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

		<div class="col-xs-12">

			<div class="form-group form-group-sm">
				<?php echo Form::label('diagnostico_p', 'Diagnóstico principal', ['class' => 'col-md-2 control-label']); ?>

				<?php if(!isset($formulario)): ?>
					<div class="col-sm-2">
						<?php echo Form::select('diagnostico_p', $diagnosticosPorId, null, ['id' => 'diagnostico_p_id', 'class' => 'form-control select-diagnostico', 'onchange' => 'validarSexo(this.value)' ,'required']); ?>

					</div>
				<?php endif; ?>
				<div class="col-sm-8">
					<?php echo Form::text('diagnostico_p', null, ['autocomplete' => 'off', 'class' => 'form-control', 'id' => 'diagnostico_p']); ?>

				</div>
			</div>

			<div class="form-group form-group-sm">
				<?php echo Form::label('diagnostico_r1', 'Diagnóstico relacionado 1', ['class' => 'col-md-2 control-label']); ?>

				<?php if(!isset($formulario)): ?>
					<div class="col-sm-2">
						<?php echo Form::select('diagnostico_r1', $diagnosticosPorId, null, ['id' => 'diagnostico_r1_id', 'class' => 'form-control select-diagnostico']); ?>

					</div>
				<?php endif; ?>
				<div class="col-sm-8">
					<?php echo Form::text('diagnostico_r1', null, ['autocomplete' => 'off', 'class' => 'form-control', 'id' => 'diagnostico_r1']); ?>

				</div>
			</div>

			<div class="form-group form-group-sm">
				<?php echo Form::label('diagnostico_r2', 'Diagnóstico relacionado 2', ['class' => 'col-md-2 control-label']); ?>

				<?php if(!isset($formulario)): ?>
					<div class="col-sm-2">
						<?php echo Form::select('diagnostico_r2', $diagnosticosPorId, null, ['id' => 'diagnostico_r2_id', 'class' => 'form-control select-diagnostico']); ?>

					</div>
				<?php endif; ?>
				<div class="col-sm-8">
					<?php echo Form::text('diagnostico_r2', null, ['autocomplete' => 'off', 'class' => 'form-control', 'id' => 'diagnostico_r2']); ?>

				</div>
			</div>

			<div class="form-group form-group-sm">
				<?php echo Form::label('diagnostico_r3', 'Diagnóstico relacionado 3', ['class' => 'col-md-2 control-label']); ?>

				<?php if(!isset($formulario)): ?>
					<div class="col-sm-2">
						<?php echo Form::select('diagnostico_r3', $diagnosticosPorId, null, ['id' => 'diagnostico_r3_id', 'class' => 'form-control select-diagnostico']); ?>

					</div>
				<?php endif; ?>
				<div class="col-sm-8">
					<?php echo Form::text('diagnostico_r3', null, ['autocomplete' => 'off', 'class' => 'form-control', 'id' => 'diagnostico_r3']); ?>

				</div>
			</div>

			<div class="form-group form-group-sm">
				<?php echo Form::label('complicacion', 'Complicación', ['class' => 'col-md-2 control-label']); ?>

				<?php if(!isset($formulario)): ?>
					<div class="col-sm-2">
						<?php echo Form::select('complicacion', $diagnosticosPorId, null, ['id' => 'complicacion_id', 'class' => 'form-control select-diagnostico']); ?>

					</div>
				<?php endif; ?>
				<div class="col-sm-8">
					<?php echo Form::text('complicacion', null, ['autocomplete' => 'off', 'class' => 'form-control', 'id' => 'complicacion']); ?>

				</div>
			</div>

		</div>

	</div>
</a>
<div id="modal-error-validacion" class="modal fade" tabindex="-1" role="dialog" aria-labelledby="myModalLabel">
  <div class="modal-dialog modal-sm" role="document">
    <div class="modal-content">
        <div class="modal-header">
            <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">&times;</span></button>
            <h4 class="modal-title" id="myModalLabel">Advertencia</h4>
        </div>
        <div class="modal-body">
            
        </div>
        <div class="modal-footer">
            <?php /* <a href="<?php echo e(URL::to('admin')); ?>" class="btn btn-primary">SI</a> */ ?>
            <button type="button" class="btn btn-default" data-dismiss="modal">Cerrar</button>
        </div>
    </div>
  </div>
</div>