<?php
$model = new Participant();
?>
<?php
$form = ActiveForm::begin();
?>
<?php
$yesno = ['Yes' => 'Yes', 'No' => 'No'];
?>
<?php
echo $form->field($model, 'consent')->dropDownList($yesno, ['prompt' => '--Please select--', 'onChange' => 'toggleReason($(this).val())']);
?>
<span class="reasons hide"><?php
echo $form->field($model, 'reason_notconsented')->dropDownList(app\models\Valuelist::valuelist('refused'), ['prompt' => '--Please select--']);
?>
</span>
<span class="studyshow hide"><?php
echo $form->field($model, 'study_no')->textInput();
?>
</span>
</div>
<div class="modal-footer">
<input type="hidden" value="" id="idparticipant" />
<button type="button" class="btn btn-default" data-dismiss="modal">Close</button>
<button type="button" class="btn btn-primary" onClick="updateConsent()">Submit</button>
</div>
</div>
</div>
<?php
echo $form->field($model, 'spot_urine_collected')->dropDownList($yesno, ['prompt' => '--Please select--', 'onChange' => 'disableInputs($(this).val())']);
?>
<?php
echo $form->field($model, 'spot_urine_time')->widget(TimePicker::classname(), []);
?>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<?php
echo $form->field($model, 'sample_labelled')->dropDownList($yesno, ['prompt' => '--Please select--']);
?>
<?php
echo $form->field($model, 'tech_initials_r')->dropDownList(app\models\Valuelist::valuelist('techs'), ['prompt' => '--Please select--']);
?>
</div>
</div>
</div>
<input type="hidden" value="<?php
echo $model->date_visit;
?>
" id="idurinebasic" />
<div class="form-group">
<?php
echo Html::submitButton($model->isNewRecord ? 'Create' : 'Update', ['class' => $model->isNewRecord ? 'btn btn-success btn-block' : 'btn btn-primary btn-block', 'id' => 'urinebasicsubmit']);
?>
</div>
<?php
ActiveForm::end();
echo $form->field($model, 'date_visit')->widget(DatePicker::className(), ['dateFormat' => 'yyyy-MM-dd', 'options' => ['class' => 'form-control'], 'clientOptions' => ['changeMonth' => true, 'changeYear' => true, 'maxDate' => 'today']]);
?>
<?php
echo $form->field($model, 'time_visit')->widget(TimePicker::classname(), []);
?>
<?php
$list = ['yes' => 'Yes', 'no' => 'No'];
?>
<?php
echo $form->field($model, 'study_info_given')->dropDownList($list, ['prompt' => '--Please select']);
?>
<?php
echo $form->field($model, 'serial_no_bpm')->dropDownList(app\models\Valuelist::valuelist("spotbpmachines"), ['prompt' => '--Please select--']);
?>
<input type="hidden" value="<?php
echo $model->date_visit;
?>
" id="datevisit" />
<div class="row">
<div class="col-lg-12 col-md-12 col-sm-12">
<?php
echo Html::submitButton($model->isNewRecord ? 'Create' : 'Update', ['class' => $model->isNewRecord ? 'btn btn-success btn-block' : 'btn btn-primary btn-block', 'id' => 'bpspotsubmit']);
?>
</div>
</div>
</div>
</div>
<div class="col-lg-6 col-md-6 col-sm-6">
<div class="panel panel-primary">
<div class="panel-body">
<?php
echo $form->field($model, 'time_bed')->widget(TimePicker::classname(), []);
?>
<?php
echo $form->field($model, 'time_woke')->widget(TimePicker::classname(), []);
?>
<?php
echo $form->field($model, 'serial_no_abpm')->dropDownList(app\models\Valuelist::valuelist('serials'), ['prompt' => '--Please select--']);
?>
<?php
if ($model->wasuploaded != 1) {
?>
<?php
echo $form->field($model, 'file')->fileInput();
?>
<?php
}
?>
<?php
echo Html::submitButton($model->isNewRecord ? 'Create' : 'Update', ['class' => $model->isNewRecord ? 'btn btn-success btn-block' : 'btn btn-primary btn-block']);
?>
</div>
</div>
<?php
$yesno = ['Yes' => 'Yes', 'No' => 'No'];
$aliquots = ['aliquot 1' => 'aliquot 1', 'aliquot 2' => 'aliquot 2'];
?>
<!-- Tab panes -->
<?php
echo $form->errorSummary($model);
?>
<div class="col-lg-6 col-md-6 col-sm-6">
<?php
echo $form->field($model, 'blood_collected')->dropDownList($yesno, ['prompt' => '--Please select--', 'onChange' => 'disableEntireForm($(this).val())']);
?>
<span class="reasonbloodnotcollect hide"><?php
echo $form->field($model, 'reason_blood_not_collected')->dropDownList(app\models\Valuelist::valuelist('bloodnotcollected'), ['prompt' => '--Please select--']);
?>
</span>
<?php
echo $form->field($model, 'date_collect_blood')->widget(DatePicker::className(), ['dateFormat' => 'yyyy-MM-dd', 'options' => ['class' => 'form-control'], 'clientOptions' => ['changeMonth' => true, 'changeYear' => true, 'maxDate' => 'today']]);
?>
<?php
echo $form->field($model, 'time_blood_collected')->widget(TimePicker::classname(), []);
?>
<?php
echo $form->field($model, 'sample_labelled')->dropDownList($yesno, ['prompt' => '--Please select--']);
?>
