[% META title = 'Patient » Select patient case' -%]
<!-- BEGIN patient/select_patient.tt -->
[% # PROCESS dumper.tt dump = patient_cases %]
[% # PROCESS dumper.tt dump = patient %]
[% # PROCESS dumper.tt dump = pas_query %]
[% # PROCESS dumper.tt dump = pds_query %]
[% PROCESS patient/pas.tt IF pas_query %]
[% PROCESS patient/pds.tt IF pds_query %]
[% IF dfv_errors %]
<p class="error">[% c.config('msg').dfv_errors %]</p>
[% END %]
<p>
<strong>Patient demographic data
[% IF pas_query.match(messages.pas_verified) %]
<span class="info">[PAS verified]</span>
[% END %]
</strong>
</p>
<div class="indent" style="text-align: center">
<table>
<tr>
<th>id</th>
<th>Last Name</th>
<th>First Name(s)</th>
<th>Gender</th>
<th>D.o.B</th>
<th>NHS Number</th>
<td class="borderless"> </td>
</tr>
<tr>
<td>[% patient.id %]</td>
<td>[% patient.last_name | upper %]</td>
<td>
<span>
[% patient.first_name | ucfirst %]
[% patient.middle_name | ucfirst %]
</span>
</td>
<td>
[% IF patient.gender.match('M|F') %]
[% patient.gender %]
[% ELSE %]
<span class="red">U</span>
[% END %]
</td>
<td>[% patient.dob.strftime('%d.%b.%Y') || site.html.grey_null %]</td>
<td>[% INCLUDE site/nhs_number.tt nhs_number = patient.nhs_number %]</td>
<td>
<a class="href" href="[% app_url %]/patient/register_edit_patient/[% patient.id %]">
<img class="href" src="/images/edit.jpg" alt="Edit" title="Edit patient">
</a>
</td>
</tr>
</table>
</div>
[% IF clinical_trials.size %]
<p class="indent">
<span class="warning">Patient also has clinical trial request(s):</span>
</p>
<ul class="indent">
[% FOREACH trial IN clinical_trials %]
<li><a href="[% app_url %]/search/do_search?patient_id=[% patient.id
%];trial_id=[% trial.key %];_return=1">[% trial.value.trial_name %]</a>
[[% trial.value.trial_number %]]
</li>
[% END %]
</ul>
[% END %]
<p>[% site.html.back_button %]</p>
<h2 class="header">Select patient case:</h2>
[% # PROCESS dumper.tt dump = patient_cases %]
<div class="indent">
<table class="patient_select">
<tr>
<th> </th>
<th colspan="2">Location / Unit Number</th>
</tr>
[% FOREACH case IN patient_cases %]
[% SET location = case.referral_source.display_name %]
<tr>
<td>[% loop.count %].</td>
<td>[% PROCESS site/display_name.tt %]</td>
<td>[% case.unit_number %]</td>
<td>
<a class="href" href="[% app_url %]/patient/edit_case/[% case.id %]">
<img class="href" src="/images/edit.jpg" alt="Edit" title="Edit case">
</a>
</td>
<td>
<a class="href" href="[% app_url %]/request/add_new/[% case.id %]">
<img class="href" src="/images/add.png" alt="New" title="New request">
</a>
</td>
</tr>
[% END %]
</table>
</div>
[% PROCESS site/autosuggest.tt
optional_params = [ "is_active=1" ] %]
<h2 class="header">Add new location / unit number:</h2>
[% new_location_dfv_js %]
<form action="[% app_url %]/patient/add_new_location/[% patient.id %]" method="post"
name="add_new" id="add_new" [% new_location_onsubmit %]>
<div class="indent">
<table>
<tr>
<td class="label">Unit Number:</td>
<td class="content">
<input class="field" type="text" name="unit_number" size="12"
[% site.html.on_focus %] value="" />
[% error_unit_number %]
</td>
</tr>
<tr>
<td class="label">Location:</td>
<td class="search_bar">
<input style="width: 300px" type="text" id="location_name" />
<input type="hidden" id="source_id" name="referral_source_id" />
[% IF error_referral_source_id %]
[% error_referral_source_id %]
[% ELSE %]
[ <a href="[% app_url %]/config/referral-sources">new</a> ]
[% END %]
</td>
</tr>
<tr>
<td class="borderless" colspan="2" align="center">
[% site.html.submit %]
<!-- [% site.html.reset %] // doesn't remove ajax #source_id -->
</td>
</tr>
</table>
</div>
</form>
<!-- END patient/select_patient.tt -->