[% META title = 'Resources » Stats & Audit » Edit Revised Diagnosis' %]
<!-- BEGIN [% template.name %] -->
[% # PROCESS dumper.tt dump = data.as_tree %]
[% # PROCESS dumper.tt dump = opts %]
[% INCLUDE record/patient_summary.tt %]
<h3 class="header">Edit diagnosis revision</h3>
[% option_id = data.request_diagnosis_history.option_id %]
<form action="[% app_url %]/audit/do_edit_diagnosis_revision/[%
data.request_diagnosis_history.id %]">
<input type="hidden" name="_option_id" value="[% option_id %]" />
<input type="hidden" name="sort_by" value="[% c.query.param('sort_by') %]" />
<table class="indent">
<tr>
<th>Diagnosis #1</th>
<th>Diagnosis #2</th>
<th>Error code</th>
<td class="borderless"></td>
</tr>
<tr>
<td>[% data.request_diagnosis_history.diagnosis.name %]</td>
<td>[% data.request_report.diagnosis.name %]</td>
<td>
<select name="option_id">
[% FOREACH o IN opts; # only want active error opts:
NEXT UNLESS o.option_name.match('error')
AND o.is_active.match('yes') %]
<option value="[% o.id %]" [% 'selected=1' IF
option_id == o.id %]>[% o.option_name %]</option>
[% END %]
</select>
</td>
<td>
[% site.html.submit %]
</td>
</tr>
</table>
</form>
<p>[% site.html.back_button %]</p>
<!-- END [% template.name %] -->