<?php

namespace B2buy\CareProvider\Forms;

class CareProvider
{
    /**
     * Variable to store form configuration.
     *
     * @var collection
     */
    protected $form;

    /**
     * Variable to store form configuration.
     *
     * @var collection
     */
    protected $element;

    /**
     * Initialize the form.
     *
     * @return null
     */
    public function __construct()
    {
        $this->setForm();
    }

    /**
     * Return form elements.
     *
     * @return array.
     */
    public function form($element = 'fields', $grouped = true)
    {
        $item = collect($this->form->get($element));
        if ($element == 'fields' && $grouped == true) {
            return $item->groupBy(['group', 'section']);
        }
        return $item;

    }

    /**
     * Sets the form and form elements.
     * @return null.
     */
    public function setForm()
    {
        $this->form = collect([
            'form' => [
                'store' => [],
                'update' => [],
            ],
            'groups' => [
                'main' => 'Main',
            ],
            'fields' => [
                'first_name' => [
                    "type" => 'text',
                    "label" => trans('care_provider::care_provider.label.first_name'),
                    "placeholder" => trans('care_provider::care_provider.placeholder.first_name'),
                    "rules" => '',
                    "group" => "main",
                    "section" => "first",
                    "attributes" => [
                        'wrapper' => [],
                        "label" => [],
                        "input" => [],

                    ],
                ],
                'last_name' => [
                    "type" => 'text',
                    "label" => trans('care_provider::care_provider.label.last_name'),
                    "placeholder" => trans('care_provider::care_provider.placeholder.last_name'),
                    "rules" => '',
                    "group" => "main",
                    "section" => "first",
                    "attributes" => [
                        'wrapper' => [],
                        "label" => [],
                        "input" => [],

                    ],
                ],
                'email' => [
                    "type" => 'text',
                    "label" => trans('care_provider::care_provider.label.email'),
                    "placeholder" => trans('care_provider::care_provider.placeholder.email'),
                    "rules" => '',
                    "group" => "main",
                    "section" => "first",
                    "attributes" => [
                        'wrapper' => [],
                        "label" => [],
                        "input" => [],

                    ],
                ],
                'phone' => [
                    "type" => 'numeric',
                    "label" => trans('care_provider::care_provider.label.phone'),
                    "placeholder" => trans('care_provider::care_provider.placeholder.phone'),
                    "rules" => '',
                    "group" => "main",
                    "section" => "first",
                    "attributes" => [
                        'wrapper' => [],
                        "label" => [],
                        "input" => [],

                    ],
                ],
                'dob' => [
                    "type" => 'date_picker',
                    "label" => trans('care_provider::care_provider.label.dob'),
                    "placeholder" => trans('care_provider::care_provider.placeholder.dob'),
                    "rules" => '',
                    "group" => "main",
                    "section" => "first",
                    "attributes" => [
                        'wrapper' => [],
                        "label" => [],
                        "input" => [],

                    ],
                ],
                'address_line1' => [
                    "type" => 'text',
                    "label" => trans('care_provider::care_provider.label.address_line1'),
                    "placeholder" => trans('care_provider::care_provider.placeholder.address_line1'),
                    "rules" => '',
                    "group" => "main",
                    "section" => "first",
                    "attributes" => [
                        'wrapper' => [],
                        "label" => [],
                        "input" => [],

                    ],
                ],
                'address_line2' => [
                    "type" => 'text',
                    "label" => trans('care_provider::care_provider.label.address_line2'),
                    "placeholder" => trans('care_provider::care_provider.placeholder.address_line2'),
                    "rules" => '',
                    "group" => "main",
                    "section" => "first",
                    "attributes" => [
                        'wrapper' => [],
                        "label" => [],
                        "input" => [],

                    ],
                ],
                'city' => [
                    "type" => 'text',
                    "label" => trans('care_provider::care_provider.label.city'),
                    "placeholder" => trans('care_provider::care_provider.placeholder.city'),
                    "rules" => '',
                    "group" => "main",
                    "section" => "first",
                    "attributes" => [
                        'wrapper' => [],
                        "label" => [],
                        "input" => [],

                    ],
                ],
                'post_code' => [
                    "type" => 'text',
                    "label" => trans('care_provider::care_provider.label.post_code'),
                    "placeholder" => trans('care_provider::care_provider.placeholder.post_code'),
                    "rules" => '',
                    "group" => "main",
                    "section" => "first",
                    "attributes" => [
                        'wrapper' => [],
                        "label" => [],
                        "input" => [],

                    ],
                ],
                'state_id' => [
                    "type" => 'numeric',
                    "label" => trans('care_provider::care_provider.label.state_id'),
                    "placeholder" => trans('care_provider::care_provider.placeholder.state_id'),
                    "rules" => '',
                    "group" => "main",
                    "section" => "first",
                    "attributes" => [
                        'wrapper' => [],
                        "label" => [],
                        "input" => [],

                    ],
                ],
                'package_type' => [
                    "type" => 'radios',
                    "label" => trans('care_provider::care_provider.label.package_type'),
                    "placeholder" => trans('care_provider::care_provider.placeholder.package_type'),
                    "rules" => '',
                    "group" => "main",
                    "section" => "first",
                    "attributes" => [
                        'wrapper' => [],
                        "label" => [],
                        "input" => [],

                    ],
                ],
                'type' => [
                    "type" => 'text',
                    "label" => trans('care_provider::care_provider.label.type'),
                    "placeholder" => trans('care_provider::care_provider.placeholder.type'),
                    "rules" => '',
                    "group" => "main",
                    "section" => "first",
                    "attributes" => [
                        'wrapper' => [],
                        "label" => [],
                        "input" => [],

                    ],
                ],
                'self_managed' => [
                    "type" => 'radios',
                    "label" => trans('care_provider::care_provider.label.self_managed'),
                    "placeholder" => trans('care_provider::care_provider.placeholder.self_managed'),
                    "rules" => '',
                    "group" => "main",
                    "section" => "first",
                    "attributes" => [
                        'wrapper' => [],
                        "label" => [],
                        "input" => [],

                    ],
                ],
                'care_provider' => [
                    "type" => 'text',
                    "label" => trans('care_provider::care_provider.label.care_provider'),
                    "placeholder" => trans('care_provider::care_provider.placeholder.care_provider'),
                    "rules" => '',
                    "group" => "main",
                    "section" => "first",
                    "attributes" => [
                        'wrapper' => [],
                        "label" => [],
                        "input" => [],

                    ],
                ],
                'care_first_name' => [
                    "type" => 'text',
                    "label" => trans('care_provider::care_provider.label.care_first_name'),
                    "placeholder" => trans('care_provider::care_provider.placeholder.care_first_name'),
                    "rules" => '',
                    "group" => "main",
                    "section" => "first",
                    "attributes" => [
                        'wrapper' => [],
                        "label" => [],
                        "input" => [],

                    ],
                ],
                'care_last_name' => [
                    "type" => 'text',
                    "label" => trans('care_provider::care_provider.label.care_last_name'),
                    "placeholder" => trans('care_provider::care_provider.placeholder.care_last_name'),
                    "rules" => '',
                    "group" => "main",
                    "section" => "first",
                    "attributes" => [
                        'wrapper' => [],
                        "label" => [],
                        "input" => [],

                    ],
                ],
                'care_email' => [
                    "type" => 'text',
                    "label" => trans('care_provider::care_provider.label.care_email'),
                    "placeholder" => trans('care_provider::care_provider.placeholder.care_email'),
                    "rules" => '',
                    "group" => "main",
                    "section" => "first",
                    "attributes" => [
                        'wrapper' => [],
                        "label" => [],
                        "input" => [],

                    ],
                ],
                'care_phone' => [
                    "type" => 'numeric',
                    "label" => trans('care_provider::care_provider.label.care_phone'),
                    "placeholder" => trans('care_provider::care_provider.placeholder.care_phone'),
                    "rules" => '',
                    "group" => "main",
                    "section" => "first",
                    "attributes" => [
                        'wrapper' => [],
                        "label" => [],
                        "input" => [],

                    ],
                ],
                'submitted_by' => [
                    "type" => 'text',
                    "label" => trans('care_provider::care_provider.label.submitted_by'),
                    "placeholder" => trans('care_provider::care_provider.placeholder.submitted_by'),
                    "rules" => '',
                    "group" => "main",
                    "section" => "first",
                    "attributes" => [
                        'wrapper' => [],
                        "label" => [],
                        "input" => [],

                    ],
                ],
                'referel_source' => [
                    "type" => 'text',
                    "label" => trans('care_provider::care_provider.label.referel_source'),
                    "placeholder" => trans('care_provider::care_provider.placeholder.referel_source'),
                    "rules" => '',
                    "group" => "main",
                    "section" => "first",
                    "attributes" => [
                        'wrapper' => [],
                        "label" => [],
                        "input" => [],

                    ],
                ],
                'terms' => [
                    "type" => 'numeric',
                    "label" => trans('care_provider::care_provider.label.terms'),
                    "placeholder" => trans('care_provider::care_provider.placeholder.terms'),
                    "rules" => '',
                    "group" => "main",
                    "section" => "first",
                    "attributes" => [
                        'wrapper' => [],
                        "label" => [],
                        "input" => [],

                    ],
                ],
                'company_id' => [
                    "type" => 'numeric',
                    "label" => trans('care_provider::care_provider.label.company_id'),
                    "placeholder" => trans('care_provider::care_provider.placeholder.company_id'),
                    "rules" => '',
                    "group" => "main",
                    "section" => "first",
                    "attributes" => [
                        'wrapper' => [],
                        "label" => [],
                        "input" => [],

                    ],
                ],
                'case_manager_id' => [
                    "type" => 'numeric',
                    "label" => trans('care_provider::care_provider.label.case_manager_id'),
                    "placeholder" => trans('care_provider::care_provider.placeholder.case_manager_id'),
                    "rules" => '',
                    "group" => "main",
                    "section" => "first",
                    "attributes" => [
                        'wrapper' => [],
                        "label" => [],
                        "input" => [],

                    ],
                ],
            ]
        );

    }
}