@extends('master')

<script type="text/javascript">
	function showContent() {
        element = document.getElementById("content");
        check = document.getElementById("check");
        if (check.checked) {
            element.style.display='block';
        }
        else {
            element.style.display='none';
        }
    }
</script>

<script type="text/javascript">

	/*function BMI(){
		
		var height, weight, bmi, heighttSquared;

		height = document.getElementById("height").value;
		weight = document.getElementById("weight").value;

		height = height * 0.0254;
		weight = weight / 2.2;

		heightSquared = height * height;

		bmi = weight / heightSquared;
		bmi = bmi.toFixed(2);

		document.getElementById("bmi").value = bmi;

	}*/

</script>

<script type="text/javascript">
	
	function showStep2(){

		$('#step1').hide();
		$('#step2').show();
	}

</script>

<script type="text/javascript">
	
	function backStep1(){

		$('#step2').hide();
		$('#step1').show();

	}

</script>



@section('content')
   
    <div class="row">
        <div class="large-12 columns">
            <div class="row">
                <div class="small-12 medium-12 large-12 columns">
                    <h4>Initial / Yearly Exam</h4>
                    <h5>Date: {{{ date("jS, F Y - H:i:s", strtotime($vitals[0]->created_at)) }}}</h5>
                </div>
            </div>

            <div class="row">
                <div class="small-6 medium-6 large-6 columns">
                    <h5>{{{ $patientData->fname . " " . $patientData->lname }}}</h5>
                </div>
            </div>

            <div class="row">
                <div class="small-4 medium-4 large-4 columns">
                    <h5>Employer: {{{ $employer->name }}}</h5>
                </div>
            </div>
        </div>
    </div>


    <div class="row">

    	<!-- <form action="{{{ URL::to('patients/' . $patientData->pid . '/initial-exam') }}}" method="post" data-abide> -->
	
			<div id="step1" class="small-12 medium-12 large-12 columns">

    			<div class="row">
    		
    				<div class="small-12 medium-3 large-3  columns">
						<hr>
						<h5>Physical Exam Findings</h5>
				        <h6>Vital Signs</h6>

				    @foreach ($vitals as $value)

				    	<div class="row">
				            <div class="large-12 columns">

				            	@if($value->value != 'true' && $value->description != 'Prior work related injury or impairment') 

					            <label>{{{ $value->description }}}</label>
					            <input type="text" value="{{{ $value->value }}}" readonly   />

					            

					            @elseif($value->description == 'Prior work related injury or impairment')
									 <label>
									 	<input type="checkbox" checked onclick="return false" />
									 	{{{ $value->description }}}
									 </label>
					            	
					            	<textarea  readonly >{{{ $value->value }}}</textarea>
					            @endif
				            </div>
				        </div>

				    @endforeach
				        

					</div>

					<div class="small-12 medium-8 large-8  columns">
						<div class="row">

							<div class="small-12 medium-6 large-6 columns">

								<hr>
					        	<h5>Past Medical History</h5>

					        @foreach ($pastMedical as $key => $value)

					        	<div class="row">
						            <div class="large-12 columns">
						            	<p>
						            		<label>
									            <input type="checkbox" checked onclick="return false" />
									            {{{ $value->description }}}
							            	</label>
							            </p>
						            </div>
					            
						        </div> 
					        	
					        @endforeach

    						
							</div>

							<div class="small-12 medium-6 large-6  columns">

								<hr>
								<h5>Drug Allergy History</h5>

						    @foreach ($drugAllergy as $key => $value)

					        	<div class="row">
						            <div class="large-12 columns">
						            	<p>
						            		<label>
									            <input type="checkbox" checked onclick="return false" />
									            {{{ $value->description }}}
							            	</label>
							            </p>
							            @if($value->value != 'true')
								    		<textarea  readonly >{{{ $value->value }}}</textarea>
								    	@endif

						            </div>
					            
						        </div> 
					        	
					        @endforeach

						       
							</div>

					
						</div>


						<div class="row">

							<div class="small-12 medium-6 large-6  columns">
						    	<hr>
						        <h6>Head and Neck</h6>

						    @foreach ($headNeck as $value)

						    	<div class="row">
						            <div class="large-12 columns">

						            	@if($value->value != 'true') 

							            <label>{{{ $value->description }}}</label>
							            <textarea  readonly >{{{ $value->value }}}</textarea>

							            @else
											<p>
							            		<label>
										            <input type="checkbox" checked onclick="return false" />
										            {{{ $value->description }}}
								            	</label>
								            </p>
							            @endif
						            </div>
						        </div>

						    @endforeach

				    		</div>

				    		<div class="small-12 medium-6 large-6 columns">
				    	
						    	<hr>
						        <h5>Exercise Capacity</h5>

						    @foreach ($exercise as $value)

						    	<div class="row">
						            <div class="large-12 columns">

						            	@if($value->value != 'true') 

							            <label>{{{ $value->description }}}</label>
							            <textarea  readonly >{{{ $value->value }}}</textarea>

							            @else
											<p>
							            		<label>
										            <input type="checkbox" checked onclick="return false" />
										            {{{ $value->description }}}
								            	</label>
								            </p>
							            @endif
						            </div>
						        </div>

						    @endforeach

				    		</div>
					
						</div>

					</div>

    			</div>

    	
    			<div class="row">

    				<div class="small-12 medium-12 large-12 columns">

						<div class="row">

							<div class="small-12 medium-6 large-6 columns">
    			
			    				<hr>
						        <h6>Chest</h6>

						    @foreach ($chest as $value)

						    	<div class="row">
						            <div class="large-12 columns">

						            	@if($value->value != 'true') 

							            <label>{{{ $value->description }}}</label>
							            <textarea  readonly >{{{ $value->value }}}</textarea>

							            @else
											<p>
							            		<label>
										            <input type="checkbox" checked onclick="return false" />
										            {{{ $value->description }}}
								            	</label>
								            </p>
							            @endif
						            </div>
						        </div>

						    @endforeach

	    					</div>

		    				<div class="small-12 medium-6 large-6 columns">

			    				<hr>
						        <h6>Abdomen</h6>

						    @foreach ($abdomen as $value)

						    	<div class="row">
						            <div class="large-12 columns">

						            	@if($value->value != 'true') 

							            <label>{{{ $value->description }}}</label>
							            <textarea  readonly >{{{ $value->value }}}</textarea>

							            @else
											<p>
							            		<label>
										            <input type="checkbox" checked onclick="return false" />
										            {{{ $value->description }}}
								            	</label>
								            </p>
							            @endif
						            </div>
						        </div>

						    @endforeach

    				
    						</div>

	    				</div>



    					<div class="row">
    						<div class="small-12 medium-6 large-6 columns">

			    				<hr>
						        <h6>Baseline ChE Testing</h6>

						    @foreach ($baseline as $value)

						    	<div class="row">
						            <div class="large-12 columns">

						            	@if($value->value != 'true') 

							            <label>{{{ $value->description }}}</label>
							            <textarea  readonly >{{{ $value->value }}}</textarea>

							            @else
											<p>
							            		<label>
										            <input type="checkbox" checked onclick="return false" />
										            {{{ $value->description }}}
								            	</label>
								            </p>
							            @endif
						            </div>
						        </div>

						    @endforeach

				    		</div>

				    		<div class="small-12 medium-6 large-6 columns">

						    	<hr>
						        <h6>Follow-up Testing</h6>

						    @foreach ($followUp as $value)

						    	<div class="row">
						            <div class="large-12 columns">

						            	@if($value->value != 'true') 

							            <label>{{{ $value->description }}}</label>
							            <textarea  readonly >{{{ $value->value }}}</textarea>

							            @else
											<p>
							            		<label>
										            <input type="checkbox" checked onclick="return false" />
										            {{{ $value->description }}}
								            	</label>
								            </p>
							            @endif
						            </div>
						        </div>

						    @endforeach

				    		</div>

    				
    					</div>

    				</div>

				</div>

				<!-- <div class="row">
			        <div class="small-6 medium-6 large-3 columns">
			            <button>Save</button>
			        </div>
			        <div class="small-6 medium-6 large-3 end columns">
			            <a href="{{{ URL::to('patients/'.$patientData->pid) }}}" class="button">Cancel</a>
			        </div>
			    </div> -->

			    <div class="row">
			    	<div class="small-12 medium-6 large-6 columns">
			    		<a id="nextButton" onclick="showStep2();" class="button expand">Next</a>
			    	</div>
			    	<div class="small-12 medium-6 large-6 end columns">
			            <a href="{{{ URL::to('patients/'.$patientData->pid) }}}" class="button expand">Return</a>
			        </div>
			    </div>

    		
			</div>


	    	<div id="step2" style="display:none;" class="small-12 medium-12 large-12 columns">

	    		<div class="row">
   					<div class="small-12 medium-12 large-12 columns">

				        <h5>
				        	Medication Possibly Affecting Cholinesterase or 
				        	Cholinergic Function
				        </h5>

				        

		       			<div class="row">
		       				@foreach ($medicalAffecting as $value)
		            		<div class="small-12 medium-3 large-3 columns">

		            			@if($value->value != 'true') 

						            <label>
						            	<input type="checkbox" checked onclick="return false" />
						            	{{{ $value->description }}}
						            </label>
						            <textarea  readonly >{{{ $value->value }}}</textarea>

					            @else
									<p>
					            		<label>
								            <input type="checkbox" checked onclick="return false" />
								            {{{ $value->description }}}
						            	</label>
						            </p>
					            @endif
					        </div>
					        @endforeach
					    </div>

					    
    				</div>
    		
    			</div>


	    		
	    	</div>
	    	

		    <div class="row">
		    	<hr>
		    	<div class="small-6 medium-4 large-3 columns">
		    		<a id="backButton" onclick="backStep1();" class="button expand">Back</a>
		    	</div>
		    	<div class="small-6 medium-4 large-3 columns">
		    		<a href="{{{ URL::to('hl7Manager') }}}" class="button digital-signature">Send To Lab</a>
		    	</div>
		    	
		    	@if($legacy)
					<div class="small-6 large-3 columns">
						<a class="button expand" href=" {{{ URL::to('patients/' . $patientData->pid . '/notification') }}} ">Notification</a>
					</div>

					@else
					<div class="small-6 large-3 columns">
						<a class="button expand disabled">Notification</a>
					</div>


		    	@endif

		        <div class="small-6 medium-3 large-3 columns">
		            <a href="{{{ URL::to('patients/'.$patientData->pid) }}}" class="button expand">Return</a>
		        </div>
		    </div>


		     <div id="myModal" class="reveal-modal" data-reveal aria-labelledby="modalTitle" aria-hidden="true" role="dialog">
		        <form id="actionForm" action="" method="POST">
					<input hidden name="pid" value="{{{$patientData->pid}}}" />
					<input hidden name="examType" value="followUp" />
		        </form>
		        <form id="signForm" action="" method="GET">
		            <div class="row">
		              <div class="large-6 columns">
		                <label for="password">Please type your digital signature password</label>
		                <input type="password" name="password">
		                <button class="button">Sign</button>
		              </div>
		            </div>
		        </form>
		      <a class="close-reveal-modal" aria-label="Close">&#215;</a>
		    </div>

			<script>

			$(document).ready(function(){
				$('#signForm').submit(function(e) {
			        e.preventDefault();
			        var url = '{{ URL::to("sign") }}';
			        var passvalue = $("#signForm").find( "input[name='password']" ).val();
			        $.ajax({
			          type: "POST",
			          url: url,
			          contentType: "application/json",
			          data: {password: passvalue}
			        }).done(function(response) {
			          if(response==='false'){
			              $("#actionForm").attr("action", $('a.digital-signature').attr("href"));
			              $("#actionForm").submit();
			          }
			        });
		      	});
		      	$('a.digital-signature').on('click', function(e) {
		        	e.preventDefault();
		        	$('#myModal').foundation('reveal','open');
		      	});

			   $('#close').foundation('reveal', 'close');
			});

			</script>

	    <!-- </form>  -->
      	
    </div>

    
@stop