{{-- Vista de solo lectura --}}
@if(isset($formulario))
	{!! Form::model($formulario, ['class' => 'form-horizontal']) !!}
@endif


<!-- Para cargar el último formulario registrado con la finalidad de que sea una muestra para el nuevo formulario  -->
@if(!\Session::has('success'))
	@if(isset($ultimoFormulario))
		{!! Form::model($ultimoFormulario, ['class' => 'form-horizontal', 'route' => 'seguimiento.store', 'method' => 'post', 'id' => 'formularioSeguimiento']) !!}
	@elseif(!isset($formulario)  )
		{!! Form::open(['class' => 'form-horizontal', 'route' => 'seguimiento.store', 'method' => 'post']) !!}
	@endif
@else
	{!! Form::model(Session::get('ultimoFormularior'), ['class' => 'form-horizontal', 'route' => 'seguimiento.store', 'method' => 'post', 'id' => 'formularioSeguimiento']) !!}
@endif
@include('componentes.hidden-json-seguimiento')

{!!Form::hidden('hiddenEdad','')!!}
{!!Form::hidden('hiddenSexo','')!!}

@include('componentes.mensajeError')
<div class="list-group">

	<a class="list-group-item">
		<p class="list-group-item-heading"><b>Información básica</b></p>
		<div class="row formulario-horizontal">
			<div class="col-xs-12 text-right">
				@if(isset($formulario))
					@include('componentes.boton-volver-al-listado-de-historicos-e-imprimir-en-seguimiento')
					{{-- @include('componentes.script-validarEntidad') --}}
				@else
					@include('componentes.boton-salir-de-seguimiento')
					@include('componentes.boton-guardar-seguimiento')
				@endif
			</div>
			<div class="col-xs-3">
				<div class="form-group form-group-sm">
					{!! Form::label('fecha', 'Fecha', ['class' => 'col-xs-5 control-label','autofocus']) !!}
					<div class="col-xs-7">
						@if(!isset($formulario))
							{!! Form::text('fecha', $fechaActual, ['class' => 'form-control', 'id' => 'fecha','autofocus']) !!}
						@else
							{!! Form::text('fecha', explode(' ', $formulario->fecha_hora)[0], ['class' => 'form-control', 'id' => 'fecha','autofocus']) !!}
						@endif
					</div>
				</div>
			</div>

			@if(!\Auth::user()->es_responsable && !isset($formulario))
				<div class="col-xs-5 col-xs-offset-1">
					<div class="form-group form-group-sm
					'@if (count($errors)) @if($errors->has('usuario_id'))
					{{'form-group has-error has-feedback'}} @endif @endif'" >
						{!! Form::label('usuario_id', 'Responsable', ['class' => 'col-xs-2 control-label']) !!}
						<div class="col-xs-8">
							{!! Form::select('usuario_id', $responsables, null, ['class' => 'form-control']) !!}
						</div>
					</div>
				</div>
				<div class="clearfix"></div>
			@endif
			<div class="col-xs-3">
				<div class="form-group form-group-sm">
					{!! Form::label('hora', 'Hora', ['class' => 'col-xs-5 control-label']) !!}
					<div class="col-xs-7">
						@if(!isset($formulario))
							{!! Form::text('hora', \Carbon\Carbon::now()->format('H:i:s'), ['class' => 'form-control', 'id' => 'hora']) !!}
						@else
							{!! Form::text('hora', explode(' ', $formulario->fecha_hora)[1], ['class' => 'form-control', 'id' => 'hora']) !!}
						@endif
					</div>
				</div>
			</div>
			
			<div class="col-xs-8">
				<div class="form-group form-group-sm
				'@if (count($errors)) @if($errors->has('entidad_id'))
				{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('entidad_id', 'Entidad', ['class' => 'col-xs-2 control-label']) !!}
					<div class="col-xs-10">
						{!! Form::select('entidad_id', $entidades, null, ['class' => 'form-control', 'required']) !!}
					</div>
				</div>
			</div>

			<div class="col-sm-4">
				<div class="form-group form-group-sm '@if (count($errors)) @if($errors->has('enfermedad_actual')) 
					{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('motivo_de_consulta', 'Motivo de consulta', ['class' => 'col-xs-4 control-label']) !!}
					<div class="col-xs-8">
						{!! Form::textarea('motivo_de_consulta', null, ['class' => 'form-control', 'rows' => 4, 'maxlength' => 2000,'required']) !!}
						@if( ! isset($formulario) )
							<span id="contador-motivo_de_consulta">0 de 2000</span>
						@endif
					</div>
				</div>
			</div>

			<div class="col-sm-4">
				<div class="form-group form-group-sm '@if (count($errors)) @if($errors->has('enfermedad_actual')) 
					{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('enfermedad_actual', 'Enfermedad actual', ['class' => 'col-xs-4 control-label']) !!}
					<div class="col-xs-8">
						{!! Form::textarea('enfermedad_actual', null, ['class' => 'form-control', 'rows' => 4, 'maxlength' => 2000,'required']) !!}
						@if( ! isset($formulario) )
							<span id="contador-enfermedad_actual">0 de 2000</span>
						@endif
					</div>
				</div>
			</div>

			<div class="col-sm-4">
				<div class="form-group form-group-sm '@if (count($errors)) @if($errors->has('revision_por_sistemas')) 
					{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('revision_por_sistemas', 'Revisión por sistemas', ['class' => 'col-xs-4 control-label']) !!}
					<div class="col-xs-8">
						{!! Form::textarea('revision_por_sistemas', null, ['class' => 'form-control', 'rows' => 4, 'maxlength' => 2000,'required']) !!}
						@if( ! isset($formulario) )
							<span id="contador-revision_por_sistemas">0 de 2000</span>
						@endif
					</div>
				</div>
			</div>

		</div>
	</a>
   
   <!-- <fieldset disabled>    -->
	<a class="list-group-item">
		<p class="list-group-item-heading"><b>Antecedentes familiares</b></p>
		<div class="row formulario-horizontal" >
			
			<div class="col-xs-4">
				<div class="form-group form-group-sm
				'@if (count($errors)) @if($errors->has('familiares'))
				{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('familiares', 'Familiares', ['class' => 'col-xs-7 control-label']) !!}
					<div class="col-xs-5">
						{!! Form::text('familiares', null, ['class' => 'form-control','required']) !!}
					</div>
				</div>
			</div>
		
			<div class="col-xs-4">
				<div class="form-group form-group-sm
				'@if (count($errors)) @if($errors->has('patologicos'))
				{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('patologicos', 'Patológicos', ['class' => 'col-xs-7 control-label']) !!}
					<div class="col-xs-5">
						{!! Form::text('patologicos', null, ['class' => 'form-control','required']) !!}
					</div>
				</div>
			</div>
			<div class="col-xs-4">
				<div class="form-group form-group-sm
				'@if (count($errors)) @if($errors->has('quirurgicos'))
				{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('quirurgicos', 'Quirúrgicos', ['class' => 'col-xs-7 control-label']) !!}
					<div class="col-xs-5">
						{!! Form::text('quirurgicos', null, ['class' => 'form-control', 'required']) !!}
					</div>
				</div>
			</div>

			<div class="col-xs-4">
				<div class="form-group form-group-sm
				'@if (count($errors)) @if($errors->has('toxico-alergicos'))
				{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('toxico-alergicos', 'Tóxico/Alérgicos', ['class' => 'col-xs-7 control-label']) !!}
					<div class="col-xs-5">
						{!! Form::text('toxico-alergicos', null, ['class' => 'form-control','required']) !!}
					</div>
				</div>
			</div>
			<div class="col-xs-4">
				<div class="form-group form-group-sm
				'@if (count($errors)) @if($errors->has('farmacologicos'))
				{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('farmacologicos', 'Farmacológicos', ['class' => 'col-xs-7 control-label']) !!}
					<div class="col-xs-5">
						{!! Form::text('farmacologicos', null, ['class' => 'form-control','required']) !!}
					</div>
				</div>
			</div>
			<div class="col-xs-4">
				<div class="form-group form-group-sm
				'@if (count($errors)) @if($errors->has('habitos'))
				{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('habitos', 'Hábitos', ['class' => 'col-xs-7 control-label']) !!}
					<div class="col-xs-5">
						{!! Form::text('habitos', null, ['class' => 'form-control','required']) !!}
					</div>
				</div>
			</div>
			<div class="col-xs-4">
				<div class="form-group form-group-sm
				'@if (count($errors)) @if($errors->has('social'))
				{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('social', 'Social', ['class' => 'col-xs-7 control-label']) !!}
					<div class="col-xs-5">
						{!! Form::text('social', null, ['class' => 'form-control','required']) !!}
					</div>
				</div>
			</div>
			
		</div>
	</a>
	<a class="list-group-item">
		<p class="list-group-item-heading"><b>Examen físico</b></p>
		<div class="row formulario-horizontal">

			<div class="col-xs-4">
				<div class="form-group form-group-sm
				'@if (count($errors)) @if($errors->has('ta'))
				{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('ta', 'TA', ['class' => 'col-xs-4 control-label']) !!}
					<div class="col-xs-8">
						<div class="input-group">
							{!! Form::text('ta', null, ['class' => 'form-control','required'])!!}
							<span class="input-group-addon">mmHg</span>
						</div>
					</div>
				</div>
			</div>

			<div class="col-xs-4">
				<div class="form-group form-group-sm
				'@if (count($errors)) @if($errors->has('perimetro-cefalico'))
				{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('perimetro-cefalico', 'Perimetro cefálico', ['class' => 'col-xs-4 control-label']) !!}
					<div class="col-xs-8">
						<div class="input-group">
							{!! Form::text('perimetro-cefalico', null, ['class' => 'form-control','required']) !!}
							<span class="input-group-addon">cm</span>
						</div>
					</div>
				</div>
			</div>

			<div class="col-xs-4">
				<div class="form-group form-group-sm
				'@if (count($errors)) @if($errors->has('fc'))
				{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('fc', 'FC', ['class' => 'col-xs-4 control-label']) !!}
					<div class="col-xs-8">
						<div class="input-group">
							{!! Form::text('fc', null, ['class' => 'form-control','required']) !!}
							<span class="input-group-addon">Lat / min</span>
						</div>
					</div>
				</div>
			</div>

			<div class="col-xs-4">
				<div class="form-group form-group-sm
				'@if (count($errors)) @if($errors->has('fr'))
				{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('fr', 'FR', ['class' => 'col-xs-4 control-label']) !!}
					<div class="col-xs-8">
						<div class="input-group">
							{!! Form::text('fr', null, ['class' => 'form-control','required']) !!}
							<span class="input-group-addon">Resp / min</span>
						</div>
					</div>
				</div>
			</div>

			<div class="col-xs-4">
				<div class="form-group form-group-sm
				'@if (count($errors)) @if($errors->has('peso'))
				{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('peso', 'Peso', ['class' => 'col-xs-4 control-label']) !!}
					<div class="col-xs-8">
						<div class="input-group">
							{!! Form::text('peso', null, ['class' => 'form-control','required']) !!}
							<span class="input-group-addon">Kg</span>
						</div>
					</div>
				</div>
			</div>

			<div class="col-xs-4">
				<div class="form-group form-group-sm
				'@if (count($errors)) @if($errors->has('talla'))
				{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('talla', 'Talla', ['class' => 'col-xs-4 control-label']) !!}
					<div class="col-xs-8">
						<div class="input-group">
							{!! Form::text('talla', null, ['class' => 'form-control','required']) !!}
							<span class="input-group-addon">m</span>
						</div>
					</div>
				</div>
			</div>

			<div class="col-xs-4">
				<div class="form-group form-group-sm
				'@if (count($errors)) @if($errors->has('imc'))
				{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('imc', 'IMC', ['class' => 'col-xs-4 control-label']) !!}
					<div class="col-xs-8">
						<div class="input-group">
							{!! Form::text('imc', null, ['class' => 'form-control', 'readonly']) !!}
							<span class="input-group-addon">Kg / m<sup>2</sup></span>
						</div>
					</div>
				</div>
			</div>

			<div class="col-xs-4" style="display: none;">
				<div class="form-group form-group-sm
				'@if (count($errors)) @if($errors->has('tanner'))
				{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('tanner', 'Tanner', ['class' => 'col-xs-4 control-label']) !!}
					<div class="col-xs-8">
						<div class="input-group">
							{!! Form::text('tanner', 0, ['class' => 'form-control','required']) !!}
							<span class="input-group-addon">mL / min / 1.73</span>
						</div>
					</div>
				</div>
			</div>

		</div>
	</a>
<!-- desde aqui es donde se adiciona la descripcion del examen fisico-->

	<a class="list-group-item">
		<p class="list-group-item-heading"><b>Descripción</b></p>
		<div class="row formulario-horizontal">

			<div class="col-xs-4">
				<div class="form-group form-group-sm '@if (count($errors)) @if($errors->has('paciente')) 
					{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('paciente', 'Paciente', ['class' => 'col-xs-4 control-label']) !!}
					<div class="col-xs-8">
						{!! Form::textarea('paciente', null, ['class' => 'form-control', 'rows' => 3]) !!}
					</div>
				</div>
			</div>

			<div class="col-xs-4">
				<div class="form-group form-group-sm '@if (count($errors)) @if($errors->has('cabeza_y_orl')) 
					{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('cabeza_y_orl', 'Cabeza y orl', ['class' => 'col-xs-4 control-label']) !!}
					<div class="col-xs-8">
						{!! Form::textarea('cabeza_y_orl', null, ['class' => 'form-control', 'rows' => 3]) !!}
					</div>
				</div>
			</div>

			<div class="col-xs-4">
				<div class="form-group form-group-sm '@if (count($errors)) @if($errors->has('cuello')) 
					{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('cuello', 'Cuello', ['class' => 'col-xs-4 control-label']) !!}
					<div class="col-xs-8">
						{!! Form::textarea('cuello', null, ['class' => 'form-control', 'rows' => 3]) !!}
					</div>
				</div>
			</div>

			<div class="col-xs-4">
				<div class="form-group form-group-sm '@if (count($errors)) @if($errors->has('torax')) 
					{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('torax', 'Torax', ['class' => 'col-xs-4 control-label']) !!}
					<div class="col-xs-8">
						{!! Form::textarea('torax', null, ['class' => 'form-control', 'rows' => 3]) !!}
					</div>
				</div>
			</div>

			<div class="col-xs-4">
				<div class="form-group form-group-sm '@if (count($errors)) @if($errors->has('cp')) 
					{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('cp', 'CP', ['class' => 'col-xs-4 control-label']) !!}
					<div class="col-xs-8">
						{!! Form::textarea('cp', null, ['class' => 'form-control', 'rows' => 3]) !!}
					</div>
				</div>
			</div>

			<div class="col-xs-4">
				<div class="form-group form-group-sm '@if (count($errors)) @if($errors->has('abdomen')) 
					{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('abdomen', 'Abdomen', ['class' => 'col-xs-4 control-label']) !!}
					<div class="col-xs-8">
						{!! Form::textarea('abdomen', null, ['class' => 'form-control', 'rows' => 3]) !!}
					</div>
				</div>
			</div>

			<div class="col-xs-4">
				<div class="form-group form-group-sm '@if (count($errors)) @if($errors->has('genitales')) 
					{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('genitales', 'Genitales', ['class' => 'col-xs-4 control-label']) !!}
					<div class="col-xs-8">
						{!! Form::textarea('genitales', null, ['class' => 'form-control', 'rows' => 3]) !!}
					</div>
				</div>
			</div>

			<div class="col-xs-4">
				<div class="form-group form-group-sm '@if (count($errors)) @if($errors->has('extremidades')) 
					{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('extremidades', 'Extremidades', ['class' => 'col-xs-4 control-label']) !!}
					<div class="col-xs-8">
						{!! Form::textarea('extremidades', null, ['class' => 'form-control', 'rows' => 3]) !!}
					</div>
				</div>
			</div>

			<div class="col-xs-4">
				<div class="form-group form-group-sm '@if (count($errors)) @if($errors->has('piel')) 
					{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('piel', 'Piel', ['class' => 'col-xs-4 control-label']) !!}
					<div class="col-xs-8">
						{!! Form::textarea('piel', null, ['class' => 'form-control', 'rows' => 3,'required']) !!}
					</div>
				</div>
			</div>

			<div class="col-xs-4">
				<div class="form-group form-group-sm '@if (count($errors)) @if($errors->has('neurologico')) 
					{{'form-group has-error has-feedback'}} @endif @endif'">
					{!! Form::label('neurologico', 'Neurológico', ['class' => 'col-xs-4 control-label']) !!}
					<div class="col-xs-8">
						{!! Form::textarea('neurologico', null, ['class' => 'form-control', 'rows' => 3,'required']) !!}
					</div>
				</div>
			</div>

		</div>
	</a>
<!-- hasta aqui es donde se adiciona la descripcion del examen fisico-->
	@include('componentes/formulario-diagnosticos')
	<a class="list-group-item">
		<p class="list-group-item-heading"><b>Anotaciones finales</b></p>
		<div class="row formulario-horizontal">
			<div class="col-xs-12">

				<div class="col-sm-4">
					<div class="form-group-sm
				'@if (count($errors)) @if($errors->has('analisis'))
				{{'form-group has-error has-feedback'}} @endif @endif'">
						{!! Form::label('analisis', 'Análisis', ['class' => 'control-label']) !!}
						{!! Form::textarea('analisis', null, ['class' => 'form-control', 'rows' => 8, 'maxlength' => 2000,'required']) !!}
						@if( ! isset($formulario) )
							<span id="contador-analisis">0 de 2000</span>
						@endif
					</div>
				</div>

				<div class="col-sm-4">
					<div class="form-group-sm
				'@if (count($errors)) @if($errors->has('conducta'))
				{{'form-group has-error has-feedback'}} @endif @endif'">
						{!! Form::label('conducta', 'Conducta', ['class' => 'control-label']) !!}
						{!! Form::textarea('conducta', null, ['class' => 'form-control', 'rows' => 8, 'maxlength' => 2000,'required']) !!}
						@if( ! isset($formulario) )
							<span id="contador-conducta">0 de 2000</span>
						@endif
					</div>
				</div>

				<div class="col-sm-4">
					<div class="form-group-sm
				'@if (count($errors)) @if($errors->has('recomendaciones'))
				{{'form-group has-error has-feedback'}} @endif @endif'">
						{!! Form::label('recomendaciones', 'Recomendaciones', ['class' => 'control-label']) !!}
						{!! Form::textarea('recomendaciones', null, ['class' => 'form-control', 'rows' => 8, 'maxlength' => 2000, 'required']) !!}
						@if( ! isset($formulario) )
							<span id="contador-recomendaciones">0 de 2000</span>
						@endif
					</div>
				</div>

			</div>
		</div>
	</a>
	<a class="list-group-item">
		<p class="list-group-item-heading"><b>Añadido</b></p>
		<div class="row formulario-horizontal">
			<div class="col-xs-12">
				<div class="col-sm-4">
					<div class="form-group-sm">
						{!! Form::label('auto_carga', 'Auto Cargado', ['class' => 'control-label']) !!}
						{!! Form::textarea('auto_carga', $consulta->detalle, ['class' => 'form-control', 'rows' => 8, 'maxlength' => 2000,'disabled']) !!}
						{!! Form::hidden('auto_carga', $consulta->detalle) !!}
						
					</div>
				</div>
			</div>
		</div>
	</a>
	@if(isset($formulario)) {{-- Para poder ver y utilizar el form model --}}

		@include('componentes.lista-de-medicamentos')
		@include('componentes.lista-de-procedimientos')
		@include('componentes.lista-de-remisiones')

		{!! Form::close() !!}
	@elseif(isset($ultimoFormulario) || !isset($formulario))
		@include('componentes.modal-confirmar-registro-de-seguimineto')

		{!! Form::hidden('paciente_id', $paciente) !!}
		{!! Form::hidden('programa', $programa) !!}
		{{-- {!! Form::hidden('datos', $datos) !!} --}}

		{!! Form::close() !!}

		<a class="list-group-item">
			<div class="row formulario-horizontal">
				<div class="col-xs-12 text-right">
					@include('componentes.boton-guardar-seguimiento')
				</div>
			</div>
		</a>
	@endif
<!-- </fieldset>  -->
</div> {{-- list group --}}

{{-- Cargar los inputs tipo custom de fecha y hora cuando se solicita el formulario actual desde seguimiento o inscripción --}}
@include('componentes.script-cargar-inputs-fecha-hora-desde-seguimiento')
@include('componentes.script-verificar-sexo-diagnosticos')
@include('componentes.script-validarEntidad')