{% extends 'base.html.twig' %}

{% block title %}Case Diagnosis{% endblock %}

{% block content %}
<div class="kt-subheader kt-grid__item"></div>

{{ form_start(form, { 'attr': { 'class': 'kt-form' }}) }}
<div class="kt-container kt-grid__item kt-grid__item--fluid">
	<div class="kt-portlet kt-portlet--mobile" id="kt_page_portlet">
		<div class="kt-portlet__head kt-portlet__head--lg">
			<div class="kt-portlet__head-label">
				<h3 class="kt-portlet__head-title">Case Diagnosis</h3>
			</div>

			<div class="kt-portlet__head-toolbar">
				<div class="kt-portlet__head-wrapper">
					<a href="{{ path('case_index') }}" class="btn btn-clean btn-icon-sm mr-2"><i
							class="la la-long-arrow-left"></i>Back</a>
					<a href="{{ app.request.uri }}" class="btn btn-secondary btn-bold mr-2">Reset</a>
					<button class="btn btn-primary btn-bold btn-bold mr-2">Submit</button>
					<button type="button" class="btn btn-default btn-bold" data-toggle="modal"
						data-target="#case-history-modal">History</button>
					<a href="{{ path('consent',{'id':case.id | nzo_encrypt}) }}" class="btn btn-brand btn-bold ml-2"
						target="_blank">Other Hospital
						History</a>
					{# <button type="button" class="btn btn-brand btn-bold ml-2" data-toggle="modal"
						data-target="#consent-modal">Other Hospital History</button> #}
				</div>
			</div>
		</div>

		<div class="kt-portlet__body">
			{% include 'parts/flash.html.twig' %}

			{% if not form.vars.valid %}
			<div class="alert alert-danger alert-dismissible" role="alert">
				<div class="alert-text">{{ form_errors(form) }}</div>
				<div class="alert-close">
					<i class="flaticon2-cross kt-icon-sm" data-dismiss="alert"></i>
				</div>
			</div>
			{% endif %}

			{% include 'cases/_form.html.twig' %}
			<input type="hidden" id="lab-test-status" value="{{ case.labTestStatus }}">

			{% include 'cases/_case_history.html.twig' %}
		</div>
	</div>
</div>
{{ form_end(form) }}
{% endblock %}

{% block scripts %}
{{ parent() }}

<script>
	$('.ro-select option:not(:selected)').prop('disabled', true);
</script>

<script src="{{ asset('assets/js/case.js') }}"></script>
<script src="{{ asset('assets/js/chained_locations.js') }}"></script>
<script src="{{ asset('assets/js/custom.js') }}"></script>
{% endblock %}