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{% extends 'base.html' %}
{% block header %}
<h1> ICD-10 to Trial Conditions Validation: {{ nct_id }} </h1>
{% endblock %}
{% block content %}
<section class="summary">
<h3>Trial Summary</h3>
<div class="text_summary">
<ul>
<li>NCT: {{ summary_dats["summary"][0][0] }}</li>
<li>Brief Title: {{ summary_dats["summary"][0][1] }}</li>
<li>Long Title: {{ summary_dats["summary"][0][2] }}</li>
<li>Brief Description: {{ summary_dats["summary"][0][3] }}</li>
<li>Long Description: {{ summary_dats["summary"][0][4] }}</li>
</ul>
</div>
<div class="keywords">
<h4>Keywords</h4>
<ul>
{% for keyword in summary_dats["keywords"] %}
<li>
{{ keyword[1] }}
</li>
{% endfor %}
</ul>
</div>
<div class="conditions">
<h4>Raw Conditions </h4>
<ul>
{% for condition in summary_dats["conditions"] %}
<li>
{{ condition[3] }}
</li>
{% endfor %}
</ul>
</div>
</section>
<section class="proposed_conditions">
<h3>Proposed Conditions</h3>
<form method="post">
<table>
<tr>
<th>Approve</th>
<th>Condition (MeSH normalized)</th>
<th>Identifier</th>
<th>Source</th>
<th>Description</th>
<th>Source</th>
</tr>
{% for condition in condition_list %}
<tr>
<td> <input type="checkbox" id="{{ condition[0] }}" name="{{condition[0]}}" value="accepted" {% if condition[8] == "accepted" %}checked{% endif %}> </td>
<td> {{condition[2]}} </td>
<td> {{condition[3]}} </td>
<td> {{condition[5]}} </td>
<td> {{condition[6]}} </td>
<td> {{condition[7]}} </td>
</tr>
{% endfor %}
</table>
<input type="submit" name="submission" value="Submit approvals">
<br/>
<input type="submit" name="marked_unmatched" value="Mark unmmatched">
</form>
</section>
<section class="submit_alternate">
<h3>Submit Alternate Conditions</h3>
<!--For each listed condition, provide a spot to enter a ICT10 code-->
<form method="post">
<label for="alternate_sub">Please enter the proposed code that appears to be the best match:</label>
<input name="alt_sub" id="alternate_sub">
<br/>
<label for="condition">
Please give a name to the condition you used to match this<br/>
Condition:
</label>
<input name="condition", id="condition">
<br/>
<input type="submit" name="alternate_submission" value="Submit alternate ICD-10 code">
</form>
</section>
<section class="approved">
<!--TODO:This will list the already approved values-->
</section>
{% endblock %}