streamline-emr/docker/streamline-src/Modules/Patients/Resources/views/patients/reschedule_appointment.blade.php

@extends('layouts.main')

@push('styles')
    <link href="{{ asset('elite/bower_components/bootstrap-datepicker/bootstrap-datepicker.min.css') }}" rel="stylesheet" type="text/css" />
    <link href="{{ asset('elite/bower_components/select2/select2.min.css') }}" rel="stylesheet" />
@endpush

@section('content')

    <div class="row bg-title">
        <div class="col-md-6">
            <h4 class="page-title">{{ __('patients.reschedule_appointment') }}</h4>
        </div>
        <div class="col-md-6">
            <ol class="breadcrumb">
                <li><a href="{{ route('home') }}">{{ __('patients.dashboard') }}</a></li>
                <li><a href="{{ url('/patients/follow_up') }}">{{ __('patients.appointments') }}</a></li>
                <li class="active">{{ __('patients.create') }}</li>
            </ol>
        </div>
    </div>

    @include('flash::message')

    @include('errors.list')

    <div class="white-box">
        <h4>{{ __('patients.patient_information') }}</h4>
        <br>
        <div class="row">
            <div class="col-md-6">
                <p>{{ __('patients.first_name') }}: {{ get_name($appointment->patient_id, 'id', 'first_name', 'patients') }}</p>
                <p>{{ __('patients.last_name') }}: {{ get_name($appointment->patient_id, 'id', 'last_name', 'patients') }}</p>
            </div>
            <div class="col-md-6">
                <p>{{ __('patients.patient_number') }}: {{ get_name($appointment->patient_id, 'id', 'number', 'patients') }}</p>
                <p>{{ __('patients.phone') }}: {{ get_name($appointment->patient_id, 'id', 'phone', 'patients') }}</p>
            </div>
        </div>
    </div>

    <div class="white-box">
        <div class="row">
            <div class="col-md-6">
                <h4>{{ __('patients.previous_details') }}</h4>
                <div class="form-group">
                    {{ Form::label('clinic_allocation', __('patients.assigned_clinic')) }}
                    @if($appointment->clinic_allocation == 0)
                        {{ Form::text('clinic_allocation_previous', __('patients.not_assigned'), ['class' => 'form-control col-sm-12 compulsory', 'readonly']) }}
                    @else
                        {{ Form::text('clinic_allocation_previous', $clinics[$appointment->clinic_allocation], ['class' => 'form-control col-sm-12 compulsory', 'readonly']) }}
                    @endif
                </div>

                <div class="form-group">
                    {{ Form::label('in_charge', __('patients.assigned_incharge')) }}
                    @if($appointment->incharge_id == 0)
                        {{ Form::text('in_charge_previous', __('patients.not_assigned'), ['class' => 'form-control col-sm-12 compulsory', 'readonly']) }}
                    @else
                        {{ Form::text('in_charge_previous', get_full_name($appointment->incharge_id, 'id', 'first_name', 'last_name', 'users'), ['class' => 'form-control col-sm-12 compulsory', 'readonly']) }}
                    @endif
                </div>

                <div class="form-group">
                    {{ Form::label('appointment_date_previous',__('patients.appointment_date')) }}
                    {{ Form::text('appointment_date_previous', streamline_date($appointment->appointment_date), ['class' => 'form-control col-sm-12 compulsory', 'readonly']) }}
                </div>

                <div class="form-group">
                    {{ Form::label('appointment_time_previous',__('patients.appointment_time')) }}
                    {{ Form::text('appointment_time_previous', $appointment->appointment_time, ['class' => 'form-control col-sm-12 compulsory', 'readonly']) }}
                    <div class="help-block with-errors"></div>
                </div>

                <div class="form-group">
                    {{ Form::label('comments_previous',__('patients.comments')) }}
                    {{ Form::text('comments_previous', $appointment->comments, ['class' => 'form-control col-sm-12 compulsory', 'readonly']) }}
                </div>
            </div>
            <div class="col-md-6">
                <h4>{{ __('patients.new_details') }}</h4>
                {{ Form::open(['route' => 'patients.save_rescheduled_appointment']) }}

                {{ Form::hidden('appointment_id', $appointment->id, ['class' => 'patient_id']) }}

                <div class="form-group">
                    {{ Form::label('clinic_allocation', __('patients.assign_clinic')) }}
                    {{ Form::select('clinic_allocation', $clinics, $appointment->clinic_allocation, ['class' => 'form-control col-sm-12 compulsory search_criteria', 'id' => 'clinic_allocation']) }}
                </div>

                <div class="form-group">
                    {{ Form::label('in_charge', __('patients.assign_incharge')) }}
                    <select name="in_charge" class="form-control col-sm-12 compulsory search_criteria">
                        <option value="0" selected>{{ __('patients.dont_assign_incharge') }}</option>
                        @foreach($users as $user)
                            <option value="{{ $user->id }}">{{ $user->first_name }} {{ $user->last_name }}</option>
                        @endforeach
                    </select>
                </div>

                <div class="form-group">
                    {{ Form::label('appointment_date',__('patients.appointment_date')) }}
                    <div class="input-group">
                        {{ Form::text('appointment_date', date('d-m-Y', strtotime($appointment->appointment_date)),['class' => 'compulsory form-control','readonly','id'=>'appointment_date', 'required']) }}
                    </div>
                    <div class="help-block with-errors"></div>
                </div>

                <div class="form-group">
                    {{ Form::label('appointment_time',__('patients.appointment_time')) }}
                    {{ Form::time('appointment_time',$appointment->appointment_time,['class' => 'compulsory form-control','required']) }}
                    <div class="help-block with-errors"></div>
                </div>

                <div class="form-group">
                    {{ Form::label('comments',__('patients.comments')) }}
                    {{ Form::textarea('comments',$appointment->comments,['class' => 'form-control', 'data-error'=>'','id'=>'comments']) }}
                    <div class="help-block with-errors"></div>
                </div>

                {{ Form::button(__('patients.submit'),['type'=>'submit','class'=>'btn btn-success waves-effect waves-light m-r-10']) }}
                {{ Form::button(__('patients.cancel'),['type'=>'reset','class'=>'btn btn-default waves-effect waves-light']) }}

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

@push('scripts')
    <script src="{{ asset('elite/js/validator.js') }}"></script>
    <script src="{{ asset('elite/bower_components/bootstrap-datepicker/bootstrap-datepicker.min.js') }}"></script>
    <script src="{{ asset('elite/bower_components/select2/select2.min.js') }}"></script>

    <script type="text/javascript">
        $('#appointment_date').datepicker({
            autoclose: true,
            todayHighlight: true,
            format: 'dd-mm-yyyy',
        });
    </script>
@endpush