{% extends base_layout %}
{% extends base_layout %}
{% load i18n %}
{% load static %}

{% block title %}{{ _("New Complaint")}} - PX360{% endblock %}

{% block extra_css %}
<style>
    .form-section {
        background: #fff;
        border: 1px solid #dee2e6;
        border-radius: 8px;
        padding: 25px;
        margin-bottom: 20px;
    }
    .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;
    }
</style>
{% endblock %}

{% block content %}
<div class="container-fluid">
    <!-- Page Header -->
    <div class="mb-4">
        {% if source_user %}
        <a href="{% url 'px_sources:source_user_complaint_list' %}" class="btn btn-outline-secondary btn-sm mb-3">
            <i class="bi bi-arrow-left me-1"></i> {{ _("Back to My Complaints")}}
        </a>
        {% else %}
        <a href="{% url 'complaints:complaint_list' %}" class="btn btn-outline-secondary btn-sm mb-3">
            <i class="bi bi-arrow-left me-1"></i> {{ _("Back to Complaints")}}
        </a>
        {% endif %}
        <h2 class="mb-1">
            <i class="bi bi-plus-circle text-primary me-2"></i>
            {{ _("Create New Complaint")}}
        </h2>
        <p class="text-muted mb-0">{{ _("File a new patient complaint with SLA tracking")}}</p>
    </div>

    <form method="post" action="{% url 'complaints:complaint_create' %}" id="complaintForm" novalidate>
        {% csrf_token %}

        <div class="row">
            <div class="col-lg-8">
                <!-- Patient Information -->
                <div class="form-section">
                    <h5 class="form-section-title">
                        <i class="bi bi-person-fill me-2"></i>{{ _("Patient Information")}}
                    </h5>

                    <div class="row">
                        <div class="col-md-6 mb-3">
                            <label for="{{ form.patient.id_for_label }}" class="form-label required-field">
                                {{ form.patient.label }}
                            </label>
                            {{ form.patient }}
                            {% if form.patient.errors %}
                            <div class="invalid-feedback d-block">
                                {% for error in form.patient.errors %}
                                <small class="text-danger">{{ error }}</small>
                                {% endfor %}
                            </div>
                            {% endif %}
                        </div>

                        <div class="col-md-6 mb-3">
                            <label for="{{ form.encounter_id.id_for_label }}" class="form-label">
                                {{ form.encounter_id.label }}
                            </label>
                            {{ form.encounter_id }}
                        </div>
                    </div>
                </div>

                <!-- Organization Information -->
                <div class="form-section">
                    <h5 class="form-section-title">
                        <i class="bi bi-hospital me-2"></i>{{ _("Organization") }}
                    </h5>

                    <div class="row">
                        <div class="col-md-6 mb-3">
                            <label for="{{ form.hospital.id_for_label }}" class="form-label required-field">
                                {{ form.hospital.label }}
                            </label>
                            {{ form.hospital }}
                            {% if form.hospital.errors %}
                            <div class="invalid-feedback d-block">
                                {% for error in form.hospital.errors %}
                                <small class="text-danger">{{ error }}</small>
                                {% endfor %}
                            </div>
                            {% endif %}
                        </div>

                        <div class="col-md-6 mb-3">
                            <label for="{{ form.department.id_for_label }}" class="form-label">
                                {{ form.department.label }}
                            </label>
                            {{ form.department }}
                            {% if form.department.errors %}
                            <div class="invalid-feedback d-block">
                                {% for error in form.department.errors %}
                                <small class="text-danger">{{ error }}</small>
                                {% endfor %}
                            </div>
                            {% endif %}
                        </div>
                    </div>

                    <div class="row">
                        <div class="col-md-6 mb-3">
                            <label for="{{ form.staff.id_for_label }}" class="form-label">
                                {{ form.staff.label }}
                            </label>
                            {{ form.staff }}
                            {% if form.staff.errors %}
                            <div class="invalid-feedback d-block">
                                {% for error in form.staff.errors %}
                                <small class="text-danger">{{ error }}</small>
                                {% endfor %}
                            </div>
                            {% endif %}
                        </div>
                    </div>
                </div>

                <!-- Complaint Details -->
                <div class="form-section">
                    <h5 class="form-section-title">
                        <i class="bi bi-file-text me-2"></i>{{ _("Complaint Details")}}
                    </h5>

                    <div class="mb-3">
                        <label for="{{ form.description.id_for_label }}" class="form-label required-field">
                            {{ form.description.label }}
                        </label>
                        {{ form.description }}
                        {% if form.description.errors %}
                        <div class="invalid-feedback d-block">
                            {% for error in form.description.errors %}
                            <small class="text-danger">{{ error }}</small>
                            {% endfor %}
                        </div>
                        {% endif %}
                    </div>
                </div>
            </div>

            <!-- Sidebar -->
            <div class="col-lg-4">
                <!-- AI Information -->
                <div class="alert alert-info">
                    <h6 class="alert-heading">
                        <i class="bi bi-info-circle me-2"></i>{{ _("AI Classification")}}
                    </h6>
                    <p class="mb-0 small">
                        {{ _("AI will automatically analyze and classify your complaint:")}}
                    </p>
                    <ul class="mb-0 mt-2 small">
                        <li><strong>{{ _("Title") }}:</strong> {{ _("AI-generated title")}}</li>
                        <li><strong>{{ _("Category") }}:</strong> {{ _("AI-determined category")}}</li>
                        <li><strong>{{ _("Severity") }}:</strong> {{ _("AI-calculated severity")}}</li>
                        <li><strong>{{ _("Priority") }}:</strong> {{ _("AI-calculated priority")}}</li>
                    </ul>
                </div>

                <!-- SLA Information -->
                <div class="alert alert-info">
                    <h6 class="alert-heading">
                        <i class="bi bi-clock me-2"></i>{{ _("SLA Information")}}
                    </h6>
                    <p class="mb-0 small">
                        {{ _("SLA deadline will be automatically calculated based on severity")}}:
                    </p>
                    <ul class="mb-0 mt-2 small">
                        <li><strong>{{ _("Critical") }}:</strong> {{ _("4 hours")}}</li>
                        <li><strong>{{ _("High") }}:</strong> {{ _("24 hours")}}</li>
                        <li><strong>{{ _("Medium") }}:</strong> {{ _("72 hours")}}</li>
                        <li><strong>{{ _("Low") }}:</strong> {{ _("168 hours (7 days)")}}</li>
                    </ul>
                </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>{{ _("Create Complaint")}}
                    </button>
                    {% if source_user %}
                    <a href="{% url 'px_sources:source_user_complaint_list' %}" class="btn btn-outline-secondary">
                        <i class="bi bi-x-circle me-2"></i>{{ _("Cancel") }}
                    </a>
                    {% else %}
                    <a href="{% url 'complaints:complaint_list' %}" class="btn btn-outline-secondary">
                        <i class="bi bi-x-circle me-2"></i>{{ _("Cancel") }}
                    </a>
                    {% endif %}
                </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 staffSelect = document.getElementById('staffSelect');

    // Hospital change handler - reload form with selected hospital
    if (hospitalSelect) {
        hospitalSelect.addEventListener('change', function() {
            const hospitalId = this.value;
            const form = document.getElementById('complaintForm');
            const actionUrl = form.action;
            
            // Create URL with hospital_id parameter
            const url = new URL(actionUrl, window.location);
            url.searchParams.set('hospital', hospitalId);
            
            // Reload form with selected hospital
            window.location.href = url.toString();
        });
    }

    // Department change handler - load staff
    if (departmentSelect) {
        departmentSelect.addEventListener('change', function() {
            const departmentId = this.value;

            // Clear staff dropdown
            staffSelect.innerHTML = '<option value="">{{ _("Select staff")}}</option>';

            if (departmentId) {
                // Load staff via minimal AJAX
                fetch(`/complaints/ajax/physicians/?department_id=${departmentId}`)
                    .then(response => response.json())
                    .then(data => {
                        staffSelect.innerHTML = '<option value="">{{ _("Select staff")}}</option>';
                        data.staff.forEach(staff => {
                            const option = document.createElement('option');
                            option.value = staff.id;
                            option.textContent = `${staff.first_name} ${staff.last_name} (${staff.job_title || staff.staff_type})`;
                            staffSelect.appendChild(option);
                        });
                    })
                    .catch(error => {
                        console.error('Error loading staff:', error);
                    });
            }
        });
    }

    // 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 %}