mobile responsive changes
This commit is contained in:
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66f0b3941e
commit
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57
src/App.css
57
src/App.css
@ -1,37 +1,34 @@
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.app-screen-constants .MuiInputBase-root{
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/* .app-screen-constants .MuiInputBase-root{
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margin:auto;
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margin:auto;
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max-width:1500;
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max-width:1500;
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height:800 !important;
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height:800 !important;
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}
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} */
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.collapsable-form-style .MuiInputBase-root {
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/* .collapsable-form-style .MuiInputBase-root {
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width: 300px !important;
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margin:3%;
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margin: 5%;
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height: 50px
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height: 50px
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}
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}
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.collapsable-form-style-form7 .MuiInputBase-root {
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.collapsable-form-style-form7 .MuiInputBase-root {
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width: 350px !important;
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margin: 3%;
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margin: 3%;
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height: 50px
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height: 50px
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}
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}
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.collapsable-form-style-multiline .MuiInputBase-root {
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.collapsable-form-style-multiline .MuiInputBase-root {
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width: 350px !important;
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margin: 5%;
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margin: 5%;
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min-height: 100px
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min-height: 100px
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}
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} */
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.collapsable-form-style-multiline label {
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/* .collapsable-form-style-multiline label {
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padding: 15px;
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padding: 15px;
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}
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} */
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.collapsable-form-style label {
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/* .collapsable-form-style label {
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padding: 15px;
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padding: 15px;
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}
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} */
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.collapsable-form-style-form7 label {
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/* .collapsable-form-style-form7 label {
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padding: 13px;
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padding: 13px;
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}
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} */
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.collapsable-form-style-radioButtons{
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.collapsable-form-style-radioButtons{
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width: 300px !important;
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width: 300px !important;
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@ -41,7 +38,6 @@
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}
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}
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.collapsable-form-style-radioButtons-fullwidth{
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.collapsable-form-style-radioButtons-fullwidth{
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/* width: 300px !important; */
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margin: 5%;
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margin: 5%;
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padding-top: 12px;
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padding-top: 12px;
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padding-left: 16px;
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padding-left: 16px;
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@ -57,4 +53,33 @@
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.addNew-form-table-style label {
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.addNew-form-table-style label {
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padding: 0px;
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padding: 0px;
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}
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}
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.MuiFormControl-root {
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width: 95% !important;
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}
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.MuiGrid-root .MuiTextField-root {
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margin-top: 3%;
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margin-bottom: 3%;
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}
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/* .MuiFormControl-root{
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width: 90% !important;
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height: 50px !important;
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margin-bottom: 1% !important;
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}
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.MuiTextField-root {
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margin-top: 3% !important;
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margin-bottom: 5% !important;
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}
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.collapsable-form-style-multiline label {
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padding: 15px;
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}
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.collapsable-form-style-radioButtons-fullwidth {
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margin: 5%;
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padding-top: 12px;
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padding-left: 16px;
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} */
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@ -1,4 +1,17 @@
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import { Button, TableContainer, Table, TableHead, TableRow, TableCell, TableBody, TextField, Paper, Grid, FormLabel, FormControl } from '@mui/material';
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import {
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Button,
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TableContainer,
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Table,
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TableHead,
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TableRow,
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TableCell,
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TableBody,
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TextField,
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Paper,
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Grid,
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FormLabel,
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FormControl,
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} from '@mui/material';
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import * as React from 'react';
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import * as React from 'react';
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interface RowData {
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interface RowData {
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@ -13,51 +26,64 @@ interface DataTableProps {
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onAddRow: () => void;
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onAddRow: () => void;
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}
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}
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type Props={
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type Props = {
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handleFormSection5Data:(
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handleFormSection5Data: (
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generalHealth: string|undefined,
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generalHealth: string | undefined,
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presentProblemBefore: string|undefined,
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presentProblemBefore: string | undefined,
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ifYespresentProblemBefore:string|undefined,
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ifYespresentProblemBefore: string | undefined,
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ifYestreatmentProvided: string|undefined,
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ifYestreatmentProvided: string | undefined,
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ifYesOutcome: string|undefined,
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ifYesOutcome: string | undefined,
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strokeBloodclotting: string|undefined,
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strokeBloodclotting: string | undefined,
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ifYesstrokeBloodclotting: string|undefined,
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ifYesstrokeBloodclotting: string | undefined,
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dizzinessFetigue: string|undefined,
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dizzinessFetigue: string | undefined,
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ifyesdizzinessFetigue: string|undefined,
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ifyesdizzinessFetigue: string | undefined,
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antiColligent: string|undefined,
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antiColligent: string | undefined,
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injuriesHospitalization: string|undefined,
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injuriesHospitalization: string | undefined,
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supplementsOrDrugs: string|undefined,
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supplementsOrDrugs: string | undefined
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)=> void
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) => void;
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patientDataDiplay:any;
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patientDataDiplay: any;
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type:string;
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type: string;
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};
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}
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function DataTable({handleFormSection5Data,patientDataDiplay,type}:Props) {
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function DataTable({ handleFormSection5Data, patientDataDiplay, type }: Props) {
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const [illnessFromData, setIllnessFromData] = React.useState<any>({
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const [illnessFromData, setIllnessFromData] = React.useState<any>({
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id:0,date:'',illness:'',treatment:'',results:''
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id: 0,
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})
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date: '',
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illness: '',
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treatment: '',
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results: '',
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});
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const [illnessData, setIllnessData] = React.useState<any[]>([
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const [illnessData, setIllnessData] = React.useState<any[]>([
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{id:0,date:'ex-12-01-2020',illness:'knee pain',treatment:'surgery',results:'cured'}
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{
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id: 0,
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date: 'ex-12-01-2020',
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illness: 'knee pain',
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treatment: 'surgery',
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results: 'cured',
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},
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]);
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]);
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const deleteIllnessData = (idToDelete:number) => {
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const deleteIllnessData = (idToDelete: number) => {
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const updatedIllnessData = illnessData.filter(item => item.id !== idToDelete);
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const updatedIllnessData = illnessData.filter(
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(item) => item.id !== idToDelete
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);
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setIllnessData(updatedIllnessData);
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setIllnessData(updatedIllnessData);
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};
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};
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const handleAddRow = () => {
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const handleAddRow = () => {
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if(illnessFromData.date!='' && illnessFromData.illness!='' && illnessFromData.treatment!='' && illnessFromData.results!=''){
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if (
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illnessFromData.date != '' &&
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const newId = Math.max(...illnessData.map(item => item.id)) + 1;
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illnessFromData.illness != '' &&
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illnessFromData.treatment != '' &&
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illnessFromData.results != ''
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) {
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const newId = Math.max(...illnessData.map((item) => item.id)) + 1;
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const newIllnessData = [
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const newIllnessData = [
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...illnessData,
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...illnessData,
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{
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{
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...illnessFromData,
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...illnessFromData,
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id: newId
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id: newId,
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}
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},
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];
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];
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setIllnessData(newIllnessData);
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setIllnessData(newIllnessData);
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setIllnessFromData({
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setIllnessFromData({
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@ -65,88 +91,136 @@ function DataTable({handleFormSection5Data,patientDataDiplay,type}:Props) {
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date: '',
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date: '',
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illness: '',
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illness: '',
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treatment: '',
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treatment: '',
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results: ''
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results: '',
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});
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});
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}
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}
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};
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};
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return (
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return (
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<>
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<>
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<FormLabel>If yes, Please enter the details below:</FormLabel><br></br>
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<FormLabel>If yes, Please enter the details below:</FormLabel>
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{type!=="display"?
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<br></br>
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<FormControl>
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{type !== 'display' ? (
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<Grid container spacing={1.5} sx={{width:750, marginTop:1}}>
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<FormControl>
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<Grid item xs={2} className='addNew-form-table-style'>
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<Grid container spacing={1.5}>
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<TextField
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<Grid
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required
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item
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variant="outlined"
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xs={12}
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label="Date"
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xl={3}
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lg={3}
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md={6}
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sm={12}
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className='addNew-form-table-style'
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>
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<TextField
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required
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variant='outlined'
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label='Date'
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value={illnessFromData.date}
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value={illnessFromData.date}
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onChange={(event) => {
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onChange={(event) => {
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setIllnessFromData((prevValues:any) => ({
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setIllnessFromData((prevValues: any) => ({
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...prevValues,
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...prevValues,
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date: event.target.value,
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date: event.target.value,
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}));
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}));
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}}
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}}
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/>
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/>
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</Grid>
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</Grid>
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<Grid item xs={3.7} className='addNew-form-table-style'>
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<Grid
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<TextField
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item
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required
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xs={12}
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variant="outlined"
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xl={3}
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label="Injury/Illness/Surgeries"
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lg={3}
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md={6}
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sm={12}
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className='addNew-form-table-style'
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>
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<TextField
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required
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variant='outlined'
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label='Injury/Illness/Surgeries'
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value={illnessFromData.illness}
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value={illnessFromData.illness}
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onChange={(event) => {
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onChange={(event) => {
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setIllnessFromData((prevValues:any) => ({
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setIllnessFromData((prevValues: any) => ({
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...prevValues,
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...prevValues,
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illness: event.target.value,
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illness: event.target.value,
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}));
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}));
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}}
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}}
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/>
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/>
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</Grid>
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</Grid>
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<Grid item xs={3.5} className='addNew-form-table-style'>
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<Grid
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<TextField
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item
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required
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xs={12}
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variant="outlined"
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xl={3}
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label="Treatment"
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lg={3}
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md={6}
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sm={12}
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className='addNew-form-table-style'
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>
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<TextField
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required
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variant='outlined'
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label='Treatment'
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value={illnessFromData.treatment}
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value={illnessFromData.treatment}
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onChange={(event) => {
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onChange={(event) => {
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setIllnessFromData((prevValues:any) => ({
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setIllnessFromData((prevValues: any) => ({
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...prevValues,
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...prevValues,
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treatment: event.target.value,
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treatment: event.target.value,
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}));
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}));
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}}
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}}
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/>
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/>
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</Grid>
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</Grid>
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<Grid item xs={2} className='addNew-form-table-style'>
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<Grid
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<TextField
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item
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xs={12}
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xl={3}
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lg={3}
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md={6}
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sm={12}
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className='addNew-form-table-style'
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>
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<TextField
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required
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required
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variant="outlined"
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variant='outlined'
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label="Results"
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label='Results'
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value={illnessFromData.results}
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value={illnessFromData.results}
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onChange={(event) => {
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onChange={(event) => {
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setIllnessFromData((prevValues:any) => ({
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setIllnessFromData((prevValues: any) => ({
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...prevValues,
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...prevValues,
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results: event.target.value,
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results: event.target.value,
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}));
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}));
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}}
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}}
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/>
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/>
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</Grid>
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</Grid>
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<Grid item xs={0.8} className='addNew-form-table-style'>
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<Grid
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<Button sx={{height:'40px', bgcolor:'skyblue'}} onClick={handleAddRow}>Add</Button>
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item
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</Grid>
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xs={12}
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xl={3}
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</Grid>
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lg={3}
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</FormControl>
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md={6}
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:""}
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sm={12}
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className='addNew-form-table-style'
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>
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<TableContainer sx={{width:800}} className='illness-table-style'>
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<Button
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<Table aria-label="simple table">
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sx={{ height: '40px', bgcolor: 'skyblue' }}
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onClick={handleAddRow}
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>
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Add
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</Button>
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</Grid>
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</Grid>
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</FormControl>
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) : (
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''
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)}
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<TableContainer className='illness-table-style'>
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<Table aria-label='simple table'>
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<TableHead>
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<TableHead>
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<TableRow>
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<TableRow>
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<TableCell align='left'>Date</TableCell>
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<TableCell align='left'>Date</TableCell>
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<TableCell align='center'>Injury/Fracture/Illness/Surgeries</TableCell>
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<TableCell align='center'>
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Injury/Fracture/Illness/Surgeries
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</TableCell>
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<TableCell align='left'>Treatment</TableCell>
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<TableCell align='left'>Treatment</TableCell>
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<TableCell align='left'>Results</TableCell>
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<TableCell align='left'>Results</TableCell>
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<TableCell align='left'></TableCell>
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<TableCell align='left'></TableCell>
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@ -155,25 +229,23 @@ function DataTable({handleFormSection5Data,patientDataDiplay,type}:Props) {
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<TableBody>
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<TableBody>
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{illnessData.map((row, index) => (
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{illnessData.map((row, index) => (
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<TableRow key={index}>
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<TableRow key={index}>
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<TableCell align='left'>{row.date}</TableCell>
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<TableCell align='center'>{row.illness}</TableCell>
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<TableCell align='left'>{row.treatment}</TableCell>
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<TableCell align='left'>{row.results}</TableCell>
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<TableCell align='left'>
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<TableCell align='left'>
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{row.date}
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{type !== 'display' ? (
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</TableCell>
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<Button
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<TableCell align='center'>
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sx={{ height: '30x', width: 20, bgcolor: 'skyblue' }}
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{row.illness}
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onClick={(e) => {
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</TableCell>
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deleteIllnessData(row.id);
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<TableCell align='left'>
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}}
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{row.treatment}
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>
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</TableCell>
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Delete
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<TableCell align='left'>
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</Button>
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{row.results}
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) : (
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</TableCell>
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''
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<TableCell align='left'>
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)}
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{type!=="display"?
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<Button sx={{height:'30x',width:20, bgcolor:'skyblue'}}
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onClick={(e)=>{deleteIllnessData(row.id)}}>
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Delete
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</Button>
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:""}
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</TableCell>
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</TableCell>
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</TableRow>
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</TableRow>
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))}
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))}
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@ -182,6 +254,6 @@ function DataTable({handleFormSection5Data,patientDataDiplay,type}:Props) {
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</TableContainer>
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</TableContainer>
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</>
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</>
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);
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);
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};
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}
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export default DataTable;
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export default DataTable;
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@ -69,6 +69,10 @@
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gap: 0;
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gap: 0;
|
||||||
margin-bottom: 2%;
|
margin-bottom: 2%;
|
||||||
}
|
}
|
||||||
|
.image-marker-div .marker-div {
|
||||||
|
/* margin-right: 5%; */
|
||||||
|
margin-top: 3%;
|
||||||
|
}
|
||||||
}
|
}
|
||||||
|
|
||||||
@media only screen and (min-width: 1400px) {
|
@media only screen and (min-width: 1400px) {
|
||||||
|
|||||||
@ -1,10 +1,38 @@
|
|||||||
import { Button, Checkbox, FormControl, FormControlLabel, FormGroup, FormLabel, Grid, Paper, Radio, RadioGroup, TextField } from '@mui/material';
|
import {
|
||||||
import { useFormik } from "formik";
|
Button,
|
||||||
import * as yup from "yup";
|
Checkbox,
|
||||||
|
FormControl,
|
||||||
|
FormControlLabel,
|
||||||
|
FormGroup,
|
||||||
|
FormLabel,
|
||||||
|
Grid,
|
||||||
|
Paper,
|
||||||
|
Radio,
|
||||||
|
RadioGroup,
|
||||||
|
TextField,
|
||||||
|
} from '@mui/material';
|
||||||
|
import { useFormik } from 'formik';
|
||||||
|
import * as yup from 'yup';
|
||||||
import { LocalizationProvider, DatePicker } from '@mui/x-date-pickers';
|
import { LocalizationProvider, DatePicker } from '@mui/x-date-pickers';
|
||||||
import React, { useEffect } from 'react';
|
import React, { useEffect } from 'react';
|
||||||
|
|
||||||
interface Patient {
|
interface Patient {
|
||||||
|
maritalStatus: string | undefined;
|
||||||
|
numberOfChildren: string | undefined;
|
||||||
|
occupation: string | undefined;
|
||||||
|
hoursPerWeek: number | string | undefined;
|
||||||
|
employer: string | undefined;
|
||||||
|
businessPhone: string | undefined;
|
||||||
|
spouseName: string | undefined;
|
||||||
|
spouseEmployer: string | undefined;
|
||||||
|
spouseBusinessPhone: string | undefined;
|
||||||
|
emergencyContact: string | undefined;
|
||||||
|
relationship: string | undefined;
|
||||||
|
spousePhone: string | undefined;
|
||||||
|
}
|
||||||
|
|
||||||
|
type Props = {
|
||||||
|
handleFormSection2Data: (
|
||||||
maritalStatus: string | undefined,
|
maritalStatus: string | undefined,
|
||||||
numberOfChildren: string | undefined,
|
numberOfChildren: string | undefined,
|
||||||
occupation: string | undefined,
|
occupation: string | undefined,
|
||||||
@ -16,360 +44,438 @@ interface Patient {
|
|||||||
spouseBusinessPhone: string | undefined,
|
spouseBusinessPhone: string | undefined,
|
||||||
emergencyContact: string | undefined,
|
emergencyContact: string | undefined,
|
||||||
relationship: string | undefined,
|
relationship: string | undefined,
|
||||||
spousePhone: string | undefined,
|
spousePhone: string | undefined
|
||||||
}
|
) => void;
|
||||||
|
patientDataDiplay: any;
|
||||||
type Props = {
|
type: string;
|
||||||
handleFormSection2Data:(
|
|
||||||
maritalStatus: string | undefined,
|
|
||||||
numberOfChildren: string | undefined,
|
|
||||||
occupation: string | undefined,
|
|
||||||
hoursPerWeek: number | string | undefined,
|
|
||||||
employer: string | undefined,
|
|
||||||
businessPhone: string | undefined,
|
|
||||||
spouseName: string | undefined,
|
|
||||||
spouseEmployer: string | undefined,
|
|
||||||
spouseBusinessPhone: string | undefined,
|
|
||||||
emergencyContact: string | undefined,
|
|
||||||
relationship: string | undefined,
|
|
||||||
spousePhone: string | undefined,
|
|
||||||
)=> void
|
|
||||||
patientDataDiplay:any;
|
|
||||||
type:string;
|
|
||||||
}
|
|
||||||
|
|
||||||
|
|
||||||
export default function FamilyFormSection({handleFormSection2Data,patientDataDiplay,type}:Props){
|
|
||||||
const [patient, setPatient] = React.useState<Patient>({
|
|
||||||
maritalStatus:'',
|
|
||||||
numberOfChildren:'',
|
|
||||||
occupation:'',
|
|
||||||
hoursPerWeek:'',
|
|
||||||
employer:'',
|
|
||||||
businessPhone:'',
|
|
||||||
spouseName:'',
|
|
||||||
spouseEmployer:'',
|
|
||||||
spouseBusinessPhone:'',
|
|
||||||
emergencyContact:'',
|
|
||||||
relationship:'',
|
|
||||||
spousePhone:''
|
|
||||||
});
|
|
||||||
|
|
||||||
useEffect(()=>{
|
|
||||||
handleFormSection2Data(
|
|
||||||
patient.maritalStatus,
|
|
||||||
patient.numberOfChildren,
|
|
||||||
patient.occupation,
|
|
||||||
patient.hoursPerWeek,
|
|
||||||
patient.employer,
|
|
||||||
patient.businessPhone,
|
|
||||||
patient.spouseName,
|
|
||||||
patient.spouseEmployer,
|
|
||||||
patient.spouseBusinessPhone,
|
|
||||||
patient.emergencyContact,
|
|
||||||
patient.relationship,
|
|
||||||
patient.spousePhone,
|
|
||||||
)
|
|
||||||
},[patient])
|
|
||||||
|
|
||||||
return(
|
|
||||||
<>
|
|
||||||
<Grid container direction="row">
|
|
||||||
<Grid item xs={8} className='collapsable-form-style-radioButtons'>
|
|
||||||
<FormControl>
|
|
||||||
<FormLabel>Marital Status</FormLabel>
|
|
||||||
<RadioGroup
|
|
||||||
aria-labelledby="demo-radio-buttons-group-label"
|
|
||||||
name="maritalStatus"
|
|
||||||
defaultValue={type=='display'?patientDataDiplay.maritalStatus:patient.maritalStatus}
|
|
||||||
sx={{display:'flex', flexDirection:'row'}}
|
|
||||||
onChange={(e)=>{
|
|
||||||
setPatient((prevValues:any) => ({
|
|
||||||
...prevValues,
|
|
||||||
maritalStatus: e.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
>
|
|
||||||
<FormControlLabel value="married" control={<Radio />} label="Married" disabled={type=='display'}/>
|
|
||||||
<FormControlLabel value="single" control={<Radio />} label="Single" disabled={type=='display'}/>
|
|
||||||
<FormControlLabel value="widowed" control={<Radio />} label="Widowed" disabled={type=='display'}/>
|
|
||||||
<FormControlLabel value="seperated" control={<Radio />} label="Seperated" disabled={type=='display'}/>
|
|
||||||
<FormControlLabel value="divorced" control={<Radio />} label="Divorced" disabled={type=='display'}/>
|
|
||||||
</RadioGroup>
|
|
||||||
|
|
||||||
</FormControl>
|
|
||||||
</Grid>
|
|
||||||
|
|
||||||
<Grid item xs={4} className='collapsable-form-style '></Grid>
|
|
||||||
<Grid item
|
|
||||||
xs={12}
|
|
||||||
xl={3}
|
|
||||||
lg={4}
|
|
||||||
md={6}
|
|
||||||
sm={12}
|
|
||||||
className='collapsable-form-style '>
|
|
||||||
<TextField
|
|
||||||
|
|
||||||
variant="outlined"
|
|
||||||
type="number"
|
|
||||||
label="Number of Children/Ages"
|
|
||||||
className='collapsable-form-style'
|
|
||||||
name='numberOfChildren'
|
|
||||||
onChange={(e)=>{
|
|
||||||
setPatient((prevValues:any) => ({
|
|
||||||
...prevValues,
|
|
||||||
numberOfChildren: e.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
value={type=='display'?patientDataDiplay.numberOfChildren:patient.numberOfChildren}
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
</Grid>
|
|
||||||
<Grid item
|
|
||||||
xs={12}
|
|
||||||
xl={3}
|
|
||||||
lg={4}
|
|
||||||
md={6}
|
|
||||||
sm={12}
|
|
||||||
className='collapsable-form-style '>
|
|
||||||
<TextField
|
|
||||||
// required
|
|
||||||
variant="outlined"
|
|
||||||
label="Occupation"
|
|
||||||
className='collapsable-form-style'
|
|
||||||
name='occupation'
|
|
||||||
onChange={(e)=>{
|
|
||||||
setPatient((prevValues:any) => ({
|
|
||||||
...prevValues,
|
|
||||||
occupation: e.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
value={type=='display'?patientDataDiplay.occupation:patient.occupation}
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
|
|
||||||
</Grid>
|
|
||||||
<Grid item
|
|
||||||
xs={12}
|
|
||||||
xl={3}
|
|
||||||
lg={4}
|
|
||||||
md={6}
|
|
||||||
sm={12}
|
|
||||||
className='collapsable-form-style '>
|
|
||||||
<TextField
|
|
||||||
variant="outlined"
|
|
||||||
label="Hours/Week"
|
|
||||||
type="number"
|
|
||||||
className='collapsable-form-style'
|
|
||||||
name='hoursPerWeek'
|
|
||||||
onChange={(e)=>{
|
|
||||||
setPatient((prevValues:any) => ({
|
|
||||||
...prevValues,
|
|
||||||
hoursPerWeek: e.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
value={type=='display'?patientDataDiplay.hoursPerWeek:patient.hoursPerWeek}
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
|
|
||||||
</Grid>
|
|
||||||
<Grid
|
|
||||||
xs={12}
|
|
||||||
xl={3}
|
|
||||||
lg={4}
|
|
||||||
md={6}
|
|
||||||
sm={12}
|
|
||||||
className='collapsable-form-style '>
|
|
||||||
<TextField
|
|
||||||
variant="outlined"
|
|
||||||
label="Employer"
|
|
||||||
className='collapsable-form-style'
|
|
||||||
name='employer'
|
|
||||||
onChange={(e)=>{
|
|
||||||
setPatient((prevValues:any) => ({
|
|
||||||
...prevValues,
|
|
||||||
employer: e.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
value={type=='display'?patientDataDiplay.employer:patient.employer}
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
</Grid>
|
|
||||||
<Grid item
|
|
||||||
xs={12}
|
|
||||||
xl={3}
|
|
||||||
lg={4}
|
|
||||||
md={6}
|
|
||||||
sm={12}
|
|
||||||
className='collapsable-form-style '>
|
|
||||||
<TextField
|
|
||||||
variant="outlined"
|
|
||||||
label="Business Phone"
|
|
||||||
type="number"
|
|
||||||
className='collapsable-form-style'
|
|
||||||
name='businessPhone'
|
|
||||||
onChange={(e)=>{
|
|
||||||
setPatient((prevValues:any) => ({
|
|
||||||
...prevValues,
|
|
||||||
businessPhone: e.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
value={type=='display'?patientDataDiplay.businessPhone:patient.businessPhone}
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
</Grid>
|
|
||||||
|
|
||||||
<Grid item
|
|
||||||
xs={12}
|
|
||||||
xl={3}
|
|
||||||
lg={4}
|
|
||||||
md={6}
|
|
||||||
sm={12}
|
|
||||||
className='collapsable-form-style '></Grid>
|
|
||||||
|
|
||||||
<Grid item xs={12} className='collapsable-form-style '>
|
|
||||||
<FormLabel sx={{fontWeight:600}}>Spouse's Information:</FormLabel>
|
|
||||||
</Grid>
|
|
||||||
|
|
||||||
<Grid item
|
|
||||||
xs={12}
|
|
||||||
xl={3}
|
|
||||||
lg={4}
|
|
||||||
md={6}
|
|
||||||
sm={12} className='collapsable-form-style '>
|
|
||||||
<TextField
|
|
||||||
variant="outlined"
|
|
||||||
label="Spouse's Name"
|
|
||||||
className='collapsable-form-style'
|
|
||||||
name='spouseName'
|
|
||||||
onChange={(e)=>{
|
|
||||||
setPatient((prevValues:any) => ({
|
|
||||||
...prevValues,
|
|
||||||
spouseName: e.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
value={type=='display'?patientDataDiplay.spouseName:patient.spouseName}
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
</Grid>
|
|
||||||
<Grid item
|
|
||||||
xs={12}
|
|
||||||
xl={3}
|
|
||||||
lg={4}
|
|
||||||
md={6}
|
|
||||||
sm={12}
|
|
||||||
className='collapsable-form-style '>
|
|
||||||
<TextField
|
|
||||||
variant="outlined"
|
|
||||||
label="Spouse's Employer"
|
|
||||||
className='collapsable-form-style'
|
|
||||||
name='spouseEmployer'
|
|
||||||
onChange={(e)=>{
|
|
||||||
setPatient((prevValues:any) => ({
|
|
||||||
...prevValues,
|
|
||||||
spouseEmployer: e.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
value={type=='display'?patientDataDiplay.spouseEmployer:patient.spouseEmployer}
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
</Grid>
|
|
||||||
<Grid item
|
|
||||||
xs={12}
|
|
||||||
xl={3}
|
|
||||||
lg={4}
|
|
||||||
md={6}
|
|
||||||
sm={12}
|
|
||||||
className='collapsable-form-style '>
|
|
||||||
<TextField
|
|
||||||
variant="outlined"
|
|
||||||
label="Business Phone"
|
|
||||||
type="number"
|
|
||||||
className='collapsable-form-style'
|
|
||||||
name='spouseBusinessPhone'
|
|
||||||
onChange={(e)=>{
|
|
||||||
setPatient((prevValues:any) => ({
|
|
||||||
...prevValues,
|
|
||||||
spouseBusinessPhone: e.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
value={type=='display'?patientDataDiplay.spouseBusinessPhone:patient.spouseBusinessPhone}
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
</Grid>
|
|
||||||
|
|
||||||
<Grid item xs={12} className='collapsable-form-style '>
|
|
||||||
<FormLabel sx={{fontWeight:600}}>Emergency:</FormLabel>
|
|
||||||
</Grid>
|
|
||||||
|
|
||||||
|
|
||||||
<Grid item
|
|
||||||
xs={12}
|
|
||||||
xl={3}
|
|
||||||
lg={4}
|
|
||||||
md={6}
|
|
||||||
sm={12}
|
|
||||||
className='collapsable-form-style '>
|
|
||||||
<TextField
|
|
||||||
variant="outlined"
|
|
||||||
label="Emergency Contact"
|
|
||||||
className='collapsable-form-style'
|
|
||||||
name='emergencyContact'
|
|
||||||
onChange={(e)=>{
|
|
||||||
setPatient((prevValues:any) => ({
|
|
||||||
...prevValues,
|
|
||||||
emergencyContact: e.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
value={type=='display'?patientDataDiplay.emergencyContact:patient.emergencyContact}
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
</Grid>
|
|
||||||
<Grid item
|
|
||||||
xs={12}
|
|
||||||
xl={3}
|
|
||||||
lg={4}
|
|
||||||
md={6}
|
|
||||||
sm={12}
|
|
||||||
className='collapsable-form-style '>
|
|
||||||
<TextField
|
|
||||||
variant="outlined"
|
|
||||||
label="Relationship"
|
|
||||||
className='collapsable-form-style'
|
|
||||||
name='relationship'
|
|
||||||
onChange={(e)=>{
|
|
||||||
setPatient((prevValues:any) => ({
|
|
||||||
...prevValues,
|
|
||||||
relationship: e.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
value={type=='display'?patientDataDiplay.relationship:patient.relationship}
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
</Grid>
|
|
||||||
<Grid item
|
|
||||||
xs={12}
|
|
||||||
xl={3}
|
|
||||||
lg={4}
|
|
||||||
md={6}
|
|
||||||
sm={12} className='collapsable-form-style '>
|
|
||||||
<TextField
|
|
||||||
variant="outlined"
|
|
||||||
type="number"
|
|
||||||
label="Phone"
|
|
||||||
className='collapsable-form-style'
|
|
||||||
name='spousePhone'
|
|
||||||
onChange={(e)=>{
|
|
||||||
setPatient((prevValues:any) => ({
|
|
||||||
...prevValues,
|
|
||||||
spousePhone: e.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
value={type=='display'?patientDataDiplay.spousePhone:patient.spousePhone}
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
</Grid>
|
|
||||||
</Grid>
|
|
||||||
</>
|
|
||||||
)
|
|
||||||
};
|
};
|
||||||
|
|
||||||
|
export default function FamilyFormSection({
|
||||||
|
handleFormSection2Data,
|
||||||
|
patientDataDiplay,
|
||||||
|
type,
|
||||||
|
}: Props) {
|
||||||
|
const [patient, setPatient] = React.useState<Patient>({
|
||||||
|
maritalStatus: '',
|
||||||
|
numberOfChildren: '',
|
||||||
|
occupation: '',
|
||||||
|
hoursPerWeek: '',
|
||||||
|
employer: '',
|
||||||
|
businessPhone: '',
|
||||||
|
spouseName: '',
|
||||||
|
spouseEmployer: '',
|
||||||
|
spouseBusinessPhone: '',
|
||||||
|
emergencyContact: '',
|
||||||
|
relationship: '',
|
||||||
|
spousePhone: '',
|
||||||
|
});
|
||||||
|
|
||||||
|
useEffect(() => {
|
||||||
|
handleFormSection2Data(
|
||||||
|
patient.maritalStatus,
|
||||||
|
patient.numberOfChildren,
|
||||||
|
patient.occupation,
|
||||||
|
patient.hoursPerWeek,
|
||||||
|
patient.employer,
|
||||||
|
patient.businessPhone,
|
||||||
|
patient.spouseName,
|
||||||
|
patient.spouseEmployer,
|
||||||
|
patient.spouseBusinessPhone,
|
||||||
|
patient.emergencyContact,
|
||||||
|
patient.relationship,
|
||||||
|
patient.spousePhone
|
||||||
|
);
|
||||||
|
}, [patient]);
|
||||||
|
|
||||||
|
return (
|
||||||
|
<>
|
||||||
|
<Grid container direction='row'>
|
||||||
|
<Grid item xs={8} className='collapsable-form-style-radioButtons'>
|
||||||
|
<FormControl>
|
||||||
|
<FormLabel>Marital Status</FormLabel>
|
||||||
|
<RadioGroup
|
||||||
|
aria-labelledby='demo-radio-buttons-group-label'
|
||||||
|
name='maritalStatus'
|
||||||
|
defaultValue={
|
||||||
|
type == 'display'
|
||||||
|
? patientDataDiplay.maritalStatus
|
||||||
|
: patient.maritalStatus
|
||||||
|
}
|
||||||
|
sx={{ display: 'flex', flexDirection: 'row' }}
|
||||||
|
onChange={(e) => {
|
||||||
|
setPatient((prevValues: any) => ({
|
||||||
|
...prevValues,
|
||||||
|
maritalStatus: e.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
>
|
||||||
|
<FormControlLabel
|
||||||
|
value='married'
|
||||||
|
control={<Radio />}
|
||||||
|
label='Married'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
value='single'
|
||||||
|
control={<Radio />}
|
||||||
|
label='Single'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
value='widowed'
|
||||||
|
control={<Radio />}
|
||||||
|
label='Widowed'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
value='seperated'
|
||||||
|
control={<Radio />}
|
||||||
|
label='Seperated'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
value='divorced'
|
||||||
|
control={<Radio />}
|
||||||
|
label='Divorced'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
</RadioGroup>
|
||||||
|
</FormControl>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
|
<Grid item xs={4} className='collapsable-form-style '></Grid>
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12}
|
||||||
|
className='collapsable-form-style '
|
||||||
|
>
|
||||||
|
<TextField
|
||||||
|
variant='outlined'
|
||||||
|
type='number'
|
||||||
|
label='Number of Children/Ages'
|
||||||
|
className='collapsable-form-style'
|
||||||
|
name='numberOfChildren'
|
||||||
|
onChange={(e) => {
|
||||||
|
setPatient((prevValues: any) => ({
|
||||||
|
...prevValues,
|
||||||
|
numberOfChildren: e.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
value={
|
||||||
|
type == 'display'
|
||||||
|
? patientDataDiplay.numberOfChildren
|
||||||
|
: patient.numberOfChildren
|
||||||
|
}
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
</Grid>
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12}
|
||||||
|
className='collapsable-form-style '
|
||||||
|
>
|
||||||
|
<TextField
|
||||||
|
// required
|
||||||
|
variant='outlined'
|
||||||
|
label='Occupation'
|
||||||
|
className='collapsable-form-style'
|
||||||
|
name='occupation'
|
||||||
|
onChange={(e) => {
|
||||||
|
setPatient((prevValues: any) => ({
|
||||||
|
...prevValues,
|
||||||
|
occupation: e.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
value={
|
||||||
|
type == 'display'
|
||||||
|
? patientDataDiplay.occupation
|
||||||
|
: patient.occupation
|
||||||
|
}
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
</Grid>
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12}
|
||||||
|
className='collapsable-form-style '
|
||||||
|
>
|
||||||
|
<TextField
|
||||||
|
variant='outlined'
|
||||||
|
label='Hours/Week'
|
||||||
|
type='number'
|
||||||
|
className='collapsable-form-style'
|
||||||
|
name='hoursPerWeek'
|
||||||
|
onChange={(e) => {
|
||||||
|
setPatient((prevValues: any) => ({
|
||||||
|
...prevValues,
|
||||||
|
hoursPerWeek: e.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
value={
|
||||||
|
type == 'display'
|
||||||
|
? patientDataDiplay.hoursPerWeek
|
||||||
|
: patient.hoursPerWeek
|
||||||
|
}
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
</Grid>
|
||||||
|
<Grid
|
||||||
|
xs={12}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12}
|
||||||
|
className='collapsable-form-style '
|
||||||
|
>
|
||||||
|
<TextField
|
||||||
|
variant='outlined'
|
||||||
|
label='Employer'
|
||||||
|
className='collapsable-form-style'
|
||||||
|
name='employer'
|
||||||
|
onChange={(e) => {
|
||||||
|
setPatient((prevValues: any) => ({
|
||||||
|
...prevValues,
|
||||||
|
employer: e.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
value={
|
||||||
|
type == 'display' ? patientDataDiplay.employer : patient.employer
|
||||||
|
}
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
</Grid>
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12}
|
||||||
|
className='collapsable-form-style '
|
||||||
|
>
|
||||||
|
<TextField
|
||||||
|
variant='outlined'
|
||||||
|
label='Business Phone'
|
||||||
|
type='number'
|
||||||
|
className='collapsable-form-style'
|
||||||
|
name='businessPhone'
|
||||||
|
onChange={(e) => {
|
||||||
|
setPatient((prevValues: any) => ({
|
||||||
|
...prevValues,
|
||||||
|
businessPhone: e.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
value={
|
||||||
|
type == 'display'
|
||||||
|
? patientDataDiplay.businessPhone
|
||||||
|
: patient.businessPhone
|
||||||
|
}
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12}
|
||||||
|
className='collapsable-form-style '
|
||||||
|
></Grid>
|
||||||
|
|
||||||
|
<Grid item xs={12} className='collapsable-form-style '>
|
||||||
|
<FormLabel sx={{ fontWeight: 600 }}>Spouse's Information:</FormLabel>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12}
|
||||||
|
className='collapsable-form-style '
|
||||||
|
>
|
||||||
|
<TextField
|
||||||
|
variant='outlined'
|
||||||
|
label="Spouse's Name"
|
||||||
|
className='collapsable-form-style'
|
||||||
|
name='spouseName'
|
||||||
|
onChange={(e) => {
|
||||||
|
setPatient((prevValues: any) => ({
|
||||||
|
...prevValues,
|
||||||
|
spouseName: e.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
value={
|
||||||
|
type == 'display'
|
||||||
|
? patientDataDiplay.spouseName
|
||||||
|
: patient.spouseName
|
||||||
|
}
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
</Grid>
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12}
|
||||||
|
className='collapsable-form-style '
|
||||||
|
>
|
||||||
|
<TextField
|
||||||
|
variant='outlined'
|
||||||
|
label="Spouse's Employer"
|
||||||
|
className='collapsable-form-style'
|
||||||
|
name='spouseEmployer'
|
||||||
|
onChange={(e) => {
|
||||||
|
setPatient((prevValues: any) => ({
|
||||||
|
...prevValues,
|
||||||
|
spouseEmployer: e.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
value={
|
||||||
|
type == 'display'
|
||||||
|
? patientDataDiplay.spouseEmployer
|
||||||
|
: patient.spouseEmployer
|
||||||
|
}
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
</Grid>
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12}
|
||||||
|
className='collapsable-form-style '
|
||||||
|
>
|
||||||
|
<TextField
|
||||||
|
variant='outlined'
|
||||||
|
label='Business Phone'
|
||||||
|
type='number'
|
||||||
|
className='collapsable-form-style'
|
||||||
|
name='spouseBusinessPhone'
|
||||||
|
onChange={(e) => {
|
||||||
|
setPatient((prevValues: any) => ({
|
||||||
|
...prevValues,
|
||||||
|
spouseBusinessPhone: e.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
value={
|
||||||
|
type == 'display'
|
||||||
|
? patientDataDiplay.spouseBusinessPhone
|
||||||
|
: patient.spouseBusinessPhone
|
||||||
|
}
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
|
<Grid item xs={12} className='collapsable-form-style '>
|
||||||
|
<FormLabel sx={{ fontWeight: 600 }}>Emergency:</FormLabel>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12}
|
||||||
|
className='collapsable-form-style '
|
||||||
|
>
|
||||||
|
<TextField
|
||||||
|
variant='outlined'
|
||||||
|
label='Emergency Contact'
|
||||||
|
className='collapsable-form-style'
|
||||||
|
name='emergencyContact'
|
||||||
|
onChange={(e) => {
|
||||||
|
setPatient((prevValues: any) => ({
|
||||||
|
...prevValues,
|
||||||
|
emergencyContact: e.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
value={
|
||||||
|
type == 'display'
|
||||||
|
? patientDataDiplay.emergencyContact
|
||||||
|
: patient.emergencyContact
|
||||||
|
}
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
</Grid>
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12}
|
||||||
|
className='collapsable-form-style '
|
||||||
|
>
|
||||||
|
<TextField
|
||||||
|
variant='outlined'
|
||||||
|
label='Relationship'
|
||||||
|
className='collapsable-form-style'
|
||||||
|
name='relationship'
|
||||||
|
onChange={(e) => {
|
||||||
|
setPatient((prevValues: any) => ({
|
||||||
|
...prevValues,
|
||||||
|
relationship: e.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
value={
|
||||||
|
type == 'display'
|
||||||
|
? patientDataDiplay.relationship
|
||||||
|
: patient.relationship
|
||||||
|
}
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
</Grid>
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12}
|
||||||
|
className='collapsable-form-style '
|
||||||
|
>
|
||||||
|
<TextField
|
||||||
|
variant='outlined'
|
||||||
|
type='number'
|
||||||
|
label='Phone'
|
||||||
|
className='collapsable-form-style'
|
||||||
|
name='spousePhone'
|
||||||
|
onChange={(e) => {
|
||||||
|
setPatient((prevValues: any) => ({
|
||||||
|
...prevValues,
|
||||||
|
spousePhone: e.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
value={
|
||||||
|
type == 'display'
|
||||||
|
? patientDataDiplay.spousePhone
|
||||||
|
: patient.spousePhone
|
||||||
|
}
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
</Grid>
|
||||||
|
</Grid>
|
||||||
|
</>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|||||||
@ -1,212 +1,318 @@
|
|||||||
import { Grid, FormLabel, TextField, FormControl, RadioGroup, FormControlLabel, Radio } from "@mui/material";
|
import {
|
||||||
import { AdapterDayjs } from "@mui/x-date-pickers/AdapterDayjs";
|
Grid,
|
||||||
import React, { useEffect } from "react";
|
FormLabel,
|
||||||
|
TextField,
|
||||||
|
FormControl,
|
||||||
|
RadioGroup,
|
||||||
|
FormControlLabel,
|
||||||
|
Radio,
|
||||||
|
} from '@mui/material';
|
||||||
|
import { AdapterDayjs } from '@mui/x-date-pickers/AdapterDayjs';
|
||||||
|
import React, { useEffect } from 'react';
|
||||||
import { LocalizationProvider, DatePicker } from '@mui/x-date-pickers';
|
import { LocalizationProvider, DatePicker } from '@mui/x-date-pickers';
|
||||||
import dayjs from "dayjs";
|
import dayjs from 'dayjs';
|
||||||
|
|
||||||
interface Patient {
|
interface Patient {
|
||||||
familyHistory: string;
|
familyHistory: string;
|
||||||
sleep: string;
|
sleep: string;
|
||||||
pillow:string;
|
pillow: string;
|
||||||
orthotics:string;
|
orthotics: string;
|
||||||
brestExam: any;
|
brestExam: any;
|
||||||
pregnancy:string;
|
pregnancy: string;
|
||||||
menstralCycle: any;
|
menstralCycle: any;
|
||||||
}
|
}
|
||||||
|
|
||||||
type Props = {
|
type Props = {
|
||||||
handleFormSection8Data:(
|
handleFormSection8Data: (
|
||||||
familyHistory: string|undefined,
|
familyHistory: string | undefined,
|
||||||
sleep: string|undefined,
|
sleep: string | undefined,
|
||||||
pillow:string|undefined,
|
pillow: string | undefined,
|
||||||
orthotics:string|undefined,
|
orthotics: string | undefined,
|
||||||
brestExam: any,
|
brestExam: any,
|
||||||
pregnancy:string|undefined,
|
pregnancy: string | undefined,
|
||||||
menstralCycle: any,
|
menstralCycle: any
|
||||||
)=> void
|
) => void;
|
||||||
patientDataDiplay:any;
|
patientDataDiplay: any;
|
||||||
type:string;
|
type: string;
|
||||||
}
|
};
|
||||||
|
|
||||||
export default function OtherDetails8({handleFormSection8Data,patientDataDiplay,type}:Props){
|
export default function OtherDetails8({
|
||||||
|
handleFormSection8Data,
|
||||||
const [patient, setPatient] = React.useState<Patient>({
|
patientDataDiplay,
|
||||||
familyHistory: '',
|
type,
|
||||||
sleep: '',
|
}: Props) {
|
||||||
pillow:'',
|
const [patient, setPatient] = React.useState<Patient>({
|
||||||
orthotics:'',
|
familyHistory: '',
|
||||||
brestExam: dayjs('2022-04-17'),
|
sleep: '',
|
||||||
pregnancy:'',
|
pillow: '',
|
||||||
menstralCycle: dayjs('2022-04-17'),
|
orthotics: '',
|
||||||
});
|
brestExam: dayjs('2022-04-17'),
|
||||||
|
pregnancy: '',
|
||||||
|
menstralCycle: dayjs('2022-04-17'),
|
||||||
|
});
|
||||||
|
|
||||||
useEffect(()=>{
|
useEffect(() => {
|
||||||
handleFormSection8Data(
|
handleFormSection8Data(
|
||||||
patient.familyHistory,
|
patient.familyHistory,
|
||||||
patient.sleep,
|
patient.sleep,
|
||||||
patient.pillow,
|
patient.pillow,
|
||||||
patient.orthotics,
|
patient.orthotics,
|
||||||
patient.brestExam=dayjs(patient.brestExam),
|
(patient.brestExam = dayjs(patient.brestExam)),
|
||||||
patient.pregnancy,
|
patient.pregnancy,
|
||||||
patient.menstralCycle=dayjs(patient.menstralCycle)
|
(patient.menstralCycle = dayjs(patient.menstralCycle))
|
||||||
)
|
);
|
||||||
},[patient])
|
}, [patient]);
|
||||||
|
|
||||||
const formatDate = (inputDate:any) => {
|
const formatDate = (inputDate: any) => {
|
||||||
const date = new Date(inputDate);
|
const date = new Date(inputDate);
|
||||||
const year = date.getUTCFullYear();
|
const year = date.getUTCFullYear();
|
||||||
const month = String(date.getUTCMonth() + 1).padStart(2, '0');
|
const month = String(date.getUTCMonth() + 1).padStart(2, '0');
|
||||||
const day = String(date.getUTCDate()+1).padStart(2, '0');
|
const day = String(date.getUTCDate() + 1).padStart(2, '0');
|
||||||
|
|
||||||
return `${year}-${month}-${day}`;
|
|
||||||
};
|
|
||||||
|
|
||||||
|
return `${year}-${month}-${day}`;
|
||||||
|
};
|
||||||
|
|
||||||
|
return (
|
||||||
return(
|
<>
|
||||||
<>
|
<Grid container direction='row'>
|
||||||
<Grid container direction="row">
|
<Grid
|
||||||
<Grid item xs={12} className='collapsable-form-style-multiline'>
|
item
|
||||||
<FormLabel>Family history and health status:</FormLabel><br></br>
|
xs={12}
|
||||||
<TextField
|
xl={3}
|
||||||
multiline
|
lg={4}
|
||||||
variant="outlined"
|
md={6}
|
||||||
label=""
|
sm={12}
|
||||||
value={type=='display'?patientDataDiplay.familyHistory:patient.familyHistory}
|
className='collapsable-form-style-multiline'
|
||||||
disabled={type=='display'}
|
>
|
||||||
onChange={(event:any) => {
|
<FormLabel>Family history and health status:</FormLabel>
|
||||||
setPatient((prevValues) => ({
|
<br></br>
|
||||||
...prevValues,
|
<TextField
|
||||||
familyHistory: event.target.value,
|
multiline
|
||||||
}));
|
variant='outlined'
|
||||||
}}
|
label=''
|
||||||
/>
|
value={
|
||||||
</Grid>
|
type == 'display'
|
||||||
|
? patientDataDiplay.familyHistory
|
||||||
|
: patient.familyHistory
|
||||||
|
}
|
||||||
|
disabled={type == 'display'}
|
||||||
|
onChange={(event: any) => {
|
||||||
|
setPatient((prevValues) => ({
|
||||||
|
...prevValues,
|
||||||
|
familyHistory: event.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
/>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
<Grid item xs={12} className='collapsable-form-style-radioButtons'>
|
<Grid item xs={12} className='collapsable-form-style-radioButtons'>
|
||||||
<FormControl>
|
<FormControl>
|
||||||
<FormLabel>How do you sleep?</FormLabel>
|
<FormLabel>How do you sleep?</FormLabel>
|
||||||
<RadioGroup
|
<RadioGroup
|
||||||
sx={{display:'flex', flexDirection:'row'}}
|
sx={{ display: 'flex', flexDirection: 'row' }}
|
||||||
defaultValue={type=='display'?patientDataDiplay.sleep:patient.sleep}
|
defaultValue={
|
||||||
onChange={(event) => {
|
type == 'display' ? patientDataDiplay.sleep : patient.sleep
|
||||||
setPatient((prevValues) => ({
|
}
|
||||||
...prevValues,
|
onChange={(event) => {
|
||||||
sleep: event.target.value,
|
setPatient((prevValues) => ({
|
||||||
}));
|
...prevValues,
|
||||||
}}
|
sleep: event.target.value,
|
||||||
>
|
}));
|
||||||
<FormControlLabel disabled={type=='display'} value="Back" control={<Radio />} label="Back" />
|
}}
|
||||||
<FormControlLabel disabled={type=='display'} value="Side" control={<Radio />} label="Side" />
|
>
|
||||||
<FormControlLabel disabled={type=='display'} value="Stomach" control={<Radio />} label="Stomach" />
|
<FormControlLabel
|
||||||
</RadioGroup>
|
disabled={type == 'display'}
|
||||||
</FormControl>
|
value='Back'
|
||||||
</Grid>
|
control={<Radio />}
|
||||||
|
label='Back'
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
disabled={type == 'display'}
|
||||||
|
value='Side'
|
||||||
|
control={<Radio />}
|
||||||
|
label='Side'
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
disabled={type == 'display'}
|
||||||
|
value='Stomach'
|
||||||
|
control={<Radio />}
|
||||||
|
label='Stomach'
|
||||||
|
/>
|
||||||
|
</RadioGroup>
|
||||||
|
</FormControl>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
<Grid item xs={12} className='collapsable-form-style-radioButtons'>
|
<Grid item xs={12} className='collapsable-form-style-radioButtons'>
|
||||||
<FormControl>
|
<FormControl>
|
||||||
<FormLabel>Do you use a pillow?</FormLabel>
|
<FormLabel>Do you use a pillow?</FormLabel>
|
||||||
<RadioGroup
|
<RadioGroup
|
||||||
sx={{display:'flex', flexDirection:'row'}}
|
sx={{ display: 'flex', flexDirection: 'row' }}
|
||||||
defaultValue={type=='display'?patientDataDiplay.pillow:patient.pillow}
|
defaultValue={
|
||||||
onChange={(event) => {
|
type == 'display' ? patientDataDiplay.pillow : patient.pillow
|
||||||
setPatient((prevValues) => ({
|
}
|
||||||
...prevValues,
|
onChange={(event) => {
|
||||||
pillow: event.target.value,
|
setPatient((prevValues) => ({
|
||||||
}));
|
...prevValues,
|
||||||
}}
|
pillow: event.target.value,
|
||||||
>
|
}));
|
||||||
<FormControlLabel disabled={type=='display'} value="Yes" control={<Radio />} label="Yes" />
|
}}
|
||||||
<FormControlLabel disabled={type=='display'} value="No" control={<Radio />} label="No" />
|
>
|
||||||
</RadioGroup>
|
<FormControlLabel
|
||||||
</FormControl>
|
disabled={type == 'display'}
|
||||||
</Grid>
|
value='Yes'
|
||||||
|
control={<Radio />}
|
||||||
|
label='Yes'
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
disabled={type == 'display'}
|
||||||
|
value='No'
|
||||||
|
control={<Radio />}
|
||||||
|
label='No'
|
||||||
|
/>
|
||||||
|
</RadioGroup>
|
||||||
|
</FormControl>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
<Grid item xs={12} className='collapsable-form-style-radioButtons'>
|
<Grid item xs={12} className='collapsable-form-style-radioButtons'>
|
||||||
<FormControl>
|
<FormControl>
|
||||||
<FormLabel>Do you wear orthotics or arch support?</FormLabel>
|
<FormLabel>Do you wear orthotics or arch support?</FormLabel>
|
||||||
<RadioGroup
|
<RadioGroup
|
||||||
sx={{display:'flex', flexDirection:'row'}}
|
sx={{ display: 'flex', flexDirection: 'row' }}
|
||||||
defaultValue={type=='display'?patientDataDiplay.orthotics:patient.orthotics}
|
defaultValue={
|
||||||
onChange={(event) => {
|
type == 'display'
|
||||||
setPatient((prevValues) => ({
|
? patientDataDiplay.orthotics
|
||||||
...prevValues,
|
: patient.orthotics
|
||||||
orthotics: event.target.value,
|
}
|
||||||
}));
|
onChange={(event) => {
|
||||||
}}
|
setPatient((prevValues) => ({
|
||||||
>
|
...prevValues,
|
||||||
<FormControlLabel disabled={type=='display'} value="Yes" control={<Radio />} label="Yes" />
|
orthotics: event.target.value,
|
||||||
<FormControlLabel disabled={type=='display'} value="No" control={<Radio />} label="No" />
|
}));
|
||||||
</RadioGroup>
|
}}
|
||||||
</FormControl>
|
>
|
||||||
</Grid>
|
<FormControlLabel
|
||||||
|
disabled={type == 'display'}
|
||||||
|
value='Yes'
|
||||||
|
control={<Radio />}
|
||||||
|
label='Yes'
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
disabled={type == 'display'}
|
||||||
|
value='No'
|
||||||
|
control={<Radio />}
|
||||||
|
label='No'
|
||||||
|
/>
|
||||||
|
</RadioGroup>
|
||||||
|
</FormControl>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
<Grid item xs={12} className='collapsable-form-style-radioButtons'>
|
<Grid
|
||||||
<FormLabel>Date of last gynecological and brest exam?</FormLabel><br></br>
|
item
|
||||||
<FormControl>
|
xs={12}
|
||||||
<LocalizationProvider dateAdapter={AdapterDayjs}>
|
xl={3}
|
||||||
<DatePicker
|
lg={4}
|
||||||
value={type=='display'?patientDataDiplay.brestExam:patient.brestExam}
|
md={6}
|
||||||
disabled={type=='display'}
|
sm={12}
|
||||||
onChange={(event) => {
|
className='collapsable-form-style-radioButtons'
|
||||||
const formattedDate = formatDate(event)
|
>
|
||||||
setPatient((prevValues) => ({
|
<FormLabel>Date of last gynecological and brest exam?</FormLabel>
|
||||||
...prevValues,
|
<br></br>
|
||||||
brestExam: formattedDate,
|
<FormControl>
|
||||||
}));
|
<LocalizationProvider dateAdapter={AdapterDayjs}>
|
||||||
}}
|
<DatePicker
|
||||||
renderInput={(params) => <TextField variant="outlined" {...params} />}
|
value={
|
||||||
/>
|
type == 'display'
|
||||||
</LocalizationProvider>
|
? patientDataDiplay.brestExam
|
||||||
</FormControl>
|
: patient.brestExam
|
||||||
</Grid>
|
}
|
||||||
|
disabled={type == 'display'}
|
||||||
|
onChange={(event) => {
|
||||||
|
const formattedDate = formatDate(event);
|
||||||
|
setPatient((prevValues) => ({
|
||||||
|
...prevValues,
|
||||||
|
brestExam: formattedDate,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
renderInput={(params) => (
|
||||||
|
<TextField variant='outlined' {...params} />
|
||||||
|
)}
|
||||||
|
/>
|
||||||
|
</LocalizationProvider>
|
||||||
|
</FormControl>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
{/* <Grid item xs={6} className='collapsable-form-style' sx={{marginTop:4, marginBottom:2}}>
|
{/* <Grid item xs={6} className='collapsable-form-style' sx={{marginTop:4, marginBottom:2}}>
|
||||||
<FormLabel sx={{fontWeight:600}}>For X-Ray purposes:</FormLabel>
|
<FormLabel sx={{fontWeight:600}}>For X-Ray purposes:</FormLabel>
|
||||||
</Grid> */}
|
</Grid> */}
|
||||||
|
|
||||||
<Grid item xs={12} className='collapsable-form-style-radioButtons'>
|
<Grid item xs={12} className='collapsable-form-style-radioButtons'>
|
||||||
<FormControl>
|
<FormControl>
|
||||||
<FormLabel>Possible pregnancy?</FormLabel>
|
<FormLabel>Possible pregnancy?</FormLabel>
|
||||||
<RadioGroup
|
<RadioGroup
|
||||||
sx={{display:'flex', flexDirection:'row'}}
|
sx={{ display: 'flex', flexDirection: 'row' }}
|
||||||
defaultValue={type=='display'?patientDataDiplay.pregnancy:patient.pregnancy}
|
defaultValue={
|
||||||
onChange={(event) => {
|
type == 'display'
|
||||||
setPatient((prevValues) => ({
|
? patientDataDiplay.pregnancy
|
||||||
...prevValues,
|
: patient.pregnancy
|
||||||
pregnancy: event.target.value,
|
}
|
||||||
}));
|
onChange={(event) => {
|
||||||
}}
|
setPatient((prevValues) => ({
|
||||||
>
|
...prevValues,
|
||||||
<FormControlLabel disabled={type=='display'} value="Yes" control={<Radio />} label="Yes" />
|
pregnancy: event.target.value,
|
||||||
<FormControlLabel disabled={type=='display'} value="No" control={<Radio />} label="No" />
|
}));
|
||||||
</RadioGroup>
|
}}
|
||||||
</FormControl>
|
>
|
||||||
</Grid>
|
<FormControlLabel
|
||||||
|
disabled={type == 'display'}
|
||||||
<Grid item xs={12} className='collapsable-form-style-radioButtons'>
|
value='Yes'
|
||||||
<FormLabel>Date of last menstrual cycle?</FormLabel><br></br>
|
control={<Radio />}
|
||||||
<FormControl>
|
label='Yes'
|
||||||
<LocalizationProvider dateAdapter={AdapterDayjs}>
|
/>
|
||||||
<DatePicker
|
<FormControlLabel
|
||||||
value={type=='display'?patientDataDiplay.menstralCycle:patient.menstralCycle}
|
disabled={type == 'display'}
|
||||||
disabled={type=='display'}
|
value='No'
|
||||||
onChange={(event) => {
|
control={<Radio />}
|
||||||
const formattedDate = formatDate(event)
|
label='No'
|
||||||
setPatient((prevValues) => ({
|
/>
|
||||||
...prevValues,
|
</RadioGroup>
|
||||||
menstralCycle: formattedDate,
|
</FormControl>
|
||||||
}));
|
|
||||||
}}
|
|
||||||
renderInput={(params) => <TextField variant="outlined" {...params} />}
|
|
||||||
/>
|
|
||||||
</LocalizationProvider>
|
|
||||||
</FormControl>
|
|
||||||
</Grid>
|
|
||||||
|
|
||||||
|
|
||||||
</Grid>
|
</Grid>
|
||||||
</>
|
|
||||||
)
|
<Grid
|
||||||
}
|
item
|
||||||
|
xs={12}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12}
|
||||||
|
className='collapsable-form-style-radioButtons'
|
||||||
|
>
|
||||||
|
<FormLabel>Date of last menstrual cycle?</FormLabel>
|
||||||
|
<br></br>
|
||||||
|
<FormControl>
|
||||||
|
<LocalizationProvider dateAdapter={AdapterDayjs}>
|
||||||
|
<DatePicker
|
||||||
|
value={
|
||||||
|
type == 'display'
|
||||||
|
? patientDataDiplay.menstralCycle
|
||||||
|
: patient.menstralCycle
|
||||||
|
}
|
||||||
|
disabled={type == 'display'}
|
||||||
|
onChange={(event) => {
|
||||||
|
const formattedDate = formatDate(event);
|
||||||
|
setPatient((prevValues) => ({
|
||||||
|
...prevValues,
|
||||||
|
menstralCycle: formattedDate,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
renderInput={(params) => (
|
||||||
|
<TextField variant='outlined' {...params} />
|
||||||
|
)}
|
||||||
|
/>
|
||||||
|
</LocalizationProvider>
|
||||||
|
</FormControl>
|
||||||
|
</Grid>
|
||||||
|
</Grid>
|
||||||
|
</>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|||||||
@ -1,368 +1,578 @@
|
|||||||
import * as React from 'react';
|
import * as React from 'react';
|
||||||
import { Checkbox, FormControlLabel, TextField, FormGroup, Grid, FormControl, FormLabel, Radio, RadioGroup } from '@mui/material';
|
import {
|
||||||
|
Checkbox,
|
||||||
|
FormControlLabel,
|
||||||
|
TextField,
|
||||||
|
FormGroup,
|
||||||
|
Grid,
|
||||||
|
FormControl,
|
||||||
|
FormLabel,
|
||||||
|
Radio,
|
||||||
|
RadioGroup,
|
||||||
|
} from '@mui/material';
|
||||||
import { useFormik } from 'formik';
|
import { useFormik } from 'formik';
|
||||||
import * as Yup from 'yup';
|
import * as Yup from 'yup';
|
||||||
import path from 'path';
|
import path from 'path';
|
||||||
import { useEffect } from 'react';
|
import { useEffect } from 'react';
|
||||||
|
|
||||||
interface Patient {
|
interface Patient {
|
||||||
chiefComplaint:string;
|
chiefComplaint: string;
|
||||||
painWorse: string[];
|
painWorse: string[];
|
||||||
painBetter: string[];
|
painBetter: string[];
|
||||||
painQuality: string[];
|
painQuality: string[];
|
||||||
painWorstTime: string[];
|
painWorstTime: string[];
|
||||||
currentComplaintIssues: string[];
|
currentComplaintIssues: string[];
|
||||||
painDuration: string;
|
painDuration: string;
|
||||||
currentTreatment: string;
|
currentTreatment: string;
|
||||||
treatmentGoal: string;
|
treatmentGoal: string;
|
||||||
selfTreatment:string;
|
selfTreatment: string;
|
||||||
}
|
}
|
||||||
|
|
||||||
type Props = {
|
type Props = {
|
||||||
handleFormSection4Data:(
|
handleFormSection4Data: (
|
||||||
chiefComplaint:string|undefined,
|
chiefComplaint: string | undefined,
|
||||||
painWorse: any,
|
painWorse: any,
|
||||||
painBetter: any,
|
painBetter: any,
|
||||||
painQuality: any,
|
painQuality: any,
|
||||||
painWorstTime: any,
|
painWorstTime: any,
|
||||||
currentComplaintIssues: any,
|
currentComplaintIssues: any,
|
||||||
painDuration: string|undefined,
|
painDuration: string | undefined,
|
||||||
currentTreatment: string|undefined,
|
currentTreatment: string | undefined,
|
||||||
treatmentGoal: string|undefined,
|
treatmentGoal: string | undefined,
|
||||||
selfTreatment:string|undefined,
|
selfTreatment: string | undefined
|
||||||
)=> void
|
) => void;
|
||||||
patientDataDiplay:any;
|
patientDataDiplay: any;
|
||||||
type:string;
|
type: string;
|
||||||
}
|
};
|
||||||
|
|
||||||
|
|
||||||
export default function PainAnalysisSection4({handleFormSection4Data,patientDataDiplay,type}:Props){
|
export default function PainAnalysisSection4({
|
||||||
const [patient, setPatient] = React.useState<Patient>({
|
handleFormSection4Data,
|
||||||
chiefComplaint:'',
|
patientDataDiplay,
|
||||||
painWorse:[],
|
type,
|
||||||
painBetter:[],
|
}: Props) {
|
||||||
painQuality:[],
|
const [patient, setPatient] = React.useState<Patient>({
|
||||||
painWorstTime:[],
|
chiefComplaint: '',
|
||||||
currentComplaintIssues:[],
|
painWorse: [],
|
||||||
painDuration:'',
|
painBetter: [],
|
||||||
currentTreatment:'',
|
painQuality: [],
|
||||||
treatmentGoal:'',
|
painWorstTime: [],
|
||||||
selfTreatment:'',
|
currentComplaintIssues: [],
|
||||||
});
|
painDuration: '',
|
||||||
|
currentTreatment: '',
|
||||||
|
treatmentGoal: '',
|
||||||
|
selfTreatment: '',
|
||||||
|
});
|
||||||
|
|
||||||
useEffect(()=>{
|
useEffect(() => {
|
||||||
handleFormSection4Data(
|
handleFormSection4Data(
|
||||||
patient.chiefComplaint,
|
patient.chiefComplaint,
|
||||||
patient.painWorse,
|
patient.painWorse,
|
||||||
patient.painBetter,
|
patient.painBetter,
|
||||||
patient.painQuality,
|
patient.painQuality,
|
||||||
patient.painWorstTime,
|
patient.painWorstTime,
|
||||||
patient.currentComplaintIssues,
|
patient.currentComplaintIssues,
|
||||||
patient.painDuration,
|
patient.painDuration,
|
||||||
patient.currentTreatment,
|
patient.currentTreatment,
|
||||||
patient.treatmentGoal,
|
patient.treatmentGoal,
|
||||||
patient.selfTreatment,
|
patient.selfTreatment
|
||||||
)
|
);
|
||||||
},[patient])
|
}, [patient]);
|
||||||
|
|
||||||
const handlePainWorseChange = (event: React.ChangeEvent<HTMLInputElement>) => {
|
|
||||||
const { name, checked } = event.target;
|
|
||||||
setPatient((prevValues) => ({
|
|
||||||
...prevValues,
|
|
||||||
painWorse: checked
|
|
||||||
? [...prevValues.painWorse, name]
|
|
||||||
: prevValues.painWorse.filter((item) => item !== name),
|
|
||||||
}));
|
|
||||||
};
|
|
||||||
|
|
||||||
const handlePainBetterChange = (event: React.ChangeEvent<HTMLInputElement>) => {
|
const handlePainWorseChange = (
|
||||||
const { name, checked } = event.target;
|
event: React.ChangeEvent<HTMLInputElement>
|
||||||
setPatient((prevValues) => ({
|
) => {
|
||||||
...prevValues,
|
const { name, checked } = event.target;
|
||||||
painBetter: checked
|
setPatient((prevValues) => ({
|
||||||
? [...prevValues.painBetter, name]
|
...prevValues,
|
||||||
: prevValues.painBetter.filter((item) => item !== name),
|
painWorse: checked
|
||||||
}));
|
? [...prevValues.painWorse, name]
|
||||||
};
|
: prevValues.painWorse.filter((item) => item !== name),
|
||||||
|
}));
|
||||||
|
};
|
||||||
|
|
||||||
const handlePainQualityChange = (event: React.ChangeEvent<HTMLInputElement>) => {
|
const handlePainBetterChange = (
|
||||||
const { name, checked } = event.target;
|
event: React.ChangeEvent<HTMLInputElement>
|
||||||
setPatient((prevValues) => ({
|
) => {
|
||||||
...prevValues,
|
const { name, checked } = event.target;
|
||||||
painQuality: checked
|
setPatient((prevValues) => ({
|
||||||
? [...prevValues.painQuality, name]
|
...prevValues,
|
||||||
: prevValues.painQuality.filter((item) => item !== name),
|
painBetter: checked
|
||||||
}));
|
? [...prevValues.painBetter, name]
|
||||||
};
|
: prevValues.painBetter.filter((item) => item !== name),
|
||||||
|
}));
|
||||||
|
};
|
||||||
|
|
||||||
const handlePainWorstTimeChange = (event: React.ChangeEvent<HTMLInputElement>) => {
|
const handlePainQualityChange = (
|
||||||
const { name, checked } = event.target;
|
event: React.ChangeEvent<HTMLInputElement>
|
||||||
setPatient((prevValues) => ({
|
) => {
|
||||||
...prevValues,
|
const { name, checked } = event.target;
|
||||||
painWorstTime: checked
|
setPatient((prevValues) => ({
|
||||||
? [...prevValues.painWorstTime, name]
|
...prevValues,
|
||||||
: prevValues.painWorstTime.filter((item) => item !== name),
|
painQuality: checked
|
||||||
}));
|
? [...prevValues.painQuality, name]
|
||||||
};
|
: prevValues.painQuality.filter((item) => item !== name),
|
||||||
|
}));
|
||||||
|
};
|
||||||
|
|
||||||
const handleCurrentComplaintIssuesTimeChange = (event: React.ChangeEvent<HTMLInputElement>) => {
|
const handlePainWorstTimeChange = (
|
||||||
const { name, checked } = event.target;
|
event: React.ChangeEvent<HTMLInputElement>
|
||||||
setPatient((prevValues) => ({
|
) => {
|
||||||
...prevValues,
|
const { name, checked } = event.target;
|
||||||
currentComplaintIssues: checked
|
setPatient((prevValues) => ({
|
||||||
? [...prevValues.currentComplaintIssues, name]
|
...prevValues,
|
||||||
: prevValues.currentComplaintIssues.filter((item) => item !== name),
|
painWorstTime: checked
|
||||||
}));
|
? [...prevValues.painWorstTime, name]
|
||||||
};
|
: prevValues.painWorstTime.filter((item) => item !== name),
|
||||||
|
}));
|
||||||
|
};
|
||||||
|
|
||||||
return(
|
const handleCurrentComplaintIssuesTimeChange = (
|
||||||
<>
|
event: React.ChangeEvent<HTMLInputElement>
|
||||||
<Grid item xs={12} className='collapsable-form-style '>
|
) => {
|
||||||
<FormLabel sx={{fontWeight:600}}>Issue Details:</FormLabel>
|
const { name, checked } = event.target;
|
||||||
</Grid>
|
setPatient((prevValues) => ({
|
||||||
<Grid container direction="row">
|
...prevValues,
|
||||||
<Grid item xs={4} className='collapsable-form-style-form7'>
|
currentComplaintIssues: checked
|
||||||
<TextField
|
? [...prevValues.currentComplaintIssues, name]
|
||||||
variant="outlined"
|
: prevValues.currentComplaintIssues.filter((item) => item !== name),
|
||||||
label="How did your Chief complaint start?(ex-fell on ice)"
|
}));
|
||||||
name='chiefComplaint'
|
};
|
||||||
onChange={(e)=>{
|
|
||||||
setPatient((prevValues) => ({
|
|
||||||
...prevValues,
|
|
||||||
chiefComplaint: e.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
value={type=='display'?patientDataDiplay.chiefComplaint:patient.chiefComplaint}
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
</Grid>
|
|
||||||
|
|
||||||
<Grid item xs={12} className='collapsable-form-style-radioButtons-fullwidth'>
|
return (
|
||||||
<FormControl>
|
<>
|
||||||
<FormLabel>What makes your pain worse?</FormLabel>
|
<Grid item xs={12} className='collapsable-form-style '>
|
||||||
<FormGroup sx={{display:'flex', flexDirection:'row'}}>
|
<FormLabel sx={{ fontWeight: 600 }}>Issue Details:</FormLabel>
|
||||||
<FormControlLabel
|
</Grid>
|
||||||
control={<Checkbox onChange={handlePainWorseChange} name="Bending" />}
|
<Grid container direction='row'>
|
||||||
label="Bending"
|
<Grid
|
||||||
disabled={type=='display'}
|
item
|
||||||
/>
|
xs={12}
|
||||||
<FormControlLabel
|
xl={10}
|
||||||
control={<Checkbox onChange={handlePainWorseChange} name="Standing" />}
|
lg={10}
|
||||||
label="Standing"
|
md={10}
|
||||||
disabled={type=='display'}
|
sm={12}
|
||||||
/>
|
className='collapsable-form-style-form7'
|
||||||
<FormControlLabel
|
>
|
||||||
control={<Checkbox onChange={handlePainWorseChange} name="Sitting" />}
|
<TextField
|
||||||
label="Sitting"
|
variant='outlined'
|
||||||
disabled={type=='display'}
|
label='How did your Chief complaint start?(ex-fell on ice)'
|
||||||
/>
|
name='chiefComplaint'
|
||||||
<FormControlLabel
|
onChange={(e) => {
|
||||||
control={<Checkbox onChange={handlePainWorseChange} name="Walking" />}
|
setPatient((prevValues) => ({
|
||||||
label="Walking"
|
...prevValues,
|
||||||
disabled={type=='display'}
|
chiefComplaint: e.target.value,
|
||||||
/>
|
}));
|
||||||
<FormControlLabel
|
}}
|
||||||
control={<Checkbox onChange={handlePainWorseChange} name="Others" />}
|
value={
|
||||||
label="Others"
|
type == 'display'
|
||||||
disabled={type=='display'}
|
? patientDataDiplay.chiefComplaint
|
||||||
/>
|
: patient.chiefComplaint
|
||||||
</FormGroup>
|
}
|
||||||
|
disabled={type == 'display'}
|
||||||
</FormControl>
|
/>
|
||||||
</Grid>
|
|
||||||
|
|
||||||
<Grid item xs={12} className='collapsable-form-style-radioButtons-fullwidth'>
|
|
||||||
<FormControl>
|
|
||||||
<FormLabel>What makes your pain better?</FormLabel>
|
|
||||||
<FormGroup sx={{display:'flex', flexDirection:'row'}}>
|
|
||||||
<FormControlLabel
|
|
||||||
control={<Checkbox onChange={handlePainBetterChange} name="laying down" />}
|
|
||||||
label="laying down"
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
<FormControlLabel
|
|
||||||
control={<Checkbox onChange={handlePainBetterChange} name="Standing" />}
|
|
||||||
label="Standing"
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
<FormControlLabel
|
|
||||||
control={<Checkbox onChange={handlePainBetterChange} name="Sitting" />}
|
|
||||||
label="Sitting"
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
<FormControlLabel
|
|
||||||
control={<Checkbox onChange={handlePainBetterChange} name="Walking" />}
|
|
||||||
label="Walking"
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
<FormControlLabel
|
|
||||||
control={<Checkbox onChange={handlePainBetterChange} name="Others" />}
|
|
||||||
label="Others"
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
</FormGroup>
|
|
||||||
</FormControl>
|
|
||||||
</Grid>
|
|
||||||
|
|
||||||
<Grid item xs={12} className='collapsable-form-style-radioButtons-fullwidth'>
|
|
||||||
<FormControl>
|
|
||||||
<FormLabel>What is the quality of your pain?</FormLabel>
|
|
||||||
<FormGroup sx={{display:'flex', flexDirection:'row'}}>
|
|
||||||
<FormControlLabel
|
|
||||||
control={<Checkbox onChange={handlePainQualityChange} name="sharp" />}
|
|
||||||
label="Sharp"
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
<FormControlLabel
|
|
||||||
control={<Checkbox onChange={handlePainQualityChange} name="Dull/Ache" />}
|
|
||||||
label="Dull/Ache"
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
<FormControlLabel
|
|
||||||
control={<Checkbox onChange={handlePainQualityChange} name="Throbbing" />}
|
|
||||||
label="Throbbing"
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
<FormControlLabel
|
|
||||||
control={<Checkbox onChange={handlePainQualityChange} name="Tingling/Numbness/Burning" />}
|
|
||||||
label="Tingling/Numbness/Burning"
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
<FormControlLabel
|
|
||||||
control={<Checkbox onChange={handlePainQualityChange} name="Others" />}
|
|
||||||
label="Others"
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
</FormGroup>
|
|
||||||
</FormControl>
|
|
||||||
</Grid>
|
|
||||||
|
|
||||||
<Grid item xs={12} className='collapsable-form-style-radioButtons-fullwidth'>
|
|
||||||
<FormControl>
|
|
||||||
<FormLabel>What is the worst time for your pain?</FormLabel>
|
|
||||||
<FormGroup sx={{display:'flex', flexDirection:'row'}}>
|
|
||||||
<FormControlLabel
|
|
||||||
control={<Checkbox onChange={handlePainWorstTimeChange} name="Morning" />}
|
|
||||||
label="Morning"
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
<FormControlLabel
|
|
||||||
control={<Checkbox onChange={handlePainWorstTimeChange} name="During day" />}
|
|
||||||
label="During day"
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
<FormControlLabel
|
|
||||||
control={<Checkbox onChange={handlePainWorstTimeChange} name="Evening" />}
|
|
||||||
label="Evening"
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
<FormControlLabel
|
|
||||||
control={<Checkbox onChange={handlePainWorstTimeChange} name="Lying in bed" />}
|
|
||||||
label="Lying in bed"
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
<FormControlLabel
|
|
||||||
control={<Checkbox onChange={handlePainWorstTimeChange} name="Others" />}
|
|
||||||
label="Others"
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
</FormGroup>
|
|
||||||
</FormControl>
|
|
||||||
</Grid>
|
|
||||||
|
|
||||||
<Grid item xs={12} className='collapsable-form-style-radioButtons-fullwidth'>
|
|
||||||
<FormControl>
|
|
||||||
<FormLabel>How much of the day do you experience your chief complaint?</FormLabel>
|
|
||||||
<RadioGroup
|
|
||||||
name="painDuration"
|
|
||||||
onChange={(e)=>{
|
|
||||||
setPatient((prevValues) => ({
|
|
||||||
...prevValues,
|
|
||||||
painDuration: e.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
value={type=='display'?patientDataDiplay.painDuration:patient.painDuration}
|
|
||||||
sx={{display:'flex', flexDirection:'row'}}
|
|
||||||
>
|
|
||||||
<FormControlLabel disabled={type=='display'} value="0-25%" control={<Radio />} label="0-25%" />
|
|
||||||
<FormControlLabel disabled={type=='display'} value="25-50%" control={<Radio />} label="25-50%" />
|
|
||||||
<FormControlLabel disabled={type=='display'} value="50-75%" control={<Radio />} label="50-75%" />
|
|
||||||
<FormControlLabel disabled={type=='display'} value="75-100%" control={<Radio />} label="75-100%" />
|
|
||||||
</RadioGroup>
|
|
||||||
</FormControl>
|
|
||||||
</Grid>
|
|
||||||
|
|
||||||
<Grid item xs={12} className='collapsable-form-style-radioButtons-fullwidth'>
|
|
||||||
<FormControl>
|
|
||||||
<FormLabel>Has your current complaint caused any of the following?</FormLabel>
|
|
||||||
<FormGroup sx={{display:'flex', flexDirection:'row'}}>
|
|
||||||
<FormControlLabel
|
|
||||||
control={<Checkbox onChange={handleCurrentComplaintIssuesTimeChange} name="Muscle weakness" />}
|
|
||||||
label="Muscle weakness"
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
<FormControlLabel
|
|
||||||
control={<Checkbox onChange={handleCurrentComplaintIssuesTimeChange} name="Bowel/Bladder problem" />}
|
|
||||||
label="Bowel/Bladder problem"
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
<FormControlLabel
|
|
||||||
control={<Checkbox onChange={handleCurrentComplaintIssuesTimeChange} name="Digestion" />}
|
|
||||||
label="Digestion"
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
<FormControlLabel
|
|
||||||
control={<Checkbox onChange={handleCurrentComplaintIssuesTimeChange} name="Cardiac/Respiratory" />}
|
|
||||||
label="Cardiac/Respiratory"
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
|
|
||||||
</FormGroup>
|
|
||||||
</FormControl>
|
|
||||||
</Grid>
|
|
||||||
|
|
||||||
<Grid item xs={12} className='collapsable-form-style-radioButtons-fullwidth'>
|
|
||||||
<FormControl>
|
|
||||||
<FormLabel>Have you tried any self treatment (ex-ice, heat, excercise) or taken any medication(over the counter or prescription)?</FormLabel>
|
|
||||||
<RadioGroup
|
|
||||||
name="painDuration"
|
|
||||||
onChange={(e)=>{
|
|
||||||
setPatient((prevValues) => ({
|
|
||||||
...prevValues,
|
|
||||||
selfTreatment: e.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
value={type=='display'?patientDataDiplay.selfTreatment:patient.selfTreatment}
|
|
||||||
sx={{display:'flex', flexDirection:'row'}}
|
|
||||||
>
|
|
||||||
<FormControlLabel disabled={type=='display'} value="yes" control={<Radio />} label="Yes" />
|
|
||||||
<FormControlLabel disabled={type=='display'} value="no" control={<Radio />} label="No" />
|
|
||||||
</RadioGroup>
|
|
||||||
</FormControl>
|
|
||||||
</Grid>
|
|
||||||
|
|
||||||
<Grid item xs={12} className='collapsable-form-style' sx={{marginTop:3 }}>
|
|
||||||
<FormLabel sx={{fontWeight:600}}>Expected Treatment Result:</FormLabel>
|
|
||||||
</Grid>
|
|
||||||
|
|
||||||
<Grid item xs={4} className='collapsable-form-style-form7'>
|
|
||||||
<TextField
|
|
||||||
variant="outlined"
|
|
||||||
label="What is your goal from treatment?(ex-play golf without pain)"
|
|
||||||
name='treatmentGoal'
|
|
||||||
onChange={(e)=>{
|
|
||||||
setPatient((prevValues) => ({
|
|
||||||
...prevValues,
|
|
||||||
treatmentGoal: e.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
value={type=='display'?patientDataDiplay.treatmentGoal:patient.treatmentGoal}
|
|
||||||
disabled={type=='display'}
|
|
||||||
/>
|
|
||||||
</Grid>
|
|
||||||
|
|
||||||
</Grid>
|
</Grid>
|
||||||
|
|
||||||
</>
|
<Grid
|
||||||
)}
|
item
|
||||||
|
xs={12}
|
||||||
|
className='collapsable-form-style-radioButtons-fullwidth'
|
||||||
|
>
|
||||||
|
<FormControl>
|
||||||
|
<FormLabel>What makes your pain worse?</FormLabel>
|
||||||
|
<FormGroup sx={{ display: 'flex', flexDirection: 'row' }}>
|
||||||
|
<FormControlLabel
|
||||||
|
control={
|
||||||
|
<Checkbox onChange={handlePainWorseChange} name='Bending' />
|
||||||
|
}
|
||||||
|
label='Bending'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
control={
|
||||||
|
<Checkbox onChange={handlePainWorseChange} name='Standing' />
|
||||||
|
}
|
||||||
|
label='Standing'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
control={
|
||||||
|
<Checkbox onChange={handlePainWorseChange} name='Sitting' />
|
||||||
|
}
|
||||||
|
label='Sitting'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
control={
|
||||||
|
<Checkbox onChange={handlePainWorseChange} name='Walking' />
|
||||||
|
}
|
||||||
|
label='Walking'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
control={
|
||||||
|
<Checkbox onChange={handlePainWorseChange} name='Others' />
|
||||||
|
}
|
||||||
|
label='Others'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
</FormGroup>
|
||||||
|
</FormControl>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
className='collapsable-form-style-radioButtons-fullwidth'
|
||||||
|
>
|
||||||
|
<FormControl>
|
||||||
|
<FormLabel>What makes your pain better?</FormLabel>
|
||||||
|
<FormGroup sx={{ display: 'flex', flexDirection: 'row' }}>
|
||||||
|
<FormControlLabel
|
||||||
|
control={
|
||||||
|
<Checkbox
|
||||||
|
onChange={handlePainBetterChange}
|
||||||
|
name='laying down'
|
||||||
|
/>
|
||||||
|
}
|
||||||
|
label='laying down'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
control={
|
||||||
|
<Checkbox onChange={handlePainBetterChange} name='Standing' />
|
||||||
|
}
|
||||||
|
label='Standing'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
control={
|
||||||
|
<Checkbox onChange={handlePainBetterChange} name='Sitting' />
|
||||||
|
}
|
||||||
|
label='Sitting'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
control={
|
||||||
|
<Checkbox onChange={handlePainBetterChange} name='Walking' />
|
||||||
|
}
|
||||||
|
label='Walking'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
control={
|
||||||
|
<Checkbox onChange={handlePainBetterChange} name='Others' />
|
||||||
|
}
|
||||||
|
label='Others'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
</FormGroup>
|
||||||
|
</FormControl>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
className='collapsable-form-style-radioButtons-fullwidth'
|
||||||
|
>
|
||||||
|
<FormControl>
|
||||||
|
<FormLabel>What is the quality of your pain?</FormLabel>
|
||||||
|
<FormGroup sx={{ display: 'flex', flexDirection: 'row' }}>
|
||||||
|
<FormControlLabel
|
||||||
|
control={
|
||||||
|
<Checkbox onChange={handlePainQualityChange} name='sharp' />
|
||||||
|
}
|
||||||
|
label='Sharp'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
control={
|
||||||
|
<Checkbox
|
||||||
|
onChange={handlePainQualityChange}
|
||||||
|
name='Dull/Ache'
|
||||||
|
/>
|
||||||
|
}
|
||||||
|
label='Dull/Ache'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
control={
|
||||||
|
<Checkbox
|
||||||
|
onChange={handlePainQualityChange}
|
||||||
|
name='Throbbing'
|
||||||
|
/>
|
||||||
|
}
|
||||||
|
label='Throbbing'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
control={
|
||||||
|
<Checkbox
|
||||||
|
onChange={handlePainQualityChange}
|
||||||
|
name='Tingling/Numbness/Burning'
|
||||||
|
/>
|
||||||
|
}
|
||||||
|
label='Tingling/Numbness/Burning'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
control={
|
||||||
|
<Checkbox onChange={handlePainQualityChange} name='Others' />
|
||||||
|
}
|
||||||
|
label='Others'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
</FormGroup>
|
||||||
|
</FormControl>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
className='collapsable-form-style-radioButtons-fullwidth'
|
||||||
|
>
|
||||||
|
<FormControl>
|
||||||
|
<FormLabel>What is the worst time for your pain?</FormLabel>
|
||||||
|
<FormGroup sx={{ display: 'flex', flexDirection: 'row' }}>
|
||||||
|
<FormControlLabel
|
||||||
|
control={
|
||||||
|
<Checkbox
|
||||||
|
onChange={handlePainWorstTimeChange}
|
||||||
|
name='Morning'
|
||||||
|
/>
|
||||||
|
}
|
||||||
|
label='Morning'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
control={
|
||||||
|
<Checkbox
|
||||||
|
onChange={handlePainWorstTimeChange}
|
||||||
|
name='During day'
|
||||||
|
/>
|
||||||
|
}
|
||||||
|
label='During day'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
control={
|
||||||
|
<Checkbox
|
||||||
|
onChange={handlePainWorstTimeChange}
|
||||||
|
name='Evening'
|
||||||
|
/>
|
||||||
|
}
|
||||||
|
label='Evening'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
control={
|
||||||
|
<Checkbox
|
||||||
|
onChange={handlePainWorstTimeChange}
|
||||||
|
name='Lying in bed'
|
||||||
|
/>
|
||||||
|
}
|
||||||
|
label='Lying in bed'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
control={
|
||||||
|
<Checkbox
|
||||||
|
onChange={handlePainWorstTimeChange}
|
||||||
|
name='Others'
|
||||||
|
/>
|
||||||
|
}
|
||||||
|
label='Others'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
</FormGroup>
|
||||||
|
</FormControl>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
className='collapsable-form-style-radioButtons-fullwidth'
|
||||||
|
>
|
||||||
|
<FormControl>
|
||||||
|
<FormLabel>
|
||||||
|
How much of the day do you experience your chief complaint?
|
||||||
|
</FormLabel>
|
||||||
|
<RadioGroup
|
||||||
|
name='painDuration'
|
||||||
|
onChange={(e) => {
|
||||||
|
setPatient((prevValues) => ({
|
||||||
|
...prevValues,
|
||||||
|
painDuration: e.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
value={
|
||||||
|
type == 'display'
|
||||||
|
? patientDataDiplay.painDuration
|
||||||
|
: patient.painDuration
|
||||||
|
}
|
||||||
|
sx={{ display: 'flex', flexDirection: 'row' }}
|
||||||
|
>
|
||||||
|
<FormControlLabel
|
||||||
|
disabled={type == 'display'}
|
||||||
|
value='0-25%'
|
||||||
|
control={<Radio />}
|
||||||
|
label='0-25%'
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
disabled={type == 'display'}
|
||||||
|
value='25-50%'
|
||||||
|
control={<Radio />}
|
||||||
|
label='25-50%'
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
disabled={type == 'display'}
|
||||||
|
value='50-75%'
|
||||||
|
control={<Radio />}
|
||||||
|
label='50-75%'
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
disabled={type == 'display'}
|
||||||
|
value='75-100%'
|
||||||
|
control={<Radio />}
|
||||||
|
label='75-100%'
|
||||||
|
/>
|
||||||
|
</RadioGroup>
|
||||||
|
</FormControl>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
className='collapsable-form-style-radioButtons-fullwidth'
|
||||||
|
>
|
||||||
|
<FormControl>
|
||||||
|
<FormLabel>
|
||||||
|
Has your current complaint caused any of the following?
|
||||||
|
</FormLabel>
|
||||||
|
<FormGroup sx={{ display: 'flex', flexDirection: 'row' }}>
|
||||||
|
<FormControlLabel
|
||||||
|
control={
|
||||||
|
<Checkbox
|
||||||
|
onChange={handleCurrentComplaintIssuesTimeChange}
|
||||||
|
name='Muscle weakness'
|
||||||
|
/>
|
||||||
|
}
|
||||||
|
label='Muscle weakness'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
control={
|
||||||
|
<Checkbox
|
||||||
|
onChange={handleCurrentComplaintIssuesTimeChange}
|
||||||
|
name='Bowel/Bladder problem'
|
||||||
|
/>
|
||||||
|
}
|
||||||
|
label='Bowel/Bladder problem'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
control={
|
||||||
|
<Checkbox
|
||||||
|
onChange={handleCurrentComplaintIssuesTimeChange}
|
||||||
|
name='Digestion'
|
||||||
|
/>
|
||||||
|
}
|
||||||
|
label='Digestion'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
control={
|
||||||
|
<Checkbox
|
||||||
|
onChange={handleCurrentComplaintIssuesTimeChange}
|
||||||
|
name='Cardiac/Respiratory'
|
||||||
|
/>
|
||||||
|
}
|
||||||
|
label='Cardiac/Respiratory'
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
</FormGroup>
|
||||||
|
</FormControl>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
className='collapsable-form-style-radioButtons-fullwidth'
|
||||||
|
>
|
||||||
|
<FormControl>
|
||||||
|
<FormLabel>
|
||||||
|
Have you tried any self treatment (ex-ice, heat, excercise) or
|
||||||
|
taken any medication(over the counter or prescription)?
|
||||||
|
</FormLabel>
|
||||||
|
<RadioGroup
|
||||||
|
name='painDuration'
|
||||||
|
onChange={(e) => {
|
||||||
|
setPatient((prevValues) => ({
|
||||||
|
...prevValues,
|
||||||
|
selfTreatment: e.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
value={
|
||||||
|
type == 'display'
|
||||||
|
? patientDataDiplay.selfTreatment
|
||||||
|
: patient.selfTreatment
|
||||||
|
}
|
||||||
|
sx={{ display: 'flex', flexDirection: 'row' }}
|
||||||
|
>
|
||||||
|
<FormControlLabel
|
||||||
|
disabled={type == 'display'}
|
||||||
|
value='yes'
|
||||||
|
control={<Radio />}
|
||||||
|
label='Yes'
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
disabled={type == 'display'}
|
||||||
|
value='no'
|
||||||
|
control={<Radio />}
|
||||||
|
label='No'
|
||||||
|
/>
|
||||||
|
</RadioGroup>
|
||||||
|
</FormControl>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
className='collapsable-form-style'
|
||||||
|
sx={{ marginTop: 3 }}
|
||||||
|
>
|
||||||
|
<FormLabel sx={{ fontWeight: 600 }}>
|
||||||
|
Expected Treatment Result:
|
||||||
|
</FormLabel>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
xl={10}
|
||||||
|
lg={10}
|
||||||
|
md={10}
|
||||||
|
sm={12}
|
||||||
|
className='collapsable-form-style-form7'
|
||||||
|
>
|
||||||
|
<TextField
|
||||||
|
variant='outlined'
|
||||||
|
label='What is your goal from treatment?(ex-play golf without pain)'
|
||||||
|
name='treatmentGoal'
|
||||||
|
onChange={(e) => {
|
||||||
|
setPatient((prevValues) => ({
|
||||||
|
...prevValues,
|
||||||
|
treatmentGoal: e.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
value={
|
||||||
|
type == 'display'
|
||||||
|
? patientDataDiplay.treatmentGoal
|
||||||
|
: patient.treatmentGoal
|
||||||
|
}
|
||||||
|
disabled={type == 'display'}
|
||||||
|
/>
|
||||||
|
</Grid>
|
||||||
|
</Grid>
|
||||||
|
</>
|
||||||
|
);
|
||||||
|
}
|
||||||
|
|||||||
@ -1,4 +1,13 @@
|
|||||||
import { TextField, FormControlLabel,Grid,Checkbox, FormControl, FormLabel, Radio, RadioGroup } from '@mui/material';
|
import {
|
||||||
|
TextField,
|
||||||
|
FormControlLabel,
|
||||||
|
Grid,
|
||||||
|
Checkbox,
|
||||||
|
FormControl,
|
||||||
|
FormLabel,
|
||||||
|
Radio,
|
||||||
|
RadioGroup,
|
||||||
|
} from '@mui/material';
|
||||||
import * as React from 'react';
|
import * as React from 'react';
|
||||||
import Table from '../Helper/AddNewTable';
|
import Table from '../Helper/AddNewTable';
|
||||||
import { useEffect } from 'react';
|
import { useEffect } from 'react';
|
||||||
@ -6,7 +15,7 @@ import { useEffect } from 'react';
|
|||||||
interface Patient {
|
interface Patient {
|
||||||
generalHealth: string;
|
generalHealth: string;
|
||||||
presentProblemBefore: string;
|
presentProblemBefore: string;
|
||||||
ifYespresentProblemBefore:string;
|
ifYespresentProblemBefore: string;
|
||||||
ifYestreatmentProvided: string;
|
ifYestreatmentProvided: string;
|
||||||
ifYesOutcome: string;
|
ifYesOutcome: string;
|
||||||
strokeBloodclotting: string;
|
strokeBloodclotting: string;
|
||||||
@ -19,313 +28,511 @@ interface Patient {
|
|||||||
}
|
}
|
||||||
|
|
||||||
type Props = {
|
type Props = {
|
||||||
handleFormSection5Data:(
|
handleFormSection5Data: (
|
||||||
generalHealth: string|undefined,
|
generalHealth: string | undefined,
|
||||||
presentProblemBefore: string|undefined,
|
presentProblemBefore: string | undefined,
|
||||||
ifYespresentProblemBefore:string|undefined,
|
ifYespresentProblemBefore: string | undefined,
|
||||||
ifYestreatmentProvided: string|undefined,
|
ifYestreatmentProvided: string | undefined,
|
||||||
ifYesOutcome: string|undefined,
|
ifYesOutcome: string | undefined,
|
||||||
strokeBloodclotting: string|undefined,
|
strokeBloodclotting: string | undefined,
|
||||||
ifYesstrokeBloodclotting: string|undefined,
|
ifYesstrokeBloodclotting: string | undefined,
|
||||||
dizzinessFetigue: string|undefined,
|
dizzinessFetigue: string | undefined,
|
||||||
ifyesdizzinessFetigue: string|undefined,
|
ifyesdizzinessFetigue: string | undefined,
|
||||||
antiColligent: string|undefined,
|
antiColligent: string | undefined,
|
||||||
injuriesHospitalization: string|undefined,
|
injuriesHospitalization: string | undefined,
|
||||||
supplementsOrDrugs: string|undefined,
|
supplementsOrDrugs: string | undefined
|
||||||
)=> void
|
) => void;
|
||||||
patientDataDiplay:any;
|
patientDataDiplay: any;
|
||||||
type:string;
|
type: string;
|
||||||
|
};
|
||||||
|
|
||||||
|
export default function PastTreatment5({
|
||||||
|
handleFormSection5Data,
|
||||||
|
patientDataDiplay,
|
||||||
|
type,
|
||||||
|
}: Props) {
|
||||||
|
const [patient, setPatient] = React.useState<Patient>({
|
||||||
|
generalHealth: '',
|
||||||
|
presentProblemBefore: '',
|
||||||
|
ifYespresentProblemBefore: '',
|
||||||
|
ifYestreatmentProvided: '',
|
||||||
|
ifYesOutcome: '',
|
||||||
|
strokeBloodclotting: '',
|
||||||
|
ifYesstrokeBloodclotting: '',
|
||||||
|
dizzinessFetigue: '',
|
||||||
|
ifyesdizzinessFetigue: '',
|
||||||
|
antiColligent: '',
|
||||||
|
injuriesHospitalization: '',
|
||||||
|
supplementsOrDrugs: '',
|
||||||
|
});
|
||||||
|
|
||||||
|
useEffect(() => {
|
||||||
|
handleFormSection5Data(
|
||||||
|
patient.generalHealth,
|
||||||
|
patient.presentProblemBefore,
|
||||||
|
patient.ifYespresentProblemBefore,
|
||||||
|
patient.ifYestreatmentProvided,
|
||||||
|
patient.ifYesOutcome,
|
||||||
|
patient.strokeBloodclotting,
|
||||||
|
patient.ifYesstrokeBloodclotting,
|
||||||
|
patient.dizzinessFetigue,
|
||||||
|
patient.ifyesdizzinessFetigue,
|
||||||
|
patient.antiColligent,
|
||||||
|
patient.injuriesHospitalization,
|
||||||
|
patient.supplementsOrDrugs
|
||||||
|
);
|
||||||
|
}, [patient]);
|
||||||
|
|
||||||
|
return (
|
||||||
|
<>
|
||||||
|
<form>
|
||||||
|
<Grid container direction='row'>
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
className='collapsable-form-style-radioButtons-fullwidth'
|
||||||
|
>
|
||||||
|
<FormControl>
|
||||||
|
<FormLabel>Overall your General Healgth is:</FormLabel>
|
||||||
|
<RadioGroup
|
||||||
|
name='painDuration'
|
||||||
|
defaultValue={
|
||||||
|
type == 'display'
|
||||||
|
? patientDataDiplay.generalHealth
|
||||||
|
: patient.generalHealth
|
||||||
|
}
|
||||||
|
sx={{ display: 'flex', flexDirection: 'row' }}
|
||||||
|
onChange={(event) => {
|
||||||
|
setPatient((prevValues) => ({
|
||||||
|
...prevValues,
|
||||||
|
generalHealth: event.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
>
|
||||||
|
<FormControlLabel
|
||||||
|
disabled={type == 'display'}
|
||||||
|
value='Excellent'
|
||||||
|
control={<Radio />}
|
||||||
|
label='Excellent'
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
disabled={type == 'display'}
|
||||||
|
value='Very Good'
|
||||||
|
control={<Radio />}
|
||||||
|
label='Very Good'
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
disabled={type == 'display'}
|
||||||
|
value='Good'
|
||||||
|
control={<Radio />}
|
||||||
|
label='Good'
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
disabled={type == 'display'}
|
||||||
|
value='Fair'
|
||||||
|
control={<Radio />}
|
||||||
|
label='Fair'
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
disabled={type == 'display'}
|
||||||
|
value='Poor'
|
||||||
|
control={<Radio />}
|
||||||
|
label='Poor'
|
||||||
|
/>
|
||||||
|
</RadioGroup>
|
||||||
|
</FormControl>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
className='collapsable-form-style-radioButtons-fullwidth'
|
||||||
|
>
|
||||||
|
<FormControl>
|
||||||
|
<FormLabel>
|
||||||
|
Have you experienced your present problem before?
|
||||||
|
</FormLabel>
|
||||||
|
<RadioGroup
|
||||||
|
name='painDuration'
|
||||||
|
defaultValue={
|
||||||
|
type == 'display'
|
||||||
|
? patientDataDiplay.presentProblemBefore
|
||||||
|
: patient.presentProblemBefore
|
||||||
|
}
|
||||||
|
sx={{ display: 'flex', flexDirection: 'row' }}
|
||||||
|
onChange={(event) => {
|
||||||
|
setPatient((prevValues) => ({
|
||||||
|
...prevValues,
|
||||||
|
presentProblemBefore: event.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
>
|
||||||
|
<FormControlLabel
|
||||||
|
disabled={type == 'display'}
|
||||||
|
value='Yes'
|
||||||
|
control={<Radio />}
|
||||||
|
label='Yes'
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
disabled={type == 'display'}
|
||||||
|
value='No'
|
||||||
|
control={<Radio />}
|
||||||
|
label='No'
|
||||||
|
/>
|
||||||
|
</RadioGroup>
|
||||||
|
</FormControl>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12}
|
||||||
|
className='collapsable-form-style-form7'
|
||||||
|
>
|
||||||
|
<TextField
|
||||||
|
variant='outlined'
|
||||||
|
label='If yes, when?'
|
||||||
|
name='treatmentGoal'
|
||||||
|
disabled={
|
||||||
|
patient.presentProblemBefore !== 'Yes' || type == 'display'
|
||||||
|
}
|
||||||
|
onChange={(event) => {
|
||||||
|
setPatient((prevValues) => ({
|
||||||
|
...prevValues,
|
||||||
|
ifYespresentProblemBefore: event.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
/>
|
||||||
|
</Grid>
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12}
|
||||||
|
className='collapsable-form-style-form7'
|
||||||
|
>
|
||||||
|
<TextField
|
||||||
|
variant='outlined'
|
||||||
|
label='Was treatment provided?If yes, by whom?'
|
||||||
|
name='treatmentGoal'
|
||||||
|
disabled={
|
||||||
|
patient.presentProblemBefore !== 'Yes' || type == 'display'
|
||||||
|
}
|
||||||
|
value={
|
||||||
|
type == 'display'
|
||||||
|
? patientDataDiplay.ifYestreatmentProvided
|
||||||
|
: patient.ifYestreatmentProvided
|
||||||
|
}
|
||||||
|
onChange={(event) => {
|
||||||
|
setPatient((prevValues) => ({
|
||||||
|
...prevValues,
|
||||||
|
ifYestreatmentProvided: event.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
/>
|
||||||
|
</Grid>
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12}
|
||||||
|
className='collapsable-form-style-form7'
|
||||||
|
>
|
||||||
|
<TextField
|
||||||
|
variant='outlined'
|
||||||
|
label='Outcome?'
|
||||||
|
name='treatmentGoal'
|
||||||
|
disabled={
|
||||||
|
patient.presentProblemBefore !== 'Yes' || type == 'display'
|
||||||
|
}
|
||||||
|
value={
|
||||||
|
type == 'display'
|
||||||
|
? patientDataDiplay.ifYesOutcome
|
||||||
|
: patient.ifYesOutcome
|
||||||
|
}
|
||||||
|
onChange={(event) => {
|
||||||
|
setPatient((prevValues) => ({
|
||||||
|
...prevValues,
|
||||||
|
ifYesOutcome: event.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
/>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
className='collapsable-form-style-radioButtons-fullwidth'
|
||||||
|
>
|
||||||
|
<FormControl>
|
||||||
|
<FormLabel>
|
||||||
|
Have you ever had a stroke or issues with blood clotting?
|
||||||
|
</FormLabel>
|
||||||
|
<RadioGroup
|
||||||
|
name='painDuration'
|
||||||
|
defaultValue={
|
||||||
|
type == 'display'
|
||||||
|
? patientDataDiplay.strokeBloodclotting
|
||||||
|
: patient.strokeBloodclotting
|
||||||
|
}
|
||||||
|
value={
|
||||||
|
type == 'display'
|
||||||
|
? patientDataDiplay.strokeBloodclotting
|
||||||
|
: patient.strokeBloodclotting
|
||||||
|
}
|
||||||
|
sx={{ display: 'flex', flexDirection: 'row' }}
|
||||||
|
onChange={(event) => {
|
||||||
|
setPatient((prevValues) => ({
|
||||||
|
...prevValues,
|
||||||
|
strokeBloodclotting: event.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
>
|
||||||
|
<FormControlLabel
|
||||||
|
disabled={type == 'display'}
|
||||||
|
value='Yes'
|
||||||
|
control={<Radio />}
|
||||||
|
label='Yes'
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
disabled={type == 'display'}
|
||||||
|
value='No'
|
||||||
|
control={<Radio />}
|
||||||
|
label='No'
|
||||||
|
/>
|
||||||
|
</RadioGroup>
|
||||||
|
</FormControl>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
xl={10}
|
||||||
|
lg={10}
|
||||||
|
md={10}
|
||||||
|
sm={12}
|
||||||
|
className='collapsable-form-style-form7'
|
||||||
|
>
|
||||||
|
<TextField
|
||||||
|
variant='outlined'
|
||||||
|
label='If yes, when?'
|
||||||
|
name='treatmentGoal'
|
||||||
|
value={
|
||||||
|
type == 'display'
|
||||||
|
? patientDataDiplay.ifYesstrokeBloodclotting
|
||||||
|
: patient.ifYesstrokeBloodclotting
|
||||||
|
}
|
||||||
|
disabled={
|
||||||
|
patient.strokeBloodclotting !== 'Yes' || type == 'display'
|
||||||
|
}
|
||||||
|
onChange={(event) => {
|
||||||
|
setPatient((prevValues) => ({
|
||||||
|
...prevValues,
|
||||||
|
ifYesstrokeBloodclotting: event.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
/>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
className='collapsable-form-style-radioButtons-fullwidth'
|
||||||
|
>
|
||||||
|
<FormControl>
|
||||||
|
<FormLabel>
|
||||||
|
Have you recently experienced dizziness, unexplained fatigue,
|
||||||
|
weight loss or blood loss?
|
||||||
|
</FormLabel>
|
||||||
|
<RadioGroup
|
||||||
|
name='painDuration'
|
||||||
|
sx={{ display: 'flex', flexDirection: 'row' }}
|
||||||
|
defaultValue={
|
||||||
|
type == 'display'
|
||||||
|
? patientDataDiplay.dizzinessFetigue
|
||||||
|
: patient.dizzinessFetigue
|
||||||
|
}
|
||||||
|
onChange={(event) => {
|
||||||
|
setPatient((prevValues) => ({
|
||||||
|
...prevValues,
|
||||||
|
dizzinessFetigue: event.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
>
|
||||||
|
<FormControlLabel
|
||||||
|
disabled={type == 'display'}
|
||||||
|
value='Yes'
|
||||||
|
control={<Radio />}
|
||||||
|
label='Yes'
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
disabled={type == 'display'}
|
||||||
|
value='No'
|
||||||
|
control={<Radio />}
|
||||||
|
label='No'
|
||||||
|
/>
|
||||||
|
</RadioGroup>
|
||||||
|
</FormControl>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
xl={10}
|
||||||
|
lg={10}
|
||||||
|
md={10}
|
||||||
|
sm={12}
|
||||||
|
className='collapsable-form-style-form7'
|
||||||
|
>
|
||||||
|
<TextField
|
||||||
|
variant='outlined'
|
||||||
|
label='If yes, when?'
|
||||||
|
name='treatmentGoal'
|
||||||
|
disabled={patient.dizzinessFetigue !== 'Yes'}
|
||||||
|
value={
|
||||||
|
type == 'display'
|
||||||
|
? patientDataDiplay.ifyesdizzinessFetigue
|
||||||
|
: patient.ifyesdizzinessFetigue
|
||||||
|
}
|
||||||
|
onChange={(event) => {
|
||||||
|
setPatient((prevValues) => ({
|
||||||
|
...prevValues,
|
||||||
|
ifyesdizzinessFetigue: event.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
/>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
className='collapsable-form-style-radioButtons-fullwidth'
|
||||||
|
>
|
||||||
|
<FormControl>
|
||||||
|
<FormLabel>
|
||||||
|
Are you currently taking anti-coagulant or blood thinning
|
||||||
|
medication?
|
||||||
|
</FormLabel>
|
||||||
|
<RadioGroup
|
||||||
|
name='painDuration'
|
||||||
|
sx={{ display: 'flex', flexDirection: 'row' }}
|
||||||
|
defaultValue={
|
||||||
|
type == 'display'
|
||||||
|
? patientDataDiplay.antiColligent
|
||||||
|
: patient.antiColligent
|
||||||
|
}
|
||||||
|
onChange={(event) => {
|
||||||
|
setPatient((prevValues) => ({
|
||||||
|
...prevValues,
|
||||||
|
antiColligent: event.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
>
|
||||||
|
<FormControlLabel
|
||||||
|
disabled={type == 'display'}
|
||||||
|
value='Yes'
|
||||||
|
control={<Radio />}
|
||||||
|
label='Yes'
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
disabled={type == 'display'}
|
||||||
|
value='No'
|
||||||
|
control={<Radio />}
|
||||||
|
label='No'
|
||||||
|
/>
|
||||||
|
</RadioGroup>
|
||||||
|
</FormControl>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
className='collapsable-form-style-radioButtons-fullwidth'
|
||||||
|
>
|
||||||
|
<FormControl>
|
||||||
|
<FormLabel>
|
||||||
|
Have you ever had any major illness, injuries, hospitalization
|
||||||
|
or surgeries?
|
||||||
|
</FormLabel>
|
||||||
|
<RadioGroup
|
||||||
|
name='painDuration'
|
||||||
|
defaultValue={
|
||||||
|
type == 'display'
|
||||||
|
? patientDataDiplay.injuriesHospitalization
|
||||||
|
: patient.injuriesHospitalization
|
||||||
|
}
|
||||||
|
sx={{ display: 'flex', flexDirection: 'row' }}
|
||||||
|
onChange={(event) => {
|
||||||
|
setPatient((prevValues) => ({
|
||||||
|
...prevValues,
|
||||||
|
injuriesHospitalization: event.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
>
|
||||||
|
<FormControlLabel
|
||||||
|
disabled={type == 'display'}
|
||||||
|
value='Yes'
|
||||||
|
control={<Radio />}
|
||||||
|
label='Yes'
|
||||||
|
/>
|
||||||
|
<FormControlLabel
|
||||||
|
disabled={type == 'display'}
|
||||||
|
value='No'
|
||||||
|
control={<Radio />}
|
||||||
|
label='No'
|
||||||
|
/>
|
||||||
|
</RadioGroup>
|
||||||
|
</FormControl>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
|
<Grid item xs={12} sx={{ marginLeft: 2, marginBottom: 3 }}>
|
||||||
|
<Table
|
||||||
|
handleFormSection5Data={handleFormSection5Data}
|
||||||
|
patientDataDiplay={patientDataDiplay}
|
||||||
|
type={type}
|
||||||
|
/>
|
||||||
|
</Grid>
|
||||||
|
|
||||||
|
<Grid
|
||||||
|
item
|
||||||
|
xs={12}
|
||||||
|
xl={3}
|
||||||
|
lg={4}
|
||||||
|
md={6}
|
||||||
|
sm={12}
|
||||||
|
className='collapsable-form-style-multiline'
|
||||||
|
>
|
||||||
|
<FormLabel>
|
||||||
|
Please list current supplements or drugs you may be taking:
|
||||||
|
</FormLabel>
|
||||||
|
<TextField
|
||||||
|
multiline
|
||||||
|
variant='outlined'
|
||||||
|
label=''
|
||||||
|
name='treatmentGoal'
|
||||||
|
defaultValue={
|
||||||
|
type == 'display'
|
||||||
|
? patientDataDiplay.supplementsOrDrugs
|
||||||
|
: patient.supplementsOrDrugs
|
||||||
|
}
|
||||||
|
disabled={type == 'display'}
|
||||||
|
onChange={(event) => {
|
||||||
|
setPatient((prevValues) => ({
|
||||||
|
...prevValues,
|
||||||
|
supplementsOrDrugs: event.target.value,
|
||||||
|
}));
|
||||||
|
}}
|
||||||
|
/>
|
||||||
|
</Grid>
|
||||||
|
</Grid>
|
||||||
|
</form>
|
||||||
|
</>
|
||||||
|
);
|
||||||
}
|
}
|
||||||
|
|
||||||
|
|
||||||
export default function PastTreatment5({handleFormSection5Data,patientDataDiplay,type}:Props){
|
|
||||||
|
|
||||||
const [patient, setPatient] = React.useState<Patient>({
|
|
||||||
generalHealth: '',
|
|
||||||
presentProblemBefore: '',
|
|
||||||
ifYespresentProblemBefore:'',
|
|
||||||
ifYestreatmentProvided:'',
|
|
||||||
ifYesOutcome:'',
|
|
||||||
strokeBloodclotting: '',
|
|
||||||
ifYesstrokeBloodclotting: '',
|
|
||||||
dizzinessFetigue: '',
|
|
||||||
ifyesdizzinessFetigue:'',
|
|
||||||
antiColligent: '',
|
|
||||||
injuriesHospitalization: '',
|
|
||||||
supplementsOrDrugs:''
|
|
||||||
});
|
|
||||||
|
|
||||||
useEffect(()=>{
|
|
||||||
handleFormSection5Data(
|
|
||||||
patient.generalHealth,
|
|
||||||
patient.presentProblemBefore,
|
|
||||||
patient.ifYespresentProblemBefore,
|
|
||||||
patient.ifYestreatmentProvided,
|
|
||||||
patient.ifYesOutcome,
|
|
||||||
patient.strokeBloodclotting,
|
|
||||||
patient.ifYesstrokeBloodclotting,
|
|
||||||
patient.dizzinessFetigue,
|
|
||||||
patient.ifyesdizzinessFetigue,
|
|
||||||
patient.antiColligent,
|
|
||||||
patient.injuriesHospitalization,
|
|
||||||
patient.supplementsOrDrugs,
|
|
||||||
)
|
|
||||||
},[patient])
|
|
||||||
|
|
||||||
return(
|
|
||||||
<>
|
|
||||||
<form>
|
|
||||||
<Grid container direction="row">
|
|
||||||
|
|
||||||
<Grid item xs={12} className='collapsable-form-style-radioButtons-fullwidth'>
|
|
||||||
<FormControl>
|
|
||||||
<FormLabel>Overall your General Healgth is:</FormLabel>
|
|
||||||
<RadioGroup
|
|
||||||
name="painDuration"
|
|
||||||
defaultValue={type=='display'?patientDataDiplay.generalHealth:patient.generalHealth}
|
|
||||||
sx={{display:'flex', flexDirection:'row'}}
|
|
||||||
onChange={(event) => {
|
|
||||||
setPatient((prevValues) => ({
|
|
||||||
...prevValues,
|
|
||||||
generalHealth: event.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
>
|
|
||||||
<FormControlLabel disabled={type=='display'} value="Excellent" control={<Radio />} label="Excellent" />
|
|
||||||
<FormControlLabel disabled={type=='display'} value="Very Good" control={<Radio />} label="Very Good" />
|
|
||||||
<FormControlLabel disabled={type=='display'} value="Good" control={<Radio />} label="Good" />
|
|
||||||
<FormControlLabel disabled={type=='display'} value="Fair" control={<Radio />} label="Fair" />
|
|
||||||
<FormControlLabel disabled={type=='display'} value="Poor" control={<Radio />} label="Poor" />
|
|
||||||
</RadioGroup>
|
|
||||||
</FormControl>
|
|
||||||
</Grid>
|
|
||||||
|
|
||||||
<Grid item xs={12} className='collapsable-form-style-radioButtons-fullwidth'>
|
|
||||||
<FormControl>
|
|
||||||
<FormLabel>Have you experienced your present problem before?</FormLabel>
|
|
||||||
<RadioGroup
|
|
||||||
name="painDuration"
|
|
||||||
defaultValue={type=='display'?patientDataDiplay.presentProblemBefore:patient.presentProblemBefore}
|
|
||||||
sx={{display:'flex', flexDirection:'row'}}
|
|
||||||
onChange={(event) => {
|
|
||||||
setPatient((prevValues) => ({
|
|
||||||
...prevValues,
|
|
||||||
presentProblemBefore: event.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
>
|
|
||||||
<FormControlLabel disabled={type=='display'} value="Yes" control={<Radio />} label="Yes" />
|
|
||||||
<FormControlLabel disabled={type=='display'} value="No" control={<Radio />} label="No" />
|
|
||||||
</RadioGroup>
|
|
||||||
</FormControl>
|
|
||||||
</Grid>
|
|
||||||
|
|
||||||
|
|
||||||
<Grid item
|
|
||||||
xs={12}
|
|
||||||
xl={3}
|
|
||||||
lg={4}
|
|
||||||
md={6}
|
|
||||||
sm={12} className='collapsable-form-style-form7'>
|
|
||||||
<TextField
|
|
||||||
variant="outlined"
|
|
||||||
label="If yes, when?"
|
|
||||||
name='treatmentGoal'
|
|
||||||
disabled={patient.presentProblemBefore!=='Yes'||type=='display'}
|
|
||||||
onChange={(event) => {
|
|
||||||
setPatient((prevValues) => ({
|
|
||||||
...prevValues,
|
|
||||||
ifYespresentProblemBefore: event.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
/>
|
|
||||||
</Grid>
|
|
||||||
<Grid item
|
|
||||||
xs={12}
|
|
||||||
xl={3}
|
|
||||||
lg={4}
|
|
||||||
md={6}
|
|
||||||
sm={12} className='collapsable-form-style-form7'>
|
|
||||||
<TextField
|
|
||||||
variant="outlined"
|
|
||||||
label="Was treatment provided?If yes, by whom?"
|
|
||||||
name='treatmentGoal'
|
|
||||||
disabled={patient.presentProblemBefore!=='Yes'||type=='display'}
|
|
||||||
value={type=='display'?patientDataDiplay.ifYestreatmentProvided:patient.ifYestreatmentProvided}
|
|
||||||
onChange={(event) => {
|
|
||||||
setPatient((prevValues) => ({
|
|
||||||
...prevValues,
|
|
||||||
ifYestreatmentProvided: event.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
/>
|
|
||||||
</Grid>
|
|
||||||
<Grid item
|
|
||||||
xs={12}
|
|
||||||
xl={3}
|
|
||||||
lg={4}
|
|
||||||
md={6}
|
|
||||||
sm={12} className='collapsable-form-style-form7'>
|
|
||||||
<TextField
|
|
||||||
variant="outlined"
|
|
||||||
label="Outcome?"
|
|
||||||
name='treatmentGoal'
|
|
||||||
disabled={patient.presentProblemBefore!=='Yes'||type=='display'}
|
|
||||||
value={type=='display'?patientDataDiplay.ifYesOutcome:patient.ifYesOutcome}
|
|
||||||
onChange={(event) => {
|
|
||||||
setPatient((prevValues) => ({
|
|
||||||
...prevValues,
|
|
||||||
ifYesOutcome: event.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
/>
|
|
||||||
</Grid>
|
|
||||||
|
|
||||||
|
|
||||||
<Grid item xs={12} className='collapsable-form-style-radioButtons-fullwidth'>
|
|
||||||
<FormControl>
|
|
||||||
<FormLabel>Have you ever had a stroke or issues with blood clotting?</FormLabel>
|
|
||||||
<RadioGroup
|
|
||||||
name="painDuration"
|
|
||||||
defaultValue={type=='display'?patientDataDiplay.strokeBloodclotting:patient.strokeBloodclotting}
|
|
||||||
value={type=='display'?patientDataDiplay.strokeBloodclotting:patient.strokeBloodclotting}
|
|
||||||
sx={{display:'flex', flexDirection:'row'}}
|
|
||||||
onChange={(event) => {
|
|
||||||
setPatient((prevValues) => ({
|
|
||||||
...prevValues,
|
|
||||||
strokeBloodclotting: event.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
>
|
|
||||||
<FormControlLabel disabled={type=='display'} value="Yes" control={<Radio />} label="Yes" />
|
|
||||||
<FormControlLabel disabled={type=='display'} value="No" control={<Radio />} label="No" />
|
|
||||||
</RadioGroup>
|
|
||||||
</FormControl>
|
|
||||||
</Grid>
|
|
||||||
|
|
||||||
<Grid item xs={4} className='collapsable-form-style-form7'>
|
|
||||||
<TextField
|
|
||||||
variant="outlined"
|
|
||||||
label="If yes, when?"
|
|
||||||
name='treatmentGoal'
|
|
||||||
value={type=='display'?patientDataDiplay.ifYesstrokeBloodclotting:patient.ifYesstrokeBloodclotting}
|
|
||||||
disabled={patient.strokeBloodclotting!=='Yes'||type=='display'}
|
|
||||||
onChange={(event) => {
|
|
||||||
setPatient((prevValues) => ({
|
|
||||||
...prevValues,
|
|
||||||
ifYesstrokeBloodclotting: event.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
/>
|
|
||||||
</Grid>
|
|
||||||
|
|
||||||
<Grid item xs={12} className='collapsable-form-style-radioButtons-fullwidth'>
|
|
||||||
<FormControl>
|
|
||||||
<FormLabel>Have you recently experienced dizziness, unexplained fatigue, weight loss or blood loss?</FormLabel>
|
|
||||||
<RadioGroup
|
|
||||||
name="painDuration"
|
|
||||||
sx={{display:'flex', flexDirection:'row'}}
|
|
||||||
defaultValue={type=='display'?patientDataDiplay.dizzinessFetigue:patient.dizzinessFetigue}
|
|
||||||
onChange={(event) => {
|
|
||||||
setPatient((prevValues) => ({
|
|
||||||
...prevValues,
|
|
||||||
dizzinessFetigue: event.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
>
|
|
||||||
<FormControlLabel disabled={type=='display'} value="Yes" control={<Radio />} label="Yes" />
|
|
||||||
<FormControlLabel disabled={type=='display'} value="No" control={<Radio />} label="No" />
|
|
||||||
</RadioGroup>
|
|
||||||
</FormControl>
|
|
||||||
</Grid>
|
|
||||||
|
|
||||||
<Grid item xs={4} className='collapsable-form-style-form7'>
|
|
||||||
<TextField
|
|
||||||
variant="outlined"
|
|
||||||
label="If yes, when?"
|
|
||||||
name='treatmentGoal'
|
|
||||||
disabled={patient.dizzinessFetigue!=='Yes'}
|
|
||||||
value={type=='display'?patientDataDiplay.ifyesdizzinessFetigue:patient.ifyesdizzinessFetigue}
|
|
||||||
onChange={(event) => {
|
|
||||||
setPatient((prevValues) => ({
|
|
||||||
...prevValues,
|
|
||||||
ifyesdizzinessFetigue: event.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
/>
|
|
||||||
</Grid>
|
|
||||||
|
|
||||||
<Grid item xs={12} className='collapsable-form-style-radioButtons-fullwidth'>
|
|
||||||
<FormControl>
|
|
||||||
<FormLabel>Are you currently taking anti-coagulant or blood thinning medication?</FormLabel>
|
|
||||||
<RadioGroup
|
|
||||||
name="painDuration"
|
|
||||||
sx={{display:'flex', flexDirection:'row'}}
|
|
||||||
defaultValue={type=='display'?patientDataDiplay.antiColligent:patient.antiColligent}
|
|
||||||
onChange={(event) => {
|
|
||||||
setPatient((prevValues) => ({
|
|
||||||
...prevValues,
|
|
||||||
antiColligent: event.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
>
|
|
||||||
<FormControlLabel disabled={type=='display'} value="Yes" control={<Radio />} label="Yes" />
|
|
||||||
<FormControlLabel disabled={type=='display'} value="No" control={<Radio />} label="No" />
|
|
||||||
</RadioGroup>
|
|
||||||
</FormControl>
|
|
||||||
</Grid>
|
|
||||||
|
|
||||||
<Grid item xs={12} className='collapsable-form-style-radioButtons-fullwidth'>
|
|
||||||
<FormControl>
|
|
||||||
<FormLabel>Have you ever had any major illness, injuries, hospitalization or surgeries?</FormLabel>
|
|
||||||
<RadioGroup
|
|
||||||
name="painDuration"
|
|
||||||
defaultValue={type=='display'?patientDataDiplay.injuriesHospitalization:patient.injuriesHospitalization}
|
|
||||||
sx={{display:'flex', flexDirection:'row'}}
|
|
||||||
onChange={(event) => {
|
|
||||||
setPatient((prevValues) => ({
|
|
||||||
...prevValues,
|
|
||||||
injuriesHospitalization: event.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
>
|
|
||||||
<FormControlLabel disabled={type=='display'} value="Yes" control={<Radio />} label="Yes" />
|
|
||||||
<FormControlLabel disabled={type=='display'} value="No" control={<Radio />} label="No" />
|
|
||||||
</RadioGroup>
|
|
||||||
</FormControl>
|
|
||||||
</Grid>
|
|
||||||
|
|
||||||
<Grid item xs={12} sx={{marginLeft:2, marginBottom:3}} >
|
|
||||||
<Table
|
|
||||||
handleFormSection5Data={handleFormSection5Data}
|
|
||||||
patientDataDiplay={patientDataDiplay}
|
|
||||||
type={type}/>
|
|
||||||
</Grid>
|
|
||||||
|
|
||||||
<Grid item xs={12}
|
|
||||||
xl={3}
|
|
||||||
lg={4}
|
|
||||||
md={6}
|
|
||||||
sm={12} className='collapsable-form-style-multiline'>
|
|
||||||
<FormLabel>Please list current supplements or drugs you may be taking:</FormLabel>
|
|
||||||
<TextField
|
|
||||||
multiline
|
|
||||||
variant="outlined"
|
|
||||||
label=""
|
|
||||||
name='treatmentGoal'
|
|
||||||
defaultValue={type=='display'?patientDataDiplay.supplementsOrDrugs:patient.supplementsOrDrugs}
|
|
||||||
disabled={type=='display'}
|
|
||||||
onChange={(event) => {
|
|
||||||
setPatient((prevValues) => ({
|
|
||||||
...prevValues,
|
|
||||||
supplementsOrDrugs: event.target.value,
|
|
||||||
}));
|
|
||||||
}}
|
|
||||||
/>
|
|
||||||
</Grid>
|
|
||||||
|
|
||||||
</Grid>
|
|
||||||
</form>
|
|
||||||
</>
|
|
||||||
)
|
|
||||||
}
|
|
||||||
@ -147,49 +147,48 @@ export default function PersonalSection({
|
|||||||
className='collapsable-form-style'
|
className='collapsable-form-style'
|
||||||
>
|
>
|
||||||
<TextField
|
<TextField
|
||||||
required
|
required
|
||||||
variant='outlined'
|
variant='outlined'
|
||||||
label='Phone Number'
|
label='Phone Number'
|
||||||
name='cellPhone'
|
name='cellPhone'
|
||||||
type='number'
|
type='number'
|
||||||
placeholder='Please enter your cell Phone number'
|
placeholder='Please enter your cell Phone number'
|
||||||
value={
|
value={
|
||||||
type == 'display'
|
type == 'display'
|
||||||
? patientDataDiplay.cellPhone
|
? patientDataDiplay.cellPhone
|
||||||
: patient.cellPhone
|
: patient.cellPhone
|
||||||
|
}
|
||||||
|
disabled={type == 'display'}
|
||||||
|
onChange={(e) => {
|
||||||
|
let value = e.target.value;
|
||||||
|
if (value[0] === '0') {
|
||||||
|
value = value.slice(1);
|
||||||
}
|
}
|
||||||
disabled={type == 'display'}
|
setPatient((prevValues: any) => ({
|
||||||
onChange={(e) => {
|
...prevValues,
|
||||||
let value = e.target.value;
|
cellPhone: value,
|
||||||
if (value[0] === '0') {
|
}));
|
||||||
value = value.slice(1);
|
}}
|
||||||
}
|
onBlur={(e) => {
|
||||||
|
if (!/^\d{10}$/.test(e.target.value)) {
|
||||||
setPatient((prevValues: any) => ({
|
setPatient((prevValues: any) => ({
|
||||||
...prevValues,
|
...prevValues,
|
||||||
cellPhone: value,
|
cellPhoneError: true,
|
||||||
|
}));
|
||||||
|
} else {
|
||||||
|
setPatient((prevValues: any) => ({
|
||||||
|
...prevValues,
|
||||||
|
cellPhoneError: false,
|
||||||
}));
|
}));
|
||||||
}}
|
|
||||||
onBlur={(e) => {
|
|
||||||
if (!/^\d{10}$/.test(e.target.value)) {
|
|
||||||
setPatient((prevValues: any) => ({
|
|
||||||
...prevValues,
|
|
||||||
cellPhoneError: true,
|
|
||||||
}));
|
|
||||||
} else {
|
|
||||||
setPatient((prevValues: any) => ({
|
|
||||||
...prevValues,
|
|
||||||
cellPhoneError: false,
|
|
||||||
}));
|
|
||||||
}
|
|
||||||
}}
|
|
||||||
error={patient.cellPhoneError}
|
|
||||||
helperText={
|
|
||||||
patient.cellPhoneError
|
|
||||||
? 'Please enter a valid 10-digit phone number'
|
|
||||||
: ''
|
|
||||||
}
|
}
|
||||||
/>
|
}}
|
||||||
|
error={patient.cellPhoneError}
|
||||||
|
helperText={
|
||||||
|
patient.cellPhoneError
|
||||||
|
? 'Please enter a valid 10-digit phone number'
|
||||||
|
: ''
|
||||||
|
}
|
||||||
|
/>
|
||||||
</Grid>
|
</Grid>
|
||||||
|
|
||||||
<Grid
|
<Grid
|
||||||
|
|||||||
File diff suppressed because it is too large
Load Diff
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Reference in New Issue
Block a user