[% META title = 'Admin » Diagnosis Change Options' -%]
<!-- BEGIN admin/config/diagnosischangeoptions/default.tt -->
[% # PROCESS dumper.tt dump = c.stash.errs %]
[% diagnosis_change_dfv_js %]
[% # PROCESS admin/request_nav.tt page = 'diagnostic-categories' %]
<h2 align="center">Diagnosis Change Options</h2>
[% IF dfv_errors %]
<p class="error">[% c.config('msg').dfv_errors %]</p>
[% END %]
[% # PROCESS dumper.tt dump = dfv_errors %]
<p class="title">
[% div_name = 'new'; INCLUDE site/snippets/toggleview.tt %]
Add new entry
</p>
<div class="[% dfv_errors ? 'visible' : 'itemhidden' %]" id="[% div_name %]">
<form method="get" action="[% app_url %]/config/diagnosis-change-options/update"
name="new_option" id="new_option" [% diagnosis_change_onsubmit %]>
<div class="indent">
<table>
<tr>
<td class="label">Option name:</td>
<td class="content">
[% PROCESS site/ajax_input.tt field = 'option_name'
id = 'diagnosis_change' %]
[% error_option_name %]
</td>
</tr>
<tr>
<td class="label">Description:</td>
<td class="content">
<input type="text" name="description" size="40"
value="[% c.query.param('description') %]" />
[% error_description %]
</td>
</tr>
<tr>
<td class="label">Active:</td>
<td class="content">
<select name="is_active" [% site.html.onfocus %]>
[% FOREACH option IN ['yes', 'no'] %]
<option value="[% option %]">[% option %]</option>
[% END %]
</select>
[% error_is_active %]
</td>
</tr>
<tr>
<td class="borderless" colspan="2" align="center">[% site.html.submit %]</td>
</tr>
</table>
</div>
</form>
</div>
<p class="spacer"> </p>
[% IF options.size # only empty if new db %]
<div class="[% dfv_errors ? 'itemhidden' : 'visible' %]">
<table>
<tr>
<th></th>
<th>Name</th>
<th>Description</th>
<th>Active</th>
</tr>
[% FOREACH entry IN options %]
<tr>
<td>
[% loop.count %]
</td>
<td>
<input type="text" size="20" name="option_name"
value="[% entry.option_name | html %]"
[% site.html.disabled %] />
</td>
<td>
<input type="text" size="40" name="description"
value="[% entry.description | html %]"
[% site.html.disabled %] />
</td>
<td>
<select name="is_active" [% site.html.disabled %]>
[% FOREACH option IN ['yes', 'no'] %]
<option value="[% option %]" [% 'selected' IF option == entry.is_active %]>
[% option %]
</option>
[% END %]
</select>
</td>
<td align="center">
<a href="[% app_url %]/config/diagnosis-change-options/edit/[% entry.id %]">Edit</a>
</td>
</tr>
[% END %]
</table>
</div>
[% END %]
</div>
<!-- END admin/config/diagnosischangeoptions/default.tt -->