[% META title="Outreach » Edit Follow-up" %]
<!-- BEGIN [% template.name %] -->
[% # PROCESS dumper.tt dump = followup_data %]
<h2>Edit Outreach follow-up [
[% request_data.patient_case.patient.last_name | upper %],
[% request_data.patient_case.patient.first_name | ucfirst %]
[% PROCESS site/lab_number.tt data = request_data %]
]
</h2>
[% IF dfv_errors %]
<p class="error">[% c.cfg('msg').dfv_errors %]</p>
[% END %]
[% addcss = [
'smoothness/jquery-ui-1.8.4.custom.css' # for DatePicker
]
%]
[% INCLUDE site/snippets/help.tt file = 'editfollowup' %]
<script type="text/javascript" src="/js/jquery-1.4.2.min.js"></script>
<script type="text/javascript" src="/js/jquery-ui-1.8.4.custom.min.js"></script>
<script type="text/javascript">
$(function() {
$('.datepicker').datepicker({
changeMonth: true,
changeYear: true,
dateFormat: 'dd/mm/yy',
});
});
</script>
[% INCLUDE site/js/validationEngine.tt %]
<script type="text/javascript">
$(document).ready(function() {
$("#followup").validationEngine()
})
</script>
[% outreach_followup_dfv_js %]
<form method="post" action="[% app_url %]/outreach/do_edit_followup/[% request_data.id %]"
name="followup" id="followup" [% outreach_followup_onsubmit %]>
<table class="indent">
<tr>
<td class="label">Follow up:</td>
<td>
<select name="followup_option_id">
<option value="">--select one--</option>
[% FOREACH opt IN followup_options;
id = opt.key;
label = opt.value.label;
option = opt.value.option;
NEXT IF followup_data.date_sent
AND option.match('month') # no point changing duration if already sent
AND followup_data.followup_option_id != id # allow existing
%]
<option value="[% id %]"
[% 'selected' IF followup_data.followup_option_id == id %]>
[% label %]
</option>
[% END %]
</select>
[% error_followup_option_id %]
</td>
</tr>
<tr>
<td class="label">Pack due:</td>
<td>
<input type="text" readonly="readonly"
value="[% followup_data.pack_due.strftime('%d.%b.%Y') %]" />
</td>
</tr>
<tr>
<td class="label">Pack sent:</td>
<td>
<input type="text" readonly="readonly"
value="[% followup_data.pack_sent.strftime('%a %d.%b.%Y') %]" />
</td>
</tr>
[% IF followup_data.return_due %]
<tr>
<td class="label">Return due:</td>
<td>
[% # USE date; # if return date in future (need to edit anyway):
# IF followup_data.return_due.epoch > date.now %]
<input type="text" name="return_due" id="return_due"
class="validate[ajax[ajaxDate]] datepicker"
value="[% followup_data.return_due.strftime('%d.%b.%Y') %]" />
[% # END %]
[% error_return_due %]
</td>
</tr>
[% END %]
<tr class="borderless">
<td colspan="2" align="center">
[% site.html.submit %]
[% site.html.reset %]
</td>
</tr>
</table>
<!-- END [% template.name %] -->