29 lines
1.8 KiB
PHP
29 lines
1.8 KiB
PHP
<?php $directoryFieldId = $directoryFieldId ?? uniqid('medical_', false); ?>
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<div class="col-md-6">
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<label class="form-label"><?= h(t('animal.veterinary_clinic')) ?></label>
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<select class="form-select directory-contact-select medical-clinic-select" name="clinic_contact_id"
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data-pair="<?= h($directoryFieldId) ?>" data-new-target="<?= h($directoryFieldId) ?>ClinicNew" required>
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<option value="">— <?= h(t('common.choose')) ?> —</option>
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<?php foreach ($directoryClinics as $contact): ?><option value="<?= (int)$contact['id'] ?>">
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<?= h($contact['name']) ?></option><?php endforeach; ?>
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<option value="new">＋ <?= h(t('animal.create_clinic')) ?></option>
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</select>
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<input class="form-control mt-2 d-none" id="<?= h($directoryFieldId) ?>ClinicNew" name="new_clinic_name"
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placeholder="<?= h(t('animal.new_clinic_name')) ?>">
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</div>
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<div class="col-md-6">
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<label class="form-label"><?= h(t('animal.form.veterinarian')) ?></label>
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<select class="form-select directory-contact-select medical-vet-select" name="vet_contact_id"
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data-pair="<?= h($directoryFieldId) ?>" data-new-target="<?= h($directoryFieldId) ?>VetNew" required>
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<option value="">— <?= h(t('common.choose')) ?> —</option>
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<?php foreach ($veterinarians as $contact): ?><option value="<?= (int)$contact['id'] ?>"
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data-organization="<?= (int)($contact['organization_id'] ?? 0) ?>"><?= h($contact['name']) ?></option>
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<?php endforeach; ?>
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<option value="new">＋ <?= h(t('animal.create_vet')) ?></option>
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</select>
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<input class="form-control mt-2 d-none" id="<?= h($directoryFieldId) ?>VetNew" name="new_vet_name"
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placeholder="<?= h(t('animal.new_vet_name')) ?>">
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</div>
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<div class="col-12">
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<div class="form-hint"><?= h(t('animal.medical_pair_hint')) ?></div>
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</div>
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