[% META title = 'Admin » Clinician » Location Edit' -%]
<!-- BEGIN [% template.name %] -->
[% # INCLUDE dumper.tt dump = data.as_tree %]
[% # INCLUDE dumper.tt dump = d.as_tree FOREACH d IN departments %]
<h2 class="header">Edit Clinician Location Details</h2>
<form name="form" action="[% app_url %]/config/clinicians/location/[% data.id %]">
<input type="hidden" name="referrer_id" value="[% data.referrer_id %]" />
<table class="indent">
<tr>
<th>Clinician</th>
<th>GMC Code</th>
<th>Parent Organisation</th>
<th>Department</th>
<th>Active</th>
</tr>
<tr>
<td>[% data.referrer.name %]</td>
<td>[% data.referrer.national_code %]</td>
<td>
[% data.parent_organisation.description %]
[[% data.parent_organisation.parent_code %]]
</td>
<td>
<select name="hospital_department_code">
[% FOREACH d IN departments %]
<option value="[% d.id %]" [% 'selected' IF
d.display_name == data.hospital_department.display_name %]>
[% d.display_name %]
</option>
[% END %]
</td>
<td>
<select name="is_active">
[% FOREACH o IN ['yes' 'no'] %]
<option value="[% o %]" [% 'selected' IF data.is_active.match(o) %]>
[% o %]
</option>
[% END %]
</select>
</td>
<td>
[% site.html.submit %]
</td>
</tr>
</table>
</form>
<!-- END [% template.name %] -->