279 lines
12 KiB
HTML
279 lines
12 KiB
HTML
{% extends base_layout %}
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{% load i18n %}
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{% load static %}
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{% block title %}{{ _("New Complaint")}} - PX360{% endblock %}
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{% block extra_css %}
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<style>
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.form-section {
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background: #fff;
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border: 1px solid #dee2e6;
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border-radius: 8px;
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padding: 25px;
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margin-bottom: 20px;
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}
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.form-section-title {
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font-size: 1.1rem;
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font-weight: 600;
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color: #495057;
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margin-bottom: 20px;
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padding-bottom: 10px;
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border-bottom: 2px solid #667eea;
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}
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.required-field::after {
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content: " *";
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color: #dc3545;
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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="container-fluid">
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<!-- Page Header -->
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<div class="mb-4">
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{% if source_user %}
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<a href="{% url 'px_sources:source_user_complaint_list' %}" class="btn btn-outline-secondary btn-sm mb-3">
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<i class="bi bi-arrow-left me-1"></i> {{ _("Back to My Complaints")}}
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</a>
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{% else %}
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<a href="{% url 'complaints:complaint_list' %}" class="btn btn-outline-secondary btn-sm mb-3">
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<i class="bi bi-arrow-left me-1"></i> {{ _("Back to Complaints")}}
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</a>
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{% endif %}
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<h2 class="mb-1">
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<i class="bi bi-plus-circle text-primary me-2"></i>
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{{ _("Create New Complaint")}}
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</h2>
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<p class="text-muted mb-0">{{ _("File a new patient complaint with SLA tracking")}}</p>
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</div>
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<form method="post" action="{% url 'complaints:complaint_create' %}" id="complaintForm" novalidate>
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{% csrf_token %}
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<div class="row">
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<div class="col-lg-8">
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<!-- Patient Information -->
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<div class="form-section">
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<h5 class="form-section-title">
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<i class="bi bi-person-fill me-2"></i>{{ _("Patient Information")}}
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</h5>
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<div class="row">
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<div class="col-md-6 mb-3">
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<label for="{{ form.patient.id_for_label }}" class="form-label required-field">
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{{ form.patient.label }}
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</label>
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{{ form.patient }}
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{% if form.patient.errors %}
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<div class="invalid-feedback d-block">
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{% for error in form.patient.errors %}
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<small class="text-danger">{{ error }}</small>
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{% endfor %}
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</div>
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{% endif %}
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</div>
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<div class="col-md-6 mb-3">
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<label for="{{ form.encounter_id.id_for_label }}" class="form-label">
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{{ form.encounter_id.label }}
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</label>
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{{ form.encounter_id }}
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</div>
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</div>
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</div>
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<!-- Organization Information -->
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<div class="form-section">
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<h5 class="form-section-title">
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<i class="bi bi-hospital me-2"></i>{{ _("Organization") }}
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</h5>
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<div class="row">
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<div class="col-md-6 mb-3">
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<label for="{{ form.hospital.id_for_label }}" class="form-label required-field">
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{{ form.hospital.label }}
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</label>
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{{ form.hospital }}
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{% if form.hospital.errors %}
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<div class="invalid-feedback d-block">
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{% for error in form.hospital.errors %}
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<small class="text-danger">{{ error }}</small>
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{% endfor %}
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</div>
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{% endif %}
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</div>
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<div class="col-md-6 mb-3">
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<label for="{{ form.department.id_for_label }}" class="form-label">
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{{ form.department.label }}
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</label>
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{{ form.department }}
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{% if form.department.errors %}
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<div class="invalid-feedback d-block">
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{% for error in form.department.errors %}
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<small class="text-danger">{{ error }}</small>
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{% endfor %}
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</div>
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{% endif %}
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</div>
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</div>
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<div class="row">
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<div class="col-md-6 mb-3">
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<label for="{{ form.staff.id_for_label }}" class="form-label">
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{{ form.staff.label }}
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</label>
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{{ form.staff }}
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{% if form.staff.errors %}
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<div class="invalid-feedback d-block">
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{% for error in form.staff.errors %}
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<small class="text-danger">{{ error }}</small>
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{% endfor %}
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</div>
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{% endif %}
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</div>
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</div>
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</div>
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<!-- Complaint Details -->
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<div class="form-section">
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<h5 class="form-section-title">
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<i class="bi bi-file-text me-2"></i>{{ _("Complaint Details")}}
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</h5>
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<div class="mb-3">
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<label for="{{ form.description.id_for_label }}" class="form-label required-field">
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{{ form.description.label }}
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</label>
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{{ form.description }}
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{% if form.description.errors %}
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<div class="invalid-feedback d-block">
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{% for error in form.description.errors %}
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<small class="text-danger">{{ error }}</small>
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{% endfor %}
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</div>
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{% endif %}
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</div>
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</div>
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</div>
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<!-- Sidebar -->
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<div class="col-lg-4">
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<!-- AI Information -->
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<div class="alert alert-info">
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<h6 class="alert-heading">
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<i class="bi bi-info-circle me-2"></i>{{ _("AI Classification")}}
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</h6>
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<p class="mb-0 small">
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{{ _("AI will automatically analyze and classify your complaint:")}}
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</p>
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<ul class="mb-0 mt-2 small">
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<li><strong>{{ _("Title") }}:</strong> {{ _("AI-generated title")}}</li>
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<li><strong>{{ _("Category") }}:</strong> {{ _("AI-determined category")}}</li>
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<li><strong>{{ _("Severity") }}:</strong> {{ _("AI-calculated severity")}}</li>
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<li><strong>{{ _("Priority") }}:</strong> {{ _("AI-calculated priority")}}</li>
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</ul>
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</div>
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<!-- SLA Information -->
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<div class="alert alert-info">
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<h6 class="alert-heading">
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<i class="bi bi-clock me-2"></i>{{ _("SLA Information")}}
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</h6>
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<p class="mb-0 small">
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{{ _("SLA deadline will be automatically calculated based on severity")}}:
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</p>
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<ul class="mb-0 mt-2 small">
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<li><strong>{{ _("Critical") }}:</strong> {{ _("4 hours")}}</li>
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<li><strong>{{ _("High") }}:</strong> {{ _("24 hours")}}</li>
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<li><strong>{{ _("Medium") }}:</strong> {{ _("72 hours")}}</li>
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<li><strong>{{ _("Low") }}:</strong> {{ _("168 hours (7 days)")}}</li>
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</ul>
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</div>
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<!-- Action Buttons -->
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<div class="d-grid gap-2">
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<button type="submit" class="btn btn-primary btn-lg">
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<i class="bi bi-check-circle me-2"></i>{{ _("Create Complaint")}}
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</button>
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{% if source_user %}
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<a href="{% url 'px_sources:source_user_complaint_list' %}" class="btn btn-outline-secondary">
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<i class="bi bi-x-circle me-2"></i>{{ _("Cancel") }}
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</a>
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{% else %}
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<a href="{% url 'complaints:complaint_list' %}" class="btn btn-outline-secondary">
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<i class="bi bi-x-circle me-2"></i>{{ _("Cancel") }}
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</a>
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{% endif %}
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</div>
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</div>
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</div>
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</form>
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</div>
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{% endblock %}
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{% block extra_js %}
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<script>
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document.addEventListener('DOMContentLoaded', function() {
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const hospitalSelect = document.getElementById('hospitalSelect');
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const departmentSelect = document.getElementById('departmentSelect');
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const staffSelect = document.getElementById('staffSelect');
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// Hospital change handler - reload form with selected hospital
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if (hospitalSelect) {
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hospitalSelect.addEventListener('change', function() {
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const hospitalId = this.value;
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const form = document.getElementById('complaintForm');
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const actionUrl = form.action;
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// Create URL with hospital_id parameter
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const url = new URL(actionUrl, window.location);
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url.searchParams.set('hospital', hospitalId);
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// Reload form with selected hospital
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window.location.href = url.toString();
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});
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}
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// Department change handler - load staff
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if (departmentSelect) {
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departmentSelect.addEventListener('change', function() {
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const departmentId = this.value;
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// Clear staff dropdown
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staffSelect.innerHTML = '<option value="">{{ _("Select staff")}}</option>';
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if (departmentId) {
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// Load staff via minimal AJAX
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fetch(`/complaints/ajax/physicians/?department_id=${departmentId}`)
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.then(response => response.json())
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.then(data => {
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staffSelect.innerHTML = '<option value="">{{ _("Select staff")}}</option>';
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data.staff.forEach(staff => {
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const option = document.createElement('option');
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option.value = staff.id;
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option.textContent = `${staff.first_name} ${staff.last_name} (${staff.job_title || staff.staff_type})`;
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staffSelect.appendChild(option);
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});
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})
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.catch(error => {
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console.error('Error loading staff:', error);
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});
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}
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});
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}
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// Form validation
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const form = document.getElementById('complaintForm');
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form.addEventListener('submit', function(e) {
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if (!form.checkValidity()) {
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e.preventDefault();
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e.stopPropagation();
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}
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form.classList.add('was-validated');
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});
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});
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</script>
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{% endblock %}
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