[% META title = 'Admin » Edit Parent Organisation' -%]
[% # PROCESS dumper.tt dump = data %]
[% parent_organisations_dfv_js %]
[% PROCESS admin/referral_nav.tt page = 'parent-organisations' %]
<h2 align="center">Edit Parent Organisation Details</h2>
[% IF dfv_errors %]
<dl>
<dt class="error">[% c.cfg('msg').dfv_errors %]</dt>
[% IF error_parent_code %]
<dd>Parent code [% error_parent_code %]</dd>[% END %]
[% IF error_description %]
<dd>Description [% error_description %]</dd>[% END %]
[% IF error_referral_type %]
<dd>Referral type [% error_referral_type %]</dd>[% END %]
</dl>
[% END %]
<form method="post" action="[% app_url %]/config/parent-organisations/update/[% data.id %]"
[% parent_organisations_onsubmit %] name="parent-organisation" id="parent-organisation">
<table>
<tr>
<th [% IF error_parent_code %]class="error"[% END %]>Parent Code</th>
<th [% IF error_description %]class="error"[% END %]>Description</th>
<th [% IF error_referral_type %]class="error"[% END %]>Referral Type</th>
</tr>
<tr>
<td>
<input type="text" name="parent_code" size="6" value="[% data.parent_code %]" />
</td>
<td>
<input type="text" name="description" size="50"
value="[% data.description | upper %]" />
</td>
<td>
<select name="referral_type">
[% FOREACH option IN ['hospital', 'practice'] %]
<option value="[% option %]" [% 'selected' IF option == data.referral_type.description %]>
[% option %]
</option>
[% END %]
</select>
[% error_referral_type %]
</td>
<td>
[% site.html.submit %]
</td>
</tr>
</table>
</form>
<p>[% site.html.back_button %]</p>