@extends('backend.layouts.main')

@section('title', 'MLI ATS | Edit Outcome')

@section('content')
    <div class="container mx-auto grid">
        @include('backend.share.title', ['title' => 'Edit Outcome'])
        <div class="md:flex flex-none">
            <div class="px-3 py-3  mb-2 mr-3 bg-white rounded-lg shadow-md w-full">
                <div class="">
                    <div class="flex">
                        <div class="w-full ">
                            <h3 class="font-semibold p-2 text-slate-500 border-b border-gray-200">Edit Outcome</h3>
                            <form action="{{ route('admin.outcome.update', $outcome->id) }}" method="POST"
                                class="p-2 text-sm">
                                @csrf
                                @method('PUT')
                                <div class="pb-4 pt-1">
                                    <label class="text-gray-500">Exclude
                                        Comments</label>
                                    <input type="text" name="exclude_comments" value="{{ $outcome->exclude_comments }}"
                                        class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full" />
                                </div>

                                <div class="grid grid-cols-6 gap-4">
                                    <div class="col-span-1">
                                        <label for="part_type" class="block text-gray-500">Part Type</label>
                                        <input type="text" name="part_type" id="part_type"
                                            value="{{ $outcome->part_type }}"
                                            class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full" />
                                    </div>
                                    <div class="col-span-1">
                                        <label for="attendee_pre_count" class="block text-gray-500">Attendee Pre
                                            Count</label>
                                        <input type="text" name="attendee_pre_count" id="attendee_pre_count"
                                            value="{{ $outcome->attendee_pre_count }}"
                                            class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full" />
                                    </div>
                                    <div class="col-span-1">
                                        <label for="attendee_post_count" class="block text-gray-500">Attendee Post
                                            Count</label>
                                        <input type="text" name="attendee_post_count" id="attendee_post_count"
                                            value="{{ $outcome->attendee_post_count }}"
                                            class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full" />
                                    </div>
                                    <div class="col-span-1">
                                        <label for="attendee_eval_count" class="block text-gray-500">Attendee Eval
                                            Count</label>
                                        <input type="text" name="attendee_eval_count" id="attendee_eval_count"
                                            value="{{ $outcome->attendee_eval_count }}"
                                            class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full" />
                                    </div>
                                    <div class="col-span-1">
                                        <label for="moc" class="block text-gray-500">MOC</label>
                                        <div class="flex space-x-4 mt-2">
                                            <div class="radio radio-primary">
                                                <input class="form-check-input has_jp_2_edit" type="radio" name="moc"
                                                    value="1" @if ($outcome->moc == 1) checked @endif />
                                                <label class="form-check-label text-gray-500" for="moc">Yes</label>
                                            </div>
                                            <div class="radio radio-primary">
                                                <input class="form-check-input has_jp_2_edit" type="radio" name="moc"
                                                    value="0" @if ($outcome->moc == 0) checked @endif />
                                                <label class="form-check-label text-gray-500" for="moc">No</label>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-span-1">
                                        <label for="include" class="block text-gray-500">Include</label>
                                        <div class="flex space-x-4 mt-2">
                                            <div class="radio radio-primary">
                                                <input class="form-check-input has_jp_2_edit" type="radio" name="include"
                                                    value="1" @if ($outcome->include == 1) checked @endif />
                                                <label class="form-check-label text-gray-500" for="include">Yes</label>
                                            </div>
                                            <div class="radio radio-primary">
                                                <input class="form-check-input has_jp_2_edit" type="radio" name="include"
                                                    value="0" @if ($outcome->include == 0) checked @endif />
                                                <label class="form-check-label text-gray-500" for="include">No</label>
                                            </div>
                                        </div>
                                    </div>
                                </div>

                                <div class="grid grid-cols-12 gap-4 text-gray-500 mt-4">
                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="bias" class="block">Bias</label>
                                            <input type="text" name="bias" value="{{ $outcome->bias }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="bias_target_min" class="block">Bias Target Min</label>
                                            <input type="text" name="bias_target_min"
                                                value="{{ $outcome->bias_target_min }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <label for="bias_target_met" class="block">Bias Target Met</label>
                                        <div class="flex space-x-4 mt-2">
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input class="form-check-input" type="radio" name="bias_target_met"
                                                        value="1" @if ($outcome->bias_target_met == 1) checked @endif>
                                                    <label class="form-check-label" for="bias_target_met">Yes</label>
                                                </div>
                                            </div>
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input class="form-check-input" type="radio" name="bias_target_met"
                                                        value="0" @if ($outcome->bias_target_met == 0) checked @endif>
                                                    <label class="form-check-label" for="bias_target_met">No</label>
                                                </div>
                                            </div>
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <label for="c_measure" class="block">C Measure</label>
                                        <div class="flex space-x-4 mt-2">
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input class="form-check-input" type="radio" name="c_measure"
                                                        value="1" @if ($outcome->c_measure == 1) checked @endif>
                                                    <label class="form-check-label" for="c_measure">Yes</label>
                                                </div>
                                            </div>
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input class="form-check-input" type="radio" name="c_measure"
                                                        value="0" @if ($outcome->c_measure == 0) checked @endif>
                                                    <label class="form-check-label" for="c_measure">No</label>
                                                </div>
                                            </div>
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <label for="c_exclude" class="block">C Exclude</label>
                                        <div class="flex space-x-4 mt-2">
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input class="form-check-input" type="radio" name="c_exclude"
                                                        value="1" @if ($outcome->c_exclude == 1) checked @endif>
                                                    <label class="form-check-label" for="c_exclude">Yes</label>
                                                </div>
                                            </div>
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input class="form-check-input" type="radio" name="c_exclude"
                                                        value="0" @if ($outcome->c_exclude == 0) checked @endif>
                                                    <label class="form-check-label" for="c_exclude">No</label>
                                                </div>
                                            </div>
                                        </div>
                                    </div>
                                </div>


                                <div class="grid grid-cols-12 gap-4 text-gray-500 mt-4">
                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="loif_rating" class="block">Loif Rating</label>
                                            <input type="text" name="loif_rating" value="{{ $outcome->loif_rating }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="loif_target_min" class="block">Loif Target Min</label>
                                            <input type="text" name="loif_target_min"
                                                value="{{ $outcome->loif_target_min }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <label for="loif_target_met" class="block">Loif Target Met</label>
                                        <div class="flex space-x-4 mt-2">
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="loif_target_met_yes" class="form-check-input"
                                                        type="radio" name="loif_target_met" value="1"
                                                        @if ($outcome->loif_target_met == 1) checked @endif>
                                                    <label class="form-check-label" for="loif_target_met_yes">Yes</label>
                                                </div>
                                            </div>
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="loif_target_met_no" class="form-check-input"
                                                        type="radio" name="loif_target_met" value="0"
                                                        @if ($outcome->loif_target_met == 0) checked @endif>
                                                    <label class="form-check-label" for="loif_target_met_no">No</label>
                                                </div>
                                            </div>
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="itc" class="block">ITC</label>
                                            <input type="text" name="itc" value="{{ $outcome->itc }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="itc_target_min" class="block">ITC Target Min</label>
                                            <input type="text" name="itc_target_min"
                                                value="{{ $outcome->itc_target_min }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <label for="itc_target_met" class="block">ITC Target Met</label>
                                        <div class="flex space-x-4 mt-2">
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="itc_target_met_yes" class="form-check-input"
                                                        type="radio" name="itc_target_met" value="1"
                                                        @if ($outcome->itc_target_met == 1) checked @endif>
                                                    <label class="form-check-label" for="itc_target_met_yes">Yes</label>
                                                </div>
                                            </div>
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="itc_target_met_no" class="form-check-input" type="radio"
                                                        name="itc_target_met" value="0"
                                                        @if ($outcome->itc_target_met == 0) checked @endif>
                                                    <label class="form-check-label" for="itc_target_met_no">No</label>
                                                </div>
                                            </div>
                                        </div>
                                    </div>
                                </div>

                                <div class="grid grid-cols-12 gap-4 text-gray-500 mt-4">
                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="pc" class="block">PC</label>
                                            <input type="text" name="pc" value="{{ $outcome->pc }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="pc_target_min" class="block">PC Target Min</label>
                                            <input type="text" name="pc_target_min"
                                                value="{{ $outcome->pc_target_min }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <label for="loif_target_met" class="block">PC Target Met</label>
                                        <div class="flex space-x-4 mt-2">
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="pc_target_met_yes" class="form-check-input" type="radio"
                                                        name="pc_target_met" value="1"
                                                        @if ($outcome->pc_target_met == 1) checked @endif>
                                                    <label class="form-check-label" for="pc_target_met_yes">Yes</label>
                                                </div>
                                            </div>
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="pc_target_met_no" class="form-check-input" type="radio"
                                                        name="pc_target_met" value="0"
                                                        @if ($outcome->pc_target_met == 0) checked @endif>
                                                    <label class="form-check-label" for="pc_target_met">No</label>
                                                </div>
                                            </div>
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="poc" class="block">POC</label>
                                            <input type="text" name="poc" value="{{ $outcome->poc }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="poc_target_min" class="block">POC Target Min</label>
                                            <input type="text" name="poc_target_min"
                                                value="{{ $outcome->poc_target_min }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <label for="poc_target_greater_than_95" class="block">POC Target > 95</label>
                                        <div class="flex space-x-4 mt-2">
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="poc_target_greater_than_95_yes" class="form-check-input"
                                                        type="radio" name="poc_target_greater_than_95" value="1"
                                                        @if ($outcome->poc_target_greater_than_95 == 1) checked @endif>
                                                    <label class="form-check-label"
                                                        for="poc_target_greater_than_95">Yes</label>
                                                </div>
                                            </div>
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="poc_target_greater_than_95_no" class="form-check-input"
                                                        type="radio" name="poc_target_greater_than_95" value="0"
                                                        @if ($outcome->poc_target_greater_than_95 == 0) checked @endif>
                                                    <label class="form-check-label"
                                                        for="poc_target_greater_than_95_no">No</label>
                                                </div>
                                            </div>
                                        </div>
                                    </div>
                                </div>


                                <div class="grid grid-cols-12 gap-4 text-gray-500 mt-4">
                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="comments_on_competence" class="truncate">Comments On
                                                Competence</label>
                                            <input type="text" name="comments_on_competence"
                                                value="{{ $outcome->comments_on_competence }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <label for="p_measure" class="block">P Measure</label>
                                        <div class="flex space-x-4 mt-2">
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="p_measure_yes" class="form-check-input" type="radio"
                                                        name="p_measure" value="1"
                                                        @if ($outcome->p_measure == 1) checked @endif>
                                                    <label class="form-check-label" for="p_measure_yes">Yes</label>
                                                </div>
                                            </div>
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="p_measure_no" class="form-check-input" type="radio"
                                                        name="p_measure" value="0"
                                                        @if ($outcome->p_measure == 0) checked @endif>
                                                    <label class="form-check-label" for="p_measure">No</label>
                                                </div>
                                            </div>
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <label for="p_exclude" class="block">P Exclude</label>
                                        <div class="flex space-x-4 mt-2">
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="p_exclude_yes" class="form-check-input" type="radio"
                                                        name="p_exclude" value="1"
                                                        @if ($outcome->p_exclude == 1) checked @endif>
                                                    <label class="form-check-label" for="p_exclude_yes">Yes</label>
                                                </div>
                                            </div>
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="p_exclude_no" class="form-check-input" type="radio"
                                                        name="p_exclude" value="0"
                                                        @if ($outcome->p_exclude == 0) checked @endif>
                                                    <label class="form-check-label" for="p_exclude">No</label>
                                                </div>
                                            </div>
                                        </div>
                                    </div>


                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="pif" class="block">PIF</label>
                                            <input type="text" name="pif" value="{{ $outcome->pif }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="pif_target" class="block">PIF Target</label>
                                            <input type="text" name="pif_target" value="{{ $outcome->pif_target }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <label for="pif_met" class="block">PIF Met</label>
                                        <div class="flex space-x-4 mt-2">
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="pif_met_yes" class="form-check-input" type="radio"
                                                        name="pif_met" value="1"
                                                        @if ($outcome->pif_met == 1) checked @endif>
                                                    <label class="form-check-label" for="pif_met_yes">Yes</label>
                                                </div>
                                            </div>
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="pif_met_no" class="form-check-input" type="radio"
                                                        name="pif_met" value="0"
                                                        @if ($outcome->pif_met == 0) checked @endif>
                                                    <label class="form-check-label" for="pif_met">No</label>
                                                </div>
                                            </div>
                                        </div>
                                    </div>

                                </div>

                                <div class="grid grid-cols-12 gap-4 text-gray-500 mt-4">
                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="comments_on_performance" class="truncate">Comments On
                                                Performance</label>
                                            <input type="text" name="comments_on_performance"
                                                value="{{ $outcome->comments_on_performance }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <label for="po_measure" class="block">PO Measure</label>
                                        <div class="flex space-x-4 mt-2">
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="po_measure_yes" class="form-check-input" type="radio"
                                                        name="po_measure" value="1"
                                                        @if ($outcome->po_measure == 1) checked @endif>
                                                    <label class="form-check-label" for="po_measure_yes">Yes</label>
                                                </div>
                                            </div>
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="po_measure_no" class="form-check-input" type="radio"
                                                        name="po_measure" value="0"
                                                        @if ($outcome->po_measure == 0) checked @endif>
                                                    <label class="form-check-label" for="po_measure_no">No</label>
                                                </div>
                                            </div>
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <label for="po_exclude" class="block">PO Exclude</label>
                                        <div class="flex space-x-4 mt-2">
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="po_exclude_yes" class="form-check-input" type="radio"
                                                        name="po_exclude" value="1"
                                                        @if ($outcome->po_exclude == 1) checked @endif>
                                                    <label class="form-check-label" for="po_exclude_yes">Yes</label>
                                                </div>
                                            </div>
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="po_exclude_no" class="form-check-input" type="radio"
                                                        name="po_exclude" value="0"
                                                        @if ($outcome->p_exclude == 0) checked @endif>
                                                    <label class="form-check-label" for="po_exclude_no">No</label>
                                                </div>
                                            </div>
                                        </div>
                                    </div>


                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="poif" class="block">POIF</label>
                                            <input type="text" name="poif" value="{{ $outcome->poif }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="poif_target" class="block">POIF Target</label>
                                            <input type="text" name="poif_target" value="{{ $outcome->pif_target }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <label for="poif_met" class="block">POIF Met</label>
                                        <div class="flex space-x-4 mt-2">
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="poif_met_yes" class="form-check-input" type="radio"
                                                        name="poif_met" value="1"
                                                        @if ($outcome->poif_met == 1) checked @endif>
                                                    <label class="form-check-label" for="poif_met_yes">Yes</label>
                                                </div>
                                            </div>
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="poif_met_no" class="form-check-input" type="radio"
                                                        name="poif_met" value="0"
                                                        @if ($outcome->poif_met == 0) checked @endif>
                                                    <label class="form-check-label" for="poif_met_no">No</label>
                                                </div>
                                            </div>
                                        </div>
                                    </div>
                                </div>

                                <div class="grid grid-cols-12 gap-4 text-gray-500 mt-4">
                                    <div class="col-span-4">
                                        <div class="form-group">
                                            <label for="patient_outcomes_comments" class="truncate">Patient Outcomes
                                                Comments</label>
                                            <input type="text" name="patient_outcomes_comments"
                                                value="{{ $outcome->patient_outcomes_comments }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="eb_content" class="block">EB Content</label>
                                            <input type="text" name="eb_content" value="{{ $outcome->eb_content }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <label for="eb_content_target_greater_than_95" class="block">EB Content Target >
                                            95</label>
                                        <div class="flex space-x-4 mt-2">
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="eb_content_target_greater_than_95_yes"
                                                        class="form-check-input" type="radio"
                                                        name="eb_content_target_greater_than_95" value="1"
                                                        @if ($outcome->eb_content_target_greater_than_95 == 1) checked @endif>
                                                    <label class="form-check-label"
                                                        for="eb_content_target_greater_than_95_yes">Yes</label>
                                                </div>
                                            </div>
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="eb_content_target_greater_than_95_no"
                                                        class="form-check-input" type="radio"
                                                        name="eb_content_target_greater_than_95" value="0"
                                                        @if ($outcome->eb_content_target_greater_than_95 == 0) checked @endif>
                                                    <label class="form-check-label"
                                                        for="eb_content_target_greater_than_95_no">No</label>
                                                </div>
                                            </div>
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="relevant_content" class="block">Relevant Content</label>
                                            <input type="text" name="relevant_content"
                                                value="{{ $outcome->relevant_content }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <label for="rel_content_target_greater_than_95" class="truncate">Relevant Content
                                            Target > 95</label>
                                        <div class="flex space-x-4 mt-2">
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="rel_content_target_greater_than_95_yes"
                                                        class="form-check-input" type="radio"
                                                        name="rel_content_target_greater_than_95" value="1"
                                                        @if ($outcome->rel_content_target_greater_than_95 == 1) checked @endif>
                                                    <label class="form-check-label"
                                                        for="rel_content_target_greater_than_95_yes">Yes</label>
                                                </div>
                                            </div>
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="rel_content_target_greater_than_95_no"
                                                        class="form-check-input" type="radio"
                                                        name="rel_content_target_greater_than_95" value="0"
                                                        @if ($outcome->rel_content_target_greater_than_95 == 0) checked @endif>
                                                    <label class="form-check-label"
                                                        for="rel_content_target_greater_than_95_no">No</label>
                                                </div>
                                            </div>
                                        </div>
                                    </div>
                                </div>

                                <div class="grid grid-cols-12 gap-4 text-gray-500 mt-4">
                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="patient_outcomes_comments" class="truncate">Format Useful</label>
                                            <input type="text" name="patient_outcomes_comments"
                                                value="{{ $outcome->patient_outcomes_comments }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <label for="format_target_greater_than_95" class="block">Format Target >
                                            95</label>
                                        <div class="flex space-x-4 mt-2">
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="format_target_greater_than_95_yes" class="form-check-input"
                                                        type="radio" name="format_target_greater_than_95"
                                                        value="1" @if ($outcome->format_target_greater_than_95 == 1) checked @endif>
                                                    <label class="form-check-label"
                                                        for="format_target_greater_than_95_yes">Yes</label>
                                                </div>
                                            </div>
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="format_target_greater_than_95_no" class="form-check-input"
                                                        type="radio" name="format_target_greater_than_95"
                                                        value="0" @if ($outcome->format_target_greater_than_95 == 0) checked @endif>
                                                    <label class="form-check-label"
                                                        for="format_target_greater_than_95_no">No</label>
                                                </div>
                                            </div>
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="faculty" class="block">Faculty</label>
                                            <input type="text" name="faculty" value="{{ $outcome->faculty }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <label for="faculty_target_greater_than_95" class="block">Faculty Target >
                                            95</label>
                                        <div class="flex space-x-4 mt-2">
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="faculty_target_greater_than_95_yes"
                                                        class="form-check-input" type="radio"
                                                        name="faculty_target_greater_than_95" value="1"
                                                        @if ($outcome->faculty_target_greater_than_95 == 1) checked @endif>
                                                    <label class="form-check-label"
                                                        for="faculty_target_greater_than_95_yes">Yes</label>
                                                </div>
                                            </div>
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="faculty_target_greater_than_95_no" class="form-check-input"
                                                        type="radio" name="faculty_target_greater_than_95"
                                                        value="0" @if ($outcome->faculty_target_greater_than_95 == 0) checked @endif>
                                                    <label class="form-check-label"
                                                        for="faculty_target_greater_than_95_no">No</label>
                                                </div>
                                            </div>
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="interactive_learning" class="block">Interactive Learning</label>
                                            <input type="text" name="interactive_learning"
                                                value="{{ $outcome->interactive_learning }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <label for="int_learning_target_greater_than_95" class="truncate">Interactive
                                            Learning Target >
                                            95</label>
                                        <div class="flex space-x-4 mt-2">
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="int_learning_target_greater_than_95_yes"
                                                        class="form-check-input" type="radio"
                                                        name="int_learning_target_greater_than_95" value="1"
                                                        @if ($outcome->int_learning_target_greater_than_95 == 1) checked @endif>
                                                    <label class="form-check-label"
                                                        for="int_learning_target_greater_than_95_yes">Yes</label>
                                                </div>
                                            </div>
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="int_learning_target_greater_than_95_no"
                                                        class="form-check-input" type="radio"
                                                        name="int_learning_target_greater_than_95" value="0"
                                                        @if ($outcome->int_learning_target_greater_than_95 == 0) checked @endif>
                                                    <label class="form-check-label"
                                                        for="int_learning_target_greater_than_95_no">No</label>
                                                </div>
                                            </div>
                                        </div>
                                    </div>
                                </div>

                                <div class="grid grid-cols-12 gap-4 text-gray-500 mt-4">
                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="practice_strategies" class="truncate">Practice Strategies</label>
                                            <input type="text" name="practice_strategies"
                                                value="{{ $outcome->practice_strategies }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <label for="ps_target_greater_than_95" class="block">PS Target > 95</label>
                                        <div class="flex space-x-4 mt-2">
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="ps_target_greater_than_95_yes" class="form-check-input"
                                                        type="radio" name="ps_target_greater_than_95" value="1"
                                                        @if ($outcome->ps_target_greater_than_95 == 1) checked @endif>
                                                    <label class="form-check-label"
                                                        for="ps_target_greater_than_95_yes">Yes</label>
                                                </div>
                                            </div>
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="ps_target_greater_than_95_no" class="form-check-input"
                                                        type="radio" name="ps_target_greater_than_95" value="0"
                                                        @if ($outcome->ps_target_greater_than_95 == 0) checked @endif>
                                                    <label class="form-check-label"
                                                        for="ps_target_greater_than_95_no">No</label>
                                                </div>
                                            </div>
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <label for="barrier_identified" class="block">Barrier Identified</label>
                                        <div class="flex space-x-4 mt-2">
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="barrier_identified_yes" class="form-check-input"
                                                        type="radio" name="barrier_identified" value="1"
                                                        @if ($outcome->barrier_identified == 1) checked @endif>
                                                    <label class="form-check-label"
                                                        for="barrier_identified_yes">Yes</label>
                                                </div>
                                            </div>
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="barrier_identified_no" class="form-check-input"
                                                        type="radio" name="barrier_identified" value="0"
                                                        @if ($outcome->barrier_identified == 0) checked @endif>
                                                    <label class="form-check-label" for="barrier_identified_no">No</label>
                                                </div>
                                            </div>
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <label for="strategies_incorporated" class="block">Strategies
                                            Incorporated</label>
                                        <div class="flex space-x-4 mt-2">
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="strategies_incorporated_yes" class="form-check-input"
                                                        type="radio" name="strategies_incorporated" value="1"
                                                        @if ($outcome->strategies_incorporated == 1) checked @endif>
                                                    <label class="form-check-label"
                                                        for="strategies_incorporated_yes">Yes</label>
                                                </div>
                                            </div>
                                            <div>
                                                <div class="radio radio-primary">
                                                    <input id="strategies_incorporated_no" class="form-check-input"
                                                        type="radio" name="strategies_incorporated" value="0"
                                                        @if ($outcome->strategies_incorporated == 0) checked @endif>
                                                    <label class="form-check-label"
                                                        for="strategies_incorporated_no">No</label>
                                                </div>
                                            </div>
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="pre_count" class="block">Pre Count</label>
                                            <input type="text" name="pre_count" value="{{ $outcome->pre_count }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="pre_avg" class="block">Pre Avg</label>
                                            <input type="text" name="pre_avg" value="{{ $outcome->pre_avg }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>


                                </div>

                                <div class="grid grid-cols-12 gap-4 text-gray-500 mt-4">
                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="pre_stdev" class="truncate">Pre stdev</label>
                                            <input type="text" name="pre_stdev" value="{{ $outcome->pre_stdev }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="post_count" class="block">Post Count</label>
                                            <input type="text" name="post_count" value="{{ $outcome->pre_count }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="post_avg" class="block">Post Avg</label>
                                            <input type="text" name="post_avg" value="{{ $outcome->post_avg }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="post_stdev" class="block">Post stdev</label>
                                            <input type="text" name="post_stdev" value="{{ $outcome->post_stdev }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="cohens_d" class="block">Cohens D</label>
                                            <input type="text" name="cohens_d" value="{{ $outcome->post_avg }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="planned_impact" class="block">Planned Impact</label>
                                            <input type="text" name="planned_impact"
                                                value="{{ $outcome->planned_impact }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                </div>

                                <div class="grid grid-cols-12 gap-4 text-gray-500 mt-4">
                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="actual_impact" class="truncate">Actual Impact</label>
                                            <input type="text" name="actual_impact"
                                                value="{{ $outcome->actual_impact }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="ccit" class="block">CCIT</label>
                                            <input type="text" name="ccit" value="{{ $outcome->ccit }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="ccit_target" class="block">CCIT Target</label>
                                            <input type="text" name="ccit_target" value="{{ $outcome->ccit_target }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-3">
                                        <div class="form-group">
                                            <label for="role_collaborative_team_change" class="block">Role Collaborative
                                                Team Change</label>
                                            <input type="text" name="role_collaborative_team_change"
                                                value="{{ $outcome->role_collaborative_team_change }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-3">
                                        <div class="form-group">
                                            <label for="new_team_strategies" class="block">New Team Strategies</label>
                                            <input type="text" name="new_team_strategies"
                                                value="{{ $outcome->new_team_strategies }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>
                                </div>

                                <div class="grid grid-cols-12 gap-4 text-gray-500 mt-4">
                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="specific_action_factor" class="truncate">Specific Action
                                                Factor</label>
                                            <input type="text" name="specific_action_factor"
                                                value="{{ $outcome->specific_action_factor }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="saf_target" class="block">SAF Target</label>
                                            <input type="text" name="saf_target" value="{{ $outcome->saf_target }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="ed_reach_disease" class="block">ED Reach Disease</label>
                                            <input type="text" name="ed_reach_disease"
                                                value="{{ $outcome->ed_reach_disease }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="ed_reach_per_year" class="block">ED Reach Per Year</label>
                                            <input type="text" name="ed_reach_per_year"
                                                value="{{ $outcome->ed_reach_per_year }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="understand_roles_resp" class="block">Understand Roles
                                                Resp</label>
                                            <input type="text" name="understand_roles_resp"
                                                value="{{ $outcome->understand_roles_resp }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-2">
                                        <div class="form-group">
                                            <label for="apply_tools_techniques" class="block">Apply Tools
                                                Techniques</label>
                                            <input type="text" name="apply_tools_techniques"
                                                value="{{ $outcome->apply_tools_techniques }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>
                                </div>

                                <div class="grid grid-cols-12 gap-4 text-gray-500 mt-4">
                                    <div class="col-span-3">
                                        <div class="form-group">
                                            <label for="work_collaborative_team" class="truncate">Work Collaborative
                                                Team</label>
                                            <input type="text" name="work_collaborative_team"
                                                value="{{ $outcome->work_collaborative_team }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-3">
                                        <div class="form-group">
                                            <label for="utilize_specialists_clinical_resources" class="block">Utilize
                                                Specialists Clinical Resources</label>
                                            <input type="text" name="utilize_specialists_clinical_resources"
                                                value="{{ $outcome->utilize_specialists_clinical_resources }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-3">
                                        <div class="form-group">
                                            <label for="other_choice_pctg" class="block">Other Choice PCTG</label>
                                            <input type="text" name="other_choice_pctg"
                                                value="{{ $outcome->other_choice_pctg }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                    <div class="col-span-3">
                                        <div class="form-group">
                                            <label for="other_choice_text" class="block">Other Choice Text</label>
                                            <input type="text" name="other_choice_text"
                                                value="{{ $outcome->other_choice_text }}"
                                                class="mt-1 px-3 py-2 placeholder-slate-300 text-slate-600 relative bg-white rounded text-sm border border-slate-300 outline-none focus:outline-none focus:ring w-full">
                                        </div>
                                    </div>

                                </div>

                                <div class="block mt-10 text-sm">
                                    @include('backend.share.update-button', ['name' => 'Update'])
                                </div>

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

    </div>
@endsection