<!-- BEGIN [% component.name %] -->
[%
lab_data = outreach.immunology; # PROCESS dumper.tt dump = lab_data;
fields = lab_data.keys; # PROCESS dumper.tt dump = fields;
%]
[% outreach_immunology_dfv_js %]
<form method="post" action="[% app_url %]/outreach/lab_results/[% request_data.id %]"
name="outreachImmunology" id="outreachImmunology" [% outreach_immunology_onsubmit %]>
<input type="hidden" name="department" value="immunology" />
<table class="indent">
<tr>
[% FOREACH param IN fields %]
[% class = # highlight if param result below param lower_limit:
lab_data.item(param).result AND # have data
lab_data.item(param).lower_flag AND # and lower_limit
lab_data.item(param).result < lab_data.item(param).lower_flag # data below lower_limit
? 'highlight' : 'normal'
%]
<th class="[% class %]">
[% INCLUDE th_default_val lab_data_param = lab_data.item(param) %]
</th>
[% END %]
</tr>
<tr>
[% FOREACH param IN fields; # PROCESS dumper.tt dump = lab_data.item(param);
# error = errs.item(param); %]
<td>
[% IF lab_data.item(param).field_type == 'menu' %]
<select name="[% param %]">
<option value="">--select one--</option>
[% FOREACH opt IN outreach.menu_options.item(param) %]
<option value="[% opt %]"
[% 'selected' IF opt == lab_data.item(param).result %]>[% opt %]
</option>
[% END %]
</select>
[% ELSE %]
<input type="text" size="3" name="[% param %]" id="[% param %]"
value="[% lab_data.item(param).result %]" />
[% END %]
[% error %]
</td>
[% END %]
<td class="borderless">[% INCLUDE outreach_submit %]</td>
</tr>
</table>
</form>
<!-- END [% component.name %] -->