=pos>Verordnung geprüft</button>
36 <button type=submit name=extrapay value=neg>Zuzahlung</button>
39 <label class="tab heading">
40 <span class=no>Nr.</span><!--
41 --><span class=date>Datum</span><!--
42 --><span class=therapist>Therapeut</span><!--
43 --><span class=signature>Sig.</span>
46 <input class="tab" type="checkbox" id=2015-10-15-1>
47 <label class="tab" for=2015-10-15-1>
48 <span class=no>1.</span><!--
49 --><span class=date>15.10.2015</span><!--
50 --><span class=therapist>Josh</span><!--
51 --><span class=signature><button type=submit name=2015-10-15-1_sig value=pos></button></span>
54 <img class="dotmark ov" src="therapy_ov2015-10-15-1.png" alt="">
57 <input class=color type=radio name=2015-10-15-1_c1 value="c000" id=2015-10-15-1_c1c000><label for=2015-10-15-1_c1c000></label>
58 <input class=color type=radio name=2015-10-15-1_c1 value="c001" id=2015-10-15-1_c1c001><label for=2015-10-15-1_c1c001></label>
59 <input class=color type=radio name=2015-10-15-1_c1 value="c010" id=2015-10-15-1_c1c010><label for=2015-10-15-1_c1c010></label>
60 <input class=color type=radio name=2015-10-15-1_c1 value="c011" id=2015-10-15-1_c1c011 checked><label for=2015-10-15-1_c1c011></label>
61 <input class=color type=radio name=2015-10-15-1_c1 value="c100" id=2015-10-15-1_c1c100><label for=2015-10-15-1_c1c100></label>
62 <input class=color type=radio name=2015-10-15-1_c1 value="c101" id=2015-10-15-1_c1c101><label for=2015-10-15-1_c1c101></label>
63 <input class=color type=radio name=2015-10-15-1_c1 value="c110" id=2015-10-15-1_c1c110><label for=2015-10-15-1_c1c110></label>
64 <input class=color type=radio name=2015-10-15-1_c1 value="c111" id=2015-10-15-1_c1c111><label for=2015-10-15-1_c1c111></label>
65 <textarea name=2015-10-15-1_n1>
72 <input class=color type=radio name=2015-10-15-1_c2 value="c000" id=2015-10-15-1_c2c000><label for=2015-10-15-1_c2c000></label>
73 <input class=color type=radio name=2015-10-15-1_c2 value="c001" id=2015-10-15-1_c2c001><label for=2015-10-15-1_c2c001></label>
74 <input class=color type=radio name=2015-10-15-1_c2 value="c010" id=2015-10-15-1_c2c010><label for=2015-10-15-1_c2c010></label>
75 <input class=color type=radio name=2015-10-15-1_c2 value="c011" id=2015-10-15-1_c2c011><label for=2015-10-15-1_c2c011></label>
76 <input class=color type=radio name=2015-10-15-1_c2 value="c100" id=2015-10-15-1_c2c100 checked><label for=2015-10-15-1_c2c100></label>
77 <input class=color type=radio name=2015-10-15-1_c2 value="c101" id=2015-10-15-1_c2c101><label for=2015-10-15-1_c2c101></label>
78 <input class=color type=radio name=2015-10-15-1_c2 value="c110" id=2015-10-15-1_c2c110><label for=2015-10-15-1_c2c110></label>
79 <input class=color type=radio name=2015-10-15-1_c2 value="c111" id=2015-10-15-1_c2c111><label for=2015-10-15-1_c2c111></label>
80 <textarea name=2015-10-15-1_n2>
88 <input class=color type=radio name=2015-10-15-1_c3 value="c000" id=2015-10-15-1_c3c000><label for=2015-10-15-1_c3c000></label>
89 <input class=color type=radio name=2015-10-15-1_c3 value="c001" id=2015-10-15-1_c3c001><label for=2015-10-15-1_c3c001></label>
90 <input class=color type=radio name=2015-10-15-1_c3 value="c010" id=2015-10-15-1_c3c010><label for=2015-10-15-1_c3c010></label>
91 <input class=color type=radio name=2015-10-15-1_c3 value="c011" id=2015-10-15-1_c3c011><label for=2015-10-15-1_c3c011></label>
92 <input class=color type=radio name=2015-10-15-1_c3 value="c100" id=2015-10-15-1_c3c100><label for=2015-10-15-1_c3c100></label>
93 <input class=color type=radio name=2015-10-15-1_c3 value="c101" id=2015-10-15-1_c3c101><label for=2015-10-15-1_c3c101></label>
94 <input class=color type=radio name=2015-10-15-1_c3 value="c110" id=2015-10-15-1_c3c110><label for=2015-10-15-1_c3c110></label>
95 <input class=color type=radio name=2015-10-15-1_c3 value="c111" id=2015-10-15-1_c3c111><label for=2015-10-15-1_c3c111></label>
96 <textarea name=2015-10-15-1_n3>
99 <button type=submit name=edit value=2015-10-15-1_note3>Speichern</button>
103 <input class=tab type="checkbox" id=2015-10-22-1>
104 <label class=tab for=2015-10-22-1>
105 <span class=no>2.</span><!--
106 --><span class=date>22.10.2015</span><!--
107 --><span class=therapist>Josh</span><!--
108 --><span class=signature><button type=submit name=2015-10-22-1_sig value=neg></button></span>
111 <img class="dotmark ov" src="therapy_ov2015-10-22-1.png" alt="">
113 <fieldset class=note>
114 <input class=color type=radio name=2015-10-22-1_c1 value="c000" id=2015-10-22-1_c1c000><label for=2015-10-22-1_c1c000></label>
115 <input class=color type=radio name=2015-10-22-1_c1 value="c001" id=2015-10-22-1_c1c001><label for=2015-10-22-1_c1c001></label>
116 <input class=color type=radio name=2015-10-22-1_c1 value="c010" id=2015-10-22-1_c1c010><label for=2015-10-22-1_c1c010></label>
117 <input class=color type=radio name=2015-10-22-1_c1 value="c011" id=2015-10-22-1_c1c011><label for=2015-10-22-1_c1c011></label>
118 <input class=color type=radio name=2015-10-22-1_c1 value="c100" id=2015-10-22-1_c1c100><label for=2015-10-22-1_c1c100></label>
119 <input class=color type=radio name=2015-10-22-1_c1 value="c101" id=2015-10-22-1_c1c101><label for=2015-10-22-1_c1c101></label>
120 <input class=color type=radio name=2015-10-22-1_c1 value="c110" id=2015-10-22-1_c1c110><label for=2015-10-22-1_c1c110></label>
121 <input class=color type=radio name=2015-10-22-1_c1 value="c111" id=2015-10-22-1_c1c111><label for=2015-10-22-1_c1c111></label>
122 <textarea name=2015-10-22-1_n1>
125 <button type=submit name=edit value=2015-10-22-1_note3>Speichern</button>
128 <fieldset class=color>
129 <input class=color type=radio name=color value="c000" id=c000><label for=c000></label>
130 <input class=color type=radio name=color value="c001" id=c001><label for=c001></label>
131 <input class=color type=radio name=color value="c010" id=c010><label for=c010></label>
132 <input class=color type=radio name=color value="c011" id=c011><label for=c011></label>
133 <input class=color type=radio name=color value="c100" id=c100 checked><label for=c100></label>
134 <input class=color type=radio name=color value="c101" id=c101><label for=c101></label>
135 <input class=color type=radio name=color value="c110" id=c110><label for=c110></label>
136 <input class=color type=radio name=color value="c111" id=c111><label for=c111></label>
138 <img class="dotmark bg" src="therapy_background.png" alt="">
142 # vi:set filetype=html: