324 lines
16 KiB
HTML
324 lines
16 KiB
HTML
{% extends "layouts/public_base.html" %}
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{% load i18n %}
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{% load static %}
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{% block title %}{% trans "Report an Observation" %}{% endblock %}
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{% block extra_css %}
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<style>
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.file-upload-area {
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border: 2px dashed #e2e8f0;
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border-radius: 12px;
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padding: 30px;
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text-align: center;
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cursor: pointer;
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transition: all 0.2s ease;
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}
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.file-upload-area:hover {
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border-color: #005696;
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background: #f8fafc;
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}
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</style>
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{% endblock %}
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{% block content %}
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<div class="min-h-screen py-8 px-4 sm:px-6 lg:px-8">
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<div class="max-w-2xl mx-auto">
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<!-- Main Card -->
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<div class="glass-card rounded-3xl shadow-2xl p-8 md:p-10 animate-fade-in">
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<!-- Header -->
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<div class="text-center mb-6">
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<div class="w-16 h-16 bg-gradient-to-br from-navy to-blue rounded-2xl flex items-center justify-center mx-auto mb-4 shadow-lg">
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<i data-lucide="eye" class="w-8 h-8 text-white"></i>
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</div>
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<h1 class="text-2xl font-bold text-navy mb-2">{% trans "Report an Observation" %}</h1>
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<p class="text-slate">{% trans "Help us improve by reporting issues you notice" %}</p>
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</div>
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<!-- Anonymous Notice -->
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<div class="bg-blue-50 border border-blue-100 rounded-xl p-4 mb-6">
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<div class="flex items-start gap-3">
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<i data-lucide="shield-check" class="w-5 h-5 text-navy mt-0.5 flex-shrink-0"></i>
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<div>
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<strong class="text-navy text-sm">{% trans "Anonymous Reporting" %}</strong>
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<p class="text-slate text-sm mt-1 mb-0">
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{% trans "You can submit this report anonymously. Providing your information is optional but may help us follow up if needed." %}
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</p>
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</div>
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</div>
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</div>
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<!-- Messages -->
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{% if messages %}
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{% for message in messages %}
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<div class="bg-green-50 border border-green-200 rounded-xl p-4 mb-4 text-sm text-green-800">
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{{ message }}
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</div>
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{% endfor %}
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{% endif %}
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<!-- Form -->
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<form method="post" enctype="multipart/form-data" id="observationForm">
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{% csrf_token %}
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<!-- Honeypot field (hidden) -->
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{{ form.website }}
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<!-- Hospital -->
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<div class="mb-6">
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<label class="flex items-center gap-2 text-sm font-bold text-navy mb-3">
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<i data-lucide="building-2" class="w-4 h-4"></i>
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{% trans "Hospital" %}
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<span class="text-xs font-normal text-slate">({% trans "optional" %})</span>
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</label>
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<select name="hospital" id="id_hospital" class="w-full border border-slate-200 rounded-xl p-3 text-sm focus:ring-2 focus:ring-navy/20 outline-none">
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<option value="">{% trans "Select hospital" %}</option>
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{% for h in hospitals %}
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<option value="{{ h.id }}">{{ h.get_localized_name }}</option>
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{% endfor %}
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</select>
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</div>
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<!-- Location Type -->
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<div class="mb-6">
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<label class="flex items-center gap-2 text-sm font-bold text-navy mb-3">
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<i data-lucide="map-pin" class="w-4 h-4"></i>
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{% trans "Location Type" %}
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<span class="text-red-500">*</span>
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</label>
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<select name="location_type" id="id_location_type" required class="w-full border border-slate-200 rounded-xl p-3 text-sm focus:ring-2 focus:ring-navy/20 outline-none">
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<option value="">{% trans "Select Location Type" %}</option>
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<option value="OP">{% trans "Outpatient (OP)" %}</option>
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<option value="IP">{% trans "Inpatient (IP)" %}</option>
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<option value="ER">{% trans "Emergency (ER)" %}</option>
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<option value="GENERAL">{% trans "General" %}</option>
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</select>
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</div>
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<!-- Area (cascading from hospital + location_type) -->
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<div id="obs_area_container" style="display: none;" class="mb-6">
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<label class="flex items-center gap-2 text-sm font-bold text-navy mb-3">
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<i data-lucide="map" class="w-4 h-4"></i>
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{% trans "Area" %}
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<span class="text-xs font-normal text-slate">({% trans "optional" %})</span>
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</label>
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<select name="area" id="id_obs_area" class="w-full border border-slate-200 rounded-xl p-3 text-sm focus:ring-2 focus:ring-navy/20 outline-none">
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<option value="">{% trans "Select Area (optional)" %}</option>
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</select>
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</div>
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<!-- Title -->
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<div class="mb-6">
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<label class="flex items-center gap-2 text-sm font-bold text-navy mb-3">
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<i data-lucide="type" class="w-4 h-4"></i>
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{% trans "Title" %}
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<span class="text-xs font-normal text-slate">({% trans "optional" %})</span>
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</label>
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{{ form.title }}
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</div>
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<!-- Description -->
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<div class="mb-6">
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<label class="flex items-center gap-2 text-sm font-bold text-navy mb-3">
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<i data-lucide="file-text" class="w-4 h-4"></i>
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{% trans "Description" %}
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<span class="text-red-500">*</span>
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</label>
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{{ form.description }}
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<p class="text-xs text-slate mt-1.5">{% trans "Please describe what you observed in detail." %}</p>
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</div>
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<!-- Location Text (free text) -->
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<div class="mb-6">
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<label class="flex items-center gap-2 text-sm font-bold text-navy mb-3">
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<i data-lucide="map-pin" class="w-4 h-4"></i>
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{% trans "Location Details" %}
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<span class="text-xs font-normal text-slate">({% trans "optional" %})</span>
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</label>
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{{ form.location_text }}
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</div>
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<!-- Incident Date/Time -->
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<div class="mb-6">
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<label class="flex items-center gap-2 text-sm font-bold text-navy mb-3">
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<i data-lucide="calendar" class="w-4 h-4"></i>
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{% trans "When did this occur?" %}
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</label>
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{{ form.incident_datetime }}
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</div>
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<!-- Attachments -->
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<div class="mb-6">
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<label class="flex items-center gap-2 text-sm font-bold text-navy mb-3">
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<i data-lucide="paperclip" class="w-4 h-4"></i>
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{% trans "Attachments" %}
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<span class="text-xs font-normal text-slate">({% trans "optional" %})</span>
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</label>
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<div class="file-upload-area" onclick="document.getElementById('attachments').click()">
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<i data-lucide="cloud-upload" class="w-8 h-8 text-navy mx-auto mb-2"></i>
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<p class="text-sm font-semibold text-slate mb-1">{% trans "Click to upload files" %}</p>
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<p class="text-xs text-slate mb-0">{% trans "Images, PDF, Word, Excel (max 10MB each)" %}</p>
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</div>
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<input type="file" id="attachments" name="attachments" multiple
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accept=".jpg,.jpeg,.png,.gif,.pdf,.doc,.docx,.xls,.xlsx"
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style="display: none;" onchange="updateFileList()">
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<div id="fileList" class="mt-2"></div>
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</div>
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<!-- Reporter Information -->
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<div class="mb-8">
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<label class="flex items-center gap-2 text-sm font-bold text-navy mb-2">
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<i data-lucide="user" class="w-4 h-4"></i>
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{% trans "Your Information" %}
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<span class="text-xs font-normal text-slate">({% trans "optional" %})</span>
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</label>
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<p class="text-xs text-slate mb-3">{% trans "Providing your information helps us follow up if needed. Leave blank to submit anonymously." %}</p>
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<div class="grid grid-cols-1 md:grid-cols-2 gap-4">
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<div>
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<label class="block text-xs font-semibold text-slate mb-1.5">{% trans "Staff ID" %}</label>
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{{ form.reporter_staff_id }}
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</div>
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<div>
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<label class="block text-xs font-semibold text-slate mb-1.5">{% trans "Name" %}</label>
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{{ form.reporter_name }}
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</div>
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<div>
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<label class="block text-xs font-semibold text-slate mb-1.5">{% trans "Phone" %}</label>
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{{ form.reporter_phone }}
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</div>
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<div>
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<label class="block text-xs font-semibold text-slate mb-1.5">{% trans "Email" %}</label>
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{{ form.reporter_email }}
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</div>
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<div>
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<label class="block text-xs font-semibold text-slate mb-1.5">{% trans "National ID/Iqama" %}</label>
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{{ form.national_id }}
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</div>
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</div>
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</div>
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<!-- Submit -->
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<button type="submit" class="w-full bg-navy text-white py-4 rounded-xl font-bold text-lg hover:bg-blue transition shadow-lg shadow-navy/25 flex items-center justify-center gap-2 btn-hover">
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<i data-lucide="send" class="w-5 h-5"></i>
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{% trans "Submit Observation" %}
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</button>
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<!-- Track Link -->
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<div class="text-center mt-4">
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<a href="{% url 'observations:observation_track' %}" class="text-slate hover:text-navy text-sm font-medium transition inline-flex items-center gap-1">
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<i data-lucide="search" class="w-4 h-4"></i>
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{% trans "Track an existing observation" %}
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</a>
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</div>
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</form>
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</div>
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</div>
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</div>
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{% endblock %}
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{% block extra_js %}
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{% get_current_language as LANGUAGE_CODE %}
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<script>
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const CURRENT_LANG = '{{ LANGUAGE_CODE }}';
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function localizedLabel(o) { if (!o) return ''; if (CURRENT_LANG === 'ar' && o.name_ar) return o.name_ar; return o.name_en || o.name || o.display_name || ''; }
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function updateFileList() {
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const input = document.getElementById('attachments');
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const fileList = document.getElementById('fileList');
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fileList.innerHTML = '';
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if (input.files.length > 0) {
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let html = '<div class="space-y-2 mt-3">';
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for (let i = 0; i < input.files.length; i++) {
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html += '<div class="flex items-center gap-2 bg-slate-50 rounded-lg px-3 py-2 text-sm text-slate"><i data-lucide="file" class="w-4 h-4"></i>' + input.files[i].name + '</div>';
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}
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html += '</div>';
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fileList.innerHTML = html;
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lucide.createIcons();
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}
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}
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// Hospital -> Location Type -> Area -> Category -> Department -> Section cascade
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var obsHospitalSel = document.getElementById('id_hospital');
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var obsLocationTypeSel = document.getElementById('id_location_type');
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var obsAreaSel = document.getElementById('id_obs_area');
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var obsDeptSel = document.getElementById('id_obs_department');
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var obsSectionSel = document.getElementById('id_obs_section');
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var obsCategorySel = document.getElementById('id_category');
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var obsAreaContainer = document.getElementById('obs_area_container');
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var obsDeptContainer = document.getElementById('obs_dept_container');
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var obsSectionContainer = document.getElementById('obs_section_container');
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function obsLoadAreas(hospitalId, locationType) {
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obsAreaSel.innerHTML = '<option value="">{% trans "Select Area (optional)" %}</option>';
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if (!hospitalId) { obsAreaContainer.style.display = 'none'; return; }
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var url = '/organizations/dropdowns/areas/?hospital=' + encodeURIComponent(hospitalId);
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if (locationType) url += '&location_type=' + encodeURIComponent(locationType);
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fetch(url)
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.then(function(r) { return r.json(); })
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.then(function(data) {
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(data || []).forEach(function(a) {
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var opt = document.createElement('option');
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opt.value = a.id;
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opt.textContent = localizedLabel(a);
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obsAreaSel.appendChild(opt);
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});
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obsAreaContainer.style.display = (data && data.length) ? 'block' : 'none';
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})
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.catch(function(err) { console.error(err); });
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}
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function obsLoadDepartments(hospitalId, category) {
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obsDeptSel.innerHTML = '<option value="">{% trans "Select Department" %}</option>';
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obsSectionSel.innerHTML = '<option value="">{% trans "Select Section" %}</option>';
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obsSectionContainer.style.display = 'none';
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if (!hospitalId) { obsDeptContainer.style.display = 'none'; return; }
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var url = '/organizations/dropdowns/departments-by-category/?hospital=' + encodeURIComponent(hospitalId);
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if (category) url += '&category=' + encodeURIComponent(category);
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fetch(url)
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.then(function(r) { return r.json(); })
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.then(function(data) {
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(data || []).forEach(function(d) {
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var opt = document.createElement('option');
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opt.value = d.id;
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opt.textContent = localizedLabel(d);
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obsDeptSel.appendChild(opt);
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});
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obsDeptContainer.style.display = (data && data.length) ? 'block' : 'none';
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})
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.catch(function(err) { console.error(err); });
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}
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obsLocationTypeSel.addEventListener('change', function() {
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obsLoadAreas(obsHospitalSel.value, this.value);
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});
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obsCategorySel.addEventListener('change', function() {
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obsLoadDepartments(obsHospitalSel.value, this.value);
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});
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obsHospitalSel.addEventListener('change', function() {
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obsLoadAreas(this.value, obsLocationTypeSel.value);
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obsLoadDepartments(this.value, obsCategorySel.value);
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});
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obsDeptSel.addEventListener('change', function() {
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obsSectionSel.innerHTML = '<option value="">{% trans "Select Section" %}</option>';
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if (!this.value) { obsSectionContainer.style.display = 'none'; return; }
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fetch('/organizations/dropdowns/sections/' + this.value + '/')
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.then(function(r) { return r.json(); })
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.then(function(data) {
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(data || []).forEach(function(s) {
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var opt = document.createElement('option');
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opt.value = s.id;
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opt.textContent = localizedLabel(s);
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obsSectionSel.appendChild(opt);
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});
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obsSectionContainer.style.display = (data && data.length) ? 'block' : 'none';
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})
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.catch(function(err) { console.error(err); });
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});
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</script>
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{% endblock %}
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