@extends('Front.PatientLayout.app')
@section('title', 'Questions')
@section('css')
    <style type="text/css">
        .error {
            color: red !important;
            font-size: 13px !important;
            /*float: left !important;*/
        }

        . {
            border-bottom: 1px solid gray;
        }
    </style>
@endsection
@section('content')


    {{-- {{ pre($inhalersMedication->toArray()) }} --}}
    <div class="vz_main_sec">
        <div class="vz_main_container">
            <div class="vz_main_content">
                <div class="container-fluid ">
                    <div class="col-sm-12">
                        <div class="d-flex justify-content-center text-white">
                            <div class="col-12 col-sm-8 col-md-7 col-lg-6 ">
                                <div class="container p-2 ">
                                    @if (count($errors) > 0)
                                        <div class="alert alert-danger">
                                            <ul>
                                                @foreach ($errors->all() as $error)
                                                    <li>{{ $error }}</li>
                                                @endforeach
                                            </ul>
                                        </div>
                                    @endif
                                    <form method="post" id="frmPatientData"
                                        action="{{ route('front.patient.questions.store') }}">
                                        {{ csrf_field() }}
                                        @isset($_GET['cat_id'])
                                            <input type="hidden" name="category_id" value="{{ $_GET['cat_id'] }}">
                                        @endisset
                                        <input type="hidden" name="hdPatientId" id="hdPatientId"
                                            value="{{ $id }}">
                                        <div id="questionOne">
                                            <div class="text-center  text-white mt-4">

                                                <h5 class="p-2">
                                                    {{ __('COPDplan.myPlan') }}
                                                </h5>
                                                <p>
                                                    {{ __('COPDplan.updateYourPlan') }}
                                                    <br> {{ __('COPDplan.hospital') }}
                                                    </br>
                                                </p>
                                                <p class="p-2">
                                                    {{ __('COPDplan.medication') }}
                                                </p>
                                            </div>
                                            <div class="p-2 mt-3 d-flex justify-content-center ">
                                                <div class="mb-3">
                                                    <div class=" card-icon rt_icon_card d-flex mb-mob-4 text-center">
                                                        <div class="">
                                                            <div class=" form-group">

                                                            </div>
                                                            @php
                                                                $frequency = DB::table('frequency')
                                                                    ->where('is_delete', '0')
                                                                    ->get();

                                                                if (app()->getLocale() == 'en') {
                                                                    $medicationCatName = $MedicationCategory[0]['name'];
                                                                    $medicationCatName2 =
                                                                        $MedicationCategory[1]['name'];
                                                                    $medicationCatName3 =
                                                                        $MedicationCategory[2]['name'];
                                                                } else {
                                                                    $medicationCatName =
                                                                        $MedicationCategory[0]['name_welsh'];
                                                                    $medicationCatName2 =
                                                                        $MedicationCategory[1]['name_welsh'];
                                                                    $medicationCatName3 =
                                                                        $MedicationCategory[2]['name_welsh'];
                                                                }
                                                            @endphp
                                                            <h5 class="text-start mb-5">
                                                                {{ $medicationCatName }}
                                                            </h5>
                                                            @if (count($getlastShortTheropy) == 0)
                                                                <div id="dvOuterOld">
                                                                </div>
                                                                <div class="form-group">
                                                                    <select class="form-control " name="lst1[]"
                                                                        data-id="1" id="lst1_1">
                                                                        {{-- <option value="">-Choose your
                                                                            Short-acting
                                                                            bronchodilators-</option> --}}
                                                                        <option value="none">
                                                                            {{ __('COPDplan.None_title') }}</option>
                                                                        @foreach ($inhalersMedication as $i => $m)
                                                                            <option value="{{ $m->id }}"
                                                                                data-id="{{ $m->inhaler_technique }}">
                                                                                {{ $m->name }}({{ MedicationTypeName($m->medication_for, app()->getLocale()) }})
                                                                            </option>
                                                                        @endforeach
                                                                    </select>
                                                                </div>
                                                                <div class="form-group" id="dvTechnique_1"
                                                                    style="display: none" data-id='1'>
                                                                    <div class="form-group" id="dvTechnique_1">
                                                                        <div
                                                                            class="custom-control custom-checkbox primary-checkbox">
                                                                            <input type="checkbox"
                                                                                class="custom-control-input"
                                                                                name="customCheck1[]" id="customCheck1_1"
                                                                                value="1">
                                                                            {{-- <label class="custom-control-label"
                                                                                for="customCheck1_1">Inhaler
                                                                                technique
                                                                                check</label> --}}
                                                                        </div>
                                                                    </div>
                                                                </div>
                                                                <select class="form-control mt-3" name="frequency[]"
                                                                    data-id="1" id="frequency_1">
                                                                    <option value="">
                                                                        {{ __('COPDplan.Frequency_title') }}
                                                                    </option>
                                                                    <option value="none">{{ __('COPDplan.None_title') }}
                                                                    </option>
                                                                    @foreach ($frequency as $f => $va)
                                                                        <option value="{{ $va->id }}">
                                                                            {{ app()->getLocale() == 'en' ? $va->name_english : $va->name_welsh }}
                                                                        </option>
                                                                    @endforeach
                                                                </select>
                                                                <div class="form-group mt-3">
                                                                    <input type="number" min="0" name="per_dose[]"
                                                                        id="per_dose_1" class="form-control"
                                                                        placeholder="{{ __('COPDplan.Enter_amount') }}">
                                                                </div>
                                                                <div class="row text-end mb-3 mt-3">
                                                                    <div class="col-md-12">
                                                                        <a class="add_button btn text-white fnBtnAdd text-decoration-none"
                                                                            id=' add-new' title="Add field"><i
                                                                                class="fa fa-plus-circle mx-2"
                                                                                aria-hidden="true"></i>
                                                                            {{ __('COPDplan.add') . ' ' . $medicationCatName }}
                                                                        </a>
                                                                    </div>
                                                                </div>
                                                            @else
                                                                @foreach ($getlastShortTheropy as $inhelarKey => $inhelarValue)
                                                                    @if ($inhelarKey == 0)
                                                                        <div id="dvOuterOld">
                                                                        </div>
                                                                    @endif

                                                                    <div id="dvMain_{{ $inhelarKey }}">
                                                                        <div class="form-group">
                                                                            <select class="form-control clTherapy mt-3 mb-3"
                                                                                name="lst1[]"
                                                                                data-id="{{ $inhelarKey }}"
                                                                                id="lst1_{{ $inhelarKey }}">
                                                                                {{-- <option value="">--Choose
                                                                                    your
                                                                                    Short-acting
                                                                                    bronchodilators--</option> --}}
                                                                                <option value="none"
                                                                                    @if ($inhelarValue['therapy'] == 'none') selected="" @endif>
                                                                                    {{ __('COPDplan.None_title') }}
                                                                                </option>
                                                                                @foreach ($inhalersMedication as $i => $m)
                                                                                    <option value="{{ $m->id }}"
                                                                                        data-id="{{ $m->inhaler_technique }}"
                                                                                        {{ isset($inhelarValue['therapy']) ? ($inhelarValue['therapy'] == $m->id ? 'selected' : '') : '' }}>
                                                                                        {{ $m->name }}
                                                                                        ({{ MedicationTypeName($m->medication_for, app()->getLocale()) }})
                                                                                    </option>
                                                                                @endforeach

                                                                            </select>
                                                                        </div>
                                                                        <div class="form-group"
                                                                            id="dvTechnique_{{ $inhelarKey }}"
                                                                            style="display:{{ $inhelarValue['therapy'] == 'none' ? 'none' : '' }};"
                                                                            data-id='{{ $inhelarKey }}'>
                                                                            <div class="form-group"
                                                                                id="dvTechnique_{{ $inhelarKey }}">
                                                                                <div
                                                                                    class="custom-control custom-checkbox primary-checkbox">
                                                                                    <input type="checkbox"
                                                                                        class="custom-control-input"
                                                                                        name="customCheck1[]"
                                                                                        id="customCheck1_{{ $inhelarKey }}"
                                                                                        value="1"
                                                                                        {{ $inhelarValue['inhaler_technique'] == 0 ? '' : 'checked' }}>
                                                                                </div>
                                                                            </div>
                                                                        </div>
                                                                        <select class="form-control mt-3" name="frequency[]"
                                                                            data-id="{{ $inhelarKey }}"
                                                                            id="frequency_{{ $inhelarKey }}">

                                                                            <option value="">
                                                                                {{ __('COPDplan.Frequency_title') }}
                                                                            </option>
                                                                            @foreach ($frequency as $f => $va)
                                                                                <option value="{{ $va->id }}"
                                                                                    {{ isset($inhelarValue['frequency']) ? ($inhelarValue['frequency'] == $va->id ? 'selected' : '') : '' }}>
                                                                                    {{ app()->getLocale() == 'en' ? $va->name_english : $va->name_welsh }}
                                                                                </option>
                                                                            @endforeach
                                                                            <option value="none"
                                                                                @if ($inhelarValue['frequency'] == 'none') selected="" @endif>
                                                                                {{ __('COPDplan.None_title') }}</option>
                                                                        </select>
                                                                        <div class="form-group mt-3">
                                                                            <input type="number" min="0"
                                                                                name="per_dose[]"
                                                                                value="{{ $inhelarValue['number_dose'] }}"
                                                                                id="per_dose_{{ $inhelarKey }}"
                                                                                class="form-control"
                                                                                placeholder="{{ __('COPDplan.Enter_amount') }}">
                                                                        </div>
                                                                        <div class="row text-end mb-3 ">
                                                                            <div class="col-md-12 mt-3">
                                                                                @if ($inhelarKey == count($getlastShortTheropy) - 1)
                                                                                    <a class="add_button btn text-white fnBtnAdd text-decoration-none "
                                                                                        id='add-new'
                                                                                        title="Add field"><i
                                                                                            class="fa fa-plus-circle mx-2"
                                                                                            aria-hidden="true"></i>
                                                                                        {{ __('COPDplan.add') . ' ' . $medicationCatName }}
                                                                                    </a>
                                                                                @else
                                                                                    <a class="text-white fnRemove btn  btn-default"
                                                                                        data-del="{{ $inhelarKey }}"
                                                                                        title="Add field"><i
                                                                                            class="fa fa-minus-circle
                                                                                            text-white text-decoration-none mx-2"
                                                                                            aria-hidden="true"></i>
                                                                                        {{ __('COPDplan.delete') . ' ' . $medicationCatName }}
                                                                                    </a>
                                                                                @endif
                                                                            </div>
                                                                        </div>
                                                                    </div>
                                                                @endforeach
                                                            @endif
                                                            <h5 class="mt-5 mb-5 text-start">
                                                                {{ $medicationCatName2 }}</h5>
                                                            @if (count($getlastLongTheropy) == 0)
                                                                <div id="dvOuterOldPervent">
                                                                </div>
                                                                <div id="preventerform">
                                                                    <div class="form-group">
                                                                        <select class="form-control clTherapy mb-3"
                                                                            name="lst2[]" data-id="1" id="lst2_1">
                                                                            {{-- <option value="">-Long-acting
                                                                                bronchodilators-
                                                                            </option> --}}
                                                                            <option value="none">
                                                                                {{ __('COPDplan.None_title') }}
                                                                            </option>
                                                                            @foreach ($longMedication as $kPrev => $vPrev)
                                                                                <option value="{{ $vPrev->id }}">
                                                                                    {{ $vPrev->name }}({{ MedicationTypeName($vPrev->medication_for, app()->getLocale()) }})
                                                                                </option>
                                                                            @endforeach
                                                                        </select>
                                                                        <div class="form-group" id="dvTechniquePrevent_1"
                                                                            style="display:none" data-id='1'>
                                                                            <div class="form-group"
                                                                                id="dvTechniquePrevent_1">
                                                                                <div
                                                                                    class="custom-control custom-checkbox primary-checkbox">
                                                                                    <input type="checkbox"
                                                                                        class="custom-control-input"
                                                                                        name="customCheckPrevent[]"
                                                                                        id="customCheckPrevent_1"
                                                                                        value="1">
                                                                                    {{-- <label class="custom-control-label"
                                                                                        for="customCheckPrevent_1">Long-acting
                                                                                        technique check</label> --}}
                                                                                </div>
                                                                            </div>
                                                                        </div>
                                                                        <select class="form-control mb-3"
                                                                            name="frequencyPrevent[]" data-id="1"
                                                                            id="frequencyPrevent_1">
                                                                            <option value="">
                                                                                {{ __('COPDplan.Frequency_title') }}
                                                                            </option>
                                                                            <option value="none">
                                                                                {{ __('COPDplan.None_title') }}
                                                                            </option>
                                                                            @foreach ($frequency as $f => $va)
                                                                                <option value="{{ $va->id }}">
                                                                                    {{ app()->getLocale() == 'en' ? $va->name_english : $va->name_welsh }}
                                                                                </option>
                                                                            @endforeach
                                                                        </select>
                                                                        <div class="form-group">
                                                                            <input type="number" min="0"
                                                                                class="form-control"
                                                                                name="per_dose_Prevent[]" data-id="1"
                                                                                id="per_dose_Prevent_1"
                                                                                placeholder="{{ __('COPDplan.Enter_amount') }}">
                                                                        </div>

                                                                    </div>
                                                                    <div class="row text-end mb-3 mt-3">
                                                                        <div class="col-md-12">
                                                                            <a class="add_button btn text-white text-decoration-none fnBtnAddPrevent"
                                                                                id='add-new' title="Add field"><i
                                                                                    class="fa fa-plus-circle mx-2"
                                                                                    aria-hidden="true"></i>
                                                                                {{ __('COPDplan.add') . ' ' . $medicationCatName2 }}
                                                                            </a>
                                                                        </div>
                                                                    </div>
                                                                </div>
                                                            @else
                                                                @foreach ($getlastLongTheropy as $ptkey => $pt)
                                                                    @if ($ptkey == 0)
                                                                        <div id="dvOuterOldPervent"></div>
                                                                    @endif

                                                                    <div id="dvMainPrevent_{{ $ptkey }}">
                                                                        <div id="preventerform">
                                                                            <div class="form-group ">
                                                                                <select class="form-control clTherapy mb-3"
                                                                                    name="lst2[]"
                                                                                    data-id="{{ $ptkey }}"
                                                                                    id="lst2_{{ $ptkey }}">
                                                                                    <option value="none"
                                                                                        @if ($pt['therapy'] == 'none') selected="" @endif>
                                                                                        {{ __('COPDplan.None_title') }}
                                                                                    </option>
                                                                                    @foreach ($longMedication as $kPrev => $vPrev)
                                                                                        <option
                                                                                            value="{{ $vPrev->id }}"
                                                                                            {{ isset($pt['therapy']) ? ($pt['therapy'] == $vPrev->id ? 'selected' : '') : '' }}>
                                                                                            {{ $vPrev->name }}
                                                                                            ({{ MedicationTypeName($vPrev->medication_for, app()->getLocale()) }})
                                                                                        </option>
                                                                                    @endforeach

                                                                                </select>
                                                                                <div class="form-group mb-3"
                                                                                    id="dvTechniquePrevent_{{ $ptkey }}"
                                                                                    style="display:  {{ $pt['inhaler_technique'] == 0 ? 'none' : '' }}"
                                                                                    data-id='{{ $ptkey }}'>
                                                                                    <div class="form-group"
                                                                                        id="dvTechniquePrevent_{{ $ptkey }}">
                                                                                        <div
                                                                                            class="custom-control custom-checkbox primary-checkbox">
                                                                                            <input type="checkbox"
                                                                                                class="custom-control-input"
                                                                                                name="customCheckPrevent[]"
                                                                                                id="customCheckPrevent_{{ $ptkey }}"
                                                                                                value="1"
                                                                                                {{ $pt['inhaler_technique'] == 0 ? '' : 'checked=""' }}>
                                                                                            {{-- <label
                                                                                                class="custom-control-label"
                                                                                                for="customCheckPrevent_{{ $ptkey }}">Long-acting
                                                                                                technique
                                                                                                check</label> --}}
                                                                                        </div>
                                                                                    </div>
                                                                                </div>
                                                                                <select class="form-control mb-3"
                                                                                    name="frequencyPrevent[]"
                                                                                    data-id="{{ $ptkey }}"
                                                                                    id="frequencyPrevent_{{ $ptkey }}">
                                                                                    <option value="">
                                                                                        {{ __('COPDplan.Frequency_title') }}
                                                                                    </option>
                                                                                    @foreach ($frequency as $f => $va)
                                                                                        <option
                                                                                            value="{{ $va->id }}"
                                                                                            {{ isset($pt['frequency']) ? ($pt['frequency'] == $va->id ? 'selected' : '') : '' }}>
                                                                                            {{ app()->getLocale() == 'en' ? $va->name_english : $va->name_welsh }}
                                                                                        </option>
                                                                                    @endforeach
                                                                                    <option value="none"
                                                                                        @if ($pt['frequency'] == 'none') selected="" @endif>
                                                                                        {{ __('COPDplan.None_title') }}
                                                                                    </option>
                                                                                </select>
                                                                                <div class="form-group">
                                                                                    <input type="number" min="0"
                                                                                        class="form-control"
                                                                                        name="per_dose_Prevent[]"
                                                                                        id="per_dose_Prevent_{{ $ptkey }}"
                                                                                        value="{{ $pt['number_dose'] }}"
                                                                                        placeholder="{{ __('COPDplan.Enter_amount') }}">
                                                                                </div>

                                                                            </div>
                                                                            <div class="row text-end mb-3 mt-3">
                                                                                <div class="col-md-12">
                                                                                    @if (count($getlastLongTheropy) - 1 == $ptkey)
                                                                                        <a class="add_button btn text-white fnBtnAddPrevent text-decoration-none"
                                                                                            id='add-new'
                                                                                            title="Add field"><i
                                                                                                class="fa fa-plus-circle mx-2"
                                                                                                aria-hidden="true"></i>
                                                                                            {{ __('COPDplan.add') . ' ' . $medicationCatName2 }}</a>
                                                                                    @else
                                                                                        <a class="text-white btn  btn-default"
                                                                                            data-del="{{ $ptkey }}"
                                                                                            title="Add field"><i
                                                                                                class="fa fa-minus-circle fnRemovePrevent
                                                                                                 text-decoration-none mx-2
                                                                                                "
                                                                                                aria-hidden="true"></i>{{ __('COPDplan.delete') . ' ' . $medicationCatName2 }}</a>
                                                                                    @endif
                                                                                </div>
                                                                            </div>
                                                                        </div>
                                                                    </div>
                                                                @endforeach
                                                            @endif

                                                            <h5 class="text-start mt-4 mb-4">
                                                                {{ $medicationCatName3 }}
                                                            </h5>
                                                            @if (count($getlastOtherTheropy) == 0)
                                                                <div id="dvOuterOldHome">
                                                                </div>
                                                                <div class="form-group ">
                                                                    <select class="form-control clTherapy mb-3"
                                                                        name="lst3[]" data-id="1" id="lst3_1">
                                                                        {{-- <option value="">-Other-</option> --}}
                                                                        <option value="none">
                                                                            {{ __('COPDplan.None_title') }}</option>
                                                                        @foreach ($otherMedication as $kHome => $vHome)
                                                                            <option value="{{ $vHome->id }}">
                                                                                {{ $vHome->name }}
                                                                                ({{ MedicationTypeName($vHome->medication_for, app()->getLocale()) }})
                                                                            </option>
                                                                        @endforeach
                                                                    </select>
                                                                </div>
                                                                <div class="form-group" id="dvTechniqueHome_1"
                                                                    style="display: none" data-id='1'>
                                                                    <div class="form-group" id="dvTechniqueHome_1">
                                                                        <div
                                                                            class="custom-control custom-checkbox primary-checkbox">
                                                                            <input type="checkbox"
                                                                                class="custom-control-input"
                                                                                name="customCheckHome[]"
                                                                                id="customCheckHome_1" value="1">
                                                                        </div>
                                                                    </div>
                                                                </div>

                                                                <select class="form-control mb-3" name="frequencyHome[]"
                                                                    data-id="1" id="frequencyHome_1">
                                                                    <option value="">
                                                                        {{ __('COPDplan.Frequency_title') }}
                                                                    </option>
                                                                    <option value="none">{{ __('COPDplan.None_title') }}
                                                                    </option>
                                                                    @foreach ($frequency as $f => $va)
                                                                        <option value="{{ $va->id }}">
                                                                            {{ app()->getLocale() == 'en' ? $va->name_english : $va->name_welsh }}
                                                                        </option>
                                                                    @endforeach
                                                                </select>
                                                                <div class="form-group">
                                                                    <input type="number" min="0"
                                                                        class="form-control" name="per_dose_Home[]"
                                                                        id="per_dose_Home_1" value=""
                                                                        placeholder="{{ __('COPDplan.Enter_amount') }}">
                                                                </div>

                                                                <div class="row text-end mb-3 mt-3 ">
                                                                    <div class="col-md-12">
                                                                        <a class="add_button btn text-white fnBtnAddHome text-decoration-none "
                                                                            id='add-new' title="Add field"><i
                                                                                class="fa fa-plus-circle mx-2"
                                                                                aria-hidden="true"></i>{{ __('COPDplan.add') . ' ' . $medicationCatName3 }}</a>
                                                                    </div>
                                                                </div>
                                                            @else
                                                                @foreach ($getlastOtherTheropy as $htkey => $ht)
                                                                    @if ($htkey == 0)
                                                                        <div id="dvOuterOldHome"></div>
                                                                    @endif
                                                                    <div id="dvMainHome_{{ $htkey }}">
                                                                        <div class="form-group">

                                                                            <select class="form-control clTherapy mb-3"
                                                                                name="lst3[]"
                                                                                data-id="{{ $htkey }}"
                                                                                id="lst3_{{ $htkey }}">
                                                                                {{-- <option value="">-Other-
                                                                                </option> --}}
                                                                                <option value="none"
                                                                                    @if ($ht['therapy'] == 'none') selected="" @endif>
                                                                                    {{ __('COPDplan.None_title') }}
                                                                                </option>
                                                                                @foreach ($otherMedication as $kHome => $vHome)
                                                                                    <option value="{{ $vHome->id }}"
                                                                                        {{ isset($ht['therapy']) ? ($ht['therapy'] == $vHome->id ? 'selected' : '') : '' }}>
                                                                                        {{ $vHome->name }}
                                                                                        ({{ MedicationTypeName($vHome->medication_for, app()->getLocale()) }})
                                                                                    </option>
                                                                                @endforeach

                                                                            </select>
                                                                        </div>
                                                                        <div class="form-group"
                                                                            id="dvTechniqueHome_{{ $htkey }}"
                                                                            style="display: {{ $ht['inhaler_technique'] == 0 ? 'none' : '' }}"
                                                                            data-id='{{ $htkey }}'>
                                                                            <div class="form-group"
                                                                                id="dvTechniqueHome_{{ $htkey }}">
                                                                                <div
                                                                                    class="custom-control custom-checkbox primary-checkbox">
                                                                                    <input type="checkbox"
                                                                                        class="custom-control-input"
                                                                                        name="customCheckHome[]"
                                                                                        id="customCheckHome_{{ $htkey }}"
                                                                                        value="1"
                                                                                        {{ $ht['inhaler_technique'] == 0 ? '' : 'checked=""' }}>
                                                                                    {{-- <label class="custom-control-label"
                                                                                        for="customCheckHome_{{ $htkey }}">Inhaler
                                                                                        technique check</label> --}}
                                                                                </div>
                                                                            </div>
                                                                        </div>
                                                                        <select class="form-control mt-3"
                                                                            name="frequencyHome[]"
                                                                            data-id="{{ $htkey }}"
                                                                            id="frequencyHome_{{ $htkey }}">
                                                                            <option value="">
                                                                                {{ __('COPDplan.Frequency_title') }}
                                                                            </option>
                                                                            @foreach ($frequency as $f => $va)
                                                                                <option value="{{ $va->id }}"
                                                                                    {{ isset($ht['frequency']) ? ($ht['frequency'] == $va->id ? 'selected' : '') : '' }}>
                                                                                    {{ app()->getLocale() == 'en' ? $va->name_english : $va->name_welsh }}
                                                                                </option>
                                                                            @endforeach
                                                                            <option value="none"
                                                                                @if ($ht['frequency'] == 'none') selected="" @endif>
                                                                                {{ __('COPDplan.None_title') }}</option>
                                                                        </select>
                                                                        <div class="form-group mt-3">
                                                                            <input type="number" min="0"
                                                                                class="form-control"
                                                                                name="per_dose_Home[]"
                                                                                id="per_dose_Home_{{ $htkey }}"
                                                                                value="{{ $ht['number_dose'] }}"
                                                                                placeholder="{{ __('COPDplan.Enter_amount') }}">
                                                                        </div>



                                                                        <div class="row text-end mb-3 mt-3">
                                                                            <div class="col-md-12">
                                                                                @if (count($getlastOtherTheropy) - 1 == $htkey)
                                                                                    <a class="add_button btn fnBtnAddHome text-white text-decoration-none mt-3 mb-3"
                                                                                        id='add-new'
                                                                                        title="Add field"><i
                                                                                            class="fa fa-plus-circle mx-2"
                                                                                            aria-hidden="true"></i>
                                                                                        {{ __('COPDplan.add') . ' ' . $medicationCatName3 }}</a>
                                                                                @else
                                                                                    <a class="text-white btn fnRemoveHome  btn-default"
                                                                                        data-del="{{ $htkey }}"
                                                                                        title="Add field"><i
                                                                                            class="fa fa-minus-circle 
                                                                                            text-white text-decoration-none mx-2"
                                                                                            aria-hidden="true"></i>{{ __('COPDplan.delete') . ' ' . $medicationCatName3 }}</a>
                                                                                @endif
                                                                            </div>
                                                                        </div>
                                                                    </div>
                                                                @endforeach
                                                            @endif
                                                            <div id="nextOne" align="center"
                                                                class="d-grid gap-2 col-6 mx-auto mt-4">
                                                                <span
                                                                    class="btn btn-dark rounded-pill text-dark border-0 p-2  bg-white ">
                                                                    {{ __('register.next') }}
                                                                </span>
                                                            </div>
                                                        </div>

                                                    </div>
                                                </div>
                                            </div>

                                        </div>
                                        <div id="questionTwo" hidden>
                                            <div class="p-4 mt-3">
                                                <div class="mb-3">
                                                    <div class="text-center  text-white mt-4">

                                                        <h5 class="p-2">
                                                            {{ __('COPDplan.myPlan') }}
                                                        </h5>
                                                        <p>
                                                            {{ __('COPDplan.updateYourPlan') }}
                                                            <br> {{ __('COPDplan.hospital') }}
                                                            </br>
                                                        </p>
                                                        <p class="p-2">
                                                            {{ __('COPDplan.medication') }}
                                                        </p>
                                                    </div>
                                                    <h5 class="col-form-label">{{ __('COPDplan.Choose_spacer') }}</h5>
                                                    <br>

                                                    <select name="lstSpacer" class="form-control" id="lstSpacer">
                                                        @foreach ($spacer as $s => $p)
                                                            <option value="{{ $p->id }}"
                                                                {{ isset($patientRecord) ? ($patientRecord->spacer == $p->id ? 'selected' : '') : '' }}>
                                                                {{ app()->getLocale() == 'en' ? $p->name : $p->name_welsh }}
                                                            </option>
                                                        @endforeach
                                                    </select>
                                                </div>
                                                <span hidden id="lstSpacerSpan"
                                                    class="text-danger">{{ __('question.lstSpacerSpan') }}</span>
                                                <div class="form-group">
                                                    <h5 class="col-form-label mb-2 mt-2">
                                                        {{ __('COPDplan.Home_nebuliser_title') }}</h5><br>
                                                    <div class="custom-control custom-radio primary-radio">
                                                        <input type="radio" id="rdNebuliserNo" name="rdNebuliser"
                                                            value="No, I don't have a home nebuliser"
                                                            class="custom-control-input form-check-input rdOxygen"
                                                            {{ isset($patientRecord) ? ($patientRecord->home_nebuliser == "No, I don't have a home nebuliser" ? 'checked' : '') : '' }}>
                                                        <label class="custom-control-label"
                                                            for="rdNebuliserNo">{{ __('COPDplan.No_Home_nebuliser') }}</label>
                                                    </div>
                                                    <div class="custom-control custom-radio primary-radio">
                                                        <input type="radio" id="rdNebuliserYes"
                                                            value="Yes, I do have a home nebuliser" name="rdNebuliser"
                                                            class="custom-control-input form-check-input rdOxygen"
                                                            {{ isset($patientRecord) ? ($patientRecord->home_nebuliser == 'Yes, I do have a home nebuliser' ? 'checked' : '') : '' }}>
                                                        <label class="custom-control-label"
                                                            for="rdNebuliserYes">{{ __('COPDplan.Yes_Home_nebuliser') }}</label>
                                                    </div>
                                                </div>
                                                <div class="form-group">
                                                    <h5 class="col-form-label mb-2 mt-2">
                                                        {{ __('COPDplan.Rescue_Pack_title') }}</h5>
                                                </div>
                                                <div class="form-group">
                                                    <div class="custom-control custom-radio primary-radio">
                                                        <input type="radio" id="rdRescuePackNo" name="rdRescuePack"
                                                            value="No, I don't have a rescue pack"
                                                            class="custom-control-input form-check-input"
                                                            {{ isset($patientRecord) ? ($patientRecord->rescue_pack == "No, I don't have a rescue pack" ? 'checked' : '') : '' }}>
                                                        <label class="custom-control-label"
                                                            for="rdRescuePackNo">{{ __('COPDplan.No_rescue_pack') }}</label>
                                                    </div>
                                                </div>
                                                <div class="form-group">
                                                    <div class="custom-control custom-radio primary-radio">
                                                        <input type="radio" id="rdRescuePackYes"
                                                            value="Yes, I do have a rescue pack" name="rdRescuePack"
                                                            class="custom-control-input form-check-input"
                                                            {{ isset($patientRecord) ? ($patientRecord->rescue_pack == 'Yes, I do have a rescue pack' ? 'checked' : '') : '' }}>
                                                        <label class="custom-control-label"
                                                            for="rdRescuePackYes">{{ __('COPDplan.Yes_rescue_pack') }}</label>
                                                    </div>
                                                </div>

                                                <div class="form-group">
                                                    <h5 class="col-form-label mb-2 mt-2">
                                                        {{ __('COPDplan.Oxygen_title') }}</h5>
                                                </div>
                                                <div class="form-group">
                                                    <div class="custom-control custom-radio primary-radio">
                                                        <input type="radio" id="rdOxygenNo" name="rdOxygen"
                                                            value="No, I don't have supplemental oxygen"
                                                            class="custom-control-input form-check-input rdOxygen"
                                                            {{ isset($patientRecord) ? ($patientRecord->oxygen == "No, I don't have supplemental oxygen" ? 'checked' : '') : '' }}>
                                                        <label class="custom-control-label"
                                                            for="rdOxygenNo">{{ __('COPDplan.No_supplemental_oxygen') }}</label>
                                                    </div>
                                                </div>
                                                <div class="form-group">
                                                    <div class="custom-control custom-radio primary-radio">
                                                        <input type="radio" id="rdOxygenYes"
                                                            value="Yes, I do have supplemental oxygen" name="rdOxygen"
                                                            class="custom-control-input form-check-input rdOxygen"
                                                            {{ isset($patientRecord) ? ($patientRecord->oxygen == 'Yes, I do have supplemental oxygen' ? 'checked' : '') : '' }}>
                                                        <label class="custom-control-label"
                                                            for="rdOxygenYes">{{ __('COPDplan.Yes_supplemental_oxygen') }}</label>
                                                    </div>
                                                </div>
                                                @php
                                                    if (isset($patientRecord)) {
                                                        if (
                                                            $patientRecord->oxygen ==
                                                            'Yes, I do have supplemental oxygen'
                                                        ) {
                                                            $oxyhidden = '';
                                                        } else {
                                                            $oxyhidden = 'none';
                                                        }
                                                    } else {
                                                        $oxyhidden = 'none';
                                                    }
                                                @endphp
                                                <div id='OxygenHidden' class="brd"
                                                    style="display: {{ $oxyhidden }}">
                                                    <div class="form-group">
                                                        <div class="custom-control custom-radio primary-radio">
                                                            <input type="radio" id="rdLongTermOxygen" name="oxygen"
                                                                value="I have long term oxygen"
                                                                class="custom-control-input form-check-input"
                                                                {{ isset($patientRecord) ? ($patientRecord->oxygen_term == 'I have long term oxygen' ? 'checked' : '') : '' }}>
                                                            <label class="custom-control-label" for="rdLongTermOxygen">I
                                                                {{ __('COPDplan.long_term_oxygen') }}</label>
                                                        </div>
                                                    </div>
                                                    <div class="form-group">
                                                        <div class="custom-control custom-radio primary-radio">
                                                            <input type="radio" id="rdOxygenShortTerm"
                                                                value="I have short burst oxygen" name="oxygen"
                                                                class="custom-control-input form-check-input"
                                                                {{ isset($patientRecord) ? ($patientRecord->oxygen_term == 'I have short burst oxygen' ? 'checked' : '') : '' }}>
                                                            <label class="custom-control-label" for="rdOxygenShortTerm">I
                                                                {{ __('COPDplan.short_burst') }}</label>
                                                        </div>
                                                    </div>
                                                    <div class="form-group">
                                                        <div class="custom-control custom-radio primary-radio">
                                                            <input type="radio" id="rdAmbulatoryOxygen"
                                                                value="I have ambulatory oxygen" name="oxygen"
                                                                class="custom-control-input form-check-input"
                                                                {{ isset($patientRecord) ? ($patientRecord->oxygen_term == 'I have ambulatory oxygen' ? 'checked' : '') : '' }}>
                                                            <label class="custom-control-label" for="rdAmbulatoryOxygen">
                                                                {{ __('COPDplan.ambulatory_oxygen') }}</label>
                                                        </div>
                                                    </div>
                                                    <br><br>
                                                    <div class="form-group">
                                                        <div class="form-group">
                                                            <div class="custom-control custom-radio primary-radio">
                                                                <input type="radio" id="rdOxygenCylinder"
                                                                    value="I have an oxygen cylinder"
                                                                    name="oxygencylinder"
                                                                    class="custom-control-input form-check-input"
                                                                    {{ isset($patientRecord) ? ($patientRecord->oxygen_cylinder == 'I have an oxygen cylinder' ? 'checked' : '') : '' }}>
                                                                <label class="custom-control-label"
                                                                    for="rdOxygenCylinder">I
                                                                    {{ __('COPDplan.oxygen_cylinder') }}</label>
                                                            </div>
                                                        </div>
                                                        <div class="form-group">
                                                            <div class="custom-control custom-radio primary-radio">
                                                                <input type="radio" id="rdConcentratorOxygen"
                                                                    value="I have an oxygen concentrator"
                                                                    name="oxygencylinder"
                                                                    class="custom-control-input form-check-input"
                                                                    {{ isset($patientRecord) ? ($patientRecord->oxygen_cylinder == 'I have an oxygen concentrator' ? 'checked' : '') : '' }}>
                                                                <label class="custom-control-label"
                                                                    for="rdConcentratorOxygen">{{ __('COPDplan.oxygen_concentrator') }}</label>
                                                            </div>
                                                        </div>
                                                    </div>
                                                    <div class="form-group">
                                                        <label
                                                            class="col-form-label">{{ __('COPDplan.Flow_rate_title') }}</label><br>
                                                        <input type="text" name="flow_rate" id="flow_rate"
                                                            class="form-control"
                                                            value="{{ isset($patientRecord) ? $patientRecord->flow_rate : '' }}">
                                                    </div>
                                                </div>

                                                <div class="form-group">
                                                    <h5 class="col-form-label mb-2 mt-2">
                                                        {{ __('COPDplan.Long_term_Ventilation') }}</h5>
                                                </div>
                                                <div class="form-group">
                                                    <div class="custom-control custom-radio primary-radio">
                                                        <input type="radio" id="rdVentilationNo" name="rdVentilation"
                                                            value="No, I am NOT on long-term NIV"
                                                            class="custom-control-input form-check-input"
                                                            {{ isset($patientRecord) ? ($patientRecord->long_term_ventilation == 'No, I am NOT on long-term NIV' ? 'checked' : '') : '' }}>
                                                        <label class="custom-control-label"
                                                            for="rdVentilationNo">{{ __('COPDplan.No_long_term_NIV') }}</label>
                                                    </div>
                                                </div>
                                                <div class="form-group">
                                                    <div class="custom-control custom-radio primary-radio">
                                                        <input type="radio" id="rdVentilationYes"
                                                            value="Yes, I am on long-term NIV" name="rdVentilation"
                                                            class="custom-control-input form-check-input"
                                                            {{ isset($patientRecord) ? ($patientRecord->long_term_ventilation == 'Yes, I am on long-term NIV' ? 'checked' : '') : '' }}>
                                                        <label class="custom-control-label"
                                                            for="rdVentilationYes">{{ __('COPDplan.Yes_long_term_NIV') }}</label>
                                                    </div>
                                                </div>
                                                <div class="form-group">
                                                    <div class="custom-control custom-radio primary-radio">
                                                        <input type="radio" id="rdVentilationPast"
                                                            value="I have had NIV whilst in hospital in the past"
                                                            name="rdVentilation"
                                                            class="custom-control-input form-check-input"
                                                            {{ isset($patientRecord) ? ($patientRecord->long_term_ventilation == 'I have had NIV whilst in hospital in the past' ? 'checked' : '') : '' }}>
                                                        <label class="custom-control-label"
                                                            for="rdVentilationPast">{{ __('COPDplan.whilst_hospital') }}</label>
                                                    </div>
                                                </div>
                                                <div class="form-group">
                                                    <h5 class="col-form-label mb-2 mt-2">
                                                        {{ __('COPDplan.Pulmonary_title') }}</h5>
                                                </div>
                                                <div class="form-group">
                                                    <div class="custom-control custom-radio primary-radio">
                                                        <input type="radio" id="rdPulmonaryYes"
                                                            value="No, I have NOT participated in Pulmonary Rehabilitation"
                                                            name="rdPulmonary"
                                                            class="custom-control-input form-check-input"
                                                            {{ isset($patientRecord) ? ($patientRecord->pulmonary_rehabilitation == 'No, I have NOT participated in Pulmonary Rehabilitation' ? 'checked' : '') : '' }}>
                                                        <label class="custom-control-label"
                                                            for="rdPulmonaryYes">{{ __('COPDplan.No_Pulmonary_Rehabilitation') }}</label>
                                                    </div>
                                                </div>
                                                <div class="form-group">
                                                    <div class="custom-control custom-radio primary-radio">
                                                        <input type="radio" id="rdPulmonaryNo" name="rdPulmonary"
                                                            value="Yes, I have participated in Pulmonary Rehabilitation"
                                                            class="custom-control-input form-check-input"
                                                            {{ isset($patientRecord) ? ($patientRecord->pulmonary_rehabilitation == 'Yes, I have participated in Pulmonary Rehabilitation' ? 'checked' : '') : '' }}>
                                                        <label class="custom-control-label"
                                                            for="rdPulmonaryNo">{{ __('COPDplan.Yes_Pulmonary_Rehabilitation') }}</label>
                                                    </div>
                                                </div>

                                                <div class="form-group">
                                                    <div class="custom-control custom-radio primary-radio">
                                                        <input type="radio" id="rdPulmonaryRehabilitation"
                                                            value="I have been referred to Pulmonary Rehabilitation"
                                                            name="rdPulmonary"
                                                            class="custom-control-input form-check-input"
                                                            {{ isset($patientRecord) ? ($patientRecord->pulmonary_rehabilitation == 'I have been referred to Pulmonary Rehabilitation' ? 'checked' : '') : '' }}>
                                                        <label class="custom-control-label"
                                                            for="rdPulmonaryRehabilitation">{{ __('COPDplan.referred_Pulmonary') }}</label>
                                                    </div>
                                                </div>
                                                @php
                                                    if (isset($patientRecord)) {
                                                        if (
                                                            $patientRecord->pulmonary_rehabilitation ==
                                                            'Yes, I have participated in Pulmonary Rehabilitation'
                                                        ) {
                                                            $pulanary = '';
                                                        } else {
                                                            $pulanary = 'none';
                                                        }
                                                    } else {
                                                        $pulanary = 'none';
                                                    }
                                                @endphp
                                                {{-- <div id='DivPulmonary' style="display: {{ $pulanary }}">
                                                        <div class="form-group">
                                                            <label class="col-form-label">What year
                                                                did
                                                                you do
                                                                it?</label><br>
                                                            <input type="text" name="what_year" id="what_year"
                                                                class="form-control"
                                                                value="{{ isset($patientRecord) ? $patientRecord->p_r_what_year : '' }}">
                                                        </div>
                                                        <div class="custom-control custom-checkbox primary-checkbox">
                                                            <input type="checkbox" class="custom-control-input form-check-input"
                                                                name="complete_it" id="complete_it"
                                                                {{ isset($patientRecord) ? ($patientRecord->p_r_did_you_complete == 'on' ? 'checked' : '') : '' }}>
                                                            <label class="custom-control-label" for="complete_it">Did
                                                                you
                                                                complete it?</label>
                                                        </div>
                                                    </div> --}}


                                                <div class="form-group">
                                                    <h5 class="col-form-label mb-2 mt-2">
                                                        {{ __('COPDplan.Flu_vaccination_title') }}</h5>
                                                </div>
                                                <div class="form-group">
                                                    <div class="custom-control custom-radio primary-radio">
                                                        <input type="radio" id="rdVaccinationNever"
                                                            value="I never get my Flu Vaccination" name="rdVaccination"
                                                            class="custom-control-input form-check-input"
                                                            {{ isset($patientRecord) ? ($patientRecord->flu_vaccination == 'I never get my Flu Vaccination' ? 'checked' : '') : '' }}>
                                                        <label class="custom-control-label"
                                                            for="rdVaccinationNever">{{ __('COPDplan.never_get_vaccination') }}</label>
                                                    </div>
                                                </div>
                                                <div class="form-group">
                                                    <div class="custom-control custom-radio primary-radio">
                                                        <input type="radio" id="rdVaccinationAlways"
                                                            name="rdVaccination" value="I always get my Flu Vaccination"
                                                            class="custom-control-input form-check-input"
                                                            {{ isset($patientRecord) ? ($patientRecord->flu_vaccination == 'I always get my Flu Vaccination' ? 'checked' : '') : '' }}>
                                                        <label class="custom-control-label"
                                                            for="rdVaccinationAlways">{{ __('COPDplan.get_vaccination') }}</label>
                                                    </div>
                                                </div>

                                                <div class="form-group">
                                                    <div class="custom-control custom-radio primary-radio">
                                                        <input type="radio" id="rdVaccinationSometimes"
                                                            value="I sometimes get my Flu Vaccination"
                                                            name="rdVaccination"
                                                            class="custom-control-input form-check-input"
                                                            {{ isset($patientRecord) ? ($patientRecord->flu_vaccination == 'I sometimes get my Flu Vaccination' ? 'checked' : '') : '' }}>
                                                        <label class="custom-control-label"
                                                            for="rdVaccinationSometimes">{{ __('COPDplan.sometimes_get') }}</label>
                                                    </div>
                                                </div>
                                                <div id="nextTwo" align="center"
                                                    class="d-grid gap-2 col-6 mx-auto mt-4">
                                                    <span
                                                        class="btn btn-dark rounded-pill text-dark border-0 p-2  bg-white ">
                                                        {{ __('register.next') }}
                                                    </span>
                                                </div>
                                            </div>
                                        </div>
                                </div>
                                <div id="questionThree" hidden>
                                    <div class="p-4 mt-3">
                                        <div class="mb-3">
                                            <div class=" card-icon rt_icon_card d-flex mb-mob-4 text-center">
                                                <div class="card-body">
                                                    <div class="form-group">
                                                        <h5 class=" mb-4 mt-2">
                                                            {{ __('mycopdplanview.mynormalvalue') }}</h5>
                                                        <p> {{ __('mycopdplanview.question_3_des') }}</p>
                                                    </div>
                                                    <div class="form-group">
                                                        <h5 class=" text-start mb-4 mt-5">
                                                            {{ __('COPDplan.Post_bronchodilator_ratio') }}</h5>
                                                        <input type="text" class="form-control DigitOnly"
                                                            name="txtratio" id="txtratio"
                                                            value="{{ isset($patientRecord) ? $patientRecord->post_bronchodilator_decimal : '' }}">
                                                        <span id="txtratio_error" class="error"></span>
                                                    </div>

                                                    <div class="form-group">
                                                        <h5 class="mb-4 text-start mt-4">
                                                            {{ __('COPDplan.Post_bronchodilator_title') }}</h5>
                                                        <input type="text" name="txtBronchodilator"
                                                            class="form-control DigitOnly" id="txtBronchodilator"
                                                            value="{{ isset($patientRecord) ? $patientRecord->post_bronchodilator_predicted : '' }}">
                                                        <span id="txtBronchodilator_error" class="error"></span>
                                                    </div>

                                                    <div class="form-group">
                                                        <h5 class="txet-start mb-3 mt-4">
                                                            {{ __('COPDplan.Target_range') }}</h5>
                                                    </div>
                                                    <div class="row">
                                                        <div class="form-group">
                                                            <div class="custom-control custom-radio primary-radio">
                                                                <input type="radio" id="rd88" value="88-92"
                                                                    name="rdTargetOxygen"
                                                                    class="custom-control-input form-check-input"
                                                                    {{ isset($patientRecord) ? ($patientRecord->target_oxygen_saturation == '88-92' ? 'checked' : '') : '' }}>
                                                                <label class="custom-control-label"
                                                                    for="rd88">88-92</label>
                                                            </div>
                                                            <div class="custom-control custom-radio primary-radio">
                                                                <input type="radio" id="rd94" value="94-98"
                                                                    name="rdTargetOxygen"
                                                                    class="custom-control-input form-check-input"
                                                                    {{ isset($patientRecord) ? ($patientRecord->target_oxygen_saturation == '94-98' ? 'checked' : '') : '' }}>
                                                                <label class="custom-control-label"
                                                                    for="rd94">94-98</label>
                                                            </div>
                                                        </div>
                                                        <div class="form-group">
                                                            <div class="custom-control custom-radio primary-radio">
                                                                @if (isset($patientRecord) ? $patientRecord->target_oxygen_saturation == 'on' : '')
                                                                    <input type="radio" id="idotk"
                                                                        name="rdTargetOxygen"
                                                                        class="custom-control-input"checked>
                                                                @else
                                                                    <input type="radio" id="idotk"
                                                                        name="rdTargetOxygen"
                                                                        class="custom-control-input">
                                                                @endif
                                                                <label class="custom-control-label"
                                                                    for="idotk">{{ __('COPDplan.dont_know_title') }}</label>
                                                            </div>
                                                        </div>
                                                        <div id="nextThree " align="center"
                                                            class="d-grid gap-2 col-6 mx-auto mt-4">
                                                            <button type="submit"
                                                                class="btn btn-dark rounded-pill text-dark border-0 p-2  bg-white ">
                                                                {{ __('COPDplan.Submit_title') }}

                                                            </button>
                                                        </div>
                                                    </div>
                                                </div>
                                            </div>
                                            <br>
                                        </div>
                                    </div>

                                    </form>
                                </div>
                                <div class="text-center my-5">
                                    <picture>
                                        <img src="{{ s3Url('uploads/patient/ic_gig_logo_white.png') }}"
                                            class="img-fluid " style="width: 8rem">
                                    </picture>
                                </div>

                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>

    <input type="hidden" id="hdId" value="{{ count($getlastShortTheropy) + 1 }}">
    <input type="hidden" id="hdIdLong" value="{{ count($getlastLongTheropy) + 1 }}">
    <input type="hidden" id="hdIdOther" value="{{ count($getlastOtherTheropy) + 1 }}">
    <div id="dvOuterMain" style="display: none">
        <div id="dvMain_{groupId}">
            <select class="form-control clTherapy mb-3" name="lst1[]" data-id="{groupId}" id="lst1_{groupId}">
                {{-- <option value="">-Short-acting bronchodilators-</option> --}}
                <option value="none">{{ __('COPDplan.None_title') }}</option>
                @foreach ($inhalersMedication as $i => $m)
                    <option value="{{ $m->id }}" data-id="{{ $m->inhaler_technique }}">{{ $m->name }}
                    </option>
                @endforeach
            </select>
            <div class="form-group" id="dvTechnique_{groupId}" style="display: none" data-id='{groupId}'>
                <div class="form-group" id="dvTechnique_{groupId}">
                    <div class="custom-control custom-checkbox primary-checkbox">
                        <input type="checkbox" class="custom-control-input" name="customCheck1[]"
                            id="customCheck1_{groupId}" value="1">
                        {{-- <label class="custom-control-label" for="customCheck1_{groupId}">Short-acting technique
                            check</label> --}}
                    </div>
                </div>
            </div>

            <select class="form-control " name="frequency[]" id="frequency_{groupId}">
                <option value="">{{ __('COPDplan.Frequency_title') }}</option>
                <option value="none">{{ __('COPDplan.None_title') }}</option>
                @foreach ($frequency as $f => $va)
                    <option value="{{ $va->id }}">
                        {{ app()->getLocale() == 'en' ? $va->name_english : $va->name_welsh }}
                    </option>
                @endforeach
            </select>
            <!--<label class="col-form-label">Number of per dose</label>
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                <select class="form-control " name="per_dose[]"  id="per_dose_{groupId}">
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    <option value="">-Select Number of per dose-</option>
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                </select>-->
            <div class="form-group mt-3">
                <input type="number" min="0" name="per_dose[]" id="per_dose_{groupId}" class="form-control"
                    placeholder="{{ __('COPDplan.Enter_amount') }}">
            </div>
            <div class="row text-end mb-3  ">
                <div class="col-md-12">
                    <a class=" fnRemove btn btn-default text-white text-decoration-none" data-del="{groupId}"
                        title="Add field">
                        <i class="fa fa-minus-circle mx-2"
                            aria-hidden="true"></i>{{ __('COPDplan.delete') . ' ' . $medicationCatName }}
                    </a>
                </div>
            </div>
        </div>
    </div>
    <div id="dvOuterMainPrevent" style="display: none">
        <div id="dvMainPrevent_{groupId}">
            <div class="form-group ">
                <select class="form-control clTherapy mb-3" name="lst2[]" data-id="{groupId}" id="lst2_{groupId}">
                    {{-- <option value="">-Long-acting bronchodilators-</option> --}}
                    <option value="none">{{ __('COPDplan.None_title') }}</option>
                    @foreach ($longMedication as $kPrev => $vPrev)
                        <option value="{{ $vPrev->id }}"
                            {{ isset($patientRecord) ? ($patientRecord->preventer_therapy == $vPrev->id ? 'selected' : '') : '' }}>
                            {{ $vPrev->name }}</option>
                    @endforeach
                </select>
                <div class="form-group" id="dvTechniquePrevent_{groupId}" style="display: none" data-id='{groupId}'>
                    <div class="form-group" id="dvTechniquePrevent_{groupId}">
                        <div class="custom-control custom-checkbox primary-checkbox">
                            <input type="checkbox" class="custom-control-input" name="customCheckPrevent[]"
                                id="customCheckPrevent_{groupId}" value="1">
                            {{-- <label class="custom-control-label" for="customCheckPrevent_{groupId}">Long-acting technique
                                check</label> --}}
                        </div>
                    </div>
                </div>
                <select class="form-control mb-3" name="frequencyPrevent[]" data-id="{groupId}"
                    id="frequencyPrevent_{groupId}">
                    <option value="">{{ __('COPDplan.Frequency_title') }}</option>
                    <option value="none">{{ __('COPDplan.None_title') }}</option>
                    @foreach ($frequency as $f => $va)
                        <option value="{{ $va->id }}">
                            {{ app()->getLocale() == 'en' ? $va->name_english : $va->name_welsh }}
                        </option>
                    @endforeach
                </select>
                <div class="form-group mb-3">
                    <input type="number" min="0" class="form-control" name="per_dose_Prevent[]"
                        id="per_dose_Prevent_{groupId}" value="" placeholder="{{ __('COPDplan.Enter_amount') }}">
                </div>

                <div class="row text-end mb-3 ">
                    <div class="col-md-12">
                        <a class=" btn  btn-default text-white text-decoration-none fnRemovePrevent" data-del="{groupId}"
                            title="Add field"><i class="fa fa-minus-circle mx-2"
                                aria-hidden="true"></i>{{ __('COPDplan.delete') . ' ' . $medicationCatName2 }}</a>
                    </div>
                </div>
            </div>

        </div>
    </div>
    <div id="dvOuterMainHome" style="display: none">
        <div id="dvMainHome_{groupId}">
            <div class="form-group">
                <select class="form-control clTherapy mb-3" name="lst3[]" data-id="{groupId}" id="lst3_{groupId}">
                    {{-- <option value="">-Other-</option> --}}
                    <option value="none">{{ __('COPDplan.None_title') }}</option>
                    @foreach ($otherMedication as $kHome => $vHome)
                        <option value="{{ $vHome->id }}">{{ $vHome->name }}</option>
                    @endforeach
                </select>
                <div class="form-group" id="dvTechniqueHome_{groupId}" style="display: none" data-id='1'>
                    <div class="form-group" id="dvTechniqueHome_{groupId}">
                        <div class="custom-control custom-checkbox primary-checkbox">
                            <input type="checkbox" class="custom-control-input" name="customCheckHome[]"
                                id="customCheckHome_{groupId}" value="1">
                            {{-- <label class="custom-control-label" for="customCheckHome_{groupId}">Inhaler technique
                                check</label> --}}
                        </div>
                    </div>
                </div>
                <select class="form-control mb-3" name="frequencyHome[]" data-id="1" id="frequencyHome_{groupId}">
                    <option value="">{{ __('COPDplan.Frequency_title') }}</option>
                    <option value="none">{{ __('COPDplan.None_title') }}</option>
                    @foreach ($frequency as $f => $va)
                        <option value="{{ $va->id }}">
                            {{ app()->getLocale() == 'en' ? $va->name_english : $va->name_welsh }}
                        </option>
                    @endforeach
                </select>
                <div class="form-group mb-3">
                    <input type="number" min="0" class="form-control" name="per_dose_Home[]"
                        id="per_dose_Home_{groupId}" value="" placeholder="{{ __('COPDplan.Enter_amount') }}">
                </div>


            </div>
            <div class="row text-end mb-3 ">
                <div class="col-md-12 ">
                    <a class=" fnRemoveHome btn btn-default text-white text-decoration-none" data-del="{groupId}"
                        title="Add field"><i class="fa fa-minus-circle mx-2"
                            aria-hidden="true"></i>{{ __('COPDplan.delete') . ' ' . $medicationCatName3 }}</a>
                </div>
            </div>

        </div>


    </div>
@section('js')
    <script src="{{ asset('patientAssets') }}/js/questions.js"></script>
    <script nonce="{{ $cspNonce }}">
        $(document).on('change', ".clTherapy", function() {
            var id = $(this).val();
            var dataId = $(this).attr("data-id");
            var cId = $(this).attr("id");
            var res = cId.split("_");
            var url = '{{ route('therapy.check', ':slug') }}';
            url = url.replace(':slug', id);
            $.ajax({
                type: 'GET',
                url: url,
                data: {
                    _token: '