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

{% block title %}{% trans "Create Complaint" %} - {% trans "Call Center" %} - PX360{% endblock %}

{% block extra_css %}
<style>
    .form-section {
        background: #fff;
        border: 1px solid #dee2e6;
        border-radius: 8px;
        padding: 25px;
        margin-bottom: 20px;
        box-shadow: 0 1px 3px rgba(0,0,0,0.05);
    }
    .form-section-title {
        font-size: 1.1rem;
        font-weight: 600;
        color: #495057;
        margin-bottom: 20px;
        padding-bottom: 10px;
        border-bottom: 2px solid #667eea;
    }
    .required-field::after {
        content: " *";
        color: #dc3545;
    }
    .patient-search-result {
        padding: 10px;
        border: 1px solid #dee2e6;
        border-radius: 4px;
        margin-bottom: 10px;
        cursor: pointer;
        transition: all 0.2s;
    }
    .patient-search-result:hover {
        background: #f8f9fa;
        border-color: #667eea;
    }
    .patient-search-result.selected {
        background: #e7f3ff;
        border-color: #667eea;
    }
    .badge-severity-critical { background: #dc3545; }
    .badge-severity-high { background: #fd7e14; }
    .badge-severity-medium { background: #ffc107; color: #000; }
    .badge-severity-low { background: #28a745; }
</style>
{% endblock %}

{% block content %}
<div class="container-fluid">
    <!-- Page Header -->
    <div class="mb-4">
        <div class="d-flex justify-content-between align-items-center">
            <div>
                <h2 class="mb-1">
                    <i class="bi bi-telephone-fill text-primary me-2"></i>
                    {% trans "Create Complaint" %}
                </h2>
                <p class="text-muted mb-0">{% trans "File a complaint on behalf of a patient or caller" %}</p>
            </div>
            <a href="{% url 'callcenter:complaint_list' %}" class="btn btn-outline-secondary">
                <i class="bi bi-arrow-left me-1"></i> {% trans "Back to List" %}
            </a>
        </div>
    </div>

    <form method="post" action="{% url 'callcenter:create_complaint' %}" id="complaintForm">
        {% csrf_token %}
        
        <div class="row">
            <div class="col-lg-8">
                <!-- Caller Information -->
                <div class="form-section">
                    <h5 class="form-section-title">
                        <i class="bi bi-person-circle me-2"></i>{% trans "Caller Information" %}
                    </h5>
                    
                    <div class="alert alert-info mb-3">
                        <i class="bi bi-info-circle me-2"></i>
                        {% trans "Search for an existing patient or enter caller details manually" %}
                    </div>
                    
                    <div class="row">
                        <div class="col-md-12 mb-3">
                            <label class="form-label">{% trans "Search Patient" %}</label>
                            <div class="input-group">
                                <input type="text" class="form-control" id="patientSearch" 
                                       placeholder="{% trans 'Search by MRN, name, phone, or national ID...' %}">
                                <button class="btn btn-outline-secondary" type="button" id="searchBtn">
                                    <i class="bi bi-search"></i> {% trans "Search" %}
                                </button>
                            </div>
                            <div id="patientResults" class="mt-2"></div>
                            <input type="hidden" name="patient_id" id="patientId">
                        </div>
                    </div>
                    
                    <div class="row">
                        <div class="col-md-4 mb-3">
                            <label class="form-label required-field">{% trans "Caller Name" %}</label>
                            <input type="text" name="caller_name" id="callerName" class="form-control" 
                                   placeholder="{% trans 'Full name' %}" required>
                        </div>
                        
                        <div class="col-md-4 mb-3">
                            <label class="form-label required-field">{% trans "Caller Phone" %}</label>
                            <input type="tel" name="caller_phone" id="callerPhone" class="form-control" 
                                   placeholder="{% trans 'Phone number' %}" required>
                        </div>
                        
                        <div class="col-md-4 mb-3">
                            <label class="form-label required-field">{% trans "Relationship" %}</label>
                            <select name="caller_relationship" class="form-select" required>
                                <option value="patient">{% trans "Patient" %}</option>
                                <option value="family">{% trans "Family Member" %}</option>
                                <option value="other">{% trans "Other" %}</option>
                            </select>
                        </div>
                    </div>
                </div>

                <!-- Organization Information -->
                <div class="form-section">
                    <h5 class="form-section-title">
                        <i class="bi bi-hospital me-2"></i>{% trans "Organization" %}
                    </h5>
                    
                    <div class="row">
                        <div class="col-md-6 mb-3">
                            <label class="form-label required-field">{% trans "Hospital" %}</label>
                            <select name="hospital_id" class="form-select" id="hospitalSelect" required>
                                <option value="">{% trans "Select hospital..." %}</option>
                                {% for hospital in hospitals %}
                                <option value="{{ hospital.id }}">{{ hospital.name_en }}</option>
                                {% endfor %}
                            </select>
                        </div>
                        
                        <div class="col-md-6 mb-3">
                            <label class="form-label">{% trans "Department" %}</label>
                            <select name="department_id" class="form-select" id="departmentSelect">
                                <option value="">{% trans "Select department..." %}</option>
                            </select>
                        </div>
                    </div>
                    
                    <div class="row">
                        <div class="col-md-6 mb-3">
                            <label class="form-label">{% trans "Physician" %}</label>
                            <select name="physician_id" class="form-select" id="physicianSelect">
                                <option value="">{% trans "Select physician..." %}</option>
                            </select>
                        </div>
                        
                        <div class="col-md-6 mb-3">
                            <label class="form-label">{% trans "Encounter ID" %}</label>
                            <input type="text" name="encounter_id" class="form-control" 
                                   placeholder="{% trans 'Optional encounter/visit ID' %}">
                        </div>
                    </div>
                </div>

                <!-- Complaint Details -->
                <div class="form-section">
                    <h5 class="form-section-title">
                        <i class="bi bi-file-text me-2"></i>{% trans "Complaint Details" %}
                    </h5>
                    
                    <div class="mb-3">
                        <label class="form-label required-field">{% trans "Title" %}</label>
                        <input type="text" name="title" class="form-control" 
                               placeholder="{% trans 'Brief summary of the complaint' %}" required maxlength="500">
                    </div>
                    
                    <div class="mb-3">
                        <label class="form-label required-field">{% trans "Description" %}</label>
                        <textarea name="description" class="form-control" rows="6" 
                                  placeholder="{% trans 'Detailed description of the complaint. Include all relevant information provided by the caller...' %}" required></textarea>
                    </div>
                    
                    <div class="row">
                        <div class="col-md-6 mb-3">
                            <label class="form-label required-field">{% trans "Category" %}</label>
                            <select name="category" class="form-select" required>
                                <option value="">{% trans "Select category..." %}</option>
                                <option value="clinical_care">{% trans "Clinical Care" %}</option>
                                <option value="staff_behavior">{% trans "Staff Behavior" %}</option>
                                <option value="facility">{% trans "Facility & Environment" %}</option>
                                <option value="wait_time">{% trans "Wait Time" %}</option>
                                <option value="billing">{% trans "Billing" %}</option>
                                <option value="communication">{% trans "Communication" %}</option>
                                <option value="other">{% trans "Other" %}</option>
                            </select>
                        </div>
                        
                        <div class="col-md-6 mb-3">
                            <label class="form-label">{% trans "Subcategory" %}</label>
                            <input type="text" name="subcategory" class="form-control" 
                                   placeholder="{% trans 'Optional subcategory' %}">
                        </div>
                    </div>
                </div>
            </div>

            <!-- Sidebar -->
            <div class="col-lg-4">
                <!-- Classification -->
                <div class="form-section">
                    <h5 class="form-section-title">
                        <i class="bi bi-tags me-2"></i>{% trans "Classification" %}
                    </h5>
                    
                    <div class="mb-3">
                        <label class="form-label required-field">{% trans "Severity" %}</label>
                        <select name="severity" class="form-select" id="severitySelect" required>
                            <option value="">{% trans "Select severity..." %}</option>
                            <option value="low">{% trans "Low" %}</option>
                            <option value="medium" selected>{% trans "Medium" %}</option>
                            <option value="high">{% trans "High" %}</option>
                            <option value="critical">{% trans "Critical" %}</option>
                        </select>
                        <small class="form-text text-muted">
                            {% trans "Determines SLA deadline" %}
                        </small>
                    </div>
                    
                    <div class="mb-3">
                        <label class="form-label required-field">{% trans "Priority" %}</label>
                        <select name="priority" class="form-select" required>
                            <option value="">{% trans "Select priority..." %}</option>
                            <option value="low">{% trans "Low" %}</option>
                            <option value="medium" selected>{% trans "Medium" %}</option>
                            <option value="high">{% trans "High" %}</option>
                            <option value="urgent">{% trans "Urgent" %}</option>
                        </select>
                    </div>
                </div>

                <!-- SLA Information -->
                <div class="alert alert-info">
                    <h6 class="alert-heading">
                        <i class="bi bi-clock-history me-2"></i>{% trans "SLA Information" %}
                    </h6>
                    <p class="mb-0 small">
                        {% trans "SLA deadline will be automatically calculated based on severity:" %}
                    </p>
                    <ul class="mb-0 mt-2 small">
                        <li><strong>{% trans "Critical:" %}</strong> 4 {% trans "hours" %}</li>
                        <li><strong>{% trans "High:" %}</strong> 24 {% trans "hours" %}</li>
                        <li><strong>{% trans "Medium:" %}</strong> 72 {% trans "hours" %}</li>
                        <li><strong>{% trans "Low:" %}</strong> 168 {% trans "hours" %} (7 {% trans "days" %})</li>
                    </ul>
                </div>

                <!-- Call Center Info -->
                <div class="alert alert-secondary">
                    <h6 class="alert-heading">
                        <i class="bi bi-info-circle me-2"></i>{% trans "Call Center Note" %}
                    </h6>
                    <p class="mb-0 small">
                        {% trans "This complaint will be marked as received via Call Center. A call center interaction record will be automatically created." %}
                    </p>
                </div>

                <!-- Action Buttons -->
                <div class="d-grid gap-2">
                    <button type="submit" class="btn btn-primary btn-lg">
                        <i class="bi bi-check-circle me-2"></i>{% trans "Create Complaint" %}
                    </button>
                    <a href="{% url 'callcenter:complaint_list' %}" class="btn btn-outline-secondary">
                        <i class="bi bi-x-circle me-2"></i>{% trans "Cancel" %}
                    </a>
                </div>
            </div>
        </div>
    </form>
</div>
{% endblock %}

{% block extra_js %}
<script>
document.addEventListener('DOMContentLoaded', function() {
    const hospitalSelect = document.getElementById('hospitalSelect');
    const departmentSelect = document.getElementById('departmentSelect');
    const physicianSelect = document.getElementById('physicianSelect');
    const patientSearch = document.getElementById('patientSearch');
    const searchBtn = document.getElementById('searchBtn');
    const patientResults = document.getElementById('patientResults');
    const patientIdInput = document.getElementById('patientId');
    const callerNameInput = document.getElementById('callerName');
    const callerPhoneInput = document.getElementById('callerPhone');
    
    // Hospital change handler - load departments and physicians
    hospitalSelect.addEventListener('change', function() {
        const hospitalId = this.value;
        
        // Clear department and physician
        departmentSelect.innerHTML = '<option value="">{% trans "Select department..." %}</option>';
        physicianSelect.innerHTML = '<option value="">{% trans "Select physician..." %}</option>';
        
        if (hospitalId) {
            // Load departments
            fetch(`/callcenter/ajax/departments/?hospital_id=${hospitalId}`)
                .then(response => response.json())
                .then(data => {
                    data.departments.forEach(dept => {
                        const option = document.createElement('option');
                        option.value = dept.id;
                        option.textContent = dept.name_en;
                        departmentSelect.appendChild(option);
                    });
                })
                .catch(error => console.error('Error loading departments:', error));
            
            // Load physicians
            fetch(`/callcenter/ajax/physicians/?hospital_id=${hospitalId}`)
                .then(response => response.json())
                .then(data => {
                    data.physicians.forEach(physician => {
                        const option = document.createElement('option');
                        option.value = physician.id;
                        option.textContent = `${physician.name} (${physician.specialty})`;
                        physicianSelect.appendChild(option);
                    });
                })
                .catch(error => console.error('Error loading physicians:', error));
        }
    });
    
    // Patient search
    function searchPatients() {
        const query = patientSearch.value.trim();
        const hospitalId = hospitalSelect.value;
        
        if (query.length < 2) {
            patientResults.innerHTML = '<div class="alert alert-warning small">{% trans "Please enter at least 2 characters to search" %}</div>';
            return;
        }
        
        patientResults.innerHTML = '<div class="text-center"><div class="spinner-border spinner-border-sm" role="status"></div> {% trans "Searching..." %}</div>';
        
        let url = `/callcenter/ajax/patients/?q=${encodeURIComponent(query)}`;
        if (hospitalId) {
            url += `&hospital_id=${hospitalId}`;
        }
        
        fetch(url)
            .then(response => response.json())
            .then(data => {
                if (data.patients.length === 0) {
                    patientResults.innerHTML = '<div class="alert alert-info small">{% trans "No patients found. Please enter caller details manually." %}</div>';
                    return;
                }
                
                let html = '<div class="mb-2"><strong>{% trans "Select Patient:" %}</strong></div>';
                data.patients.forEach(patient => {
                    html += `
                        <div class="patient-search-result" data-patient-id="${patient.id}" 
                             data-patient-name="${patient.name}" data-patient-phone="${patient.phone}">
                            <div class="d-flex justify-content-between">
                                <div>
                                    <strong>${patient.name}</strong><br>
                                    <small class="text-muted">
                                        MRN: ${patient.mrn} | 
                                        Phone: ${patient.phone || 'N/A'} | 
                                        ID: ${patient.national_id || 'N/A'}
                                    </small>
                                </div>
                                <div>
                                    <i class="bi bi-check-circle text-success" style="font-size: 1.5rem; display: none;"></i>
                                </div>
                            </div>
                        </div>
                    `;
                });
                patientResults.innerHTML = html;
                
                // Add click handlers
                document.querySelectorAll('.patient-search-result').forEach(result => {
                    result.addEventListener('click', function() {
                        // Remove previous selection
                        document.querySelectorAll('.patient-search-result').forEach(r => {
                            r.classList.remove('selected');
                            r.querySelector('.bi-check-circle').style.display = 'none';
                        });
                        
                        // Mark as selected
                        this.classList.add('selected');
                        this.querySelector('.bi-check-circle').style.display = 'block';
                        
                        // Set hidden input
                        patientIdInput.value = this.dataset.patientId;
                        
                        // Auto-fill caller info
                        callerNameInput.value = this.dataset.patientName;
                        callerPhoneInput.value = this.dataset.patientPhone;
                    });
                });
            })
            .catch(error => {
                console.error('Error searching patients:', error);
                patientResults.innerHTML = '<div class="alert alert-danger small">{% trans "Error searching patients. Please try again." %}</div>';
            });
    }
    
    searchBtn.addEventListener('click', searchPatients);
    patientSearch.addEventListener('keypress', function(e) {
        if (e.key === 'Enter') {
            e.preventDefault();
            searchPatients();
        }
    });
    
    // Form validation
    const form = document.getElementById('complaintForm');
    form.addEventListener('submit', function(e) {
        if (!form.checkValidity()) {
            e.preventDefault();
            e.stopPropagation();
        }
        form.classList.add('was-validated');
    });
});
</script>
{% endblock %}