106 lines
4.9 KiB
HTML
106 lines
4.9 KiB
HTML
{% extends 'layouts/public_base.html' %}
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{% load i18n %}
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{% block title %}{% trans "Submit Complaint" %} - PX360{% endblock %}
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{% block extra_css %}
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<style>
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.type-badge {
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display: inline-flex;
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align-items: center;
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padding: 0.25rem 0.625rem;
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border-radius: 0.5rem;
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font-size: 0.6875rem;
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font-weight: 700;
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letter-spacing: 0.025em;
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}
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.type-badge.ed { background: #fef3c7; color: #92400e; }
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.type-badge.ip { background: #dbeafe; color: #1e40af; }
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.type-badge.op { background: #d1fae5; color: #065f46; }
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.type-badge.daycase { background: #f3e8ff; color: #6b21a8; }
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.type-badge.appointment { background: #fce7f3; color: #9d174d; }
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</style>
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{% endblock %}
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{% block content %}
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<div class="max-w-2xl mx-auto px-4 py-8 md:py-12">
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<a href="/" class="inline-flex items-center gap-2 text-navy/70 hover:text-navy mb-6 transition-all font-medium group">
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<div class="p-2 rounded-full group-hover:bg-navy/5 transition-colors">
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<i data-lucide="arrow-left" class="w-5 h-5 group-hover:-translate-x-1 transition-transform"></i>
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</div>
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{% trans "Home" %}
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</a>
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<!-- Header Card -->
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<div class="glass-card rounded-2xl shadow-xl overflow-hidden mb-8 animate-fade-in">
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<div class="bg-gradient-to-r from-navy to-blue p-8 text-white text-center">
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<div class="w-16 h-16 bg-white/20 rounded-2xl flex items-center justify-center mx-auto mb-4 shadow-lg">
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<i data-lucide="message-circle" class="w-8 h-8"></i>
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</div>
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<h1 class="text-2xl font-bold mb-2">{% trans "Submit a Complaint" %}</h1>
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<p class="text-blue-100 text-sm max-w-md mx-auto">{% trans "We're sorry to hear about your experience. Please select the hospital where the incident occurred." %}</p>
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</div>
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<div class="p-6">
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<div class="flex items-center gap-3">
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<div class="w-10 h-10 bg-navy/10 rounded-xl flex items-center justify-center">
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<i data-lucide="user" class="w-5 h-5 text-navy"></i>
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</div>
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<div>
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<p class="text-xs text-slate font-semibold uppercase tracking-wider">{% trans "Patient" %}</p>
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<p class="font-bold text-gray-800">{{ patient.get_full_name }}</p>
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</div>
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</div>
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</div>
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</div>
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<!-- Hospital Selection -->
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<div class="space-y-3 animate-slide-up" style="animation-delay: 0.1s">
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<h2 class="text-lg font-bold text-gray-800 mb-4 flex items-center gap-2">
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<i data-lucide="building-2" class="w-5 h-5 text-navy"></i>
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{% trans "Select Hospital" %}
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</h2>
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{% if hospitals %}
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{% for h in hospitals %}
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<a href="{% url 'complaints:patient_complaint_hospital_visits' session.token h.hospital__id %}"
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class="glass-card block p-5 rounded-2xl border border-white/50 hover:border-navy hover:shadow-xl transition-all duration-300 group -translate-y-0 hover:-translate-y-0.5">
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<div class="flex items-center justify-between">
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<div class="flex items-center gap-4">
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<div class="w-12 h-12 bg-navy/10 rounded-xl flex items-center justify-center group-hover:bg-navy/20 transition-colors">
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<i data-lucide="building-2" class="w-6 h-6 text-navy"></i>
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</div>
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<div>
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<h3 class="font-bold text-gray-800 group-hover:text-navy transition">{{ h.hospital__name }}</h3>
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{% if h.hospital__name_ar %}
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<p class="text-sm text-slate" dir="rtl">{{ h.hospital__name_ar }}</p>
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{% endif %}
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</div>
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</div>
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<div class="flex items-center gap-3">
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<span class="inline-flex items-center gap-1.5 px-3 py-1.5 bg-navy/10 text-navy text-sm font-bold rounded-lg">
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{{ h.visit_count }}
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<span class="text-xs font-medium text-navy/70">{% trans "visits" %}</span>
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</span>
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<i data-lucide="chevron-right" class="w-5 h-5 text-slate-300 group-hover:text-navy group-hover:translate-x-1 transition-all"></i>
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</div>
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</div>
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</a>
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{% endfor %}
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{% else %}
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<div class="glass-card rounded-2xl p-12 text-center">
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<div class="w-16 h-16 bg-slate-100 rounded-full flex items-center justify-center mx-auto mb-4">
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<i data-lucide="building" class="w-8 h-8 text-slate-300"></i>
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</div>
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<p class="text-slate font-medium">{% trans "No visits found for this patient" %}</p>
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</div>
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{% endif %}
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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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<script>
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lucide.createIcons();
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</script>
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{% endblock %}
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