{% 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 type="text/javascript">
        var encuesta_mr = '{{ encuesta_mr }}';
        var boton_inicio = '{{ inicio_atencion_tecnologo }}';
        var numero_encuesta_ct = '{{ numero_encuesta_ct }}';
        var grabadorahtml = '{{ grabadorahtml }}';
        {#var group = '{{ group.0.agrupaEstudios }}';#}
        var tipoMedioContraste = '{{ datamover.0.medioContraste }}';
        var urlSendFileTecnologist = '{{ path("SendFileTecnologist") }}';
        var urlSendFileTecnologistConsent = '{{ path("SendFileTecnologistConsent") }}';
        var urlstartDatetimeAsistencial = '{{ path("StartDateTimeAsistencial")}}'
        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 url_patient_save = "{{ path('patient_save_data') }}";
        var url_check_Image = "{{ path('view_Image') }}";
        var id_room='{{ per }}';
        var url_start_time ='{{ path('StartTimeTecnologist') }}';
        var url_findData_mammography = '{{ path('DataMammography')  }}';
        var url_buscar_encuestaMR = '{{ path('DataEncuestaMR') }}';
        var url_buscar_encuestaCt = '{{ path('DataEncuestaCt') }}';
        var url_buscar_encuestaCT2 = '{{ path('DataEncuestaCT2') }}';
        var url_new_comment = '{{ path('new_comment_devolution_technologist') }}';
        var image_mamas = '{{ asset('bundles/utilities/images/mamas.png') }}';
        var upload_image_mamas = '{{ asset('bundles/utilities/uploads/imageMammography') }}';
        var cancel = '{{ 'button.cancel'|trans([], 'LocalizationBundle') }}';
        var noInicia = '{{ 'labels.noInicia'|trans([], 'LocalizationBundle') }}';
        var saveComment = '{{ 'button.save'|trans([], 'LocalizationBundle') }}';
        var actImgOk = '{{ 'labels.actImgOk'|trans([], 'LocalizationBundle') }}';
        var noImg = '{{ 'labels.noImg'|trans([], 'LocalizationBundle') }}';
        var processOk = '{{ 'messages.processOk'|trans([], 'LocalizationBundle') }}';
        var noChange= '{{ 'utilities.error.noStatusChange'|trans([], 'LocalizationBundle') }}';
        var errorAjax = '{{ 'messages.ajax.errorProcess'|trans([], 'LocalizationBundle') }}';
        var pleaseWait = '{{ 'messages.pleaseWait'|trans([], 'LocalizationBundle') }}';
        var addComments = '{{ 'labels.add'|trans([], 'LocalizationBundle') }} {{ 'labels.comments'|trans([], 'LocalizationBundle') }}';
        var url_reload_devolution = '{{ path('reload_Devolution') }}';
        var SrcGif = '{{ asset('bundles/utilities/images/spinner.gif') }}';
        var user_in_session = "{{ user_in_session }}";
        var user_rad_in_session = "{{ user_rad_in_session }}";
        var headquarter_asistencial = "{{ headquarter_asistencial }}"
        var facturacion = '{{ facturacion }}';
        var sinLecturaC = '{{ sinLecturaC }}';
        var id_cliente = '{{ id_cliente }}';
        var inactividad= '{{ inactivity_timer }}';
        var sobreexposicion_cargada = '{{ sobreexposicion_cargada }}';
        var var_numero_imagenes = '{{ 'labels.numSeries'|trans([], 'LocalizationBundle') }}';
        var devolution = false;
        {% if devolution %}
        var devolution = true;
        {% endif %}
        var btnSend = false;
        $(document).ready(function(){

            //Se valida de acuerdo a el parametro del Ris numero_disparos
            if('{{ campo_numero_disparos }}' == true){
                $('#input_NumberShots').addClass('required');
            }

            //Se validad de acuerdo a el parametro del Ris placas_buenas_malas
            if('{{ campo_placas_buenas_malas }}' == true){
                $('#input_plates_good').addClass('required');
                $('#input_plates_bad').addClass('required');
            }

            var Modalidad = '{{ datamover.0.varMod }}';

            if( (Modalidad == 'CR') || (Modalidad == 'DX')){  
                $('.classMod9').removeClass('hidden');
                $('.classMod9 input').addClass('required');
                $('.classMod1').removeClass('hidden');
                $('.classMod1 input').addClass('required');
            }

            if((Modalidad == 'MG') || (Modalidad == 'BX') || (Modalidad == 'DBT')){
                $('.classMod9').removeClass('hidden');
                $('.classMod1').removeClass('hidden');
                if('{{ campo_ma_mamo }}' == true){
                    $('.classMod1 input').addClass('required');    
                }
                if('{{ campo_info_clinica_mamo }}' == 'CFM'){
                    $('#input_clinical').addClass('required'); 
                    $('#dtc-reportados ').removeClass('required');   
                }else if('{{ campo_info_clinica_mamo }}' == 'CEM'){
                    $('#input_clinical').removeClass('required');
                    $('#dtc-reportados').addClass('required');
                }
                $('.classMod2').removeClass('hidden');
                $('.classMod2 input').addClass('required');
            }
            if(id_cliente == 'RIS-NEUROLOGICO'){
                if(Modalidad == 'CT'){
                    $('#dlp').addClass('required');
                    //Se valida de acuerdo a el parametro del Ris kV
                    if('{{ campo_kv }}' == true){
                        $('#input_kv').addClass('required');
                    }
                    //Se valida de acuerdo a el parametro del Ris mA
                    if('{{ campo_mAs }}' == true){
                        $('#input_MAS').addClass('required');
                    }
                    //Se validad de acuerdo a el parametro del Ris campo_mgy
                    if('{{ campo_mgy }}' == true){
                        $('.classMod10').removeClass('hidden');
                        $('#input_mgy').addClass('required');
                    }
                    $('.classMod9').removeClass('hidden');
                    $('.classMod1').removeClass('hidden');
                    //$('.classMod1 input').addClass('required');
                    $('.classMod3').removeClass('hidden');
                    //$('.classMod3 input').addClass('required');
                    $('.classMod4').removeClass('hidden');
                    $('.classMod7').removeClass('hidden');
                    $('.classMod7 input').addClass('required');
                    {# $('.classMod4 input').addClass('required'); #}
                }
                if(Modalidad == 'CR'){
                    $('#input_kv').addClass('required');
                    $('#ma').addClass('required');
                }
            }


            if((Modalidad == 'PET') || (Modalidad == 'PT') || (Modalidad == 'CTPT') || (Modalidad == 'SPECT MN') || (Modalidad == 'CTMN') ){
                $('.classMod9').removeClass('hidden');
                $('.classMod9 input').addClass('required');
                $('.classMod1').removeClass('hidden');
                $('.classMod1 input').addClass('required');
                $('.classMod3').removeClass('hidden');
                $('.classMod3 input').addClass('required');
                $('.classMod4').removeClass('hidden');
                {# $('.classMod4 input').addClass('required'); #}
                $('.classMod5').removeClass('hidden');
                $('.classMod5 input').addClass('required');
            }

            if((Modalidad == 'RF') || (Modalidad == 'XA')){
                $('.classMod9').removeClass('hidden');
                $('.classMod9 input').addClass('required');
                $('.classMod1').removeClass('hidden');
                $('.classMod1 input').addClass('required');
                $('.classMod6').removeClass('hidden');
                $('.classMod6 input').addClass('required');
                $('.classMod7').removeClass('hidden');
                $('.classMod7 input').addClass('required');
            }

            if((Modalidad == 'OT')){
                $('.classMod9').removeClass('hidden');
                $('.classMod9 input').addClass('required');
                $('.classMod1').removeClass('hidden');
                $('.classMod1 input').addClass('required');
                $('#inputOT').removeClass('hidden');
                $('#inputOT input').addClass('required');
            }

            if((Modalidad == 'MN')){
                $('.classMod5').removeClass('hidden');
                $('.classMod5 input').addClass('required');
                {# $('#inputPESO').removeClass('hidden');
                $('#inputPESO input').addClass('required'); #}
            }
            
            var start = '{{ datestart }}';
            if (start !== '' ){
                  $('#buttonstart').addClass('disabled');
                  $('#buttonstart').attr('disabled', true);
            }

            $(".campoNum").keydown(function (e) { // 110 - 190
                if ($.inArray(e.keyCode, [46, 8, 9, 27, 13]) !== -1 ||
                    (e.keyCode == 65 && e.ctrlKey === true) ||
                    (e.keyCode >= 35 && e.keyCode <= 39)) {
                         return;
                }

                if ((e.shiftKey || (e.keyCode < 48 || e.keyCode > 57)) && (e.keyCode < 96 || e.keyCode > 105)) {
                    e.preventDefault();
                }
            });


        });
    </script>
    <script type="text/javascript" src="{{ asset('bundles/patient/js/ajax/UpdateStudyDataRegistered_SaveDataReceipt.js') }}"></script>
    <link rel="stylesheet" href="{{ asset('bundles/utilities/bootstrap-3.3.7/css/bootstrap.min.css') }}"/>
    <link rel="stylesheet" href="{{ asset('bundles/shedule/'~ hrk_skin ~'/dataTableCustom.css') }}"/>
    <link rel="stylesheet" href="{{ asset('bundles/reading/css/notificationsLight.css') }}"/>
    <link rel="stylesheet" href="{{ asset('bundles/patient/css/Input_Disabled.css') }}"/>
    <script type="text/javascript" src="{{ asset('bundles/shedule/bootstrap/js/bootstrap.js') }}"></script>
    <script type="text/javascript" src="{{ asset('bundles/shedule/js/blockUI.js') }}"></script>
    <script type="text/javascript" src="{{ asset('bundles/utilities/bootstrap-select/js/bootstrap-select.min.js') }}"></script>
    <style>
        .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;
        }
        .error{
            border: 2px solid #FF0000;
        }
       .navbar-nav > li > a{
            line-height:0 !important;
             color:#fff !important;
            /*padding-bottom:0;
            padding-top:0;*/
        }
        .nav > li > a{
            display:inline-block !important;
            padding:8px 10px !important;
        }
        .bootstrap-select > .dropdown-toggle.bs-placeholder, .bootstrap-select > .dropdown-toggle.bs-placeholder:active, .bootstrap-select > .dropdown-toggle.bs-placeholder:focus, .bootstrap-select > .dropdown-toggle.bs-placeholder:hover{
            color:#222222;
        }

    </style>
    <script>
        $(window).scroll(function(){
    if ($(window).scrollTop() >= 100) {
       $('.code_num').addClass('fixed-header');
    }
    else {
       $('.code_num').removeClass('fixed-header');
    }
    });


    </script>
{% endblock %}

{% block content %}
    {# Devolucion #}
    <input type="hidden" id="uuid">
    <div id="dataDevolution" title="{{ 'labels.devoluciones'|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="{{ 'labels.add'|trans([], 'LocalizationBundle') }} {{ 'labels.comments'|trans([], 'LocalizationBundle') }}" 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>
    {# Fin Devolucion #}

    {# Comentario #}
    <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" />
            <br>
            <div id="spinnerNewComment" style="display: none;">
                <img style="width: 40px;" src="{{ asset("bundles/utilities/images/spinner.gif") }}" style="border: none;"/>
            </div>
        </div>
    </div>
    {# Fin Comentario #}

    <form id="register" name="register" enctype="multipart/form-data" method="post">
        <input id="number_consultation" name="number_consultation" type="hidden" value="{{ number_consultation }}"/>
        <input id="idRoomStR" name="idRoomStR" type="hidden" value="{{ datamover.0.idRoomAppointmentStudyReceipt }}"/>
        <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-primary">
                {#<h3 class="panel-title">{{ 'labels.actualizaReg'|trans([], 'LocalizationBundle') }}:</h3>#}
                <div class="panel-body">
                    <div class="code_num">
                        <div class="col-md-5">
                            <h1>{{ 'labels.accesion_number'|trans([], 'LocalizationBundle') }}: '{{ per2|raw }}'</h1>
                        </div>
                         <div class="col-md-7">
                            <ul class="nav navbar-nav navbar-right">
                                {# -- Se comenta bloque de codigo para darle una finalidad mas detallada a todos los procesos
                                    {% if  ( inicio_atencion_tecnologo ) == 'true' %}
                                        <li> <div id="start" style="font-size: 15px;" >{{ datestart | default('') }}</div></li>
                                        <li> <button name="buttonstart"  type="button" id="buttonstart" class="btn btn-primary btn-sm" align="left"><span class="glyphicon glyphicon-play-circle" aria-hidden="true"></span> {{ 'button.start'|trans([], 'LocalizationBundle') }}  </button></li> 
                                    {% endif %}
                                #}
                                    <li><button type="button" id="button4" class="btn btn-primary btn-sm"><span class="glyphicon glyphicon-repeat" aria-hidden="true"></span> {{ 'labels.devoluciones'|trans([], 'LocalizationBundle') }}</button></li>
                                {% if (sticker == 'true') %}
                                    {% if (stickerllano == 'true') %}
                                        <li><a href="{{ path('PrintStickerPDF', {'appCode':datamover[0]['internalOrderCode']})}}" type="button" class="btn btn-primary btn-sm" target="_blank"><span class="glyphicon glyphicon-qrcode" aria-hidden="true"></span> {{ 'button.sticker'|trans([], 'LocalizationBundle') }}</a></li>
                                    {% else %}
                                        <li><a href="{{ path('PrintSticker76x60', {'appCode':datamover[0]['internalOrderCode']})}}" type="button" class="btn btn-primary btn-sm" target="_blank"><span class="glyphicon glyphicon-qrcode" aria-hidden="true"></span> {{ 'button.sticker'|trans([], 'LocalizationBundle') }}</a></li>
                                    {% endif %}
                                {% endif %}
                                    <li><button type="button" id="button5" class="btn btn-primary btn-sm"><span class="glyphicon glyphicon-save" aria-hidden="true"></span> {{ 'button.save'|trans([], 'LocalizationBundle') }}</button></li>
                                    <li><button type="button" 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" id="button8" class="btn btn-primary btn-sm"><span class="glyphicon glyphicon-send" aria-hidden="true"></span> {{ sinLectura == true or investigacion == true ? 'Terminar Flujo' : 'button.send'|trans([], 'LocalizationBundle') }} </button></li>
                            </ul>
                        </div>
                    </div>
                    {# Mensajes top#}
                    <div id="caja3">
                        <div style="display: none;">
                            <p><label style="font-size: 50px;">{{ per }}</label></p>
                        </div>
                        <div class="col-md-12"> </div>
                        <div id="spinner" style="display: none;">
                            <img style="width: 40px;" src="{{ asset("bundles/utilities/images/spinner.gif") }}" style="border: none;"/>
                        </div>
                        <p style="display: none;">
                            <span href="#" id="button5">{{ 'button.save'|trans([], 'LocalizationBundle') }}</span>
                            <span href="#" id="button6">{{ 'button.cancel'|trans([], 'LocalizationBundle') }}</span>
                            <span href="#" id="button8">{{ 'button.send'|trans([], 'LocalizationBundle') }}</span>
                        </p>
                    </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>
                    <div class="clearfix"></div>
                    {# Cuadro con imagenes #}
                    <div class="col-md-12">
                      <div id="ImageReceive" style="margin-bottom:20px; display:none ;height:130px; overflow:auto;">
                          {% set  NumberImage  =  "" %}
                          {% for Image in imageData %}

                              <div id="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="80" height="90">
                              </div>
                              {% set  NumberImage  =   loop.index %}
                          {% endfor %}
                          <p>
                              <label>{{ 'labels.numSeries'|trans([], 'LocalizationBundle') }}</label><label>{{ NumberImage }}</label>
                          </p>
                      </div>
                    </div>
                    {# Fin cuadro con imagenes #}

                        <div class="col-md-12">
                            <input type="hidden" id="input_internalOrder" name="input_internalOrder" value="{{ datamover.0.internalOrderCode }}" />
                            <input type="hidden" id="input_codAppointment" name="input_codAppointment" value="{{ per2|raw }}" />
                            <input type="hidden" id="input_studyCode" name="input_studyCode" value="{{ arrayIdrasr }}" />
                            {# En el for se cargan los datos del paciente cuando se renderiza la vista por primera vez #}
                        </div>
                    <div class="container-fluid">
                    {# Datos generales cargados por el sistema #}
                        <div class="row">
                            {#<div class="panel-body">#}
                            <div class="col-md-12 spacer">
                              <h4 style="margin:0;">{{ datamover.0.firstName }} {{ datamover.0.secondName }} {{ datamover.0.firstLastName }} {{ datamover.0.secondLastName }} - {{ edadcompleta }}</h4>
                              <h4>{{ datamover.0.docType }} {{ datamover.0.document }}</h4>
                              <h4>{{ datamover.0.varMod }} - {% for name in datamover %}
                                    {{ name.studyName }}
                                  {% endfor %}
                                  {{ datamover.0.nombreInsumo }}
                                  <button class="btn btn-primary" type="button" data-toggle="collapse" data-target="#collapseInfo" aria-expanded="false" aria-controls="collapseInfo">
                                    <span class="glyphicon glyphicon-chevron-down"></span>
                                  </button>
                              </h4>
                              <div class="collapse" id="collapseInfo">
                                <h5><strong>{{ 'labels.patient.birthDate'|trans([], 'LocalizationBundle') }}</strong>: {{ datamover.0.dateBirth|date('d-m-Y') }}</h5>
                                <h5><strong>{{ 'labels.origin'|trans([], 'LocalizationBundle') }}</strong>: {{ datamover.0.proName }}</h5>
                                <h5><strong>{{ 'labels.Headquarter.singular'|trans([], 'LocalizationBundle') }}</strong>: {{ datamover.0.varHead }}</h5>
                                <h5><strong>{{ 'labels.priority'|trans([], 'LocalizationBundle') }}</strong>: {{ datamover.0.priName }}</h5>
                                <h5><strong>{{ 'labels.convenio'|trans([], 'LocalizationBundle') }}</strong>: {{ datamover.0.name }}</h5>
                                <h5><strong>{{ 'labels.role.doctor_referring'|trans([], 'LocalizationBundle') }}</strong>:
                                  {% if doctorReferring.0.name == '' %}
                                      <span id="doctorReferring2">
                                          {{ 'labels.notRegistered'|trans([], 'LocalizationBundle') }}
                                      </span>
                                  {% else %}
                                      <span id="doctorReferring2">
                                          {{ doctorReferring.0.name }}
                                      </span>
                                  {% endif %}
                                </h5>
                              </div>
                            </div>
                            {# concept #}
                            {% if  his_integration == 'true' and dataHis.concepto is defined %}
                            <div class="col-md-6">
                                <label><strong>{{ 'labels.concept'|trans([], 'LocalizationBundle') }} </strong>:</label>
                                <div>
                                        <h6 class="col-md-12" >{{ dataHis.concepto }}</h6>
                                </div>
                            </div>
                            {% endif %}
                            {#{% if group.0.agrupaEstudios %}
                                <div class="col-md-12 alert-info spacer">
                                      {% if groupStudy|length > 0 %}
                                          <h4>{{ 'labels.groupStudy'|trans([], 'LocalizationBundle') }}</h4>
                                          {% for st in groupStudy %}
                                              <input type="checkbox" id="st_{{ loop.index }}" class="groupST" name="st_{{ loop.index }}" data-appcode="{{ st.appointmentCode }}" data-idrapp="{{ st.idRoomAppointmentStudyReceipt }}" />
                                              <label for="st_{{ loop.index }}">{{ st.studyName }}</label> <br />
                                          {% endfor %}
                                      {% endif %}
                                </div>
                            {% endif %}#}

                            {% if grabadorahtml %}
                                {% if group.0.agrupaEstudios %}
                                    <div class="col-md-12 alert-info spacer">
                                        {% if groupStudy|length > 0 %}
                                            <h4>{{ 'labels.groupStudy'|trans([], 'LocalizationBundle') }}</h4>
                                            {% for st in groupStudy %}
                                                {% set nombreInsumos = '' %}
                                                {% if st.nombreInsumo|length %}
                                                    {% set nombreInsumos = ', '~st.nombreInsumo %}
                                                {% endif %}
                                                <input type="checkbox" id="st_{{ loop.index }}" class="groupST" name="st_{{ loop.index }}" data-appcode="{{ st.appointmentCode }}" data-idrapp="{{ st.idRoomAppointmentStudyReceipt }}" />
                                                <label for="st_{{ loop.index }}">{{ st.studyName }}{{ nombreInsumos }}</label> <br />
                                            {% endfor %}
                                        {% endif %}
                                    </div>
                                {% endif %}
                            {% endif %}
                            <div class="col-md-12 spacer"><hr></div>
                            <div class="hidden">
                                <div class="col-md-6">
                                    {# Sede #}
                                    {% if(hijo_de!='') %}
                                    <div class="form-group">
                                        <label class="col-sm-6 control-label"></label>
                                        <label class="col-sm-6 control-label"></label>
                                    </div>
                                    {% endif %}
                                    <div class="form-group">
                                        <label class="col-sm-6 control-label"><b>{{ 'labels.Headquarter.singular'|trans([], 'LocalizationBundle') }}</b>:</label>
                                        <label class="col-sm-6 control-label"> {{ datamover.0.varHead }}</label>

                                    </div>
                                </div>


                                <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 %}
                                    {# primer nombre #}
                                    <div class="form-group">
                                        <label class="col-sm-6 control-label"><b>{{ 'labels.patient.firstName'|trans([], 'LocalizationBundle') }}</b>:</label>
                                        <input id="input_first_Name_patient" name="input_first_Name_patient" type="text" class="required"  style="display: none" value="{{ datamover.0.firstName }}">
                                        <label class="col-sm-6 control-label">{{ datamover.0.firstName }}</label>

                                    </div>
                                </div>
                                <div class="col-md-6">
                                    {# Documento paciente #}
                                    <div class="form-group">
                                        <label class="col-sm-6 control-label"><b>{{ 'labels.document.doc'|trans([], 'LocalizationBundle') }}</b>:</label>
                                        <label class="col-sm-6 control-label"> {{ datamover.0.document }}</label>

                                    </div>
                                </div>
                                <div class="col-md-6">
                                    {# segundo nombre #}
                                    <div class="form-group">
                                        <label class="col-sm-6 control-label"><b>{{ 'labels.patient.secondName'|trans([], 'LocalizationBundle') }}</b>:</label>
                                        <input id="input_second_Name_patient" name="input_second_Name_patient" type="text"  style="display: none" value="{{ datamover.0.secondName }}">
                                        <label class="col-sm-6 control-label">{{ datamover.0.secondName }}</label>
                                    </div>
                                </div>
                                <div class="col-md-6">
                                    {# Modalidad #}
                                    <div class="form-group">
                                        <label class="col-sm-6 control-label"><b>{{ 'modalities.modality'|trans([], 'LocalizationBundle') }}</b>:</label>
                                        <div class="col-sm-6">
                                        <label id="modalidad"  name="modalidad">{{ datamover.0.varMod }}</label>
                                        <input type="hidden" id="type_modality" class="form-control" name="type_modality" value="{{ datamover.0.varMod }}">
                                        </div>
                                    </div>
                                </div>
                                <div class="col-md-6">
                                    {# primer apellido #}
                                     <div class="form-group">
                                        <label class="col-sm-6 control-label"><b>{{ 'labels.patient.lastName'|trans([], 'LocalizationBundle') }}</b>: </label>
                                        <input id="input_first_Last_Name_patient" name="input_first_Last_Name_patient" class="required" type="text"  style="display: none" value="{{ datamover.0.firstLastName }}">
                                        <label class="col-sm-6 control-label">{{ datamover.0.firstLastName }}</label>
                                    </div>
                                </div>
                                        {#En la variable cam se carga los datos clinicos del p|aciente si ya tiene historia clinica#}
                                <div class="col-md-6">
                                    {# Procedimiento #}
                                    <div class="form-group">
                                        <label class="col-sm-6 control-label"><b>{{ 'labels.Procedure'|trans([], 'LocalizationBundle') }}</b>:</label>

                                            <input id="input_study" class="form-control required" name="input_study" type="text" style="display: none" value="{{ datamover.0.studyName }}" title="">

                                            <div class="col-sm-6">
                                                    {% for name in datamover %}
                                                        {{ name.studyName }};
                                                    {% endfor %}
                                            </div>

                                    </div>
                                </div>
                                <div class="col-md-6">
                                    {# segundo apellido #}
                                    <div class="form-group">
                                        <label class="col-sm-6 control-label"><b>{{ 'labels.patient.secondLastName'|trans([], 'LocalizationBundle') }}</b>:</label>
                                        <input id="input_second_Last_Name_patient" name="input_second_Last_Name_patient" type="text"  style="display: none" value="{{ datamover.0.secondLastName }}">
                                        <label class="col-sm-6 control-label">{{ datamover.0.secondLastName }}</label>
                                    </div>
                                </div>
                                <div class="col-md-6">
                                    {# Procedencia #}
                                    <div class="form-group">
                                        <label class="col-sm-6 control-label"><b>{{ 'labels.origin'|trans([], 'LocalizationBundle') }}</b>:</label>
                                        <label id="proceden" class="col-sm-6 control-label">{{ datamover.0.proName }}</label>
                                            <input id="proceden" class="form-control" name="proceden" type="text"  style="display: none" value="{{ datamover.0.proId }}">
                                    </div>
                                </div>
                                 <div class="col-md-6">
                                    {# tipo de documento #}
                                    <div class="form-group">
                                        <label class="col-sm-6 control-label"><b>{{ 'labels.documentType'|trans([], 'LocalizationBundle') }}</b>:</label>
                                                <select id="select_typeDocument" name="select_typeDocument" style="display: none">
                                                    {% for doc in typeDocument %}
                                                        {% if datamover.0.docType == doc.docType %}
                                                            <option selected >{{ doc.docType }}</option>
                                                        {% else %}
                                                            <option>{{ doc.docType }}</option>
                                                        {% endif %}
                                                    {% endfor %}
                                                </select>
                                                <label class="col-sm-6 control-label">{{ datamover.0.docType }}</label>
                                    </div>
                                </div>
                                <div class="col-md-6">
                                    {# Prioridad #}
                                    <div class="form-group">
                                        <label class="col-sm-6 control-label"><b>{{ 'labels.priority'|trans([], 'LocalizationBundle') }}</b>:</label>
                                        <input id="priority" name="priority" type="text"  style="display: none" value="{{ datamover.0.priId }}">
                                        <label id="priority" class="col-sm-6 control-label">{{ datamover.0.priName }}</label>

                                    </div>
                                </div>
                                <div class="col-md-6">
                                    {# Fecha de nacimiento #}
                                    <div class="form-group">
                                        <label class="col-sm-6 control-label"><b>{{ 'labels.patient.birthDate'|trans([], 'LocalizationBundle') }}</b>:</label>
                                                <input type="text" id="datepicker_d" name="datepicker_d" style="display: none" class="required"  readonly="readonly" maxlength="10" value="{{ datamover.0.dateBirth|date('d-m-Y') }}"/>
                                        <label class="col-sm-6 control-label">{{ datamover.0.dateBirth|date('d-m-Y') }}</label>
                                    </div>
                                </div>
                                <div class="col-md-6">
                                    {# Entidad responsable #}
                                    <div class="form-group">
                                        <label class="col-sm-6 control-label"><b>{{ 'labels.convenio'|trans([], 'LocalizationBundle') }}</b>:</label>
                                        <input id="select_entity" name="select_entity" type="text"  style="display: none" value="{{ datamover.0.idEps }}">
                                        <label id="select_entity2" class="col-sm-6 control-label">{{ datamover.0.name }}</label>

                                    </div>
                                </div>
                                <div class="col-md-6">
                                    {# Edad #}
                                    <div class="form-group">
                                        <label class="col-sm-6 control-label"><b>{{ 'labels.patient.age'|trans([], 'LocalizationBundle') }}</b>:</label>

                                                {#{% if datamover.0.ageYear < 0 %}
                                                    <input id="input_age_Year_patient" name="input_age_Year_patient" class="required" readonly="readonly" type="text"  value="0" style="display: none" title="">

                                                {% else %}

                                                    <input id="input_age_Year_patient" name="input_age_Year_patient" class="required" readonly="readonly" type="text"  value="{{ datamover.0.ageYear }}" style="display: none" title="">

                                                {% endif %}

                                        {% if datamover.0.ageType != "" %}
                                            <label class="col-sm-6 control-label">{{ datamover.0.ageYear }} {{ datamover.0.ageType }}</label>
                                        {% else %}
                                            <label class="col-sm-6 control-label">{{ datamover.0.ageYear }} N/A</label>
                                        {% endif %}#}
                                        <label class="col-sm-6 control-label">{{ edadcompleta }}</label>
                                        <input type="hidden" name="edadCompleta" value="{{ edadcompleta }}" />
                                    </div>
                                </div>

                                <div class="col-md-6">
                                    {# Dr remitente #}
                                    <div class="form-group">
                                        <label class="col-sm-6 control-label"><b>{{ 'labels.role.doctor_referring'|trans([], 'LocalizationBundle') }}</b>:</label>
                                        {% if doctorReferring.0.name == '' %}
                                            <label id="doctorReferring2" class="col-sm-6 control-label">
                                                {{ 'labels.notRegistered'|trans([], 'LocalizationBundle') }}
                                            </label>
                                        {% else %}
                                            <label id="doctorReferring2" class="col-sm-6 control-label">
                                                {{ doctorReferring.0.name }}
                                            </label>
                                            <input id="doctorReferring" name="doctorReferring" type="text"  style="display: none" value="{{ doctorReferring.0.name }}">
                                        {% endif %}
                                    </div>
                                </div>
                              </div>
                            {#</div>#}
                        </div>
                        {# Fin datos generales cargados por el sistema #}
                           {#<p>
                                        <label>{{ 'patient.radiologist.label'|trans([], 'LocalizationBundle') }}:</label>
                                        <select id="select_radiologist">
                                            <option value="Seleccionar">--Seleccionar--</option>
                                            {% for ListRadiologistList in RadiologistList %}
                                                <option value="{{ ListRadiologistList.username }}">{{ ListRadiologistList.username }}</option>
                                            {% endfor %}
                                        </select>
                            </p>#}

                        <div class="row spacer update-study">
                            {#<div class="panel-body">#}
                            <div class="col-md-12"><label>(* {{ 'messages.campoObliga'|trans([], 'LocalizationBundle') }})</label> </div>
                                <div class="col-md-6">
                                    {# prioridad #}
                                    <div class="form-group">
                                        <label class="col-md-6">{{ 'labels.priority'|trans([], 'LocalizationBundle') }}:</label>
                                        <div class="col-md-6">
                                            <select id="priorityChange" class="form-control" name="priorityChange">
                                                <option value="{{ datamover.0.priId }}">{{ datamover.0.priName }}</option>
                                                {% for priority in pri %}
                                                    <option value="{{ priority.id }}">{{ priority.name }}</option>
                                                {% endfor %}
                                            </select>
                                        </div>
                                    </div>

                                    <div class="form-group">
                                        <p style="display: none;">
                                            <label>{{ 'labels.QuantityPreviousStudies'|trans([], 'LocalizationBundle') }}:</label>
                                            {% if platesRegistry.0.prevstudies is defined %}
                                                <input id="input_previous_studies" name="input_previous_studies" type="text" value="{{ platesRegistry.0.prevstudies }}" title="">
                                            {% else %}
                                                <input id="input_previous_studies" name="input_previous_studies" type="text"  title="">
                                            {% endif %}
                                        </p>
                                    </div>

                                    {# descripcion #}
                                    <div class="form-group">
                                        <label class="col-sm-6 control-label">{{ 'labels.description'|trans([], 'LocalizationBundle') }}:</label>
                                        <div class="col-md-6">
                                            {% if datamover.0.description is defined %}
                                                <input id="input_description" maxlength="100" class="form-control" name="input_description" type="text" value="{{ datamover.0.description }}"  title="">
                                            {% else %}
                                                <input id="input_description" maxlength="100" class="form-control" name="input_description" type="text"   title="">
                                            {% endif %}
                                        </div>
                                    </div>
                                   {# Tecnologo #}
                                    <div class="form-group" id="tecnologo">
                                        <label class="col-sm-6 control-label">{{ 'labels.role.technologist'|trans([], 'LocalizationBundle') }}:</label>
                                        <div class="col-md-6">
                                            <select id="select_technologist" class="form-control" name="select_technologist"  data-actions-box="true" data-id="select_technologist" data-size="10" data-live-search="true" title="{{ 'button.select'|trans([], 'LocalizationBundle') }} {{ 'labels.role.technologist'|trans([], 'LocalizationBundle') }}">
                                                <option value=""> Seleccionar tecnologo</option>
                                                {% if (platesRegistry.0.id is defined) and (user_in_session) %}
                                                    {% for ListTechnologistList in TechnologistList %}
                                                        {% if platesRegistry.0.id == ListTechnologistList.id %}
                                                            <option selected value="{{ ListTechnologistList.id }}">{{ ListTechnologistList.firstname }} {{ ListTechnologistList.lastname }}</option>
                                                        {% else %}
                                                            <option value="{{ ListTechnologistList.id }}">{{ ListTechnologistList.firstname }} {{ ListTechnologistList.lastname }}</option>
                                                        {% endif %}
                                                    {% endfor %}
                                                {% else %}
                                                    {% for ListTechnologistList in TechnologistList %}
                                                        {% if (user == ListTechnologistList.username) and (user_in_session)   %}
                                                            <option selected value="{{ ListTechnologistList.id }}">{{ ListTechnologistList.firstname }} {{ ListTechnologistList.lastname }}</option>
                                                            {% else %}
                                                            <option value="{{ ListTechnologistList.id }}">{{ ListTechnologistList.firstname }} {{ ListTechnologistList.lastname }}</option>
                                                            {% endif %}
                                                    {% endfor %}
                                                {% endif %}
                                            </select>
                                        </div>
                                        {% if datamover.0.varMod == 'CT' %}
                                        <div class="col-md-12" style="margin-bottom:20px;"></div>
                                        {% else %}
                                        <div class="col-md-12" style="margin-bottom:10px;"></div>
                                        {% endif %}
                                    </div>
                                    {# Radiologo #}
                                    <div class="form-group" id="radiologo">
                                        <label class="col-sm-6 control-label ">{{ 'labels.role.radiologo'|trans([], 'LocalizationBundle') }}:</label>
                                        <div class="col-sm-6">
                                            <select id="select_radio" class="form-control" name="select_radio"  data-actions-box="true" data-id="select_radio" data-size="10" data-live-search="true" title="{{ 'button.select'|trans([], 'LocalizationBundle') }} {{ 'labels.role.radiologo'|trans([], 'LocalizationBundle') }}">
                                                {% if userRadio is not empty %}
                                                    {% for  Radiologist in RadiologistList %}
                                                        {% if userRadio == Radiologist.id %}
                                                            <option selected value="{{ Radiologist.id }}">{{ Radiologist.firstname }} {{ Radiologist.lastname }}</option>
                                                        {% else %}
                                                            <option value="{{ Radiologist.id }}">{{ Radiologist.firstname }} {{ Radiologist.lastname }}</option>
                                                        {% endif %}
                                                    {% endfor %}
                                                {% else %}
                                                    <option value=""> Seleccionar radiologo</option>
                                                        {% for Radiologist in RadiologistList %}
                                                            <option value="{{ Radiologist.id }}">{{ Radiologist.firstname }} {{ Radiologist.lastname }}</option>
                                                        {% endfor %}
                                                {% endif %}
                                            </select>
                                        </div>
                                        {% if datamover.0.varMod == 'CT' %}
                                            <div class="col-md-12" style="margin-bottom:20px;"></div>
                                        {% else %}
                                            <div class="col-md-12" style="margin-bottom:10px;"></div>
                                        {% endif %}
                                    </div>
                                    {#Sala#}
                                    <div class="form-group" id="sala">
                                        <label class="col-sm-6 control-label ">{{ 'room.room'|trans([], 'LocalizationBundle') }}:</label>
                                        <div class="col-sm-6">
                                            <select id="select_sala" class="form-control" name="select_sala"  data-actions-box="true" data-id="select_sala" data-size="10" data-live-search="true" title="{{ 'button.select'|trans([], 'LocalizationBundle') }} {{ 'room.room'|trans([], 'LocalizationBundle') }}" onchange="checkBoxSinLectura()">
                                                {% if roomStudy is defined %}
                                                    {% for room  in rooms %}
                                                        {% if roomStudy == room.roomCode %}
                                                            <option selected value="{{ room.roomCode}}" pasolectura="{{room.pasoLectura}}">{{ room.roomName }}</option>
                                                        {% else %}
                                                            <option  value="{{ room.roomCode}} " pasolectura="{{room.pasoLectura}}">{{ room.roomName }}</option>
                                                        {% endif %}
                                                    {% endfor %}
                                                {% else %}
                                                    <option value=""> Seleccionar tecnologo</option>
                                                    {% for room  in rooms %}
                                                        <option  value="{{ room.roomCode }} ">{{ room.roomName }}</option>
                                                    {% endfor %}
                                                {% endif %}
                                            </select>
                                            <div id="pasoLecturaMessage"></div>
                                        </div>
                                        {% if datamover.0.varMod == 'CT' %}
                                            <div class="col-md-12" style="margin-bottom:20px;"></div>
                                        {% else %}
                                            <div class="col-md-12" style="margin-bottom:10px;"></div>
                                        {% endif %}
                                    </div>
                                    {# Tamaño de placas #}
                                    <div class="form-group">
                                        <label class="col-sm-6 control-label">{{ 'labels.sizePlates'|trans([], 'LocalizationBundle') }}:</label>
                                        <div class="col-sm-6">
                                            <select id="size_plates" class="form-control" name="size_plates">
                                                {% if platesRegistry.0.sizePlates is defined %}
                                                    <option selected value="{{ platesRegistry.0.sizePlates }}">{{ platesRegistry.0.sizePlates }}</option>
                                                    <option value="14 X 17">14 X 17</option>
                                                    <option value="11 X 14">11 X 14</option>
                                                    <option value="10 X 12">10 X 12</option>
                                                    <option value="8 X 10">8 X 10</option>
                                                {% else %}
                                                    <option value="14 X 17">14 X 17</option>
                                                    <option value="11 X 14">11 X 14</option>
                                                    <option value="10 X 12">10 X 12</option>
                                                    <option value="8 X 10">8 X 10</option>
                                                {% endif %}
                                            </select>
                                        </div>
                                    </div>

                                    {# Sobre exposicion #}
                                    <div class="form-group">
                                        <label class="col-sm-6 control-label">{{ 'labels.OverExposure'|trans([], 'LocalizationBundle') }}:</label>
                                        <div class="col-sm-6">
                                            {% if sobreexposicion_cargada == 'true' %}
                                                {% if platesRegistry.0.overExposure is defined %}
                                                    <select id="input_expossures" class="form-control" name="input_expossures">
                                                        <option selected value="{{ platesRegistry.0.overExposure }}">{{ platesRegistry.0.overExposure }}</option>
                                                        <option value="Causa paciente">Causa paciente</option>
                                                        <option value="Falla equipo">Falla equipo</option>
                                                        <option value="Mala ubicación">Mala ubicación</option>
                                                    </select>
                                                {% else %}
                                                    <select id="input_expossures" class="form-control required" name="input_expossures">
                                                        <option selected value="No aplica">No aplica</option>
                                                        <option value="Causa paciente">Causa paciente</option>
                                                        <option value="Falla equipo">Falla equipo</option>
                                                        <option value="Mala ubicación">Mala ubicación</option>
                                                    </select>
                                                {% endif %}
                                            {% else %}
                                                {% if platesRegistry.0.overExposure is defined %}
                                                    <input id="input_expossures" maxlength="32" class="form-control" name="input_expossures" type="text" value="{{ platesRegistry.0.overExposure }}" title="">
                                                {% else %}
                                                    <input id="input_expossures" maxlength="32" class="form-control" name="input_expossures" type="text"  title="">
                                                {% endif %}
                                            {% endif %}
                                        </div>
                                    </div>

                                        {# Motivo de sobre exposicion #}
                                    <div class="form-group">
                                        <label class="col-sm-6 control-label">{{ 'labels.overexposureReason'|trans([], 'LocalizationBundle') }}:</label>
                                        <div class="col-sm-6">
                                            {% if platesRegistry.0.reasonOverexposure is defined %}
                                                <input id="input_reason_overexposure" maxlength="255" class="form-control" name="input_reason_overexposure" type="text" value="{{ platesRegistry.0.reasonOverexposure }}" title="">
                                            {% else %}
                                                <input id="input_reason_overexposure" maxlength="255" class="form-control" name="input_reason_overexposure" type="text"   title="">
                                            {% endif %}
                                        </div>
                                    </div>

                                    {# Resultados de la biopsia #}
                                    <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" maxlength="50" class="form-control" name="input_biopsy" type="text" value="{{ platesRegistry.0.biopsy }}" title="" >
                                            {% else %}
                                                <input id="input_biopsy" maxlength="50" class="form-control" name="input_biopsy" type="text"  title="">
                                            {% endif %}
                                        </div>
                                    </div>

                                    {# Informacion radiacion y datos de estudio #}
                                    {# kV #}
                                    <div class="form-group ">
                                        <label class="col-sm-6 control-label">{{ 'labels.kv'|trans([], 'LocalizationBundle') }} {% if campo_kv == true and  datamover.0.varMod  == 'CT' or id_cliente == 'RIS-NEUROLOGICO' and datamover.0.varMod  == 'CR'  %} * {% endif %} :  </label>
                                        <div class="col-sm-6">
                                            {% if platesRegistry.0.amountKva is defined %}
                                                <input id="input_kv" maxlength="10" class="form-control"name="input_kv" type="text" value="{{ platesRegistry.0.amountKva }}" title="">
                                            {% else %}
                                                <input id="input_kv" maxlength="10" class="form-control" name="input_kv" type="text"  title="">
                                            {% endif %}
                                        </div>
                                    </div>
                                    {# mA -------------------------------------------------------------------------------------------------------------- #}
                                    <div class="form-group">
                                        <label class="col-sm-6 control-label">mA {%  if id_cliente == 'RIS-NEUROLOGICO' and datamover.0.varMod  == 'CR'  %} * {% endif %}  :</label>
                                        <div class="col-sm-6">
                                            {% if platesRegistry.0.amountMa is defined %}
                                                <input class="form-control" maxlength="10" name="ma" id="ma" type="text"  value="{{ platesRegistry.0.amountMa }}" title="" >
                                            {% else %}
                                                <input class="form-control" maxlength="10" name="ma" id="ma" type="text"  title="" >
                                            {% endif %}
                                        </div>
                                    </div>
                                    {# mAs #}
                                    <div class="form-group">
                                        <label class="col-sm-6 control-label">{{ 'labels.mas'|trans([], 'LocalizationBundle') }} {% if campo_mAs == true and  datamover.0.varMod  == 'CT' %} * {% endif %}:</label>
                                        <div class="col-sm-6">
                                            {% if platesRegistry.0.amountMas is defined %}
                                                <input id="input_MAS" maxlength="10" class="form-control" name="input_MAS" type="text" value="{{ platesRegistry.0.amountMas }}" title="">
                                            {% else %}
                                                <input id="input_MAS" maxlength="10" class="form-control" name="input_MAS" type="text"  title="" >
                                            {% endif %}
                                        </div>
                                    </div>
                                    {# mGy #}
                                    <div class="form-group classMod3  classMod10 hidden">
                                        <label class="col-sm-6 control-label">{{ 'labels.mGy'|trans([], 'LocalizationBundle') }}&nbsp;{% if campo_mgy == true and  datamover.0.varMod  == 'CT'%} * {% endif %} :</label>
                                        {% if platesRegistry.0.amountMgy is defined %}
                                        <div class="col-sm-6">
                                            <input id="input_mgy" maxlength="10" class="form-control" name="input_mgy" type="text" value="{{ platesRegistry.0.amountMgy }}" title="" >
                                        </div>
                                        {% else %}
                                        <div class="col-sm-6">
                                            <input id="input_mgy" maxlength="10" class="form-control" name="input_mgy" type="text"  title="">
                                        </div>
                                        {% endif %}
                                    </div>
                                   {# Compresion lb ---------------------------------------------------------------------------------------- #}
                                    <div class="form-group classMod2 hidden">
                                            <label class="col-sm-6 control-label">{{ 'labels.compresion'|trans([], 'LocalizationBundle') }}:</label>
                                            <div class="col-sm-6">
                                            {% if platesRegistry.0.amountCompresion is defined %}
                                                <input class="form-control" name="compresion" id="compresion" type="text" value="{{ platesRegistry.0.amountCompresion }}" title="">
                                            {% else %}
                                                <input class="form-control" name="compresion" id="compresion" type="text"  title="" >
                                            {% endif %}
                                            </div>
                                    </div>
                                    {# Dosis mGy AGD ---------------------------------------------------------------------------------------- #}
                                    <div class="form-group classMod2 hidden">
                                            <label class="col-sm-6 control-label">{{ 'labels.mGyAGD'|trans([], 'LocalizationBundle') }}:</label>
                                            <div class="col-sm-6">
                                            {% if platesRegistry.0.amountMgyagd is defined %}
                                                <input class="form-control" name="mgyagd" id="mgyagd" type="text" value="{{ platesRegistry.0.amountMgyagd }}" title="">
                                            {% else %}
                                                <input class="form-control" name="mgyagd" id="mgyagd" type="text"  title="" >
                                            {% endif %}
                                            </div>
                                    </div>

                                    {# CTDI vol -------------------------------------------------------------------------------------------- #}
                                    <div class="form-group hidden classMod3">
                                            <label class="col-sm-6 control-label">{{ 'labels.ctdi'|trans([], 'LocalizationBundle') }}:</label>
                                            <div class="col-sm-6">
                                                {% if platesRegistry.0.amountCtdi is defined %}
                                                    <input class="form-control" maxlength="10" name="ctdi" id="ctdi" type="text" value="{{ platesRegistry.0.amountCtdi }}" title="">
                                                {% else %}
                                                    <input class="form-control" maxlength="10" name="ctdi" id="ctdi" type="text"  title="" >
                                                {% endif %}
                                            </div>
                                    </div>
                                    {# DLP ------------------------------------------------------------------------------------------------- #}
                                    <div class="form-group hidden classMod3">
                                            <label class="col-sm-6 control-label">DLP {%  if id_cliente == 'RIS-NEUROLOGICO' and datamover.0.varMod  == 'CT'  %} * {% endif %}:</label>
                                            <div class="col-sm-6">
                                                {% if platesRegistry.0.amountDlp is defined %}
                                                    <input class="form-control" maxlength="10" name="dlp" id="dlp" type="text" value="{{ platesRegistry.0.amountDlp }}" title="">
                                                {% else %}
                                                    <input class="form-control" maxlength="10" name="dlp" id="dlp" type="text"  title="" >
                                                {% endif %}
                                            </div>
                                    </div>
                                    {# Peso ------------------------------------------------------------------------------------------------- #}
                                    <div class="form-group classMod4" id="inputPESO">
                                            <label class="col-sm-6 control-label">{{ 'labels.patient.weight'|trans([], 'LocalizationBundle') }}:</label>
                                            <div class="col-sm-6">
                                                {# Se quita la clase required en el campo de peso #}
                                                {% if datamover.0.weight is defined %}
                                                    <input class="form-control campoNum" maxlength="9" name="peso" id="peso" type="text" value="{{ datamover.0.weight }}" title="">
                                                {% else %}
                                                    <input class="form-control campoNum" maxlength="9" name="peso" id="peso" type="text" value="0" title="" >
                                                {% endif %}
                                            </div>
                                    </div>
                                   {# mCi --------------------------------------------------------------------------------------------------- #}
                                    <div class="form-group hidden classMod5">
                                            <label class="col-sm-6 control-label">mCi:</label>
                                            <div class="col-sm-6">
                                                {% if platesRegistry.0.amountMci is defined %}
                                                    <input class="form-control" maxlength="10" name="mci" id="mci" type="text" value="{{ platesRegistry.0.amountMci }}" title="">
                                                {% else %}
                                                    <input class="form-control" maxlength="10" name="mci" id="mci" type="text"  title="" >
                                                {% endif %}
                                            </div>
                                    </div>
                                    {# Qradiofarmaco------------------------------------------------------------------------------------------ #}
                                    <div class="form-group hidden classMod5">
                                            <label class="col-sm-6 control-label">{{ 'labels.qRadio'|trans([], 'LocalizationBundle') }}:</label>
                                            <div class="col-sm-6">
                                                {% if platesRegistry.0.amountQradiof is defined %}
                                                    <input class="form-control" maxlength="10" name="qradiof" id="qradiof" type="text" value="{{ platesRegistry.0.amountQradiof }}" title="">
                                                {% else %}
                                                    <input class="form-control" maxlength="10" name="qradiof" id="qradiof" type="text"  title="" >
                                                {% endif %}
                                            </div>
                                    </div>
                                    {# # img Cine ---------------------------------------------------------------------------------------------- #}
                                    <div class="form-group hidden classMod6">
                                            <label class="col-sm-6 control-label">{{ 'labels.imgCine'|trans([], 'LocalizationBundle') }}:</label>
                                            <div class="col-sm-6">
                                                {% if platesRegistry.0.amountImgcine is defined %}
                                                    <input class="form-control" name="imgcine" id="imgcine" type="text" value="{{ platesRegistry.0.amountImgcine }}" title="">
                                                {% else %}
                                                    <input class="form-control" name="imgcine" id="imgcine" type="text"  title="" >
                                                {% endif %}
                                            </div>
                                    </div>
                                    {# # img fluoro --------------------------------------------------------------------------------------------- #}
                                    <div class="form-group hidden classMod6">
                                            <label class="col-sm-6 control-label">{{ 'labels.imgFluoro'|trans([], 'LocalizationBundle') }}:</label>
                                            <div class="col-sm-6">
                                                {% if platesRegistry.0.amountImgfluoro is defined %}
                                                    <input class="form-control" name="imgfluoro" id="imgfluoro" type="text" value="{{ platesRegistry.0.amountImgfluoro }}" title="">
                                                {% else %}
                                                    <input class="form-control" name="imgfluoro" id="imgfluoro" type="text"  title="" >
                                                {% endif %}
                                            </div>
                                    </div>
                                    {# DAP uGy*cm2 --------------------------------------------------------------------------------------------- #}
                                    <div class="form-group hidden classMod6">
                                            <label class="col-sm-6 control-label">DAP uGy*cm<sup>2</sup>:</label>
                                            <div class="col-sm-6">
                                                {% if platesRegistry.0.amountDapugy is defined %}
                                                    <input class="form-control" name="dapugy" id="dapugy" type="text" value="{{ platesRegistry.0.amountDapugy }}" title="">
                                                {% else %}
                                                    <input class="form-control" name="dapugy" id="dapugy" type="text"  title="" >
                                                {% endif %}
                                            </div>
                                    </div>

                                    {# # img fluoro ---------------------------------------------------------------------------------------------
                                    <div class="form-group hidden classMod6">
                                            <label class="col-sm-6 control-label">Número img fluoro:</label>
                                            <div class="col-sm-6">
                                                <input class="form-control" name="" type="text"  title="" >
                                            </div>
                                    </div> #}
                                    {# Dosis acumulada-------------------------------------------------------------------------------------------- #}
                                    <div class="form-group hidden classMod6" id="inputOT" >
                                            <label class="col-sm-6 control-label">{{ 'labels.dosisAcum'|trans([], 'LocalizationBundle') }}:</label>
                                            <div class="col-sm-6">
                                                {% if platesRegistry.0.amountCumulateDose is defined %}
                                                    <input class="form-control" name="dosisacumu" id="dosisacumu" type="text" value="{{ platesRegistry.0.amountCumulateDose }}" title="">
                                                {% else %}
                                                    <input class="form-control" name="dosisacumu" id="dosisacumu" type="text"  title="" >
                                                {% endif %}
                                            </div>
                                    </div>
                                    {# Tiempo fluoroscopia -------------------------------------------------------------------------------------------- #}
                                    <div class="form-group hidden classMod6">
                                            <label class="col-sm-6 control-label">{{ 'labels.tiempoFlu'|trans([], 'LocalizationBundle') }}:</label>
                                            <div class="col-sm-6">
                                                {% if platesRegistry.0.amountTimeFluo is defined %}
                                                    <input class="form-control" name="tiempofluo" id="tiempofluo" type="text" value="{{ platesRegistry.0.amountTimeFluo }}" title="">
                                                {% else %}
                                                    <input class="form-control" name="tiempofluo" id="tiempofluo" type="text"  title="" >
                                                {% endif %}
                                            </div>
                                    </div>
                                    {# Fin Informacion radiacion #}
                                    {# Orden medica #}
                                    <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" style="width:100%;">{{ 'labels.see'|trans([], 'LocalizationBundle') }} {{ 'labels.patient.orden'|trans([], 'LocalizationBundle') }}{{ 'labels.and'|trans([], 'LocalizationBundle') }}{{ 'labels.patient.clinicalData'|trans([], 'LocalizationBundle') }}</a>
                                            </div>
                                            <div class="clearfix" style="margin-bottom:7px;"></div>
                                            <label class="col-sm-6 control-label">{{ 'labels.patient.nuevaOrden'|trans([], 'LocalizationBundle') }}</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 col-sm-6" name="file_Clinical_Order" type="file">
                                            <input id="input_urlOrder" name="input_urlOrder" type="hidden" value="{{ resultQueryMedicalOrder }}">
                                        </div>
                                        <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="button9" type="button"  class="btn btn-primary btn-sm" style="width:100%;">{{ 'utilities.Consent.label'|trans([], 'LocalizationBundle') }}</a><br>
                                            </div>
                                            <div class="clearfix" style="margin-bottom:7px;"></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>
                                    </div>
                                </div>

                                <div class="col-md-6">
                                    <div class="form-group"></div>
                                    {# Numero de procedimientos #}
                                    <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 }}" >
                                        </div>
                                    </div>
                                    {# Numero de placas #}
                                    <div class="form-group">
                                            <label class="col-sm-6 control-label">{{ 'labels.numberPlates'|trans([], 'LocalizationBundle') }}:</label>

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

                                                        {% 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>
                                    {# Numero de disparos #}
                                    <div class="form-group">
                                                <label class="col-sm-6 control-label">{{ 'labels.snaps'|trans([], 'LocalizationBundle') }} {% if campo_numero_disparos == true %} * {% endif %} :</label>
                                                {% if platesRegistry.0.snapnumber is defined %}
                                                <div class="col-sm-6">
                                                    <input id="input_NumberShots" maxlength="9" class="form-control campoNum" name="input_NumberShots" type="text" value="{{ platesRegistry.0.snapnumber }}" title="">
                                                </div>
                                                {% else %}
                                                <div class="col-sm-6">
                                                    <input id="input_NumberShots" maxlength="9" class="form-control campoNum" name="input_NumberShots" type="text"  title="">
                                                </div>
                                                {% endif %}

                                    </div>
                                    {# Numero de placas buenas #}
                                    <div class="form-group">
                                                <label class="col-sm-6 control-label">{{ 'labels.goodPlates'|trans([], 'LocalizationBundle') }} {% if campo_placas_buenas_malas == true %} * {% endif %} :</label>
                                                {% if platesRegistry.0.platesGood is defined %}
                                                <div class="col-sm-6">
                                                    <input id="input_plates_good" maxlength="9" class="form-control campoNum" name="input_plates_good" type="text" value="{{ platesRegistry.0.platesGood }}" title="">
                                                </div>
                                                {% else %}
                                                <div class="col-sm-6">
                                                    <input id="input_plates_good" maxlength="9" class="form-control campoNum" name="input_plates_good" type="text"  title="">
                                                </div>
                                                {% endif %}
                                    </div>
                                    {# Numero de placas malas #}
                                    <div class="form-group">
                                        <label class="col-sm-6 control-label">{{ 'labels.badPlates'|trans([], 'LocalizationBundle') }} {% if campo_placas_buenas_malas == true %} * {% endif %} :</label>
                                        {% if platesRegistry.0.platesBad is defined %}
                                        <div class="col-sm-6">
                                            <input id="input_plates_bad" maxlength="9" class="form-control campoNum" name="input_plates_bad" type="text" value="{{ platesRegistry.0.platesBad }}" title="">
                                        </div>
                                        {% else %}
                                        <div class="col-sm-6">
                                            <input id="input_plates_bad" maxlength="9" class="form-control campoNum" name="input_plates_bad" type="text"  title="">
                                        </div>
                                        {% endif %}
                                    </div>
                                    {# Tipo de contraste #}
                                    {% if datamover.0.medioContraste == true %}
                                        <div class="form-group">
                                            <label class="col-sm-6 control-label">Tipo de contraste:</label>
                                            <div class="col-sm-6">
                                                <select id="select_tipo_contraste" class="form-control" name="select_tipo_contraste">
                                                    {% if platesRegistry.0.tipoContraste is defined %}
                                                        <option value=''  {% if platesRegistry.0.tipoContraste == " " %} selected="selected" {% endif %}>{{ 'button.select'|trans([], 'LocalizationBundle') }}</option>
                                                        <option value='1' {% if platesRegistry.0.tipoContraste == "1" %} selected="selected" {% endif %}>Yodado</option>
                                                        <option value='2' {% if platesRegistry.0.tipoContraste == "2" %} selected="selected" {% endif %}>Bario</option>
                                                        <option value='3' {% if platesRegistry.0.tipoContraste == "3" %} selected="selected" {% endif %}>Gadolinio</option>
                                                        <option value='4' {% if platesRegistry.0.tipoContraste == "4" %} selected="selected" {% endif %}>Gastroview</option>
                                                    {% else %}
                                                        <option value='' >{{ 'button.select'|trans([], 'LocalizationBundle') }}</option>
                                                        <option value='1'>Yodado</option>
                                                        <option value='2'>Bario</option>
                                                        <option value='3'>Gadolinio</option>
                                                        <option value='4'>Gastroview</option>                                                    
                                                    {% endif %}
                                                </select>
                                            </div>
                                        </div>
                                        {# Cantidad de tipo de contraste #}
                                        <div class="form-group">
                                            <label class="col-sm-6 control-label">Cantidad:</label>
                                            <div class="col-sm-6">
                                                {% if platesRegistry.0.cantidadContraste is defined %}
                                                    <input id="input_cantidad_contraste" maxlength="3" class="form-control campoNum" name="input_cantidad_contraste" type="text" value="{{ platesRegistry.0.cantidadContraste }}">
                                                {% else %}
                                                    <input id="input_cantidad_contraste" maxlength="3" class="form-control campoNum" name="input_cantidad_contraste" type="text">
                                                {% endif %}
                                            </div>
                                        </div>
                                    {% endif %}
                                    {# Informacion clinica #}
                                    <div class="form-group">
                                        <label class="col-sm-6 control-label">{{ 'labels.patient.infoClinica'|trans([], 'LocalizationBundle') }}&nbsp;* :</label>
                                        {% if is_granted('ROLE_VR') %}
                                            {% if datamover.0.clinical is defined %}
                                            <div class="col-sm-6">
                                                <textarea id="input_clinical" class="form-control required" name="input_clinical"  rows="7" data-nusa-enabled="true" required>{{ datamover.0.clinical }}</textarea>
                                            </div>
                                            {% else %}
                                            <div class="col-sm-6">
                                                <textarea id="input_clinical" class="form-control required" name="input_clinical"  rows="7" data-nusa-enabled="true" required></textarea>
                                            </div>
                                            {% endif %}
                                        {% else %}
                                            {% if datamover.0.clinical is defined %}
                                            <div class="col-sm-6">
                                                <textarea id="input_clinical" class="form-control required" name="input_clinical"  rows="7" required>{{ datamover.0.clinical }}</textarea>
                                            </div>
                                            {% else %}
                                            <div class="col-sm-6">
                                                <textarea id="input_clinical" class="form-control required" name="input_clinical"  rows="7" required></textarea>
                                            </div>
                                            {% endif %}
                                        {% endif %}
                                    </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>
                                    {% if his_integration == 'true' %}
                                        <div class="form-group">
                                            <label class="col-sm-6 control-label">{{ 'labels.observaciones'|trans([], 'LocalizationBundle') }}:</label>
                                            <div class="col-sm-6">
                                                {% if dataHis != '' %}
                                                    <label>{{ dataHis.obsord|trim }}</label>
                                                {% endif %}
                                            </div>
                                        </div>
                                    {% endif %}
                                </div>
                            {#</div>#}
                        </div>
                        <div class="col-md-12 spacer"><hr></div>
                        <div class="clearfix"></div>
                        
                        {# Se valida si existe una encuesta para la modalidad #}
                        {% if dynamicSurvey is not empty %}
                            <input type="hidden" name="stateSurveys" value="1"/>
                            {% include 'HirukoDynamicSurveysBundle:Default:consultSurveys.html.twig' with {'survey': dynamicSurvey} %}                            
                        {% else %}
                            {% if datamover.0.varMod == 'MG' %}
                                <div id="data-mamography" style="clear: both;">
                                    {% include 'PatientBundle:Patient:ViewDataMammography.html.twig' %}
                                </div>
                            {% elseif datamover.0.varMod == 'CT' and numero_encuesta_ct == '1' %}
                                <div id="data-ct" style="clear: both;">
                                    {% include 'PatientBundle:Patient:ViewDataCT.html.twig' %}
                                </div>
                            {% elseif datamover.0.varMod == 'CT' and numero_encuesta_ct == '2' %}
                                <div id="data-ct" style="clear: both;">
                                    {% include 'PatientBundle:Patient:ViewDataCT2.html.twig' %}
                                </div>
                            {% elseif (datamover.0.varMod == 'MR' or datamover.0.varMod == 'RM') and encuesta_mr == 'true' %}
                                <div id="data-mr" style="clear: both;">
                                    {% include 'PatientBundle:Patient:ViewDataMR.html.twig' with {'encuesta': 'encuesta-mammo'} %}
                                </div>
                            {% endif %}
                        {% endif %}
                        </div>
                        <div class="clearfix"></div>
                        {# Mensaje final #}
                        <div id="caja3">
                            <div style="display: none;">
                                <p><label style="font-size: 50px;">{{ per }}</label></p>
                            </div>
                            <br>
                            <div id="spinner2" style="display: none;">
                                {#<img style="width: 40px;" src="{{ asset("bundles/utilities/images/spinner.gif") }}" style="border: none;"/>#}<h3 style="color:#333;">{{ 'labels.revImagenes'|trans([], 'LocalizationBundle') }}</h3>
                            </div>
                            <p style="display: none;">
                                <span href="#" id="button1">{{ 'button.save'|trans([], 'LocalizationBundle') }}</span>
                                <span href="#" id="button2">{{ 'button.cancel'|trans([], 'LocalizationBundle') }}</span>
                                <span href="#" id="button7">{{ 'button.send'|trans([], 'LocalizationBundle') }}</span>
                            </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;">
                                    {{ 'patient.success.msg'|trans([], 'LocalizationBundle') }}
                                    <strong id="men"></strong>
                                    </p>
                                </div> #}
                                <div class="alert alert-success" role="alert" style="font-size:25px; margin:0; padding:0;" >
                                    <span class="glyphicon glyphicon-alert" aria-hidden="true" style="margin-right:20px;" ></span> {{ 'messages.saveok'|trans([], 'LocalizationBundle') }}
                                </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>
                                        {{ 'patient.error.msg'|trans([], 'LocalizationBundle') }}
                                        <span class="ui-icon ui-icon-alert" style="float: left; margin-right: .3em;"></span>
                                        <strong id="men1"></strong>
                                    </p>
                                </div> #}
                                <div class="alert alert-danger" role="alert" style="font-size:25px; margin:0; padding:0;" >
                                    <span class="glyphicon glyphicon-alert" aria-hidden="true" style="margin-right:20px;" ></span> {{ 'messages.camposObligatorios'|trans([], 'LocalizationBundle') }}
                                </div>
                            </div>
                            {# Muestra un mensaje de error campo numerico #} 
                            <div id="error_field_number" class="ui-widget" style="display:none;">
                                <div class="alert alert-danger" role="alert" style="font-size:25px; margin:0; padding:0;" >
                                    <span class="glyphicon glyphicon-alert" aria-hidden="true" style="margin-right:20px;" ></span> 
                                    {{ 'messages.fieldNumber'|trans([], 'LocalizationBundle') }}
                                </div>
                            </div>
                            
                        </div>
                        {# Fin Mensaje final #}
                </div>{# Fin panel body #}
            </div>{# Fin panel  #}
        </div>{# Fin Container #}

    </form>

{% endblock %}