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@extends('layouts.admin.theme') @section("title", env("APP_NAME") . " :: Editar Paciente com Fibromialgia - Endereço") @section('content') <div class="card shadow"> @php $headLine = "<i class='fa-solid fa-user-injured'></i> Editar Paciente com Fibromialgia - Endereço"; @endphp @include('components.buttons._headLineButtonsBackAdd', [ 'headLine' => __($headLine), "permission" => "GERENCIADOR_DO_CADASTRO_DE_PACIENTES_COM_FIBROMIALGIA", ]) <div class="card-body"> <form action="{{ route("admin.saude.fibromialgia.endereco.update", [$paciente->id, $endereco?->id]) }}" method="post" enctype="multipart/form-data"> @include("errors.messageFlash") @csrf @method('post') @include('components.modal._modelProfile') <hr> <ul class="nav nav-pills mb-3 justify-content-center bg-light p-2 rounded shadow-sm" role="tablist"> @include('components.lists._liLinkBtnNavFibromialgia', [ 'items' => [ ['class' => '', 'route' => 'admin.saude.fibromialgia.edit', 'routeParams' => [$paciente->id], 'label' => 'Dados de Usuário'], ['class' => '', 'route' => 'admin.saude.fibromialgia.dadosPessoais', 'routeParams' => [$paciente->id], 'label' => 'Dados Pessoais'], ['class' => '', 'route' => 'admin.saude.fibromialgia.documentos', 'routeParams' => [$paciente->id], 'label' => 'Documentos'], ['class' => 'active bg-success', '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="mb-3"> <div class="row"> <div class="col-sm-12 col-md-4"> <!-- Campo CEP --> @include('components.inputs._inputType',[ "for" => null, "label" => "CEP", "name" => "cep", "id" => "zipCode", "required" => true, "type" => null, "old" => old('cep', $endereco?->cep), "oninput" => "javascript:aplicarMascaraCEP(this)", "readonly" => false, "small" => null, ]) </div> <div class="col-sm-12 col-md-6"> <!-- Campo Logradouro --> @include('components.inputs._inputType',[ "for" => null, "label" => "Logradouro", "name" => "logradouro", "id" => "street", "required" => true, "type" => null, "old" => old('logradouro', $endereco?->logradouro), "oninput" => "javascript:this.value = this.value.toUpperCase()", "readonly" => false, "small" => null, ]) </div> <div class="col-sm-12 col-md-2"> <!-- Campo Número --> @include('components.inputs._inputType',[ "for" => null, "label" => "Número", "name" => "numero", "id" => "numero", "required" => false, "type" => null, "old" => old('numero', $endereco?->numero), "oninput" => "javascript:this.value = this.value.toUpperCase()", "readonly" => false, "small" => null, ]) </div> </div> <div class="row"> <div class="col-sm-12 col-md-3"> <!-- Campo Complemento --> @include('components.inputs._inputType',[ "for" => null, "label" => "Complemento", "name" => "complemento", "id" => "complemento", "required" => false, "type" => null, "old" => old('complemento', $endereco?->complemento), "oninput" => "javascript:this.value = this.value.toUpperCase()", "readonly" => false, "small" => null, ]) </div> <div class="col-sm-12 col-md-3"> <!-- Campo Cidade --> @include('components.inputs._inputType',[ "for" => null, "label" => "Cidade", "name" => "cidade", "id" => "city", "required" => true, "type" => null, "old" => old('cidade', $endereco?->cidade), "oninput" => "javascript:this.value = this.value.toUpperCase()", "readonly" => false, "small" => null, ]) </div> <div class="col-sm-12 col-md-3"> <!-- Campo Bairro --> @include('components.inputs._inputType',[ "for" => null, "label" => "Bairro", "name" => "bairro", "id" => "neighborhood", "required" => true, "type" => null, "old" => old('bairro', $endereco?->bairro), "oninput" => "javascript:this.value = this.value.toUpperCase()", "readonly" => false, "small" => null, ]) </div> <div class="col-sm-12 col-md-3"> <!-- Campo UF --> @include('components.inputs._inputType',[ "for" => null, "label" => "UF", "name" => "uf", "id" => "state", "required" => true, "type" => null, "old" => old('uf', $endereco?->uf), "oninput" => "javascript:this.value = this.value.toUpperCase()", "readonly" => false, "small" => null, "listName" => "estadosBrasileiros", "arrayList" => [ 'AC', 'AL', 'AM', 'AP', 'BA', 'CE', 'DF', 'ES', 'GO', 'MA', 'MG', 'MS', 'MT', 'PA', 'PB', 'PE', 'PI', 'PR', 'RJ', 'RN', 'RO', 'RR', 'RS', 'SC', 'SE', 'SP', 'TO' ], ]) </div> </div> <div class="row"> <div class="col-sm-12 col-md-3 d-flex justify-content-center align-self-center"> <!-- Map Modal --> @include('components.modal._mapModal',[ "label" => "Clique no mapa e escolha um determinado ponto", ]) </div> <div class="col-sm-12 col-md-3"> <!-- Campo Latitude --> @include('components.inputs._inputType',[ "for" => null, "label" => "Latitude", "name" => "latitude", "id" => null, "required" => true, "type" => null, "old" => old('latitude', $endereco?->latitude), "oninput" => "javascript:this.value = this.value.toUpperCase()", "readonly" => false, "small" => null, ]) </div> <div class="col-sm-12 col-md-3"> <!-- Campo Longitude --> @include('components.inputs._inputType',[ "for" => null, "label" => "Longitude", "name" => "longitude", "id" => null, "required" => true, "type" => null, "old" => old('longitude', $endereco?->longitude), "oninput" => "javascript:this.value = this.value.toUpperCase()", "readonly" => false, "small" => null, ]) </div> <div class="col-sm-12 col-md-3"> <!-- Campo Comprovante --> @include('components.inputs._inputType',[ "for" => null, "label" => "Comprovante de endereço", "name" => "comprovante", "id" => null, "required" => false, "type" => 'file', "old" => null, "oninput" => null, "readonly" => true, "small" => null, "accept" => 'image/jpeg,image/jpg,image/png,image/gif,.pdf', ]) </div> </div> <div class="row"> <div class="col-12 text-center"> @if($endereco?->comprovante != null && $endereco?->comprovante != "pmar\assets\img\comprovante-residencia-default.jpg") <hr/> <a href="{{ asset($endereco?->comprovante) }}" class="text-primary" download> {{ __("Comprovante de endereço") }} - <small>{{ __("baixar") }}</small> <i class="fa-solid fa-download"></i> </a> @endif </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.documentos", $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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