<ui:composition xmlns:ui="http://java.sun.com/jsf/facelets"
                xmlns:a4j="http://richfaces.org/a4j" xmlns:s="http://jboss.org/schema/seam/taglib"
                xmlns:f="http://java.sun.com/jsf/core" xmlns:h="http://java.sun.com/jsf/html"
                xmlns="http://www.w3.org/1999/xhtml">

    <!--  requires param
        - patient (net.ihe.gazelle.simulator.pam.model.Patient): patient to display -->
    <a4j:region id="editEmailregion">
        <s:decorate template="/layout/form/_edit.xhtml">
            <ui:define name="label">#{messages['gazelle.simulator.pam.Email']}</ui:define>
            <ui:param name="id" value="emailinput"/>
            <h:inputText styleClass="form-control" id="emailinput" value="#{patient.email}"/>
        </s:decorate>
    </a4j:region>
    <a4j:region id="editPhoneNumberregion">
        <s:decorate template="/layout/form/_edit.xhtml">
            <ui:define name="label">#{messages['gazelle.simulator.pam.PhoneNumber']}</ui:define>
            <ui:param name="id" value="phoneinput"/>
            <h:inputText styleClass="form-control" id="phoneinput" value="#{patient.phoneNumber}"/>
        </s:decorate>
    </a4j:region>
    <a4j:region id="editAccountNumberregion">
        <s:decorate template="/layout/form/_edit.xhtml">
            <ui:define name="label">#{messages['gazelle.patientmanager.AccountNumber']}</ui:define>
            <ui:param name="id" value="accountinput"/>
            <h:inputText styleClass="form-control" id="accountinput" value="#{patient.accountNumber}" size="80"/>
        </s:decorate>
    </a4j:region>
    <a4j:region id="editBloodGroup"
                rendered="#{patientManager.pdqDefaultDomain().equals('KSA')}">
        <s:decorate template="/layout/form/_edit.xhtml">
            <ui:define name="label">#{messages['gazelle.pam.BloodGroup']}</ui:define>
            <ui:param name="id" value="bloodinput"/>
            <h:selectOneMenu value="#{patient.bloodGroup}" id="bloodinput" styleClass="form-control">
                <f:selectItems value="#{patient.getBloodGroups()}"/>
            </h:selectOneMenu>
        </s:decorate>
    </a4j:region>
</ui:composition>