{% extends "hostis-main.html" %}


{% block head %}
    {{ block.super }}
    <script>
        function get_doc_id(field, field_name) {
            var lookupid = field.attr("id");
            lookupid = lookupid.replace(field_name, "");
            return $("#" + lookupid + "-id").val();
        }

        function change_field(field, field_name) {
            var doc_id = get_doc_id(field, "-" + field_name);
            var fieldVal = field.val();
            if (field.is(':checkbox')) {
                if (field.is(':checked')) {
                    fieldVal = "TRUE";
                } else {
                    fieldVal = "FALSE";
                }
            }
            $.post("{% url 'hostis:update-hostis-doctor-info-value' %}",
                {
                    'csrfmiddlewaretoken': '{{csrf_token}}',
                    doc_id: doc_id,
                    field_name: field_name,
                    field_val: fieldVal
                },
                function () {
                    field.parent().css("background-color", "lightgreen");
                }
            );
        }

        $(function () {
            $(document).tooltip();

            $("[id$='-first_name']").change(function () {
                change_field($(this), 'first_name');
            });

            $("[id$='-first_name']").focus(function () {
                $(this).parent().css("background-color", "transparent");
            });

            $("[id$='-middle_name']").change(function () {
                change_field($(this), 'middle_name');
            });

            $("[id$='-middle_name']").focus(function () {
                $(this).parent().css("background-color", "transparent");
            });

            $("[id$='-last_name']").change(function () {
                change_field($(this), 'last_name');
            });

            $("[id$='-last_name']").focus(function () {
                $(this).parent().css("background-color", "transparent");
            });

            $("[id$='-dea_number']").change(function () {
                change_field($(this), 'dea_number');
            });

            $("[id$='-dea_number']").focus(function () {
                $(this).parent().css("background-color", "transparent");
            });

            $("[id$='-active']").change(function () {
                change_field($(this), 'active');
            });

            $("[id$='-active']").focus(function () {
                $(this).parent().css("background-color", "transparent");
            });

            $("#edit-doctor-info").dialog({
                {% if show_add_edit == 'Y' %}
                    autoOpen: true,
                {% else %}
                    autoOpen: false,
                {% endif %}
                closeOnEscape: false,
                modal: true,
                draggable: false,
                width: 1300,
                buttons: [
                    {
                        text: "Close",
                        "class": 'modal-dialog-button-right',
                        click: function () {
                            $(this).dialog("close");
                        }
                    },
                    {
                        text: "Save",
                        "class": 'modal-dialog-button-left',
                        click: function () {
                            $("#editDoctorForm").validate();
                            if ($("#editDoctorForm").valid()) {
                                document.editDoctorForm.submit();
                                $(this).dialog("close");
                            }
                        }
                    }
                ]
            });


            $("#btn-add-doctor").click(function () {
                window.location.href = "{% url 'hostis:add-doctor-info' %}";
            });

            {% if show_add_edit == 'Y' %}
                $("#editDoctorForm").validate({
                    onkeyup: false,
                    errorContainer: $("#edit-doctor-info-validation-alert"),
                    errorLabelContainer: $("ul", $("#edit-doctor-info-validation-alert")),
                    wrapper: 'li'
                });

                $("#id_editdoc-first_name").rules('add', {
                    maxlength: 64,
                    messages: {
                        maxlength: "First Name must be 64 characters or less."
                    }
                });

                $("#id_editdoc-middle_name").rules('add', {
                    maxlength: 32,
                    messages: {
                        maxlength: "Middle Name must be 32 characters or less."
                    }
                });

                $("#id_editdoc-last_name").rules('add', {
                    maxlength: 64,
                    messages: {
                        maxlength: "Last Name must be 64 characters or less."
                    }
                });

                $("#id_editdoc-suffix").rules('add', {
                    maxlength: 32,
                    messages: {
                        maxlength: "Suffix must be 32 characters or less."
                    }
                });

                $("#id_editdoc-degree").rules('add', {
                    maxlength: 16,
                    messages: {
                        maxlength: "Degree must be 16 characters or less."
                    }
                });

                $("#id_editdoc-dea_number").rules('add', {
                    maxlength: 16,
                    messages: {
                        maxlength: "DEA Number must be 16 characters or less."
                    }
                });

                $("#id_editdoc-npi").rules('add', {
                    maxlength: 16,
                    messages: {
                        maxlength: "NPI must be 16 characters or less."
                    }
                });

                $("#id_editdoc-address").rules('add', {
                    maxlength: 128,
                    messages: {
                        maxlength: "Address must be 128 characters or less."
                    }
                });

                $("#id_editdoc-address_2").rules('add', {
                    maxlength: 128,
                    messages: {
                        maxlength: "Address 2 must be 128 characters or less."
                    }
                });

                $("#id_editdoc-city").rules('add', {
                    maxlength: 64,
                    messages: {
                        maxlength: "City must be 64 characters or less."
                    }
                });

                $("#id_editdoc-state").rules('add', {
                    maxlength: 32,
                    messages: {
                        maxlength: "State must be 32 characters or less."
                    }
                });

                $("#id_editdoc-zip").rules('add', {
                    maxlength: 16,
                    messages: {
                        maxlength: "Zip must be 16 characters or less."
                    }
                });

                $("#id_editdoc-phone").rules('add', {
                    maxlength: 32,
                    messages: {
                        maxlength: "Phone must be 32 characters or less."
                    }
                });


            {% endif %}
        });
    </script>
{% endblock %}

{% block pagehead %}
    {% include 'hostis-pagehead.html' %}
{% endblock %}

{% block content %}
    <form name="hostisManageDoctorsForm" id="hostisManageDoctorsForm" method="POST">
        {% csrf_token %}
        {{ doctor_info_form.management_form }}
        <table class="table table-bordered table-striped hostis-table" style="width: 500px;">
            <thead>
            <tr style="background-color: lightsalmon;">
                {% include 'report-table-header.html' %}
                <th><i class="icon-th-list"></i></th>
            </tr>
            </thead>
            <tbody>
            {% for frm in doctor_info_form %}
                <tr>
                    <td style="padding-bottom: 2px;">{{ frm.id }}{{ frm.first_name }}</td>
                    <td style="padding-bottom: 2px;">{{ frm.middle_name }}</td>
                    <td style="padding-bottom: 2px;">{{ frm.last_name }}</td>
                    <td style="padding-bottom: 2px;">{{ frm.dea_number }}</td>
                    <td style="padding-bottom: 2px;">{{ frm.active }}</td>
                    <td style="padding-bottom: 2px;"><a href="{% url 'hostis:edit-doctor-info' frm.id.value %}">
                        <i title="Edit Doctor" class="icon-pencil"></i></a>&nbsp;&nbsp;&nbsp;
                    </td>
                </tr>
            {% endfor %}
            </tbody>
        </table>
        <div>
            <button type="button" name="btn-add-doctor" id="btn-add-doctor" class="btn">Add Doctor</button>
            &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
        </div>
    </form>
    <div id="edit-doctor-info" title="Edit Doctor Info" style="margin-left: 2px;">
        <form id="editDoctorForm" name="editDoctorForm" method="POST">
            {% csrf_token %}
            <div class="alert alert-error" id="edit-doctor-info-validation-alert" style="display: none;">
                <button type="button" class="close" data-dismiss="alert">&times;</button>
                <ul id="edit-doctor-info-validation-error-list">
                </ul>
            </div>
            <table style="width: 90%;">
                <tr>
                    <td class="site-drug-edit-td">{{ edit_doctor_form.id }}First
                        Name: {{ edit_doctor_form.first_name }}&nbsp;&nbsp;&nbsp;
                        Middle Name: {{ edit_doctor_form.middle_name }}&nbsp;&nbsp;&nbsp;
                        Last Name: {{ edit_doctor_form.last_name }}&nbsp;&nbsp;&nbsp;
                        Suffix: {{ edit_doctor_form.suffix }}</td>
                </tr>
                <tr>
                    <td class="site-drug-edit-td">Degree: {{ edit_doctor_form.degree }}
                        DEA Number: {{ edit_doctor_form.dea_number }}&nbsp;&nbsp;&nbsp;
                        NPI #: {{ edit_doctor_form.npi }}&nbsp;&nbsp;&nbsp;
                        Active: {{ edit_doctor_form.active }}</td>
                </tr>
                <tr>
                    <td class="site-drug-edit-td">Address: {{ edit_doctor_form.address }}&nbsp;&nbsp;&nbsp;
                        Address 2: {{ edit_doctor_form.address_2 }}</td>
                </tr>
                <tr>
                    <td class="site-drug-edit-td">City: {{ edit_doctor_form.city }}&nbsp;&nbsp;&nbsp;
                        State: {{ edit_doctor_form.state }}&nbsp;&nbsp;&nbsp;
                        Zip: {{ edit_doctor_form.zip }}&nbsp;&nbsp;&nbsp;
                        Phone: {{ edit_doctor_form.phone }}</td>
                </tr>
            </table>
        </form>
    </div>
{% endblock %}