<!-- BEGIN [% template.name %] -->
  [% META title = 'Pre-screen &raquo; Delete Pre-screen Data' -%]

  [% # PROCESS dumper.tt dump = data %]

  [%
    col_names = [ 'PCS','BLS','SCS','TLS','RIT','OUT' ];
    lab_tests_map = {
      PCS => 'plasma_cell',
      BLS => 'b_lymphoid',
      SCS => 'stem_cell',
      TLS => 't_lymphoid',
      RIT => 'rituximab',
      OUT => 'outreach',
    };
  %]

  <h3 class="header">Delete pre-screen data</h3>

    <p class="indent warning">Confirm you really want to delete this entry:</p>

	<form action="[% app_url %]/local_worklist_preregistration/delete/[% data.id;
        '/' _ data.specimen_lab_test_data.id IF data.specimen_lab_test_data %]"
        method="post">

    <input type="hidden" name="lab_section_id" value="[% lab_section_id %]" />

    <table class="indent">
      <tr>
        <th>LabNo</th>
        <th>Surname</th>
        <th>Screened</th>
        [% IF data.specimen_lab_test_data %]
            <th>Specimen</th>
            [% FOREACH col IN col_names %]
                <th>[% col %]</th>
            [% END %]
        [% END %]
        <td class="borderless"></td>
      </tr>

      <tr>
        <td>[% data.labno %]</td>
        <td>
          <input type="text" size="15" [% site.html.disabled %]
            value="[% data.surname %]" />
        </td>
        <td>
          <select [% site.html.disabled %]>
            <option>[% data.is_screened %]</option>
          </select>
        </td>
        [% IF data.specimen_lab_test_data %]
            <td>
                <select [% site.html.disabled %]>
                    <option>[% data.specimen_lab_test_data.specimen_code %]</option>
                </select>
            </td>
            [% FOREACH col IN col_names;
                test_name = lab_tests_map.item(col); # test_name
            %]
                <td width="35" align="center">
                  [% IF data.lab_tests.${test_name} %]
                    <img src="/images/tick.gif" />
                  [% END %]
                </td>
            [% END %]
        [% END %]
        <td>
            <input type="checkbox" name="confirm_delete" value="1">
            <input type='submit' value='Delete' name='.submit' class='button' />
			<span class="error">THERE IS NO 'UNDO' OPTION</span>
        </td>
      </tr>
    </table>
    <p>[% site.html.back_button %]</p>
  </form>
<!-- END [% template.name %] -->
