@extends('layout.backend')

@section('title', ($operation=='create' ? 'Novo ' :'') . 'Caso Colih' . ($operation=='edit' ? ': '. $trigger->name : ''))

@section('styles')
@parent
<link href="/css/bootstrap-datepicker3.min.css" rel="stylesheet">
<style>
	.floating-menu {
	  background: rgba(255,255,255,0.8);
	  box-shadow: 0 4px 8px 0 rgba(0, 0, 0, 0.2), 0 6px 20px 0 rgba(0, 0, 0, 0.19); 
	  padding: 12px;
	  border-radius: 5px;
	  z-index: 100;
	  position: fixed;
	  bottom: 0.7em;
	  right: 4em;
	}
  </style>

@endsection

@section('scripts')
@parent
<script type="text/javascript" src="/js/plugins/bootstrap-datetimepicker.min.js"></script>
<script type="text/javascript" src="/js/plugins/bootstrap-datepicker.pt-BR.min.js"></script>
<script type="text/javascript" src="/vendor/jquery-clock-timepicker/jquery-clock-timepicker.min.js"></script>
<script type="text/javascript" src="/js/plugins/jquery.mask.min.js"></script>
<script type="text/javascript" src="/js/globals-functions.js"></script>
<script type="text/javascript" src="{{mix('/js/create-trigger-colih.js')}}"></script>

<script type="text/javascript">
	$(document).ready(function () {
		$('#name, #age').on('change', async function() {
			const response = await fetch("{{ route('api.check_patient_trigger') }}", {
				method: "POST",
				headers: {
					'Accept': 'application/json',
					'Content-Type': 'application/json'
				},
				body: JSON.stringify({
					name: $('#name').val(),
					age: $('#age').val(),
					trigger_id: "{{ $trigger->id ?? null }}"
				}),
			})
			.then(function (response) {
    			return response.json();
			})
			.then(function (data) {
				$('#message_name').html(data.message ?? '')
			})
			.catch (function (error) {
				alert(error)
			});
		})
	})
</script>
@endsection

@section('content')

<div class="card shadow mb-3">
    <div class="card-header py-3">
        <h5 class="m-0 font-weight-bold text-primary">
			@if( $operation=='create')
				NOVO CASO COLIH (hlc-7)
			@else
				@if ($trigger->case_status==1)
					<i class="fas fa-circle-check"></i>
				@endif
				CASO: {{$trigger->name}}<br>
				@if ($trigger->updated_at)
					<small class='float-right'><i>Última atualização em {{ $data['updated_at']}}
					@if( $trigger->lastUpdatedBy)
						por {{$trigger->lastUpdatedBy->name}}
					@endif
					</i></small>
				@endif
		@endif

		</h5>
    </div>

<div class="card-body px-2 pt-2">
        @if($errors->any())
			<div class="alert alert-danger alert-errors" id='divErrors'>
				<div class="mb-1"><strong><i class="fas fa-circle-exclamation"></i>&nbsp;ATENÇÃO:</strong></div>
				<ul>
					@foreach ($errors->all() as $error)
						<li>{!! $error !!}</li>
					@endforeach
				</ul>
			</div>
        @endif

		@if( $operation=='create')
			{!! Form::open(['id' => 'form-create-trigger-colih', 'url' => route('triggers-colih.store'), 'autocomplete' => 'off']) !!}
		@else
			{!! Form::open(['id' => 'form-edit-trigger-colih', 'url' => route('triggers-colih.update', ['triggers_colih' => $trigger->id]), 'autocomplete' => 'off']) !!}
			@method('PUT')
		@endif

		{{-- Isto provavelmente pode ser removido porque casos finalizados não são mais visíveis.--}}
		@if($trigger->case_status ==  App\Models\TriggerColih::STATUS_UNDER_REVIEW)
			<div class="card border-left-success shadow w-100 py-1 px-2 mt-2 mb-3" id="divClosedBanner">
				<div class="card-body p-2 ">
					<div class="row no-gutters align-items-center">
						<div class="col-auto ml-2 mr-3">
							<i class="fas fa-check fa-2x text-success"></i>
						</div>
						<div class="col mr-1">
							<div class="text-xs font-weight-bold text-success text-uppercase mb-1">Caso em revisão</div>
							<div class="mb-0 text-gray-800">Este caso foi marcado como finalizado pelos membros responsáveis e será finalizado definitivamente 
								@if(array_key_exists('days_to_review',$data) && !empty($data['days_to_review'])) em <strong>{{ $data['days_to_review'] }} dias</strong> @else em breve @endif.
								Revise os campos e <strong>finalize</strong> definitivamente o caso ou <strong>reabra</strong> para manter ativo.</div>
						</div>
					</div>
				</div>
			</div>
		@endif

		{{-- Indica se o user tem direito de revisar casos finalizados --}}
		<input name="user_can_review_cases" type="hidden" value="{{Gate::allows('review-finished-hlccase')}}"  id="user_can_review_cases">
		<input name="original_status" type="hidden" value="{{$trigger->case_status}}"  id="original_status">

		<div class="floating-menu mx-1">
			<button type="submit" class="btn btn-primary btn-icon-split mr-1 submitBtn">
				<span class="icon text-white-50"><i class="fas fa-floppy-disk"></i></span>
				<span class="text d-none d-md-block">Salvar</span>
			</button>
			<a href="#" class="btn btn-success btn-icon-split mr-1" id='finishButton'>
				<span class="icon text-white"><i class="fas fa-check"></i></span>
				<span class="text d-none d-md-block">Finalizar</span>
			</a>
			<a href="#" class="btn btn-success btn-icon-split mr-1" id='reopenButton'>
				<span class="icon text-white"><i class="fas fa-undo"></i></span>
				<span class="text d-none d-md-block">Reabrir</span>
			</a>
			<a href="#" class="btn btn-warning btn-icon-split mr-1" id='waitButton'>
				<span class="icon text-white"><i class="fas fa-clock"></i></span>
				<span class="text d-none d-md-block">Aguardar</span>
			</a>
			<div class="btn-group dropup">
				<button type="button" class="btn btn-secondary dropdown-toggle"  data-bs-toggle="dropdown" aria-haspopup="true" aria-expanded="false">
					Ir...
				</button>
				<div class="dropdown-menu">
					<a class="dropdown-item" href="#headerStatus">Status do caso</a>
					<a class="dropdown-item" href="#headerContact">Contato inicial</a>
					<a class="dropdown-item" href="#headerPatient">Paciente</a>
					<a class="dropdown-item" href="#headerSpiritual">Informações espirituais</a>
					<a class="dropdown-item" href="#headerHospital">Hospital e convênio</a>
					<a class="dropdown-item" href="#headerIssue">Problema de Saúde</a>
					<a class="dropdown-item" href="#headerDoctors">Médicos e consultores</a>
					<a class="dropdown-item" href="#headerHlc">Acompanhamento da Colih</a>
					<a class="dropdown-item" href="#headerTests">Exames</a>
					<a class="dropdown-item" href="#headerTransfer">Transferência</a>
					<a class="dropdown-item" href="#divCaseOutcome" id='menuOutcome' style="display:none;">Desfecho</a>
				</div>
			</div>
		</div>

		<input name="minor" type="hidden" value="1"  id="minor">
		<div class="card shadow mb-3" id='headerStatus'>
			<a href="#statusBox" class="d-block bg-info card-header pt-2 pb-3 " data-bs-toggle="collapse" role="button" aria-expanded="true" aria-controls="statusBox">
				<h6 class="pt-1 m-0 font-weight-bold text-white">
					<i class="fas fa-square-poll-vertical mr-1"></i>
                    Status do caso
				</h6>
			</a>

			<div class="collapse show" id="statusBox">
				<div class="card-body pt-2 px-1 pb-0 input-group">

					<div class="col-sm-6 col-md-4 col-lg-3 col-xl-2 my-1">
						<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" 
							data-tooltip="tooltip" data-html="true" title="Situação <u>atual</u> do caso">Status</label>
						<div class="col-12 p-0">
							{!! Form::select("case_status", $case_statuses, $trigger->case_status, ['class' => 'form-control', 'id' => 'choose-end']) !!}
						</div>
					</div>
					<div class="col-sm-6 col-md-4 col-lg-2 col-xl-2 my-1">
						<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" title="Urgência do caso">Tipo de caso</label>
						<div class="col-12 p-0 ">
							{!! Form::select("type", [0=>'Eletivo',1=>'Urgência',2=>'Emergência'], $trigger->type, ['class' => 'form-control', 'id' => 'type']) !!}
						</div>
					</div>
					<div class="col-sm-6 col-md-4 col-lg-3 col-xl-2 my-1">
						<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" title="Paciente sofreu recusa <i>administrativa</i> (hospitalar)?">Recusa Administrativa</label>
						<div class="col-12 p-0 ">
							{!! Form::select("refusal", ['null'=>'Desconhecido',0=>'Não',1=>'Sim'], ($operation == 'create' ? 0 : $trigger->refusal), ['class' => 'form-control', 'id' => 'refusal']) !!}
						</div>
					</div>
					<div class="col-sm-6 col-md-4 col-lg-2 col-xl-2 my-1">
						<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" title="Paciente foi transfundido (independente do motivo)?">Transfusão</label>
						<div class="col-12 p-0 ">
							{!! Form::select("transfusion", ['null'=>'Desconhecido',0=>'Não',1=>'Sim'], ($operation == 'create' ? 0 :$trigger->transfusion), ['class' => 'form-control', 'id' => 'transfusion']) !!}
						</div>
					</div>
					<div id='divTransfusionDate' class="col-sm-6 col-md-4 col-lg-2 col-xl-2 my-1" style="display: none;">
						<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" title="Data em que a transfusão aconteceu">Data transfusão</label>
						<div class="col-12 p-0" id="divTransfusionPickerGroup">
							{!! Form::text("transfusion_date", $data['transfusion_date'], 
                                    ['class' => "datepickercustom form-control bg-white", 'id'=> 'datePickerTransfusion', 'readonly' => 'readonly', 'data-date-end-date' => '0d']) !!}
                            <div class="input-group-append" id="divDeleteTransfusionDate" style="display: none;" >
                                <button class="btn btn-outline-secondary" type="button" id="btnDeleteReminderT" 
									onclick="$('#datePickerTransfusion').val(null);$('#datePickerTransfusion').trigger('change');" 
									data-placement="bottom" data-tooltip="tooltip" data-html="true" title="Apagar data"><i class="fas fa-trash"></i></button>
                            </div>
						</div>
					</div>
					<div id='divTransfusionReason' class="col-sm-6 col-md-4 col-lg-3 col-xl-2 my-1" style="display: none;">
						<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" title="Por que a transfusão aconteceu?">Razão da transfusão</label>
						<div class="col-12 p-0 ">
							{!! Form::select("transfusion_reason", $transfusion_reasons, $trigger->transfusion_reason, ['class' => 'form-control', 'id' => 'transf_reason']) !!}
						</div>
					</div>
					<div id="divTransfDetails" class="col-sm-12 col-md-12 col-lg-5 col-xl-6 my-1" style="display: none;">
						<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" title="Detalhes de como aconteceu a transfusão">Detalhes da transfusão</label>
						<div class="col-12 p-0 ">
							{!! Form::text("transfusion_details", $trigger->transfusion_details, ['class' => 'form-control', 'id' => 'transfusion_details']) !!}
						</div>
					</div>
					<div id='divLitigation' class="col-sm-6 col-md-4 col-lg-2 col-xl-2 my-1" style="display: none;">
						<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" title="Está sendo tomada alguma ação jurídica com apoio de Betel?">Judicializado</label>
						<div class="col-12 p-0 ">
							{!! Form::select("litigation", [0=>'Não',1=>'Sim'], $trigger->litigation, ['class' => 'form-control', 'id' => 'litigation']) !!}
						</div>
					</div>
					<div class="col-sm-6 col-md-4 col-lg-2 col-xl-2 my-1">
						<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" title="O HID em Betel foi envolvido neste caso?">HID envolvido</label>
						<div class="col-12 p-0 ">
							{!! Form::select("hid_aware", [0=>'Não',1=>'Sim'], $trigger->hid_aware, ['class' => 'form-control', 'id' => 'hid_aware']) !!}
						</div>
					</div>
					<div class="col-sm-6 col-md-4 col-lg-3 col-xl-2 my-1">
						<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" title="<u>Opcional</u>: Data relevante para o caso. <i>Ex: próxima consulta</i>">Lembrete</label>
						<div class="col-12 p-0" id="divDatePickerGroup">
							{!! Form::text("date_reminder", $data['date_reminder'], 
                                    ['class' => "datepickercustom form-control bg-white", 'id'=> 'datePickerReminder', 'readonly' => 'readonly', 'data-date-format'=>"d/m/Y", 'data-date-start-date' => '0d']) !!}
                            <div class="input-group-append" id="divDeleteReminder" style="display: none;" >
                                <button class="btn btn-outline-secondary" type="button" id="btnDeleteReminder" 
									onclick="$('#datePickerReminder').val(null);$('#datePickerReminder').trigger('change');" 
									data-placement="bottom" data-tooltip="tooltip" data-html="true" title="Apagar data de lembrete"><i class="fas fa-trash"></i></button>
                            </div>
						</div>
					</div>

					<div id="divReminderReason" class="col-sm-12 col-md col-lg col-xl my-1" style="display: none;">
						<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" title="Motivo para o lembrete. <i>Ex: consulta com cirurgião</i>">Razão do lembrete</label>
						<div class="col-12 p-0 ">
							{!! Form::text("date_reminder_reason", $trigger->date_reminder_reason, ['class' => 'form-control', 'id' => 'reminder_reason']) !!}
						</div>
					</div>

					<div id="divAsignees" class="col-12 px-2 mt-2 mb-0 py-1">
						<div class='alert alert-warning input-group'>
							<div class="col-sm-12 col-xl-auto form-inline">						
								<label for="choose-user1" class=" col-form-label text-info"><b>Membros</b></label> 
							</div>
							<div class="col-sm-12 col-lg-6 col-xl form-inline py-1">						
								<label for="choose-user1" class=" col-form-label badge badge-danger mr-1" data-placement="top" data-tooltip="tooltip" data-html="true" title="1º membro designado">1</label> 
								<div class="col p-0 ">
									{!! Form::select("user1_id", $users, $trigger->user1_id, ['class' => 'form-control', 'id' => 'choose-user1']) !!}
								</div>
							</div>
							<div class="col-sm-12 col-lg-6 col-xl form-inline py-1">						
								<label for="choose-user1" class=" col-form-label badge badge-info mr-1" data-placement="top" data-tooltip="tooltip" data-html="true" title="2º membro designado">2</label> 
								<div class="col p-0">
									{!! Form::select("user2_id", $users, $trigger->user2_id, ['class' => 'form-control', 'id' => 'choose-user2']) !!}
								</div>
							</div>
						</div>
					</div>
				</div>
			</div>
		</div>
		<div class="card shadow mb-3" id='headerContact'>
			<a href="#contactBox" class="d-block bg-info card-header pt-2 pb-3 " data-bs-toggle="collapse" role="button" aria-expanded="true" aria-controls="contactBox">
				<h6 class="pt-1 m-0 font-weight-bold text-white">
					<i class="fas fa-phone mr-1"></i>
                    Contato Inicial
				</h6>
			</a>
			<div class="collapse show" id="contactBox">
				<div class="card-body pt-2 px-1 input-group">

					<div class="col-6  col-md-3 col-lg-2 col-xl-2 my-1">
						<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" 
							title="Data do contato inicial com a Colih">Data
								<i class="fas fa-asterisk text-danger" data-placement="bottom" data-tooltip="tooltip" title="campo obrigatório"></i>
						</label>
						<div class="col-12 p-0">
							{!! Form::text("date_contact", $data['date_contact'], 
							['class' => "datepickercustom form-control bg-white", 'id'=> 'datePickerTrigger', 'readonly' => 'readonly', 'data-date-format'=>"d/m/Y", 'data-date-end-date' => '0d']) !!}
						</div>
					</div>
					<div class="col-6 col-md-3 col-lg-2 col-xl-1 my-1">
						<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" title="Hora (exata ou aproximada) do contato inicial com a Colih">Hora</label>
						<div class="col-12 p-0 ">
							{!! Form::text('hour_contact', $data['hour_contact'], 
							['class' => 'form-control input-clock bg-white','readonly' => 'readonly', 'id' => 'hour_contact']) !!}
						</div>
					</div>
					<div class="col-12 col-md-6 col-lg-5 col-xl-3 my-1">
						<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="false" title="Nome de quem fez o contato inicial">Nome do contato</label>
						<div class="col-12 p-0 ">
							{!! Form::text("called", $trigger->called, ['class' => 'form-control', 'id' => 'called']) !!}
						</div>
					</div>
					<div class="col-12 col-sm-4 col-md-4 col-lg-3 col-xl-2 my-1">
						<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="false" title="Telefone de quem fez o contato inicial">Telefone</label>
						<div class="col-12 p-0 ">
							{!! Form::text("called_contact", $trigger->called_contact, ['class' => 'form-control', 'id' => 'called_contact']) !!}
						</div>
					</div>
					<div class="col-12 col-sm col-lg-2 col-xl my-1">
						<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="false" title="Quem fez o primeiro contato do caso com a Colih">Contato por</label>
						<div class="col-12 p-0 ">
							{!! Form::select("called_first", $called_first, $trigger->called_first, ['class' => 'form-control', 'id' => 'called_first']) !!}
						</div>
					</div>
					<div id="divRelationship" class="col-12 col-sm-4 col-md-4 col-lg-2 col-xl-2 my-1" style="display: none;">
						<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" title="Parentesco de quem fez o contato inicial </i>(ex.: esposa)</i>">Parentesco</label>
						<div class="col-12 p-0 ">
							{!! Form::text("relationship", $trigger->relationship, ['class' => 'form-control']) !!}
						</div>
					</div>
					<div class="col-12 col-lg col-xl-12 px-1">
						<div id="divTransferredFromRow" class='input-group py-1 px-0 mt-2 mt-lg-3 mt-xl-2 mb-0'>
							<div class="col-sm-12 col-md-auto mt-2 pt-1 ">
								{!! Form::hidden('transferred', false); !!}
								{!! Form::checkbox("transferred", 1, $trigger->transferred, ['id'=>'transferred']) !!}
								<span data-placement="top" data-tooltip="tooltip" data-html="true" title="Marque se o caso veio transferido de outra Colih">Caso veio de outra Colih</span>
							</div>
							<div id="divTransferredFrom" class="col-sm-12 col-md my-1" style="display: none;">
								<div class="col-12 p-0 ">
									{!! Form::select("transferred_from_hlcid", $hlcs, $trigger->transferred_from_hlcid, ['class' => 'form-control', 'id' => 'transferred_from_hlcid']) !!}
								</div>
							</div>
						</div>
					</div>
				</div>
			</div>
		</div>
		<div class="card shadow mb-3" id='headerPatient'>
			<a href="#patient2Box" class="d-block bg-danger card-header pt-2 pb-3 " data-bs-toggle="collapse" role="button" aria-expanded="true" aria-controls="patient2Box">
				<h6 class="pt-1 m-0 font-weight-bold text-white">
					<i class="fas fa-wheelchair mr-1"></i>
                    Paciente
				</h6>
			</a>
			<div class="collapse show" id="patient2Box">
				<div class="card-body pt-2 px-1 input-group">

                    <div class="col-12 col-sm-12 col-md-8 col-lg-5 col-xl-4 my-1">
						<label for="" class="col-12 p-0 mb-0 col-form-label font-weight-bold text-danger" >Nome completo
							<i class="fas fa-asterisk text-danger" data-placement="bottom" data-tooltip="tooltip" title="campo obrigatório"></i>
						</label>
						<div class="col-12 p-0 ">
                            {!! Form::text("name", $trigger->name, ['class' => 'form-control border border-danger', 'id' => 'name']) !!}
						</div>
						<p id="message_name" class="text-danger small lh-sm"></p>
					</div>

                    <div id="divPatientPhone" class="col-12 col-sm-4 col-md-4 col-lg-3 col-xl-2 my-1">
						<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" title="Fone de contato <i>do paciente (ou responsável)</i>">Telefone</label>
						<div class="col-12 p-0 ">
                            {!! Form::text("patient_phone", $trigger->patient_phone, ['class' => 'form-control', 'id' => 'patient_phone']) !!}
						</div>
					</div>

                    <div class="col-6 col-sm-4 col-md-2 col-lg-2 col-xl-1 my-1">
						<label for="" class="col-12 p-0 mb-0 col-form-label" >Sexo
							<i class="fas fa-asterisk text-danger" data-placement="bottom" data-tooltip="tooltip" title="campo obrigatório"></i>
						</label>
						<div class="col-12 p-0 ">
                            {!! Form::select("sex", [null => '','M' => 'Masc', 'F' => 'Fem'], $trigger->sex, ['class' => 'form-control disableSelect2', 'id'=>'sex']) !!}
						</div>
					</div>

					<div class="col-6 col-sm-4 col-md-2 col-lg-2 col-xl-1 my-1">
						<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" 
							title="Idade em anos, exata ou aproximada. Para bebês ou recém-nascidos, informe <i>0 (zero)</i>">Idade
							<i class="fas fa-asterisk text-danger" data-placement="bottom" data-tooltip="tooltip" title="campo obrigatório"></i>
						</label>
						<div class="col-12 p-0 ">
							{!! Form::number("age", $trigger->age, ['class' => "form-control", 'id' => 'age', 'min'=>0,'max'=>120]) !!}
							<div class="form-check">
								<input class="form-check-input" type="checkbox" name="approximate_age" value="1" id="approximate_age" @checked($trigger->approximate_age)>
								<label class="form-check-label" for="approximate_age">
								  Aproximada
								</label>
							</div>
						</div>
					</div>

					<div class="col-6 col-sm-6 col-md-4 col-lg-4 col-xl-3 mb-1 mt-4 pt-2">
						{!! Form::hidden('requested_help', false); !!}
						{!! Form::checkbox("requested_help", 1, $trigger->requested_help, ['id'=>'requested_help']) !!}
						<span data-placement="top" data-tooltip="tooltip" data-html="true" title="Confirme que o paciente ou responsável quer o envolvimento da Colih">
							<span id="labelAdult">Pediu</span><span id="labelMinor" style="display: none;">Pais pediram</span> ajuda da Colih</span>
					</div>

					<div id="divCheckNewborn" class="col-6 col-sm-6 col-md-4 col-lg-3 col-xl-2 mb-1 mt-4 pt-2" {!! $trigger->newborn ? '' : 'style="display: none;"' !!}>
						{!! Form::hidden('newborn', false); !!}
						{!! Form::checkbox("newborn", 1, $trigger->newborn, ['id'=>'newborn']) !!}
						<i class="fas fa-baby"></i>
						Recém-nascido
					</div>

					<div class='row w-100 ml-0 mt-2' id='divMinor' {!! $trigger->minor ? '' : 'style="display: none;"' !!}>
						<div class='alert alert-secondary input-group mx-2 px-2'>
							<div class='col-sm-12 col-md-12 col-lg-7 mt-1 input-group'>
								<label for="" class="col-12 mt-0 py-0 ml-0 pl-0 col-form-label text-muted"><b>Informações sobre os pais</b></label> 
								<div class="col-sm-8 col-md-8 col-lg-8 col-xl-4 my-1">
									<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" title="Nome completo do pai ou responsável legal">Nome do pai</label>
									<div class="col-12 p-0 ">
										{!! Form::text("father", $trigger->father, ['class' => 'form-control']) !!}
									</div>
								</div>
								<div class="col-sm-4 col-md-4 col-lg-4 col-xl-2 mb-1 mt-4 pt-2">
									{!! Form::hidden('father_baptized', false); !!}
									{!! Form::checkbox("father_baptized", 1, $trigger->father_baptized, ['id'=>'father_baptized']) !!}
									<span data-placement="top" data-tooltip="tooltip" data-html="true" title="Indique se o <i>pai</i> é batizado">
										É batizado</span>
								</div>
								<div class="col-sm-8 col-md-8 col-lg-8 col-xl-4 my-1">
									<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" 
										data-tooltip="tooltip" data-html="true" title="Nome completo da mãe ou responsável legal">Nome da mãe</label>
									<div class="col-12 p-0 ">
										{!! Form::text("mother", $trigger->mother, ['class' => 'form-control']) !!}
									</div>
								</div>
								<div class="col-sm-4 col-md-4 col-lg-4 col-xl-2 mb-1 mt-4 pt-2">
									{!! Form::hidden('mother_baptized', false); !!}
									{!! Form::checkbox("mother_baptized", 1, $trigger->mother_baptized, ['id'=>'mother_baptized']) !!}
									<span data-placement="top" data-tooltip="tooltip" data-html="true" title="Indique se o <i>pai</i> é batizado">
										É batizada</span>
								</div>
								<div class="col-12 mb-1 mt-1 pt-2">
									{!! Form::hidden('s55', false); !!}
									{!! Form::checkbox("s55", 1, $trigger->s55, ['id'=>'s55']) !!}
								<span data-placement="top" data-tooltip="tooltip" data-html="true" 
									title="Indique se os anciãos ou a Colih consideraram o formulário <i>S-55</i>com os pais <i>cristãos</i>">
										S-55 foi considerado com os pais</span>
								</div>
	
							</div>
							<div class='col-sm-12 col-md-12 col-lg-5 mt-1 input-group'>
								<div class="col-12 my-1">
									<label for="" class="col-12 p-0 mb-0 col-form-label">Condição espiritual da família
										<i class="fas fa-asterisk text-danger" data-placement="bottom" data-tooltip="tooltip" title="campo obrigatório"></i>
									</label>
									<div class="col-12 p-0 ">
										{!! Form::textarea("family_comments", $trigger->family_comments, ['class' => 'form-control', 
										'placeholder' => 'Descreva a posição dos pais e outras informações sobre espiritualidade', 'rows' => 4]) !!} 
									</div>
								</div>
							</div>

							<div class='row w-100 ml-0 mt-2' id='divNewborn' {!! $trigger->newborn ? '' : 'style="display: none;"' !!}>

								<div class='col-sm-12 col-md-12 col-lg-6 mt-1'>
									<div class='alert alert-warning input-group'>
										<label for="" class="col-12 mt-1 py-0 col-form-label text-muted"><b>Dados sobre o recém-nascido</b></label> 
										<div class="col-12 col-sm-6 col-md-4 col-lg-6 col-xl-4 my-1 ">
											<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" 
												data-tooltip="tooltip" data-html="true" title="Peso ao nascer, em quilos">Peso ao nascer <i>(kg)</i></label>
											<div class="col-12 p-0 ">
												{!! Form::number("weight", $trigger->weight, ['class' => "form-control",'step'=>'0.1', 'min' => 0, 'max' => 15]) !!}
											</div>
										</div>
										<div class="col-12 col-sm-6 col-md-4 col-lg-6 col-xl-4 my-1 ">
											<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" 
												data-tooltip="tooltip" data-html="true" title="Com quantas semanas gestacionais o bebê nasceu?">Semanas gestacionais</i></label>
											<div class="col-12 p-0 ">
												{!! Form::number("gestational_age", $trigger->gestational_age, ['class' => "form-control", 'min'=>0, 'max'=>50]) !!}
											</div>
										</div>
										<div class="col-12 col-sm-6 col-md-4 col-lg-6 col-xl-4 my-1 ">
											<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" 
												data-tooltip="tooltip" data-html="true" title="Data em que o bebê nasceu">Nascimento</i></label>
											<div class="col-12 p-0 ">
												{!! Form::text("date_birth", $data['date_birth'], 
												['class' => "datepickercustom form-control bg-white", 'id'=> 'datePickerTrigger2', 'readonly' => 'readonly', 'data-date-format'=>"d/m/Y", 'data-date-end-date' => '0d']) !!}
											</div>
										</div>
									</div>
								</div>
							
								<div class='col-sm-12 col-md-12 col-lg-6 mt-1 '>
									<div class='alert alert-warning input-group'>
										<label for="" class="col-12 mt-1 py-0 col-form-label text-muted"><b>APGAR</b>
											<a class="" target="_blank" rel="noopener noreferrer" href="https://pt.wikipedia.org/wiki/Escala_de_Apgar">
												<i class="fas fa-question-circle"></i>
											</a>
										</label> 
		
										<div class="col-12 col-sm-6 my-1 ">
											<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" 
												data-tooltip="tooltip" data-html="true" title="Valor do APGAR ao nascer">Nascimento</i></label>
											<div class="col-12 p-0 ">
												{!! Form::number("apgar_birth", $trigger->apgar_birth, ['class' => "form-control",'min'=>0, 'max'=>10]) !!}
											</div>
										</div>
		
										<div class="col-12 col-sm-6 my-1 ">
											<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" 
												data-tooltip="tooltip" data-html="true" title="Valor do APGAR no 5º minuto">5 min</i></label>
											<div class="col-12 p-0 ">
												{!! Form::number("apgar_5min", $trigger->apgar_5min, ['class' => "form-control",'min'=>0, 'max'=>10]) !!}
											</div>
										</div>
									</div>
								</div>
							</div>

						</div>
				</div>
			</div>
		</div>
	</div>

	<div class="card shadow mb-3" id='headerSpiritual'>
		<a href="#spiritualBox" class="d-block bg-info card-header pt-2 pb-3 " data-bs-toggle="collapse" role="button" aria-expanded="true" aria-controls="spiritualBox">
			<h6 class="pt-1 m-0 font-weight-bold text-white">
				<i class="fas fa-book-open mr-1"></i>
				Informações Espirituais
			</h6>
		</a>
		<div class="collapse show" id="spiritualBox">
			<div class="card-body pt-2 px-1 input-group">
				<div class='row w-100 ml-0 mx-0 px-0  align-items-start'>				
					<div class='col-12 col-lg-6  px-1 mx-0 input-group'>
						<div class="col-12 col-xl my-1">
							<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" 
								title="Congregação do paciente ou responsáveis">Congregação
									<i class="fas fa-asterisk text-danger" data-placement="bottom" data-tooltip="tooltip" title="campo obrigatório"></i>
							</label>
							<div class="col-12 p-0 ">
								{!! Form::select("congregation_id", $congregations, $trigger->congregation_id, ['class' => 'form-control', 'id' => 'choose-congregations']) !!}
							</div>
						</div>
						<div id='divCongregacaoName' class="col-12 col-xl my-1" style="display: none;">
							<label for="" class="col-12 p-0 mb-0 col-form-label" ></label>
							<div class="col-12 p-0 ">
								{!! Form::text("congregation_name", $trigger->congregation_name, ['class' => 'form-control','id' => 'congregation_name', 'placeholder' => 'digite o nome da congregação']) !!}
							</div>
						</div>
						<div class="w-100"></div>

						<div class="col-6 col-md-3 col-lg-6 col-xl-3 my-1">
							<label for="" class="col-12 p-0 mb-0 col-form-label">Batizado</label>
							<div class="col-12 p-0 ">
								{!! Form::select("baptized", [null=>'?',1=>'Sim', 0=>'Não'], $trigger->baptized, ['class' => 'form-control', 'id' => 'baptized']) !!}
							</div>
						</div>
						<div class="col-6 col-md-3 col-lg-6 col-xl-3 my-1">
							<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" 
								data-tooltip="tooltip" data-html="true" title="Condição espiritual do paciente conforme relatado pelos anciãos congregacionais">
								Espiritualidade
							</label>
							<div class="col-12 p-0 ">
								{!! Form::select("spiritual", [null=>'?',1=>'Boa', 0=>'Não é boa'], $trigger->spiritual, ['class' => 'form-control', 'id' => 'spiritual']) !!}
							</div>
						</div>
						<div class="col-6 col-md-3 col-lg-6 col-xl-3 my-1">
							<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" 
								data-tooltip="tooltip" data-html="true" title="Cartão <i>dpa</i> preenchido e apresentado?"><i>dpa</i></label>
							<div class="col-12 p-0 ">
								{!! Form::select("card", [null=>'?',1=>'Sim', 0=>'Não'], old('card' , $trigger->card), ['class' => 'form-control', 'id' => 'card']) !!}
							</div>
						</div>
						<div class="col-6 col-md-3 col-lg-6 col-xl-3 mt-1 mb-3">
							<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" 
								data-tooltip="tooltip" data-html="true" title="Anciãos ou Colih compatilharam o <i>S-407</i> com paciente ou responsáveis?"><i>s-407</i></label>
							<div class="col-12 p-0 ">
								{!! Form::select("s407", [null=>'?',1=>'Sim', 0=>'Não'], $trigger->s407, ['class' => 'form-control', 'id' => 's407']) !!}
							</div>
						</div>
					</div>
					<div class='col-12 col-lg-6 mb-0 mt-0 mt-lg-4 input-group'>
						<div class='alert alert-secondary input-group'>
							<div  class="col-12 col-sm-8 col-lg-7 col-xl-8 my-1">
								<label for="" class="col-12 p-0 mb-0 col-form-label" >Ancião de contato 1</label>
								<div class="col-12 p-0 ">
									{!! Form::text("elder1", $trigger->elder1, ['class' => 'form-control', 'id' => 'elder1', 'placeholder' => 'nome']) !!}
								</div>
							</div>
							<div  class="col-12 col-sm-4 col-lg-5 col-xl-4 my-1">
								<label for="" class="col-12  p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" 
									data-html="true" title="Contato do ancião 1">Telefone</label>
								<div class="col-12 p-0 ">
									{!! Form::text("elder1_phone", $trigger->elder1_phone, ['class' => 'form-control', 'id' => 'elder1_phone']) !!}
								</div>
							</div>
							<div  class="col-12 col-sm-8 col-lg-7 col-xl-8 my-1">
								<label for="" class="col-12 p-0 mb-0 col-form-label" >Ancião de contato 2</label>
								<div class="col-12 p-0 ">
									{!! Form::text("elder2", $trigger->elder2, ['class' => 'form-control', 'id' => 'elder2', 'placeholder' => 'nome']) !!}
								</div>
							</div>
							<div  class="col-12 col-sm-4 col-lg-5 col-xl-4 my-1">
								<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" 
									data-html="true" title="Contato do ancião 2">Telefone</label>
								<div class="col-12 p-0 ">
									{!! Form::text("elder2_phone", $trigger->elder2_phone, ['class' => 'form-control', 'id' => 'elder2_phone']) !!}
								</div>
							</div>
						</div>
					</div>
				</div>
            </div>
		</div>
	</div>
    <div class="card shadow mb-3" id='headerHospital'>
		<a href="#hospitalBox" class="d-block bg-info card-header pt-2 pb-3 " data-bs-toggle="collapse" role="button" aria-expanded="true" aria-controls="hospitalBox">
			<h6 class="pt-1 m-0 font-weight-bold text-white">
				<i class="fas fa-hospital mr-1"></i>
				Hospital e convênio
			</h6>
		</a>
		<div class="collapse show" id="hospitalBox">
			<div class="card-body pt-2 px-1 input-group">
				<div class='row w-100 ml-0 mx-0 px-0 pt-2 align-items-start justify-content-between'>				
					<div class='col-12 col-lg-5  px-2 mr-0 input-group'>
						<label for="" class="col-12 my-1 py-0 col-form-label text-muted"><b>Tipo de atendimento</b></label> 
						<div class="col-12 mt-1 ml-3">
							{!! Form::hidden('public', false); !!}
							{!! Form::checkbox("public", 1, $trigger->public, ['id'=>'public']) !!}
							Público (SUS)
						</div>
						<div class="col-12 mt-1 ml-3">
							{!! Form::hidden('private', false); !!}
							{!! Form::checkbox("private", 1, $trigger->private, ['id'=>'private']) !!}
							Particular
						</div>
						<div class="col-12 mt-1 ml-3">
							{!! Form::hidden('agreement', false); !!}
							{!! Form::checkbox("agreement", 1, $trigger->agreement, ['id'=>'agreement']) !!}
							Plano de saúde
						</div>
					
						<div class="col-11 col-lg-12 col-xl-6 my-2" id="agreement-select">
							<div class="col-12 mt-1">
								{!! Form::select("agreement_id", $agreements, $trigger->agreement_id, ['class' => 'form-control', 'id' => 'choose-agreement']) !!}
							</div>
							<div class="col-12 mt-2 ">
								{!! Form::text("agreement_name", $trigger->agreement_name, ['class' => 'form-control', 'placeholder' => '', 'id' => 'agreement_name','placeholder'=>'informe o plano']) !!} 
							</div>
						</div>
					</div>
					<div class='col-12 col-lg-6 px-1 input-group'>
						<div class="input-group py-2">
							<div id="divHospitalSelect" class="col-12 my-1 w-100 input-group">
								<label for="choose-hospitals" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-html="true" title="Hospital contatado">Hospital</label>
								<div class="col-12 p-0 ">
									{!! Form::select("hospital_id", $hospitals, $trigger->hospital_id, ['class' => 'form-control', 'id' => 'choose-hospitals']) !!}
								</div>
							</div>
							<div id='divHospitalName' class="col-12 mt-1 mb-1" style="display: none;">
								<label for="choose-hospitals" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-html="true" title="Nome do Hospital">Nome do Hospital</label>
								<div class="col-12 p-0 ">
									{!! Form::text("hospital_name", $trigger->hospital_name, ['class' => 'form-control','id' => 'hospital_name']) !!}
								</div>
							</div>
						</div>
						<div id='divHospitalBox' class='input-group py-2 justify-content-between'>
							<div class="col-12 mt-1">
								{!! Form::hidden('hospitalized', false); !!}
								{!! Form::checkbox("hospitalized", 1, $trigger->hospitalized, ['id'=>'hospitalized']) !!}
								<span data-placement="top" data-tooltip="tooltip" data-html="true" 
								title="O paciente foi, ou ainda será internado">Foi ou está internado</span>
							</div>
							<div id='divHospitalRoom' class="col-12 col-md-5 my-1" {!! $trigger->room ? '' : 'style="display: none;"' !!}>
								<label for="" class="col-12  p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" 
									data-html="true" title="Ala/ nº do quarto do hospital onde o paciente está">Quarto</label>
								<div class="col-12 p-0 ">
                                    {!! Form::text("room", $trigger->room, ['class' => 'form-control']) !!}
								</div>
							</div>
							<div id='divHospitalPhone' class="col-12 col-md-5 my-1 pr-md-0" {!! $trigger->phone ? '' : 'style="display: none;"' !!}>
								<label for="" class="col-12  p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" 
									data-html="true" title="Número de contato com o paciente no hospital">Telefone no Hospital</label>
								<div class="col-12 p-0 ">
                                    {!! Form::text("phone", $trigger->phone, ['class' => 'form-control']) !!}
								</div>
							</div>
						</div>
					</div>
				</div>
			</div>
		</div>
	</div>
	<div class="card shadow mb-3" id='headerIssue'>
		<a href="#issueBox" class="d-block bg-info card-header pt-2 pb-3 " data-bs-toggle="collapse" role="button" aria-expanded="true" aria-controls="issueBox">
			<h6 class="pt-1 m-0 font-weight-bold text-white">
				<i class="fas fa-bed-pulse mr-1"></i>
				Problema de saúde
			</h6>
		</a>
		<div class="collapse show" id="issueBox">
			<div class="card-body pt-2 px-1 input-group">
				<div class="col-12 my-1">
					<label for="" class="col-12 p-0 mb-1 col-form-label" ><b class='text-danger'>Problema específico de saúde</b>
						<i class="fas fa-asterisk text-danger" data-placement="bottom" data-tooltip="tooltip" title="campo obrigatório"></i>
						</br>
						<small>Qual é o diagnóstico médico ou suspeita que levou ao envolvimento da Colih?</small></label>
					<div class="col-12 p-0 ">
						{!! Form::text("health_condition", $trigger->health_condition, ['class' => 'form-control', 'id' => 'health_condition']) !!}
					</div>
				</div>

				<div class="col-12 my-1">
					<label for="" class="col-12 p-0 mb-1 col-form-label" ><b>Histórico ligado ao problema</b></br>
						<small>O que causou a emergência atual? A questão do sangue está envolvida? Os procuradores estão cientes e atuando?</small></label>
					<div class="col-12 p-0 ">
						{!! Form::textarea("information", $trigger->information, ['class' => 'form-control', 'placeholder' => '', 'rows' => 4, 'id'=>'information']) !!} 
					</div>
				</div>
				<div class="col-auto mt-2 mr-2">
					{!! Form::hidden('medical_team_helped', false); !!}
					{!! Form::checkbox("medical_team_helped", 1, $trigger->medical_team_helped, ['id'=>'medical_team_helped']) !!}
					Equipe médica cooperando inicialmente?
				</div>
				<div class="col-auto mt-2">
					{!! Form::hidden('medical_team_informed', false); !!}
					{!! Form::checkbox("medical_team_informed", 1, $trigger->medical_team_informed, ['id'=>'medical_team_informed']) !!}
					Médicos cientes que paciente pediu ajuda da Colih
				</div>
			</div>
		</div>
	</div>
	<div class="card shadow mb-3" id='headerDoctors'>
		<a href="#doctorBox" class="d-block bg-info card-header pt-2 pb-3 " data-bs-toggle="collapse" role="button" aria-expanded="true" aria-controls="doctorBox">
			<h6 class="pt-1 m-0 font-weight-bold text-white">
				<i class="fas fa-stethoscope mr-1"></i>
					Médicos e Consultores
			</h6>
		</a>
		<div class="collapse show" id="doctorBox">
			<div class="card-body pt-2 px-1 input-group">
				<div class='row w-100 ml-0 mt-2' id='divDoctors' >
					<div class='col-sm-12 col-md-12 col-lg-6 mt-1'>
						<div class='alert alert-warning input-group'>
							<label for="" class="col-12 mt-1 py-0 col-form-label text-dark"><b>Médico Responsável</b></label> 
							<div class="col-12 my-1 ">
								{!! Form::select("doctor1_id", $doctors, $trigger->doctor1_id, ['class' => 'form-control', 'id' => 'choose-doctor1']) !!}
							</div>
							<div class="col-12 my-1" id='divMedicoResp' style="display: none;" >
								{!! Form::text("doctor1_name", $trigger->doctor1_name, ['class' => 'form-control','placeholder'=>'nome do médico']) !!}
							</div>
							<div class="col-12 my-1 ">
								<label for="" class="col-12 p-0 mb-0 col-form-label">Especialidade</label>
								<div class="col-12 p-0 ">
									{!! Form::select("speciality1_id", $specialities, $trigger->speciality1_id, ['class' => 'form-control', 'id' => 'choose-speciality1']) !!}
								</div>
							</div>
						</div>
					</div>
					<div class='col-sm-12 col-md-12 col-lg-6 mt-1 '>
						<div class='alert alert-secondary input-group'>
							<label for="" class="col-12 mt-1 py-0 col-form-label text-dark"><b>Outro médico</b></label> 
							<div class="col-12 my-1 ">
								{!! Form::select("doctor2_id", $doctors, $trigger->doctor2_id, ['class' => 'form-control', 'id' => 'choose-doctor2']) !!}
							</div>
							<div class="col-12 my-1" id='divOutroMedico' style="display: none;" >
								{!! Form::text("doctor2_name", $trigger->doctor2_name, ['class' => 'form-control','placeholder'=>'nome do médico']) !!}
							</div>
							<div class="col-12 my-1 ">
								<label for="" class="col-12 p-0 mb-0 col-form-label">Especialidade</label>
								<div class="col-12 p-0 ">
									{!! Form::select("speciality2_id", $specialities, $trigger->speciality2_id, ['class' => 'form-control', 'id' => 'choose-speciality2']) !!}
								</div>
							</div>
						</div>
					</div>
					<div class='col-12  mt-1 '>
						<div id="divConsultantBox" class='input-group'>
							<label for="" class="col-12 mt-1 py-0 col-form-label text-dark"><b>Médico Consultor</b></label> 
							<div class="col-12 mt-2">
								{!! Form::checkbox("usedConsultant", 1, empty($trigger->doctor_consultant_id) ? false : true, ['id'=>'usedConsultant']) !!}
								<span data-placement="top" data-tooltip="tooltip" data-html="true" 
								title="Indique se foi usado um médico <i>consultor</i> ao longo deste caso, seja da lista local da Colih ou através do HID ">Usado médico consultor no caso</span>
							</div>
							<div id="divConsultant" class="pl-3 input-group align-items-start" style="display: none;">
								<div  class="col-12 col-lg-6 p-0 input-group">
									<div class="col-12 mb-1 mt-1 mt-lg-4 pt-1">
										{!! Form::select("doctor_consultant_id", $doctors, $trigger->doctor_consultant_id, ['class' => 'form-control', 'id' => 'choose-doctor_consultant']) !!}
									</div>
									<div class="col-12 my-1" id='divMedicoConsultor' style="display: none;" >
										{!! Form::text("doctor_consultant_name", $trigger->doctor_consultant_name, ['class' => 'form-control','placeholder'=>'nome do médico']) !!}
									</div>
									<div class="col-12 my-1 ">
										<label for="" class="col-12 p-0 mb-0 col-form-label">Especialidade</label>
										<div class="col-12 p-0 ">
											{!! Form::select("speciality_consultant_id", $specialities, $trigger->speciality_consultant_id, ['class' => 'form-control', 'id' => 'choose-speciality_consultant']) !!}
										</div>
									</div>
								</div>
								<div  class="col-12 col-lg-6 p-0 input-group">
									<div class="col-12 my-1 ">
										<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top"
										      data-tooltip="tooltip" data-html="true" title="Outros detalhes relevantes sobre o uso do consultor" >Outras informações</label>
										<div class="col-12 p-0 ">
											{!! Form::text("consultant_info", $trigger->consultant_info, ['class' => 'form-control']) !!}
										</div>
									</div>
									<div class="col-12 my-1 ">
										<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" 
										title="Por exemplo: como contatar o médico e número de telefone">Dados e preferências para contato</label>
										<div class="col-12 p-0 ">
											{!! Form::textarea("consultant_contact", $trigger->consultant_contact, ['class' => 'form-control', 'placeholder' => '', 'rows' => 2]) !!}
										</div>
									</div>
								</div>
							</div>
						</div>
					</div>
				</div>
			</div>
		</div>
	</div>
	<div class="card shadow mb-3" id='headerHlc'>
		<a href="#followUpBox" class="d-block bg-info card-header pt-2 pb-3 " data-bs-toggle="collapse" role="button" aria-expanded="true" aria-controls="followUpBox">
			<h6 class="pt-1 m-0 font-weight-bold text-white">
				<i class="fas fa-location-crosshairs mr-1"></i>
				Acompanhamento da Colih
			</h6>
		</a>
		<div class="collapse show" id="followUpBox">
			<div class="card-body pt-2 px-1 input-group">

				<div class="col-12 mt-2 mb-2">
					<label for="" class="col-12 p-0 col-form-label text-info"><b>Evolução do caso</b></label>
					<label for="" class="col-12 p-0 col-form-label-sm">Registre os principais acontecimentos ao longo do caso.</label>
				
					<div class="col-12 p-0 ">
						{!! Form::textarea("plan", $trigger->plan, ['class' => 'form-control', 'placeholder' => 'ex: 01/01 - falamos com Dr. Fulano...', 'rows' => 8]) !!} 
					</div>
				</div>
				<div class="col-12 mt-2">
					<div class="alert alert-success input-group p-1">
						<div class="col-12 col-xl-6 mt-2 mb-2">
							<label for="" class="col-12 p-0 mb-0 col-form-label"><b>Estratégias apresentadas</b></label>
							<label for="" class="col-12 p-0 mt-0 col-form-label-sm">Resumo do que já foi apresentado à equipe médica</label>
							
							<div class="col-12 p-0 ">
								{!! Form::textarea("strategies", $trigger->strategies, ['class' => 'form-control', 'placeholder' => 'ex: 01/01 - Ferro IV e EPO, Dr, Fulano.', 'rows' => 6]) !!} 
							</div>
						</div>

						<div class="col-12 col-xl-6 mt-2 mb-1">
							<label for="" class="col-12 p-0 mb-0 col-form-label "><b>Artigos científicos</b></label>
							<label for="" class="col-12 p-0 mt-0 col-form-label-sm">Materiais deixados com os médicos. Indique o PMID se possível
							</label>
							<div class="col-12 p-0 ">
								{!! Form::textarea("articles", $trigger->articles, ['class' => 'form-control', 'placeholder' => '', 'rows' => 6]) !!} 
							</div>
						</div>
					</div>
				</div>
				<div class="col-12 col-md-12 mt-2">
					{!! Form::hidden('doctor_cooperate', false); !!}
					{!! Form::checkbox("doctor_cooperate", 1, $trigger->doctor_cooperate, ['id'=>'doctor_cooperate']) !!}
					Médicos estão dispostos a cooperar depois da ajuda dada
				</div>
			</div>
		</div>
	</div>
	<div class="card shadow mb-3" id='headerTests'>
		<a href="#examsrBox" class="d-block bg-info card-header pt-2 pb-3 " data-bs-toggle="collapse" role="button" aria-expanded="true" aria-controls="examsBox">
			<h6 class="pt-1 m-0 font-weight-bold text-white">
				<i class="fas fa-flask mr-1"></i>
				Exames
			</h6>
		</a>
		<div class="collapse show" id="examsBox">
			<div class="card-body pt-2 px-1 input-group">
				<div class='row w-100 ml-0 mt-2' id='divDoctors' >
					<div class='col-12 col-lg-6 col-xl-4 mt-1'>
						<div class='alert alert-warning input-group px-1'>
							<label for="" class="col-12 mt-0 py-0 col-form-label text-dark"><b>Exame 1</b></label> 
							<div class="col-6 my-1">
								<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" title="Data que o exame foi colhido">Data</label>
								<div class="col-12 p-0" id="divDateExam1Group">
									{!! Form::text("date_exam1", $data['date_exam1'], ['class' => "datepickercustom form-control bg-white", 
										'id'=> 'datePickerExam1', 'readonly' => 'readonly', 'data-date-format'=>"d/m/Y", 'data-date-end-date' => '0d']) !!}
									<div class="input-group-append bg-white" id="divDeleteExam1" style="display: none;" >
										<button class="btn btn-outline-secondary" type="button" id="btnDeleteExam1" 
											onclick="$('#datePickerExam1').val(null);$('#timeExam1').val(null);$('#datePickerExam1').trigger('change');" 
											data-placement="bottom" data-tooltip="tooltip" data-html="true" title="Apagar data e hora do exame"><i class="fas fa-trash"></i></button>
									</div>
								</div>
							</div>
							<div id="divTimeExam1" class="col-6 my-1" {!! $data['date_exam1'] ? '' : 'style="display: none;"' !!}>
								<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" title="<u>Opcional:</u>Hora que o exame foi colhido">Hora</label>
								<div class="col-12 p-0" >
									{!! Form::text('hour_exam1', $data['hour_exam1'], ['class' => 'form-control input-clock bg-white w-100', 'id'=>'timeExam1']) !!}
								</div>
							</div>
							<div id='divDetailsExam1' class='input-group' {!! $data['date_exam1'] ? '' : 'style="display: none;"' !!}>
								<div class="col-12 col-sm-4 mt-2">
									<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" 
										title="Valor da hemoglobina (Hb), em gramas por decilitro (<i>g/dL</i>). Os valores normais são entre 12 e 17 em adultos.">
										Hemoglobina
											<a class="" target="_blank" rel="noopener noreferrer" href="https://pncq.org.br/wp-content/uploads/2021/04/VRH2020.pdf">
												<i class="fas fa-question-circle"></i>
											</a>
										</label>
									<div class="col-12 p-0">
										{!! Form::number("exam1_hb", $trigger->exam1_hb, ['class' => "form-control", 'step' => '0.1', 'min' => 0]) !!}
									</div>
								</div>
								<div class="col-12 col-sm-4 mt-2">
									<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" 
										title="Valor do hematócrito (Ht), em percentual (<i>%</i>) do sangue total. Os valores normais são entre 36 e 52% em adultos.">
										Hematócrito
											<a class="" target="_blank" rel="noopener noreferrer" href="https://pncq.org.br/wp-content/uploads/2021/04/VRH2020.pdf">
												<i class="fas fa-question-circle"></i>
											</a>
										</label>
									<div class="col-12 p-0">
										{!! Form::number("exam1_ht", $trigger->exam1_ht, ['class' => "form-control", 'step' => '1', 'min' => 0, 'max' => 100]) !!}
									</div>
								</div>
								<div class="col-12 col-sm-4 mt-2">
									<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" 
										title="Valor das plaquetas, ou trombócitos, em número de plaquetas por microlitro (<i>Plq/μL</i>). Os valores normais são entre 150.000 a 450.000 em adultos.">
										Plaquetas
											<a class="" target="_blank" rel="noopener noreferrer" href="https://pncq.org.br/wp-content/uploads/2021/04/VRH2020.pdf">
												<i class="fas fa-question-circle"></i>
											</a>
										</label>
									<div class="col-12 p-0">
										{!! Form::number("exam1_plq", $trigger->exam1_plq, ['class' => "form-control", 'step' => '1000', 'min' => 0, 'max' => 1000000]) !!}
									</div>
								</div>
								<div class="col-12 mt-2">
									<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" 
										title="Indique o nome do exame e valor obtido">
										Outro
									</label>
									<div class="col-12 p-0">
										{!! Form::text("exam1_other", $trigger->exam1_other, ['class' => "form-control"]) !!}
									</div>
								</div>
							</div>
						</div>
					</div>
					<div id='divExam2' class='col-12 col-lg-6 col-xl-4 mt-1' {!! $data['date_exam1'] ? '' : 'style="display: none;"' !!}>
						<div class='alert alert-warning input-group px-1'>
							<label for="" class="col-12 mt-0 py-0 col-form-label text-dark"><b>Exame 2</b></label> 
							<div class="col-6 my-1">
								<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" title="Data que o exame foi colhido">Data</label>
								<div class="col-12 p-0" id="divDateExam2Group">
									{!! Form::text("date_exam2", $data['date_exam2'], ['class' => "datepickercustom form-control bg-white", 
										'id'=> 'datePickerExam2', 'readonly' => 'readonly', 'data-date-format'=>"d/m/Y", 'data-date-end-date' => '0d']) !!}
									<div class="input-group-append bg-white" id="divDeleteExam2" style="display: none;" >
										<button class="btn btn-outline-secondary" type="button" id="btnDeleteExam2" 
											onclick="$('#datePickerExam2').val(null);$('#timeExam2').val(null);$('#datePickerExam2').trigger('change');" 
											data-placement="bottom" data-tooltip="tooltip" data-html="true" title="Apagar data e hora do exame"><i class="fas fa-trash"></i></button>
									</div>
								</div>
							</div>
							<div id="divTimeExam2" class="col-6 my-1" {!! $data['date_exam2'] ? '' : 'style="display: none;"' !!}>
								<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" title="<u>Opcional:</u>Hora que o exame foi colhido">Hora</label>
								<div class="col-12 p-0" >
									{!! Form::text('hour_exam2', $data['hour_exam2'], ['class' => 'form-control input-clock bg-white w-100',
										'readonly' => 'readonly', 'id'=>'timeExam2']) !!}
								</div>
							</div>
							<div id='divDetailsExam2' class='input-group' {!! $data['date_exam2'] ? '' : 'style="display: none;"' !!}>
								<div class="col-12 col-sm-4 mt-2">
									<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" 
										title="Valor da hemoglobina (Hb), em gramas por decilitro (<i>g/dL</i>). Os valores normais são entre 12 e 17 em adultos.">
										Hemoglobina
											<a class="" target="_blank" rel="noopener noreferrer" href="https://pncq.org.br/wp-content/uploads/2021/04/VRH2020.pdf">
												<i class="fas fa-question-circle"></i>
											</a>
										</label>
									<div class="col-12 p-0">
										{!! Form::number("exam2_hb", $trigger->exam2_hb, ['class' => "form-control", 'step' => '0.1', 'min' => 0]) !!}
									</div>
								</div>
								<div class="col-12 col-sm-4 mt-2">
									<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" 
										title="Valor do hematócrito (Ht), em percentual (<i>%</i>) do sangue total. Os valores normais são entre 36 e 52% em adultos.">
										Hematócrito
											<a class="" target="_blank" rel="noopener noreferrer" href="https://pncq.org.br/wp-content/uploads/2021/04/VRH2020.pdf">
												<i class="fas fa-question-circle"></i>
											</a>
										</label>
									<div class="col-12 p-0">
										{!! Form::number("exam2_ht", $trigger->exam2_ht, ['class' => "form-control", 'step' => '1', 'min' => 0, 'max' => 100]) !!}
									</div>
								</div>
								<div class="col-12 col-sm-4 mt-2">
									<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" 
										title="Valor das plaquetas, ou trombócitos, em número de plaquetas por microlitro (<i>Plq/μL</i>). Os valores normais são entre 150.000 a 450.000 em adultos.">
										Plaquetas
											<a class="" target="_blank" rel="noopener noreferrer" href="https://pncq.org.br/wp-content/uploads/2021/04/VRH2020.pdf">
												<i class="fas fa-question-circle"></i>
											</a>
										</label>
									<div class="col-12 p-0">
										{!! Form::number("exam2_plq", $trigger->exam2_plq, ['class' => "form-control", 'step' => '1000', 'min' => 0, 'max' => 1000000]) !!}
									</div>
								</div>
								<div class="col-12 mt-2">
									<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" 
										title="Indique o nome do exame e valor obtido">
										Outro
									</label>
									<div class="col-12 p-0">
										{!! Form::text("exam2_other", $trigger->exam2_other, ['class' => "form-control"]) !!}
									</div>
								</div>
							</div>
						</div>
					</div>	
					<div id='divExam3' class='col-12 col-lg-6 col-xl-4 mt-1' {!! $data['date_exam2'] ? '' : 'style="display: none;"' !!}>
						<div class='alert alert-warning input-group px-1'>
							<label for="" class="col-12 mt-0 py-0 col-form-label text-dark"><b>Exame 3</b></label> 
							<div class="col-6 my-1">
								<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" title="Data que o exame foi colhido">Data</label>
								<div class="col-12 p-0" id="divDateExam3Group">
									{!! Form::text("date_exam3", $data['date_exam3'], ['class' => "datepickercustom form-control bg-white", 
										'id'=> 'datePickerExam3', 'readonly' => 'readonly', 'data-date-format'=>"d/m/Y", 'data-date-end-date' => '0d']) !!}
									<div class="input-group-append bg-white" id="divDeleteExam3" style="display: none;" >
										<button class="btn btn-outline-secondary" type="button" id="btnDeleteExam3" 
											onclick="$('#datePickerExam3').val(null);$('#timeExam3').val(null);$('#datePickerExam3').trigger('change');" 
											data-placement="bottom" data-tooltip="tooltip" data-html="true" title="Apagar data e hora do exame"><i class="fas fa-trash"></i></button>
									</div>
								</div>
							</div>
							<div id="divTimeExam3" class="col-6 my-1" {!! $data['date_exam3'] ? '' : 'style="display: none;"' !!}>
								<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" title="<u>Opcional:</u>Hora que o exame foi colhido">Hora</label>
								<div class="col-12 p-0" >
									{!! Form::text('hour_exam3', $data['hour_exam3'], ['class' => 'form-control input-clock bg-white w-100',
										'readonly' => 'readonly', 'id'=>'timeExam3']) !!}
								</div>
							</div>
							<div id='divDetailsExam3' class='input-group' {!! $data['date_exam3'] ? '' : 'style="display: none;"' !!}>
								<div class="col-12 col-sm-4 mt-2">
									<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" 
										title="Valor da hemoglobina (Hb), em gramas por decilitro (<i>g/dL</i>). Os valores normais são entre 12 e 17 em adultos.">
										Hemoglobina
											<a class="" target="_blank" rel="noopener noreferrer" href="https://pncq.org.br/wp-content/uploads/2021/04/VRH2020.pdf">
												<i class="fas fa-question-circle"></i>
											</a>
										</label>
									<div class="col-12 p-0">
										{!! Form::number("exam3_hb", $trigger->exam3_hb, ['class' => "form-control", 'step' => '0.1', 'min' => 0]) !!}
									</div>
								</div>
								<div class="col-12 col-sm-4 mt-2">
									<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" 
										title="Valor do hematócrito (Ht), em percentual (<i>%</i>) do sangue total. Os valores normais são entre 36 e 52% em adultos.">
										Hematócrito
											<a class="" target="_blank" rel="noopener noreferrer" href="https://pncq.org.br/wp-content/uploads/2021/04/VRH2020.pdf">
												<i class="fas fa-question-circle"></i>
											</a>
										</label>
									<div class="col-12 p-0">
										{!! Form::number("exam3_ht", $trigger->exam3_ht, ['class' => "form-control", 'step' => '1', 'min' => 0, 'max' => 100]) !!}
									</div>
								</div>
								<div class="col-12 col-sm-4 mt-2">
									<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" 
										title="Valor das plaquetas, ou trombócitos, em número de plaquetas por microlitro (<i>Plq/μL</i>). Os valores normais são entre 150.000 a 450.000 em adultos.">
										Plaquetas
											<a class="" target="_blank" rel="noopener noreferrer" href="https://pncq.org.br/wp-content/uploads/2021/04/VRH2020.pdf">
												<i class="fas fa-question-circle"></i>
											</a>
										</label>
									<div class="col-12 p-0">
										{!! Form::number("exam3_plq", $trigger->exam3_plq, ['class' => "form-control", 'step' => '1000', 'min' => 0, 'max' => 1000000]) !!}
									</div>
								</div>
								<div class="col-12 mt-2">
									<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" 
										title="Indique o nome do exame e valor obtido">
										Outro
									</label>
									<div class="col-12 p-0">
										{!! Form::text("exam3_other", $trigger->exam3_other, ['class' => "form-control"]) !!}
									</div>
								</div>
							</div>
						</div>
					</div>
				</div>
			</div>
		</div>
	</div>
	<div class="card shadow mb-3" id='headerTransfer'>
		<a href="#transfBox" class="d-block bg-info card-header pt-2 pb-3 " data-bs-toggle="collapse" role="button" aria-expanded="true" aria-controls="transfBox">
			<h6 class="pt-1 m-0 font-weight-bold text-white">
				<i class="fas fa-truck-medical mr-1"></i>
				Transferência
			</h6>
		</a>
		<div class="collapse show" id="transfBox">
			<div class="card-body pt-2 px-1 input-group">
				<div class="col-12 col-md-12 mt-2">
					{!! Form::hidden('transfer', false); !!}
					{!! Form::checkbox("transfer", 1, $trigger->transfer, ['id'=>'transfer']) !!}
					<span data-placement="top" data-tooltip="tooltip" data-html="true" 
					     title="Indique se o paciente precisará ser transferido para outra instituição nesta ou outra Colih para obter tratamento">
						 Paciente precisa de transferência</span>
				</div>

				<div class="col-12 input-group " id='divtransfer' {!! $trigger->transfer ? '' : 'style="display: none;"' !!} >
					<div class="card border-left-warning shadow w-100 py-1 px-2 mt-2 mb-3 ">
						<div class="card-body p-2 ">
							<div class="row no-gutters align-items-center">
								<div class="col-auto ml-2 mr-3">
									<i class="fas fa-warning fa-2x text-warning"></i>
								</div>
								<div class="col mr-1">
									<div class="text-xs font-weight-bold text-warning text-uppercase mb-1">LEMBRETE</div>
									<div class="mb-0 text-gray-800">A decisão de transferir deve ser tomada pelo paciente ou seus familiares, depois de explorar opções dentro do próprio hospital.</div>
								</div>
							</div>
						</div>
					</div>
	
					<div class="col-12 col-md-12 mt-2">
						<input name="transfer_procedures" type="hidden" value=0>
						{!! Form::checkbox("transfer_procedures", 1, $trigger->transfer_procedures, ['id'=>'transfer_procedures']) !!}
						<span data-placement="top" data-tooltip="tooltip" data-html="true" 
						     title="Indique se já foi confirmada a transferência tanto na origem como no destino">
							 Transferência já foi acertada</span>
					</div>
	
					<div id="divTransferredToRow" class="row col-12 mx-1 pl-1 pt-0 pb-1 mt-1 alert alert-secondary">
						<div class="col-auto pl-1 mt-2 pt-0 mb-1 pr-2">
							<input name="transfer_hid" type="hidden" value=0>
							{!! Form::checkbox("transfer_hid", 1, $trigger->transfer_hid, ['id'=>'transfer_hid']) !!}
							A Colih de destino foi informada <span class='d-lg-none'><br>&nbsp; &nbsp;</span>
							<small>(se transferência for para outra Colih)</small>
						</div>
						<div id="divTransferredTo" class="col mt-2">
							<div class="col-12 p-0 ">
								{!! Form::select("transfer_hlcid", $hlcs, $trigger->transfer_hlcid, ['class' => 'form-control', 'id' => 'transfer_hlcid']) !!}
							</div>
						</div>
					</div>
					<div class='col-sm-12 col-md-12 col-lg-6 mt-2 p-1 mr-0 '>
						<div class='alert alert-warning input-group h-100'>
							<div class="col-12 my-1">
								<label for="" class="col-12 p-0 col-form-label text-dark"><b>Hospital de destino</b></label> 
								<div class="col-12 p-0 ">
							
									{!! Form::select("transfer_hospital_id", $hospitals, $trigger->transfer_hospital_id, ['class' => 'form-control', 'id' => 'choose-transfer_hospital']) !!}
								</div>
							</div>
							<div class="col-12 my-1" id='divHospitalTransfer' style="display: none;" >
								{!! Form::text("transfer_hospital", $trigger->transfer_hospital, ['class' => 'form-control','placeholder'=>'nome do hospital']) !!}
							</div>
							<div class="col-12 my-1 ">
								<label for="" class="col-12 p-0 mb-0 col-form-label">Fone/Contato no destino</label>
								<div class="col-12 p-0 ">
									{!! Form::text("transfer_hospital_phone", $trigger->transfer_hospital_phone, ['class' => 'form-control']) !!}
								</div>
							</div>
						</div>
					</div>
					<div class='col-sm-12 col-md-12 col-lg-6 mt-2 p-1 mr-0 '>
						<div class='alert alert-warning input-group h-100'>
							<div class="col-12 my-1">
								<label for="" class="col-12 p-0 col-form-label text-dark"><b>Médico no destino</b></label> 
								<div class="col-12 p-0 ">
									{!! Form::select("transfer_doctor_id", $doctors, $trigger->transfer_doctor_id, ['class' => 'form-control', 'id' => 'choose-transfer_doctor']) !!}
								</div>
							</div>
							<div class="col-12 my-1" id='divTransferDoctor' style="display: none;" >
								{!! Form::text("transfer_doctor", $trigger->transfer_doctor, ['class' => 'form-control','placeholder'=> 'nome do médico']) !!}
							</div>
							<div class="col-12 my-1 ">
								<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="true" 
								title="Outros dados úteis sobre a transferência">Outras informações</label>
								<div class="col-12 p-0 ">
									{!! Form::textarea("transfer_information", $trigger->transfer_information, ['class' => 'form-control', 'placeholder' => '', 'rows' => 3]) !!}
								</div>
							</div>
						</div>
					</div>
				</div>
			</div>
		</div>
	</div>
	<div id='divCaseOutcome' class="card shadow mb-3">
		<a href="#closureBox" class="d-block bg-info card-header pt-2 pb-3 " data-bs-toggle="collapse" role="button" aria-expanded="true" aria-controls="closureBox">
			<h6 class="pt-1 m-0 font-weight-bold text-white">
				<i class="fas fa-circle-check mr-1"></i>
				Desfecho
			</h6>
		</a>
		<div class="collapse show" id="closureBox">
			<div class="card-body pt-2 px-1 input-group">

				<div class="card border-left-danger shadow w-100 py-1 mx-2 px-1 mt-2 mb-3 ">
					<div class="card-body p-2 ">
						<div class="row no-gutters align-items-center">
							<div class="col-auto ml-2 mr-3">
								<i class="fas fa-warning fa-2x text-danger"></i>
							</div>
							<div class="col mr-1">
								<div class="text-xs font-weight-bold text-gray-800 text-uppercase mb-1">IMPORTANTE</div>
								<div class="mb-0 text-danger" id="divCloseWarning">Após finalizar o caso não será possível acessá-lo novamente! Antes de clicar em <b>Salvar</b> 
									revise todos os campos - membros, histórico do caso, e em especial a identificação dos médicos - mesmo que não tenha 
									havido complicações. Verifique novamente se os médicos que ajudaram já estão cadastrados, ao invés de deixar como <em>OUTRO</em>
								</div>
							</div>
						</div>
					</div>
				</div>

				<div class="col-sm-6 col-lg-3 col-xl-2 my-1" >
					<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="false" title="Situação do paciente após o caso">Desfecho</label>
					<div class="col-12 p-0 ">
						{!! Form::select("case_outcome", $case_outcomes, $trigger->case_outcome, ['class' => 'form-control', 'id' => 'case_outcome']) !!}
					</div>
				</div>

				<div id='divTreatmentType' class="col-sm-6 col-lg-3 my-1">
					<label for="" class="col-12 p-0 mb-0 col-form-label" data-placement="top" data-tooltip="tooltip" data-html="false" title="Tipo de tratamento que o paciente recebeu">Tratamento feito</label>
					<div class="col-12 p-0 ">
						{!! Form::select("treatment_type", $treatment_types, $trigger->treatment_type, ['class' => 'form-control', 'id' => 'treatment_type']) !!}
					</div>
				</div>
				<div class="col-12 col-lg-6 mb-2 mt-3 mt-lg-4 pt-lg-2">
					{!! Form::hidden('local_elders', false); !!}
					{!! Form::checkbox("local_elders", 1, $trigger->local_elders, ['id'=>'local_elders']) !!}
					Anciãos locais contatados para dar acompanhamento
				</div>
				<div class="col-12 my-1 ">
					<label for="" class="col-12 p-0 mb-0 col-form-label text-info font-weight-bold" data-placement="top" data-tooltip="tooltip" data-html="true" 
					title="Descreva como o caso finalizou, e que seguimento foi ou será dado.">Descrição do desfecho do caso</label>
					<div class="col-12 p-0 ">
						{!! Form::textarea("result", $trigger->result, ['class' => 'form-control', 'placeholder' => '', 'rows' => 4, 'id'=>'result']) !!} 
					</div>
				</div>




			</div>
		</div>
	</div>

    {!! Form::close() !!}
</div>
@endsection