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@extends('layouts.admin.theme') @section("title", env("APP_NAME") . " :: Editar Paciente com Fibromialgia - Dados Pessais") @section('content') <div class="card shadow"> @php $headLine = "<i class='fa-solid fa-user-injured'></i> Editar Paciente com Fibromialgia - Dados Pessais"; @endphp @include('components.buttons._headLineButtonsBackAdd', [ 'headLine' => __($headLine), "permission" => "GERENCIADOR_DO_CADASTRO_DE_PACIENTES_COM_FIBROMIALGIA", ]) <div class="card-body"> <form action="{{ route("admin.saude.fibromialgia.dadosPessoais", $paciente->id) }}" method="post" enctype="multipart/form-data"> @include("errors.messageFlash") @csrf @method('post') @include('components.modal._modelProfile') <hr> <ul class="nav nav-pills mb-3 justify-content-center bg-light p-2 rounded shadow-sm" role="tablist"> @include('components.lists._liLinkBtnNavFibromialgia', [ 'items' => [ ['class' => '', 'route' => 'admin.saude.fibromialgia.edit', 'routeParams' => [$paciente->id], 'label' => 'Dados de Usuário'], ['class' => 'active bg-success', 'route' => 'admin.saude.fibromialgia.dadosPessoais', 'routeParams' => [$paciente->id], 'label' => 'Dados Pessoais'], ['class' => '', 'route' => 'admin.saude.fibromialgia.documentos', 'routeParams' => [$paciente->id], 'label' => 'Documentos'], ['class' => '', 'route' => 'admin.saude.fibromialgia.endereco', 'routeParams' => [$paciente->id], 'label' => 'Endereço'], ['class' => '', 'route' => 'admin.saude.fibromialgia.arquivos', 'routeParams' => [$paciente->id], 'label' => 'Arquivos'], ['class' => '', 'route' => 'admin.saude.fibromialgia.carteirinha', 'routeParams' => [$paciente->id], 'label' => 'Carteirinha'], ['class' => '', 'route' => 'admin.saude.fibromialgia.anotacoes', 'routeParams' => [$paciente->id], 'label' => 'Anotações'], ] ]) </ul> <div class="tab-content"> <div class="row"> <div class="col-sm-12 col-md-6"> <!-- Campo Nome da mãe --> @include('components.inputs._inputType',[ "for" => null, "label" => "Nome da mãe completo", "name" => "nomeMae", "id" => null, "required" => true, "type" => null, "old" => old('nomeMae', $pessoa?->nomeMae), "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-6"> <!-- Campo Nome do Pai --> @include('components.inputs._inputType',[ "for" => null, "label" => "Nome do pai completo", "name" => "nomePai", "id" => null, "required" => false, "type" => null, "old" => old('nomePai', $pessoa?->nomePai), "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> <div class="row"> <div class="col-sm-12 col-md-6"> <!-- Campo Data de Nascimento --> @include('components.inputs._inputType',[ "for" => null, "label" => "Data de Nascimento", "name" => "dtaNascimento", "id" => null, "required" => true, "type" => "date", "old" => old('dtaNascimento', $pessoa?->dtaNascimento), "oninput" => "", "readonly" => false, "small" => null, ]) </div> <div class="col-sm-12 col-md-6"> <!-- Campo Sexo --> @include('components.inputs._selectType', [ "for" => "sexo", "label" => "Sexo", "name" => "sexo", "required" => true, "readonly" => false, "options" => collect(App\Enums\StatusSexo::cases()) ->mapWithKeys(fn($status) => [$status->name => $status->value]) ->toArray(), "selected" => old('sexo', $pessoa?->sexo ?? 'NAO_INFORMADO'), "placeholder" => "Selecione uma opção...", "small" => "Informe o sexo.", "onchange" => null ]) </div> </div> <div class="row"> <div class="d-flex justify-content-between mt-4"> <a class="btn btn-outline-secondary" href="{{ route("admin.saude.fibromialgia.edit", $paciente->id) }}"> <i class="fa-solid fa-arrow-left-long"></i> {{ __("Anterior") }} </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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