HH/templates/complaints/complaint_form.html
2026-01-15 15:02:42 +03:00

341 lines
15 KiB
HTML

{% extends base_layout %}
{% load i18n %}
{% load static %}
{% block title %}{{ _("New Complaint")}} - PX360{% endblock %}
{% block extra_css %}
<style>
.form-section {
background: #fff;
border: 1px solid #dee2e6;
border-radius: 8px;
padding: 25px;
margin-bottom: 20px;
}
.form-section-title {
font-size: 1.1rem;
font-weight: 600;
color: #495057;
margin-bottom: 20px;
padding-bottom: 10px;
border-bottom: 2px solid #667eea;
}
.required-field::after {
content: " *";
color: #dc3545;
}
</style>
{% endblock %}
{% block content %}
<div class="container-fluid">
<!-- Page Header -->
<div class="mb-4">
{% if source_user %}
<a href="{% url 'px_sources:source_user_complaint_list' %}" class="btn btn-outline-secondary btn-sm mb-3">
<i class="bi bi-arrow-left me-1"></i> {{ _("Back to My Complaints")}}
</a>
{% else %}
<a href="{% url 'complaints:complaint_list' %}" class="btn btn-outline-secondary btn-sm mb-3">
<i class="bi bi-arrow-left me-1"></i> {{ _("Back to Complaints")}}
</a>
{% endif %}
<h2 class="mb-1">
<i class="bi bi-plus-circle text-primary me-2"></i>
{{ _("Create New Complaint")}}
</h2>
<p class="text-muted mb-0">{{ _("File a new patient complaint with SLA tracking")}}</p>
</div>
<form method="post" action="{% url 'complaints:complaint_create' %}" id="complaintForm">
{% csrf_token %}
<div class="row">
<div class="col-lg-8">
<!-- Patient Information -->
<div class="form-section">
<h5 class="form-section-title">
<i class="bi bi-person-fill me-2"></i>{{ _("Patient Information")}}
</h5>
<div class="row">
<div class="col-md-6 mb-3">
<label class="form-label required-field">{% trans "Patient" %}</label>
<select name="patient_id" class="form-select" id="patientSelect" required>
<option value="">{{ _("Search and select patient")}}</option>
</select>
<small class="form-text text-muted">{{ _("Search by MRN or name")}}</small>
</div>
<div class="col-md-6 mb-3">
<label class="form-label">{% trans "Encounter ID" %}</label>
<input type="text" name="encounter_id" class="form-control"
placeholder="{% trans 'Optional encounter/visit ID' %}">
</div>
</div>
</div>
<!-- Organization Information -->
<div class="form-section">
<h5 class="form-section-title">
<i class="bi bi-hospital me-2"></i>{{ _("Organization") }}
</h5>
<div class="row">
<div class="col-md-6 mb-3">
<label class="form-label required-field">{% trans "Hospital" %}</label>
<select name="hospital_id" class="form-select" id="hospitalSelect" required>
<option value="">{{ _("Select hospital")}}</option>
{% for hospital in hospitals %}
<option value="{{ hospital.id }}">{{ hospital.name_en }}</option>
{% endfor %}
</select>
</div>
<div class="col-md-6 mb-3">
<label class="form-label">{% trans "Department" %}</label>
<select name="department_id" class="form-select" id="departmentSelect">
<option value="">{{ _("Select department")}}</option>
</select>
</div>
</div>
<div class="row">
<div class="col-md-6 mb-3">
<label class="form-label">{% trans "Staff" %}</label>
<select name="staff_id" class="form-select" id="staffSelect">
<option value="">{{ _("Select staff")}}</option>
</select>
</div>
</div>
</div>
<!-- Classification Section -->
<!-- Complaint Details -->
<div class="form-section">
<h5 class="form-section-title">
<i class="bi bi-file-text me-2"></i>{{ _("Complaint Details")}}
</h5>
<div class="mb-3">
<label class="form-label required-field">{% trans "Description" %}</label>
<textarea name="description" class="form-control" rows="6"
placeholder="{% trans 'Detailed description of the complaint...' %}" required></textarea>
</div>
</div>
</div>
<!-- Sidebar -->
<div class="col-lg-4">
<!-- AI Information -->
<div class="alert alert-info">
<h6 class="alert-heading">
<i class="bi bi-info-circle me-2"></i>{{ _("SLA Information")}}
</h6>
<p class="mb-0 small">
{{ _("SLA deadline will be automatically calculated based on severity")}}:
</p>
<ul class="mb-0 mt-2 small">
<li><strong>{{ _("Critical") }}:</strong> {{ _("4 hours")}}</li>
<li><strong>{{ _("High") }}:</strong> {{ _("24 hours")}}</li>
<li><strong>{{ _("Medium") }}:</strong> {{ _("72 hours")}}</li>
<li><strong>{{ _("Low") }}:</strong> {{ _("168 hours (7 days)")}}</li>
</ul>
</div>
<!-- Action Buttons -->
<div class="d-grid gap-2">
<button type="submit" class="btn btn-primary btn-lg">
<i class="bi bi-check-circle me-2"></i>{{ _("Create Complaint")}}
</button>
{% if source_user %}
<a href="{% url 'px_sources:source_user_complaint_list' %}" class="btn btn-outline-secondary">
<i class="bi bi-x-circle me-2"></i>{{ _("Cancel") }}
</a>
{% else %}
<a href="{% url 'complaints:complaint_list' %}" class="btn btn-outline-secondary">
<i class="bi bi-x-circle me-2"></i>{{ _("Cancel") }}
</a>
{% endif %}
</div>
</div>
</div>
</form>
</div>
{% endblock %}
{% block extra_js %}
<script>
document.addEventListener('DOMContentLoaded', function() {
const hospitalSelect = document.getElementById('hospitalSelect');
const departmentSelect = document.getElementById('departmentSelect');
const staffSelect = document.getElementById('staffSelect');
const categorySelect = document.getElementById('categorySelect');
const subcategorySelect = document.getElementById('subcategorySelect');
const patientSelect = document.getElementById('patientSelect');
// Get current language
const currentLang = document.documentElement.lang || 'en';
// Hospital change handler
hospitalSelect.addEventListener('change', function() {
const hospitalId = this.value;
// Clear dependent dropdowns
departmentSelect.innerHTML = '<option value="">Select hospital first...</option>';
staffSelect.innerHTML = '<option value="">Select department first...</option>';
categorySelect.innerHTML = '<option value="">Loading categories...</option>';
subcategorySelect.innerHTML = '<option value="">Select category first...</option>';
if (hospitalId) {
// Load departments
fetch(`/api/organizations/departments/?hospital=${hospitalId}`)
.then(response => response.json())
.then(data => {
departmentSelect.innerHTML = '<option value="">Select department...</option>';
data.results.forEach(dept => {
const option = document.createElement('option');
option.value = dept.id;
const deptName = currentLang === 'ar' && dept.name_ar ? dept.name_ar : dept.name_en;
option.textContent = deptName;
departmentSelect.appendChild(option);
});
})
.catch(error => {
console.error('Error loading departments:', error);
departmentSelect.innerHTML = '<option value="">Error loading departments</option>';
});
// Load categories (using public API endpoint)
fetch(`/complaints/public/api/load-categories/?hospital_id=${hospitalId}`)
.then(response => response.json())
.then(data => {
categorySelect.innerHTML = '<option value="">Select category...</option>';
data.categories.forEach(cat => {
// Only show parent categories (no parent_id)
if (!cat.parent_id) {
const option = document.createElement('option');
option.value = cat.id;
option.dataset.code = cat.code;
const catName = currentLang === 'ar' && cat.name_ar ? cat.name_ar : cat.name_en;
option.textContent = catName;
categorySelect.appendChild(option);
}
});
})
.catch(error => {
console.error('Error loading categories:', error);
categorySelect.innerHTML = '<option value="">Error loading categories</option>';
});
} else {
categorySelect.innerHTML = '<option value="">Select hospital first...</option>';
}
});
// Department change handler - load staff
departmentSelect.addEventListener('change', function() {
const departmentId = this.value;
// Clear staff dropdown
staffSelect.innerHTML = '<option value="">Select department first...</option>';
if (departmentId) {
// Load staff (filtered by department)
fetch(`/complaints/ajax/get-staff-by-department/?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);
staffSelect.innerHTML = '<option value="">Error loading staff</option>';
});
}
});
// Category change handler - load subcategories
categorySelect.addEventListener('change', function() {
const categoryId = this.value;
// Clear subcategory dropdown
subcategorySelect.innerHTML = '<option value="">Select category first...</option>';
if (categoryId) {
// Load categories again and filter for subcategories of selected parent
const hospitalId = hospitalSelect.value;
if (hospitalId) {
fetch(`/complaints/public/api/load-categories/?hospital_id=${hospitalId}`)
.then(response => response.json())
.then(data => {
subcategorySelect.innerHTML = '<option value="">Select subcategory...</option>';
data.categories.forEach(cat => {
// Only show subcategories (has parent_id matching selected category)
if (cat.parent_id == categoryId) {
const option = document.createElement('option');
option.value = cat.id;
option.dataset.code = cat.code;
const catName = currentLang === 'ar' && cat.name_ar ? cat.name_ar : cat.name_en;
option.textContent = catName;
subcategorySelect.appendChild(option);
}
});
if (subcategorySelect.options.length <= 1) {
subcategorySelect.innerHTML = '<option value="">No subcategories available</option>';
}
})
.catch(error => {
console.error('Error loading subcategories:', error);
subcategorySelect.innerHTML = '<option value="">Error loading subcategories</option>';
});
}
}
});
// Patient search
patientSelect.addEventListener('focus', function() {
if (this.options.length === 1) {
loadPatients('');
}
});
function loadPatients(searchTerm) {
const url = searchTerm
? `/api/organizations/patients/?search=${encodeURIComponent(searchTerm)}`
: '/api/organizations/patients/?page_size=50';
fetch(url)
.then(response => response.json())
.then(data => {
patientSelect.innerHTML = '<option value="">Search and select patient...</option>';
data.results.forEach(patient => {
const option = document.createElement('option');
option.value = patient.id;
option.textContent = `${patient.first_name} ${patient.last_name} (MRN: ${patient.mrn})`;
patientSelect.appendChild(option);
});
})
.catch(error => console.error('Error loading patients:', 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 %}