HH/templates/observations/observation_create.html
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HTML

{% extends "layouts/base.html" %}
{% load i18n %}
{% load static %}
{% block title %}{% trans "New Observation" %} - PX360{% endblock %}
{% block extra_css %}
<style>
.page-header {
background: linear-gradient(135deg, #005696 0%, #0069a8 50%, #007bbd 100%);
color: white;
padding: 2rem 2.5rem;
border-radius: 1rem;
margin-bottom: 2rem;
box-shadow: 0 10px 15px -3px rgba(0, 86, 150, 0.2);
position: relative;
overflow: hidden;
}
.page-header::before {
content: '';
position: absolute;
top: 0;
right: 0;
width: 200px;
height: 200px;
background: radial-gradient(circle, rgba(255,255,255,0.1) 0%, transparent 70%);
pointer-events: none;
}
.back-link {
color: rgba(255,255,255,0.85);
text-decoration: none;
display: inline-flex;
align-items: center;
gap: 0.5rem;
font-weight: 500;
margin-bottom: 1rem;
transition: color 0.2s ease;
}
.back-link:hover {
color: white;
}
.form-section {
background: white;
border-radius: 1rem;
border: 1px solid #e2e8f0;
padding: 1.5rem;
margin-bottom: 1.5rem;
box-shadow: 0 4px 6px -1px rgba(0, 0, 0, 0.1);
transition: all 0.3s ease;
}
.form-section:hover {
box-shadow: 0 10px 15px -3px rgba(0, 0, 0, 0.1);
transform: translateY(-2px);
}
.form-section-header {
display: flex;
align-items: center;
gap: 0.75rem;
margin-bottom: 1.5rem;
padding-bottom: 1rem;
border-bottom: 2px solid #f1f5f9;
}
.form-section-icon {
width: 40px;
height: 40px;
border-radius: 0.75rem;
display: flex;
align-items: center;
justify-content: center;
flex-shrink: 0;
background: linear-gradient(135deg, #005696, #007bbd);
}
.form-label {
display: block;
font-weight: 600;
color: #1e293b;
font-size: 0.9rem;
margin-bottom: 0.5rem;
}
.severity-option {
cursor: pointer;
padding: 12px 16px;
border: 2px solid #e2e8f0;
border-radius: 12px;
text-align: center;
transition: all 0.2s ease;
}
.severity-option:hover {
border-color: #005696;
background: #f8fafc;
}
.severity-option.selected {
border-color: #005696;
background: #eef6fb;
box-shadow: 0 0 0 3px rgba(0, 86, 150, 0.1);
}
.severity-option.selected i {
transform: scale(1.2);
}
.file-upload-area {
border: 2px dashed #e2e8f0;
border-radius: 12px;
padding: 30px;
text-align: center;
cursor: pointer;
transition: all 0.2s ease;
}
.file-upload-area:hover {
border-color: #005696;
background: #f8fafc;
}
.field-error {
color: #ef4444;
font-size: 0.75rem;
margin-top: 0.25rem;
}
.form-control, .form-select {
width: 100%;
padding: 0.75rem 1rem;
border: 2px solid #cbd5e1;
border-radius: 0.75rem;
font-size: 0.95rem;
transition: all 0.2s;
background: white;
color: #1e293b;
font-family: 'Inter', sans-serif;
}
.form-control:focus, .form-select:focus {
outline: none;
border-color: #005696;
box-shadow: 0 0 0 4px rgba(0, 86, 150, 0.1);
}
textarea.form-control {
resize: vertical;
min-height: 120px;
}
</style>
{% endblock %}
{% block content %}
<!-- Page Header -->
<div class="page-header">
<a href="{% url 'observations:observation_list' %}" class="back-link">
<i data-lucide="arrow-left" class="w-4 h-4"></i>
{% trans "Back to Observations" %}
</a>
<div class="flex items-center gap-3">
<div class="w-12 h-12 bg-white/20 rounded-xl flex items-center justify-center">
<i data-lucide="eye" class="w-6 h-6"></i>
</div>
<div>
<h1 class="text-2xl font-bold">{% trans "New Observation" %}</h1>
<p class="text-sm opacity-75">{% trans "Submit a staff observation report" %}</p>
</div>
</div>
</div>
<!-- Messages -->
{% if messages %}
{% for message in messages %}
{% if message.tags == 'error' %}
<div class="bg-red-50 border border-red-200 rounded-xl p-4 mb-4 text-sm text-red-800">
{% elif message.tags == 'warning' %}
<div class="bg-yellow-50 border border-yellow-200 rounded-xl p-4 mb-4 text-sm text-yellow-800">
{% else %}
<div class="bg-green-50 border border-green-200 rounded-xl p-4 mb-4 text-sm text-green-800">
{% endif %}
{{ message }}
</div>
{% endfor %}
{% endif %}
<!-- Form -->
<form method="post" enctype="multipart/form-data" id="observationForm" data-loading data-loading-text="{% trans 'Creating...' %}">
{% csrf_token %}
{% if communication_request %}
<input type="hidden" name="comm_req" value="{{ communication_request.id }}">
{% endif %}
<!-- Observation Details -->
<div class="form-section">
<div class="form-section-header">
<div class="form-section-icon">
<i data-lucide="file-text" class="w-5 h-5 text-white"></i>
</div>
<div>
<h5 class="mb-0 font-bold text-navy text-lg">{% trans "Observation Details" %}</h5>
<small class="text-slate">{% trans "Describe what was observed" %}</small>
</div>
</div>
<div class="grid grid-cols-1 md:grid-cols-2 gap-5">
<!-- Category -->
<div>
<label class="form-label">
<i data-lucide="tag" class="w-3.5 h-3.5 inline-block mr-1"></i>
{% trans "Category" %}
<span class="text-xs font-normal text-slate normal-case">({% trans "optional" %})</span>
</label>
{{ form.category }}
{% if form.category.errors %}
<div class="field-error">{{ form.category.errors.0 }}</div>
{% endif %}
</div>
<!-- Sub-Category -->
<div>
<label class="form-label">
<i data-lucide="folder-tree" class="w-3.5 h-3.5 inline-block mr-1"></i>
{% trans "Sub-Category" %}
<span class="text-xs font-normal text-slate normal-case">({% trans "optional" %})</span>
</label>
{{ form.sub_category }}
{% if form.sub_category.errors %}
<div class="field-error">{{ form.sub_category.errors.0 }}</div>
{% endif %}
</div>
<!-- Title -->
<div>
<label class="form-label">
<i data-lucide="type" class="w-3.5 h-3.5 inline-block mr-1"></i>
{% trans "Title" %}
<span class="text-xs font-normal text-slate normal-case">({% trans "optional" %})</span>
</label>
{{ form.title }}
{% if form.title.errors %}
<div class="field-error">{{ form.title.errors.0 }}</div>
{% endif %}
</div>
<!-- Description -->
<div class="md:col-span-2">
<label class="form-label">
<i data-lucide="align-left" class="w-3.5 h-3.5 inline-block mr-1"></i>
{% trans "Description" %}
<span class="text-red-500">*</span>
</label>
{{ form.description }}
{% if form.description.errors %}
<div class="field-error">{{ form.description.errors.0 }}</div>
{% endif %}
<p class="text-xs text-slate mt-1">{% trans "Please describe what you observed in detail (at least 10 characters)." %}</p>
</div>
<!-- Description (English) -->
<div class="md:col-span-2">
<label class="form-label">
<i data-lucide="languages" class="w-3.5 h-3.5 inline-block mr-1"></i>
{% trans "Description (English)" %}
<span class="text-xs font-normal text-slate normal-case">({% trans "optional" %})</span>
</label>
{{ form.description_en }}
{% if form.description_en.errors %}
<div class="field-error">{{ form.description_en.errors.0 }}</div>
{% endif %}
</div>
</div>
</div>
<!-- Location & Timing -->
<div class="form-section">
<div class="form-section-header">
<div class="form-section-icon" style="background: linear-gradient(135deg, #0891b2, #06b6d4);">
<i data-lucide="map-pin" class="w-5 h-5 text-white"></i>
</div>
<div>
<h5 class="mb-0 font-bold text-navy text-lg">{% trans "Location & Timing" %}</h5>
<small class="text-slate">{% trans "Where and when did this occur?" %}</small>
</div>
</div>
<div class="grid grid-cols-1 md:grid-cols-3 gap-5 mb-5">
<!-- Structured Location -->
<div>
<label class="form-label">
<i data-lucide="map-pin" class="w-3.5 h-3.5 inline-block mr-1"></i>
{% trans "Location" %}
</label>
{{ form.location }}
{% if form.location.errors %}
<div class="field-error">{{ form.location.errors.0 }}</div>
{% endif %}
</div>
<!-- Section -->
<div>
<label class="form-label">
<i data-lucide="layout-grid" class="w-3.5 h-3.5 inline-block mr-1"></i>
{% trans "Section" %}
</label>
{{ form.main_section }}
{% if form.main_section.errors %}
<div class="field-error">{{ form.main_section.errors.0 }}</div>
{% endif %}
</div>
<!-- Subsection -->
<div>
<label class="form-label">
<i data-lucide="grid-3x3" class="w-3.5 h-3.5 inline-block mr-1"></i>
{% trans "Subsection" %}
</label>
{{ form.subsection }}
{% if form.subsection.errors %}
<div class="field-error">{{ form.subsection.errors.0 }}</div>
{% endif %}
</div>
</div>
<div class="grid grid-cols-1 md:grid-cols-2 gap-5">
<!-- Location Text (free text fallback) -->
<div>
<label class="form-label">
<i data-lucide="pencil" class="w-3.5 h-3.5 inline-block mr-1"></i>
{% trans "Location (free text)" %}
<span class="text-xs font-normal text-slate normal-case">({% trans "use if dropdown above doesn't match" %})</span>
</label>
{{ form.location_text }}
{% if form.location_text.errors %}
<div class="field-error">{{ form.location_text.errors.0 }}</div>
{% endif %}
</div>
<!-- Incident Date/Time -->
<div>
<label class="form-label">
<i data-lucide="calendar" class="w-3.5 h-3.5 inline-block mr-1"></i>
{% trans "When did this occur?" %}
</label>
{{ form.incident_datetime }}
{% if form.incident_datetime.errors %}
<div class="field-error">{{ form.incident_datetime.errors.0 }}</div>
{% endif %}
</div>
</div>
</div>
<!-- Assignment -->
<div class="form-section">
<div class="form-section-header">
<div class="form-section-icon" style="background: linear-gradient(135deg, #7c3aed, #8b5cf6);">
<i data-lucide="user-check" class="w-5 h-5 text-white"></i>
</div>
<div>
<h5 class="mb-0 font-bold text-navy text-lg">{% trans "Assignment" %}</h5>
<small class="text-slate">{% trans "Optionally assign to a department or user" %}</small>
</div>
</div>
<div class="grid grid-cols-1 md:grid-cols-2 gap-5">
<!-- Assigned Department -->
<div>
<label class="form-label">
<i data-lucide="building" class="w-3.5 h-3.5 inline-block mr-1"></i>
{% trans "Department" %}
<span class="text-xs font-normal text-slate normal-case">({% trans "optional" %})</span>
</label>
{{ form.assigned_department }}
{% if form.assigned_department.errors %}
<div class="field-error">{{ form.assigned_department.errors.0 }}</div>
{% endif %}
</div>
<!-- Assigned To -->
<div>
<label class="form-label">
<i data-lucide="user" class="w-3.5 h-3.5 inline-block mr-1"></i>
{% trans "Assign To" %}
<span class="text-xs font-normal text-slate normal-case">({% trans "optional" %})</span>
</label>
{{ form.assigned_to }}
{% if form.assigned_to.errors %}
<div class="field-error">{{ form.assigned_to.errors.0 }}</div>
{% endif %}
</div>
</div>
</div>
<!-- Communication & Patient Info -->
<div class="form-section">
<div class="form-section-header">
<div class="form-section-icon" style="background: linear-gradient(135deg, #dc2626, #f97316);">
<i data-lucide="phone-call" class="w-5 h-5 text-white"></i>
</div>
<div>
<h5 class="mb-0 font-bold text-navy text-lg">{% trans "Communication & Patient Info" %}</h5>
<small class="text-slate">{% trans "Who was contacted and when?" %}</small>
</div>
</div>
<div class="grid grid-cols-1 md:grid-cols-2 gap-5">
<!-- Patient File Number -->
<div>
<label class="form-label">
<i data-lucide="file-digit" class="w-3.5 h-3.5 inline-block mr-1"></i>
{% trans "Patient File Number" %}
<span class="text-xs font-normal text-slate normal-case">({% trans "optional" %})</span>
</label>
{{ form.patient_file_number }}
{% if form.patient_file_number.errors %}
<div class="field-error">{{ form.patient_file_number.errors.0 }}</div>
{% endif %}
</div>
<!-- Person Noted -->
<div>
<label class="form-label">
<i data-lucide="user-check" class="w-3.5 h-3.5 inline-block mr-1"></i>
{% trans "Person Noted / Informed" %}
<span class="text-xs font-normal text-slate normal-case">({% trans "optional" %})</span>
</label>
{{ form.person_noted }}
{% if form.person_noted.errors %}
<div class="field-error">{{ form.person_noted.errors.0 }}</div>
{% endif %}
</div>
<!-- Department Noted -->
<div>
<label class="form-label">
<i data-lucide="building" class="w-3.5 h-3.5 inline-block mr-1"></i>
{% trans "Department Noted" %}
<span class="text-xs font-normal text-slate normal-case">({% trans "optional" %})</span>
</label>
{{ form.department_noted }}
{% if form.department_noted.errors %}
<div class="field-error">{{ form.department_noted.errors.0 }}</div>
{% endif %}
</div>
<!-- Communication Method -->
<div>
<label class="form-label">
<i data-lucide="at-sign" class="w-3.5 h-3.5 inline-block mr-1"></i>
{% trans "Communication Via" %}
<span class="text-xs font-normal text-slate normal-case">({% trans "optional" %})</span>
</label>
{{ form.communication_method }}
{% if form.communication_method.errors %}
<div class="field-error">{{ form.communication_method.errors.0 }}</div>
{% endif %}
</div>
<!-- Communication Date/Time -->
<div>
<label class="form-label">
<i data-lucide="clock" class="w-3.5 h-3.5 inline-block mr-1"></i>
{% trans "Communication Date/Time" %}
<span class="text-xs font-normal text-slate normal-case">({% trans "optional" %})</span>
</label>
{{ form.communication_datetime }}
{% if form.communication_datetime.errors %}
<div class="field-error">{{ form.communication_datetime.errors.0 }}</div>
{% endif %}
</div>
</div>
</div>
<!-- Attachments -->
<div class="form-section">
<div class="form-section-header">
<div class="form-section-icon" style="background: linear-gradient(135deg, #059669, #10b981);">
<i data-lucide="paperclip" class="w-5 h-5 text-white"></i>
</div>
<div>
<h5 class="mb-0 font-bold text-navy text-lg">{% trans "Attachments" %}</h5>
<small class="text-slate">{% trans "Upload supporting documents or images" %}</small>
</div>
</div>
<div class="file-upload-area" onclick="document.getElementById('attachments').click()">
<i data-lucide="cloud-upload" class="w-8 h-8 text-navy mx-auto mb-2"></i>
<p class="text-sm font-semibold text-slate mb-1">{% trans "Click to upload files" %}</p>
<p class="text-xs text-slate mb-0">{% trans "Images, PDF, Word, Excel (max 10MB each)" %}</p>
</div>
<input type="file" id="attachments" name="attachments" multiple
accept=".jpg,.jpeg,.png,.gif,.pdf,.doc,.docx,.xls,.xlsx"
style="display: none;" onchange="updateFileList()">
<div id="fileList" class="mt-2"></div>
</div>
<!-- Actions -->
<div class="flex gap-3 justify-end">
<a href="{% url 'observations:observation_list' %}" class="px-6 py-3 border-2 border-slate-200 text-slate rounded-xl font-bold text-sm hover:bg-slate-50 transition flex items-center gap-2">
<i data-lucide="x" class="w-4 h-4"></i>
{% trans "Cancel" %}
</a>
<button type="submit" class="px-8 py-3 bg-navy text-white rounded-xl font-bold text-sm hover:bg-blue transition shadow-lg shadow-navy/25 flex items-center gap-2">
<i data-lucide="send" class="w-4 h-4"></i>
{% trans "Create Observation" %}
</button>
</div>
</form>
{% endblock %}
{% block extra_js %}
<script>
{% trans "Select Section" as trans_select_section %}
{% trans "Select Subsection" as trans_select_subsection %}
{% trans "Select assignee (optional)" as trans_select_assignee %}
function selectSeverity(el) {
document.querySelectorAll('.severity-option').forEach(o => o.classList.remove('selected'));
el.classList.add('selected');
document.getElementById('severityInput').value = el.dataset.value;
lucide.createIcons();
}
function updateFileList() {
const input = document.getElementById('attachments');
const fileList = document.getElementById('fileList');
fileList.innerHTML = '';
if (input.files.length > 0) {
let html = '<div class="space-y-2 mt-3">';
for (let i = 0; i < input.files.length; i++) {
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>';
}
html += '</div>';
fileList.innerHTML = html;
lucide.createIcons();
}
}
document.addEventListener('DOMContentLoaded', function() {
const selSection = '{{ trans_select_section|escapejs }}';
const selSubsection = '{{ trans_select_subsection|escapejs }}';
const selAssignee = '{{ trans_select_assignee|escapejs }}';
const locationSelect = document.getElementById('locationSelect');
const sectionSelect = document.getElementById('mainSectionSelect');
const subsectionSelect = document.getElementById('subsectionSelect');
function loadSections(locationId) {
sectionSelect.innerHTML = '<option value="">' + selSection + '</option>';
subsectionSelect.innerHTML = '<option value="">' + selSubsection + '</option>';
if (!locationId) return;
fetch('/complaints/public/api/locations/' + locationId + '/sections/')
.then(r => r.json())
.then(data => {
if (data.sections) {
data.sections.forEach(function(s) {
const opt = document.createElement('option');
opt.value = s.id;
opt.textContent = s.name;
sectionSelect.appendChild(opt);
});
}
});
}
function loadSubsections(locationId, sectionId) {
subsectionSelect.innerHTML = '<option value="">' + selSubsection + '</option>';
if (!locationId || !sectionId) return;
fetch('/complaints/public/api/locations/' + locationId + '/sections/' + sectionId + '/subsections/')
.then(r => r.json())
.then(data => {
if (data.subsections) {
data.subsections.forEach(function(s) {
const opt = document.createElement('option');
opt.value = s.id;
opt.textContent = s.name;
subsectionSelect.appendChild(opt);
});
}
});
}
if (locationSelect) {
locationSelect.addEventListener('change', function() {
loadSections(this.value);
});
}
if (sectionSelect) {
sectionSelect.addEventListener('change', function() {
loadSubsections(locationSelect.value, this.value);
});
}
const deptSelect = document.getElementById('id_assigned_department');
const assigneeSelect = document.getElementById('id_assigned_to');
if (deptSelect && assigneeSelect) {
deptSelect.addEventListener('change', function() {
const deptId = this.value;
if (!deptId) {
assigneeSelect.innerHTML = '<option value="">' + selAssignee + '</option>';
return;
}
fetch("{% url 'observations:get_users_by_department' %}?department_id=" + deptId)
.then(response => response.json())
.then(data => {
let html = '<option value="">' + selAssignee + '</option>';
data.users.forEach(function(user) {
html += '<option value="' + user.id + '">' + user.name + '</option>';
});
assigneeSelect.innerHTML = html;
})
.catch(function() {
console.error('Failed to load users for department');
});
});
}
});
</script>
{% endblock %}