@extends('adminlte::page')

@section('title', config('adminlte.title') . ' | Edit Medical Facts')

@section('content_header')
    <div class="container-fluid">
        <div class="row mb-2">
            <div class="col-sm-6 m-0 text-dark">
                <h1>Edit Medical Facts</h1>
            </div>
            <div class="col-sm-6">
                <ol class="breadcrumb float-sm-right">
                    <li class="breadcrumb-item"><a href="/">Home</a></li>
                    <li class="breadcrumb-item"><a href="{{ route('medical_facts.index') }}">Medical Facts</a></li>
                    <li class="breadcrumb-item active">Edit</li>
                </ol>
            </div>
        </div>
    </div>
@stop

@section('content')
    <div class="row">
        <div class="col-12">
            <div class="card">
                <div class="card-body">
                    <div class="container">

                        <div class="row mb-2">
                            <div class="col-12 p-4">
                                <a href={{ route('medical_facts.index') }} class="btn btn-secondary"><i
                                        class="fas fa-arrow-left"></i> Back</a>
                            </div>
                        </div>
                        <hr class="bg-secondary">
                        @if ($errors->any())
                            <div class="alert alert-danger">
                                <ul>
                                    @foreach ($errors->all() as $error)
                                        <li>{{ $error }}</li>
                                    @endforeach
                                </ul>
                            </div>
                        @endif

                        <form action="{{ route('medical_facts.update', $medical->id) }}" method="POST">
                            @csrf
                            @method('PUT')

                            <div class="card border-light m-4">
                                <div class="card-header bg-light text-xl">Editing medical facts: {{ $medical->fact }}</div>
                                <div class="card-body text-lg">
                                    <div class="card-text">
                                        <label id="factlab" for="fact">Fact<span class="text-danger">*</span></label>
                                        <input type="text" id="fact" name="fact" class="form-control"
                                            placeholder="Fact" value="{{ old('fact', $medical->fact) }}" required>
                                        <label id="severitylab" for="severity">Severity<span
                                                class="text-danger">*</span></label>
                                        <select class="custom-select" name="severity" id="severity" required>
                                            <option value=""
                                                {{ old('severity', $medical->severity) === '' ? 'selected' : '' }}>choose
                                                severity</option>
                                            <option value="None"
                                                {{ old('severity', $medical->severity) === 'None' ? 'selected' : '' }}>None
                                            </option>
                                            <option value="Mild"
                                                {{ old('severity', $medical->severity) === 'Mild' ? 'selected' : '' }}>Mild
                                            </option>
                                            <option value="Moderate"
                                                {{ old('severity', $medical->severity) === 'Moderate' ? 'selected' : '' }}>
                                                Moderate</option>
                                            <option value="Severe"
                                                {{ old('severity', $medical->severity) === 'Severe' ? 'selected' : '' }}>
                                                Severe</option>
                                            <option value="Unknown"
                                                {{ old('severity', $medical->severity) === 'Unknown' ? 'selected' : '' }}>
                                                Unknown</option>
                                        </select>

                                        <div>
                                            <label id="facttypelab" for="facttype">Fact Type</label>
                                            <select class="custom-select" name="facttype" id="facttype">
                                                <option value=""
                                                    {{ old('facttype', $medical->facttype) === '' ? 'selected' : '' }}>
                                                    choose</option>
                                                <option value="Allergy"
                                                    {{ old('facttype', $medical->facttype) === 'Allergy' ? 'selected' : '' }}>
                                                    Allergy</option>
                                                <option value="Condition"
                                                    {{ old('facttype', $medical->facttype) === 'Condition' ? 'selected' : '' }}>
                                                    Condition</option>
                                                <option value="Phobia"
                                                    {{ old('facttype', $medical->facttype) === 'Phobia' ? 'selected' : '' }}>
                                                    Phobia</option>
                                                <option value="Disability"
                                                    {{ old('facttype', $medical->facttype) === 'Disability' ? 'selected' : '' }}>
                                                    Disability</option>
                                                <option value="Permanent medication"
                                                    {{ old('facttype', $medical->facttype) === 'Permanent medication' ? 'selected' : '' }}>
                                                    Permanent medication</option>
                                                <option value="Vaccination"
                                                    {{ old('facttype', $medical->facttype) === 'Vaccination' ? 'selected' : '' }}>
                                                    Vaccination</option>
                                                <option value="Other"
                                                    {{ old('facttype', $medical->facttype) === 'Other' ? 'selected' : '' }}>
                                                    Other</option>
                                            </select>
                                        </div>

                                        <div>
                                            <label id="symptomslab" for="symptoms">Symptoms</label>
                                            <textarea id="symptoms" name="symptoms" placeholder="Symptoms" class="form-control">{{ old('symptoms', $medical->symptoms) }}</textarea>
                                        </div>
                                        <div>
                                            <label id="actionneededlab" for="actionneeded">Action needed</label>
                                            <textarea id="actionneeded" name="actionneeded" placeholder="Action needed" class="form-control">{{ old('actionneeded', $medical->actionneeded) }}</textarea>
                                        </div>
                                        <div>
                                            <label id="commentslab" for="comments">Comments</label>
                                            <textarea id="comments" name="comments" placeholder="Make a comments" class="form-control">{{ old('comments', $medical->comments) }}</textarea>
                                        </div>
                                        <hr class="bg-secondary">
                                        <div class="m-2">
                                            <a href="{{ route('medical_facts.index') }}"
                                                class="btn btn-secondary">Cancel</a> <button type="submit"
                                                class="btn btn-primary">Update medical facts details</button>
                                        </div>
                                    </div>
                                </div>
                        </form>

                    </div>

                </div>

            </div>
        </div>
    </div>
    </div>
@stop

@section('footer')
    &nbsp;
@stop