{% extends "layouts/base.html" %} {% load i18n %} {% load static %} {% block title %}{% trans "New Observation" %} - PX360{% endblock %} {% block extra_css %} {% endblock %} {% block content %} {% if messages %} {% for message in messages %} {% if message.tags == 'error' %}
{% elif message.tags == 'warning' %}
{% else %}
{% endif %} {{ message }}
{% endfor %} {% endif %}
{% csrf_token %} {% if communication_request %} {% endif %}
{% trans "Observation Details" %}
{% trans "Describe what was observed" %}
{{ form.category }} {% if form.category.errors %}
{{ form.category.errors.0 }}
{% endif %}
{{ form.sub_category }} {% if form.sub_category.errors %}
{{ form.sub_category.errors.0 }}
{% endif %}
{{ form.title }} {% if form.title.errors %}
{{ form.title.errors.0 }}
{% endif %}
{{ form.description }} {% if form.description.errors %}
{{ form.description.errors.0 }}
{% endif %}

{% trans "Please describe what you observed in detail (at least 10 characters)." %}

{{ form.description_en }} {% if form.description_en.errors %}
{{ form.description_en.errors.0 }}
{% endif %}
{% trans "Location & Timing" %}
{% trans "Where and when did this occur?" %}
{{ form.location }} {% if form.location.errors %}
{{ form.location.errors.0 }}
{% endif %}
{{ form.main_section }} {% if form.main_section.errors %}
{{ form.main_section.errors.0 }}
{% endif %}
{{ form.subsection }} {% if form.subsection.errors %}
{{ form.subsection.errors.0 }}
{% endif %}
{{ form.location_text }} {% if form.location_text.errors %}
{{ form.location_text.errors.0 }}
{% endif %}
{{ form.incident_datetime }} {% if form.incident_datetime.errors %}
{{ form.incident_datetime.errors.0 }}
{% endif %}
{% trans "Assignment" %}
{% trans "Optionally assign to a department or user" %}
{{ form.assigned_department }} {% if form.assigned_department.errors %}
{{ form.assigned_department.errors.0 }}
{% endif %}
{{ form.assigned_to }} {% if form.assigned_to.errors %}
{{ form.assigned_to.errors.0 }}
{% endif %}
{% trans "Communication & Patient Info" %}
{% trans "Who was contacted and when?" %}
{{ form.patient_file_number }} {% if form.patient_file_number.errors %}
{{ form.patient_file_number.errors.0 }}
{% endif %}
{{ form.person_noted }} {% if form.person_noted.errors %}
{{ form.person_noted.errors.0 }}
{% endif %}
{{ form.department_noted }} {% if form.department_noted.errors %}
{{ form.department_noted.errors.0 }}
{% endif %}
{{ form.communication_method }} {% if form.communication_method.errors %}
{{ form.communication_method.errors.0 }}
{% endif %}
{{ form.communication_datetime }} {% if form.communication_datetime.errors %}
{{ form.communication_datetime.errors.0 }}
{% endif %}
{% trans "Attachments" %}
{% trans "Upload supporting documents or images" %}

{% trans "Click to upload files" %}

{% trans "Images, PDF, Word, Excel (max 10MB each)" %}

{% trans "Cancel" %}
{% endblock %} {% block extra_js %} {% endblock %}