<?php /* Vista de solo lectura */ ?>
<?php if(isset($formulario)): ?>
	<?php echo Form::model($formulario, ['class' => 'form-horizontal']); ?>

<?php endif; ?>


<!-- Para cargar el último formulario registrado con la finalidad de que sea una muestra para el nuevo formulario  -->
<?php if(!\Session::has('success')): ?>
	<?php if(isset($ultimoFormulario)): ?>
		<?php echo Form::model($ultimoFormulario, ['class' => 'form-horizontal', 'route' => 'seguimiento.store', 'method' => 'post', 'id' => 'formularioSeguimiento']); ?>

	<?php elseif(!isset($formulario)  ): ?>
		<?php echo Form::open(['class' => 'form-horizontal', 'route' => 'seguimiento.store', 'method' => 'post']); ?>

	<?php endif; ?>
<?php else: ?>
	<?php echo Form::model(Session::get('ultimoFormularior'), ['class' => 'form-horizontal', 'route' => 'seguimiento.store', 'method' => 'post', 'id' => 'formularioSeguimiento']); ?>

<?php endif; ?>
<?php echo $__env->make('componentes.hidden-json-seguimiento', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>

<?php echo Form::hidden('hiddenEdad',''); ?>

<?php echo Form::hidden('hiddenSexo',''); ?>


<?php echo $__env->make('componentes.mensajeError', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>
<div class="list-group">

	<a class="list-group-item">
		<p class="list-group-item-heading"><b>Información básica</b></p>
		<div class="row formulario-horizontal">

			<?php if(!\Auth::user()->es_responsable && !isset($formulario)): ?>
				<div class="col-xs-5 col-xs-offset-3">
					<div class="form-group form-group-sm 
					'<?php if(count($errors)): ?> <?php if($errors->has('usuario_id')): ?> 
					<?php echo e('form-group has-error has-feedback'); ?> <?php endif; ?> <?php endif; ?>'" >
						<?php echo Form::label('usuario_id', 'Responsable', ['class' => 'col-xs-4 control-label']); ?>

						<div class="col-xs-8">
							<?php echo Form::select('usuario_id', $responsables, null, ['class' => 'form-control']); ?>

						</div>
					</div>
				</div>

				<div class="clearfix"></div>
			<?php endif; ?>
			
		<!--<?php if(count($errors)): ?>	form-group has-error has-feedback
			<?php if($errors->has('usuario_id')): ?>
				<?php echo e('text-danger text-uppercase'); ?>	form-group has-error
			<?php endif; ?>
		<?php endif; ?>  -->

			<div class="col-xs-3">
				<div class="form-group form-group-sm">
					<?php echo Form::label('fecha', 'Fecha', ['class' => 'col-xs-5 control-label','autofocus']); ?>

					<div class="col-xs-7">
						<?php if(!isset($formulario)): ?>
							<?php echo Form::text('fecha', $fechaActual, ['class' => 'form-control', 'id' => 'fecha','autofocus']); ?>

						<?php else: ?>
							<?php echo Form::text('fecha', explode(' ', $formulario->fecha_hora)[0], ['class' => 'form-control', 'id' => 'fecha','autofocus']); ?>

						<?php endif; ?>
					</div>
				</div>
			</div>

			<div class="col-xs-5">
				<div class="form-group form-group-sm '<?php if(count($errors)): ?> <?php if($errors->has('motivo_de_consulta')): ?> 
					<?php echo e('form-group has-error has-feedback'); ?> <?php endif; ?> <?php endif; ?>'">
					<?php echo Form::label('motivo_de_consulta', 'Motivo de consulta', ['class' => 'col-xs-4 control-label']); ?>

					<div class="col-xs-8">
						<?php echo Form::text('motivo_de_consulta', null, ['class' => 'form-control']); ?>

					</div>
				</div>
			</div>

			<div class="clearfix"></div>

			<div class="col-xs-3">
				<div class="form-group form-group-sm">
					<?php echo Form::label('hora', 'Hora', ['class' => 'col-xs-5 control-label']); ?>

					<div class="col-xs-7">
						<?php if(!isset($formulario)): ?>
							<?php echo Form::text('hora', \Carbon\Carbon::now()->format('H:i:s'), ['class' => 'form-control', 'id' => 'hora']); ?>

						<?php else: ?>
							<?php echo Form::text('hora', explode(' ', $formulario->fecha_hora)[1], ['class' => 'form-control', 'id' => 'hora']); ?>

						<?php endif; ?>
					</div>
				</div>
			</div>

			<div class="col-xs-5">
				<div class="form-group form-group-sm 
				'<?php if(count($errors)): ?> <?php if($errors->has('enfermedad_actual')): ?> 
					<?php echo e('form-group has-error has-feedback'); ?> <?php endif; ?> <?php endif; ?>'">
					<?php echo Form::label('enfermedad_actual', 'Enfermedad actual', ['class' => 'col-xs-4 control-label']); ?>

					<div class="col-xs-8">
						<?php echo Form::text('enfermedad_actual', null, ['class' => 'form-control']); ?>

					</div>
				</div>
			</div>

			<div class="col-xs-8">
				<div class="form-group form-group-sm
				'<?php if(count($errors)): ?> <?php if($errors->has('revision_por_sistemas')): ?> 
				<?php echo e('form-group has-error has-feedback'); ?> <?php endif; ?> <?php endif; ?>'">
					<?php echo Form::label('revision_por_sistemas', 'Revisión por sistemas', ['class' => 'col-xs-3 control-label']); ?>

					<div class="col-xs-9">
						<?php echo Form::text('revision_por_sistemas', null, ['class' => 'form-control']); ?>

					</div>
				</div>
			</div>

			<div class="col-xs-8">
				<div class="form-group form-group-sm 
				'<?php if(count($errors)): ?> <?php if($errors->has('entidad_id')): ?> 
				<?php echo e('form-group has-error has-feedback'); ?> <?php endif; ?> <?php endif; ?>'">
					<?php echo Form::label('entidad_id', 'Entidad', ['class' => 'col-xs-2 control-label']); ?>

					<div class="col-xs-10">
						<?php echo Form::select('entidad_id', $entidades, null, ['class' => 'form-control', 'required']); ?>

					</div>
				</div>
			</div>
			
			<div class="col-xs-4 text-right">
				<?php if(isset($formulario)): ?>
					<?php echo $__env->make('componentes.boton-volver-al-listado-de-historicos-e-imprimir-en-seguimiento', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>
					<?php /* <?php echo $__env->make('componentes.script-validarEntidad', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?> */ ?>
				<?php else: ?>
					<?php echo $__env->make('componentes.boton-salir-de-seguimiento', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>
					<?php echo $__env->make('componentes.boton-guardar-seguimiento', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>
				<?php endif; ?>
			</div>

		</div>
	</a>
   
   <!-- <fieldset disabled>    -->
	<a class="list-group-item">
		<p class="list-group-item-heading"><b>Antecedentes familiares</b></p>
		<div class="row formulario-horizontal" >
			
			<div class="col-xs-4">
				<div class="form-group form-group-sm 
				'<?php if(count($errors)): ?> <?php if($errors->has('familiares')): ?> 
				<?php echo e('form-group has-error has-feedback'); ?> <?php endif; ?> <?php endif; ?>'">
					<?php echo Form::label('familiares', 'Familiares', ['class' => 'col-xs-7 control-label']); ?>

					<div class="col-xs-5">
						<?php echo Form::text('familiares', null, ['class' => 'form-control','required']); ?>

					</div>
				</div>
			</div>
		
			<div class="col-xs-4">
				<div class="form-group form-group-sm 
				'<?php if(count($errors)): ?> <?php if($errors->has('patologicos')): ?> 
				<?php echo e('form-group has-error has-feedback'); ?> <?php endif; ?> <?php endif; ?>'">
					<?php echo Form::label('patologicos', 'Patológicos', ['class' => 'col-xs-7 control-label']); ?>

					<div class="col-xs-5">
						<?php echo Form::text('patologicos', null, ['class' => 'form-control','required']); ?>

					</div>
				</div>
			</div>
			<div class="col-xs-4">
				<div class="form-group form-group-sm 
				'<?php if(count($errors)): ?> <?php if($errors->has('quirurgicos')): ?> 
				<?php echo e('form-group has-error has-feedback'); ?> <?php endif; ?> <?php endif; ?>'">
					<?php echo Form::label('quirurgicos', 'Quirúrgicos', ['class' => 'col-xs-7 control-label']); ?>

					<div class="col-xs-5">
						<?php echo Form::text('quirurgicos', null, ['class' => 'form-control', 'required']); ?>

					</div>
				</div>
			</div>

			<div class="col-xs-4">
				<div class="form-group form-group-sm 
				'<?php if(count($errors)): ?> <?php if($errors->has('toxico-alergicos')): ?> 
				<?php echo e('form-group has-error has-feedback'); ?> <?php endif; ?> <?php endif; ?>'">
					<?php echo Form::label('toxico-alergicos', 'Tóxico/Alérgicos', ['class' => 'col-xs-7 control-label']); ?>

					<div class="col-xs-5">
						<?php echo Form::text('toxico-alergicos', null, ['class' => 'form-control','required']); ?>

					</div>
				</div>
			</div>
			<div class="col-xs-4">
				<div class="form-group form-group-sm 
				'<?php if(count($errors)): ?> <?php if($errors->has('farmacologicos')): ?> 
				<?php echo e('form-group has-error has-feedback'); ?> <?php endif; ?> <?php endif; ?>'">
					<?php echo Form::label('farmacologicos', 'Farmacológicos', ['class' => 'col-xs-7 control-label']); ?>

					<div class="col-xs-5">
						<?php echo Form::text('farmacologicos', null, ['class' => 'form-control','required']); ?>

					</div>
				</div>
			</div>
			<div class="col-xs-4">
				<div class="form-group form-group-sm 
				'<?php if(count($errors)): ?> <?php if($errors->has('habitos')): ?> 
				<?php echo e('form-group has-error has-feedback'); ?> <?php endif; ?> <?php endif; ?>'">
					<?php echo Form::label('habitos', 'Hábitos', ['class' => 'col-xs-7 control-label']); ?>

					<div class="col-xs-5">
						<?php echo Form::text('habitos', null, ['class' => 'form-control','required']); ?>

					</div>
				</div>
			</div>
			<div class="col-xs-4">
				<div class="form-group form-group-sm 
				'<?php if(count($errors)): ?> <?php if($errors->has('social')): ?> 
				<?php echo e('form-group has-error has-feedback'); ?> <?php endif; ?> <?php endif; ?>'">
					<?php echo Form::label('social', 'Social', ['class' => 'col-xs-7 control-label']); ?>

					<div class="col-xs-5">
						<?php echo Form::text('social', null, ['class' => 'form-control','required']); ?>

					</div>
				</div>
			</div>
			
		</div>
	</a>
	<a class="list-group-item">
		<p class="list-group-item-heading"><b>Examen físico</b></p>
		<div class="row formulario-horizontal">

			<div class="col-xs-4">
				<div class="form-group form-group-sm 
				'<?php if(count($errors)): ?> <?php if($errors->has('ta')): ?> 
				<?php echo e('form-group has-error has-feedback'); ?> <?php endif; ?> <?php endif; ?>'">
					<?php echo Form::label('ta', 'TA', ['class' => 'col-xs-4 control-label']); ?>

					<div class="col-xs-8">
						<div class="input-group">
							<?php echo Form::text('ta', null, ['class' => 'form-control','required']); ?>

							<span class="input-group-addon">mmHg</span>
						</div>
					</div>
				</div>
			</div>

			<div class="col-xs-4">
				<div class="form-group form-group-sm 
				'<?php if(count($errors)): ?> <?php if($errors->has('perimetro-cefalico')): ?> 
				<?php echo e('form-group has-error has-feedback'); ?> <?php endif; ?> <?php endif; ?>'">
					<?php echo Form::label('perimetro-cefalico', 'Perimetro cefálico', ['class' => 'col-xs-4 control-label']); ?>

					<div class="col-xs-8">
						<div class="input-group">
							<?php echo Form::text('perimetro-cefalico', null, ['class' => 'form-control','required']); ?>

							<span class="input-group-addon">cm</span>
						</div>
					</div>
				</div>
			</div>

			<div class="col-xs-4">
				<div class="form-group form-group-sm
				'<?php if(count($errors)): ?> <?php if($errors->has('fc')): ?> 
				<?php echo e('form-group has-error has-feedback'); ?> <?php endif; ?> <?php endif; ?>'">
					<?php echo Form::label('fc', 'FC', ['class' => 'col-xs-4 control-label']); ?>

					<div class="col-xs-8">
						<div class="input-group">
							<?php echo Form::text('fc', null, ['class' => 'form-control','required']); ?>

							<span class="input-group-addon">Lat / min</span>
						</div>
					</div>
				</div>
			</div>

			<div class="col-xs-4">
				<div class="form-group form-group-sm
				'<?php if(count($errors)): ?> <?php if($errors->has('fr')): ?> 
				<?php echo e('form-group has-error has-feedback'); ?> <?php endif; ?> <?php endif; ?>'">
					<?php echo Form::label('fr', 'FR', ['class' => 'col-xs-4 control-label']); ?>

					<div class="col-xs-8">
						<div class="input-group">
							<?php echo Form::text('fr', null, ['class' => 'form-control','required']); ?>

							<span class="input-group-addon">Resp / min</span>
						</div>
					</div>
				</div>
			</div>

			<div class="col-xs-4">
				<div class="form-group form-group-sm
				'<?php if(count($errors)): ?> <?php if($errors->has('peso')): ?> 
				<?php echo e('form-group has-error has-feedback'); ?> <?php endif; ?> <?php endif; ?>'">
					<?php echo Form::label('peso', 'Peso', ['class' => 'col-xs-4 control-label']); ?>

					<div class="col-xs-8">
						<div class="input-group">
							<?php echo Form::text('peso', null, ['class' => 'form-control','required']); ?>

							<span class="input-group-addon">Kg</span>
						</div>
					</div>
				</div>
			</div>

			<div class="col-xs-4">
				<div class="form-group form-group-sm
				'<?php if(count($errors)): ?> <?php if($errors->has('talla')): ?> 
				<?php echo e('form-group has-error has-feedback'); ?> <?php endif; ?> <?php endif; ?>'">
					<?php echo Form::label('talla', 'Talla', ['class' => 'col-xs-4 control-label']); ?>

					<div class="col-xs-8">
						<div class="input-group">
							<?php echo Form::text('talla', null, ['class' => 'form-control','required']); ?>

							<span class="input-group-addon">m</span>
						</div>
					</div>
				</div>
			</div>

			<div class="col-xs-4">
				<div class="form-group form-group-sm
				'<?php if(count($errors)): ?> <?php if($errors->has('imc')): ?> 
				<?php echo e('form-group has-error has-feedback'); ?> <?php endif; ?> <?php endif; ?>'">
					<?php echo Form::label('imc', 'IMC', ['class' => 'col-xs-4 control-label']); ?>

					<div class="col-xs-8">
						<div class="input-group">
							<?php echo Form::text('imc', null, ['class' => 'form-control', 'readonly']); ?>

							<span class="input-group-addon">Kg / m<sup>2</sup></span>
						</div>
					</div>
				</div>
			</div>

			<div class="col-xs-4" style="display: none;">
				<div class="form-group form-group-sm
				'<?php if(count($errors)): ?> <?php if($errors->has('tanner')): ?> 
				<?php echo e('form-group has-error has-feedback'); ?> <?php endif; ?> <?php endif; ?>'">
					<?php echo Form::label('tanner', 'Tanner', ['class' => 'col-xs-4 control-label']); ?>

					<div class="col-xs-8">
						<div class="input-group">
							<?php echo Form::text('tanner', 0, ['class' => 'form-control','required']); ?>

							<span class="input-group-addon">mL / min / 1.73</span>
						</div>
					</div>
				</div>
			</div>

		</div>
	</a>
	<?php echo $__env->make('componentes/formulario-diagnosticos', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>	
	<a class="list-group-item">
		<p class="list-group-item-heading"><b>Anotaciones finales</b></p>
		<div class="row formulario-horizontal">
			<div class="col-xs-12">

				<div class="col-sm-4">
					<div class="form-group-sm 
				'<?php if(count($errors)): ?> <?php if($errors->has('analisis')): ?> 
				<?php echo e('form-group has-error has-feedback'); ?> <?php endif; ?> <?php endif; ?>'">
						<?php echo Form::label('analisis', 'Análisis', ['class' => 'control-label']); ?>

						<?php echo Form::textarea('analisis', null, ['class' => 'form-control', 'rows' => 8, 'maxlength' => 2000,'required']); ?>

						<?php if( ! isset($formulario) ): ?>
							<span id="contador-analisis">0 de 2000</span>
						<?php endif; ?>
					</div>
				</div>

				<div class="col-sm-4">
					<div class="form-group-sm
				'<?php if(count($errors)): ?> <?php if($errors->has('conducta')): ?> 
				<?php echo e('form-group has-error has-feedback'); ?> <?php endif; ?> <?php endif; ?>'">
						<?php echo Form::label('conducta', 'Conducta', ['class' => 'control-label']); ?>

						<?php echo Form::textarea('conducta', null, ['class' => 'form-control', 'rows' => 8, 'maxlength' => 2000,'required']); ?>

						<?php if( ! isset($formulario) ): ?>
							<span id="contador-conducta">0 de 2000</span>
						<?php endif; ?>
					</div>
				</div>

				<div class="col-sm-4">
					<div class="form-group-sm
				'<?php if(count($errors)): ?> <?php if($errors->has('recomendaciones')): ?> 
				<?php echo e('form-group has-error has-feedback'); ?> <?php endif; ?> <?php endif; ?>'">
						<?php echo Form::label('recomendaciones', 'Recomendaciones', ['class' => 'control-label']); ?>

						<?php echo Form::textarea('recomendaciones', null, ['class' => 'form-control', 'rows' => 8, 'maxlength' => 2000, 'required']); ?>

						<?php if( ! isset($formulario) ): ?>
							<span id="contador-recomendaciones">0 de 2000</span>
						<?php endif; ?>
					</div>
				</div>

			</div>
		</div>
	</a>
	<a class="list-group-item">
		<p class="list-group-item-heading"><b>Añadido</b></p>
		<div class="row formulario-horizontal">
			<div class="col-xs-12">
				<div class="col-sm-4">
					<div class="form-group-sm">
						<?php echo Form::label('auto_carga', 'Auto Cargado', ['class' => 'control-label']); ?>

						<?php echo Form::textarea('auto_carga', $consulta->detalle, ['class' => 'form-control', 'rows' => 8, 'maxlength' => 2000,'disabled']); ?>

						<?php echo Form::hidden('auto_carga', $consulta->detalle); ?>

						
					</div>
				</div>
			</div>
		</div>
	</a>	
	<?php if(isset($formulario)): ?> <?php /* Para poder ver y utilizar el form model */ ?>

		<?php echo $__env->make('componentes.lista-de-medicamentos', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>
		<?php echo $__env->make('componentes.lista-de-procedimientos', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>
		

		<?php echo Form::close(); ?>

	<?php elseif(isset($ultimoFormulario) || !isset($formulario)): ?>
		<?php echo $__env->make('componentes.modal-confirmar-registro-de-seguimineto', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>

		<?php echo Form::hidden('paciente_id', $paciente); ?>

		<?php echo Form::hidden('programa', $programa); ?>

		<?php /* <?php echo Form::hidden('datos', $datos); ?> */ ?>

		<?php echo Form::close(); ?>


		<a class="list-group-item">
			<div class="row formulario-horizontal">
				<div class="col-xs-12 text-right">
					<?php echo $__env->make('componentes.boton-guardar-seguimiento', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>
				</div>
			</div>
		</a>
	<?php endif; ?>
<!-- </fieldset>  -->
</div> <?php /* list group */ ?>

<?php /* Cargar los inputs tipo custom de fecha y hora cuando se solicita el formulario actual desde seguimiento o inscripción */ ?>
<?php echo $__env->make('componentes.script-cargar-inputs-fecha-hora-desde-seguimiento', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>
<?php echo $__env->make('componentes.script-verificar-sexo-diagnosticos', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>
<?php echo $__env->make('componentes.script-validarEntidad', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>
