<!-- BEGIN patient/edit_patient.tt -->
[% META title = 'Patient » Edit Details' -%]
[% PROCESS patient/pas.tt IF pas_query %]
[% PROCESS patient/pds.tt IF pds_query %]
[% # PROCESS dumper.tt dump = request.as_tree %]
[% # PROCESS dumper.tt dump = pas_query %]
[% # PROCESS dumper.tt dump = pds_query %]
[% # PROCESS dumper.tt dump = c.query %]
[% # PROCESS dumper.tt dump = c.stash.errs %]
<h2 class="header">Edit patient details</h2>
<div class="error">WARNING: DO NOT USE FOR CHANGING PATIENT IDENTITY</div>
<p class="warning">
<strong>If this is not the correct patient, delete & re-register request instead.</strong>
</p>
<p>[% site.html.back_button %]</p>
[% # PROCESS dumper.tt dump = c.stash.errs %]
[% # PROCESS dumper.tt dump = similar_entries %]
[% js_edit_patient_dfv_js %]
[% IF dfv_errors %]
<p class="error">[% c.cfg('msg').dfv_errors %]</p>
[% IF error_patient_id %]
<ul><li>[% c.cfg('msg').require_one %]</li></ul>
[% ELSIF error_confirm_change %]
<ul><li>[% c.cfg('msg').confirm_change %]</li></ul>
[% END %]
[% END %]
<form action="[% app_url %]/patient/update_patient/[% patient.id %]" method="post"
name="patient_edit" id="patient_edit" [% js_edit_patient_onsubmit %]>
[% IF request.id # set hidden flag %]
<input type="hidden" name="request_id" value="[% request.id %]" />
[% ELSIF registration_edit %]
<input type="hidden" name="registration_edit" value="1" />
[% END %]
[% IF similar_entries.patients.size %]
<p class="title">Select a previous record or edit current record:</p>
<table class="indent">
<tr>
<th scope="col">ID</th>
<th scope="col">Last name</th>
<th scope="col">First name(s)</th>
<th scope="col">D.o.B</th>
<th scope="col">M/F</th>
<th scope="col">NHS number</th>
</tr>
[%
patients = similar_entries.patients;
cases_map = similar_entries.cases_map;
FOREACH entry IN patients; # PROCESS dumper.tt dump = entry
%]
<tr>
<td class="content">[% entry.id %]</td>
<td class="bkgd_light_yellow">[% entry.last_name | upper %]</td>
<td class="bkgd_light_yellow">
[% entry.first_name | ucfirst %]
[% entry.middle_name | ucfirst %]
</td>
<td class="bkgd_light_yellow">
[% entry.dob.strftime('%d.%b.%Y') || site.html.grey_null %]
</td>
<td class="bkgd_light_yellow align="center">
[% entry.gender || 'U' %]
</td>
<td class="bkgd_light_yellow">
[% entry.nhs_number || site.html.grey_null %]
</td>
<td class="borderless">
<input type="radio" name="use_patient_id"
value="[% entry.id %]" />
<span class="maroon">« select</span>
</td>
</tr>
<tr class="bold borderless">
<td></td>
<td colspan="3">
<span class="italic-title">referral details</span>
[% div_name = 'ID' _ entry.id;
INCLUDE site/snippets/toggleview.tt %]
<ol class="itemshown" id="[% div_name %]">
[% FOREACH case IN cases_map.item(entry.id) %]
<li class="register">
[% location = case.referral_source.display_name;
INCLUDE site/display_name.tt %] ::
[% case.unit_number || site.html.grey_null %]
</li>
[% END %]
</ol>
</td>
<td colspan="3"></td>
</tr>
[% END %]
</table>
[% END %]
<div id="request_edit" style="padding: 10px 0px">
<table class="indent">
<tr>
<td class="label">Last Name:</td>
<td class="content">
<input class="field" type="text" name="last_name" size="40"
value="[% ( patient.last_name OR c.query.param('last_name') ) | upper %]"
[% site.html.on_focus %] /> [% error_last_name %]
</td>
</tr>
<tr>
<td class="label">First Name:</td>
<td class="content">
<input class="field" type="text" name="first_name" size="40"
value="[% ( patient.first_name OR c.query.param('first_name') ) | ucfirst %]"
[% site.html.on_focus %] />
[% error.first_name %]
</td>
</tr>
<tr>
<td class="label">Middle Name(s):</td>
<td class="content">
<input class="field" type="text" name="middle_name" size="40"
value="[% ( patient.middle_name OR c.query.param('middle_name') ) | ucfirst%]"
[% site.html.on_focus %] />
[% error_middle_name %]
</td>
</tr>
<tr>
[% SET class = error_patient_id ? 'input_error' : 'field' %]
<td class="label">NHS No:</td>
<td class="content">
[% # jQuery: onBlur="validate_nhsno(this.value); return true;" %]
<input class="[% class %]" type="text" name="nhs_number" size="12"
id="is_valid_and_unique_nhsno"
value="[% patient.nhs_number OR c.query.param('nhs_number') %]"
[% IF c.cfg('use_cgi_ajax') %]
onChange="do_ajax(['is_valid_and_unique_nhsno'], ['bad_nhsno']); return true;"
[% END %]
[% readonly || site.html.on_focus %] />
[% error_nhs_number %]
<span class="ajax_error"><em id="bad_nhsno"></em></span>
</td>
</tr>
[% BLOCK validate_date; IF c.cfg('use_cgi_ajax') %]
onChange="do_ajax(
['is_valid_date_day','is_valid_date_month','is_valid_date_year'],
['bad_date']
); return true;"
[% END; END %]
<tr>
[% SET class = error_year || error_day ? 'input_error' : 'field' %]
[% SET dob = patient.dob %]
<td class="label">DoB:</td>
<td class="content">
<input type="text" name="day" size="2" id="is_valid_date_day"
value="[% dob.strftime('%d') OR c.query.param('day') %]"
[% PROCESS validate_date %] maxlength="2" class="[% class %]"
[% site.html.on_focus %] />
<input type="text" name="month" size="2" id="is_valid_date_month"
value="[% dob.strftime('%m') OR c.query.param('month') %]"
[% PROCESS validate_date %] maxlength="2" class="[% class %]"
[% site.html.on_focus %] />
<input type="text" name="year" size="4" id="is_valid_date_year"
value="[% dob.strftime('%Y') OR c.query.param('year') %]"
[% PROCESS validate_date %] maxlength="4" class="[% class %]"
[% site.html.on_focus %] />
[% UNLESS error_day || error_year # set if date invalid %]
<span class="ajax_error"><em id="bad_date">dd-mm-yyyy</em></span>
[% END %]
[% error_day || error_year # set if date invalid %]
</td>
</tr>
<tr>
<td class="label">Gender:</td>
<td class="content">
[% gender = c.query.param('gender') || patient.gender; # query param takes precedence
FOREACH entry = ['M','F','U'];
%]
<input type="radio" name="gender" value="[% entry %]"
[% 'checked' IF entry.match(gender) %] /> [% entry %]
[% END %]
[% UNLESS gender.match('M|F') %]
<span class="red">« check this</span>
[% END %]
[% this_field.error %]
</td>
</tr>
</table>
</div>
[% IF count > 1 %]
<p class="bold">
<span class="highlight">
WARNING: change affects
[% IF ! registration_edit; count - 1; %] other
[% ELSE; count; END; %]
record[% 's' IF count > 2 %]
</span>
</p>
<hr />
<p class="bold">1. Change to affect this request only
[% div_name = 'this_request';
INCLUDE site/snippets/toggleview.tt %]</p>
<div class="itemhidden" id="[% div_name %]">
<p class="indent info">
Confirm change to [% PROCESS site/lab_number.tt data = request %] only:
<input type="checkbox" name="this_record_only" value="1" />
</p>
</div>
<p class="bold">2. Change to affect all requests attached to this patient
[% div_name = 'all_requests';
INCLUDE site/snippets/toggleview.tt %]</p>
<div class="itemhidden indent" id="[% div_name %]">
<img src="/images/stop.gif" alt="STOP" />
<span class="warning">
I understand I am about to change ALL [[% count %]] records belonging to
[% patient.first_name | ucfirst %]
[% patient.middle_name | ucfirst %]
[% patient.last_name | upper %] ::
[% patient.dob.dmy('/') %] ::
[% patient.nhs_number %]
</span>
<img src="/images/stop.gif" alt="STOP" />
<p class="indent">
Confirm: <input type="checkbox" name="all_records" value="1" />
<span class="error">« this action is NOT reversible</span>
</p>
</div>
<hr />
[% ELSE # send confirmation as hidden field; all_records OK as only 1 anyway %]
<input type="hidden" name="all_records" value="1" />
[% IF ! count # can delete patient: %]
<p class="title">
[ <a href="[% app_url %]/patient/delete_patient/[% patient.id %]">DELETE PATIENT</a> ]
</p>
[% ELSE %]
<p class="info">
<span class="indent">INFO: change affects this record only</span>
</p>
[% END %]
[% END %]
[% PROCESS site/reason_for_change.tt %]
</form>
<!-- END patient/edit_patient.tt -->