streamline-emr/docker/streamline-src/Modules/ClinicalData/Resources/views/observations/create.blade.php

@extends('layouts.main')

@section('content')
    <div class="row bg-title">
        <div class="col-lg-3 col-md-4 col-sm-4 col-xs-12">
            <h4 class="page-title">{{ __('observations.add_observation') }}</h4>
        </div>
        <div class="col-lg-9 col-sm-8 col-md-8 col-xs-12">
            <ol class="breadcrumb">
                <li><a href="{{ route('home') }}">{{ __('observations.dashboard') }}</a></li>
                <li><a href="/observations/index">{{ __('observations.observations') }}</a></li>
                <li class="active">{{ __('observations.create') }}</li>
            </ol>
        </div>
    </div>

    <div class="row">
        <div class="col-sm-12">
            @include('clinical_data::observations.menu')
        </div>
    </div>

    <div class="row">
        <div class="col-sm-12">
            <!--Flash messages at the top -->
            @include('flash::message')
            <div class="white-box">
                {{ Form::open(['route' => 'observations.store', 'data-toggle' => 'validator']) }}

                <div class="row">
                    <div class="col-sm-6">
                        <div class="form-group">
                            {{ Form::label('name', __('observations.observation_name')) }}
                            {{ Form::text('name', '', ['class' => 'form-control compulsory', 'required']) }}
                            <div class="help-block with-errors"></div>
                        </div>

                        <div class="form-group">
                            {{ Form::label('measurement', __('observations.measurement_unit')) }}
                            {{ Form::text('measurement', '', ['class' => 'form-control']) }}
                        </div>

                        <div class="form-group">
                            {{ Form::label('options_or_range',__('observations.options_or_range')) }}
                            <br>
                            {{ Form::radio('options_or_range', 1, false, ["required",'id'=>'set_range','onclick'=>'setRangeOrOptions()']) }} {{ __('observations.set_ranges') }} &nbsp;&nbsp;
                            {{ Form::radio('options_or_range', 2, false, ["required",'id'=>'set_option','onclick'=>'setRangeOrOptions()']) }} {{ __('observations.set_dropdown_options') }}
                            <div class="help-block with-errors"></div>
                        </div>

                        <div class="set-ranges" style="display: none;">
                            <div class="form-group">
                                {{ Form::label('lower_limit', __('observations.lower_limit')) }}
                                {{ Form::number('lower_limit', '', ['class'=>'form-control']) }}
                            </div>

                            <div class="form-group">
                                {{ Form::label('upper_limit', __('observations.upper_limit')) }}
                                {{ Form::number('upper_limit', '', ['class'=>'form-control']) }}
                            </div>
                        </div>

                        <div class="set-options" style="display: none;">
                            <div class="form-group" id="optionsList">
                                {{ Form::label('option', __('observations.set_drop_down_options')) }}
                                {{ Form::text('options[]', '', ['class'=>'form-control']) }}
                                <br>
                            </div>
                            <a href="#" id="addOption">{{ __('observations.add_another_option') }}</a><br><br>
                        </div>
                    </div>
                    <div class="col-sm-6">
                        <div class="form-group">
                            {{ Form::label('option_for_normal', __('observations.set_normal_option')) }}
                            {{ Form::text('option_for_normal', '', ['class'=>'form-control']) }}
                        </div>

                        <div class="form-group">
                            {{ Form::label('age_group',__('observations.age_group')) }}
                            <br>
                            @foreach($age_groups as $group => $value)
                                {{ Form::checkbox('age_group[]', $group, false) }} {{ $value }} &nbsp;&nbsp;
                            @endforeach
                            <div class="help-block with-errors"></div>
                        </div>

                        <div class="form-group">
                            {{ Form::label('compulsory',__('observations.is_observation_compulsory')) }}
                            {{ Form::radio('compulsory', 1, false, ['required']) }} {{ __('observations.yes') }} &nbsp; &nbsp;
                            {{ Form::radio('compulsory', 0, false, ['required']) }} {{ __('observations.no') }}
                            <div class="help-block with-errors"></div>
                        </div>
                    </div>
                    <div class="col-md-6"><hr></div>
                    <div class="col-md-6">
                        {{ Form::button(__('observations.submit'),['type'=>'submit','class'=>'btn btn-success waves-effect waves-light m-r-10']) }}
                        {{ Form::button(__('observations.cancel'),['type'=>'reset','class'=>'btn btn-default waves-effect waves-light']) }}

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

@push('scripts')
    <script src="{{ asset('elite/js/validator.js') }}"></script>
    <script type="text/javascript">
        function setRangeOrOptions() {
            if (document.getElementById("set_range").checked) {
                document.querySelector(".set-ranges").style.display = "block";
                document.querySelector(".set-options").style.display = "none";
            }
            if (document.getElementById("set_option").checked) {
                document.querySelector(".set-options").style.display = "block";
                document.querySelector(".set-ranges").style.display = "none";
            }
        }

        $(wrapper).on("click", ".remove_field", function (e) {
            e.preventDefault();
            $(this).parent('div').parent('div').parent('div').remove();
        });

        $("#addOption").click(function(e) {
            let html_code = "<div><div class='row'>" +
                "<div class='col-md-10'><input type='text' name='options[]' placeholder='' class='form-control' /></div>" +
                "<div class='col-md-2'><button class='remove_field btn btn-sm btn-rounded btn-danger' style='color: white; margin-left: 25px;'><i class='fa fa-trash'></i></button></div>" +
                "</div><br></div>";
            $("#optionsList").append(html_code);
        });
    </script>
@endpush