[% META title = 'Rename HMRN » Treatment & Trial Options' -%]

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

	[% # PROCESS dumper.tt dump = c.param('id') %]  <!-- Type ID -->
	[% # PROCESS dumper.tt dump = c.param('Id') %]  <!-- Detail ID -->
	[% # PROCESS dumper.tt dump = edit_mode %]  <!-- Detail ID -->
	[% # PROCESS dumper.tt dump = opts %]
	[% # PROCESS dumper.tt dump = treatment_ids %]
	
	[%
  		type_id    = treatment_ids.type_id; 
		detail_id = treatment_ids.detail_id; 	
	%]
	
	<h2 align="center">Rename HMRN treatments &amp; clinical trial options</h2>

	<p>Enter new description below:</p>

	<form method="post" name="tr_rename" id="tr_rename" 
	     action="[% app_url %]/hmrn/treatment_rename/[%type_id%]/[%detail_id%]">

		<table class="indent">	
			<tr>
				<td class="label">Type:</td>
				<td class="content">
					<input type="text" name="tr_type" id="tr_type" class="" 
						   [% IF edit_mode == 'DETAIL' %]disabled[% END %]
						   value="[% opts.tx_lookup_types.$type_id %]" size="50" />	
				</td>
				<!-- <td>[%type_id%]</td> -->
			</tr>
			[% IF edit_mode == 'DETAIL' %]
				<tr>
					<td class="label">Detail:</td>
					<td class="content">
						<input type="text" name="tr_detail" id="tr_detail" class=""
						value="[% opts.tx_lookup_details.$detail_id %]" size="50" />
					</td>
					<!-- <td>[%detail_id%]</td> -->
				</tr>
			[% END %]			
			
			<tr class="borderless">
				<td>[% site.html.back_button %]</td>
				<td align="right">
					[% site.html.submit %]
					[% site.html.reset %]
				</td>
			</tr>
			
		</table>
		
	</form>
  
<!-- END [% template.name %] -->