{% extends "base.html" %}
{% load i18n static  patient_tags %}

{% block title %}{% trans "Add Addendum" %} - {% patient_name note.patient %}{% endblock %}

{% block content %}
<div class="container-fluid">
    <div class="d-flex justify-content-between align-items-center mb-4">
        <h1 class="h3 mb-0">
            <i class="fa fa-plus-circle me-2"></i>{% trans "Add Addendum to Note" %}
        </h1>
        <a href="{% url 'documents:note-detail' note.pk %}" class="btn btn-secondary">
            <i class="fa fa-arrow-left me-1"></i>{% trans "Back to Note" %}
        </a>
    </div>



    <div class="row">
        <div class="col-md-8 offset-md-2">
            <div class="card mb-4">
                <div class="card-header bg-warning">
                    <h5 class="card-title mb-0">
                        <i class="fa fa-exclamation-triangle me-2"></i>{% trans "Note is Locked" %}
                    </h5>
                </div>
                <div class="card-body">
                    <p class="mb-0">
                        {% trans "This note is locked and cannot be edited. You can add an addendum to provide additional information." %}
                    </p>
                </div>
            </div>

            <div class="card">
                <div class="card-header">
                    <h5 class="card-title mb-0">{% trans "Original Note" %}</h5>
                </div>
                <div class="card-body">
                    <dl class="row">
                        <dt class="col-sm-3">{% trans "Patient" %}:</dt>
                        <dd class="col-sm-9">{% patient_name note.patient %}</dd>

                        <dt class="col-sm-3">{% trans "Category" %}:</dt>
                        <dd class="col-sm-9"><span class="badge bg-primary">{{ note.get_category_display }}</span></dd>

                        <dt class="col-sm-3">{% trans "Date" %}:</dt>
                        <dd class="col-sm-9">{{ note.note_date|date:"Y-m-d H:i" }}</dd>

                        <dt class="col-sm-3">{% trans "Content" %}:</dt>
                        <dd class="col-sm-9">
                            <div class="bg-light p-3 rounded">{{ note.content }}</div>
                        </dd>
                    </dl>
                </div>
            </div>

            <div class="card mt-4">
                <div class="card-header">
                    <h5 class="card-title mb-0">{% trans "Add Addendum" %}</h5>
                </div>
                <div class="card-body">
                    <form method="post">
                        {% csrf_token %}
                        
                        {% for field in form %}
                            {% include "includes/form_field.html" %}
                        {% endfor %}

                        <div class="d-flex justify-content-end gap-2 mt-4">
                            <a href="{% url 'documents:note-detail' note.pk %}" class="btn btn-secondary">
                                {% trans "Cancel" %}
                            </a>
                            <button type="submit" class="btn btn-primary">
                                <i class="fa fa-plus me-1"></i>{% trans "Add Addendum" %}
                            </button>
                        </div>
                    </form>
                </div>
            </div>
        </div>
    </div>
</div>
{% endblock %}