{{-- Extends layout --}}
@extends(getThemeBasePath())

@section('page_title')
    {{ $page_title }}
@endsection

{{-- Content --}}
@section('content')
    <!--begin::Card-->
    <form class="form" method="post" action="{{ $action }}" id="manage_form">
        <input type="hidden" name="is_mobile" value="{{!empty($isMobile) && $isMobile == true?1:''}}" id="">
        <input type="hidden" name="token" value="{{$token??''}}" id="">
        @if (!empty($data['id']))
            @method('PUT')
        @endif
        @csrf
        <input type="hidden" name="report_id" value="{{ $report_id }}" />
        <div class="card shadow-sm">
            <!--begin::Card header-->
            <div class="card-header card-header-tabs-line nav-tabs-line-3x">
                <!--begin::Toolbar-->
                <div class="card-toolbar">
                    <ul class="nav nav-tabs nav-line-tabs nav-stretch fs-6 border-0">
                        <!--begin::Item-->
                        <li class="nav-item me-3">
                            <a class="nav-link active" data-bs-toggle="tab" href="#kt_user_edit_tab_1">
                                <span class="nav-text font-size-lg">{{ $page_title }}</span>
                            </a>
                        </li>
                    </ul>
                </div>
                <!--end::Toolbar-->
            </div>
            <!--end::Card header-->
            <!--begin::Card body-->
            <div class="card-body">
                <div class="tab-content">
                    <!--begin::Tab-->
                    <div class="tab-pane show active" id="kt_user_edit_tab_1" role="tabpanel">
                        <!--begin::Row-->
                        <div class="row">
                            @include('backend.errors')
                            <div class="col-md-8 my-2">
                                <!--begin::Group-->
                                <div class="form-group row mb-7">
                                    <div class="col-xl-4 col-lg-4 col-md-6 col-sm-12 col-xs-12 mt-3">
                                        <label class="col-form-label text-lg-right text-left no-required">Date</label>
                                        <div class="input-group input-group-lg input-group-solid">
                                            <span class="input-group-text">
                                                <i class="la la-calendar"></i>
                                            </span>
                                            <input class="form-control form-control-lg form-control-solid required" type="text" name="date" id="date" value="{{ $data['date'] ?? '' }}" autocomplete="off" readonly />
                                        </div>
                                        <span class="text-muted">Defaults to the shift case note date</span>
                                    </div>
                                    <div class="col-xl-4 col-lg-4 col-md-6 col-sm-12 col-xs-12 mt-3">
                                        <label class="col-form-label text-lg-right text-left no-required">Time</label>
                                        <input class="form-control form-control-lg form-control-solid" type="time" name="time" value="{{ $data['time'] ?? '' }}" />
                                    </div>
                                    <div class="col-xl-4 col-lg-4 col-md-6 col-sm-12 col-xs-12 mt-3">
                                        <label class="col-form-label text-lg-right text-left no-required">Type</label>
                                        <select class="form-control form-control-solid" name="type">
                                            <option value="">Select Type</option>
                                            @foreach(['T1','T2','T3','T4','T5','T6','T7',] as $type)
                                            <option value="{{$type}}" {{!empty($data['type']) && $data['type'] == $type ? "selected": ""}}>{{$type}}</option>
                                            @endforeach
                                        </select>
                                    </div>
                                    <div class="col-xl-4 col-lg-4 col-md-6 col-sm-12 col-xs-12 mt-3">
                                        <label class="col-form-label text-lg-right text-left no-required">Quantity</label>
                                        <select class="form-control form-control-solid" name="quantity">
                                            <option value="">Select Quantity</option>
                                            @foreach(['Small','Medium','Large',] as $quantity)
                                            <option value="{{$quantity}}" {{!empty($data['quantity']) && $data['quantity'] == $quantity ? "selected": ""}}>{{$quantity}}</option>
                                            @endforeach
                                        </select>
                                    </div>
                                    <div class="col-xl-4 col-lg-4 col-md-6 col-sm-12 col-xs-12 mt-3">
                                        <label class="col-form-label text-lg-right text-left no-required">Colour </label>
                                        <input class="form-control form-control-lg form-control-solid" type="text" name="colour" value="{{ $data['colour'] ?? '' }}" />
                                    </div>
                                    <div class="col-xl-4 col-lg-4 col-md-6 col-sm-12 col-xs-12 mt-3">
                                        <label class="col-form-label text-lg-right text-left no-required">Intervention</label>
                                        <input class="form-control form-control-lg form-control-solid" type="text" name="intervention" value="{{ $data['intervention'] ?? '' }}" />
                                    </div>
                                    <div class="col-xl-4 col-lg-4 col-md-6 col-sm-12 col-xs-12 mt-3">
                                        <label class="col-form-label text-lg-right text-left no-required">Days not open</label>
                                        <input class="form-control form-control-lg form-control-solid" type="text" name="days_not_open" value="{{ $data['days_not_open'] ?? '' }}" />
                                    </div>
                                    <div class="col-xl-4 col-lg-4 col-md-6 col-sm-12 col-xs-12 mt-3">
                                        <label class="col-form-label text-lg-right text-left no-required">Notes</label>
                                        <input class="form-control form-control-lg form-control-solid" type="text" name="notes" value="{{ $data['notes'] ?? '' }}" />
                                    </div>
                                    <div class="col-xl-4 col-lg-4 col-md-6 col-sm-12 col-xs-12 mt-3">
                                        <label class="col-form-label text-lg-right text-left no-required">Signature</label>
                                        <input class="form-control form-control-lg form-control-solid" type="text" name="signature" value="{{ $data['signature'] ?? '' }}" />
                                    </div>
                                </div>
                                <!--end::Group-->
                            </div>
                            <div class="col-md-4 col-xl-2">
                                <img src="{{ asset('images/bowel_type_img_1.png') }}" class="img-fluid" alt="">
                                <img src="{{ asset('images/bowel_type_img_2.png') }}" class="img-fluid" alt="">
                            </div>
                        </div>
                        <!--end::Row-->
                    </div>
                    <!--end::Tab-->
                </div>
            </div>
            <!--begin::Card body-->
            <div class="card-footer text-right">
                <button type="submit" class="btn btn-primary me-2 btn-hover-rise" id="bowelsubmit"
                    onclick="this.disabled=true;this.value='Submitting...';$('#manage_form').submit();">Submit</button>
                @if (!empty($isMobile) && $isMobile == true && !empty($token))
                <a href="{{route('shift_case_notes.index',['report_id' => $report_id,'step'=>11,'is_mobile' => 1, 'token' => $token])}}"><button type="button" class="btn btn-secondary btn-hover-rise">Cancel</button></a>
            @else
                <a href="{{route('shift_case_notes.index',['report_id' => $report_id,'step'=>11])}}"><button type="button" class="btn btn-secondary btn-hover-rise">Cancel</button></a>
            @endif
            </div>
        </div>
        <!--end::Card-->
    </form>
@endsection

{{-- Scripts Section --}}
@section('scripts')
    <script type="text/javascript">
        $(document).ready(function() {
            $('#manage_form').validate({
                // ignore: [],

                invalidHandler: function(form, validator) {
                    $('button[type="submit"]').removeAttr('disabled');
                    var errors = validator.numberOfInvalids();
                    if (errors && errors == 1) {
                        $('#bowelsubmit').removeAttr('disabled')
                        console.log(validator.errorList)
                    } else {
                        $('#bowelsubmit').removeAttr('disabled')
                    }
                }
            });
        });
    </script>
@endsection