@extends('adminlte::page')

@section('title', '据付最終確認書編集')

@section('content_header')
<h5><label class="title-underbar">据付最終確認書編集</label></h5>
@stop

@section('content')
<x-admin.success-flush-message />
<x-admin.error-flush-message />
<x-admin.validation-message />
<div class="row">
    <div class="col-md-12">
        <div class="card" style="border-radius: 20px; box-shadow: 0px 3px 0px 0px rgba(0, 0, 0, 0.04);">
            <div class="card-body">
                <form method="POST" action="{{ route('assemblyconfirmation.admin.update', ['id' => $item->id]) }}" class="form-group mt-3" enctype='multipart/form-data'>
                    @csrf
                    <input type="hidden" name="category" id="category" value="{{$category}}" />
                    <div class="form-group row">
                        <label for="clinic_id" class="col-sm-2 col-form-label medium-heading">医院</label>
                        <div class="col-sm-3 col-md-3 col-lg-3" style="padding-left:0px">
                            <button onclick="openSelection('{{ route('admin.WindowSelect.index', ['table' => 'Clinic']) }}');return false;" class="btn btn-block btn-outline-primary rounded-pill w-50">選択</button>
                        </div>
                        <div id="clinic_name" class="col-sm-3 col-md-3 col-lg-3" style="padding-left:0px">{{ old('clinic_name') ?? $item->clinic->name }}</div>
                        <input type="hidden" name="clinic_id" id="clinic_id" value="{{ old('clinic_id') ?? $item->clinic_id }}" />
                    </div>
                    <div class="form-group row">
                        <label for="sfa_agency_id" class="col-sm-2 col-form-label medium-heading">代行店</label>
                        <div class="col-sm-3 col-md-3 col-lg-3" style="padding-left:0px">
                            <button onclick="openSelection('{{ route('admin.WindowSelect.index', ['table' => 'SfaAgency']) }}');return false;" class="btn btn-block btn-outline-primary rounded-pill w-50">選択</button>
                        </div>
                        @php
                            $agencyName = $item->sfaAgency ? $item->sfaAgency->name : '';
                        @endphp
                        <div id="sfa_agency_name" class="col-sm-3 col-md-3 col-lg-3" style="padding-left:0px">{{ old('sfa_agency_name') ?? $agencyName }}</div>
                        <input type="hidden" name="sfa_agency_id" id="sfa_agency_id" value="{{ old('sfa_agency_id') ?? $item->sfa_agency_id }}" />
                    </div>
                    <div class="form-group row">
                        <label for="equipment_type_name" class="col-sm-2 col-form-label medium-heading">機器形式</label>
                        <div class="col-sm-3 col-md-3 col-lg-3" style="padding-left:0px">
                            <button onclick="openSelection('{{ route('admin.WindowSelect.index', ['table' => 'EquipmentType']) }}');return false;" class="btn btn-block btn-outline-primary rounded-pill w-50">選択</button>
                        </div>
                        <div id="equipment_type_name" class="col-sm-3 col-md-3 col-lg-3" style="padding-left:0px">{{ old('equipment_type_name') ?? $item->equipmentType->internal_name }}</div>
                        <input type="hidden" name="equipment_type_id" id="equipment_type_id" value="{{ old('equipment_type_id') ?? $item->equipment_type_id }}" />
                    </div>

                    <div class="form-group row">
                        <label for="serial_number" class="col-sm-2 col-form-label medium-heading">製造番号</label>
                        <div class="col-sm-4">
                            <input type="text" name="serial_number" class="form-control main-text" placeholder="製造番号を入力してください" value="{{ old('serial_number') ?? $item->serial_number }}">
                        </div>
                    </div>

                    <a href="{{ route('assemblyconfirmation.admin.index', ['category' => $category]) }}" class="btn btn-secondary btn-lg rounded-pill">キャンセル</a>
                    <button type="submit" class="btn button-go btn-lg rounded-pill">登録する</button>
                </form>

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

@section('js')
<script>
function openSelection(url) {
    window.open(url, "selectChild", "width=500,height=800");
}
</script>
@stop

@section('css')
<link rel="stylesheet" href="/css/admin_custom.css">
@stop