[% META title="Sample storage » Edit" %]
<!-- BEGIN [% template.name %] -->
    [% # INCLUDE dumper.tt dump = data.as_tree %]
    [% # INCLUDE dumper.tt dump = c.stash.errs %]

    [% INCLUDE record/patient_summary.tt %]

    <h3 class="header">Edit storage vial details:</h3>

    [% IF dfv_errors %]
        <dl>
          <dt class="error">[% c.cfg('msg').dfv_errors %]</dt>
            [% IF error_concentration %]
              <dd>Concentration [% error_concentration %]</dd>[% END %]
            [% IF error_volume %]
              <dd>Volume [% error_volume %]</dd>[% END %]
            [% IF error_source %]
              <dd>Source [% error_source %]</dd>[% END %]
            [% IF error_method %]
              <dd>Method [% error_method %]</dd>[% END %]
            [% IF error_sample %]
              <dd>Sample [% error_sample %]</dd>[% END %]
        </dl>
    [% END %]

    <form action="[% app_url %]/storage/update_storage_vial/[% data.vialId
      %]/[% data.request_id %]" method="post" id="form">
        <input type="hidden" name="specimen" value="[% 1 # for validator only %]" />
        <input type="hidden" name="specimen_id" value="[% data.specimen_id %]" />

        <table class="indent">
            <tr>
                <th>Vial ID</th>
                <th [% IF error_sample %]class="error"[% END %]>Sample</th>
                <th [% IF error_part_number %]class="error"[% END %]>Part Num</th>
                <th [% IF error_source %]class="error"[% END %]>Source</th>
                <th [% IF error_volume %]class="error"[% END %]>
                    Volume (&micro;L)
                </th>
                <th [% IF error_concentration %]class="error"[% END %]>
                    Conc<sup>n</sup> (ng/&micro;L)
                </th>
                <th [% IF error_method %]class="error"[% END %]>
                  <span class="acronym" title="XNA extration method">Method</span>
                </th>
                <th>In</th>
                <th>Out</th>
            </tr>
            <tr>
                <td class="bold">
                    <input type="text" name="vialId" value="[% data.vialId %]"
                        readonly="readonly" />[%# needs to be both param & query param %]
                </td>
                <td>
                    <input type="text" name="sample" value="[% data.sample %]" />
                </td>
                <td>
                    <input type="text" name="part_number" value="[% data.part_number %]" />
                </td>
                <td>
                    <select name="source">
                        <option value="">-- select --</option>
                        [% FOREACH entry IN menu_options.source %]
                            <option value="[% entry %]"
                                [% 'selected' IF entry == data.source %]>[% entry %]
                            </option>
                        [% END %]
                    </select>
                </td>
                <td>
                    <input type="text" name="volume" value="[% data.volume %]" />
                </td>
                <td>
                    <input type="text" name="concentration"
                        value="[% data.concentration %]" />
                </td>
                <td>
                    <select name="method">
                        <option value="">-- select --</option>
                        [% FOREACH entry IN menu_options.method %]
                            <option value="[% entry %]"
                                [% 'selected' IF entry == data.method %]>[% entry %]
                            </option>
                        [% END %]
                    </select>
                </td>
                <td>[% data.created_at.strftime('%d.%b.%Y') %]</td>
                <td>
                    [% data.signed_out.strftime('%d.%b.%Y') || site.html.grey_null %]
                </td>
            </tr>
        </table>
        <p>
            [% site.html.back_button %]
            [% site.html.reset %]
            [% site.html.submit %]
        </p>
    </form>

<!-- END [% template.name %] -->