mirror of
https://gitlab.com/signalytic/client-external/streamline/streamline-emr.git
synced 2026-09-12 03:01:32 +00:00
updated streamline-setup v2
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@extends('layouts.main')
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@section('content')
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<div class="row bg-title">
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<div class="col-lg-3 col-md-4 col-sm-4 col-xs-12">
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<h4 class="page-title">{{ __('risks.risk') }}</h4>
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</div>
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<div class="col-lg-9 col-sm-8 col-md-8 col-xs-12">
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<ol class="breadcrumb">
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<li><a href="{{ route('home') }}">{{ __('risks.dashboard') }}</a></li>
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<li><a href="{{ route('risks.index') }}">{{ __('risks.risk') }}</a></li>
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<li class="active">{{ __('risks.create') }}</li>
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</ol>
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</div>
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</div>
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@include('insurance::risks.menu')
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<div class="row">
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<div class="col-sm-12">
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<!--Flash messages at the top -->
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@include('flash::message')
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<div class="white-box">
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@if ($errors->any())
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<div class="alert alert-danger">
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<strong>Whoops!</strong> There were some problems with your input.<br><br>
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<ul>
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@foreach ($errors->all() as $error)
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<li>{{ $error }}</li>
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@endforeach
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</ul>
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</div>
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@endif
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<div class="row">
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<div class="col-md-12">
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{{ Form::open(['route' => 'risks.store', 'data-toggle' => 'validator']) }}
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<div class="form-group">
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{{ Form::label('name', __('risks.risk_name')) }}
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{{ Form::text('name', '', ['class' => 'form-control compulsory', 'required']) }}
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<div class="help-block with-errors"></div>
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</div>
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<div class="form-group">
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{{ Form::label('code', __('risks.risk_code')) }}
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{{ Form::text('code', '', ['class' => 'form-control compulsory', 'required']) }}
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<div class="help-block with-errors"></div>
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</div>
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<div class="form-group">
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{{ Form::label('factor', __('risks.risk_factor')) }}
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{{ Form::number('factor', '', ['class' => 'form-control compulsory', 'required', 'data-error' => '', 'step' => '0.001', 'min' => 0]) }}
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<div class="help-block with-errors"></div>
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</div>
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<div class="form-group">
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{{ Form::label('amount', __('risks.risk_amount')) }}
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{{ Form::number('amount', '', ['class' => 'form-control compulsory', 'required', 'data-error' => '', 'step' => '0.01', 'min' => 0]) }}
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<div class="help-block with-errors"></div>
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</div>
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</div>
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{{ Form::button(__('risks.submit'),['type'=>'submit','class'=>'btn btn-success waves-effect waves-light m-r-10']) }}
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{{ Form::button(__('risks.cancel'),['type'=>'reset','class'=>'btn btn-default waves-effect waves-light']) }}
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{{ Form::close() }}
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</div>
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</div>
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</div>
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</div>
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@endsection
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@push('scripts')
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<script src="{{ asset('elite/js/validator.js') }}"></script>
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@endpush
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