@extends('layout.backend')

@section('title', 'Novo Caso GVP')

@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="/js/globals-functions.js"></script>
	<script type="text/javascript" src="/js/create-trigger.js"></script>
@endsection

@section('styles')
    @parent
    
    <link href="/css/bootstrap-datepicker3.min.css" rel="stylesheet">
@endsection

@section('content')
	<div class="card shadow mb-4">
		<div class="card-header py-3">
			<h6 class="m-0 font-weight-bold text-primary">Adicionar Caso GVP</h6>
		</div>

		<div class="card-body">
			@if($errors->any())
				<div class="alert alert-danger alert-errors">
					<div class="mb-3"><strong>ATENÇÃO:</strong></div>

					<ul>
						@foreach ($errors->all() as $error)
							<li>{!! $error !!}</li>
						@endforeach
					</ul>
				</div>
			@endif
			
			{!! Form::open(['id' => 'form-add-trigger-gvp', 'url' => route('triggers-gvp.store'), 'autocomplete' => 'off']) !!}
				<div class="row">
					<div class="col-sm-12 col-md-3 mt-3">
						<label for="" class="col-12 col-6 p-0">Data do Acionamento*</label>
						<div class="col-12 col-6 p-0">
							{!! Form::text("trigger_at", \Carbon\Carbon::now()->format('d/m/Y'), ['class' => "datepickercustom form-control", 'id'=> 'datePickerTrigger', 'readonly' => 'readonly']) !!}
						</div>
					</div>

					<div class="col-sm-12 col-md-5 mt-3">
						<label for="" class="col-12 col-6 p-0">Paciente*</label>
						<div class="col-12 col-6 p-0">
							{!! Form::text("patient", null, ['class' => 'form-control']) !!}
						</div>
					</div>

					<div class="col-sm-12 col-md-1 mt-3">
						<label for="" class="col-12 col-6 p-0">Sexo</label>
						<div class="col-12 col-6 p-0">
							{!! Form::select("gender", [null => ' ', 'M' => 'M', 'F' =>'F'], null, ['class' => 'form-control', 'id' => 'choose-status']) !!}
						</div>
					</div>

					<div class="col-sm-12 col-md-1 mt-3">
						<label for="" class="col-12 col-6 p-0">Idade</label>
						<div class="col-12 col-6 p-0">
							{!! Form::number("age", null, ['class' => 'form-control']) !!}
						</div>
					</div>

					<div class="col-sm-12 col-md-2 mt-3">
						<label for="" class="col-12 col-6 p-0">Status</label>
						<div class="col-12 col-6 p-0">
							{!! Form::select("case_status", $status, null, ['class' => 'form-control', 'id' => 'choose-casestatus']) !!}
						</div>
					</div>

					<div class="col-sm-12 col-md-3 mt-3">
						<label for="" class="col-12 col-6 p-0">Membro 1 *</label>
						<div class="col-12 col-6 p-0">
							{!! Form::select("member_id", $users, $userLoggedId, ['class' => 'form-control', 'id' => 'choose-member']) !!}
						</div>
					</div>

					<div class="col-sm-12 col-md-3 mt-3">
						<label for="" class="col-12 col-6 p-0">Membro 2</label>
						<div class="col-12 col-6 p-0">
							{!! Form::select("member_id2", $users, null, ['class' => 'form-control', 'id' => 'choose-member2']) !!}
						</div>
					</div>

					<div class="col-sm-12 col-md-3 mt-3">
						<label for="" class="col-12 col-6 p-0">Problema de Saúde</label>
						<div class="col-12 col-6 p-0">
							{!! Form::text("health_issue", null, ['class' => 'form-control']) !!}
						</div>
					</div>

					<div class="col-sm-12 col-md-3 mt-3">
						<label for="" class="col-12 col-6 p-0">Cidade/UF do paciente</label>
						<div class="col-12 col-6 p-0">
							{!! Form::text("patient_city", null, ['class' => 'form-control']) !!}
						</div>
					</div>

					<div class="col-sm-12 col-md-12 mt-3">
						<label for="" class="col-12 col-6 p-0">Histórico do caso </label>
						<div class="col-12 col-6 p-0">
							{!! Form::textarea("history", null, ['class' => 'form-control', 'placeholder' => 'Breve histórico do caso e da espiritualidade do paciente', 'rows' => 3]) !!} 
						</div>
					</div>

					<div class="col-sm-12 col-md-2 mt-3">
						<label for="" class="col-12 col-6 p-0">Internado?</label>
						<div class="col-12 col-6 p-0">
							{!! Form::select("is_committed", [0 => 'Não', 1 => 'Sim'], 0, ['class' => 'form-control', 'id' => 'choose-committed']) !!}
						</div>
					</div>

					<div class="col-sm-12 col-md-4 mt-3">
						<label for="" class="col-12 col-6 p-0">Hospital</label>
						<div class="col-12 col-6 p-0">
							{!! Form::select("hospital_id", $hospitals, null, ['class' => 'form-control', 'id' => 'choose-hospital','read-only'=>true, 'disabled'=>true]) !!}
						</div>
					</div>

					<div class="col-sm-12 col-md-2 mt-3">
						<label for="" class="col-12 col-6 p-0"><em>dpa</em> OK?</label>
						<div class="col-12 col-6 p-0">
							{!! Form::select("dpa", [0 => 'Não', 1 => 'Sim'], 0, ['class' => 'form-control']) !!}
						</div>
					</div>

					<div class="col-sm-12 col-md-2 mt-3">
						<label for="" class="col-12 col-6 p-0"><i class="fas fa-car text-secondary float-left mt-1 mr-2"></i>Precisa Transporte?</label>
						<div class="col-12 col-6 p-0">
							{!! Form::select("need_car", [0 => 'Não', 1 => 'Sim'], 0, ['class' => 'form-control']) !!}
						</div>
					</div>

					<div class="col-sm-12 col-md-2 mt-3">
						<label for="" class="col-12 col-6 p-0"><i class="fas fa-bed text-secondary float-left mt-1 mr-2"></i>Precisa Acomodação?</label>
						<div class="col-12 col-6 p-0">
							{!! Form::select("need_accommodation", [0 => 'Não', 1 => 'Sim'], 0, ['class' => 'form-control']) !!}
						</div>
					</div>

					<div class="col-sm-12 col-md-6 mt-3">
						<label for="" class="col-12 col-6 p-0">Contatos </label>
						<div class="col-12 col-6 p-0">
							{!! Form::textarea("relatives", null, ['class' => 'form-control', 'placeholder' => 'Nome dos parentes do paciente, telefones e outras informações, se são cristãos, etc.', 'rows' => 3]) !!} 
						</div>
					</div>

					<div class="col-sm-12 col-md-6 mt-3">
						<label for="" class="col-12 col-6 p-0">Detalhe das Necessidades</label>
						<div class="col-12 col-6 p-0">
							{!! Form::textarea("others_need", null, ['class' => 'form-control', 'rows' => 3, 'placeholder' => 'Explique a necessidade de acomodação/transporte ou outras']) !!} 
						</div>
					</div>


					<div class="col-sm-12 col-md-6 mt-3">
						<label for="" class="col-12 col-6 p-0">Nome do Médico</label>
						<div class="col-12 col-6 p-0">
							{!! Form::text("doctor_name", null, ['class' => 'form-control']) !!}
						</div>
					</div>

					<div class="col-sm-12 col-md-3 mt-3">
						<label for="" class="col-12 col-6 p-0">Indicar Médico para Colih visitar?</label>
						<div class="col-12 col-6 p-0">
							{!! Form::select("indicate_visit", [0 => 'Não', 1 => 'Sim'], 0, ['class' => 'form-control']) !!}
						</div>
					</div>

					<div id="closedDate" class='d-none col-12 pl-0'>
						<div class="col-sm-12 mt-3">
							<label for="" class="col-12 col-6 p-0">Desfecho</label>
							<div class="col-12 col-6 p-0">
								{!! Form::textarea("experience", null, ['class' => 'form-control', 'placeholder' => 'Digite brevemente o desfecho do caso e boas experiências, se houver. ', 'rows' => 3]) !!} 
							</div>
						</div>

						<div class="col-sm-12 col-md-3 mt-3">
							<label for="" class="col-12 col-6 p-0">Data finalizado</label>
							<div class="col-12 col-6 p-0">
								{!! Form::text("closed_at", null, ['class' => "datepickercustom form-control", 'id'=> 'datePickerTrigger2', 'readonly' => 'readonly']) !!}
							</div>
						</div>
					</div>

					<div class="col-12">
						{!! Form::submit('SALVAR', ['class' => 'btn btn-primary mt-4']) !!}
					</div>
				</div>
			{!! Form::close() !!}
		</div>
	</div>
@endsection