@extends('master')

@section('content')

@if(count($errors))
<div class="row errors">
	<div class="columns small-12">
		<div data-alert class="alert-box alert">
			<p class="lead">Please fix the following errors:</p>
			<ul>
			@foreach($errors->all() as $error)
			  <li>{{ $error }}</li>
			@endforeach
			</ul>
			<a href="#" class="close">&times;</a>
		</div>
	</div>
</div>
@endif

@if(Session::has('errorMsg'))
<div class="row" class="errors">
	<div class="columns small-12">
		<div data-alert class="alert-box alert">
			<p class="lead">{{ Session::get('errorMsg') }}</p>
			<a href="#" class="close">&times;</a>
		</div>
	</div>
</div>
@endif

<div class="row">
	<div class="columns small-12">
		<form method="POST" id="dpr_download">
			<div class="columns small-6">
				<label>Start date: </label>
				<input type="date" name="start_date">
			</div>
			<div class="columns small-6">
				<label>End date: </label>
				<input type="date" name="end_date">
			</div>
			<div class="columns small-12">
			<label>Filter: </label>
				<select name="filter" id="dpr_filter">
					<option value="providers">Providers</option>
					<option value="laboratories">Laboratories</option>
					<option value="employers">Employers</option>
				</select>
			</div>
			<div class="columns small-6">
				<div id="dpr_providers" >
					<label>Providers: </label>
					<select name="providers[]" multiple style="height: 100px">
					@foreach($providers as $provider)
						<option value="{{ $provider->full_name }}">
							{{ $provider->full_name }}
						</option>
					@endforeach
					</select>
				</div>
			</div>
			<div class="columns small-6">
				<div id="dpr_laboratories">
					<label>Laboratories: </label>
					<select name="laboratories[]" multiple style="height: 100px">
					@foreach($labs as $lab)
						<option value="{{ $lab->labid1 }}">{{ $lab->labid1 }}</option>
					@endforeach
					</select>
				</div>
			</div>
			<div class="columns small-6">
				<div id="dpr_employers">
					<label>Employers: </label>
					<select name="employers[]" multiple style="height: 100px">
					@foreach($employers as $employer)
						<option value="{{ $employer->labid2 }}">{{ $employer->labid2 }}</option>
					@endforeach
					</select>
				</div>
			</div>
			<div class="columns small-12">
				@include('dpr.token')
				<a href="#" onclick="DPRDownload()" class="button">Next</a>
			</div>
		</form>
	</div>
</div>
@endsection