@extends('layouts.master')


@section('browserTitle')
@if(isset($assessment->id))
{{ trans('menu.editAssessment') }}
@else
{{ trans('menu.addAssessment') }}
@endif
@endsection



@section('breadcrumb')
@if(isset($assessment->id))
<li class="breadcrumb-item"><a href="{{ route('clinicianIndex') }}">{{ trans('menu.home') }}</a></li>
<li class="breadcrumb-item active" aria-current="page">{{ trans('menu.editAssessment') }}</li>
@else
<li class="breadcrumb-item"><a href="{{ route('clinicianIndex') }}">{{ trans('menu.home') }}</a></li>
<li class="breadcrumb-item active" aria-current="page">{{ trans('menu.addAssessment') }}</li>
@endif
@endsection


@section('title')
@if(isset($assessment->id))
{{ trans('menu.editAssessment') }}
@else
{{ trans('menu.addAssessment') }}
@endif
@endsection


@section('body')
<script type="text/javascript">
    $(document).ready(function() {
        $("#assessment-form").submit(function(event) {
            var date = $("input[name='date']").val();
            var date_dateFormat = new Date(date);
            var currentDate_dateFormat = new Date();

            var error = false;
            const fields = [
                "fab_raw", "t0_financial_difficulties", "t0_diarrhea", "t0_constip", "t0_appetite_loss",
                "t0_insomnia", "t0_dyspnea", "t0_pain", "t0_nausea_vom", "t0_fatigue", "t0_social",
                "t0_cognitive", "t0_emotional", "t0_role", "t0_physical", "t0_qol", "hads_ed", "hads_d", "hads_a",
                "f_sem_raw", "f_fon_raw", "pict_nam_raw", "reyfig_rd_raw", "reyfig_c_raw", 
                "stroop_e_raw", "stroop_t_raw", "tmt_ab_raw", "tmt_b_raw", "tmt_a_raw", 
                "rey15rd_raw", "rey15ri_raw", "csb_raw", "csf_raw", "dsb_raw", 
                "dsf_raw", "cdt_raw", "token_raw", "mmse_raw"
            ];

            fields.forEach(field => {
                let value = $(`input[name='${field}']`).val().trim(); // Ottieni il valore corretto

                if (value === "") {
                    error = true;
                    $(`#invalid-${field}`).text(__("msg.requiredField", { field: field }));
                    event.preventDefault();
                    $(`input[name='${field}']`).focus();
                } else if (isNaN(value) || value.includes(',')) {
                    error = true;
                    $(`#invalid-${field}`).text(__("msg.invalidNumber"));
                    event.preventDefault();
                    $(`input[name='${field}']`).focus();
                } else {
                    $(`#invalid-${field}`).text("");
                }
            });

            // Verifica se il campo date è vuoto o è nel futuro o di piu di 150 anni fa
            if (date.trim() === "") {
                error = true;
                $("#invalid-date").text(__("msg.requiredField", { field: "date" }));
                event.preventDefault();
                $("input[name='date']").focus();
            } else if (date_dateFormat > currentDate_dateFormat) {
                error = true;
                $("#invalid-date").text(__("msg.invalidDate"));
                event.preventDefault();
                $("input[name='date']").focus();
            } else {
                $("#invalid-date").text("");
            }

        });
    });
</script>





<div class="row">
    <div class="col-md-12">
    @if(isset($assessment->id))
        <form id="assessment-form" class="form-horizontal" name="assessment" method="post" action="{{ route('assessments.update', ['assessment' => $assessment->id]) }}">
            @method('PUT') 
    @else
        <form id="assessment-form" class="form-horizontal" name="assessment" method="post" action="{{ route('assessments.store') }}">
    @endif
    @csrf
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">{{ trans('menu.patient') }}</label>
            </div>
            <div class="col-md-10">
                <select class="form-control" name="patient_id">
                    @foreach($patients_list as $patient)
                        @if((isset($assessment->id))&&($patient->id == $assessment->patient->id))
                            <option value="{{ $patient->id }}" selected="selected">{{ $patient->user->firstname }} {{ $patient->user->lastname }}</option>
                        @else
                            <option value="{{ $patient->id }}">{{ $patient->user->firstname }} {{ $patient->user->lastname }}</option>
                        @endif
                    @endforeach                    
                    </select>

            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">{{ trans('other.date') }}</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="date" name="date" value="{{ $assessment->date }}"/>
                @else
                    <input class="form-control" type="date" name="date"/>
                @endif
                <span class="invalid-input" id="invalid-date"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">MMSE-raw</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="mmse_raw" value="{{ $assessment->mmse_raw }}"/>
                @else
                    <input class="form-control" type="text" name="mmse_raw"/>
                @endif
                <span class="invalid-input" id="invalid-mmse_raw"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">Token-raw</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="token_raw" value="{{ $assessment->token_raw }}"/>
                @else
                    <input class="form-control" type="text" name="token_raw"/>
                @endif
                <span class="invalid-input" id="invalid-token_raw"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">CDT-raw</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="cdt_raw" value="{{ $assessment->cdt_raw }}"/>
                @else
                    <input class="form-control" type="text" name="cdt_raw"/>
                @endif
                <span class="invalid-input" id="invalid-cdt_raw"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">DSF-raw</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="dsf_raw" value="{{ $assessment->dsf_raw }}"/>
                @else
                    <input class="form-control" type="text" name="dsf_raw"/>
                @endif
                <span class="invalid-input" id="invalid-dsf_raw"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">DSB-raw</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="dsb_raw" value="{{ $assessment->dsb_raw }}"/>
                @else
                    <input class="form-control" type="text" name="dsb_raw"/>
                @endif
                <span class="invalid-input" id="invalid-dsb_raw"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">CSF-raw</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="csf_raw" value="{{ $assessment->csf_raw }}"/>
                @else
                    <input class="form-control" type="text" name="csf_raw"/>
                @endif
                <span class="invalid-input" id="invalid-csf_raw"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">CSB-raw</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="csb_raw" value="{{ $assessment->csb_raw }}"/>
                @else
                    <input class="form-control" type="text" name="csb_raw"/>
                @endif
                <span class="invalid-input" id="invalid-csb_raw"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">Rey15ri-raw</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="rey15ri_raw" value="{{ $assessment->rey15ri_raw }}"/>
                @else
                    <input class="form-control" type="text" name="rey15ri_raw"/>
                @endif
                <span class="invalid-input" id="invalid-rey15ri_raw"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">Rey15rd-raw</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="rey15rd_raw" value="{{ $assessment->rey15rd_raw }}"/>
                @else
                    <input class="form-control" type="text" name="rey15rd_raw"/>
                @endif
                <span class="invalid-input" id="invalid-rey15rd_raw"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">TMT_A-raw</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="tmt_a_raw" value="{{ $assessment->tmt_a_raw }}"/>
                @else
                    <input class="form-control" type="text" name="tmt_a_raw"/>
                @endif
                <span class="invalid-input" id="invalid-tmt_a_raw"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">TMT_B-raw</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="tmt_b_raw" value="{{ $assessment->tmt_b_raw }}"/>
                @else
                    <input class="form-control" type="text" name="tmt_b_raw"/>
                @endif
                <span class="invalid-input" id="invalid-tmt_b_raw"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">TMT_AB-raw</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="tmt_ab_raw" value="{{ $assessment->tmt_ab_raw }}"/>
                @else
                    <input class="form-control" type="text" name="tmt_ab_raw"/>
                @endif
                <span class="invalid-input" id="invalid-tmt_ab_raw"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">Stroop_T-raw</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="stroop_t_raw" value="{{ $assessment->stroop_t_raw }}"/>
                @else
                    <input class="form-control" type="text" name="stroop_t_raw"/>
                @endif
                <span class="invalid-input" id="invalid-stroop_t_raw"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">Stroop_E-raw</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="stroop_e_raw" value="{{ $assessment->stroop_e_raw }}"/>
                @else
                    <input class="form-control" type="text" name="stroop_e_raw"/>
                @endif
                <span class="invalid-input" id="invalid-stroop_e_raw"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">Reyfig_C-raw</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="reyfig_c_raw" value="{{ $assessment->reyfig_c_raw }}"/>
                @else
                    <input class="form-control" type="text" name="reyfig_c_raw"/>
                @endif
                <span class="invalid-input" id="invalid-reyfig_c_raw"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">Reyfig_RD-raw</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="reyfig_rd_raw" value="{{ $assessment->reyfig_rd_raw }}"/>
                @else
                    <input class="form-control" type="text" name="reyfig_rd_raw"/>
                @endif
                <span class="invalid-input" id="invalid-reyfig_rd_raw"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">Pict_Nam-raw</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="pict_nam_raw" value="{{ $assessment->pict_nam_raw }}"/>
                @else
                    <input class="form-control" type="text" name="pict_nam_raw"/>
                @endif
                <span class="invalid-input" id="invalid-pict_nam_raw"></span>            
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">F_Fon-raw</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="f_fon_raw" value="{{ $assessment->f_fon_raw }}"/>
                @else
                    <input class="form-control" type="text" name="f_fon_raw"/>
                @endif
                <span class="invalid-input" id="invalid-f_fon_raw"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">F_Sem-raw</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="f_sem_raw" value="{{ $assessment->f_sem_raw }}"/>
                @else
                    <input class="form-control" type="text" name="f_sem_raw"/>
                @endif
                <span class="invalid-input" id="invalid-f_sem_raw"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">HADS_A</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="hads_a" value="{{ $assessment->hads_a }}"/>
                @else
                    <input class="form-control" type="text" name="hads_a"/>
                @endif
                <span class="invalid-input" id="invalid-hads_a"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">HADS_D</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="hads_d" value="{{ $assessment->hads_d }}"/>
                @else
                    <input class="form-control" type="text" name="hads_d"/>
                @endif
                <span class="invalid-input" id="invalid-hads_d"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">HADS_ED</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="hads_ed" value="{{ $assessment->hads_ed }}"/>
                @else
                    <input class="form-control" type="text" name="hads_ed"/>
                @endif
                <span class="invalid-input" id="invalid-hads_ed"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">T0_QOL</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="t0_qol" value="{{ $assessment->t0_qol }}"/>
                @else
                    <input class="form-control" type="text" name="t0_qol"/>
                @endif
                <span class="invalid-input" id="invalid-t0_qol"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">T0_Physical</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="t0_physical" value="{{ $assessment->t0_physical }}"/>
                @else
                    <input class="form-control" type="text" name="t0_physical"/>
                @endif
                <span class="invalid-input" id="invalid-t0_physical"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">T0_Role</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="t0_role" value="{{ $assessment->t0_role }}"/>
                @else
                    <input class="form-control" type="text" name="t0_role"/>
                @endif
                <span class="invalid-input" id="invalid-t0_role"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">T0_Emotional</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="t0_emotional" value="{{ $assessment->t0_emotional }}"/>
                @else
                    <input class="form-control" type="text" name="t0_emotional"/>
                @endif
                <span class="invalid-input" id="invalid-t0_emotional"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">T0_Cognitive</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="t0_cognitive" value="{{ $assessment->t0_cognitive }}"/>
                @else
                    <input class="form-control" type="text" name="t0_cognitive"/>
                @endif
                <span class="invalid-input" id="invalid-t0_cognitive"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">T0_Social</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="t0_social" value="{{ $assessment->t0_social }}"/>
                @else
                    <input class="form-control" type="text" name="t0_social"/>
                @endif
                <span class="invalid-input" id="invalid-t0_social"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">T0_Fatigue</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="t0_fatigue" value="{{ $assessment->t0_fatigue }}"/>
                @else
                    <input class="form-control" type="text" name="t0_fatigue"/>
                @endif
                <span class="invalid-input" id="invalid-t0_fatigue"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">T0_Nausea_Vomiting</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="t0_nausea_vom" value="{{ $assessment->t0_nausea_vom }}"/>
                @else
                    <input class="form-control" type="text" name="t0_nausea_vom"/>
                @endif
                <span class="invalid-input" id="invalid-t0_nausea_vom"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">T0_Pain</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="t0_pain" value="{{ $assessment->t0_pain }}"/>
                @else
                    <input class="form-control" type="text" name="t0_pain"/>
                @endif
                <span class="invalid-input" id="invalid-t0_pain"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">T0_Dyspnea</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="t0_dyspnea" value="{{ $assessment->t0_dyspnea }}"/>
                @else
                    <input class="form-control" type="text" name="t0_dyspnea"/>
                @endif
                <span class="invalid-input" id="invalid-t0_dyspnea"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">T0_Insomnia</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="t0_insomnia" value="{{ $assessment->t0_insomnia }}"/>
                @else
                    <input class="form-control" type="text" name="t0_insomnia"/>
                @endif
                <span class="invalid-input" id="invalid-t0_insomnia"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">T0_Appetite_Loss</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="t0_appetite_loss" value="{{ $assessment->t0_appetite_loss }}"/>
                @else
                    <input class="form-control" type="text" name="t0_appetite_loss"/>
                @endif
                <span class="invalid-input" id="invalid-t0_appetite_loss"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">T0_Constipation</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="t0_constip" value="{{ $assessment->t0_constip }}"/>
                @else
                    <input class="form-control" type="text" name="t0_constip"/>
                @endif
                <span class="invalid-input" id="invalid-t0_constip"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">T0_Diarrhea</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="t0_diarrhea" value="{{ $assessment->t0_diarrhea }}"/>
                @else
                    <input class="form-control" type="text" name="t0_diarrhea"/>
                @endif
                <span class="invalid-input" id="invalid-t0_diarrhea"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">T0_Financial_Difficulties</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="t0_financial_difficulties" value="{{ $assessment->t0_financial_difficulties }}"/>
                @else
                    <input class="form-control" type="text" name="t0_financial_difficulties"/>
                @endif
                <span class="invalid-input" id="invalid-t0_financial_difficulties">
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">FAB-raw</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <input class="form-control" type="text" name="fab_raw" value="{{ $assessment->fab_raw }}"/>
                @else
                    <input class="form-control" type="text" name="fab_raw"/>
                @endif
                <span class="invalid-input" id="invalid-fab_raw">
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">{{ trans('other.notes') }}</label>
            </div>
            <div class="col-md-10">
                @if(isset($assessment->id))
                    <textarea class="form-control" name="notes">{{ $assessment->notes }}</textarea>
                @else
                    <textarea class="form-control" name="notes"></textarea>
                @endif
            </div>
        </div>

        
        <div class="form-group row mb-3">
            <div class="col-md-10 offset-md-2">
                <label for="mySubmit" class="my-btn my-blue-btn w-100">{{ trans('btn.save') }}</label>
                <input id="mySubmit" class="d-none" type="submit" value="Save">
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-10 offset-md-2">


                @if(isset($assessment->id))
                <a class="my-btn my-red-btn w-100 d-block" href="{{ route('assessments.show', ['assessment' => $assessment->id]) }}" role="button">{{ trans('btn.cancel') }}</a>
                @else
                <a class="my-btn my-red-btn w-100 d-block" href="{{ route('assessments.index') }}" role="button">{{ trans('btn.cancel') }}</a>
                @endif
            </div>
        </div>
        </form>
    </div>
</div>
@endsection