<!DOCTYPE html>
<html lang="zh" xmlns:th="http://www.thymeleaf.org" >
<head>
    <th:block th:include="include :: header('健康报告列表修改')" />
</head>
<style>

</style>
<script>

</script>
<body>
<div class="ui-layout-center">
    <form class="form-horizontal" id="form-SGjgztHealthplaninfo-edit" th:object="${user}">
        <h4 class="form-header h4">基本信息</h4>
        <input type="hidden" id="id" name="id" th:value="${id}">
        <div class="row">
            <div class="col-sm-12">
                <div class="form-group">
                    <!--is-required 增加星号 显示为必填-->
                    <label class="col-sm-1 control-label">健康方案ID:</label>
                    <div class="col-sm-2">
                        <div class="input-group">
                            <input name="healthPlanId" placeholder="健康方案ID" th:value="${healthPlanId}" class="styled-input" type="text" maxlength="255" required>
                        </div>
                    </div>
                    <label class="col-sm-1 control-label">健康方案名称:</label>
                    <div class="col-sm-2">
                        <div class="input-group">
                            <input name="healthPlanName" placeholder="健康方案名称" th:value="${healthPlanName}" class="styled-input" type="text" maxlength="255" required>
                        </div>
                    </div>
                    <label class="col-sm-1 control-label">连锁用户ID:</label>
                    <div class="col-sm-2">
                        <div class="input-group">
                            <input name="chainUserId" placeholder="连锁用户ID" th:value="${chainUserId}" class="styled-input" type="text" maxlength="255" required>
                        </div>
                    </div>
                    <label class="col-sm-1 control-label">用户姓名:</label>
                    <div class="col-sm-2">
                        <div class="input-group">
                            <input name="userName" placeholder="用户姓名" th:value="${userName}" class="styled-input" type="text" maxlength="255" required>
                        </div>
                    </div>
                    <label class="col-sm-1 control-label">填写人:</label>
                    <div class="col-sm-2">
                        <div class="input-group">
                            <input name="filler" placeholder="填写人" th:value="${filler}" class="styled-input" type="text" maxlength="255" required>
                        </div>
                    </div>
                    <label class="col-sm-1 control-label">填写人手机号:</label>
                    <div class="col-sm-2">
                        <div class="input-group">
                            <input name="fillerPhoneNumber" placeholder="填写人手机号" th:value="${fillerPhoneNumber}" class="styled-input" type="text" maxlength="255" required>
                        </div>
                    </div>
                    <label class="col-sm-1 control-label">填写来源:</label>
                    <div class="col-sm-2">
                        <div class="input-group">
                            <input name="fillSource" placeholder="填写来源" th:value="${fillSource}" class="styled-input" type="text" maxlength="255" required>
                        </div>
                    </div>
                    <label class="col-sm-1 control-label">连锁名称:</label>
                    <div class="col-sm-2">
                        <div class="input-group">
                            <input name="chainName" placeholder="连锁名称" th:value="${chainName}" class="styled-input" type="text" maxlength="255" required>
                        </div>
                    </div>
                    <label class="col-sm-1 control-label">报告生成时间:</label>
                    <div class="col-sm-2">
                        <div class="input-group">
                            <input name="reportGenerationTime" placeholder="报告生成时间" th:value="${reportGenerationTime}" class="styled-input" type="text" maxlength="255" required>
                        </div>
                    </div>
                </div>
            </div>

        </div>
    </form>
</div>
<div class="main-content">
    <div class="col-sm-offset-5 col-sm-10">
        <!--<button type="button" class="btn btn-sm btn-primary" onclick="submitHandler()"><i class="fa fa-check"></i>保 存</button>
        <button type="button" class="btn btn-sm btn-danger" onclick="closeItem()"><i class="fa fa-reply-all"></i>关 闭 </button>-->
    </div>
</div>
<th:block th:include="include :: footer" />
</body>
</html>

<script>
    function edit() {
        var data = $("#form-SGjgztHealthplaninfo-edit").serializeArray();
        $.ajax({
            cache : true,
            type : "POST",
            url : ctx + "gjgzt/sgjgzthealthplaninfo/sGjgztHealthplaninfoEdit",
            data : data,
            async : false,
            error : function(request) {
                $.modal.alertError("系统错误");
            },
            success : function(data) {
                $.operate.successCallback(data);
            }
        });
    }

    function submitHandler() {
        if ($.validate.form()) {
            edit();
        }
    }
</script>
