streamline-emr/docker/streamline-src/Modules/ClinicalData/Resources/views/drugs/edit.blade.php

@extends('layouts.main')

@push('styles')
<link href="{{ asset('elite/bower_components/icheck/skins/all.css') }}" rel="stylesheet">
@endpush

@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">{{ __('drugs.edit_drug') }}</h4>
    </div>
    <div class="col-lg-9 col-sm-8 col-md-8 col-xs-12">
        <ol class="breadcrumb">
            <li><a href="{{ route('home') }}">{{ __('drugs.dashboard') }}</a></li>
            <li><a href="{{ route('drugs.index') }}">{{ __('drugs.drugs') }}</a></li>
            <li class="active">{{ __('drugs.edit') }}</li>
        </ol>
    </div>
</div>

<div class="row">
    <div class="col-sm-12">
        <!--Flash messages at the top -->
        @include('flash::message')
        <div class="white-box">
            {{ Form::model($drug, ['method' => 'PUT', 'route' => ['drugs.update',$drug], 'data-toggle' => 'validator']) }}

            <div class="form-group">
                {{ Form::label('name', __('drugs.drug_name')) }}
                {{ Form::text('name', $drug->name, ['class' => 'form-control compulsory', 'required']) }}
                <div class="help-block with-errors"></div>
            </div>

            <div class="form-group">
                {{ Form::label('category_id', __('drugs.drug_category')) }}
                {{ Form::select('category_id', $drug_categories, $drug->category_id, ['class' => 'form-control compulsory', 'required']) }}
                <div class="help-block with-errors"></div>
            </div>

            <div class="form-group">
                {{ Form::label('form_id', __('drugs.drug_form')) }}
                {{ Form::select('form_id', $drug_forms, $drug->form_id, ['class'=>'form-control compulsory', 'required']) }}
                <div class="help-block with-errors"></div>
            </div>

            <div class="form-group">
                {{ Form::label('available', __('drugs.is_drug_available'), ["class"=>'col-md-12']) }}
                &nbsp;{{ __('drugs.yes') }} {{ Form::radio('available', 1, $drug->available == 1,  ["required", 'class' => 'check form-control', 'data-radio'=>'iradio_flat-green']) }}
                &nbsp;{{ __('drugs.no') }} {{ Form::radio('available', 0, $drug->available == 0, ["required", 'class' => 'check form-control', 'data-radio'=>'iradio_flat-green']) }}
                <div class="help-block with-errors"></div>
            </div>

            <div class="form-group">
                {{ Form::label('unit_id', __('drugs.drug_unit')) }}
                {{ Form::select('unit_id', $drug_units, $drug->unit_id, ['class'=>'form-control compulsory', 'required']) }}
                <div class="help-block with-errors"></div>
            </div>

            <div class="form-group">
                {{ Form::label('pharmacy_stock', __('drugs.current_pharmacy_stock')) }}
                {{ Form::number('pharmacy_stock', $drug->pharmacy_stock, ['class'=>'form-control compulsory', 'required', 'readonly']) }}
                <div class="help-block with-errors"></div>
            </div>

            <div class="form-group">
                {{ Form::label('store_stock', __('drugs.current_store_stock')) }}
                {{ Form::number('store_stock', $drug->quantity, ['class' => 'form-control compulsory', 'required', 'readonly']) }}
                <div class="help-block with-errors"></div>
            </div>

            <div class="form-group">
                {{ Form::label('reorder_level', __('drugs.re_order_level')) }}
                {{ Form::number('reorder_level', $drug->reorder_level, ['class' => 'form-control compulsory', 'required']) }}
                <div class="help-block with-errors"></div>
            </div>

            <div class="form-group">
                {{ Form::label('', __('drugs.long_term'), ["class"=>'col-md-12']) }}
                &nbsp;Yes {{ Form::radio('long_term', 1, $drug->long_term == 1, ["required", 'class' => 'check form-control', 'data-radio'=>'iradio_flat-green']) }}
                &nbsp;No {{ Form::radio('long_term', 0, $drug->long_term == 0, ["required", 'class' => 'check form-control', 'data-radio'=>'iradio_flat-green']) }}
                <div class="help-block with-errors"></div>
            </div>

            <div class="form-group">
                {{ Form::label('hssip', __('drugs.hssip')) }}
                {{ Form::text('hssip', $drug->hssip, ['class'=>'form-control']) }}
            </div>

            <div class="form-group">
                {{ Form::label('account_id', __('drugs.income_account')) }}
                {{ Form::select('account_id', $income_accounts, $drug->account_id, ['class' => 'form-control']) }}
                <div class="help-block with-errors"></div>
            </div>

            <div class="form-group">
                {{ Form::label('cog_account', __('drugs.cost_of_goods_account')) }}
                {{ Form::select('cog_account', $cost_of_goods_accounts, $drug->cost_of_goods_account, ['class' => 'form-control']) }}
                <div class="help-block with-errors"></div>
            </div>

            <div class="form-group">
                {{ Form::label('inventory_account', __('drugs.inventory_asset_account')) }}
                {{ Form::select('inventory_account', $inventory_asset_accounts, $drug->inventory_account, ['class' => 'form-control']) }}
                <div class="help-block with-errors"></div>
            </div>
            @php
                $reference_array = !empty($drug->reference_areas)? explode(",", $drug->reference_areas):[];
                $reference_name = !empty($drug->reference_name)? explode(",", $drug->reference_name): [];
            @endphp
            @if (!empty($reference_array) && !empty($reference_name))
                @for($i = 0; $i < count($reference_array); $i++)
                    <div class="row form-group">
                        <div class="col-sm-4">
                            {{ Form::text('reference_name[]', $reference_name[$i] ?? '', ['class'=>'form-control', 'placeholder' => 'Reference Name']) }}
                        </div>
                        <div class="col-sm-8">
                            {{ Form::url('reference_areas[]', $reference_array[$i] ?? '', ['class'=>'form-control', 'placeholder' => 'eg http://www.google.com']) }}
                        </div>                       
                    </div>
                @endfor
                @if (count($reference_array) < 4)
                    <div class="row form-group">
                        <div class="col-sm-12 input_fields_wrap"></div>
                        <div class="col-sm-12"><a class="add_field_button" style="color: blue;">{{ __('symptoms.add_more') }}</a></div>
                    </div>
                @endif
            @else
                <div class="form-group">
                    {{ Form::label('reference_text', __('symptoms.reference_area')) }}
                    <div class="row">
                        <div class="col-sm-4">
                            {{ Form::text('reference_name[]', '', ['class'=>'form-control', 'placeholder' => 'Reference Name']) }}
                        </div>
                        <div class="col-sm-8">
                            {{ Form::url('reference_areas[]', '', ['class'=>'form-control', 'placeholder' => 'eg http://www.google.com']) }}
                        </div>
                    </div>
                    <div class="col-sm-12 input_fields_wrap"></div>
                    <div class="col-sm-12"><a class="add_field_button" style="color: blue;">{{ __('symptoms.add_more') }}</a></div>
                </div>
            @endif 
                          

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

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

@push('scripts')
<script src="{{ asset('elite/js/validator.js') }}"></script>

<!-- icheck -->
<script src="{{ asset('elite/bower_components/icheck/icheck.min.js') }}"></script>
<script src="{{ asset('elite/bower_components/icheck/icheck.init.js') }}"></script>
<script type="text/javascript">
    $(document).ready(function () {
        var max_fields = 4; //maximum input boxes allowed
        var wrapper = $(".input_fields_wrap"); //Fields wrapper
        let number = {{ count($reference_array) }};
        var x = number? number: 1; //initlal text box count
        $(".add_field_button").click(function (e) { //on add input button click
            e.preventDefault();
            if (x < max_fields) { //max input box allowed
                x++; //text box increment
                $(wrapper).append('<br><div class="row"><div class="col-sm-4"><input type="text" class="form-control compulsory" placeholder="Reference name" name="reference_name[]" required/></div><div class="help-block with-errors"></div>' +
                        '<div class="col-sm-7"><input type="url" placeholder="eg http://www.google.com" class="form-control compulsory" name="reference_areas[]" required/></div><div class="help-block with-errors"></div>'
                        + '<a href="#" class="remove_field" style="color: maroon"><sup>X</sup></a></div>'); //add input box
            }else  {
                $(".add_field_button").hide();
                alert('Only four references can be added.');
            }
        });

        $(wrapper).on("click", ".remove_field", function (e) { //user click on remove text
            e.preventDefault();
            $(this).parent('div').remove();
            x--;
        })
    });
</script>
@endpush