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

{{ __('diagnoses.edit_all_diagnoses') }}

@include('clinical_data::diagnoses.menu')
@include('flash::message')
{{ Form::model($diagnoses, ['method' => 'ANY', 'route' => ['diagnoses.update_all'], 'data-toggle' => 'validator']) }}
@foreach($diagnoses as $diagnosis) @endforeach
{{ __('diagnoses.diagnosis_name') }} {{ __('diagnoses.icd_10_code') }} {{ __('diagnoses.hmis_out_patient_number') }} {{ __('diagnoses.hmis_inpatient_category') }} {{ __('diagnoses.diagnosis_prompt') }} {{ __('diagnoses.chronic_status') }} {{ __('diagnoses.reference_areas_seperate_with_commas') }} {{ __('diagnoses.reference_names_seperate_with_commas') }} {{ __('diagnoses.hmis_category') }}
{{ __('diagnoses.diagnosis_name') }} {{ __('diagnoses.icd_10_code') }} {{ __('diagnoses.hmis_out_patient_number') }} {{ __('diagnoses.hmis_inpatient_category') }} {{ __('diagnoses.diagnosis_prompt') }} {{ __('diagnoses.chronic_status') }} {{ __('diagnoses.reference_areas_seperate_with_commas') }} {{ __('diagnoses.reference_names_seperate_with_commas') }} {{ __('diagnoses.hmis_category') }}

{{ $diagnosis->name }}

{{ Form::text('name[]', $diagnosis->name, ['class' => 'form-control compulsory', 'required']) }}
{{ Form::text('icd10_code[]', $diagnosis->icd10_code, ['class' => 'form-control']) }} {{ Form::text('hmis_no_outpatient[]', $diagnosis->hmis_no_outpatient, ['class' => 'form-control']) }} {{ Form::text('hmis_no_inpatient[]', $diagnosis->hmis_no_inpatient, ['class' => 'form-control']) }} {{ Form::textArea('prompts[]', $diagnosis->prompts, ['class' => 'form-control', 'rows' => 5]) }} {{ Form::select('chronic_status[]', [1 => 'Yes', 0 => 'No'], $diagnosis->chronic_status, ['class' => 'form-control']) }} {{ Form::text('reference_areas[]', $diagnosis->reference_areas, ['class' => 'form-control']) }} {{ Form::text('reference_names[]', $diagnosis->reference_names, ['class' => 'form-control']) }} {{ Form::select('hmis_category[]', $hmis_categories, $diagnosis->hmis_category, ['class' => 'form-control']) }}
{{ Form::button(__('diagnoses.submit'),['type'=>'submit','class'=>'btn btn-success waves-effect waves-light m-r-10']) }} {{ Form::button(__('diagnoses.cancel'),['type'=>'reset','class'=>'btn btn-default waves-effect waves-light']) }} {{ Form::close() }}
@include('clinical_data::diagnoses.menu') @endsection @push('scripts') @endpush