@extends('layouts.app')

@section('content')
    <div class="container-fluid mt-md-2 mt-xl-4">
        <div class="container">
            <div class="card_info d-flex justify-content-center col-12 col-md-12 col-lg-8 col-xl-8">
                <div class="card-body">
                    <h4 class="card-title bg-main-color text-white p-2 text-center position-relative">
                        <span class="align-middle ml-2">ユーザー情報の更新</span>
                    </h4>
                    <div class="pt-3 pb-1">
                        <div class="user_info_back px-3">
                            <P class="border-bottom pt-3">
                                {{ $user->name_last }}{{ $user->name_first }} さん</P>

                            <form class="pt-3" action="{{ url('users/' . $user->id) }}" method="post">
                                @csrf
                                @method('PUT')
                                <div class="form-group row">
                                    <label for="name_last" class="col-sm-4 col-form-label">{{ __('姓 :') }}</label>
                                    <div class="col-sm-8">
                                        <input id="name_last" type="text" class="form-control-plaintext input_user_info"
                                            name="name_last" value="{{ $user->name_last }}" required>
                                    </div>
                                </div>
                                <div class="form-group row">
                                    <label for="name_first" class="col-sm-4 col-form-label">{{ __('名 :') }}</label>
                                    <div class="col-sm-8">
                                        <input id="name_first" type="text" class="form-control-plaintext input_user_info"
                                            name="name_first" value="{{ $user->name_first }}" required>
                                    </div>
                                </div>
                                <div class="form-group row">
                                    <label for="kana_last" class="col-sm-4 col-form-label">{{ __('姓（カナ） :') }}</label>
                                    <div class="col-sm-8">
                                        <input id="kana_last" type="text" class="form-control-plaintext input_user_info"
                                            name="kana_last" value="{{ $user->kana_last }}" required>
                                    </div>
                                </div>
                                <div class="form-group row">
                                    <label for="kana_first" class="col-sm-4 col-form-label">{{ __('名（カナ） :') }}</label>
                                    <div class="col-sm-8">
                                        <input id="kana_first" type="text" class="form-control-plaintext input_user_info"
                                            name="kana_first" value="{{ $user->kana_first }}" required>
                                    </div>
                                </div>
                                <div class="form-group row">
                                    <label for="doctor_category" class="col-sm-4 col-form-label">診療科目 :</label>
                                    <div class="col-sm-8">
                                        <select id="doctor_category_select"
                                            class="custom-select @error('doctor_category') is-invalid @enderror"
                                            name="doctor_category">
                                            <option value="循環器科" @if ($user->doctor_category == '循環器科') selected @endif>循環器科
                                            </option>
                                            <option value="内科" @if ($user->doctor_category == '内科') selected @endif>内科</option>
                                            <option value="放射線科" @if ($user->doctor_category == '放射線科') selected @endif>放射線科
                                            </option>
                                            <option value="救急医療科" @if ($user->doctor_category == '救急医療科') selected @endif>救急医療科
                                            </option>
                                            <option value="心臓血管外科" @if ($user->doctor_category == '心臓血管外科') selected @endif>心臓血管外科
                                            </option>
                                            <option value="その他" @if ($user->doctor_category == 'その他') selected @endif>その他
                                            </option>
                                        </select>
                                    </div>
                                </div>
                                <div class="form-group row">
                                    <label for="doctor_category_other" class="col-sm-4 col-form-label">その他 :</label>
                                    <div class="col-sm-8">
                                        <input id="doctor_category_other" type="text"
                                            class="form-control-plaintext input_user_info" name="doctor_category_other"
                                            value="{{ $user->doctor_category_other }}">
                                        @error('doctor_category_other')
                                            <div class="text-danger">{{ $message }}</div>
                                        @enderror
                                    </div>
                                </div>
                                <div class="form-group row">
                                    <label for="work_place" class="col-sm-4 col-form-label">勤務先 :</label>
                                    <div class="col-sm-8">
                                        <input id="work_place" type="text" class="form-control-plaintext input_user_info"
                                            name="work_place" value="{{ $user->work_place }}" required>
                                    </div>
                                </div>
                                <div class="form-group row">
                                    <label for="email" class="col-sm-4 col-form-label">メール :</label>
                                    <div class="col-sm-8">
                                        <input id="email" type="email" class="form-control-plaintext input_user_info"
                                            name="email" value="{{ $user->email }}" required>
                                    </div>
                                </div>
                                <p class="f18">CVIT会員ですか？</p>
                                <div class="form-group">
                                    <div class="custom-control custom-radio">
                                        <input id="customRadio1" type="radio"
                                            class="custom-control-input @error('cvit') is-invalid @enderror" name="cvit"
                                            value="1" required autocomplete="cvit"
                                            {{ $user->cvit == '1' ? 'checked' : '' }}>
                                        <label class="custom-control-label" for="customRadio1">はい</label>
                                    </div>

                                    <label class="pl-4">CVIT会員番号 :
                                        <input type="text" name="cvit_num"
                                            class="form-control form-control-sm @error('cvit_num') is-invalid @enderror"
                                            placeholder="" value="{{ $user->cvit_num }}">
                                        @error('cvit_num')
                                            <span class="invalid-feedback" role="alert">
                                                <strong>{{ $message }}</strong>
                                            </span>
                                        @enderror
                                    </label>

                                    <div class="custom-control custom-radio pt-3">
                                        <input id="customRadio2" type="radio"
                                            class="custom-control-input @error('cvit') is-invalid @enderror" name="cvit"
                                            value="2" required autocomplete="cvit"
                                            {{ $user->cvit == '2' ? 'checked' : '' }}>
                                        <label class="custom-control-label" for="customRadio2">いいえ</label>
                                        @error('cvit')
                                            <span class="invalid-feedback" role="alert">
                                                <strong>{{ $message }}</strong>
                                            </span>
                                        @enderror
                                    </div>
                                </div>
                                <hr>
                                <p class="text-center pt-3"><button type="submit" name="submit"
                                        class="btn bg-main-color btn-hover text-white mb-2 px-4">{{ __('更　新') }}</button></p>
                            </form>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
@endsection