{{ Form::model('$file',array('url'=>'medical/create','id'=>'file_form','method'=>'POST')) }}
<div class="col-md-12">
    <br>
    <hr>
    <div class="row">
        <div class="col-md-2 form-group">
            {{Form::label('USUARIO:','',array('class'=>'form-label'))}}
        </div>
        <div class="col-md-3 form-group">
            {{Form::label($user->id,'',array('class'=>'form-label'))}}
        </div>
        <div class="col-md-7 form-group">
            {{Form::label($user->first.' '.$user->last,'',array('class'=>'form-label'))}}
        </div>
    </div>
    </br>
    <div class="row">
        @if(!$isGuardian)
            <div class="form-group col-md-4">
                {{Form::label('FECHA:','',array('class'=>'form-label'))}}
                {{Form::text('userdate',$user->date,array('class'=>'form-control','readonly'=>'true'))}}
            </div>
            <div class="form-group col-md-4">
                {{Form::label('TELÉFONO:','',array('class'=>'form-label'))}}
                {{Form::text('userphone',$user->phone,array('class'=>'form-control', 'readonly'=>'true'))}}
            </div>
        @endif
        <div class="form-group col-md-4">
            {{Form::label('TIPO DE SANGRE:','',array('class'=>'form-label'))}}
            <select name="blood" class="form-control">
                <option @if($blood=='ND') selected @endif>ND</option>
                <option @if($blood=='A+') selected @endif>A+</option>
                <option @if($blood=='B+') selected @endif>B+</option>
                <option @if($blood=='AB+') selected @endif>AB+</option>
                <option @if($blood=='O+') selected @endif>O+</option>
                <option @if($blood=='A-') selected @endif>A-</option>
                <option @if($blood=='B-') selected @endif>B-</option>
                <option @if($blood=='AB-') selected @endif>AB-</option>
                <option @if($blood=='O-') selected @endif>O-</option>
            </select>
        </div>
    </div>
    </br>
    {{ Form::hidden('serial_mdr', $file->serial_mdr ,array('class'=>'form-control'))}}
    {{ Form::hidden('serial_usr',  $serial_usr,array('class'=>'form-control'))}}
    <div class="row">
        {{Form::label('1. ANTECEDENTES','')}}
        <div class="col-md-10 col-md-offset-1 ">
            <div class="row">
                {{Form::label('1.1 PRENATAL CONTROLADO','')}}
            </div>
            <div class="row form-group">
                <div class="col-md-6 ">
                    {{ Form::checkbox('cont_pregnancy','YES', $file->cont_pregnancy ? true : null)}}
                    {{ Form::label('EMBARAZO CONTROLADO','') }}
                </div>
                <div class="col-md-6">
                    {{ Form::checkbox('preclamsia','YES',  $file->preclamsia ? true : null )}}
                    {{ Form::label('PREECLAMSIA','') }}
                </div>
            </div>
            <div class="row form-group">
                <div class="col-md-6 ">
                    {{ Form::checkbox('threat_abortion', 'YES',$file->threat_abortion ?  true : null )}}
                    {{ Form::label('AMENAZA DE ABORTO O PARTO PREMATURO','') }}
                </div>
                <div class="col-md-6">
                    {{ Form::checkbox('ivu','YES',$file->ivu ? true : null )}}
                    {{ Form::label('INFECCIÓN DE VÍAS URINARIAS','') }}
                </div>
            </div>
            <div class="row form-group group" hidden>
                {{ Form::label('MEDICACIÓN','',array('class'=>'')) }}
                {{ Form::textarea('medication', $file->medication,array('class'=>'form-control','rows'=>'3')) }}
            </div>
            <br>
            <div class="row">
                {{Form::label('1.2 NACIMIENTO','')}}
            </div>
            <div class="row form-group">
                <div class="col-md-4 ">
                    {{ Form::checkbox('end', 'YES', $file->end ? true : null)}}
                    {{ Form::label('TERMINO','') }}
                </div>
                <div class="col-md-4">
                    {{ Form::checkbox('premature', 'YES',$file->premature ? true : null)}}
                    {{ Form::label('PREMATURA','') }}
                </div>
                <div class="col-md-4">
                    {{ Form::checkbox('cesarea', 'YES',$file->cesarea ? true : null)}}
                    {{ Form::label('CESÁREA','') }}
                </div>
            </div>
            <div class="row form-group">
                <div class="col-md-4 ">
                    {{ Form::checkbox('low_weight', 'YES', $file->low_weight ? true : null)}}
                    {{ Form::label('PESO BAJO','') }}
                </div>
                <div class="col-md-4">
                    {{ Form::checkbox('high_weight', 'YES', $file->high_weight ? true : null)}}
                    {{ Form::label('PESO ELEVADO','') }}
                </div>
                <div class="col-md-4">
                    {{ Form::checkbox('malformations', 'YES', $file->malformations ? true : null)}}
                    {{ Form::label('MAL FORMACIONES','') }}
                </div>
            </div>
            <div class="row form-group">
                <div class="col-md-4 ">
                    {{ Form::checkbox('asphyxia', 'YES',$file->asphyxia ? true : null)}}
                    {{ Form::label('ASFIXIA','') }}
                </div>
                <div class="col-md-4">
                    {{ Form::checkbox('jaundice', 'YES', $file->jaundice ? true : null)}}
                    {{ Form::label('ICTERICIA','') }}
                </div>
                <div class="col-md-4">
                    {{ Form::checkbox('seizures', 'YES', $file->seizures ? true : null)}}
                    {{ Form::label('CONVULSIONES','') }}
                </div>
            </div>

            <div class="row">
                {{Form::label('1.3 POSNATAL','')}}
            </div>
            <div class="row form-group">
                <div class="col-md-4 ">
                    {{ Form::checkbox('language_delay', 'YES',$file->language_delay ? true: null)}}
                    {{ Form::label('RETRASO LENGUAJE','') }}
                </div>
                <div class="col-md-4">
                    {{ Form::checkbox('psychomotor_delay', 'YES', $file->psychomotor_delay ? true : null)}}
                    {{ Form::label('RETRASO PSICOMOTOR','') }}
                </div>
                <div class="col-md-4">
                    {{ Form::checkbox('normal_dev', 'YES', $file->normal_dev ? true : null)}}
                    {{ Form::label('DESARROLLO NORMAL','') }}
                </div>
            </div>
            <br>
        </div>
    </div>

    <div class="row group">
        {{Form::label('2. ANTECEDENTES PATOLÓGICOS FAMILIARES','')}}
        {{ Form::text('medical_history', $file->medical_history,array('class'=>'form-control'))}}
    </div>
    </br>
    <div class="row">
        {{Form::label('3. ENFERMEDADES QUE HA PRESENTADO EL ESTUDIANTE','')}}
        <div class="col-md-10 col-md-offset-1 form-group">
            <div class="row form-group group">
                <div class="col-md-4 ">
                    {{ Form::label('clinical','CLÍNICOS',array('class'=>'control-label')) }}
                </div>
                <div class="col-md-8">
                    {{ Form::textArea('clinical', $file->clinical,array('class'=>'form-control','rows'=>'3'))}}
                </div>
            </div>
            <div class="row group">
                <div class="col-md-4 ">
                    {{ Form::label('allergic','ALERGIAS',array('class'=>'control-label')) }}
                </div>
                <div class="col-md-8">
                    {{ Form::text('allergic', $file->allergic,array('class'=>'form-control'))}}
                </div>
            </div>
            </br>
            <div class="row form-group group">
                <div class="col-md-4 ">
                    {{ Form::label('quirugicos','CIRUGÍAS',array('class'=>'control-label')) }}
                </div>
                <div class="col-md-8">
                    {{ Form::text('quirugicos', $file->quirugicos,array('class'=>'form-control'))}}
                </div>
            </div>
            <div class="row form-group group">
                <div class="col-md-4 ">
                    {{ Form::label('traumatic','TRAUMATISMOS',array('class'=>'control-label')) }}
                </div>
                <div class="col-md-8">
                    {{ Form::text('traumatic', $file->traumatic,array('class'=>'form-control'))}}
                </div>
            </div>
            <div class="row form-group group">
                <div class="col-md-4 ">
                    {{ Form::label('visual','VISUAL',array('class'=>'control-label')) }}
                </div>
                <div class="col-md-8">
                    {{ Form::text('visual', $file->visual,array('class'=>'form-control'))}}
                </div>
            </div>
            <div class="row form-group group">
                <div class="col-md-4 ">
                    {{ Form::label('auditive','AUDITIVO',array('class'=>'control-label')) }}
                </div>
                <div class="col-md-8">
                    {{ Form::text('auditive', $file->auditive,array('class'=>'form-control'))}}
                </div>
            </div>

        </div>
    </div>
    <div class="row" hidden>
        {{Form::label('4. HISTÓRICO GINECO-OBSTÉTRICA','')}}
        <div class="col-md-10 col-md-offset-1">
            <div class="row form-group">
                <div class="col-md-4 group">
                    <div class="col-md-6">
                        {{ Form::label('menarche','MENARQUIA',array('class'=>'control-label')) }}
                    </div>
                    <div class="col-md-6">
                        {{ Form::text('menarche',$file->menarche,array('class'=>'form-control'))}}
                    </div>
                </div>
                <div class="col-md-4 group">
                    <div class="col-md-6 form">
                        {{ Form::label('cycles','CICLOS',array('class'=>'control-label')) }}
                    </div>
                    <div class="col-md-6">
                        {{ Form::text('cycles', $file->cycles,array('class'=>'form-control'))}}
                    </div>
                </div>
                <div class="col-md-4 group">
                    <div class="col-md-6">
                        {{ Form::label('fum','FUM',array('class'=>'control-label')) }}
                    </div>
                    <div class="col-md-6">
                        {{ Form::text('fum', $file->fum,array('class'=>'form-control'))}}
                    </div>
                </div>
            </div>
        </div>
    </div>
    <br>
    <br>
    <div class="row text-center">
        {{ Form::submit('ACEPTAR', array('id'=>'save','class' => 'btn btn-primary')) }}
    </div>
    {{ Form::close()}}
    <br>
</div>
{{ HTML::script('js/medical/loads/file_medical.js') }}