{!! Form::label('code', 'Código', ['class' => 'control-label']) !!}
{!! Form::text('code', old('code', isset($code) ? $code : ''), ['class' => 'form-control underlined', 'placeholder' => 'Código de la autorización (puede estar vacío)', isset($show) ? 'readonly' : '', 'id' => 'code']) !!}
@if (isset($code))
{!! Form::hidden('old_code', $code, ['id' => 'old_code']) !!}
@endif
@if (isset($show))
{!! Form::label('eps_name', 'Nombre de EPS', ['class' => 'control-label']) !!}
{!! Form::text('eps_name', old('eps_name', isset($eps) ? $eps->name : ''), ['class' => 'form-control underlined', 'placeholder' => 'Nombre de EPS', 'readonly']) !!}
{!! Form::hidden('eps_id', $eps->id) !!}
@else
{!! Form::label('eps_id', 'Seleccione EPS', ['class' => 'control-label']) !!}
{!! Form::select('eps_id', $epss, old('eps_id', isset($authorization) ? $authorization->eps_id : ''), ['class' => 'form-control', 'id' => 'epsSelect']) !!}
@endif
@php
$services = \App\EpsService::getServices(old('eps_id') ?: $initialEpsId);
if (count($services) < 1) {
$services = [
"0" => 'Sin servicios registrados'
];
}
@endphp
@if (isset($show))
{!! Form::label('service_name', 'Servicio autorizado', ['class' => 'control-label']) !!}
{!! Form::text('service_name', old('service_name', isset($service) ? $service->name : ''), ['class' => 'form-control underlined', 'placeholder' => 'Servicio de EPS', 'readonly']) !!}
{!! Form::hidden('eps_service_id', $service->id) !!}
@else
@endif