491 lines
23 KiB
HTML
491 lines
23 KiB
HTML
{% extends "layouts/base.html" %}
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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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</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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<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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<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">
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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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<<<<<<< HEAD
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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 class="form-label required-field">{% trans "Patient" %}</label>
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<select name="patient_id" class="form-select" id="patientSelect" required>
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<option value="">{{ _("Search and select patient")}}</option>
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</select>
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<small class="form-text text-muted">{{ _("Search by MRN or name")}}</small>
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</div>
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<div class="col-md-6 mb-3">
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<label class="form-label">{% trans "Encounter ID" %}</label>
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<input type="text" name="encounter_id" class="form-control"
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placeholder="{% trans 'Optional encounter/visit ID' %}">
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</div>
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</div>
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</div>
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=======
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>>>>>>> 12310a5 (update complain and add ai and sentiment analysis)
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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-hospital me-2"></i>{{ _("Organization") }}
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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 class="form-label required-field">{% trans "Hospital" %}</label>
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<select name="hospital_id" class="form-select" id="hospitalSelect" required>
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<option value="">{{ _("Select hospital")}}</option>
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{% for hospital in hospitals %}
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<option value="{{ hospital.id }}">{{ hospital.name_en }}</option>
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{% endfor %}
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</select>
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</div>
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<div class="col-md-6 mb-3">
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<label class="form-label">{% trans "Department" %}</label>
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<select name="department_id" class="form-select" id="departmentSelect">
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<<<<<<< HEAD
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<option value="">{{ _("Select department")}}</option>
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=======
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<option value="">Select hospital first...</option>
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>>>>>>> 12310a5 (update complain and add ai and sentiment analysis)
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</select>
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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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<<<<<<< HEAD
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<label class="form-label">{% trans "Physician" %}</label>
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<select name="physician_id" class="form-select" id="physicianSelect">
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<option value="">{{ _("Select physician")}}</option>
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=======
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<label class="form-label">{% trans "Staff" %}</label>
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<select name="staff_id" class="form-select" id="staffSelect">
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<option value="">Select department first...</option>
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>>>>>>> 12310a5 (update complain and add ai and sentiment analysis)
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</select>
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</div>
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</div>
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</div>
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<!-- Classification Section -->
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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-tags me-2"></i>Classification
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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 class="form-label required-field">{% trans "Category" %}</label>
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<select name="category" class="form-select" id="categorySelect" required>
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<option value="">Select hospital first...</option>
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</select>
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<small class="form-text text-muted">AI will analyze and suggest if needed</small>
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</div>
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<div class="col-md-6 mb-3">
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<label class="form-label">{% trans "Subcategory" %}</label>
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<select name="subcategory" class="form-select" id="subcategorySelect">
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<option value="">Select category first...</option>
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</select>
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</div>
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</div>
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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 class="form-label required-field">{% trans "Patient" %}</label>
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<select name="patient_id" class="form-select" id="patientSelect" required>
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<option value="">Search and select patient...</option>
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</select>
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<small class="form-text text-muted">Search by MRN or name</small>
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</div>
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<div class="col-md-6 mb-3">
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<label class="form-label">{% trans "Encounter ID" %}</label>
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<input type="text" name="encounter_id" class="form-control"
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placeholder="{% trans 'Optional encounter/visit ID' %}">
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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 class="form-label required-field">{% trans "Description" %}</label>
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<textarea name="description" class="form-control" rows="6"
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placeholder="{% trans 'Detailed description of the complaint...' %}" required></textarea>
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<<<<<<< HEAD
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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 class="form-label required-field">{% trans "Category" %}</label>
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<select name="category" class="form-select" required>
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<option value="">{{ _("Select category")}}</option>
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<option value="clinical_care">{{ _("Clinical Care")}}</option>
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<option value="staff_behavior">{{ _("Staff Behavior")}}</option>
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<option value="facility">{{ _("Facility & Environment")}}</option>
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<option value="wait_time">{{ _("Wait Time")}}</option>
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<option value="billing">{{ _("Billing") }}</option>
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<option value="communication">{{ _("Communication") }}</option>
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<option value="other">{{ _("Other") }}</option>
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</select>
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</div>
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<div class="col-md-6 mb-3">
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<label class="form-label">{% trans "Subcategory" %}</label>
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<input type="text" name="subcategory" class="form-control"
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placeholder="{% trans 'Optional subcategory' %}">
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</div>
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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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<!-- Classification -->
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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-tags me-2"></i>{{ _("Classification") }}
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</h5>
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<div class="mb-3">
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<label class="form-label required-field">{% trans "Severity" %}</label>
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<select name="severity" class="form-select" required>
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<option value="">{{ _("Select severity")}}</option>
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<option value="low">{{ _("Low") }}</option>
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<option value="medium" selected>{{ _("Medium") }}</option>
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<option value="high">{{ _("High") }}</option>
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<option value="critical">{{ _("Critical") }}</option>
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</select>
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<small class="form-text text-muted">
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{{ _("Determines SLA deadline")}}
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</small>
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</div>
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<div class="mb-3">
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<label class="form-label required-field">{% trans "Priority" %}</label>
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<select name="priority" class="form-select" required>
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<option value="">{{ _("Select priority")}}</option>
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<option value="low">{{ _("Low") }}</option>
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<option value="medium" selected>{{ _("Medium") }}</option>
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<option value="high">{{ _("High") }}</option>
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<option value="urgent">{{ _("Urgent") }}</option>
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</select>
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</div>
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=======
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<small class="form-text text-muted">
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AI will automatically generate title, classify severity/priority, and analyze emotion
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</small>
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</div>
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>>>>>>> 12310a5 (update complain and add ai and sentiment analysis)
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<div class="mb-3">
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<label class="form-label required-field">{% trans "Source" %}</label>
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<select name="source" class="form-select" required>
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<option value="">{{ _("Select source")}}</option>
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<option value="patient">{{ _("Patient") }}</option>
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<option value="family">{{ _("Family Member")}}</option>
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<option value="staff">{{ _("Staff") }}</option>
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<option value="survey">{{ _("Survey") }}</option>
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<option value="social_media">{{ _("Social Media")}}</option>
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<option value="call_center">{{ _("Call Center")}}</option>
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<option value="moh">{{ _("Ministry of Health")}}</option>
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<option value="chi">{{ _("Council of Health Insurance")}}</option>
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<option value="other">{{ _("Other") }}</option>
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</select>
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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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<<<<<<< HEAD
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<i class="bi bi-info-circle 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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=======
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<i class="bi bi-robot me-2"></i>AI-Powered Classification
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</h6>
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<p class="mb-0 small">
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This form uses AI to automatically:
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</p>
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<ul class="mb-0 mt-2 small">
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<li><strong>Generate Title:</strong> Create a concise summary</li>
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<li><strong>Classify Severity:</strong> Low, Medium, High, or Critical</li>
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<li><strong>Set Priority:</strong> Low, Medium, High, or Urgent</li>
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<li><strong>Analyze Emotion:</strong> Detect patient sentiment</li>
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<li><strong>Suggest Actions:</strong> Provide recommendations</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-warning">
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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 AI-determined severity:
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>>>>>>> 12310a5 (update complain and add ai and sentiment analysis)
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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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<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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</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 categorySelect = document.getElementById('categorySelect');
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const subcategorySelect = document.getElementById('subcategorySelect');
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const patientSelect = document.getElementById('patientSelect');
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// Get current language
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const currentLang = document.documentElement.lang || 'en';
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// Hospital change handler
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hospitalSelect.addEventListener('change', function() {
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const hospitalId = this.value;
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// Clear dependent dropdowns
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departmentSelect.innerHTML = '<option value="">Select hospital first...</option>';
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staffSelect.innerHTML = '<option value="">Select department first...</option>';
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categorySelect.innerHTML = '<option value="">Loading categories...</option>';
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subcategorySelect.innerHTML = '<option value="">Select category first...</option>';
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if (hospitalId) {
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// Load departments
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fetch(`/api/organizations/departments/?hospital=${hospitalId}`)
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.then(response => response.json())
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.then(data => {
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departmentSelect.innerHTML = '<option value="">Select department...</option>';
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data.results.forEach(dept => {
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const option = document.createElement('option');
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option.value = dept.id;
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const deptName = currentLang === 'ar' && dept.name_ar ? dept.name_ar : dept.name_en;
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option.textContent = deptName;
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departmentSelect.appendChild(option);
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});
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})
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.catch(error => {
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console.error('Error loading departments:', error);
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departmentSelect.innerHTML = '<option value="">Error loading departments</option>';
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});
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// Load categories (using public API endpoint)
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fetch(`/complaints/public/api/load-categories/?hospital_id=${hospitalId}`)
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.then(response => response.json())
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.then(data => {
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categorySelect.innerHTML = '<option value="">Select category...</option>';
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data.categories.forEach(cat => {
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// Only show parent categories (no parent_id)
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if (!cat.parent_id) {
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const option = document.createElement('option');
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option.value = cat.id;
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option.dataset.code = cat.code;
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const catName = currentLang === 'ar' && cat.name_ar ? cat.name_ar : cat.name_en;
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option.textContent = catName;
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categorySelect.appendChild(option);
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}
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});
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})
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.catch(error => {
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console.error('Error loading categories:', error);
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categorySelect.innerHTML = '<option value="">Error loading categories</option>';
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});
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} else {
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categorySelect.innerHTML = '<option value="">Select hospital first...</option>';
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}
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});
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// Department change handler - load staff
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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 department first...</option>';
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if (departmentId) {
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// Load staff (filtered by department)
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fetch(`/complaints/ajax/get-staff-by-department/?department_id=${departmentId}`)
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.then(response => response.json())
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.then(data => {
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staffSelect.innerHTML = '<option value="">Select staff...</option>';
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data.staff.forEach(staff => {
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const option = document.createElement('option');
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option.value = staff.id;
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option.textContent = `${staff.first_name} ${staff.last_name} (${staff.job_title || staff.staff_type})`;
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staffSelect.appendChild(option);
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});
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})
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.catch(error => {
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console.error('Error loading staff:', error);
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staffSelect.innerHTML = '<option value="">Error loading staff</option>';
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});
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}
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});
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// Category change handler - load subcategories
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categorySelect.addEventListener('change', function() {
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const categoryId = this.value;
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// Clear subcategory dropdown
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subcategorySelect.innerHTML = '<option value="">Select category first...</option>';
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if (categoryId) {
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// Load categories again and filter for subcategories of selected parent
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const hospitalId = hospitalSelect.value;
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if (hospitalId) {
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fetch(`/complaints/public/api/load-categories/?hospital_id=${hospitalId}`)
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.then(response => response.json())
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.then(data => {
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subcategorySelect.innerHTML = '<option value="">Select subcategory...</option>';
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data.categories.forEach(cat => {
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// Only show subcategories (has parent_id matching selected category)
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if (cat.parent_id == categoryId) {
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const option = document.createElement('option');
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option.value = cat.id;
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option.dataset.code = cat.code;
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const catName = currentLang === 'ar' && cat.name_ar ? cat.name_ar : cat.name_en;
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option.textContent = catName;
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subcategorySelect.appendChild(option);
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}
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});
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if (subcategorySelect.options.length <= 1) {
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subcategorySelect.innerHTML = '<option value="">No subcategories available</option>';
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}
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})
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.catch(error => {
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console.error('Error loading subcategories:', error);
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subcategorySelect.innerHTML = '<option value="">Error loading subcategories</option>';
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});
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}
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}
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});
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// Patient search
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patientSelect.addEventListener('focus', function() {
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if (this.options.length === 1) {
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loadPatients('');
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}
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});
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function loadPatients(searchTerm) {
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const url = searchTerm
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? `/api/organizations/patients/?search=${encodeURIComponent(searchTerm)}`
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: '/api/organizations/patients/?page_size=50';
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fetch(url)
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.then(response => response.json())
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.then(data => {
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patientSelect.innerHTML = '<option value="">Search and select patient...</option>';
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data.results.forEach(patient => {
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const option = document.createElement('option');
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option.value = patient.id;
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option.textContent = `${patient.first_name} ${patient.last_name} (MRN: ${patient.mrn})`;
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patientSelect.appendChild(option);
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});
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})
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.catch(error => console.error('Error loading patients:', error));
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}
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// Form validation
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const form = document.getElementById('complaintForm');
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form.addEventListener('submit', function(e) {
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if (!form.checkValidity()) {
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e.preventDefault();
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e.stopPropagation();
|
|
}
|
|
form.classList.add('was-validated');
|
|
});
|
|
});
|
|
</script>
|
|
{% endblock %}
|