313 lines
11 KiB
HTML
313 lines
11 KiB
HTML
{% extends "layouts/base.html" %}
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{% load i18n %}
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{% block title %}{% if source %}{% trans "Edit Source" %}{% else %}{% trans "Create Source" %}{% endif %} - PX360{% endblock %}
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{% block extra_css %}
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<style>
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.page-header-gradient {
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background: linear-gradient(135deg, #005696 0%, #0069a8 50%, #007bbd 100%);
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color: white;
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padding: 1.5rem 2rem;
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border-radius: 1rem;
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margin-bottom: 1.5rem;
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box-shadow: 0 10px 15px -3px rgba(0, 86, 150, 0.2);
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}
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.form-section {
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background: #fff;
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border: 2px solid #e2e8f0;
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border-radius: 1rem;
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padding: 1.5rem;
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margin-bottom: 1.5rem;
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transition: all 0.3s ease;
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}
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.form-section:hover {
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border-color: #005696;
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box-shadow: 0 4px 12px rgba(0, 86, 150, 0.1);
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}
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.form-label {
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display: block;
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font-size: 0.875rem;
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font-weight: 600;
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color: #1e293b;
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margin-bottom: 0.5rem;
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}
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.form-control, .form-select {
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width: 100%;
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padding: 0.75rem 1rem;
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border: 2px solid #e2e8f0;
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border-radius: 0.75rem;
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font-size: 0.875rem;
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transition: all 0.2s ease;
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}
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.form-control:focus, .form-select:focus {
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outline: none;
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border-color: #005696;
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box-shadow: 0 0 0 3px rgba(0, 86, 150, 0.1);
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}
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.btn-primary {
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display: inline-flex;
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align-items: center;
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gap: 0.5rem;
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padding: 0.75rem 1.5rem;
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background: #005696;
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color: white;
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border-radius: 0.75rem;
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font-weight: 600;
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transition: all 0.2s ease;
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border: none;
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cursor: pointer;
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}
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.btn-primary:hover {
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background: #007bbd;
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}
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.btn-secondary {
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display: inline-flex;
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align-items: center;
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gap: 0.5rem;
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padding: 0.75rem 1.5rem;
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background: white;
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color: #64748b;
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border: 2px solid #e2e8f0;
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border-radius: 0.75rem;
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font-weight: 600;
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transition: all 0.2s ease;
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}
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.btn-secondary:hover {
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background: #f1f5f9;
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border-color: #005696;
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}
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.checkbox-wrapper {
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display: flex;
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align-items: center;
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gap: 0.75rem;
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padding: 1rem;
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background: #eef6fb;
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border-radius: 0.75rem;
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cursor: pointer;
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transition: all 0.2s ease;
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}
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.checkbox-wrapper:hover {
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background: #e0f2fe;
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}
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.form-input {
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width: 100%;
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padding: 0.75rem 1rem;
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border: 2px solid #e2e8f0;
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border-radius: 0.75rem;
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font-size: 0.875rem;
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transition: all 0.2s ease;
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}
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.form-input:focus {
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outline: none;
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border-color: #005696;
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box-shadow: 0 0 0 3px rgba(0, 86, 150, 0.1);
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}
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.form-input[readonly] {
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background: #f1f5f9;
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cursor: not-allowed;
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}
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textarea.form-input {
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resize: vertical;
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min-height: 120px;
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}
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@keyframes fadeIn {
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from { opacity: 0; transform: translateY(20px); }
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to { opacity: 1; transform: translateY(0); }
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}
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.animate-in {
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animation: fadeIn 0.5s ease-out forwards;
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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="px-4 py-6">
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<!-- Breadcrumb -->
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<nav class="mb-4 animate-in">
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<ol class="flex items-center gap-2 text-sm text-slate">
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<li><a href="{% url 'px_sources:source_list' %}" class="text-blue hover:text-navy font-medium">{% trans "PX Sources" %}</a></li>
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<li><i data-lucide="chevron-right" class="w-4 h-4 text-slate"></i></li>
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<li class="text-navy font-semibold">
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{% if source %}{% trans "Edit Source" %}{% else %}{% trans "Create Source" %}{% endif %}
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</li>
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</ol>
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</nav>
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<!-- Page Header -->
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<div class="page-header-gradient animate-in">
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<div class="flex justify-between items-center">
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<div>
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<h1 class="text-2xl font-bold flex items-center gap-3">
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<i data-lucide="{% if source %}edit{% else %}plus-circle{% endif %}" class="w-6 h-6"></i>
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{% if source %}{% trans "Edit Source" %}{% else %}{% trans "Create Source" %}{% endif %}
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</h1>
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{% if source %}
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<p class="text-blue-100 text-sm mt-1">{{ source.name_en }} <span class="text-white/70">({{ source.code }})</span></p>
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{% endif %}
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</div>
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<a href="{% url 'px_sources:source_list' %}" class="btn-secondary bg-white/10 border-white/30 text-white hover:bg-white hover:text-navy">
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<i data-lucide="arrow-left" class="w-4 h-4"></i>
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{% trans "Back to List" %}
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</a>
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</div>
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</div>
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<!-- Form Section -->
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<div class="max-w-4xl animate-in">
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<div class="form-section">
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<div class="flex items-center gap-3 mb-6 pb-4 border-b border-slate-200">
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<div class="w-10 h-10 bg-blue/10 rounded-xl flex items-center justify-center">
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<i data-lucide="file-text" class="w-5 h-5 text-blue"></i>
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</div>
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<h2 class="text-lg font-bold text-navy">{% trans "Source Information" %}</h2>
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</div>
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<form method="post">
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{% csrf_token %}
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<div class="grid grid-cols-1 md:grid-cols-3 gap-5 mb-5">
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<div class="md:col-span-1">
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<label for="code" class="form-label">
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{% trans "Source Code" %}
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</label>
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<input type="text" id="code" name="code"
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value="{{ source.code|default:'' }}"
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placeholder="{% trans 'Auto-generated' %}"
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class="form-input"
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{% if source %}readonly{% endif %}>
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{% if not source %}
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<p class="text-xs text-slate mt-1">{% trans "Auto-generated from name if left blank" %}</p>
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{% endif %}
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</div>
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<div class="md:col-span-2">
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<label for="name_en" class="form-label">
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{% trans "Name (English)" %} <span class="text-red-500">*</span>
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</label>
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<input type="text" id="name_en" name="name_en"
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value="{{ source.name_en|default:'' }}" required
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placeholder="{% trans 'e.g., Patient Portal' %}"
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class="form-input">
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</div>
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</div>
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<div class="grid grid-cols-1 md:grid-cols-2 gap-5 mb-5">
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<div>
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<label for="name_ar" class="form-label">
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{% trans "Name (Arabic)" %}
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</label>
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<input type="text" id="name_ar" name="name_ar"
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value="{{ source.name_ar|default:'' }}"
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placeholder="{% trans 'e.g., بوابة المريض' %}"
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dir="rtl"
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class="form-input">
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</div>
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<div>
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<label for="source_type" class="form-label">
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{% trans "Source Type" %}
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</label>
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<select id="source_type" name="source_type" class="form-control">
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{% for value, label in source_types %}
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<option value="{{ value }}" {% if source.source_type == value %}selected{% endif %}>
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{{ label }}
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</option>
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{% endfor %}
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</select>
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</div>
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</div>
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<div class="mb-5">
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<label for="description" class="form-label">
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{% trans "Description" %}
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</label>
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<textarea id="description" name="description" rows="4"
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placeholder="{% trans 'Enter source description...' %}"
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class="form-input">{{ source.description|default:'' }}</textarea>
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</div>
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<div class="grid grid-cols-1 md:grid-cols-2 gap-5 mb-5">
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<div>
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<label for="contact_email" class="form-label">
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{% trans "Contact Email" %}
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</label>
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<input type="email" id="contact_email" name="contact_email"
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value="{{ source.contact_email|default:'' }}"
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placeholder="contact@example.com"
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class="form-input">
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</div>
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<div>
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<label for="contact_phone" class="form-label">
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{% trans "Contact Phone" %}
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</label>
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<input type="text" id="contact_phone" name="contact_phone"
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value="{{ source.contact_phone|default:'' }}"
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placeholder="+966 XX XXX XXXX"
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class="form-input">
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</div>
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</div>
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<div class="mb-6">
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<label class="checkbox-wrapper">
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<input type="checkbox" id="is_active" name="is_active" value="true"
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{% if source.is_active|default_if_none:True %}checked{% endif %}
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class="w-5 h-5 rounded border-slate-300 text-navy focus:ring-blue">
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<div>
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<span class="text-navy font-semibold">{% trans "Active" %}</span>
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<p class="text-slate text-sm m-0">{% trans "Source is available for selection" %}</p>
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</div>
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</label>
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</div>
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<div class="flex gap-3 pt-4 border-t border-slate-200">
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<button type="submit" class="btn-primary">
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<i data-lucide="save" class="w-4 h-4"></i>
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{% if source %}{% trans "Save Changes" %}{% else %}{% trans "Create Source" %}{% endif %}
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</button>
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<a href="{% url 'px_sources:source_list' %}" class="btn-secondary">
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<i data-lucide="x" class="w-4 h-4"></i>
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{% trans "Cancel" %}
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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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<script>
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document.addEventListener('DOMContentLoaded', function() {
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lucide.createIcons();
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// Auto-generate code preview from name
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const nameEnInput = document.getElementById('name_en');
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const codeInput = document.getElementById('code');
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if (nameEnInput && codeInput && !codeInput.value) {
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nameEnInput.addEventListener('blur', function() {
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const name = this.value.trim().toUpperCase();
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if (name && !codeInput.value) {
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const words = name.split(' ');
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let code;
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if (words.length >= 2) {
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code = words.slice(0, 3).map(w => w.substring(0, 4)).join('-');
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} else {
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code = name.substring(0, 10).replace(' ', '-');
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}
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codeInput.value = code;
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}
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});
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}
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});
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</script>
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{% endblock %}
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