{% extends "layouts/base.html" %} {% load i18n %} {% block title %}{% trans "New Complaint" %} - PX360{% endblock %} {% block extra_css %} {% endblock %} {% block content %}
{% trans "File a new patient complaint with SLA tracking" %}
{% trans "Report an issue or concern" %}
{% trans "Share positive feedback" %}
{% for error in form.relation_to_patient.errors %}{{ error }}{% endfor %}
{% for error in form.patient_name.errors %}{{ error }}{% endfor %}
{% for error in form.national_id.errors %}{{ error }}{% endfor %}
{% for error in form.incident_date.errors %}{{ error }}{% endfor %}
{% for error in form.encounter_id.errors %}{{ error }}{% endfor %}
{% for error in form.complaint_source_type.errors %}{{ error }}{% endfor %}
{% for error in form.hospital.errors %}{{ error }}{% endfor %}
{% for error in form.department.errors %}{{ error }}{% endfor %}
{% for error in form.location.errors %}{{ error }}{% endfor %}
{% for error in form.main_section.errors %}{{ error }}{% endfor %}
{% for error in form.subsection.errors %}{{ error }}{% endfor %}
{% for error in form.staff.errors %}{{ error }}{% endfor %}
{% for error in form.staff_name.errors %}{{ error }}{% endfor %}
{% for error in form.description.errors %}{{ error }}{% endfor %}
{% for error in form.expected_result.errors %}{{ error }}{% endfor %}
{% trans "AI will automatically analyze and classify your feedback:" %}
{% trans "SLA deadline will be automatically calculated based on severity:" %}