@extends('layouts.main') @push('styles') @endpush @section('content')

Edit Cancer Protocol

@include('cancer::cancer_protocol.menu') @include('flash::message')
{{ Form::model($cancer_protocol, ['method' => 'PUT', 'route' => ['cancer_protocol.update',$cancer_protocol] , 'data-toggle' => 'validator']) }}

Protocol Details

{{ Form::label('name', "Protocol Name") }} {{ Form::text('name', $cancer_protocol->name, ['class' => 'form-control compulsory', 'required']) }}
{{ Form::label('name', "Protocol Billing Type") }}
{{ Form::radio('protocol_billing_type', 0, $cancer_protocol->protocol_billing_type == 0, ["required", "onclick" => "show('protocol_cost_div');"]) }}  Umbrella Cost    {{ Form::radio('protocol_billing_type', 1, $cancer_protocol->protocol_billing_type == 1, ["required", "onclick" => "hide('protocol_cost_div');"]) }}  Bill Per Drug

protocol_billing_type == 1) style="display: none" @endif> {{ Form::label('protocol_cost', "Protocol Cost") }} {{ Form::number('protocol_cost', $cancer_protocol->protocol_cost, ['class' => 'form-control compulsory', 'min' => 0]) }}
@php $pre_chemo_drugs = json_decode($cancer_protocol->pre_chemo_drugs, true); $chemo_drugs = json_decode($cancer_protocol->chemo_drugs, true); $post_chemo_drugs = json_decode($cancer_protocol->post_chemo_drugs, true); $pre_chemo_counter = 0; $chemo_counter = 0; $post_chemo_counter = 0; @endphp

{{ Form::label('pre_chemo_comments', 'Comments') }} {{ Form::textarea('pre_chemo_comments', $cancer_protocol->pre_chemo_comments, ['class' => 'form-control compulsory', 'required', 'rows' => '5']) }}

@foreach($pre_chemo_drugs as $pre_chemo_drug) @php $pre_chemo_counter++; @endphp @endforeach
Drug
Route
Factor
Dose
Duration(Separate with commas)
Instructions
{{ Form::hidden('pre_chemo_row_counter[]', $pre_chemo_counter) }}
{{ Form::select('pre_chemo_drug_id[]', $drugs, $pre_chemo_drug["drug_id"], ['class' => 'form-control compulsory drugs_id_class', 'id' => 'pre_chemo_drug_id_' . $pre_chemo_counter, 'onchange' => 'drugs_details(' . $pre_chemo_counter . ', this.value, \'pre_chemo\')', 'required']) }}
{{ Form::select('pre_chemo_drug_route[]', $drug_routes, $pre_chemo_drug["drug_route"], ['class' => 'form-control compulsory', 'required']) }}
{{ Form::select('pre_chemo_drug_factor_id[]', $factors, $pre_chemo_drug["drug_factor"], ['class' => 'form-control compulsory', 'onchange' => 'check_factor(' . $pre_chemo_counter . ', \'pre_chemo\')', 'required', 'id' => 'pre_chemo_drug_factor_id_' . $pre_chemo_counter]) }}
{{ Form::number('pre_chemo_drug_dose[]', $pre_chemo_drug["dose"][0]["dose"], ['class' => 'form-control compulsory', 'min' => 0, 'required', 'step' => 0.0001]) }}
{{ Form::textarea('pre_chemo_drug_duration[]', $pre_chemo_drug["dose"][0]["duration"], ['class' => 'form-control compulsory', 'rows' => '3', 'required']) }}
{{ Form::textarea('pre_chemo_drug_instructions[]', $pre_chemo_drug["dose"][0]["instructions"], ['class' => 'form-control', 'rows' => '3']) }}
Add Dose @if($pre_chemo_counter != 0)

@endif
@for($x=1; $x < count($pre_chemo_drug["dose"]); $x++)
@endfor
Add Drug

{{ Form::label('chemo_comments', 'Comments') }} {{ Form::textarea('chemo_comments', $cancer_protocol->chemo_comments, ['class' => 'form-control compulsory', 'required', 'rows' => '5']) }}

@foreach($chemo_drugs as $chemo_drug) @php $chemo_counter++; @endphp @endforeach
Drug
Route
Factor
Dose
Duration(Separate with commas)
Instructions
{{ Form::hidden('chemo_row_counter[]', $chemo_counter) }}
{{ Form::select('chemo_drug_id[]', $drugs, $chemo_drug["drug_id"], ['class' => 'form-control compulsory drugs_id_class', 'id' => 'chemo_drug_id_' . $chemo_counter, 'onchange' => 'drugs_details(' . $chemo_counter . ', this.value, \'chemo\')', 'required']) }}
{{ Form::select('chemo_drug_route[]', $drug_routes, $chemo_drug["drug_route"], ['class' => 'form-control compulsory', 'required']) }}
{{ Form::select('chemo_drug_factor_id[]', $factors, $chemo_drug["drug_factor"], ['class' => 'form-control compulsory', 'onchange' => 'check_factor(' . $chemo_counter . ', \'chemo\')', 'required', 'id' => 'chemo_drug_factor_id_' . $chemo_counter]) }}
{{ Form::number('chemo_drug_dose[]', $chemo_drug["dose"][0]["dose"], ['class' => 'form-control compulsory', 'min' => 0, 'required', 'step' => 0.0001]) }}
{{ Form::textarea('chemo_drug_duration[]', $chemo_drug["dose"][0]["duration"], ['class' => 'form-control compulsory', 'rows' => '3', 'required']) }}
{{ Form::textarea('chemo_drug_instructions[]', $chemo_drug["dose"][0]["instructions"], ['class' => 'form-control', 'rows' => '3']) }}
Add Dose @if($chemo_counter != 0)

@endif
@for($x=1; $x < count($chemo_drug["dose"]); $x++)
@endfor
Add Drug

{{ Form::label('post_chemo_comments', 'Comments') }} {{ Form::textarea('post_chemo_comments', $cancer_protocol->post_chemo_comments, ['class' => 'form-control compulsory', 'required', 'rows' => '5']) }}

@foreach($post_chemo_drugs as $post_chemo_drug) @php $post_chemo_counter++; @endphp @endforeach
Drug
Route
Factor
Dose
Duration(Separate with commas)
Instructions
{{ Form::hidden('post_chemo_row_counter[]', $post_chemo_counter) }}
{{ Form::select('post_chemo_drug_id[]', $drugs, $post_chemo_drug["drug_id"], ['class' => 'form-control compulsory drugs_id_class', 'id' => 'post_chemo_drug_id_' . $post_chemo_counter, 'onchange' => 'drugs_details(' . $post_chemo_counter . ', this.value, \'post_chemo\')', 'required']) }}
{{ Form::select('post_chemo_drug_route[]', $drug_routes, $post_chemo_drug["drug_route"], ['class' => 'form-control compulsory', 'required']) }}
{{ Form::select('post_chemo_drug_factor_id[]', $factors, $post_chemo_drug["drug_factor"], ['class' => 'form-control compulsory', 'onchange' => 'check_factor(' . $post_chemo_counter . ', \'post_chemo\')', 'required', 'id' => 'post_chemo_drug_factor_id_' . $post_chemo_counter]) }}
{{ Form::number('post_chemo_drug_dose[]', $post_chemo_drug["dose"][0]["dose"], ['class' => 'form-control compulsory', 'min' => 0, 'required', 'step' => 0.0001]) }}
{{ Form::textarea('post_chemo_drug_duration[]', $post_chemo_drug["dose"][0]["duration"], ['class' => 'form-control compulsory', 'rows' => '3', 'required']) }}
{{ Form::textarea('post_chemo_drug_instructions[]', $post_chemo_drug["dose"][0]["instructions"], ['class' => 'form-control', 'rows' => '3']) }}
Add Dose @if($post_chemo_counter != 0)

@endif
@for($x=1; $x < count($post_chemo_drug["dose"]); $x++)
@endfor
Add Drug
{{ Form::button(__('cancer_protocol.submit'),['type'=>'submit','class'=>'btn btn-success btn-rounded waves-effect waves-light m-r-10']) }} {{ Form::button(__('cancer_protocol.cancel'),['type'=>'reset','class'=>'btn btn-default btn-rounded waves-effect waves-light']) }} {{ Form::close() }}
@endsection @push('scripts') @endpush