{% extends 'MainBundle:Master:template.html.twig' %}
{% block scripts %}
    {% if grabadorahtml %}
        <script src="{{ asset('bundles/fosjsrouting/js/router.js') }}"></script>
        <script src="{{ path('fos_js_routing_js', { callback: 'fos.Router.setData' }) }}"></script>
    {% endif %}
    <script>
        var urlSendFileTecnologist = '{{ path("SendFileTecnologist") }}';
        var urlSendFileTecnologistConsent = '{{ path("SendFileTecnologistConsent") }}';
        var url_save = "{{ path('SaveStudyDataRegistered') }}";
        var url_update = "{{ path('UpdateStudyData_Worklist') }}";
        var url_previous_status = "{{ path('setWorkFlowToPreviousStatus') }}";
        var url_store_form = "{{ path('patient_StoreFormEditionDatas') }}";
        var url_re_enable = "{{ path('patient_reEnableDataPatientEdition') }}";
        var id_room = '{{ per }}';
        var url_start_time = '{{ path('StartTimeTecnologist') }}';
        var url_new_comment = '{{ path('new_comment_devolution_technologist') }}';
        var alert_error = '{{ 'messages.camposObligatorios'|trans([], 'LocalizationBundle') }}';
        var cancel = '{{ 'button.cancel'|trans([], 'LocalizationBundle') }}';
        var saveComment = '{{ 'button.save'|trans([], 'LocalizationBundle') }}';
        var url_reload_devolution = '{{ path('reload_Devolution') }}';
        var errorAjax = '{{ 'messages.ajax.errorProcess'|trans([], 'LocalizationBundle') }}';
        var addComments = '{{ 'labels.add'|trans([], 'LocalizationBundle') }} {{ 'labels.comments'|trans([], 'LocalizationBundle') }}';
        var years = '{{ 'labels.date.years'|trans([], 'LocalizationBundle') }}';
        var month = '{{ 'labels.date.month'|trans([], 'LocalizationBundle') }}';
        var days = '{{ 'labels.date.days'|trans([], 'LocalizationBundle') }}';
        var pasoLectura = '{{ pasoLectura }}';
        var devolution = false;
        var grabadorahtml = '{{ grabadorahtml }}';
        {% if devolution %}
        var devolution = true;
        {% endif %}
    </script>
    <script type="text/javascript" src="{{ asset('bundles/shedule/js/blockUI.js') }}"></script>
    <script type="text/javascript" src="{{ asset('bundles/patient/js/ajax/UpdateStudyDataRegistered_SaveData.js') }}"></script>
    <link rel="stylesheet" href="{{ asset('bundles/main/css/bootstrap.css') }}"/>
    <link rel="stylesheet" href="{{ asset('bundles/shedule/'~ hrk_skin ~'/dataTableCustom.css') }}"/>
    <link rel="stylesheet" href="{{ asset('bundles/reading/css/notificationsLight.css') }}"/>
    <script type="text/javascript" src="{{ asset('bundles/shedule/bootstrap/js/bootstrap.js') }}"></script>
    <script>
        $(window).scroll(function(){
    if ($(window).scrollTop() >= 100) {
       $('.code_num').addClass('fixed-header');
    }
    else {
       $('.code_num').removeClass('fixed-header');
    }
    });
    </script>
    <style>
        label{font-size:12px}
        .dataMTable{
            border-collapse:separate;
            border-spacing: 2px;
            border: 1px solid #ccc;
        }
        .dataMTable td{
            background-color: #ccc;
            color:#062e49;
            padding: 5px;
        }
        .dataMTable th{
            text-align: center;
        }

        .btn-danger{
            color: black;
        }
    </style>
   
{% endblock %}
{% block content %}

    <div id="dataDevolution" title="{{ 'reading.returns'|trans([], 'LocalizationBundle') }}">
        <div align="center">
            <table class="dataMTable">
                <tr>
                    <th>{{ 'labels.numero'|trans([], 'LocalizationBundle') }}</th>
                    <th>{{ 'labels.date.normal'|trans([], 'LocalizationBundle') }}</th>
                    <th>{{ 'labels.proceso'|trans([], 'LocalizationBundle') }}</th>
                    <th>{{ 'labels.reasons_return'|trans([], 'LocalizationBundle') }}</th>
                    <th>{{ 'labels.role.usuario'|trans([], 'LocalizationBundle') }}</th>
                    <th>{{ 'labels.comentTec'|trans([], 'LocalizationBundle') }}</th>
                    <th>{{ 'labels.comentRad'|trans([], 'LocalizationBundle') }}</th>
                    <th>{{ 'labels.comentTra'|trans([], 'LocalizationBundle') }}</th>
                    <th></th>
                </tr>
                <tbody id="bodyDevolution">
                {% for dev in devolution %}
                    <tr>
                        <td>{{ loop.index }}</td>
                        <td>{{ dev.current }}</td>
                        <td>{{ dev.nextStep }}</td>
                        <td>{{ dev.motiveDevolution }}</td>
                        <td>{{ dev.username }}</td>
                        <td>{{ dev.commentNewSendTechnologist }}</td>
                        <td>{{ dev.commentNewSendRadiologist }}</td>
                        <td>{{ dev.commentNewSendTranscription }}</td>
                        <td>
                            <a href="" alt="{{ dev.commentNewSendTechnologist }}" name="{{ dev.idDevolutionHistoric }}" class="agregarComentario" title="Adicionar Comentario" style="white-space:normal !important;text-align: center;">
                                <span class="ui-icon ui-icon-circle-plus"></span>
                            </a>
                        </td>
                    </tr>
                {% endfor %}
                </tbody>
            </table>

        </div>
    </div>

    <div id="newComment" style="display:none;">
        <div align="center">
            <br>
            <div id="errorDevolutionNew" class="ui-widget">
                <div class="ui-state-error ui-corner-all" style="padding: 0 .7em;">
                    <p><span class="ui-icon ui-icon-alert" style="float: left; margin-right: .3em;"></span>

                    <div id="mensajeErrorNew">{{ 'labels.devolutionError'|trans([], 'LocalizationBundle') }}</div>
                    </p>
                </div>
            </div>
            <textarea id="new_comment" style="width: 220px; height: 80px; resize: none;"></textarea>
            <input id="codeDevolution" name="codeDevolution" type="hidden" value=""/>
            <br>
            <div id="spinnerNewComment" style="display: none;">
                <img style="width: 40px;" src="{{ asset("bundles/utilities/images/spinner.gif") }}" style="border: none;"/>
            </div>
        </div>
    </div>

    <form id="register" name="register" enctype="multipart/form-data" method="post" onsubmit="return false">

        <input id="number_consultation" name="number_consultation" type="hidden" value="{{ number_consultation }}"/>
        <input id="number_status" name="number_status" type="hidden" value="{{ number_status }}"/>
        <input id="locale" name="locale" type="hidden" value="{{ app.request.locale }}"/>
        <input id="procedence" name="procedence" type="hidden" value="{{ datamover.0.proId }}"/>
        <input id="prior" name="prior" type="hidden" value="{{ datamover.0.priId }}"/>


    <div class="container-fluid">
        
                    
        <div class="panel panel-default">

            <div class="panel-body">
                <h4>{{ 'menu.actuali'|trans([], 'LocalizationBundle') }}:</h4>
                <div class="code_num">
                    <div class="col-md-6">
                           <h3>{{ 'labels.accesion_number'|trans([], 'LocalizationBundle') }}: '{{ per2|raw }}'</h3>
                    </div>
                    <div class="col-md-6">
                        <ul class="nav navbar-nav navbar-right">
                            <li><button href="#" id="button4" class="btn btn-primary btn-sm" style="visibility: hidden;"><span class="glyphicon glyphicon-repeat" aria-hidden="true"></span> {{ 'labels.devoluciones'|trans([], 'LocalizationBundle') }}</button></li>
                            <li><button href="#" id="button5" class="btn btn-primary btn-sm"><span class="glyphicon glyphicon-save" aria-hidden="true"></span> {{ 'button.send'|trans([], 'LocalizationBundle') }}</button></li>
                            <li><button href="#" id="button6" class="btn btn-primary btn-sm"><span class="glyphicon glyphicon-remove-circle" aria-hidden="true"></span> {{ 'button.cancel'|trans([], 'LocalizationBundle') }}</button></li>
                            <li><button type="button" class="btn btn-default btn-sm"><span class="glyphicon glyphicon-print" aria-hidden="true"></span> {{ 'button.print'|trans([], 'LocalizationBundle') }}</button></li>
                            <li><button type="button" class="btn btn-default btn-sm"><span class="glyphicon glyphicon-fire" aria-hidden="true"></span> {{ 'button.burn'|trans([], 'LocalizationBundle') }}</button></li>
                        </ul>
                    </div>
                </div>
                        
                <div class="clearfix"></div>    
                        
                <div id="caja3">
                    <p>( * {{ 'messages.campoObliga'|trans([], 'LocalizationBundle') }})</p>

                    <div id="spinner" style="display: none;">
                        <img style="width: 40px;" src="{{ asset("bundles/utilities/images/spinner.gif") }}" style="border: none;"/>
                    </div>
                </div>
                <div id="caja3">
                    <!--Muestra un mensaje  de exito-->
                    <div id="exito" class="ui-widget" style="display:none;">
                        <div class="ui-state-highlight ui-corner-all" style="margin-top: 20px; padding: 0 .7em;">
                            {{ 'messages.processOk'|trans([], 'LocalizationBundle') }}
                            <strong id="men"></strong>
                            </p>
                        </div>
                    </div>
                    <br>
                    <!--Muestra un mensaje  error-->
                    <div id="error_bottom" class="ui-widget" style="display:none;">
                        <div class="ui-state-error ui-corner-all" style="padding: 0 .7em;">
                            <p>
                                {{ 'messages.camposObligatorios'|trans([], 'LocalizationBundle') }}
                                <span class="ui-icon ui-icon-alert" style="float: left; margin-right: .3em;"></span>
                                <strong id="men1"></strong>
                            </p>
                        </div>
                    </div>
                </div>
                {# Campo de Imagenes #}
                <div style="height:150px; overflow:auto; border: 1px solid  #f0f0f0; border-radius:2px;" id="">
                    {% set  NumberImage  =  "" %}
                    {% for Image in imageData %}

                        <div name="image" style="display: inline-block; float: inherit;">
                            <img class="image_pacs"
                                 src="/wado/wado?requestType=WADO&rows=128&studyUID=&seriesUID={{ Image.seriesUid }}&objectUID={{ Image.objectUid }}"
                                 width="90" height="100">
                        </div>
                        {% set  NumberImage  =   loop.index %}
                    {% endfor %}
                    {#<p>
                        <label>{{ 'labels.actImgOk'|trans([], 'LocalizationBundle') }}</label>
                    </p>#}
                </div>
                {# Fin Campo de Imagenes #}
                
                    <input type="hidden" id="input_internalOrder" name="input_internalOrder" value="{{ datamover.0.internalOrderCode }}">
                    <input type="hidden" id="input_codAppointment" name="input_codAppointment" value="{{ per }}">
                    <input type="hidden" id="input_studyCode" name="input_studyCode" value="{{ datamover.0.idRoomAppointmentStudyReceipt }}">
                
                
                {#En el for se cargan los datos del paciente cuando se renderiza la vista por primera vez#}
                <div class="col-md-12" style="margin-top:20px;">
                    <label class="col-sm-3 control-label" style="font-size:14px"><strong>{{ 'labels.Headquarter.singular'|trans([], 'LocalizationBundle') }}</strong>:</label>
                    <label class="col-sm-3 control-label" style="font-size:14px" id="sede" name="sede">{{ datamover.0.varHead }}</label>
                    <div class="clearfix"></div>
                    <label class="col-sm-3 control-label" style="font-size:14px"><strong>{{ 'labels.document.doc'|trans([], 'LocalizationBundle') }}</strong>: </label>
                    <label class="col-sm-3 control-label" style="font-size:14px">{{ datamover.0.document }}</label></p>
                    <div class="clearfix"></div>
                    <label class="col-sm-3 control-label" style="font-size:14px"><strong>{{ 'modalities.modality'|trans([], 'LocalizationBundle') }}</strong>:</label>
                    <label class="col-sm-3 control-label" style="font-size:14px" id="modalidad" name="modalidad">{{ datamover.0.varMod }}</label>
                    <div class="clearfix"></div>
                </div>
                
                {#En la variable cam se carga los datos clinicos del p|aciente si ya tiene historia clinica#}
                <div class="col-md-6">
                    {% if(hijo_de!='') %}
                        <div class="form-group">
                            <label class="col-sm-6 control-label"></label>
                            <label class="col-sm-6 control-label"><b>{{ hijo_de }}</b></label>
                        </div>
                    {% endif %}
                    
                    <div class="form-group">
                        <label class="col-sm-6 control-label">{{ 'labels.patient.firstName'|trans([], 'LocalizationBundle') }}&nbsp;*:</label>
						<div class="col-sm-6">
                            <input id="input_first_Name_patient" class="form-control" name="input_first_Name_patient" type="text" value="{{ datamover.0.firstName }}">
                        </div>
                    </div>
                   
                    <div class="form-group">    
                        <label class="col-sm-6 control-label">{{ 'labels.patient.secondName'|trans([], 'LocalizationBundle') }}:</label>
                        <div class="col-sm-6">
                            <input id="input_second_Name_patient" class="form-control" name="input_second_Name_patient" type="text" value="{{ datamover.0.secondName }}">
                        </div>
                    </div>
                    
                    <div class="form-group">
                        <label class="col-sm-6 control-label">{{ 'labels.patient.lastName'|trans([], 'LocalizationBundle') }}&nbsp;*: </label>
                        <div class="col-sm-6">
                            <input id="input_first_Last_Name_patient" class="form-control" name="input_first_Last_Name_patient" type="text" value="{{ datamover.0.firstLastName }}">
                        </div>
                    </div>

                    <div class="form-group">
                        <label class="col-sm-6 control-label">{{ 'labels.patient.secondLastName'|trans([], 'LocalizationBundle') }}:</label>
                        <div class="col-sm-6">
                            <input id="input_second_Last_Name_patient" name="input_second_Last_Name_patient" type="text" class="form-control" value="{{ datamover.0.secondLastName }}">
                        </div>
                    </div>
                        
                    <div class="form-group">
                        <label class="col-sm-6 control-label">{{ 'labels.documentType'|trans([], 'LocalizationBundle') }}&nbsp;*:</label>
                        <div class="col-sm-6">
                            <select id="select_typeDocument" name="select_typeDocument" class="form-control">
                                <option value="">--{{ 'button.select'|trans([], 'LocalizationBundle') }}--</option>
                                {% for doc in typeDocument %}
                                    {% if datamover.0.docType == doc.docType %}
                                        <option selected value="{{ doc.docType }}">{{ doc.doctName }}</option>
                                    {% else %}
                                        <option value="{{ doc.docType }}">{{ doc.doctName }}</option>
                                    {% endif %}
                                {% endfor %}
                            </select>
                        </div>
                    </div>

                    <div class="form-group">
                        <label class="col-sm-6 control-label">{{ 'labels.patient.birthDate'|trans([], 'LocalizationBundle') }}&nbsp;*:</label>
                        <div class="col-sm-6">
                            <input type="text" id="datepicker_d" class="form-control" name="datepicker_d" readonly="readonly" maxlength="10" value="{{ datamover.0.dateBirth|date('d-m-Y') }}"/>
                        </div>
                    </div>
                        
                    <div class="form-group">
                        <label class="col-sm-6 control-label">{{ 'labels.patient.age'|trans([], 'LocalizationBundle') }}&nbsp;*:</label>
                        <div class="col-sm-6">
                        {#{% if datamover.0.ageYear < 0 %}
                            <input id="input_age_Year_patient" class="form-control" name="input_age_Year_patient" readonly="readonly" type="text" value="0" title="">

                        {% else %}

                            <input id="input_age_Year_patient" class="form-control" name="input_age_Year_patient" readonly="readonly" type="text" value="{{ datamover.0.ageYear }}" title="">

                        {% endif %}#}
                            <input id="input_age_Year_patient" class="form-control" name="input_age_Year_patient" readonly="readonly" type="text" value="{{ edadcompleta }}" title="">
                            <input type="hidden" name="edadCompleta" value="{{ edadcompleta }}" />
                        </div>
                        
                    </div>

                    {#<div class="form-group">
                        <label class="col-md-6 control-label">{{ 'receive.old_type'|trans([], 'LocalizationBundle') }}&nbsp;<font size="2"><strong style="color: white"></strong></font>:</label>
                        <div class="col-md-6">
                            <select id="ageType" class="form-control" name="ageType">
                                <option value="{{ datamover.0.ageTypeNum }}">{{ datamover.0.ageType }}</option>
                                <option value="1">{{ 'receive.years'|trans([], 'LocalizationBundle') }}</option>
                                <option value="2">{{ 'receive.months'|trans([], 'LocalizationBundle') }}</option>
                                <option value="3">{{ 'receive.days'|trans([], 'LocalizationBundle') }}</option>
                            </select>
                        </div>
                    </div>#}
                    
                    <!-- Tecnologo -->
                    <div class="form-group">
                        <label class="col-sm-6 control-label">{{ 'labels.role.technologist'|trans([], 'LocalizationBundle') }}*:</label>
                        <div class="col-sm-6">
                            <select id="select_technologist" class="form-control" name="select_technologist">
                                <strong>        <option selected value="">{{ 'receive.select'|trans([], 'LocalizationBundle') }}</option> </strong>
                             {#   <option value="">--{{ 'button.select'|trans([], 'LocalizationBundle') }}--</option>#}
                                {% if platesRegistry.0.id is defined %}
                                    
                                   
                                 {#   <option selected value="{{ platesRegistry.0.id }}">{{ platesRegistry.0.userSaveTecno }}</option>#}
                                    {% for ListTechnologistList in TechnologistList %}
                                        <option value="{{ ListTechnologistList.id }}">{{ ListTechnologistList.username }}</option>
                                    {% endfor %}
                                {% else %}
                                    {% for ListTechnologistList in TechnologistList %}
                                        <option value="{{ ListTechnologistList.id }}">{{ ListTechnologistList.username }}</option>
                                    {% endfor %}
                                {% endif %}
                            </select>
                        </div>
                    </div>
                            
                            

                    {% if folio_consecutive == 'true' %}
                        <div class="form-group">
                            <label class="col-sm-6 control-label">{{ 'labels.folio'|trans([], 'LocalizationBundle') }}&nbsp;*:</label>
                            <div class="col-sm-6">
                                {% if datamover.0.folio is defined %}
                                    <input id="input_folio" class="form-control" name="input_folio" type="text" value="{{ datamover.0.folio }}" title="">
                                {% else %}
                                    <input id="input_folio" class="form-control" name="input_folio" type="text" value="" title="">
                                {% endif %}
                            </div>
                        </div>

                        <div class="form-group">
                            <label class="col-sm-6 control-label">{{ 'labels.consecutive'|trans([], 'LocalizationBundle') }}&nbsp;*:</label>
                            <div class="col-sm-6">
                                {% if datamover.0.consecutive is defined %}
                                    <input id="input_consecutive" class="form-control" name="input_consecutive" type="text" value="{{ datamover.0.consecutive }}" title="">
                                {% else %}
                                    <input id="input_consecutive" class="form-control" name="input_consecutive" type="text" value="" title="">
                                {% endif %}
                            </div>
                        </div>
                    {% elseif folio_consecutive == 'false' %}
                        <div class="form-group" style="display: none">
                            <label class="col-sm-6 control-label">{{ 'labels.folio'|trans([], 'LocalizationBundle') }}&nbsp;*:</label>
                            <div class="col-sm-6">
                                <input id="input_folio" class="form-control" name="input_folio" type="text" value="0" title="">
                            </div>
                        </div>

                        <div class="form-group" style="display: none">
                            <label class="col-sm-6 control-label">{{ 'labels.consecutive'|trans([], 'LocalizationBundle') }}&nbsp;*:</label>
                            <div class="col-sm-6">
                                <input id="input_consecutive" class="form-control" name="input_consecutive" type="text" value="0" title="">
                            </div>
                        </div>
                    {% endif %}

                    <div class="form-group">
                        <label class="col-sm-6 control-label">{{ 'labels.snaps'|trans([], 'LocalizationBundle') }}:</label>
                        <div class="col-sm-6">
                        {% if platesRegistry.0.snapnumber is defined %}
                            <input id="input_NumberShots" class="form-control" name="input_NumberShots" type="text" value="{{ platesRegistry.0.snapnumber }}" title="">
                        {% else %}
                            <input id="input_NumberShots"  class="form-control" name="input_NumberShots" type="text" value="" title="">
                        {% endif %}
                        </div>
                    </div>

                    <div class="form-group">
                        <label class="col-sm-6 control-label">{{ 'labels.numberPlates'|trans([], 'LocalizationBundle') }}:</label>
                        <div class="col-sm-6">
                        {% if platesRegistry.0.numberPlates is defined %}
                            <input id="input_number_plates" class="form-control" name="input_number_plates" type="text" value="{{ platesRegistry.0.numberPlates }}" readonly title="">
                        {% else %}
                            <input id="input_number_plates" class="form-control" name="input_number_plates" type="text" value="" readonly title="">
                        {% endif %}
                        </div>
                    </div>

                    <div class="form-group">
                        <label class="col-sm-6 control-label">{{ 'labels.OverExposure'|trans([], 'LocalizationBundle') }}:</label>
                        <div class="col-sm-6">
                        {% if platesRegistry.0.overExposure is defined %}
                            <input id="input_expossures" class="form-control" name="input_expossures" type="text" value="{{ platesRegistry.0.overExposure }}" title="">
                        {% else %}
                            <input id="input_expossures" class="form-control" name="input_expossures" type="text" value=""  title="">
                        {% endif %}
                        </div>
                    </div>

                    <div class="form-group">
                        <label class="col-sm-6 control-label">{{ 'labels.QuantityPreviousStudies'|trans([], 'LocalizationBundle') }}:</label>
                        <div class="col-sm-6">
                        {% if platesRegistry.0.prevstudies is defined %}
                            <input id="input_previous_studies" class="form-control" name="input_previous_studies" type="text" value="{{ platesRegistry.0.prevstudies }}" title="">
                        {% else %}
                            <input id="input_previous_studies" class="form-control" name="input_previous_studies" type="text" value="" title="">
                        {% endif %}
                        </div>
                    </div>
                    <br>
                    <div class="form-group">
                        {% if queryMedicalOrder|length!=0 %}
                            <label class="col-sm-6 control-label">{{ 'labels.patient.orden'|trans([], 'LocalizationBundle') }}:</label>
                            <div class="col-sm-6">
                                <a href="{{ asset("bundles/utilities/internalOrder/") }}{{ queryMedicalOrder.1 }}" target="_blank" id="button3"  type="button" class="btn btn-primary btn-sm form-control">{{ 'labels.patient.orden'|trans([], 'LocalizationBundle') }}</a><br>
                            </div>
                            <label class="col-sm-6 control-label">{{ 'labels.patient.nuevaOrden'|trans([], 'LocalizationBundle') }}&nbsp;*</label>
                        {% else %}
                            <label class="col-sm-6 control-label">{{ 'labels.patient.orden'|trans([], 'LocalizationBundle') }}:&nbsp;</label>
                        {% endif %}
                        <div class="col-sm-6">
                            <input id="file_Clinical_Order" class="form-control" name="file_Clinical_Order" type="file">
                            <input id="input_urlOrder" class="form-control" name="input_urlOrder" type="hidden" value="{{ resultQueryMedicalOrder }}">
                        </div>
                        <br>
                        <br>
                        <br>
                    </div>
                    <div class="form-group">
                        {% if queryConsentPatient|length!=0 %}
                            <label class="col-sm-6 control-label">{{ 'labels.consentimientoInfo'|trans([], 'LocalizationBundle') }}:</label>
                            <div class="col-sm-6">
                                <a href="{{ asset("bundles/utilities/consentPatient/") }}{{ queryConsentPatient.1 }}" target="_blank" id="button7" type="button" class="btn btn-primary btn-sm form-control">{{ 'labels.see'|trans([], 'LocalizationBundle') }} {{ 'labels.patient.orden'|trans([], 'LocalizationBundle') }}{{ 'labels.and'|trans([], 'LocalizationBundle') }}{{ 'labels.patient.clinicalData'|trans([], 'LocalizationBundle') }}</a><br>
                            </div>
                            <label class="col-sm-6 control-label">{{ 'labels.patient.newConsent'|trans([], 'LocalizationBundle') }}&nbsp;*</label>
                        {% else %}
                            <label class="col-sm-6 control-label">{{ 'labels.consentimientoInfo'|trans([], 'LocalizationBundle') }}:&nbsp;</label>
                        {% endif %}
                        <div class="col-sm-6">
                            <input id="file_Consent" class="form-control" name="file_Consent" type="file">
                            <input id="input_urlConsent" class="form-control" name="input_urlConsent" type="hidden" value="{{ resultQueryConsentPatient }}">
                        </div>
                        <br>
                        <br>
                        <br>
                    </div>
                </div>
                        
                        
                        
                <div class="col-md-6">
                    <div class="form-group">
                        <label class="col-sm-6 control-label">{{ 'labels.Procedure'|trans([], 'LocalizationBundle') }}:</label>
                        <div class="col-sm-6">
                            <input id="input_study" class="form-control" name="input_study" type="text" value="{{ datamover.0.studyName }}" title="">
                        </div>
                    </div>
                        
                    <div class="form-group">
                        <label class="col-sm-6 control-label">{{ 'labels.number_procedure'|trans([], 'LocalizationBundle') }}:</label>
                        {% set  NumberStudies  =  "" %}
                        {% for name in datamover %}
                            {% set  NumberStudies  =   loop.index %}
                        {% endfor %}
                        <div class="col-sm-6">
                            <input id="input_number_procedures" class="form-control" name="input_number_procedures"  type="text" value="{{ NumberStudies }}" readonly="readonly">
                        </div>
                    </div>
                    
                    <div class="form-group">
                        <label class="col-sm-6 control-label">{{ 'labels.description'|trans([], 'LocalizationBundle') }}:</label>
                        <div class="col-sm-6">
                            <input id="input_description" name="input_description" type="text" value="{{ datamover.0.description }}" class="form-control" title="">
                        </div>
                    </div>

                    <div class="form-group">
                        <label class="col-sm-6 control-label">{{ 'labels.origin'|trans([], 'LocalizationBundle') }}&nbsp;*:</label>
                        <div class="col-sm-6">
                            <select id="proceden" name="proceden" class="form-control">
                                <option value="">--{{ 'button.select'|trans([], 'LocalizationBundle') }}--</option>
                                {% if datamover.0.proId is defined %}
                                    <option selected value="{{ datamover.0.proId }}">{{ datamover.0.proName }}</option>
                                    {% for provenance in proList %}
                                        <option value="{{ provenance.id }}">{{ provenance.name }}</option>
                                    {% endfor %}
                                {% else %}
                                    {% for provenance in proList %}
                                        <option value="{{ provenance.id }}">{{ provenance.name }}</option>
                                    {% endfor %}
                                {% endif %}
                            </select>
                        </div>
                    </div>
                            
                    <div class="form-group">
                        <label class="col-sm-6 control-label">{{ 'labels.priority'|trans([], 'LocalizationBundle') }}&nbsp;*:</label>
                        <div class="col-sm-6">
                            <select id="priority" name="priority" class="form-control">
                                <option value="">--{{ 'button.select'|trans([], 'LocalizationBundle') }}--</option>
                                {% if datamover.0.priId is defined %}
                                    <option selected value="{{ datamover.0.priId }}">{{ datamover.0.priName }}</option>
                                    {% for priority in priList %}
                                        <option value="{{ priority.priId }}">{{ priority.priName }}</option>
                                    {% endfor %}
                                {% else %}
                                    {% for priority in priList %}
                                        <option value="{{ priority.priId }}">{{ priority.priName }}</option>
                                    {% endfor %}
                                {% endif %}
                            </select>
                        </div>
                    </div>
                    {#<p>
                        <label>{{ 'patient.episode.label'|trans([], 'LocalizationBundle') }}:</label>
                        <input id="input_numbersEpisodes" type="text" title="" value="{{ datamover.0.episode }}">
                    </p>#}
                    <div class="form-group">
                        <label class="col-sm-6 control-label">{{ 'labels.convenio'|trans([], 'LocalizationBundle') }}&nbsp;*:</label>
                        <div class="col-sm-6">
                            <select id="select_entity" name="select_entity" class="form-control">
                                <option value="">--{{ 'button.select'|trans([], 'LocalizationBundle') }}--</option>
                                {% if datamover.0.idEps is defined %}
                                    <option selected value="{{ datamover.0.idEps }}">{{ datamover.0.name }}</option>
                                    {% for eps in epsList %}
                                        <option value="{{ eps.idEps }}">{{ eps.name }}</option>
                                    {% endfor %}
                                {% else %}
                                    {% for eps in epsList %}
                                        <option value="{{ eps.idEps }}">{{ eps.name }}</option>
                                    {% endfor %}
                                {% endif %}
                            </select>
                        </div>
                    </div>
                    <div class="form-group"> 
                        <label class="col-sm-6 control-label">{{ 'patient.body.label'|trans([], 'LocalizationBundle') }}:</label>
                        <div class="col-sm-6">
                            <select id="select_partBody" name="select_partBody" class="form-control">
                                {% if datamover.0.body is defined %}
                                    <option value="{{ datamover.0.body }}">{{ datamover.0.body }}</option>
                                {% else %}
                                    <option value='' >{{ 'button.select'|trans([], 'LocalizationBundle') }}</option>
                                {% endif %}                                                        
                                    <option value="CUERPO">{{ 'labels.patient.body.body1'|trans([], 'LocalizationBundle') }}</option>
                                    <option value="NEURO">{{ 'labels.patient.body.neuro'|trans([], 'LocalizationBundle') }}</option>
                                    <option value="MAMO">{{ 'labels.patient.body.mamo'|trans([], 'LocalizationBundle') }}</option>
                            </select>
                        </div>
                    </div>
                            
                    <div class="form-group">
                        <label class="col-sm-6 control-label">{{ 'labels.kv'|trans([], 'LocalizationBundle') }} *:</label>
                        <div class="col-sm-6">
                            {% if platesRegistry.0.amountKva is defined %}
                                <input id="input_kv" class="form-control" name="input_kv" type="text" value="{{ platesRegistry.0.amountKva }}" title="">
                            {% else %}
                                <input id="input_kv" class="form-control" name="input_kv" type="text" value="" title="">
                            {% endif %}
                        </div>
                    </div>

                    <div class="form-group">
                        <label class="col-sm-6 control-label">{{ 'labels.mas'|trans([], 'LocalizationBundle') }}:</label>
                        <div class="col-sm-6">
                            {% if platesRegistry.0.amountMas is defined %}
                                <input id="input_MAS" class="form-control" name="input_MAS" type="text" value="{{ platesRegistry.0.amountMas }}" title="">
                            {% else %}
                                <input id="input_MAS" class="form-control" name="input_MAS" type="text" value="" title="" >
                            {% endif %}
                        </div>
                    </div>

                    <div class="form-group">
                        <label class="col-sm-6 control-label">{{ 'labels.mGy'|trans([], 'LocalizationBundle') }}:</label>
                        <div class="col-sm-6">
                            {% if platesRegistry.0.amountMgy is defined %}
                            <input id="input_mgy" class="form-control" name="input_mgy" type="text" value="{{ platesRegistry.0.amountMgy }}" title="" >
                            {% else %}
                            <input id="input_mgy" class="form-control" name="input_mgy" type="text" value="" title="">
                             {% endif %}
                        </div>
                    </div>

                    <div class="form-group">
                        <label class="col-sm-6 control-label">{{ 'labels.ResultBiopsy'|trans([], 'LocalizationBundle') }}:</label>
                        <div class="col-sm-6">
                            {% if platesRegistry.0.biopsy is defined %}
                                <input id="input_biopsy" class="form-control" name="input_biopsy" type="text" value="{{ platesRegistry.0.biopsy }}" title="" >
                            {% else %}
                                <input id="input_biopsy" class="form-control" name="input_biopsy" type="text" value="" title="">
                            {% endif %}
                        </div>
                    </div>

                    <div class="form-group">
                        <label class="col-sm-6 control-label">{{ 'labels.patient.infoClinica'|trans([], 'LocalizationBundle') }}:</label>
                        <div class="col-sm-6">
                            {% if is_granted('ROLE_VR') %}
                                {% if datamover.0.clinical is defined %}
                                <textarea id="input_clinical" class="form-control" name="input_clinical"  rows="7" data-nusa-enabled="true" required>{{ datamover.0.clinical }}</textarea>
                                {% else %}
                                <textarea id="input_clinical" class="form-control" name="input_clinical"   rows="7" data-nusa-enabled="true" required></textarea>
                                {% endif %}
                            {% else %}
                                {% if datamover.0.clinical is defined %}
                                <textarea id="input_clinical" class="form-control" name="input_clinical"  rows="7" required>{{ datamover.0.clinical }}</textarea>
                                {% else %}
                                <textarea id="input_clinical" class="form-control" name="input_clinical"   rows="7" required></textarea>
                                {% endif %}
                            {% endif %}
                        </div>
                    </div>
                    <div class="form-group">
                        <div class="col-sm-12">
                            <label for="style" class="control-label"> {{ 'receive.sin_lectura'|trans([], 'LocalizationBundle') }}</label>
                            &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&thinsp;&hairsp;
                            <input type="checkbox" class="sinLectura" id="sinLectura" name="sinLectura" onchange="changeButtonText()" {{ sinLectura  == true ? 'checked' : '' }}>
                        </div>
                    </div>

                    <div class="form-group">
                        <div class="col-sm-12">
                            <label for="style" class="control-label"> Investigación</label>
                            &nbsp;&nbsp;
                            <input type="checkbox" class="investigacion" id="investigacion" name="investigacion" onchange="checkboxInvestigacion(), changeButtonText()" {{ investigacion  == true ? 'checked' : '' }}>
                        </div>
                    </div>
                </div>
                <div class="clearfix"></div>

                <div id="caja3">
                    <p>(* {{ 'messages.campoObliga'|trans([], 'LocalizationBundle') }})</p>

                    <div id="spinner2" style="display: none;">
                        <img style="width: 40px;" src="{{ asset("bundles/utilities/images/spinner.gif") }}" style="border: none;"/>
                    </div>
                    <p>
                        <button href="#" id="button1" class="btn btn-primary">{{ 'button.send'|trans([], 'LocalizationBundle') }}</button>
                        <button href="#" id="button2" class="btn btn-primary">{{ 'button.cancel'|trans([], 'LocalizationBundle') }}</button>
                    </p>
                </div>
                <div id="caja3">
                    <!--Muestra un mensaje  de exito-->
                    <div id="exito2" class="ui-widget" style="display:none;">
                        <div class="ui-state-highlight ui-corner-all" style="margin-top: 20px; padding: 0 .7em;">
                            {{ 'messages.processOk'|trans([], 'LocalizationBundle') }}
                            <strong id="men"></strong>
                            </p>
                        </div>
                    </div>
                    <br>
                    <!--Muestra un mensaje  error-->
                    <div id="error_bottom2" class="ui-widget" style="display:none;">
                        <div class="ui-state-error ui-corner-all" style="padding: 0 .7em;">
                            <p>
                                {{ 'messages.camposObligatorios'|trans([], 'LocalizationBundle') }}
                                <span class="ui-icon ui-icon-alert" style="float: left; margin-right: .3em;"></span>
                                <strong id="men1"></strong>
                            </p>
                        </div>
                    </div>
                </div>
            </div>
        </div>  
    </div>
    </form>
    {# Div modal alerts#}
    <div id="alerts">
        {#Hour end#}
        <div id="alert_data" class="alert alert-success" role="alert"></div>
    </div>

{% endblock %}