[% META title = 'Admin » Edit Email Contact' -%]
<!-- BEGIN [% template.name %] -->
[% # PROCESS dumper.tt dump = errs %]
[% # PROCESS dumper.tt dump = departments %]
[% PROCESS site/autosuggest.tt varname = 'hospital' %]
[% email_contacts_dfv_js %]
[% # PROCESS admin/misc_nav.tt page = 'error-codes' %]
[% meta_data = c.get_meta_data('EmailContact') %]
<h2 align="center">Edit Email Contact</h2>
[% INCLUDE site/snippets/help.tt file = 'emailcontact' %]
[% IF dfv_errors %]
<dl>
<dt class="error">[% c.cfg('msg').dfv_errors %]</dt>
[% IF error_display_name %]
<dd>Display name [% error_display_name %]</dd>[% END %]
[% IF error_type %]
<dd>Type [% error_type %]</dd>[% END %]
[% IF error_scope %]
<dd>Scope [% error_scope %]</dd>[% END %]
[% IF error_referral_source_id %]
<dd>Referral source [% error_referral_source_id %]</dd>[% END %]
[% IF error_department_id %]
<dd>Department [% error_department_id %]</dd>[% END %]
[% IF error_status %]
<dd>Status [% error_status %]</dd>[% END %]
[% IF error_contact_address %]
<dd>Email [% error_contact_address %]</dd>[% END %]
[% IF error_active %]
<dd>Active [% error_active %]</dd>[% END %]
</dl>
[% END %]
<form method="post" action="[% app_url %]/config/email-contacts/update/[% data.id %]"
[% email_contact_onsubmit %] name="email-contact" id="email-contact">
<table>
<tr>
<th [% IF error_display_name %]class="error"[% END %]>Display name</th>
<th [% IF error_type %]class="error"[% END %]>Type</th>
<th [% IF error_scope %]class="error"[% END %]>Scope</th>
<th [% IF error_referral_source_id %]class="error"[% END %]>Location</th>
<th [% IF error_department_id %]class="error"[% END %]>Department [not applicable to MDT]</th>
<th [% IF error_status %]class="error"[% END %]>Status</th>
<th [% IF error_contact_address %]class="error"[% END %]>Email</th>
<th [% IF error_active %]class="error"[% END %]>Active</th>
</tr>
<tr>
<td>
<input type="text" name="display_name" value="[% data.display_name | html %]" />
</td>
<td>
<select name="type">
<option value=""></option>
[% FOREACH item IN meta_data.column('type').check_in %]
<option value="[% item %]" [% 'selected' IF item == data.type %]>
[% item %]</option>
[% END %]
</select>
</td>
<td>
<select name="scope">
<option value=""></option>
[% FOREACH item IN meta_data.column('scope').check_in %]
<option value="[% item %]" [% 'selected' IF item == data.scope %]>
[% item %]</option>
[% END %]
</select>
</td>
<td class="search_bar">
<input style="width: 200px" type="text" id="location_name" name="_display_name"
value="[% data.referral_source.display_name %]"/>
<input type="hidden" id="source_id" name="referral_source_id" />
<input type="hidden" name="_referral_source_id"
value="[% data.referral_source_id %]" />
</td>
<td>
<select name="department_id">
<option value=""></option>
[% FOREACH d IN departments.keys.sort; #
# INCLUDE dumper.tt dump = [d, departments.$d] %]
<option value="[% departments.$d %]"
[% 'selected' IF departments.$d == data.department_id %]>
[% d %]</option>
[% END %]
</select>
</td>
<td>
<select name="status">
<option value=""></option>
[% FOREACH item IN meta_data.column('status').check_in %]
<option value="[% item %]" [% 'selected' IF item == data.status %]>
[% item %]</option>
[% END %]
</select>
</td>
<td>
<input type="text" name="contact_address" size="30"
value="[% data.contact_address | html %]" />
</td>
<td>
<select name="is_active">
[% FOREACH option IN ['yes', 'no'] %]
<option value="[% option %]" [% 'selected' IF option == data.is_active %]>
[% option %]
</option>
[% END %]
</select>
</td>
<td>
[% site.html.submit %]
</td>
</tr>
</table>
</form>
<p>[% site.html.back_button %]</p>
<!-- END [% template.name %] -->