84 lines
3.3 KiB
HTML
84 lines
3.3 KiB
HTML
{% extends "base.html" %}
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{% load i18n static patient_tags %}
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{% block title %}{% trans "Add Addendum" %} - {% patient_name note.patient %}{% endblock %}
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{% block content %}
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<div class="container-fluid">
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<div class="d-flex justify-content-between align-items-center mb-4">
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<h1 class="h3 mb-0">
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<i class="fa fa-plus-circle me-2"></i>{% trans "Add Addendum to Note" %}
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</h1>
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<a href="{% url 'documents:note-detail' note.pk %}" class="btn btn-secondary">
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<i class="fa fa-arrow-left me-1"></i>{% trans "Back to Note" %}
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</a>
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</div>
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<div class="row">
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<div class="col-md-8 offset-md-2">
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<div class="card mb-4">
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<div class="card-header bg-warning">
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<h5 class="card-title mb-0">
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<i class="fa fa-exclamation-triangle me-2"></i>{% trans "Note is Locked" %}
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</h5>
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</div>
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<div class="card-body">
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<p class="mb-0">
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{% trans "This note is locked and cannot be edited. You can add an addendum to provide additional information." %}
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</p>
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</div>
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</div>
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<div class="card">
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<div class="card-header">
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<h5 class="card-title mb-0">{% trans "Original Note" %}</h5>
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</div>
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<div class="card-body">
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<dl class="row">
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<dt class="col-sm-3">{% trans "Patient" %}:</dt>
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<dd class="col-sm-9">{% patient_name note.patient %}</dd>
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<dt class="col-sm-3">{% trans "Category" %}:</dt>
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<dd class="col-sm-9"><span class="badge bg-primary">{{ note.get_category_display }}</span></dd>
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<dt class="col-sm-3">{% trans "Date" %}:</dt>
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<dd class="col-sm-9">{{ note.note_date|date:"Y-m-d H:i" }}</dd>
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<dt class="col-sm-3">{% trans "Content" %}:</dt>
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<dd class="col-sm-9">
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<div class="bg-light p-3 rounded">{{ note.content }}</div>
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</dd>
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</dl>
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</div>
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</div>
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<div class="card mt-4">
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<div class="card-header">
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<h5 class="card-title mb-0">{% trans "Add Addendum" %}</h5>
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</div>
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<div class="card-body">
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<form method="post">
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{% csrf_token %}
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{% for field in form %}
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{% include "includes/form_field.html" %}
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{% endfor %}
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<div class="d-flex justify-content-end gap-2 mt-4">
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<a href="{% url 'documents:note-detail' note.pk %}" class="btn btn-secondary">
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{% trans "Cancel" %}
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</a>
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<button type="submit" class="btn btn-primary">
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<i class="fa fa-plus me-1"></i>{% trans "Add Addendum" %}
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</button>
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</div>
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</form>
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</div>
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</div>
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</div>
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</div>
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</div>
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{% endblock %}
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