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@extends('layouts.admin.theme') @section("title", env("APP_NAME") . " :: Novo Paciente com Fibromialgia - Dados do Usuário") @section('content') <div class="card shadow"> @php $headLine = "<i class='fa-solid fa-user-injured'></i> Novo Paciente com Fibromialgia - Dados do Usuário"; @endphp @include('components.buttons._headLineButtonsBackAdd', [ 'headLine' => __($headLine), "permission" => "GERENCIADOR_DO_CADASTRO_DE_PACIENTES_COM_FIBROMIALGIA", ]) <div class="card-body"> <form action="{{ route("admin.saude.fibromialgia.store") }}" method="post" enctype="multipart/form-data"> @csrf @method('post') @include("errors.messageFlash") <ul class="nav nav-pills mb-3 justify-content-center bg-light p-2 rounded shadow-sm" role="tablist"> @include('components.lists._liLinkBtnNavInterna', [ 'items' => [ ['class' => 'active bg-success disabled', 'hash' => 'primeiraSection', 'label' => 'Dados de Usuário'], ['class' => 'disabled', 'hash' => 'segundaSection', 'label' => 'Dados Pessoais'], ['class' => 'disabled', 'hash' => 'terceiraSection', 'label' => 'Documentos'], ['class' => 'disabled', 'hash' => 'quartaSection', 'label' => 'Endereço'], ['class' => 'disabled', 'hash' => 'quintaSection', 'label' => 'Arquivos'], ['class' => 'disabled', 'hash' => 'sextaSection', 'label' => 'Carteirinha'], ['class' => 'disabled', 'hash' => 'setimaSection', 'label' => 'Anotações'], ] ]) </ul> <div class="tab-content"> <div class="row"> <div class="col-sm-12 col-md-6 d-flex align-items-center justify-content-center"> <div class="mb-3"> @include('components.tables._openPhoto', [ 'asset' => "pmar/assets/img/icons/usuario.png", 'alt' => "Novo usuário", 'title' => "Novo usuário", 'text' => 'Visualizar foto', 'index' => 1, 'style' => "width: 200px;", ]) </div> </div> <div class="col-sm-12 col-md-6 d-flex align-items-end"> <div style="width: 100%"> <!-- Campo Foto --> @include('components.inputs._inputType',[ "for" => null, "label" => "Foto", "name" => "photo", "id" => null, "required" => false, "type" => 'file', "old" => null, "oninput" => null, "readonly" => true, "small" => null, "accept" => 'image/jpeg,image/jpg,image/png,image/gif', ]) </div> </div> </div> <hr/> <div class="row"> <div class="col-sm-12 col-md-3"> <!-- Campo Nome completo --> @include('components.inputs._inputType',[ "for" => null, "label" => "Nome completo", "name" => "fullName", "id" => null, "required" => true, "type" => null, "old" => old('fullName'), "oninput" => "javascript:this.value = this.value.toLocaleUpperCase('pt-BR').replace(/[^\p{L}\s]+/gu, '').replace(/\s{2,}/g,' ').trimStart()", "readonly" => false, "small" => null, ]) </div> <div class="col-sm-12 col-md-3"> <!-- Campo CPF --> @include('components.inputs._inputType',[ "for" => null, "label" => "CPF", "name" => "cpf", "id" => null, "required" => true, "type" => null, "old" => old('cpf', session("cpfTmp") ?? "" ), "oninput" => "javascript:aplicarMascaraCPF(this)", "readonly" => false, "small" => null, ]) </div> <div class="col-sm-12 col-md-3"> <!-- Campo Telefone --> @include('components.inputs._inputType',[ "for" => null, "label" => "Telefone", "name" => "phoneNumber", "id" => null, "required" => true, "type" => null, "old" => old('phoneNumber'), "oninput" => "javascript:aplicarMascaraTelefone(this)", "readonly" => false, "small" => null, ]) </div> <div class="col-sm-12 col-md-3 d-flex align-items-center"> <!-- Campo Whatsapp --> @include("components.inputs._checkBoxIsWhatsapp", ["isWhatsapp" => null]) </div> </div> <div class="row"> <div class="col-sm-12 col-md-4"> <!-- Campo Email --> @include('components.inputs._inputType',[ "for" => null, "label" => "Email", "name" => "email", "id" => null, "required" => false, "type" => 'email', "old" => old('email'), "oninput" => "javascript:this.value = this.value.toLowerCase()", "readonly" => false, "small" => null, "placeholder" => "nome@email.com", ]) </div> <div class="col-sm-12 col-md-4"> <!-- Campo Senha --> @include('components.inputs._inputType',[ "for" => null, "label" => "Senha", "name" => "password", "id" => null, "required" => true, "type" => 'password', "old" => old('password', 'mudar123'), "oninput" => null, "readonly" => true, "small" => '* A senha padrão é: <strong>mudar123</strong><br>', "toggleButton" => null, "inputGroup" => false, ]) </div> <div class="col-sm-12 col-md-4"> <!-- Campo Status --> @include('components.inputs._selectType', [ "for" => "status", "label" => "Status", "name" => "status", "required" => true, "readonly" => false, "options" => collect(App\Enums\StatusEnum::cases()) ->mapWithKeys(fn($status) => [$status->name => $status->value]) ->toArray(), "selected" => old('status', $user->status ?? ''), "placeholder" => "Selecione o status...", "small" => "Informe o status atual do usuário.", "onchange" => null ]) </div> </div> <div class="row"> <div class="d-flex justify-content-between mt-4"> <a class="btn btn-dark" href="{{ route("admin.saude.fibromialgia.index") }}"> <i class="fa-solid fa-arrow-left-long"></i> {{ __("Sair") }} </a> <button class="btn btn-primary d-inline" type="submit"> <i class="fa-solid fa-user-plus"></i> {{ __("Salvar e Prosseguir") }} </button> </div> </div> </div> </form> </div> </div> @endsection

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