Design:
HTML:
<script src='https://www.google.com/recaptcha/api.js'></script>
<div class='panel panel-default'>
<div class='panel-heading' style="background-color:#e9f6ff;border-bottom: solid 2px #41B1FF">
<h4 style="text-align:center;">QualityNet Question and Answer Site</h4>
</div>
<div class="disclaimer">
<h4>Submit a Question to Our Support Team. <span class="required-mark" style=" margin-left: 640px;
font-size: 14px;"><span style="color: red;">* </span>Indicates required field</span></h4>
</div>
<div class='container disclaimer'>
<h3 class="heading_text">Tell us about yourself</h3>
<div class="row">
<div class="col-md-4">
<label>First Name</label><span class="required-mark" style="color:red">*</span>
<input type="text" class="form-control" placeholder="enter last name (limit 75 chars)" id="first_name" onchange="firstNameValidation()" ng-model="c.data.model.consumer.first_name" sessionvalue="{{::data.first_name}}" required/>
</div>
<div class="col-md-4">
<label>Last Name</label><span class="required-mark" style="color:red">*</span>
<input required class="form-control" type="text" placeholder="enter last name (limit 75 chars)" id="last_name" onchange="lastNameValidation()" ng-model="c.data.model.consumer.last_name" sessionvalue="{{::data.last_name}}" required/>
</div>
</div>
<br>
<div class="row">
<div class="col-md-4">
<label>Email Address</label><span class="required-mark" style="color:red">*</span>
<input required class="form-control" type="text" id="email1" placeholder="enter email address; format joe@domain.com" ng-model="c.data.model.consumer.email" onchange="emailValidationzlength()" required/>
</div>
<div class="col-md-4">
<label>Confirm Email Address</label><span class="required-mark" style="color:red">*</span>
<input required class="form-control" type="text" id="confemail" placeholder="enter email address again to confirm" ng-model="c.data.model.consumer.confirm_email" onchange="emailValidation()" required/>
</div>
<div class="col-md-4">
<label>Phone Number</label>
<input required class="form-control" type="text" placeholder="format xxx-xxx-xxxx (ext.)" ng-model="c.data.model.consumer.phone_number"/>
</div>
</div>
<br>
<h3 class="heading_text">What is your question?</h3>
<div class="row">
<div class="col-xs-4">
<label>Program</label><span class="required-mark" style="color:red">*</span>
<input type="text" required class="form-control" id="get_program" placeholder="Program" onchange="showHideFields()" ng-model="c.data.model.u_program" required/>
</div>
</div>
<br>
<div class="row">
<div class="col-xs-4">
<label>Topic</label><span class="required-mark" style="color:red">*</span>
<!--sn-record-picker class="form-control input-lg m-t-xl" style="border: 1px dashed red;padding-left: 13px;" placeholder="Program" field="topic" table="'u_rightnow_categories'" display-field="'u_topic'" value-field="'sys_id'" search-fields="'u_topic'" default-query="'u_parentISEMPTY'" page-size="100" width=40%></sn-record-picker-->
<input class="form-control" id="topic_val" type="text" placeholder="select from the list of provided topics" ng-click="c.openModal()" ng-model="c.data.model.u_topic" required/>
</div>
</div>
<div class="row" id="hospital_ccn">
<div class="col-xs-12" >
<label id="hospital_ccn_mandatory">Hospital CCN<span class="required-mark" style="color:red"> *</span></label>
<label id="hospital_ccn_mand">Hospital CCN</label>
<label></label>
<!--sn-record-picker class="form-control input-lg m-t-xl" style="border: 1px dashed red;padding-left: 13px;" placeholder="Program" field="topic" table="'u_rightnow_categories'" display-field="'u_topic'" value-field="'sys_id'" search-fields="'u_topic'" default-query="'u_parentISEMPTY'" page-size="100" width=40%></sn-record-picker-->
<input class="form_custom" type="text" style="width: 21%; margin-left: -2px;" id="hospital_ccn1" placeholder="Hospital CCN" ng-model="c.data.model.u_hospital_ccn" onchange="ccnhospValidation()" /> <span class="help_text">6 Digit CMS Certification Number, Numeric only. Format: ######</span>
</div>
</div>
<div class="row" id="rep_quarter">
<div class="col-xs-3">
<label>Reporting Quarter</label>
<select class="form-control" placeholder="Reporting Quarter" ng-model="c.data.model.u_reporting_quarter" required>
<option value="" disabled hidden selected>Reporting Quarter</option>
<option value="Q2 2019">Q2 2019</option>
<option value="Q1 2019">Q1 2019</option>
<option value="Q4 2018">Q4 2018</option>
<option value="Q3 2018">Q3 2018</option>
<option value="Q2 2018">Q2 2018</option>
<option value="Q1 2018">Q1 2018</option>
<option value="Q4 2017">Q4 2017</option>
<option value="Q3 2017">Q3 2017</option>
<option value="Q2 2017">Q2 2017</option>
<option value="Q1 2017">Q1 2017</option>
<option value="Q4 2016">Q4 2016</option>
<option value="Q3 2016">Q3 2016</option>
<option value="Q2 2016">Q2 2016</option>
<option value="Q1 2016">Q1 2016</option>
</select>
</div>
</div>
<div class="row" id="encounter_date">
<div class="col-xs-3">
<label id="encounter_date_mandatory">Encounter Date <span class="required-mark" style="color:red">*</span></label>
<label id="encounter_date_mand">Encounter Date</label>
<select class="form-control" placeholder="Program" ng-model="c.data.model.u_encounter_date" required>
<option value="" disabled hidden selected>Encounter Date</option>
<option value="2Q 19 (03/01 - 06/30)">2Q 19 (03/01 - 06/30)</option>
<option value="1Q 19 (01/01 - 03/31) ">1Q 19 (01/01 - 03/31) </option>
<option value="4Q 18 (10/01 - 12/31)">4Q 18 (10/01 - 12/31)</option>
<option value="3Q 18 (07/01 - 09/30)">3Q 18 (07/01 - 09/30)</option>
<option value="2Q 18 (03/01 - 06/30)">2Q 18 (03/01 - 06/30)</option>
<option value="1Q 18 (01/01 - 03/31)">1Q 18 (01/01 - 03/31)</option>
<option value="4Q 17 (10/01 - 12/31)">4Q 17 (10/01 - 12/31)</option>
<option value="3Q 17 (07/01 - 09/30)">3Q 17 (07/01 - 09/30)</option>
<option value="2Q 17 (04/01 - 06/30)">2Q 17 (04/01 - 06/30)</option>
<option value="1Q 17 (01/01 - 03/31)">1Q 17 (01/01 - 03/31)</option>
<option value="4Q 16 (10/01 - 12/31)">4Q 16 (10/01 - 12/31)</option>
<option value="3Q 16 (07/01 - 09/30)">3Q 16 (07/01 - 09/30)</option>
<option value="2Q 16 (04/01 - 06/30)">2Q 16 (04/01 - 06/30)</option>
<option value="1Q 16 (01/01 - 03/31)">1Q 16 (01/01 - 03/31)</option>
</select>
</div>
</div>
<div class="row" id="hosp_out">
<div class="col-xs-12">
<label>Hospital Outpatient CCN</label>
<br>
<input class="form_custom" type="text" style="width: 21%;" placeholder="Hospital Outpatient CCN" id="ccn" onchange="ccnValidation()" ng-model="c.data.model.u_hospital_outpatient_ccn"/><span class="help_text">6 Digit CMS Certification Number, Numeric only. Format: ######</span>
</div>
</div>
<div class="row" id="asc_npi">
<div class="col-md-12">
<label>ASC NPI and CCN</label>
<br>
<input required class="form_custom" type="text" style="width: 21%;" placeholder="ASC NPI" id="ccn_npi" ng-model="c.data.model.u_asc_npi_and_ccn_npi" onchange="ccnNpiValidation()"/><span class="help_text"> 10 Digit ASC NPI Number, Numeric only. Format: ##########</span>
</div>
</div>
<div class="row" id="asc_ccn">
<div class="col-md-12">
<label>ASC CCN</label>
<br>
<input required class="form_custom" type="text" style="width: 21%;" placeholder="ASC CCN" id="asc_ccn1" ng-model="c.data.model.u_asc_ccn" onchange="ascCcnNpiValidation()"/><span class="help_text">10 Digit ASC CCN Number, AlphaNumeric, requires Upper Case "C" as third character. Format: ##C#######</span>
</div>
</div>
<div class="row" id="discharge_period">
<div class="col-xs-3">
<label>Discharge Period</label><span class="required-mark" style="color:red">*</span>
<select required class="form-control" placeholder="Reporting Quarter" ng-model="c.data.model.u_discharge_period" required>
<option value="" disabled hidden selected>Discharge Period</option>
<option value="N/A">N/A</option>
<option value="07/01/2019 - 12/31/2019">07/01/2019 - 12/31/2019</option>
<option value="01/01/2019 - 06/30/2019">01/01/2019 - 06/30/2019</option>
<option value="07/01/2018 - 12/31/2018">07/01/2018 - 12/31/2018</option>
<option value="01/01/2018 - 06/30/2018">01/01/2018 - 06/30/2018</option>
<option value="01/01/2017 - 12/31/2017">01/01/2017 - 12/31/2017</option>
<option value="07/01/2016 - 12/31/2016">07/01/2016 - 12/31/2016</option>
<option value="10/01/2015 - 06/30/2016">10/01/2015 - 06/30/2016</option>
<option value="01/01/2015 - 09/30/2015">01/01/2015 - 09/30/2015</option>
</select>
</div>
</div>
<div class="row" id="discharge_period_ipf">
<div class="col-xs-3">
<label>Discharge Period_IPF</label><span class="required-mark" style="color:red">*</span>
<select required class="form-control" placeholder="Discharge Period_IPF" id="discharge_periodipf" ng-model="c.data.model.u_discharge_period_ipf" required>
<option value="" disabled hidden selected>Discharge Period</option>
<option value="n_a">N/A</option>
<option value="01/01/2019-06/30/2019">01/01/2019-06/30/2019</option>
<option value="07/01/2019-12/31/2019">07/01/2019-12/31/2019</option>
<option value="01/01/2020-06/30/2020">01/01/2020-06/30/2020</option>
<option value="07/01/2020-12/31/2020">07/01/2020-12/31/2020</option>
</select>
</div>
</div>
<br>
<div class="row">
<div class="col-xs-10">
<label>Subject</label><span class="required-mark" style="color:red">*</span>
<!-- <input class="form-control" type="text" placeholder="Summary" ng-model="c.data.model.short_description" required/>-->
<input class="form-control" type="text" style="width: 76%;" placeholder="enter a brief summary of your question (limit 160 chars)" id="summary" ng-model="c.data.model.short_description" onchange="subjectValidation()" required/>
</div>
</div>
<br>
<div class="row">
<div class="col-xs-12">
<label>Question (4000 Characters Max)</label><span class="required-mark" style="color:red">*</span>
<!-- <input class="form-control" type="text" placeholder="Summary" ng-model="c.data.model.short_description" required/>-->
<textarea class="form-control" style="width: 97%;" ng-model='c.data.model.u_question' placeholder='enter your question for CMS' maxlength=4000 required></textarea>
<span ng-if="c.data.model.u_question.length<4000">{{4000 - c.data.model.u_question.length}} characters left</span>
<span ng-if="c.data.model.u_question.length==4000">You have reached the maximum limit of 4000 characters for this field.</span>
</div>
</div>
<div class="row">
</div>
<div class="col-xs-9">
<button class='btn btn-primary btn-margin btn-block text-uppercase btn-lg button_design' ng-click='submitTicket()'>Submit Question</button>
</div>
</div>
<!--<div class='big-label'>Add Photos</div>
<aaq-attachment-list template='aaq_AttachmentList'></aaq-attachment-list>-->
<!-- <input type="button" value="Test" ng-click="c.checkCap()" /> -->
<script>
setTimeout(function(){ document.getElementById("first_name").value=document.getElementById("first_name").getAttribute("sessionvalue");
}, 1000);
function ccnhospValidation()
{
var ccn = document.getElementById("hospital_ccn1").value
if(ccn.length>6)
{
document.getElementById("hospital_ccn1").value="";
alert('Length is not more than 6 characters');
}
}
function showHideFields()
{
document.getElementById("topic_val").value="";
var program = document.getElementById("get_program").value;
document.getElementById("encounter_date_mandatory").style.display = "none";
document.getElementById("encounter_date_mand").style.display = "none";
document.getElementById("hospital_ccn_mandatory").style.display = "none";
document.getElementById("hospital_ccn_mand").style.display = "none";
if(program=="9671cb13dbaab30092d5365e7c9619fd")
{
document.getElementById("discharge_period_ipf").style.display = "block";
document.getElementById("discharge_period_ipf").style.marginTop = "19px";
}
else{
document.getElementById("discharge_period_ipf").style.display = "none";
document.getElementById("discharge_period_ipf").style.marginTop = "0px";
}
if(program=="9a71cb13dbaab30092d5365e7c9619ff" || program=="d6718b13dbaab30092d5365e7c961913" || program=="9671cb13dbaab30092d5365e7c9619fd" || program=="52710f13dbaab30092d5365e7c961929" || program=="16710f13dbaab30092d5365e7c96192e" || program=="9a71cb13dbaab30092d5365e7c9619fb" || program=="e6710f13dbaab30092d5365e7c96195a")
{
document.getElementById("hospital_ccn_mand").style.display = "block";
}
if(program=="27710f13dbaab30092d5365e7c9619f7")
{
document.getElementById("encounter_date_mand").style.display = "block";
document.getElementById("hospital_ccn_mandatory").style.display = "block";
}
else if(program=="ee710f13dbaab30092d5365e7c961940" || program=="e6710f13dbaab30092d5365e7c961944" || program=="9a710f13dbaab30092d5365e7c96192f")
{
document.getElementById("encounter_date_mandatory").style.display = "block";
}
if(program=="ee710f13dbaab30092d5365e7c961940" || program=="e6710f13dbaab30092d5365e7c961944" || program=="9a710f13dbaab30092d5365e7c96192f" || program=="27710f13dbaab30092d5365e7c9619f7")
{
document.getElementById("rep_quarter").style.display = "block";
document.getElementById("rep_quarter").style.marginTop = "19px";
document.getElementById("rep_quarter").style.marginBottom = "19px";
document.getElementById("hosp_out").style.display = "block";
document.getElementById("hosp_out").style.marginTop = "19px";
document.getElementById("hosp_out").style.marginBottom = "19px"
document.getElementById("encounter_date").style.display = "block";
}
else{
document.getElementById("rep_quarter").style.display = "none";
document.getElementById("rep_quarter").style.marginTop = "0px";
document.getElementById("rep_quarter").style.marginBottom = "0px";
document.getElementById("hosp_out").style.display = "none";
document.getElementById("hosp_out").style.marginTop = "0px";
document.getElementById("hosp_out").style.marginBottom = "0px";
document.getElementById("encounter_date").style.display = "none";
}
if(program=="ee710f13dbaab30092d5365e7c961940" || program=="e6710f13dbaab30092d5365e7c961944" || program=="9a710f13dbaab30092d5365e7c96192f")
{
;
document.getElementById("asc_npi").style.display = "block";
document.getElementById("asc_ccn").style.display = "block";
document.getElementById("asc_ccn").style.marginTop = "19px";
}
else{
document.getElementById("asc_npi").style.display = "none";
document.getElementById("asc_ccn").style.display = "none";
document.getElementById("asc_ccn").style.marginTop = "0px";
}
if(program=="d6718b13dbaab30092d5365e7c961913")
{
document.getElementById("discharge_period").style.display = "block";
document.getElementById("discharge_period").style.marginTop = "19px";
}
else{
document.getElementById("discharge_period").style.display = "none";
document.getElementById("discharge_period").style.marginTop = "0px";
}
if(program=="16710f13dbaab30092d5365e7c96192e" || program=="9a71cb13dbaab30092d5365e7c9619ff" || program=="52710f13dbaab30092d5365e7c961929" || program=="9671cb13dbaab30092d5365e7c9619fd" || program=="9a71cb13dbaab30092d5365e7c9619fb" || program=="d6710f13dbaab30092d5365e7c96192b" || program=="d6718b13dbaab30092d5365e7c961913" || program=="27710f13dbaab30092d5365e7c9619f7" || program=="e6710f13dbaab30092d5365e7c96195a")
{
document.getElementById("hospital_ccn").style.display = "block";
document.getElementById("hospital_ccn").style.marginTop = "19px";
}
else{
document.getElementById("hospital_ccn").style.display = "none";
document.getElementById("hospital_ccn").style.marginTop = "0px";
}
}
function ascCcnNpiValidation()
{
var numbers = /^[0-9]{0,2}[C][0-9]+$/;
var val=document.getElementById("asc_ccn1").value;
if(val.match(numbers) && val.length<11)
{
}
else{
document.getElementById("asc_ccn1").value="";
alert("ASC CCN field requires 10 Digit ASC CCN Number, AlphaNumeric, requires Upper Case 'C' as third character. Format: ##C#######");
}
}
function ccnNpiValidation()
{
var ccn = document.getElementById("ccn_npi").value
if(ccn.length>10)
{
document.getElementById("ccn_npi").value="";
alert('Length is not more than 10 characters');
}
}
function ccnValidation()
{
var ccn = document.getElementById("ccn").value
if(ccn.length>6)
{
document.getElementById("ccn").value="";
alert('Length is not more than 6 characters');
}
}
function emailValidation()
{
var email = document.getElementById("email1").value
var confemail = document.getElementById("confemail").value
if(email.toLowerCase() != confemail.toLowerCase()) {
document.getElementById("confemail").value="";
alert('The confirmation email must match your email');
}
if(confemail.length>100)
{
document.getElementById("confemail").value="";
alert('Length is not more than 100 characters');
}
}
function emailValidationzlength()
{
var email = document.getElementById("email1").value
if(email.length>100)
{
document.getElementById("email1").value="";
alert('Length is not more than 100 characters');
}
}
function lastNameValidation()
{
var last_name=document.getElementById("last_name").value
if(last_name.length>75)
{
document.getElementById("last_name").value="";
alert('Length is not more than 75 characters');
}
}
function subjectValidation()
{
var summary=document.getElementById("summary").value
if(summary.length>160)
{
document.getElementById("summary").value="";
alert('Length is not more than 160 characters');
}
}
function firstNameValidation()
{
var first_name=document.getElementById("first_name").value
if(first_name.length>75)
{
document.getElementById("first_name").value="";
alert('Length is not more than 75 characters');
}
}
</script>
Server Script:
(function() {
/* populate the 'data' object */
/* e.g., data.table = $sp.getValue('table'); */
data.first_name = gs.getSession().getClientData('firstname');
data.last_name = gs.getSession().getClientData('lastname');
data.topic = [];
var createCase = function(case_data) {
gs.getSession().putClientData('firstname', case_data.consumer.first_name);
gs.getSession().putClientData('lastname', case_data.consumer.last_name);
var grNewCase = new GlideRecord('incident');
grNewCase.initialize();
grNewCase.short_description = case_data.short_description;
grNewCase.priority = case_data.priority;
grNewCase.u_discharge_period = case_data.u_discharge_period;
grNewCase.u_asc_ccn = case_data.u_asc_ccn;
grNewCase.u_hospital_outpatient_ccn = case_data.u_hospital_outpatient_ccn;
grNewCase.u_encounter_date = case_data.u_encounter_date;
grNewCase.u_reporting_quarter = case_data.u_reporting_quarter;
grNewCase.u_hospital_ccn = case_data.u_hospital_ccn;
grNewCase.u_asc_npi_and_ccn_npi = case_data.u_asc_npi_and_ccn_npi;
grNewCase.u_program = "qualitynet_qa";
grNewCase.u_discharge_period_ipf = case_data.u_discharge_period_ipf;
grNewCase.insert();
data.case_number = grNewCase.number.toString();
if (case_data.attachments.files.length) {
var grAttach = new GlideRecord('sys_attachment');
grAttach.addEncodedQuery('table_name=sp_portal^table_sys_id=' + case_data.attachments.guid);
grAttach.query()
grAttach.setValue("table_name", 'incident');
grAttach.setValue("table_sys_id", data.new_id);
grAttach.updateMultiple();
}
//gs.addInfoMessage('New Case has been submitted');
data.success = true;
//return data.case_number;
}
if (input.action === 'newCase') {
var case_data = input.case_data;
//var id = findConsumer(case_data.consumer);
//var contact=findContact(case_data.consumer);
try {
//if(id){
//case_data.consumer.id = id;
//}else{
//id = createConsumer(case_data.consumer);
//case_data.consumer.id = id;
//}
//case_data.contact=contact;
createCase(case_data);
data.success = true;
} catch (e) {
data.err = e;
data.success = false;
}
}
data.model = {
contact_type: 'public_qa',
priority: '4',
//contact : 'fd62f9b3db59f740fdd290c7db9619ec',
short_description: '',
comments: '',
work_notes: '',
consumer: {
last_name: '',
first_name: '',
email: ''
}
};
var m = data.msgs = {};
m.dialogTitle = gs.getMessage("Delete Attachment");
m.largeAttachmentMsg = gs.getMessage("Attached files must be smaller than {0} - please try again", "24MB");
m.renameSuccessMsg = gs.getMessage("Attachment renamed successfully");
m.deleteSuccessMsg = gs.getMessage("Attachment deleted successfully");
data._attachmentGUID = gs.generateGUID();
})();
Client Controller
function($uibModal, $scope, $rootScope, $element, $window, $location, $anchorScroll, $timeout, $http, $q, nowAttachmentHandler, spUtil) {
/* widget controller */
var c = this;
//$window.obj={field:{displayValue:"",name:"topic",value:""}, newValue: "", displayValue: ""};
$window.obj = '';
$rootScope.$on('customEvent', function(event, obj) {
$scope.category = obj;
$scope.c.data.model.u_topic = $scope.category.displayValue;
$scope.c.data.model.u_topic_sys_id = $scope.category.value;
});
this.openModal = function(url) {
$window.obj = $scope.c.data.model.u_program;
//$scope.modurl='/sp?id=approval&table=sysapproval_approver&sys_id=ffe907714f4392048eca97dd0210c76d';
$scope.modurl = url;
this.modalInstance = $uibModal.open({
templateUrl: 'modalTemplate',
scope: $scope
});
};
this.closeModal = function() {
this.modalInstance.close();
};
$scope.required = true;
//--Attachment Handler Start
$scope.$on('dialog.upload_too_large.show', function(e) {
$log.error($scope.m.largeAttachmentMsg);
spUtil.addErrorMessage($scope.m.largeAttachmentMsg);
});
$scope.m = $scope.data.msgs;
$scope.submitButtonMsg = $scope.m.submitMsg;
var ah = $scope.attachmentHandler = new nowAttachmentHandler(setAttachments, appendError);
function appendError(error) {
spUtil.addErrorMessage(error.msg + error.fileName);
}
ah.setParams('sp_portal', $scope.data._attachmentGUID, 1024 * 1024 * 24);
function setAttachments(attachments, action) {
$scope.attachments = attachments;
if (action === "added")
$scope.setFocusToAttachment();
if (action === "renamed")
spAriaUtil.sendLiveMessage($scope.m.renameSuccessMsg);
if (action === "deleted")
spAriaUtil.sendLiveMessage($scope.m.deleteSuccessMsg);
}
$scope.attachmentHandler.getAttachmentList();
$scope.confirmDeleteAttachment = function(attachment, $event) {
$rootScope.$broadcast("dialog.delete_attachment.show", {
parms: {
ok: function() {
$scope.attachmentHandler.deleteAttachment(attachment);
$rootScope.$broadcast("dialog.delete_attachment.close");
},
cancel: function() {
$rootScope.$broadcast("dialog.delete_attachment.close");
},
details: attachment.name
}
});
};
//--Attachment Handler Stop
/**
* c.checkCap should be called via ng-click, and will return a boolean value,
* indicating whether the user is indeed validated to not be some sort of mechanized
* button-pushing device.
* If the user has performed no such validation, then an alert is shown, admonishing
* them for attempting to take over the human race.
*/
c.checkCap = function() {
var defer = $q.defer();
try {
c.data.captchaSession = grecaptcha.getResponse();
if (!c.data.captchaSession) {
alert('Nice try, robot. \nYour mighty microchips are no match for our CAPTCHA technology!');
resp = false;
}
c.server.get({
action: 'captcha',
captchaSession: c.data.captchaSession
}).then(function(response) {
defer.resolve(response.data.captchaResponse);
});
} catch (e) {
defer.reject(false);
}
grecaptcha.reset();
return defer.promise;
}
$scope.submitTicket = function() {
var program = document.getElementById("get_program").value;
var program_con = true;
alert(c.data.model.consumer.first_name)
if (program == "ee710f13dbaab30092d5365e7c961940" || program == "e6710f13dbaab30092d5365e7c961944" || program == "9a710f13dbaab30092d5365e7c96192f") {
if (document.getElementById("first_name").value != '' && document.getElementById("first_name").value != undefined && c.data.model.consumer.last_name != '' && c.data.model.consumer.last_name != undefined && c.data.model.consumer.email != '' && c.data.model.consumer.email != undefined && c.data.model.u_topic != '' && c.data.model.u_sub_topic != '' && c.data.model.short_description != '' && c.data.model.short_description != undefined && c.data.model.u_program != undefined && c.data.model.u_topic != undefined && c.data.model.u_encounter_date != undefined && c.data.model.u_question != '' && c.data.model.u_question != undefined && c.data.model.consumer.confirm_email != '' && c.data.model.consumer.confirm_email != undefined && c.data.model.consumer.confirm_email != "") {
program_con = true;
}
} else if (program == "27710f13dbaab30092d5365e7c9619f7") // validation
{
if (c.data.model.consumer.first_name != '' && c.data.model.consumer.first_name != undefined && c.data.model.consumer.last_name != '' && c.data.model.consumer.last_name != undefined && c.data.model.consumer.email != '' && c.data.model.consumer.email != undefined && c.data.model.u_topic != '' && c.data.model.u_sub_topic != '' && c.data.model.short_description != '' && c.data.model.short_description != undefined && c.data.model.u_program != undefined && c.data.model.u_topic != undefined && c.data.model.u_question != '' && c.data.model.u_question != undefined && c.data.model.consumer.confirm_email != '' && c.data.model.consumer.confirm_email != undefined && document.getElementById("hospital_ccn1").value != undefined && document.getElementById("hospital_ccn1").value != "") {
program_con = true;
}
} else if (program == "9671cb13dbaab30092d5365e7c9619fd") {
if (c.data.model.consumer.first_name != '' && c.data.model.consumer.first_name != undefined && c.data.model.consumer.last_name != '' && c.data.model.consumer.last_name != undefined && c.data.model.consumer.email != '' && c.data.model.consumer.email != undefined && c.data.model.u_topic != '' && c.data.model.short_description != '' && c.data.model.short_description != undefined && c.data.model.u_program != undefined && c.data.model.u_topic != undefined && c.data.model.u_question != '' && c.data.model.u_question != undefined && c.data.model.consumer.confirm_email != '' && c.data.model.consumer.confirm_email != undefined && c.data.model.u_discharge_period_ipf != '' && c.data.model.u_discharge_period_ipf != undefined)
{
program_con = true;
}
} else if (program == "d6718b13dbaab30092d5365e7c961913") {
if (c.data.model.consumer.first_name != '' && c.data.model.consumer.first_name != undefined && c.data.model.consumer.last_name != '' && c.data.model.consumer.last_name != undefined && c.data.model.consumer.email != '' && c.data.model.consumer.email != undefined && c.data.model.u_topic != '' && c.data.model.u_sub_topic != '' && c.data.model.short_description != '' && c.data.model.short_description != undefined && c.data.model.u_program != undefined && c.data.model.u_topic != undefined && c.data.model.u_question != '' && c.data.model.u_question != undefined && c.data.model.u_discharge_period != undefined && c.data.model.consumer.confirm_email != '' && c.data.model.consumer.confirm_email != undefined && c.data.model.consumer.confirm_email != "") {
program_con = true;
}
} else {
if (c.data.model.consumer.first_name != '' && c.data.model.consumer.first_name != undefined && c.data.model.consumer.last_name != '' && c.data.model.consumer.last_name != undefined && c.data.model.consumer.email != '' && c.data.model.consumer.email != undefined && document.getElementById("topic_val").value != '' && c.data.model.u_sub_topic != '' && c.data.model.short_description != '' && c.data.model.short_description != undefined && c.data.model.u_program != undefined && c.data.model.u_question != '' && c.data.model.u_question != undefined && c.data.model.consumer.confirm_email != '' && c.data.model.consumer.confirm_email != undefined) {
program_con = true;
}
}
if (program_con) {
//$scope.c.data.model.u_program=$window.obj.field.value;
c.checkCap().then(function(response) {
c.data.model.attachments = {
guid: c.data._attachmentGUID,
files: $scope.attachments
};
c.server.get({
action: 'newCase',
case_data: c.data.model
}).then(function(response) {
var number = response.data.case_number;
//alert(number);
$window.case_submitted = number;
//$rootScope.$broadcast('case_submitted',number);
$location.url('?id=index');
});
});
} else {
alert("Required fields can not be empty ")
}
}
function isThisTrueOrWhat(b) {
return ((typeof b == 'string') ? (b.toLowerCase() == 'true') : (b == true)); //all this just to properly return a bool in JS. THERE'S GOT TO BE A BETTER WAY!
}
}
Output
Service Portal widget code of Custom form design with Mandatory fields ServiceNow
Working Code Asked question July 7, 2023