@extends('layouts.master')


@section('browserTitle')
@if(isset($_SESSION['logged'])&&($_SESSION['logged']==true))
    @if($_SESSION['role']=='clinician')
        @if(isset($patient->id))
        {{ trans('menu.editPatient') }}
        @else
        {{ trans('menu.addPatient') }}
        @endif
    @elseif($_SESSION['role']=='patient')
        {{ trans('menu.esitProfile') }}
    @endif
@endif
@endsection



@section('breadcrumb')
@if(isset($_SESSION['logged'])&&($_SESSION['logged']==true))
    @if($_SESSION['role']=='clinician')
        @if(isset($patient->id))
        <li class="breadcrumb-item"><a href="{{ route('clinicianIndex') }}">{{ trans('menu.home') }}</a></li>
        <li class="breadcrumb-item active" aria-current="page">{{ trans('menu.editPatient') }}</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.addPatient') }}</li>
        @endif
    @elseif($_SESSION['role']=='patient')
        @if(isset($patient->id))
        <li class="breadcrumb-item"><a href="{{ route('patientIndex') }}">{{ trans('menu.home') }}</a></li>
        <li class="breadcrumb-item active" aria-current="page">{{ trans('menu.editProfile') }}</li>
        @endif
    @endif
@endif
@endsection


@section('title')
@if(isset($_SESSION['logged'])&&($_SESSION['logged']==true))
    @if($_SESSION['role']=='clinician')
        @if(isset($patient->id))
        {{ trans('menu.editPatient') }}
        @else
        {{ trans('menu.addPatient') }}
        @endif
    @elseif($_SESSION['role']=='patient')
        @if(isset($patient->id))
        {{ trans('menu.editProfile') }}
        @endif
    @endif
@endif
@endsection


@section('body')
<!-- Due script diversi altrimenti errore quando cerco di accedere a $patient ma non esiste 
 (da errore anche con   var currentEmail = "< ?php echo $patient->user->email; ? >";    ) -->
@if(($_SESSION['role']=='clinician') && !(isset($patient))) <!-- Caso di creazione da parte di un clinician -->
<script type="text/javascript">
    $(document).ready(function() {
        $("#patient-form").submit(function(event) {
            // Ottengo i valori dei campi
            var firstname = $("input[name='firstname']").val();
            var lastname = $("input[name='lastname']").val();
            var birthdate = $("input[name='birthdate']").val();
            var birthdate_dateFormat = new Date(birthdate);
            var schooling = $("input[name='schooling']").val();
            var diagnosis = $("input[name='diagnosis']").val();
            var email = $("input[name='email']").val();
            var password = $("input[name='password']").val();
            var confirmPassword = $("input[name='confirmPassword']").val();
            var currentDate_dateFormat = new Date();
            var passwordRegex = /^(?=.*[0-9])(?=.*[!-\*\[\]\$&\/]).{8,}$/;
            var error = false;

            // Verifica se il campo "confirmPassword" è vuoto
            if (confirmPassword.trim() === "") {
                error = true;
                const cp = __("login.rePassword").toLowerCase();
                $("#invalid-confirmPassword").text(__("msg.requiredField", {field: cp}));
                event.preventDefault(); // Impedisce l'invio del modulo
                $("input[name='confirmPassword']").focus();
            } else {
                $("#invalid-confirmPassword").text("");
            }

            // Verifica se il campo "password" è vuoto o non rispetta la regural expression
            if (password.trim() === "") {
                error = true;
                const p = __("login.password").toLowerCase();
                $("#invalid-password").text(__("msg.requiredField", {field: p}));
                event.preventDefault(); // Impedisce l'invio del modulo
                $("input[name='password']").focus();
            } else if(!passwordRegex.test(password)) {
                error = true;
                $("#invalid-password").text(__("msg.invalidPw"));
                event.preventDefault();
                $("input[name='password']").focus();
            } else {
                $("#invalid-password").text("");
            }

            // Verifica se il campo "email" è vuoto
            if (email.trim() === "") {
                error = true;
                const e = __("login.email").toLowerCase();
                $("#invalid-email").text(__("msg.requiredField", {field: e}));
                event.preventDefault();
                $("input[name='email']").focus();
            } else {
                $("#invalid-email").text("");
            }

            // Verifica se il campo "diagnosis" è vuoto
            if (diagnosis.trim() === "") {
                error = true;
                const d = __("menu.diagnosis").toLowerCase();
                $("#invalid-diagnosis").text(__("msg.requiredField", {field: d}));
                event.preventDefault();
                $("input[name='diagnosis']").focus();
            } else {
                $("#invalid-diagnosis").text("");
            }

            // Verifica se il campo "schooling" è vuoto, se è un numero, positivo e minore di 150
            if (schooling.trim() === "") {
                error = true;
                const s = __("menu.schooling").toLowerCase();
                $("#invalid-schooling").text(__("msg.requiredField", {field: s}));
                event.preventDefault();
                $("input[name='schooling']").focus();
            } else if (isNaN(schooling) || parseInt(schooling) < 0 || parseInt(schooling) > 150) {
                error = true;
                $("#invalid-schooling").text(__("msg.invalidSchooling"));
                event.preventDefault();
                $("input[name='schooling']").focus();
            } else {
                $("#invalid-schooling").text("");
            }

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

            // Verifica se il campo "lastname" è vuoto
            if (lastname.trim() === "") {
                error = true;
                const l = __("login.lastname").toLowerCase();
                $("#invalid-lastname").text(__("msg.requiredField", {field: l}));
                event.preventDefault();
                $("input[name='lastname']").focus();
            } else {
                $("#invalid-lastname").text("");
            } 

            // Verifica se il campo "firstname" è vuoto
            if (firstname.trim() === "") {
                error = true;
                const f = __("login.firstname").toLowerCase();
                $("#invalid-firstname").text(__("msg.requiredField", {field: f}));
                event.preventDefault();
                $("input[name='firstname']").focus();
            } else {
                $("#invalid-firstname").text("");
            }


            if(!error) {
                // Verifica che le password siano state inserite due volte uguali
                if(confirmPassword.trim() !== password.trim())
                    {
                        $("#invalid-confirmPassword").text(__("msg.passwordMismatch"));
                        event.preventDefault();
                        $("input[name='confirmPassword']").focus();
                    } else {
                        $("#invalid-confirmPassword").text("");
                    } 
                
                if(!error) {
                // Verifica mail univoca
                // effettua chiamata AJAX per verificare che l'email dell'utente non sia già presente nel DB
                event.preventDefault(); // Impedisce preventivamente l'invio del modulo prima del controllo
                $.ajax({

                    type: 'GET',

                    url: '/ajaxUser',

                    data: {email: email.trim()},

                    success: function (data) {
                        if (data.found)
                        {
                            error = true;
                            $("#invalid-email").text(__("msg.emailExists"));
                            $("input[name='email']").focus();
                        } else {
                            $("form")[0].submit();
                        }
                    }
                });
            }
            }
        });
    });
</script>
@elseif(isset($patient)) 
<!-- Caso di modifica (da parte di un clinician o del patient) -->
 @if($_SESSION['role']=='clinician') 
 <!-- Modifica da parte del clinico -->
<script type="text/javascript">
    $(document).ready(function() {
        $("#patient-form").submit(function(event) {
            // Ottengo i valori dei campi
            var role = "";
            // // var patientExists = "< ?php echo isset($patient) ? 'true' : 'false'; ?>";
            // // var currentEmail = patientExists ? "< ?php echo $patient->user->email; ?>" : null;
            // // Qua errore se non esiste $patient => ho fatto due script diversi col controllo fuori
            var currentEmail = "";
            var firstname = $("input[name='firstname']").val();
            var lastname = $("input[name='lastname']").val();
            var birthdate = $("input[name='birthdate']").val();
            var birthdate_dateFormat = new Date(birthdate);
            var schooling = $("input[name='schooling']").val();
            var diagnosis = $("input[name='diagnosis']").val();
            var email = $("input[name='email']").val();
            var currentDate_dateFormat = new Date();
            var error = false;

            // Verifica se il campo "email" è vuoto
            if (email.trim() === "") {
                error = true;
                const e = __("login.email").toLowerCase();
                $("#invalid-email").text(__("msg.requiredField", {field: e}));
                event.preventDefault();
                $("input[name='email']").focus();
            } else {
                $("#invalid-email").text("");
            }

            if (role === 'clinician') {
                // Verifica se il campo "diagnosis" è vuoto
                if (diagnosis.trim() === "") {
                    error = true;
                    const d = __("menu.diagnosis").toLowerCase();
                    $("#invalid-diagnosis").text(__("msg.requiredField", {field: d}));
                    event.preventDefault();
                    $("input[name='diagnosis']").focus();
                } else {
                    $("#invalid-diagnosis").text("");
                }

                // Verifica se il campo "schooling" è vuoto, se è un numero, positivo e minore di 150
                if (schooling.trim() === "") {
                    error = true;
                    const s = __("menu.schooling").toLowerCase();
                    $("#invalid-schooling").text(__("msg.requiredField", {field: s}));
                    event.preventDefault();
                    $("input[name='schooling']").focus();
                } else if (isNaN(schooling) || parseInt(schooling) < 0 || parseInt(schooling) > 150) {
                    error = true;
                    $("#invalid-schooling").text(__("msg.invalidSchooling"));
                    event.preventDefault();
                    $("input[name='schooling']").focus();
                } else {
                    $("#invalid-schooling").text("");
                }
            }

            // Verifica se il campo "birthdate" è vuoto o è nel futuro o < 150 anni
            if (birthdate.trim() === "") {
                error = true;
                const b = __("menu.birthdate").toLowerCase();
                $("#invalid-birthdate").text(__("msg.requiredField", {field: b}));
                event.preventDefault();
                $("input[name='birthdate']").focus();
            } else if (birthdate_dateFormat > currentDate_dateFormat) {
                error = true;
                $("#invalid-birthdate").text(__("msg.invalidDate"));
                event.preventDefault();
                $("input[name='birthdate']").focus();
            } else {
                $("#invalid-birthdate").text("");
            } 

            // Verifica se il campo "lastname" è vuoto
            if (lastname.trim() === "") {
                error = true;
                const l = __("login.lastname").toLowerCase();
                $("#invalid-lastname").text(__("msg.requiredField", {field: l}));
                event.preventDefault();
                $("input[name='lastname']").focus();
            } else {
                $("#invalid-lastname").text("");
            } 

            // Verifica se il campo "firstname" è vuoto
            if (firstname.trim() === "") {
                error = true;
                const f = __("login.firstname").toLowerCase();
                $("#invalid-firstname").text(__("msg.requiredField", {field: f}));
                event.preventDefault();
                $("input[name='firstname']").focus();
            } else {
                $("#invalid-firstname").text("");
            }


            if(!error) {
                if (email !== currentEmail) {
                    // Verifica mail univoca anche nella modifica ma solo se viene effettivamente modificata la mail
                    // altrimenti ovvio che esiste già del db
                    event.preventDefault(); // Impedisce preventivamente l'invio del modulo prima del controllo
                    $.ajax({

                        type: 'GET',

                        url: '/ajaxUser',

                        data: {email: email.trim()},

                        success: function (data) {
                            if (data.found)
                            {
                                error = true;
                                $("#invalid-email").text(__("msg.emailExists"));
                                $("input[name='email']").focus();
                            } else {
                                $("form")[1].submit();
                            }
                        }
                    });
                }
            }
        });
    });
</script>
@elseif($_SESSION['role']=='patient')
 <!-- Modifica da parte del paziente -->
 <script type="text/javascript">
    $(document).ready(function() {
        $("#patient-form").submit(function(event) {
            // Ottengo i valori dei campi
            var role = "";
            // // var patientExists = "< ?php echo isset($patient) ? 'true' : 'false'; ?>";
            // // var currentEmail = patientExists ? "< ?php echo $patient->user->email; ?>" : null;
            // // Qua errore se non esiste $patient => ho fatto due script diversi col controllo fuori
            var currentEmail = "";
            var firstname = $("input[name='firstname']").val();
            var lastname = $("input[name='lastname']").val();
            var birthdate = $("input[name='birthdate']").val();
            var birthdate_dateFormat = new Date(birthdate);
            var schooling = $("input[name='schooling']").val();
            var diagnosis = $("input[name='diagnosis']").val();
            var email = $("input[name='email']").val();
            var currentDate_dateFormat = new Date();
            var error = false;

            // Verifica se il campo "email" è vuoto
            if (email.trim() === "") {
                error = true;
                const e = __("login.email").toLowerCase();
                $("#invalid-email").text(__("msg.requiredField", {field: e}));
                event.preventDefault();
                $("input[name='email']").focus();
            } else {
                $("#invalid-email").text("");
            }

            if (role === 'clinician') {
                // Verifica se il campo "diagnosis" è vuoto
                if (diagnosis.trim() === "") {
                    error = true;
                    const d = __("menu.diagnosis").toLowerCase();
                    $("#invalid-diagnosis").text(__("msg.requiredField", {field: d}));
                    event.preventDefault();
                    $("input[name='diagnosis']").focus();
                } else {
                    $("#invalid-diagnosis").text("");
                }

                // Verifica se il campo "schooling" è vuoto, se è un numero, positivo e minore di 150
                if (schooling.trim() === "") {
                    error = true;
                    const s = __("menu.schooling").toLowerCase();
                    $("#invalid-schooling").text(__("msg.requiredField", {field: s}));
                    event.preventDefault();
                    $("input[name='schooling']").focus();
                } else if (isNaN(schooling) || parseInt(schooling) < 0 || parseInt(schooling) > 150) {
                    error = true;
                    $("#invalid-schooling").text(__("msg.invalidSchooling"));
                    event.preventDefault();
                    $("input[name='schooling']").focus();
                } else {
                    $("#invalid-schooling").text("");
                }
            }

            // Verifica se il campo "birthdate" è vuoto o è nel futuro o < 150 anni
            if (birthdate.trim() === "") {
                error = true;
                const b = __("menu.birthdate").toLowerCase();
                $("#invalid-birthdate").text(__("msg.requiredField", {field: b}));;
                event.preventDefault();
                $("input[name='birthdate']").focus();
            } else if (birthdate_dateFormat > currentDate_dateFormat) {
                error = true;
                $("#invalid-birthdate").text(__("msg.invalidDate"));
                event.preventDefault();
                $("input[name='birthdate']").focus();
            } else {
                $("#invalid-birthdate").text("");
            } 

            // Verifica se il campo "lastname" è vuoto
            if (lastname.trim() === "") {
                error = true;
                const l = __("login.lastname").toLowerCase();
                $("#invalid-lastname").text(__("msg.requiredField", {field: l}));
                event.preventDefault();
                $("input[name='lastname']").focus();
            } else {
                $("#invalid-lastname").text("");
            } 

            // Verifica se il campo "firstname" è vuoto
            if (firstname.trim() === "") {
                error = true;
                const f = __("login.firstname").toLowerCase();
                $("#invalid-firstname").text(__("msg.requiredField", {field: f}));
                event.preventDefault();
                $("input[name='firstname']").focus();
            } else {
                $("#invalid-firstname").text("");
            }


            if(!error) {
                if (email !== currentEmail) {
                    // Verifica mail univoca anche nella modifica ma solo se viene effettivamente modificata la mail
                    // altrimenti ovvio che esiste già del db
                    event.preventDefault(); // Impedisce preventivamente l'invio del modulo prima del controllo
                    $.ajax({

                        type: 'GET',

                        url: '/ajaxUser',

                        data: {email: email.trim()},

                        success: function (data) {
                            if (data.found)
                            {
                                error = true;
                                $("#invalid-email").text(__("msg.emailExists"));
                                $("input[name='email']").focus();
                            } else {
                                $("form")[0].submit();
                            }
                        }
                    });
                }
            }
        });
    });
</script>
@endif
@endif



<div class="row">
    <div class="col-md-12">
    @if(isset($patient->id))
        @if($_SESSION['role'] == 'patient')
            <form id="patient-form" class="form-horizontal" name="patient" method="post" action="{{ route('patients.updateProfile', ['patient' => $patient->id]) }}">
                @method('PUT')

        @else
            <form id="patient-form" class="form-horizontal" name="patient" method="post" action="{{ route('patients.update', ['patient' => $patient->id]) }}">
                @method('PUT')
        @endif
    @else
        <form id="patient-form" class="form-horizontal" name="patient" method="post" action="{{ route('patients.store') }}">
    @endif
    @csrf
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">{{ trans('other.firstname') }}</label>
            </div>
            <div class="col-md-10">
                @if(isset($patient->id))
                    <input class="form-control" type="text" name="firstname" placeholder="{{ trans('other.firstname') }}" value="{{ $patient->user->firstname }}"/>
                @else
                    <input class="form-control" type="text" name="firstname"/>
                @endif
                <span class="invalid-input" id="invalid-firstname"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">{{ trans('other.lastname') }}</label>
            </div>
            <div class="col-md-10">
                @if(isset($patient->id))
                    <input class="form-control" type="text" name="lastname" placeholder="{{ trans('other.lastname') }}" value="{{ $patient->user->lastname }}"/>
                @else
                    <input class="form-control" type="text" name="lastname"/>
                @endif
                <span class="invalid-input" id="invalid-lastname"></span>
            </div>
        </div>
        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">{{ trans('other.birthdate') }}</label>
            </div>
            <div class="col-md-10">
                @if(isset($patient->id))
                    <input class="form-control" type="date" name="birthdate" value="{{ $patient->birthdate }}"/>
                @else
                    <input class="form-control" type="date" name="birthdate"/>
                @endif
                <span class="invalid-input" id="invalid-birthdate"></span>
            </div>
        </div>


        
        @if(isset($_SESSION['logged'])&&($_SESSION['logged']==true))
            @if($_SESSION['role']=='clinician')
            <div class="form-group row mb-3">
                <div class="col-md-2">
                    <label for="title">{{ trans('other.sex') }}</label>
                </div>
                @if(isset($patient->id) && (($patient->sex) == 0))
                <div class="col-md-10">
                    <div class="col-md-10 form-check">
                        <input class="form-check-input" type="radio" name="sex" value="1" id="female">
                        <label class="form-check-label" for="female" name="sex">
                            {{ trans('other.female') }}
                        </label>
                    </div>
                    <div class="col-md-10 form-check">
                        <input class="form-check-input" type="radio" name="sex" value="0" id="male" checked>
                        <label class="form-check-label" for="male" name="sex">
                            {{ trans('other.male') }}
                        </label>
                    </div>
                </div>
                
                @else
                <div class="col-md-10">  
                    <div class="col-md-10 form-check">
                        <input class="form-check-input" type="radio" name="sex" value="1" id="female" checked>
                        <label class="form-check-label" for="female" name="sex">
                            {{ trans('other.female') }}
                        </label>
                    </div>
                    <div class="col-md-10 form-check">
                        <input class="form-check-input" type="radio" name="sex" value="0" id="male">
                        <label class="form-check-label" for="male" name="sex">
                            {{ trans('other.male') }}
                        </label>
                    </div>
                </div>
                @endif
            </div>
            <div class="form-group row mb-3">
                <div class="col-md-2">
                    <label for="title">{{ trans('other.schooling') }}</label>
                </div>
                <div class="col-md-10">
                    @if(isset($patient->id))
                        <input class="form-control" type="text" name="schooling" placeholder="{{ trans('other.schooling') }}" value="{{ $patient->schooling }}"/>
                    @else
                        <input class="form-control" type="text" name="schooling" placeholder="{{ trans('other.schooling') }}"/>
                    @endif
                    <span class="invalid-input" id="invalid-schooling"></span>
                </div>
            </div>
            <div class="form-group row mb-3">
                <div class="col-md-2">
                    <label for="title">{{ trans('other.diagnosis') }}</label>
                </div>
                <div class="col-md-10">
                    @if(isset($patient->id))
                        <input class="form-control" type="text" name="diagnosis" placeholder="{{ trans('other.diagnosis') }}" value="{{ $patient->diagnosis }}"/>
                    @else
                        <input class="form-control" type="text" name="diagnosis" placeholder="{{ trans('other.diagnosis') }}"/>
                    @endif
                    <span class="invalid-input" id="invalid-diagnosis"></span>
                </div>
            </div>
            <div class="form-group row mb-3">
                <div class="col-md-2">
                    <label for="title">{{ trans('other.lateralization') }}</label>
                </div>
                @if(isset($patient->id))
                    @if(($patient->lateralization) == 0)
                    <div class="col-md-10">
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="lateralization" id="right" value="0" checked>
                            <label class="form-check-label" for="right">
                                {{ trans('other.right') }}
                            </label>
                        </div>
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="lateralization" id="left" value="1">
                            <label class="form-check-label" for="left">
                                {{ trans('other.left') }}
                            </label>
                        </div>
                    </div>
                    @else
                    <div class="col-md-10">
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="lateralization" id="right" value="0">
                            <label class="form-check-label" for="right">
                                {{ trans('other.right') }}
                            </label>
                        </div>
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="lateralization" id="left" value="1" checked>
                            <label class="form-check-label" for="left">
                                {{ trans('other.left') }}
                            </label>
                        </div>
                    </div>
                    @endif
                @else
                <div class="col-md-10">
                    <div class="col-md-10 form-check">
                        <input class="form-check-input" type="radio" name="lateralization" id="right" value="0" checked>
                        <label class="form-check-label" for="right">
                            {{ trans('other.right') }}
                        </label>
                    </div>
                    <div class="col-md-10 form-check">
                        <input class="form-check-input" type="radio" name="lateralization" id="left" value="1">
                        <label class="form-check-label" for="left">
                            {{ trans('other.left') }}
                        </label>
                    </div> 
                </div>
                @endif
            </div>
            <div class="form-group row mb-3">
                <div class="col-md-2">
                    <label for="title">{{ trans('other.chemotherapy') }}</label>
                </div>
                @if(isset($patient->id))
                    @if(($patient->chemoterapy) == 1)
                    <div class="col-md-10">
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="chemoterapy" id="yes" value="1" checked>
                            <label class="form-check-label" for="yes">
                                {{ trans('other.yes') }}
                            </label>
                        </div>
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="chemoterapy" id="no" value="0">
                            <label class="form-check-label" for="no">
                                {{ trans('other.no') }}
                            </label>
                        </div>
                    </div>
                    @else
                    <div class="col-md-10">
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="chemoterapy" id="yes" value="1">
                            <label class="form-check-label" for="yes">
                                {{ trans('other.yes') }}
                            </label>
                        </div>
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="chemoterapy" id="no" value="0" checked>
                            <label class="form-check-label" for="no">
                                {{ trans('other.no') }}
                            </label>
                        </div>
                    </div>
                    @endif
                @else
                <div class="col-md-10">
                    <div class="col-md-10 form-check">
                        <input class="form-check-input" type="radio" name="chemoterapy" id="yes" value="1" checked>
                        <label class="form-check-label" for="yes">
                            {{ trans('other.yes') }}
                        </label>
                    </div>
                    <div class="col-md-10 form-check">
                        <input class="form-check-input" type="radio" name="chemoterapy" id="no" value="0">
                        <label class="form-check-label" for="no">
                            {{ trans('other.no') }}
                        </label>
                    </div> 
                </div>
                @endif
            </div>
            <div class="form-group row mb-3">
                <div class="col-md-2">
                    <label for="title">{{ trans('other.radiotherapy') }}</label>
                </div>
                @if(isset($patient->id))
                    @if(($patient->radioterapy) == 1)
                    <div class="col-md-10">
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="radioterapy" id="yes" value="1" checked>
                            <label class="form-check-label" for="yes">
                            {{ trans('other.yes') }}
                            </label>
                        </div>
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="radioterapy" id="no" value="0">
                            <label class="form-check-label" for="no">
                            {{ trans('other.no') }}
                            </label>
                        </div>
                    </div>
                    @else
                    <div class="col-md-10">
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="radioterapy" id="yes" value="1">
                            <label class="form-check-label" for="yes">
                            {{ trans('other.yes') }}
                            </label>
                        </div>
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="radioterapy" id="no" value="0" checked>
                            <label class="form-check-label" for="no">
                            {{ trans('other.no') }}
                            </label>
                        </div>
                    </div>
                    @endif
                @else
                <div class="col-md-10">
                    <div class="col-md-10 form-check">
                        <input class="form-check-input" type="radio" name="radioterapy" id="yes" value="1" checked>
                        <label class="form-check-label" for="yes">
                        {{ trans('other.yes') }}
                        </label>
                    </div>
                    <div class="col-md-10 form-check">
                        <input class="form-check-input" type="radio" name="radioterapy" id="no" value="0">
                        <label class="form-check-label" for="no">
                        {{ trans('other.no') }}
                        </label>
                    </div> 
                </div>
                @endif
            </div>
            <div class="form-group row mb-3">
                <div class="col-md-2">
                    <label for="title">{{ trans('other.dominantHand') }}</label>
                </div>
                @if(isset($patient->id))
                    @if(($patient->dominant_hand) == 0)
                    <div class="col-md-10">
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="dominant_hand" id="right" value="0" checked>
                            <label class="form-check-label" for="right">
                            {{ trans('other.right') }}
                            </label>
                        </div>
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="dominant_hand" id="left" value="1">
                            <label class="form-check-label" for="left">
                            {{ trans('other.left') }}
                            </label>
                        </div>
                    </div>
                    @else
                    <div class="col-md-10">
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="dominant_hand" id="right" value="0">
                            <label class="form-check-label" for="right">
                            {{ trans('other.right') }}
                            </label>
                        </div>
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="dominant_hand" id="left" value="1" checked>
                            <label class="form-check-label" for="left">
                            {{ trans('other.left') }}
                            </label>
                        </div>
                    </div>
                    @endif
                @else
                <div class="col-md-10">
                    <div class="col-md-10 form-check">
                        <input class="form-check-input" type="radio" name="dominant_hand" id="right" value="0" checked>
                        <label class="form-check-label" for="right">
                        {{ trans('other.right') }}
                        </label>
                    </div>
                    <div class="col-md-10 form-check">
                        <input class="form-check-input" type="radio" name="dominant_hand" id="left" value="0">
                        <label class="form-check-label" for="left">
                        {{ trans('other.left') }}
                        </label>
                    </div> 
                </div>
                @endif
            </div>
            <div class="form-group row mb-3">
                <div class="col-md-2">
                    <label for="title">{{ trans('other.antiepileptics') }}</label>
                </div>
                @if(isset($patient->id))
                    @if(($patient->antieplileptics) == 1)
                    <div class="col-md-10">
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="antieplileptics" id="yes" value="1" checked>
                            <label class="form-check-label" for="yes">
                            {{ trans('other.yes') }}
                            </label>
                        </div>
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="antieplileptics" id="no" value="0">
                            <label class="form-check-label" for="no">
                            {{ trans('other.no') }}
                            </label>
                        </div>
                    </div>
                    @else
                    <div class="col-md-10">
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="antieplileptics" id="yes" value="1">
                            <label class="form-check-label" for="yes">
                            {{ trans('other.yes') }}
                            </label>
                        </div>
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="antieplileptics" id="no" value="0" checked>
                            <label class="form-check-label" for="no">
                            {{ trans('other.no') }}
                            </label>
                        </div>
                    </div>
                    @endif
                @else
                <div class="col-md-10">
                    <div class="col-md-10 form-check">
                        <input class="form-check-input" type="radio" name="antieplileptics" id="yes" value="1" checked>
                        <label class="form-check-label" for="yes">
                        {{ trans('other.yes') }}
                        </label>
                    </div>
                    <div class="col-md-10 form-check">
                        <input class="form-check-input" type="radio" name="antieplileptics" id="no" value="0">
                        <label class="form-check-label" for="no">
                        {{ trans('other.no') }}
                        </label>
                    </div> 
                </div>
                @endif
            </div>
            <div class="form-group row mb-3">
                <div class="col-md-2">
                    <label for="title">{{ trans('other.tranquilizers') }}</label>
                </div>
                @if(isset($patient->id))
                    @if(($patient->tranquilizers) == 1)
                    <div class="col-md-10">
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="tranquilizers" id="yes" value="1" checked>
                            <label class="form-check-label" for="yes">
                            {{ trans('other.yes') }}
                            </label>
                        </div>
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="tranquilizers" id="no" value="0">
                            <label class="form-check-label" for="no">
                            {{ trans('other.no') }}
                            </label>
                        </div>
                    </div>
                    @else
                    <div class="col-md-10">
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="tranquilizers" id="yes" value="1">
                            <label class="form-check-label" for="yes">
                            {{ trans('other.yes') }}
                            </label>
                        </div>
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="tranquilizers" id="no" value="0" checked>
                            <label class="form-check-label" for="no">
                            {{ trans('other.no') }}
                            </label>
                        </div>
                    </div>
                    @endif
                @else
                <div class="col-md-10">
                    <div class="col-md-10 form-check">
                        <input class="form-check-input" type="radio" name="tranquilizers" id="yes" value="1" checked>
                        <label class="form-check-label" for="yes">
                        {{ trans('other.yes') }}
                        </label>
                    </div>
                    <div class="col-md-10 form-check">
                        <input class="form-check-input" type="radio" name="tranquilizers" id="no" value="0">
                        <label class="form-check-label" for="no">
                        {{ trans('other.no') }}
                        </label>
                    </div> 
                </div>
                @endif
            </div>
            <div class="form-group row mb-3">
                <div class="col-md-2">
                    <label for="title">{{ trans('other.cortisone') }}</label>
                </div>
                @if(isset($patient->id))
                    @if(($patient->cortisone) == 1)
                    <div class="col-md-10">
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="cortisone" id="yes" value="1" checked>
                            <label class="form-check-label" for="yes">
                            {{ trans('other.yes') }}
                            </label>
                        </div>
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="cortisone" id="no" value="0">
                            <label class="form-check-label" for="no">
                            {{ trans('other.no') }}
                            </label>
                        </div>
                    </div>
                    @else
                    <div class="col-md-10">
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="cortisone" id="yes" value="1">
                            <label class="form-check-label" for="yes">
                            {{ trans('other.yes') }}
                            </label>
                        </div>
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="cortisone" id="no" value="0" checked>
                            <label class="form-check-label" for="no">
                            {{ trans('other.no') }}
                            </label>
                        </div>
                    </div>
                    @endif
                @else
                <div class="col-md-10">
                    <div class="col-md-10 form-check">
                        <input class="form-check-input" type="radio" name="cortisone" id="yes" value="1" checked>
                        <label class="form-check-label" for="yes">
                        {{ trans('other.yes') }}
                        </label>
                    </div>
                    <div class="col-md-10 form-check">
                        <input class="form-check-input" type="radio" name="cortisone" id="no" value="0">
                        <label class="form-check-label" for="no">
                        {{ trans('other.no') }}
                        </label>
                    </div> 
                </div>
                @endif
            </div>
            <div class="form-group row mb-3">
                <div class="col-md-2">
                    <label for="title">{{ trans('other.neurosurgery') }}</label>
                </div>
                @if(isset($patient->id))
                    @if(($patient->neurosurgery) == 1)
                    <div class="col-md-10">
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="neurosurgery" id="yes" value="1" checked>
                            <label class="form-check-label" for="yes">
                            {{ trans('other.yes') }}
                            </label>
                        </div>
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="neurosurgery" id="no" value="0">
                            <label class="form-check-label" for="no">
                            {{ trans('other.no') }}
                            </label>
                        </div>
                    </div>
                    @else
                    <div class="col-md-10">
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="neurosurgery" id="yes" value="1">
                            <label class="form-check-label" for="yes">
                            {{ trans('other.yes') }}
                            </label>
                        </div>
                        <div class="col-md-10 form-check">
                            <input class="form-check-input" type="radio" name="neurosurgery" id="no" value="0" checked>
                            <label class="form-check-label" for="no">
                            {{ trans('other.no') }}
                            </label>
                        </div>
                    </div>
                    @endif
                @else
                <div class="col-md-10">
                    <div class="col-md-10 form-check">
                        <input class="form-check-input" type="radio" name="neurosurgery" id="yes" value="1" checked>
                        <label class="form-check-label" for="yes">
                        {{ trans('other.yes') }}
                        </label>
                    </div>
                    <div class="col-md-10 form-check">
                        <input class="form-check-input" type="radio" name="neurosurgery" id="no" value="0">
                        <label class="form-check-label" for="no">
                        {{ trans('other.no') }}
                        </label>
                    </div> 
                </div>
                @endif
            </div>
            <div class="form-group row mb-3">
                <div class="col-md-2">
                    <label for="title">{{ trans('other.level') }}</label>
                </div>
                
                <div class="col-md-10">
                    <select class="form-control" name="level">
                    @if(isset($patient->id))
                        @if(($patient->level) == 1)
                            <option value="1" selected="selected">1</option>
                            <option value="2">2</option>
                            <option value="3">3</option>
                        @elseif(($patient->level) == 2)
                            <option value="1">1</option>
                            <option value="2" selected="selected">2</option>
                            <option value="3">3</option>
                        @elseif(($patient->level) == 3)
                            <option value="1">1</option>
                            <option value="2">2</option>
                            <option value="3" selected="selected">3</option>
                        @endif
                    @else
                        <option value="1">1</option>
                        <option value="2">2</option>
                        <option value="3">3</option>
                    @endif
                    </select>
                </div>
            </div>           
            @endif
        @endif


        <div class="form-group row mb-3">
            <div class="col-md-2">
                <label for="title">{{ trans('other.email') }}</label>
            </div>
            <div class="col-md-10">
                @if(isset($patient->id))
                    <input class="form-control" type="text" name="email" placeholder="Email" value="{{ $patient->user->email }}"/>
                @else
                    <input class="form-control" type="text" name="email"/>
                @endif
                <span class="invalid-input" id="invalid-email"></span>
            </div>
        </div>
        @if(isset($_SESSION['logged'])&&($_SESSION['logged']==true))
            @if($_SESSION['role']=='clinician')
                @if(!isset($patient->id))
                <div class="form-group row mb-3">
                    <div class="col-md-2">
                        <label for="title">{{ trans('other.password') }}</label>
                    </div>
                    <div class="col-md-10">
                        <input class="form-control" type="password" name="password"/>
                        <span class="invalid-input" id="invalid-password"></span>
                    </div>
                </div>
                <div class="form-group row mb-3">
                    <div class="col-md-2">
                        <label for="title">{{ trans('other.confirmPassword') }}</label>
                    </div>
                    <div class="col-md-10">
                        <input class="form-control" type="password" name="confirmPassword"/>
                        <span class="invalid-input" id="invalid-confirmPassword"></span>
                    </div>
                </div>
                @endif
            @endif
        @endif
        <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($patient->id))
                <a class="my-btn my-red-btn w-100 d-block" href="{{ route('patients.show', ['patient' => $patient->id]) }}">{{ trans('btn.cancel') }}</a>
                @else
                <a class="my-btn my-red-btn w-100 d-block" href="{{ route('patients.index') }}">{{ trans('btn.cancel') }}</a>
                @endif
            </div>
        </div>
        </form>
    </div>
</div>
@endsection