{% extends "layouts/base.html" %}
{% load i18n %}

{% block title %}{% trans "Create New Inquiry" %} - PX360{% endblock %}

{% block extra_css %}
<style>
    :root {
        --hh-navy: #005696;
        --hh-blue: #007bbd;
        --hh-light: #eef6fb;
        --hh-slate: #64748b;
    }

    .form-card {
        background: white;
        border-radius: 1rem;
        border: 1px solid #e2e8f0;
        box-shadow: 0 4px 6px -1px rgba(0, 0, 0, 0.05);
    }

    .card-header {
        background: linear-gradient(135deg, var(--hh-light), #e0f2fe);
        padding: 1.25rem 1.75rem;
        border-bottom: 1px solid #bae6fd;
        border-radius: 1rem 1rem 0 0;
    }

    .form-section {
        padding: 1.5rem;
        border-bottom: 1px solid #f1f5f9;
    }

    .form-section:last-child {
        border-bottom: none;
    }

    .section-title {
        display: flex;
        align-items: center;
        gap: 0.5rem;
        font-size: 1.1rem;
        font-weight: 700;
        color: var(--hh-navy);
        margin-bottom: 1.5rem;
    }

    .form-group {
        margin-bottom: 1.25rem;
    }

    .form-label {
        display: block;
        margin-bottom: 0.5rem;
        font-weight: 600;
        color: var(--hh-navy);
        font-size: 0.9rem;
    }

    .form-input {
        width: 100%;
        padding: 0.75rem 1rem;
        border: 2px solid #cbd5e1;
        border-radius: 0.75rem;
        font-size: 0.95rem;
        transition: all 0.2s;
        background: white;
        color: #1e293b;
        font-family: 'Inter', sans-serif;
    }

    .form-input:focus {
        outline: none;
        border-color: var(--hh-blue);
        box-shadow: 0 0 0 4px rgba(0, 123, 189, 0.1);
        transform: translateY(-1px);
    }

    .form-input.error {
        border-color: #ef4444;
    }

    .form-input.error:focus {
        box-shadow: 0 0 0 4px rgba(239, 68, 68, 0.1);
    }

    textarea.form-input {
        resize: vertical;
        min-height: 120px;
    }

    .form-help {
        color: var(--hh-slate);
        font-size: 0.825rem;
        margin-top: 0.375rem;
    }

    .form-error {
        color: #ef4444;
        font-size: 0.825rem;
        margin-top: 0.375rem;
        display: flex;
        align-items: center;
        gap: 0.25rem;
    }

    .btn-primary {
        background: linear-gradient(135deg, var(--hh-navy) 0%, var(--hh-blue) 100%);
        color: white;
        padding: 0.75rem 1.5rem;
        border-radius: 0.75rem;
        font-weight: 600;
        border: none;
        cursor: pointer;
        transition: all 0.3s cubic-bezier(0.4, 0, 0.2, 1);
        display: inline-flex;
        align-items: center;
        gap: 0.5rem;
    }

    .btn-primary:hover {
        transform: translateY(-2px);
        box-shadow: 0 8px 16px rgba(0, 86, 150, 0.3);
    }

    .btn-secondary {
        background: white;
        color: #475569;
        padding: 0.75rem 1.5rem;
        border-radius: 0.75rem;
        font-weight: 600;
        border: 2px solid #e2e8f0;
        cursor: pointer;
        transition: all 0.3s ease;
        display: inline-flex;
        align-items: center;
        gap: 0.5rem;
        text-decoration: none;
    }

    .btn-secondary:hover {
        background: #f1f5f9;
        border-color: #cbd5e1;
        transform: translateY(-1px);
    }

    @keyframes fadeIn {
        from { opacity: 0; transform: translateY(20px); }
        to { opacity: 1; transform: translateY(0); }
    }

    .animate-in {
        animation: fadeIn 0.5s ease-out forwards;
    }
</style>
{% endblock %}

{% block content %}
<div class="px-4 py-6">
    <!-- Breadcrumb -->
    <nav class="mb-4 animate-in">
        <ol class="flex items-center gap-2 text-sm text-slate">
            <li><a href="{% url 'complaints:inquiry_list' %}" class="text-blue hover:text-navy font-medium">{% trans "Inquiries" %}</a></li>
            <li><i data-lucide="chevron-right" class="w-4 h-4 text-slate"></i></li>
            <li class="text-navy font-semibold">{% trans "Create New Inquiry" %}</li>
        </ol>
    </nav>

    <!-- Page Header -->
    <div class="mb-6 animate-in">
        <h1 class="text-2xl font-bold text-navy flex items-center gap-3">
            <div class="w-10 h-10 bg-blue/10 rounded-xl flex items-center justify-center">
                <i data-lucide="plus-circle" class="w-5 h-5 text-blue"></i>
            </div>
            {% trans "Create New Inquiry" %}
        </h1>
        <p class="text-slate mt-1">{% trans "Create a new patient inquiry or request" %}</p>
    </div>

    <!-- Form Card -->
    <form method="post" action="{% url 'complaints:inquiry_create' %}" id="inquiryForm" class="form-card max-w-5xl animate-in">
        {% csrf_token %}
        
        <div class="card-header">
            <h2 class="text-lg font-bold text-navy flex items-center gap-2 m-0">
                <i data-lucide="file-text" class="w-5 h-5"></i>
                {% trans "Inquiry Information" %}
            </h2>
        </div>

        <div class="p-0">
            <!-- Organization Section -->
            <div class="form-section">
                <h3 class="section-title">
                    <i data-lucide="building" class="w-5 h-5"></i>
                    {% trans "Organization" %}
                </h3>

                <div class="grid grid-cols-1 md:grid-cols-2 gap-5">
                    <div class="form-group">
                        <label for="{{ form.hospital.id_for_label }}" class="form-label">
                            {{ form.hospital.label }} <span class="text-red-500">*</span>
                        </label>
                        {{ form.hospital }}
                        {% if form.hospital.help_text %}
                        <p class="form-help">{{ form.hospital.help_text }}</p>
                        {% endif %}
                        {% for error in form.hospital.errors %}
                        <p class="form-error">
                            <i data-lucide="alert-circle" class="w-4 h-4"></i>
                            {{ error }}
                        </p>
                        {% endfor %}
                    </div>

                    <div class="form-group">
                        <label for="{{ form.department.id_for_label }}" class="form-label">
                            {{ form.department.label }}
                        </label>
                        {{ form.department }}
                        {% for error in form.department.errors %}
                        <p class="form-error">
                            <i data-lucide="alert-circle" class="w-4 h-4"></i>
                            {{ error }}
                        </p>
                        {% endfor %}
                    </div>
                </div>
            </div>

            <!-- Contact Information Section -->
            <div class="form-section">
                <h3 class="section-title">
                    <i data-lucide="user" class="w-5 h-5"></i>
                    {% trans "Contact Information" %}
                </h3>

                <div class="grid grid-cols-1 md:grid-cols-2 gap-5">
                    <div class="form-group">
                        <label for="{{ form.contact_name.id_for_label }}" class="form-label">
                            {{ form.contact_name.label }} <span class="text-red-500">*</span>
                        </label>
                        {{ form.contact_name }}
                        {% for error in form.contact_name.errors %}
                        <p class="form-error">
                            <i data-lucide="alert-circle" class="w-4 h-4"></i>
                            {{ error }}
                        </p>
                        {% endfor %}
                    </div>

                    <div class="form-group">
                        <label for="{{ form.contact_phone.id_for_label }}" class="form-label">
                            {{ form.contact_phone.label }} <span class="text-red-500">*</span>
                        </label>
                        {{ form.contact_phone }}
                        {% for error in form.contact_phone.errors %}
                        <p class="form-error">
                            <i data-lucide="alert-circle" class="w-4 h-4"></i>
                            {{ error }}
                        </p>
                        {% endfor %}
                    </div>

                    <div class="form-group md:col-span-2">
                        <label for="{{ form.contact_email.id_for_label }}" class="form-label">
                            {{ form.contact_email.label }}
                        </label>
                        {{ form.contact_email }}
                        {% for error in form.contact_email.errors %}
                        <p class="form-error">
                            <i data-lucide="alert-circle" class="w-4 h-4"></i>
                            {{ error }}
                        </p>
                        {% endfor %}
                    </div>
                </div>
            </div>

            <!-- Inquiry Details Section -->
            <div class="form-section">
                <h3 class="section-title">
                    <i data-lucide="help-circle" class="w-5 h-5"></i>
                    {% trans "Inquiry Details" %}
                </h3>

                <div class="grid grid-cols-1 md:grid-cols-2 gap-5">
                    <div class="form-group">
                        <label for="{{ form.category.id_for_label }}" class="form-label">
                            {{ form.category.label }} <span class="text-red-500">*</span>
                        </label>
                        {{ form.category }}
                        {% for error in form.category.errors %}
                        <p class="form-error">
                            <i data-lucide="alert-circle" class="w-4 h-4"></i>
                            {{ error }}
                        </p>
                        {% endfor %}
                    </div>

                    <div class="form-group">
                        <label for="{{ form.priority.id_for_label }}" class="form-label">
                            {{ form.priority.label }}
                        </label>
                        {{ form.priority }}
                        {% if form.priority.help_text %}
                        <p class="form-help">{{ form.priority.help_text }}</p>
                        {% endif %}
                        {% for error in form.priority.errors %}
                        <p class="form-error">
                            <i data-lucide="alert-circle" class="w-4 h-4"></i>
                            {{ error }}
                        </p>
                        {% endfor %}
                    </div>
                </div>

                <div class="form-group">
                    <label for="{{ form.subject.id_for_label }}" class="form-label">
                        {{ form.subject.label }} <span class="text-red-500">*</span>
                    </label>
                    {{ form.subject }}
                    {% for error in form.subject.errors %}
                    <p class="form-error">
                        <i data-lucide="alert-circle" class="w-4 h-4"></i>
                        {{ error }}
                    </p>
                    {% endfor %}
                </div>

                <div class="form-group">
                    <label for="{{ form.message.id_for_label }}" class="form-label">
                        {{ form.message.label }} <span class="text-red-500">*</span>
                    </label>
                    {{ form.message }}
                    {% for error in form.message.errors %}
                    <p class="form-error">
                        <i data-lucide="alert-circle" class="w-4 h-4"></i>
                        {{ error }}
                    </p>
                    {% endfor %}
                </div>
            </div>
        </div>

        <!-- Form Actions -->
        <div class="p-6 bg-slate-50 border-t border-slate-200 rounded-b-1rem flex gap-3">
            <button type="submit" class="btn-primary">
                <i data-lucide="check-circle" class="w-5 h-5"></i>
                {% trans "Create Inquiry" %}
            </button>
            <a href="{% url 'complaints:inquiry_list' %}" class="btn-secondary">
                {% trans "Cancel" %}
            </a>
        </div>
    </form>
</div>

<script>
document.addEventListener('DOMContentLoaded', function() {
    lucide.createIcons();

    // Add error class to inputs with errors
    document.querySelectorAll('.form-error').forEach(function(errorEl) {
        const input = errorEl.parentElement.querySelector('.form-input');
        if (input) {
            input.classList.add('error');
        }
    });
});
</script>
{% endblock %}