{{--
    * @category : "Free Living Will"  Form's Step-Preview Page
    * @author :  Gurupriya Solanki
    * @updated date : 30 May 2024
    * @company  :  Birbals Inc
    * @description : This is a preview page for "Free Living Will" form's Steps Where User can see their all filled step's forms data and can pay to receive Attorney And Document. If payment has been successfully done then Admin will upload this document by Admin panel for particular user to send email with attachment.
    * Client end send the edit request if their intial payment has done and now they want to update their details then have to click on edit button from preview page then  request will send to Admin. After approval by Admin client will receive an email and fron dashboard they will "Edit" Button Client has to click on that button to start update process. After update their data they have to pay as well to submit their updated details.
    * Data is coming  from  - app\Http\Controllers\Forms\LivingWillController.php  And calling function name is "createSteppreview"
    * Send Updated Will Document on Vtiger CRM and update path in  last payment record in payments table  For Free Edit
---}}

@extends('layouts.frontend')

@section('title', '| Free Living Will')

@section('content')
@include('frontend.forms.Living-Will.stepIndicator')
 {{-- start --}}
 <style>
    #pre .card{
        padding: 8px!important;
        border-radius: 8px;
        border-left: 5px solid #4e4d4d;
    }
    #pre .card-body{
        padding-top: 12px!important;
        padding-left: 2px!important;
        padding-bottom: 2px!important;
    }
</style>

<div class="container">
<div class="sign-up-form-mb">
    <div class="card" id="signUpForm">
        <div class="card-body" id="previewData">
            {{-- step 1 --}}
            <div class="step text-capitalize" style="display: block" id="pre">
                <div class="row">
                    <div class="col-md-12">
                        @if(session('error')){{--To show error if deduct by controller--}}
                            <div class="alert alert-danger">
                                {{ session('error') }}
                            </div>
                        @endif
                        @if(session('info')) {{--To show information if deduct by controller--}}
                            <div class="alert alert-info">
                                {{ session('info') }}
                            </div>
                        @endif
                        <div  class="p-2">
                            <div class="card-title">Free Living Will</div>
                            <div class="row d-none">
                                <div class="col-md-6">
                                    <strong>ID:</strong>
                                </div>
                                <div class="col-md-6">
                                    {{ $livingWillForm['id'] }}
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-md-6">
                                    <strong> Do you want to appoint someone to make your health care decisions if you are unable to?:</strong>
                                </div>
                                <div class="col-md-6">
                                    {{ $livingWillForm['health_care_decisions'] }}
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-md-6">
                                    <strong> Do you want to list your health care preferences so caregivers have instruction to follow?:</strong>
                                </div>
                                <div class="col-md-6">
                                    {{ $livingWillForm['preferences'] }}
                                </div>
                            </div>
                            <hr>
                            <div class="card-title mt-4 py-2">Location</div>
                            <div class="row">
                                <div class="col-md-6">
                                    <strong>What state do you live in?</strong>
                                </div>
                                <div class="col-md-6">
                                    {{ $livingWillForm['live_state'] }}
                                </div>
                            </div>
                            <hr>
                            <div class="card-title mt-4 py-2">Care Choices</div>
                            <div class="row">
                                <div class="col-md-6">
                                    <strong>Sustaining Treatment:</strong>
                                </div>
                                <div class="col-md-6">
                                    @if($livingWillForm['sustaining_treatment'] == 'yes')
                                    I want to receive this treatment
                                    @else
                                    I do NOT want to receive this treatment
                                    @endif

                                </div>
                            </div>
                            <div class="row">
                                <div class="col-md-6">
                                    <strong>Artificially Provided Food and Water:</strong>
                                </div>
                                <div class="col-md-6">
                                    @if($livingWillForm['artificially_food'] == 'yes')
                                    I want to receive this treatment
                                    @else
                                    I do NOT want to receive this treatment
                                    @endif

                                </div>
                            </div>
                            <div class="row mt-3">
                                <div class="col-md-12">
                                    <strong>Care if Permanently Unconscious</strong>
                                </div>
                                <div class="col-md-6">
                                    <strong>Life Sustaining Treatment:</strong>
                                </div>
                                <div class="col-md-6">
                                    @if($livingWillForm['p_sustaining_treatment'] == 'yes')
                                    I want to receive this treatment
                                    @else
                                    I do NOT want to receive this treatment
                                    @endif
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-md-6">
                                    <strong>Artificially Provided Food and Water:</strong>
                                </div>
                                <div class="col-md-6">
                                 
                                    @if($livingWillForm['p_artificially_food'] == 'yes')
                                    I want to receive this treatment
                                    @else
                                    I do NOT want to receive this treatment
                                    @endif
                                </div>
                            </div>
                            <hr>
                            <div class="card-title mt-4 py-2">Your Info</div>
                            <div class="row">
                                <div class="col-md-6">
                                    <strong>Who is this Living Will being created for?</strong>
                                </div>
                                <div class="col-md-6">
                                    @php
                                        $yourInfo = json_decode($livingWillForm['your_information'], true);
                                    @endphp
                                    <ul>
                                        <li><strong>Name:</strong> {{ $yourInfo['name'] ?? 'Not specified' }}</li>
                                        <li><strong>Street Address1:</strong> {{ $yourInfo['street_1'] ?? 'Not specified' }}</li>
                                        <li><strong>Street Address2:</strong> {{ $yourInfo['street_2'] ?? 'Not specified' }}</li>
                                        <li><strong>State:</strong> {{ $yourInfo['state'] ?? 'Not specified' }}</li>
                                        <li><strong>City:</strong> {{ $yourInfo['city'] ?? 'Not specified' }}</li>
                                        <li><strong>Country:</strong> {{ $yourInfo['country'] ?? 'Not specified' }}</li>
                                        <li><strong>Zip Code:</strong> {{ $yourInfo['zip_code'] ?? 'Not specified' }}</li>
                                        <li><strong>Birthdate:</strong> {{ $yourInfo['bdate'] ?? 'Not specified' }}</li>
                                        <li><strong>Gender:</strong> {{ $yourInfo['gender'] ?? 'Not specified' }}</li>
                                    </ul>
                                </div>
                            </div>

                            @if($livingWillForm['health_care_decisions'] == 'yes')
                            <hr>
                            <div class="card-title mt-4 py-2">Proxy</div>
                            <div class="row">
                                <div class="col-md-6">
                                    <strong>If I need someone to speak for me:</strong>
                                </div>
                                <div class="col-md-6">
                                    @php
                                    $proxy = json_decode($livingWillForm['proxy'], true);
                                    @endphp
                                    <ul>
                                        <li><strong>Proxy Name:</strong> {{ $proxy['proxy_name'] ?? 'Not specified' }}</li>
                                        <li><strong>Proxy Street:</strong> {{ $proxy['proxy_street'] ?? 'Not specified' }}</li>
                                        <li><strong>Proxy State:</strong> {{ $proxy['proxy_state'] ?? 'Not specified' }}</li>
                                        <li><strong>Proxy Town:</strong> {{ $proxy['proxy_town'] ?? 'Not specified' }}</li>
                                        <li><strong>Proxy Zip Code:</strong> {{ $proxy['proxy_zip_code'] ?? 'Not specified' }}</li>
                                        <li><strong>Proxy Relationship:</strong> {{ $proxy['proxy_relationship'] ?? 'Not specified' }}</li>
                                    </ul>
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-md-6">
                                    <strong>Alternate Health Care Proxy:</strong>
                                </div>
                                <div class="col-md-6">
                                    @php
                                    $alternateProxy = json_decode($livingWillForm['alternate_proxy'], true);
                                    @endphp
                                    <ul>
                                        <li><strong>Alternative Name:</strong> {{ $alternateProxy['alternative_name'] ?? 'Not specified' }}</li>
                                        <li><strong>Alternative Street:</strong> {{ $alternateProxy['alternative_street'] ?? 'Not specified' }}</li>
                                        <li><strong>Alternative State:</strong> {{ $alternateProxy['alternative_state'] ?? 'Not specified' }}</li>
                                        <li><strong>Alternative Town:</strong> {{ $alternateProxy['alternative_town'] ?? 'Not specified' }}</li>
                                        <li><strong>Alternative Zip Code:</strong> {{ $alternateProxy['alternative_zip_code'] ?? 'Not specified' }}</li>
                                        <li><strong>Alternative Phone:</strong> {{ $alternateProxy['alternative_phone'] ?? 'Not specified' }}</li>
                                        <li><strong>Alternative Relationship:</strong> {{ $alternateProxy['alternative_relationship'] ?? 'Not specified' }}</li>
                                    </ul>
                                </div>
                            </div>

                            <div class="row">
                                <div class="col-md-6">
                                    <strong>How much authority do you want your health care proxy to have?:</strong>
                                </div>
                                <div class="col-md-6">
                                    {{ $livingWillForm['proxy_authority'] }}
                                </div>
                            </div>
                            <div class="row mt-3">
                                <div class="col-md-12">
                                    <strong>Instructions for Health Care Proxy:</strong>
                                </div>
                                <div class="col-md-6">
                                    <strong>Have access to my medical records:</strong>
                                </div>
                                <div class="col-md-6">
                                    @if(!empty($livingWillForm['medical_records']))
                                    yes
                                    @else
                                    No
                                    @endif
                                </div>
                            </div>
                                @if($livingWillForm['proxy_authority'] != "Must follow my listed directions but is also able to make decisions not covered in this document")
                                    <div class="row">
                                        <div class="col-md-6">
                                            <strong>Decide if I need tube feeding:</strong>
                                        </div>
                                        <div class="col-md-6">
                                            @if(!empty($livingWillForm['tube_feeding']))
                                            Yes
                                            @else
                                            No
                                            @endif
                                        </div>
                                    </div>
                                @endif
                            @endif
                            <hr>
                            <div class="card-title mt-4 py-2">Final Details</div>
                            <div class="row mt-3">
                                <div class="col-md-6">
                                    <strong>Contacts:</strong>
                                </div>
                                <div class="col-md-6">
                                    @php
                                    $contacts = json_decode($livingWillForm['contacts'], true);
                                    @endphp
                                     @if (is_array($contacts))
                                  
                                        @foreach ($contacts as $contact)
                                        <div class="card mb-3">
                                            <div class="card-body">
                                                <ul>
                                                    <li><strong>Name:</strong> {{ $contact['full_name'] ?? 'Not specified' }}</li>
                                                    <li><strong>Phone Number:</strong> {{ $contact['phone_number'] ?? 'Not specified' }}</li>
                                                </ul>
                                            </div>
                                        </div>
                                        @endforeach
                                    
                                    @else
                                      {{ 'No' }}
                                    @endif
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-md-6">
                                    <strong>Signing Details:</strong>
                                </div>
                                <div class="col-md-6">
                                    @php
                                        $signingDetails = json_decode($livingWillForm['signing_details'], true);
                                    @endphp
                                    <ul>
                                        <li><strong>Signing:</strong> {{ $signingDetails['signing'] ?? 'Not specified' }}</li>
                                        <li><strong>Date:</strong> {{ $signingDetails['date'] ?? 'Not specified' }}</li>
                                        <li><strong>City:</strong> {{ $signingDetails['city'] ?? 'Not specified' }}</li>
                                    </ul>
                                </div>
                            </div>
        
                            <div class="row">
                                <div class="col-md-6">
                                    <strong>Created At:</strong>
                                </div>
                                <div class="col-md-6">
                                   
                                    {{ isset($livingWillForm['created_at']) ? date('m/d/Y h:i A', strtotime($livingWillForm['created_at'])) : 'Not specified' }} (EST)
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-md-6">
                                    <strong>Updated At:</strong>
                                </div>
                                <div class="col-md-6">
                                    
                                    {{ isset($livingWillForm['updated_at']) ? date('m/d/Y h:i A', strtotime($livingWillForm['updated_at'])) : 'Not specified' }} (EST)
                                </div>
                            </div>

        
                        </div>
                    </div>
                </div>

                <div id="buttonsection">
                    <div class="form-footer d-flex">
    
                        {{--START = 
                        *If payment has been done then client can not able to edit form. But they  have to click in "Edit" Button from Preview page. The Request will be send to Admin. If Admin Approve their Edit Request then Client will receive And email And Can see the Edit Button on Dashboard. When Client is click on that button then edit_status will be 1 in db table. then Client can start the update process. And they have to have to for submit their details.
                        * To update edit_status, edit_count check the function - upadateStatusIfClickOnEdit in app\Classes\HandleUserEditFormRequest.php which is callling in index function for every form controller.
                        --}}


                        @if (isset($livingWillForm['currentStep']))
                            @php 
                                $currentStepRouteLWF = "livingwill.create.step." . $livingWillForm['currentStep'];
                            @endphp
                        @else
                            @php 
                                $currentStepRouteLWF = "livingwill.create.step.one";
                            @endphp
                        @endif

                        @if (($livingWillForm['payment_status'] !== 'succeeded' && $livingWillForm['payment_status'] !== 'paid')  || (($livingWillForm->edit_request_data) && ($livingWillForm->edit_request_data->approve_status == "1") && ($livingWillForm->edit_request_data->edit_status !== "0") &&  ($livingWillForm->edit_request_data->payment_status !== 'succeeded' && $livingWillForm->edit_request_data->payment_status !== 'paid')))
                        {{---To saving will document data  START--}}
                        <form action="{{route('LivingWillFormStore')}}" method="POST" id="signUpForm">
                            @csrf
                                <input type="hidden" id="stepInput" name="step" value="preview">
                                <button type="button" onclick="window.location.href = '{{ route($currentStepRouteLWF) }}'" class="btn btn-light btn-lg back-btn">Edit Details</button>
                                <button type="submit" class="btn btn-light btn-lg">Save</button>
                        </form>
                         {{---To saving will document data  END--}}

                        {{--Open Payment Process Separate Page----START--}}
                        {{---To Check if payment has  not done  and  status is NULL or empty then paynow buttun will show--}}
                        {{-- it will redirect to payment process page after  take  required data from here and post it to that page --}}
                        
                            <form method="POST" action="{{ route('payNowProcessForm') }}" id="payNowProcessForm">
                                @csrf
                                <input type="hidden" name="form_data_id" value="{{ $livingWillForm['id'] }}">
                                <input type="hidden" name="form_type_name" value="{{ config('formData.formTypeName.Living_Will') }}">
                                <input type="hidden" name="payment_title" value="Free Living Will">
                                <input type="hidden" name="form_price" value="{{ $LivingWillFormPrice->price }}">
                                <input type="hidden" name="payment_status" value="{{ $livingWillForm['payment_status'] }}">

                                {{--START - After intial payment now if client want to update their details then they to pay again.Payment Form will be same only price will be changed  So thats why only button name  has changed--}}
                                 @if(($livingWillForm->edit_request_data && $livingWillForm->edit_request_data->approve_status == '1') || ($livingWillForm['edit_status'] > 0))
                                    @php 
                                        $paynow = "Submit"; // Payment for updating details
                                        $edit_submit_modal_id = "edit_submit_disclaimer"; // Showing Edit Disclaimer Message before "payment process form" by this Modal id
                                    @endphp
                                @else
                                    @php 
                                        $paynow = 'Pay Now'; // Initial Payment
                                        $edit_submit_modal_id = '';
                                    @endphp
                                @endif
                                {{--END - After intial payment now if client want to update their details then they to pay again.Payment Form will be same only price will be changed--}}
                                <button id="{{$edit_submit_modal_id }}" type="submit" class="btn btn-primary pay_nowBtn">{{$paynow}}</button>
                            </form>
                        {{--Open Payment Process Separate Page----END--}}
                        @else
                        <button type="button" onclick="window.location.href = '{{ route('userhomePage') }}'" class="btn btn-primary pay_nowBtn">Go to Dashboard</button>
                            {{-- 
                            /*
                            * Author: Gurupriya Solanki
                            * Updated date: 24 May 2024
                            * Description: Free Edit Save
                            * Send Updated Will Document on Vtiger CRM and update path in  last payment record in payments table  For Free Edit Save
                            * After payment has done we are sending document to Vtiger CRM and updating path in payments table by payment Controller. But As we have Free Edit Functionlity and At that time we  dont have "Pay Now" option so We are updating the pdf by "Save" Button. Vtiger Storing as new latest pdf and path will update in payment table.
                            */    
                            --}}
                            @if($livingWillForm->free_edit_option_show == true)
                                {{---To saving will document data  START--}}
                                <form action="{{route('LivingWillFormStore')}}" method="POST" id="signUpForm">
                                    @csrf
                                        <input type="hidden" id="stepInput" name="step" value="preview">

                                        {{--for unique identify to call vtiger function in controller--}}
                                        <input type="hidden" id="updateWillDocumentPDF" name="updateWillDocumentPDF" value="true">
                                        
                                        <button type="button" onclick="window.location.href = '{{ route($currentStepRouteLWF) }}'" class="btn btn-light btn-lg back-btn">Edit Details</button>
                                        <button type="submit" class="btn btn-light btn-lg">Save</button>
                                </form>
                                {{---To saving will document data  END--}}
                            @else
                                {{-- 
                                /*
                                * Author: Vidhi Shah
                                * Updated date: 26th Mar 2024
                                * Description: Add edit option for paid forms
                                */    
                                --}}
                                <button type="button" class="btn btn-primary" id="edit_button">Edit</button>
                            @endif
                        @endif
                        {{--END = If payment has been done then client can not able to edit form --}}
                    </div>
                </div>
             </div>

        
         </div>

  


      </div>

</div>
</div>
{{-- Showing Message when click on Edit Button in  Modal: Starts here--}}
@include('frontend.modals.editRequestOptionPopup')
{{-- Showing Message when click on Edit Button in  Modal: Ends here--}}

{{-- Showing  Disclaimer  when click on Edit Submit Button in  Modal: Starts here--}}
@include('frontend.modals.editSubmitDisclaimerPopup')
{{-- ShowingDisclaimer  Message when click on Edit  Submit Button in  Modal: Ends here--}}
@endsection
@section('page-js')
<script src="{{ url('frontend/assets/js/common.js?v=10.2') }}"></script>
@if($livingWillForm->edit_request_data)
{{-- 
/*
* Author: Vidhi Shah
* Updated date: 26th Mar 2024
* Description: Add edit option for paid forms
*/    
--}}
<script>

    /* Notification to admin on click event of "Edit" button for edit form reuquest deature */
    $("#edit_button").on("click", function(event) {
        /* Ajax call for sending admin email for user request */
        notifyAdminforEditRequest("living-will","{{ $livingWillForm['id'] }}")

    });
</script>
@else
{{--
/*
* Author: Gurupriya Solanki
* Company: Birbals Inc.
* Created date: 18 April 2024
* Description: This Modal Pop is showing when Client is click on Edit button to show Disclaimer. Then after confirm Edit request will send to Admin and sending email as well. If Request is already sent then this modal will not show
*/
--}}
<script>
     $("#edit_button").on("click", function(event) {

        // Show the modal when the edit button is clicked
        $('#editRequestDisclaimerMessageModal').modal('show');
    });

   // Function to handle the "Yes" button click in the modal
   $("#proceedWithDisclaimer").on("click", function(event) {
        // Close the modal
        $('#editRequestDisclaimerMessageModal').modal('hide');
        
        /* Ajax call for sending admin email for user request */
        notifyAdminforEditRequest("living-will","{{ $livingWillForm['id'] }}")
    });
</script>
@endif
@endsection