Merge pull request 'feature/view-patient-data' (#6) from feature/view-patient-data into develop
Reviewed-on: #6
This commit is contained in:
commit
9c1174b325
@ -101,7 +101,13 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
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</Grid>
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<Grid item xs={4} className='collapsable-form-style '></Grid>
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<Grid item xs={4} className='collapsable-form-style '>
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<Grid item
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xs={12}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style '>
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<TextField
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variant="outlined"
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@ -119,7 +125,13 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
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disabled={type=='display'}
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/>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style '>
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<Grid item
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xs={12}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style '>
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<TextField
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// required
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variant="outlined"
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@ -137,7 +149,13 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
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/>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style '>
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<Grid item
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xs={12}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style '>
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<TextField
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variant="outlined"
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label="Hours/Week"
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@ -155,7 +173,13 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
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/>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style '>
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<Grid
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xs={12}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style '>
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<TextField
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variant="outlined"
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label="Employer"
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@ -171,7 +195,13 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
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disabled={type=='display'}
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/>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style '>
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<Grid item
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xs={12}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style '>
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<TextField
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variant="outlined"
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label="Business Phone"
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@ -189,13 +219,24 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
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/>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style '></Grid>
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<Grid item
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xs={12}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style '></Grid>
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<Grid item xs={12} className='collapsable-form-style '>
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<FormLabel sx={{fontWeight:600}}>Spouse's Information:</FormLabel>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style '>
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<Grid item
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xs={12}
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xl={3}
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lg={4}
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md={6}
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sm={12} className='collapsable-form-style '>
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<TextField
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variant="outlined"
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label="Spouse's Name"
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@ -211,7 +252,13 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
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disabled={type=='display'}
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/>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style '>
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<Grid item
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xs={12}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style '>
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<TextField
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variant="outlined"
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label="Spouse's Employer"
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@ -227,7 +274,13 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
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disabled={type=='display'}
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/>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style '>
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<Grid item
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xs={12}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style '>
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<TextField
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variant="outlined"
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label="Business Phone"
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@ -250,7 +303,13 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
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</Grid>
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<Grid item xs={4} className='collapsable-form-style '>
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<Grid item
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xs={12}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style '>
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<TextField
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variant="outlined"
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label="Emergency Contact"
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@ -266,7 +325,13 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
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disabled={type=='display'}
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/>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style '>
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<Grid item
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xs={12}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style '>
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<TextField
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variant="outlined"
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label="Relationship"
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@ -282,7 +347,12 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
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disabled={type=='display'}
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/>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style '>
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<Grid item
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xs={12}
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xl={3}
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lg={4}
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md={6}
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sm={12} className='collapsable-form-style '>
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<TextField
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variant="outlined"
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type="number"
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@ -76,7 +76,13 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
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</Grid>
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<Grid container direction="row">
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<Grid item xs={4} className='collapsable-form-style'>
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<Grid item
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xs={12}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style'>
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<TextField
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variant="outlined"
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label="Family physician"
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@ -91,7 +97,13 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
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disabled={type=='display'}
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/>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style'>
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<Grid item
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xs={12}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style'>
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<TextField
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variant="outlined"
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label="City"
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@ -106,7 +118,13 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
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disabled={type=='display'}
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/>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style'>
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<Grid item
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xs={12}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style'>
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<TextField
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variant="outlined"
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label="State"
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@ -121,7 +139,13 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
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disabled={type=='display'}
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/>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style'>
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<Grid item
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xs={12}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style'>
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<TextField
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variant="outlined"
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label="Phone"
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@ -138,14 +162,30 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
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/>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style'></Grid>
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<Grid item xs={4} className='collapsable-form-style'></Grid>
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<Grid item
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xs={12}
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xl={3}
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lg={4}
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md={6}
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sm={12} className='collapsable-form-style'></Grid>
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<Grid item
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xs={12}
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xl={3}
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lg={4}
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md={6}
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sm={12} className='collapsable-form-style'></Grid>
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<Grid item xs={12} className='collapsable-form-style '>
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<FormLabel sx={{fontWeight:600}}>Chiropractor Information:</FormLabel>
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</Grid>
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<Grid item xs={4} sx={{paddingLeft:"14px",marginTop:2}} className='collapsable-form-style-radioButtons'>
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<Grid item
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xs={12}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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sx={{paddingLeft:"14px",marginTop:2}} className='collapsable-form-style-radioButtons'>
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<FormControl>
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<FormLabel>Previous Chiropractic Care:</FormLabel>
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<RadioGroup
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@ -166,7 +206,13 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
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</FormControl>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style'>
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<Grid item
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xs={12}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style'>
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<TextField
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variant="outlined"
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label="Chiropractor's Name"
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@ -182,7 +228,13 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
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/>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style'>
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<Grid item
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xs={12}
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xl={3}
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lg={4}
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md={6}
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sm={12}
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className='collapsable-form-style'>
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<TextField
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variant="outlined"
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label="City/State"
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@ -121,7 +121,12 @@ export default function PastTreatment5({handleFormSection5Data,patientDataDiplay
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</Grid>
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<Grid item xs={4} className='collapsable-form-style-form7'>
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<Grid item
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xs={12}
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xl={3}
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lg={4}
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md={6}
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sm={12} className='collapsable-form-style-form7'>
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<TextField
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variant="outlined"
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label="If yes, when?"
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@ -135,7 +140,12 @@ export default function PastTreatment5({handleFormSection5Data,patientDataDiplay
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}}
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/>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style-form7'>
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<Grid item
|
||||
xs={12}
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xl={3}
|
||||
lg={4}
|
||||
md={6}
|
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sm={12} className='collapsable-form-style-form7'>
|
||||
<TextField
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variant="outlined"
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label="Was treatment provided?If yes, by whom?"
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@ -150,7 +160,12 @@ export default function PastTreatment5({handleFormSection5Data,patientDataDiplay
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}}
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/>
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</Grid>
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<Grid item xs={4} className='collapsable-form-style-form7'>
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<Grid item
|
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xs={12}
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xl={3}
|
||||
lg={4}
|
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md={6}
|
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sm={12} className='collapsable-form-style-form7'>
|
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<TextField
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variant="outlined"
|
||||
label="Outcome?"
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||||
@ -287,7 +302,11 @@ export default function PastTreatment5({handleFormSection5Data,patientDataDiplay
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type={type}/>
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</Grid>
|
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|
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<Grid item xs={6} className='collapsable-form-style-multiline'>
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<Grid item xs={12}
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xl={3}
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lg={4}
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md={6}
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||||
sm={12} className='collapsable-form-style-multiline'>
|
||||
<FormLabel>Please list current supplements or drugs you may be taking:</FormLabel>
|
||||
<TextField
|
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multiline
|
||||
|
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@ -507,7 +507,7 @@ export default function PatientForm({ type }: Props) {
|
||||
id='panel9d-header'
|
||||
>
|
||||
<Typography sx={{ fontSize: 18 }}>
|
||||
Patient's Injury Image
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||||
Patient's Pain Zone
|
||||
</Typography>
|
||||
</AccordionSummary>
|
||||
|
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|
||||
@ -1,5 +1,15 @@
|
||||
import * as React from 'react';
|
||||
import { Button, FormControl, FormControlLabel, FormLabel, Grid, Paper, Radio, RadioGroup, TextField } from '@mui/material';
|
||||
import {
|
||||
Button,
|
||||
FormControl,
|
||||
FormControlLabel,
|
||||
FormLabel,
|
||||
Grid,
|
||||
Paper,
|
||||
Radio,
|
||||
RadioGroup,
|
||||
TextField,
|
||||
} from '@mui/material';
|
||||
import { LocalizationProvider, DatePicker } from '@mui/x-date-pickers';
|
||||
import { AdapterDayjs } from '@mui/x-date-pickers/AdapterDayjs';
|
||||
import { useEffect } from 'react';
|
||||
@ -17,53 +27,54 @@ interface Patient {
|
||||
state: string;
|
||||
zipCode: string;
|
||||
gender: string;
|
||||
}
|
||||
}
|
||||
|
||||
type Props = {
|
||||
handleFormSection1Data:(
|
||||
fullName?: string|undefined,
|
||||
homePhone?: string|undefined,
|
||||
cellPhone?: string|undefined,
|
||||
email?: string|undefined,
|
||||
age?: number|undefined|string,
|
||||
dateOfBirth?: string|undefined,
|
||||
socialSecurityNumber?: string|undefined,
|
||||
mailingAddress?: string|undefined,
|
||||
city?: string|undefined,
|
||||
state?: string|undefined,
|
||||
zipCode?: string|undefined,
|
||||
gender?: string|undefined,
|
||||
)=> void
|
||||
patientDataDiplay:any;
|
||||
type:string;
|
||||
}
|
||||
|
||||
|
||||
export default function PersonalSection({handleFormSection1Data,patientDataDiplay,type}:Props){
|
||||
type Props = {
|
||||
handleFormSection1Data: (
|
||||
fullName?: string | undefined,
|
||||
homePhone?: string | undefined,
|
||||
cellPhone?: string | undefined,
|
||||
email?: string | undefined,
|
||||
age?: number | undefined | string,
|
||||
dateOfBirth?: string | undefined,
|
||||
socialSecurityNumber?: string | undefined,
|
||||
mailingAddress?: string | undefined,
|
||||
city?: string | undefined,
|
||||
state?: string | undefined,
|
||||
zipCode?: string | undefined,
|
||||
gender?: string | undefined
|
||||
) => void;
|
||||
patientDataDiplay: any;
|
||||
type: string;
|
||||
};
|
||||
|
||||
export default function PersonalSection({
|
||||
handleFormSection1Data,
|
||||
patientDataDiplay,
|
||||
type,
|
||||
}: Props) {
|
||||
const [birthDateValue, setBirthDateValue] = React.useState<any>();
|
||||
const [patient, setPatient] = React.useState<any>({
|
||||
fullName: "",
|
||||
fullNameError:false,
|
||||
homePhone: "",
|
||||
cellPhone: "",
|
||||
fullName: '',
|
||||
fullNameError: false,
|
||||
homePhone: '',
|
||||
cellPhone: '',
|
||||
cellPhoneError: false,
|
||||
email: "",
|
||||
email: '',
|
||||
emailError: false,
|
||||
age: "",
|
||||
age: '',
|
||||
ageError: false,
|
||||
dateOfBirth: birthDateValue,
|
||||
socialSecurityNumber: "",
|
||||
mailingAddress:"",
|
||||
mailingAddressFalse:false,
|
||||
city: "",
|
||||
state: "",
|
||||
zipCode: "",
|
||||
gender: "male",
|
||||
socialSecurityNumber: '',
|
||||
mailingAddress: '',
|
||||
mailingAddressFalse: false,
|
||||
city: '',
|
||||
state: '',
|
||||
zipCode: '',
|
||||
gender: 'male',
|
||||
});
|
||||
|
||||
|
||||
useEffect(()=>{
|
||||
useEffect(() => {
|
||||
handleFormSection1Data(
|
||||
patient.fullName,
|
||||
patient.homePhone,
|
||||
@ -76,37 +87,45 @@ export default function PersonalSection({handleFormSection1Data,patientDataDipla
|
||||
patient.city,
|
||||
patient.state,
|
||||
patient.zipCode,
|
||||
patient.gender,
|
||||
)
|
||||
},[patient])
|
||||
patient.gender
|
||||
);
|
||||
}, [patient]);
|
||||
|
||||
|
||||
|
||||
return(
|
||||
return (
|
||||
<>
|
||||
<Grid container direction="row" className='section1-test-class'>
|
||||
<Grid item xs={4} className='collapsable-form-style '>
|
||||
<Grid container direction='row' className='section1-test-class'>
|
||||
<Grid
|
||||
item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style '
|
||||
>
|
||||
<TextField
|
||||
variant="outlined"
|
||||
variant='outlined'
|
||||
label="Patient's Full Name"
|
||||
name="fullName"
|
||||
name='fullName'
|
||||
placeholder='Please enter your name'
|
||||
value={type=='display'?patientDataDiplay.fullName:patient.fullName}
|
||||
disabled={type=='display'}
|
||||
onChange={(e)=>{
|
||||
setPatient((prevValues:any) => ({
|
||||
value={
|
||||
type == 'display' ? patientDataDiplay.fullName : patient.fullName
|
||||
}
|
||||
disabled={type == 'display'}
|
||||
onChange={(e) => {
|
||||
setPatient((prevValues: any) => ({
|
||||
...prevValues,
|
||||
fullName: e.target.value,
|
||||
}));
|
||||
}}
|
||||
onBlur={(e) => {
|
||||
if (e.target.value === "") {
|
||||
setPatient((prevValues:any) => ({
|
||||
if (e.target.value === '') {
|
||||
setPatient((prevValues: any) => ({
|
||||
...prevValues,
|
||||
fullNameError: true,
|
||||
}));
|
||||
} else {
|
||||
setPatient((prevValues:any) => ({
|
||||
setPatient((prevValues: any) => ({
|
||||
...prevValues,
|
||||
fullNameError: false,
|
||||
}));
|
||||
@ -114,56 +133,88 @@ export default function PersonalSection({handleFormSection1Data,patientDataDipla
|
||||
}}
|
||||
required
|
||||
error={patient.fullNameError}
|
||||
helperText={patient.fullNameError ? "Please enter your name" : ""}
|
||||
helperText={patient.fullNameError ? 'Please enter your name' : ''}
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
|
||||
<Grid item xs={4} className='collapsable-form-style'>
|
||||
<Grid
|
||||
item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style'
|
||||
>
|
||||
<TextField
|
||||
required
|
||||
variant="outlined"
|
||||
label="Phone Number"
|
||||
name="cellPhone"
|
||||
type="number"
|
||||
variant='outlined'
|
||||
label='Phone Number'
|
||||
name='cellPhone'
|
||||
type='number'
|
||||
placeholder='Please enter your cell Phone number'
|
||||
value={type=='display'?patientDataDiplay.cellPhone:patient.cellPhone}
|
||||
disabled={type=='display'}
|
||||
onChange={(e)=>{
|
||||
setPatient((prevValues:any) => ({
|
||||
value={
|
||||
type == 'display'
|
||||
? patientDataDiplay.cellPhone
|
||||
: patient.cellPhone
|
||||
}
|
||||
disabled={type == 'display'}
|
||||
onChange={(e) => {
|
||||
let value = e.target.value;
|
||||
if (value[0] === '0') {
|
||||
value = value.slice(1);
|
||||
}
|
||||
setPatient((prevValues: any) => ({
|
||||
...prevValues,
|
||||
cellPhone: e.target.value,
|
||||
cellPhone: value,
|
||||
}));
|
||||
}}
|
||||
onBlur={(e) => {
|
||||
if (!(/^\d{10}$/.test(e.target.value))) {
|
||||
setPatient((prevValues:any) => ({
|
||||
if (!/^\d{10}$/.test(e.target.value)) {
|
||||
setPatient((prevValues: any) => ({
|
||||
...prevValues,
|
||||
cellPhoneError: true,
|
||||
}));
|
||||
} else {
|
||||
setPatient((prevValues:any) => ({
|
||||
setPatient((prevValues: any) => ({
|
||||
...prevValues,
|
||||
cellPhoneError: false,
|
||||
}));
|
||||
}
|
||||
}}
|
||||
error={patient.cellPhoneError}
|
||||
helperText={patient.cellPhoneError? "Please enter a valid 10-digit phone number" : ""}
|
||||
helperText={
|
||||
patient.cellPhoneError
|
||||
? 'Please enter a valid 10-digit phone number'
|
||||
: ''
|
||||
}
|
||||
/>
|
||||
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={4} className='collapsable-form-style'>
|
||||
<Grid
|
||||
item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style'
|
||||
>
|
||||
<TextField
|
||||
variant="outlined"
|
||||
label="Home Phone Number"
|
||||
name="homePhone"
|
||||
variant='outlined'
|
||||
label='Home Phone Number'
|
||||
name='homePhone'
|
||||
type='number'
|
||||
placeholder='Please enter your home phone'
|
||||
value={type=='display'?patientDataDiplay.homePhone:patient.homePhone}
|
||||
disabled={type=='display'}
|
||||
onChange={(e)=>{
|
||||
setPatient((prevValues:any) => ({
|
||||
value={
|
||||
type == 'display'
|
||||
? patientDataDiplay.homePhone
|
||||
: patient.homePhone
|
||||
}
|
||||
disabled={type == 'display'}
|
||||
onChange={(e) => {
|
||||
setPatient((prevValues: any) => ({
|
||||
...prevValues,
|
||||
homePhone: e.target.value,
|
||||
}));
|
||||
@ -173,99 +224,141 @@ export default function PersonalSection({handleFormSection1Data,patientDataDipla
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={4} className='collapsable-form-style'>
|
||||
<Grid
|
||||
item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style'
|
||||
>
|
||||
<TextField
|
||||
required
|
||||
variant="outlined"
|
||||
label="Email"
|
||||
name="email"
|
||||
variant='outlined'
|
||||
label='Email'
|
||||
name='email'
|
||||
placeholder='Please enter your email'
|
||||
value={type=='display'?patientDataDiplay.email:patient.email}
|
||||
disabled={type=='display'}
|
||||
onChange={(e)=>{
|
||||
setPatient((prevValues:any) => ({
|
||||
value={type == 'display' ? patientDataDiplay.email : patient.email}
|
||||
disabled={type == 'display'}
|
||||
onChange={(e) => {
|
||||
setPatient((prevValues: any) => ({
|
||||
...prevValues,
|
||||
email: e.target.value,
|
||||
}));
|
||||
}}
|
||||
onBlur={(e) => {
|
||||
if (!(/^\S+@\S+\.\S+$/.test(e.target.value))) {
|
||||
setPatient((prevValues:any) => ({
|
||||
if (!/^\S+@\S+\.\S+$/.test(e.target.value)) {
|
||||
setPatient((prevValues: any) => ({
|
||||
...prevValues,
|
||||
emailError: true,
|
||||
}));
|
||||
} else {
|
||||
setPatient((prevValues:any) => ({
|
||||
setPatient((prevValues: any) => ({
|
||||
...prevValues,
|
||||
emailError: false,
|
||||
}));
|
||||
}
|
||||
}}
|
||||
error={patient.emailError}
|
||||
helperText={patient.emailError? "Please enter a valid email address" : ""}
|
||||
helperText={
|
||||
patient.emailError ? 'Please enter a valid email address' : ''
|
||||
}
|
||||
/>
|
||||
</Grid>
|
||||
<Grid item xs={4} className='collapsable-form-style'>
|
||||
<Grid
|
||||
item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style'
|
||||
>
|
||||
<TextField
|
||||
required
|
||||
variant="outlined"
|
||||
label="Age"
|
||||
name="age"
|
||||
type="number"
|
||||
variant='outlined'
|
||||
label='Age'
|
||||
name='age'
|
||||
type='number'
|
||||
placeholder='Please enter your age'
|
||||
value={type=='display'?patientDataDiplay.age:patient.age}
|
||||
disabled={type=='display'}
|
||||
onChange={(e)=>{
|
||||
setPatient((prevValues:any) => ({
|
||||
value={type == 'display' ? patientDataDiplay.age : patient.age}
|
||||
disabled={type == 'display'}
|
||||
onChange={(e) => {
|
||||
setPatient((prevValues: any) => ({
|
||||
...prevValues,
|
||||
age: e.target.value,
|
||||
}));
|
||||
}}
|
||||
onBlur={(e) => {
|
||||
if (e.target.value === "") {
|
||||
setPatient((prevValues:any) => ({
|
||||
if (e.target.value === '') {
|
||||
setPatient((prevValues: any) => ({
|
||||
...prevValues,
|
||||
ageError: true,
|
||||
}));
|
||||
} else {
|
||||
setPatient((prevValues:any) => ({
|
||||
setPatient((prevValues: any) => ({
|
||||
...prevValues,
|
||||
ageError: false,
|
||||
}));
|
||||
}
|
||||
}}
|
||||
error={patient.ageError}
|
||||
helperText={patient.ageError ? "Please enter your age" : ""}
|
||||
|
||||
helperText={patient.ageError ? 'Please enter your age' : ''}
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={4} className='collapsable-form-style'>
|
||||
<FormControl >
|
||||
<Grid
|
||||
item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style'
|
||||
>
|
||||
<FormControl>
|
||||
<LocalizationProvider dateAdapter={AdapterDayjs}>
|
||||
<DatePicker
|
||||
label="Date of Birth"
|
||||
value={type=='display'?patientDataDiplay.dateOfBirth:birthDateValue}
|
||||
disabled={type=='display'}
|
||||
label='Date of Birth'
|
||||
value={
|
||||
type == 'display'
|
||||
? patientDataDiplay.dateOfBirth
|
||||
: birthDateValue
|
||||
}
|
||||
disabled={type == 'display'}
|
||||
onChange={(newValue) => {
|
||||
setBirthDateValue(newValue);
|
||||
}}
|
||||
renderInput={(params) => <TextField variant="outlined" {...params} />}
|
||||
renderInput={(params) => (
|
||||
<TextField variant='outlined' {...params} />
|
||||
)}
|
||||
/>
|
||||
</LocalizationProvider>
|
||||
</FormControl>
|
||||
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={4} className='collapsable-form-style'>
|
||||
<Grid
|
||||
item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style'
|
||||
>
|
||||
<TextField
|
||||
variant="outlined"
|
||||
label="Social Security Number"
|
||||
name="socialSecurityNumber"
|
||||
value={type=='display'?patientDataDiplay.socialSecurityNumber:patient.socialSecurityNumber}
|
||||
disabled={type=='display'}
|
||||
onChange={(e)=>{
|
||||
setPatient((prevValues:any) => ({
|
||||
variant='outlined'
|
||||
label='Social Security Number'
|
||||
name='socialSecurityNumber'
|
||||
value={
|
||||
type == 'display'
|
||||
? patientDataDiplay.socialSecurityNumber
|
||||
: patient.socialSecurityNumber
|
||||
}
|
||||
disabled={type == 'display'}
|
||||
onChange={(e) => {
|
||||
setPatient((prevValues: any) => ({
|
||||
...prevValues,
|
||||
socialSecurityNumber: e.target.value,
|
||||
}));
|
||||
@ -276,47 +369,71 @@ export default function PersonalSection({handleFormSection1Data,patientDataDipla
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={4} className='collapsable-form-style'>
|
||||
<Grid
|
||||
item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style'
|
||||
>
|
||||
<TextField
|
||||
required
|
||||
variant="outlined"
|
||||
label="Mailing Address"
|
||||
name="mailingAddress"
|
||||
value={type=='display'?patientDataDiplay.mailingAddress:patient.mailingAddress}
|
||||
disabled={type=='display'}
|
||||
onChange={(e)=>{
|
||||
setPatient((prevValues:any) => ({
|
||||
variant='outlined'
|
||||
label='Mailing Address'
|
||||
name='mailingAddress'
|
||||
value={
|
||||
type == 'display'
|
||||
? patientDataDiplay.mailingAddress
|
||||
: patient.mailingAddress
|
||||
}
|
||||
disabled={type == 'display'}
|
||||
onChange={(e) => {
|
||||
setPatient((prevValues: any) => ({
|
||||
...prevValues,
|
||||
mailingAddress: e.target.value,
|
||||
}));
|
||||
}}
|
||||
onBlur={(e) => {
|
||||
if (e.target.value === "") {
|
||||
setPatient((prevValues:any) => ({
|
||||
if (e.target.value === '') {
|
||||
setPatient((prevValues: any) => ({
|
||||
...prevValues,
|
||||
mailingAddressError: true,
|
||||
}));
|
||||
} else {
|
||||
setPatient((prevValues:any) => ({
|
||||
setPatient((prevValues: any) => ({
|
||||
...prevValues,
|
||||
mailingAddressError: false,
|
||||
}));
|
||||
}
|
||||
}}
|
||||
error={patient.mailingAddressError}
|
||||
helperText={patient.mailingAddressError? "Please enter your mailing address" : ""}
|
||||
helperText={
|
||||
patient.mailingAddressError
|
||||
? 'Please enter your mailing address'
|
||||
: ''
|
||||
}
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={4} className='collapsable-form-style'>
|
||||
<Grid
|
||||
item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style'
|
||||
>
|
||||
<TextField
|
||||
variant="outlined"
|
||||
label="State"
|
||||
name="state"
|
||||
value={type=='display'?patientDataDiplay.state:patient.state}
|
||||
disabled={type=='display'}
|
||||
onChange={(e)=>{
|
||||
setPatient((prevValues:any) => ({
|
||||
variant='outlined'
|
||||
label='State'
|
||||
name='state'
|
||||
value={type == 'display' ? patientDataDiplay.state : patient.state}
|
||||
disabled={type == 'display'}
|
||||
onChange={(e) => {
|
||||
setPatient((prevValues: any) => ({
|
||||
...prevValues,
|
||||
state: e.target.value,
|
||||
}));
|
||||
@ -324,15 +441,23 @@ export default function PersonalSection({handleFormSection1Data,patientDataDipla
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={4} className='collapsable-form-style'>
|
||||
<Grid
|
||||
item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style'
|
||||
>
|
||||
<TextField
|
||||
variant="outlined"
|
||||
label="City"
|
||||
name="city"
|
||||
value={type=='display'?patientDataDiplay.city:patient.city}
|
||||
disabled={type=='display'}
|
||||
onChange={(e)=>{
|
||||
setPatient((prevValues:any) => ({
|
||||
variant='outlined'
|
||||
label='City'
|
||||
name='city'
|
||||
value={type == 'display' ? patientDataDiplay.city : patient.city}
|
||||
disabled={type == 'display'}
|
||||
onChange={(e) => {
|
||||
setPatient((prevValues: any) => ({
|
||||
...prevValues,
|
||||
city: e.target.value,
|
||||
}));
|
||||
@ -340,15 +465,25 @@ export default function PersonalSection({handleFormSection1Data,patientDataDipla
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={4} className='collapsable-form-style'>
|
||||
<Grid
|
||||
item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style'
|
||||
>
|
||||
<TextField
|
||||
variant="outlined"
|
||||
label="Zip Code"
|
||||
name="zipCode"
|
||||
value={type=='display'?patientDataDiplay.zipCode:patient.zipCode}
|
||||
disabled={type=='display'}
|
||||
onChange={(e)=>{
|
||||
setPatient((prevValues:any) => ({
|
||||
variant='outlined'
|
||||
label='Zip Code'
|
||||
name='zipCode'
|
||||
value={
|
||||
type == 'display' ? patientDataDiplay.zipCode : patient.zipCode
|
||||
}
|
||||
disabled={type == 'display'}
|
||||
onChange={(e) => {
|
||||
setPatient((prevValues: any) => ({
|
||||
...prevValues,
|
||||
zipCode: e.target.value,
|
||||
}));
|
||||
@ -359,31 +494,47 @@ export default function PersonalSection({handleFormSection1Data,patientDataDipla
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={4} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl >
|
||||
<Grid
|
||||
item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style-radioButtons'
|
||||
>
|
||||
<FormControl>
|
||||
<FormLabel>Gender</FormLabel>
|
||||
<RadioGroup
|
||||
aria-labelledby="demo-radio-buttons-group-label"
|
||||
defaultValue={type=='display'?patientDataDiplay.gender:patient.gender}
|
||||
name="radio-buttons-group"
|
||||
onChange={(e)=>{
|
||||
setPatient((prevValues:any) => ({
|
||||
aria-labelledby='demo-radio-buttons-group-label'
|
||||
defaultValue={
|
||||
type == 'display' ? patientDataDiplay.gender : patient.gender
|
||||
}
|
||||
name='radio-buttons-group'
|
||||
onChange={(e) => {
|
||||
setPatient((prevValues: any) => ({
|
||||
...prevValues,
|
||||
gender: e.target.value,
|
||||
}));
|
||||
}}
|
||||
sx={{display:'flex', flexDirection:'row'}}
|
||||
sx={{ display: 'flex', flexDirection: 'row' }}
|
||||
>
|
||||
<FormControlLabel
|
||||
disabled={type=='display'}
|
||||
value="male" control={<Radio />} label="Male" />
|
||||
disabled={type == 'display'}
|
||||
value='male'
|
||||
control={<Radio />}
|
||||
label='Male'
|
||||
/>
|
||||
<FormControlLabel
|
||||
disabled={type=='display'}
|
||||
value="female" control={<Radio />} label="Female" />
|
||||
disabled={type == 'display'}
|
||||
value='female'
|
||||
control={<Radio />}
|
||||
label='Female'
|
||||
/>
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
</Grid>
|
||||
</>
|
||||
)
|
||||
);
|
||||
}
|
||||
@ -136,7 +136,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
</FormControl>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Do you excercise?</FormLabel>
|
||||
<RadioGroup
|
||||
@ -156,7 +160,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
</FormControl>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={6} className='collapsable-form-style-form7'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-form7'>
|
||||
<TextField
|
||||
disabled={patient.excercise!=='Yes'||type=='display'}
|
||||
variant="outlined"
|
||||
@ -172,7 +180,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Use tobacco?</FormLabel>
|
||||
<RadioGroup
|
||||
@ -192,7 +204,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
</FormControl>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={6} className='collapsable-form-style-form7'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-form7'>
|
||||
<TextField
|
||||
disabled={patient.tobacco!=='Yes'||type=='display'}
|
||||
value={type=='display'?patientDataDiplay.tobaccoExplanation:patient.tobaccoExplanation}
|
||||
@ -208,7 +224,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Consume alcohol?</FormLabel>
|
||||
<RadioGroup
|
||||
@ -228,7 +248,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
</FormControl>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={6} className='collapsable-form-style-form7'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-form7'>
|
||||
<TextField
|
||||
disabled={patient.alcohol!=='Yes'||type=='display'}
|
||||
value={type=='display'?patientDataDiplay.alcoholExplanation:patient.alcoholExplanation}
|
||||
@ -244,7 +268,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Have a healthy diet?</FormLabel>
|
||||
<RadioGroup
|
||||
@ -264,7 +292,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
</FormControl>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={6} className='collapsable-form-style-form7'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-form7'>
|
||||
<TextField
|
||||
disabled={patient.healthyDiet!=='No'||type=='display'}
|
||||
value={type=='display'?patientDataDiplay.healthyDietExplanation:patient.healthyDietExplanation}
|
||||
@ -280,7 +312,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Get adequate sleep?</FormLabel>
|
||||
<RadioGroup
|
||||
@ -300,7 +336,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
</FormControl>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={6} className='collapsable-form-style-form7'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-form7'>
|
||||
<TextField
|
||||
disabled={patient.sleep!=='No'||type=='display'}
|
||||
value={type=='display'?patientDataDiplay.sleepExplanation:patient.sleepExplanation}
|
||||
@ -316,7 +356,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Is Work/School stressful to you?</FormLabel>
|
||||
<RadioGroup
|
||||
@ -336,7 +380,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
</FormControl>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={6} className='collapsable-form-style-form7'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-form7'>
|
||||
<TextField
|
||||
disabled={patient.workSchool!=='Yes'||type=='display'}
|
||||
value={type=='display'?patientDataDiplay.workSchool:patient.workSchool}
|
||||
@ -352,7 +400,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Family life stressful to you?</FormLabel>
|
||||
<RadioGroup
|
||||
@ -372,7 +424,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
</FormControl>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={6} className='collapsable-form-style-form7'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-form7'>
|
||||
<TextField
|
||||
disabled={patient.familyLife!=='Yes'||type=='display'}
|
||||
value={type=='display'?patientDataDiplay.familyLifeExplanation:patient.familyLifeExplanation}
|
||||
@ -388,7 +444,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Use recreational drugs?</FormLabel>
|
||||
<RadioGroup
|
||||
@ -408,7 +468,11 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
</FormControl>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={6} className='collapsable-form-style-form7'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-form7'>
|
||||
<TextField
|
||||
disabled={patient.drugs!=='Yes'||type=='display'}
|
||||
value={type=='display'?patientDataDiplay.drugsExplanation:patient.drugsExplanation}
|
||||
|
||||
@ -93,7 +93,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
<FormLabel sx={{fontWeight:600}}>Please choose body areas or systems where you may have problems:</FormLabel>
|
||||
</Grid>
|
||||
<Grid container direction="row">
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Eyes</FormLabel>
|
||||
<RadioGroup
|
||||
@ -112,7 +116,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Intestines/Bowls</FormLabel>
|
||||
<RadioGroup
|
||||
@ -131,7 +139,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Joints/Bones</FormLabel>
|
||||
<RadioGroup
|
||||
@ -150,7 +162,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Allergies</FormLabel>
|
||||
<RadioGroup
|
||||
@ -169,7 +185,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Ears, Nose, Mouth, Throat</FormLabel>
|
||||
<RadioGroup
|
||||
@ -188,7 +208,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Urinary</FormLabel>
|
||||
<RadioGroup
|
||||
@ -207,7 +231,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Skin</FormLabel>
|
||||
<RadioGroup
|
||||
@ -226,7 +254,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Psychological/Emotional</FormLabel>
|
||||
<RadioGroup
|
||||
@ -245,7 +277,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Heart</FormLabel>
|
||||
<RadioGroup
|
||||
@ -264,7 +300,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Muscles</FormLabel>
|
||||
<RadioGroup
|
||||
@ -283,7 +323,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Internal Organs</FormLabel>
|
||||
<RadioGroup
|
||||
@ -302,7 +346,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Gynecological menstrual/Brest</FormLabel>
|
||||
<RadioGroup
|
||||
@ -322,7 +370,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</FormControl>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Lungs/Breathing</FormLabel>
|
||||
<RadioGroup
|
||||
@ -341,7 +393,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Nerves</FormLabel>
|
||||
<RadioGroup
|
||||
@ -360,7 +416,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Blood</FormLabel>
|
||||
<RadioGroup
|
||||
@ -379,7 +439,11 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Prostate/Testicular/Penile</FormLabel>
|
||||
<RadioGroup
|
||||
|
||||
Loading…
x
Reference in New Issue
Block a user