533 lines
24 KiB
HTML
533 lines
24 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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.complaint-type-card {
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border: 2px solid #dee2e6;
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border-radius: 8px;
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padding: 20px;
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cursor: pointer;
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transition: all 0.3s ease;
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text-align: center;
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}
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.complaint-type-card:hover {
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border-color: #667eea;
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box-shadow: 0 4px 12px rgba(102, 126, 234, 0.15);
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}
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.complaint-type-card.active {
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border-color: #667eea;
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background-color: rgba(102, 126, 234, 0.05);
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}
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.complaint-type-icon {
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font-size: 2.5rem;
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margin-bottom: 10px;
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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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<!-- Complaint Type Selection -->
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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-tag me-2"></i>{{ _("Feedback Type")}}
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</h5>
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<div class="row">
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<div class="col-md-6">
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<div class="complaint-type-card {% if form.complaint_type.value == 'complaint' or not form.complaint_type.value %}active{% endif %}"
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data-value="complaint" id="complaintTypeComplaint">
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<i class="bi bi-exclamation-triangle text-danger complaint-type-icon"></i>
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<h6>{{ _("Complaint")}}</h6>
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<small class="text-muted">{{ _("Report an issue or concern")}}</small>
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</div>
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</div>
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<div class="col-md-6">
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<div class="complaint-type-card {% if form.complaint_type.value == 'appreciation' %}active{% endif %}"
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data-value="appreciation" id="complaintTypeAppreciation">
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<i class="bi bi-heart text-success complaint-type-icon"></i>
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<h6>{{ _("Appreciation")}}</h6>
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<small class="text-muted">{{ _("Share positive feedback")}}</small>
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</div>
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</div>
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</div>
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<input type="hidden" name="complaint_type" id="complaintTypeInput"
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value="{% if form.complaint_type.value %}{{ form.complaint_type.value }}{% else %}complaint{% endif %}">
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</div>
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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.relation_to_patient.id_for_label }}" class="form-label required-field">
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{{ form.relation_to_patient.label }}
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</label>
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{{ form.relation_to_patient }}
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{% if form.relation_to_patient.errors %}
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<div class="invalid-feedback d-block">
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{% for error in form.relation_to_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.patient_name.id_for_label }}" class="form-label required-field">
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{{ form.patient_name.label }}
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</label>
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{{ form.patient_name }}
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{% if form.patient_name.errors %}
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<div class="invalid-feedback d-block">
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{% for error in form.patient_name.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.national_id.id_for_label }}" class="form-label required-field">
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{{ form.national_id.label }}
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</label>
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{{ form.national_id }}
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{% if form.national_id.errors %}
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<div class="invalid-feedback d-block">
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{% for error in form.national_id.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.incident_date.id_for_label }}" class="form-label required-field">
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{{ form.incident_date.label }}
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</label>
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{{ form.incident_date }}
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{% if form.incident_date.errors %}
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<div class="invalid-feedback d-block">
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{% for error in form.incident_date.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.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-building me-2"></i>{{ _("Organization & Location")}}
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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.complaint_source_type.id_for_label }}" class="form-label">
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{{ form.complaint_source_type.label }}
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</label>
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{{ form.complaint_source_type }}
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{% if form.complaint_source_type.errors %}
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<div class="invalid-feedback d-block">
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{% for error in form.complaint_source_type.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.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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<!-- Location Hierarchy -->
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<div class="row">
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<div class="col-md-4 mb-3">
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<label for="{{ form.location.id_for_label }}" class="form-label required-field">
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{{ form.location.label }}
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</label>
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{{ form.location }}
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{% if form.location.errors %}
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<div class="invalid-feedback d-block">
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{% for error in form.location.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-4 mb-3">
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<label for="{{ form.main_section.id_for_label }}" class="form-label required-field">
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{{ form.main_section.label }}
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</label>
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{{ form.main_section }}
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{% if form.main_section.errors %}
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<div class="invalid-feedback d-block">
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{% for error in form.main_section.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-4 mb-3">
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<label for="{{ form.subsection.id_for_label }}" class="form-label required-field">
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{{ form.subsection.label }}
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</label>
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{{ form.subsection }}
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{% if form.subsection.errors %}
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<div class="invalid-feedback d-block">
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{% for error in form.subsection.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 class="col-md-6 mb-3">
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<label for="{{ form.staff_name.id_for_label }}" class="form-label">
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{{ form.staff_name.label }}
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</label>
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{{ form.staff_name }}
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{% if form.staff_name.errors %}
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<div class="invalid-feedback d-block">
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{% for error in form.staff_name.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 class="mb-3">
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<label for="{{ form.expected_result.id_for_label }}" class="form-label">
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{{ form.expected_result.label }}
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</label>
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{{ form.expected_result }}
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{% if form.expected_result.errors %}
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<div class="invalid-feedback d-block">
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{% for error in form.expected_result.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-robot 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 feedback:")}}
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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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const locationSelect = document.getElementById('locationSelect');
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const mainSectionSelect = document.getElementById('mainSectionSelect');
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const subsectionSelect = document.getElementById('subsectionSelect');
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const complaintTypeCards = document.querySelectorAll('.complaint-type-card');
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const complaintTypeInput = document.getElementById('complaintTypeInput');
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// Complaint type selection
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complaintTypeCards.forEach(card => {
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card.addEventListener('click', function() {
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complaintTypeCards.forEach(c => c.classList.remove('active'));
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this.classList.add('active');
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complaintTypeInput.value = this.dataset.value;
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});
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});
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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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// Location change handler - load sections
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if (locationSelect) {
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locationSelect.addEventListener('change', function() {
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const locationId = this.value;
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// Clear section dropdowns
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mainSectionSelect.innerHTML = '<option value="">{{ _("Select Section")}}</option>';
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subsectionSelect.innerHTML = '<option value="">{{ _("Select Subsection")}}</option>';
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if (locationId) {
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// Load main sections via AJAX
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fetch(`/organizations/ajax/main-sections/?location_id=${locationId}`)
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.then(response => response.json())
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.then(data => {
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mainSectionSelect.innerHTML = '<option value="">{{ _("Select Section")}}</option>';
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data.sections.forEach(section => {
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const option = document.createElement('option');
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option.value = section.id;
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option.textContent = section.name;
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mainSectionSelect.appendChild(option);
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});
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})
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.catch(error => {
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console.error('Error loading sections:', error);
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});
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}
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});
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}
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// Main Section change handler - load subsections
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if (mainSectionSelect) {
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mainSectionSelect.addEventListener('change', function() {
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const sectionId = this.value;
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const locationId = locationSelect.value;
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// Clear subsection dropdown
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subsectionSelect.innerHTML = '<option value="">{{ _("Select Subsection")}}</option>';
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if (sectionId && locationId) {
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// Load subsections via AJAX
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fetch(`/organizations/ajax/subsections/?location_id=${locationId}&main_section_id=${sectionId}`)
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.then(response => response.json())
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.then(data => {
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subsectionSelect.innerHTML = '<option value="">{{ _("Select Subsection")}}</option>';
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data.subsections.forEach(subsection => {
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const option = document.createElement('option');
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option.value = subsection.id;
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option.textContent = subsection.name;
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subsectionSelect.appendChild(option);
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});
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})
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.catch(error => {
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console.error('Error loading subsections:', error);
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});
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}
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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}`)
|
|
.then(response => response.json())
|
|
.then(data => {
|
|
staffSelect.innerHTML = '<option value="">{{ _("Select staff")}}</option>';
|
|
data.staff.forEach(staff => {
|
|
const option = document.createElement('option');
|
|
option.value = staff.id;
|
|
option.textContent = `${staff.first_name} ${staff.last_name} (${staff.job_title || staff.staff_type})`;
|
|
staffSelect.appendChild(option);
|
|
});
|
|
})
|
|
.catch(error => {
|
|
console.error('Error loading staff:', error);
|
|
});
|
|
}
|
|
});
|
|
}
|
|
|
|
// Form validation
|
|
const form = document.getElementById('complaintForm');
|
|
form.addEventListener('submit', function(e) {
|
|
if (!form.checkValidity()) {
|
|
e.preventDefault();
|
|
e.stopPropagation();
|
|
}
|
|
form.classList.add('was-validated');
|
|
});
|
|
});
|
|
</script>
|
|
{% endblock %} |