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7 changed files with 427 additions and 847 deletions

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@ -101,13 +101,7 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
</Grid> </Grid>
<Grid item xs={4} className='collapsable-form-style '></Grid> <Grid item xs={4} className='collapsable-form-style '></Grid>
<Grid item <Grid item xs={4} className='collapsable-form-style '>
xs={12}
xl={3}
lg={4}
md={6}
sm={12}
className='collapsable-form-style '>
<TextField <TextField
variant="outlined" variant="outlined"
@ -125,13 +119,7 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
disabled={type=='display'} disabled={type=='display'}
/> />
</Grid> </Grid>
<Grid item <Grid item xs={4} className='collapsable-form-style '>
xs={12}
xl={3}
lg={4}
md={6}
sm={12}
className='collapsable-form-style '>
<TextField <TextField
// required // required
variant="outlined" variant="outlined"
@ -149,13 +137,7 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
/> />
</Grid> </Grid>
<Grid item <Grid item xs={4} className='collapsable-form-style '>
xs={12}
xl={3}
lg={4}
md={6}
sm={12}
className='collapsable-form-style '>
<TextField <TextField
variant="outlined" variant="outlined"
label="Hours/Week" label="Hours/Week"
@ -173,13 +155,7 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
/> />
</Grid> </Grid>
<Grid <Grid item xs={4} className='collapsable-form-style '>
xs={12}
xl={3}
lg={4}
md={6}
sm={12}
className='collapsable-form-style '>
<TextField <TextField
variant="outlined" variant="outlined"
label="Employer" label="Employer"
@ -195,13 +171,7 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
disabled={type=='display'} disabled={type=='display'}
/> />
</Grid> </Grid>
<Grid item <Grid item xs={4} className='collapsable-form-style '>
xs={12}
xl={3}
lg={4}
md={6}
sm={12}
className='collapsable-form-style '>
<TextField <TextField
variant="outlined" variant="outlined"
label="Business Phone" label="Business Phone"
@ -219,24 +189,13 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
/> />
</Grid> </Grid>
<Grid item <Grid item xs={4} className='collapsable-form-style '></Grid>
xs={12}
xl={3}
lg={4}
md={6}
sm={12}
className='collapsable-form-style '></Grid>
<Grid item xs={12} className='collapsable-form-style '> <Grid item xs={12} className='collapsable-form-style '>
<FormLabel sx={{fontWeight:600}}>Spouse's Information:</FormLabel> <FormLabel sx={{fontWeight:600}}>Spouse's Information:</FormLabel>
</Grid> </Grid>
<Grid item <Grid item xs={4} className='collapsable-form-style '>
xs={12}
xl={3}
lg={4}
md={6}
sm={12} className='collapsable-form-style '>
<TextField <TextField
variant="outlined" variant="outlined"
label="Spouse's Name" label="Spouse's Name"
@ -252,13 +211,7 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
disabled={type=='display'} disabled={type=='display'}
/> />
</Grid> </Grid>
<Grid item <Grid item xs={4} className='collapsable-form-style '>
xs={12}
xl={3}
lg={4}
md={6}
sm={12}
className='collapsable-form-style '>
<TextField <TextField
variant="outlined" variant="outlined"
label="Spouse's Employer" label="Spouse's Employer"
@ -274,13 +227,7 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
disabled={type=='display'} disabled={type=='display'}
/> />
</Grid> </Grid>
<Grid item <Grid item xs={4} className='collapsable-form-style '>
xs={12}
xl={3}
lg={4}
md={6}
sm={12}
className='collapsable-form-style '>
<TextField <TextField
variant="outlined" variant="outlined"
label="Business Phone" label="Business Phone"
@ -303,13 +250,7 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
</Grid> </Grid>
<Grid item <Grid item xs={4} className='collapsable-form-style '>
xs={12}
xl={3}
lg={4}
md={6}
sm={12}
className='collapsable-form-style '>
<TextField <TextField
variant="outlined" variant="outlined"
label="Emergency Contact" label="Emergency Contact"
@ -325,13 +266,7 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
disabled={type=='display'} disabled={type=='display'}
/> />
</Grid> </Grid>
<Grid item <Grid item xs={4} className='collapsable-form-style '>
xs={12}
xl={3}
lg={4}
md={6}
sm={12}
className='collapsable-form-style '>
<TextField <TextField
variant="outlined" variant="outlined"
label="Relationship" label="Relationship"
@ -347,12 +282,7 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
disabled={type=='display'} disabled={type=='display'}
/> />
</Grid> </Grid>
<Grid item <Grid item xs={4} className='collapsable-form-style '>
xs={12}
xl={3}
lg={4}
md={6}
sm={12} className='collapsable-form-style '>
<TextField <TextField
variant="outlined" variant="outlined"
type="number" type="number"

View File

@ -76,13 +76,7 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
</Grid> </Grid>
<Grid container direction="row"> <Grid container direction="row">
<Grid item <Grid item xs={4} className='collapsable-form-style'>
xs={12}
xl={3}
lg={4}
md={6}
sm={12}
className='collapsable-form-style'>
<TextField <TextField
variant="outlined" variant="outlined"
label="Family physician" label="Family physician"
@ -97,13 +91,7 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
disabled={type=='display'} disabled={type=='display'}
/> />
</Grid> </Grid>
<Grid item <Grid item xs={4} className='collapsable-form-style'>
xs={12}
xl={3}
lg={4}
md={6}
sm={12}
className='collapsable-form-style'>
<TextField <TextField
variant="outlined" variant="outlined"
label="City" label="City"
@ -118,13 +106,7 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
disabled={type=='display'} disabled={type=='display'}
/> />
</Grid> </Grid>
<Grid item <Grid item xs={4} className='collapsable-form-style'>
xs={12}
xl={3}
lg={4}
md={6}
sm={12}
className='collapsable-form-style'>
<TextField <TextField
variant="outlined" variant="outlined"
label="State" label="State"
@ -139,13 +121,7 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
disabled={type=='display'} disabled={type=='display'}
/> />
</Grid> </Grid>
<Grid item <Grid item xs={4} className='collapsable-form-style'>
xs={12}
xl={3}
lg={4}
md={6}
sm={12}
className='collapsable-form-style'>
<TextField <TextField
variant="outlined" variant="outlined"
label="Phone" label="Phone"
@ -162,30 +138,14 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
/> />
</Grid> </Grid>
<Grid item <Grid item xs={4} className='collapsable-form-style'></Grid>
xs={12} <Grid item xs={4} className='collapsable-form-style'></Grid>
xl={3}
lg={4}
md={6}
sm={12} className='collapsable-form-style'></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 '> <Grid item xs={12} className='collapsable-form-style '>
<FormLabel sx={{fontWeight:600}}>Chiropractor Information:</FormLabel> <FormLabel sx={{fontWeight:600}}>Chiropractor Information:</FormLabel>
</Grid> </Grid>
<Grid item <Grid item xs={4} sx={{paddingLeft:"14px",marginTop:2}} className='collapsable-form-style-radioButtons'>
xs={12}
xl={3}
lg={4}
md={6}
sm={12}
sx={{paddingLeft:"14px",marginTop:2}} className='collapsable-form-style-radioButtons'>
<FormControl> <FormControl>
<FormLabel>Previous Chiropractic Care:</FormLabel> <FormLabel>Previous Chiropractic Care:</FormLabel>
<RadioGroup <RadioGroup
@ -206,13 +166,7 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
</FormControl> </FormControl>
</Grid> </Grid>
<Grid item <Grid item xs={4} className='collapsable-form-style'>
xs={12}
xl={3}
lg={4}
md={6}
sm={12}
className='collapsable-form-style'>
<TextField <TextField
variant="outlined" variant="outlined"
label="Chiropractor's Name" label="Chiropractor's Name"
@ -228,13 +182,7 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
/> />
</Grid> </Grid>
<Grid item <Grid item xs={4} className='collapsable-form-style'>
xs={12}
xl={3}
lg={4}
md={6}
sm={12}
className='collapsable-form-style'>
<TextField <TextField
variant="outlined" variant="outlined"
label="City/State" label="City/State"

View File

@ -121,12 +121,7 @@ export default function PastTreatment5({handleFormSection5Data,patientDataDiplay
</Grid> </Grid>
<Grid item <Grid item xs={4} className='collapsable-form-style-form7'>
xs={12}
xl={3}
lg={4}
md={6}
sm={12} className='collapsable-form-style-form7'>
<TextField <TextField
variant="outlined" variant="outlined"
label="If yes, when?" label="If yes, when?"
@ -140,12 +135,7 @@ export default function PastTreatment5({handleFormSection5Data,patientDataDiplay
}} }}
/> />
</Grid> </Grid>
<Grid item <Grid item xs={4} className='collapsable-form-style-form7'>
xs={12}
xl={3}
lg={4}
md={6}
sm={12} className='collapsable-form-style-form7'>
<TextField <TextField
variant="outlined" variant="outlined"
label="Was treatment provided?If yes, by whom?" label="Was treatment provided?If yes, by whom?"
@ -160,12 +150,7 @@ export default function PastTreatment5({handleFormSection5Data,patientDataDiplay
}} }}
/> />
</Grid> </Grid>
<Grid item <Grid item xs={4} className='collapsable-form-style-form7'>
xs={12}
xl={3}
lg={4}
md={6}
sm={12} className='collapsable-form-style-form7'>
<TextField <TextField
variant="outlined" variant="outlined"
label="Outcome?" label="Outcome?"
@ -302,11 +287,7 @@ export default function PastTreatment5({handleFormSection5Data,patientDataDiplay
type={type}/> type={type}/>
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={6} className='collapsable-form-style-multiline'>
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> <FormLabel>Please list current supplements or drugs you may be taking:</FormLabel>
<TextField <TextField
multiline multiline

View File

@ -507,7 +507,7 @@ export default function PatientForm({ type }: Props) {
id='panel9d-header' id='panel9d-header'
> >
<Typography sx={{ fontSize: 18 }}> <Typography sx={{ fontSize: 18 }}>
Patient's Pain Zone Patient's Injury Image
</Typography> </Typography>
</AccordionSummary> </AccordionSummary>

View File

@ -1,540 +1,389 @@
import * as React from 'react'; import * as React from 'react';
import { import { Button, FormControl, FormControlLabel, FormLabel, Grid, Paper, Radio, RadioGroup, TextField } from '@mui/material';
Button,
FormControl,
FormControlLabel,
FormLabel,
Grid,
Paper,
Radio,
RadioGroup,
TextField,
} from '@mui/material';
import { LocalizationProvider, DatePicker } from '@mui/x-date-pickers'; import { LocalizationProvider, DatePicker } from '@mui/x-date-pickers';
import { AdapterDayjs } from '@mui/x-date-pickers/AdapterDayjs'; import { AdapterDayjs } from '@mui/x-date-pickers/AdapterDayjs';
import { useEffect } from 'react'; import { useEffect } from 'react';
interface Patient { interface Patient {
fullName: string; fullName: string;
homePhone: string; homePhone: string;
cellPhone: string; cellPhone: string;
email: string; email: string;
age: number | string; age: number | string;
dateOfBirth: string; dateOfBirth: string;
socialSecurityNumber: string; socialSecurityNumber: string;
mailingAddress: string; mailingAddress: string;
city: string; city: string;
state: string; state: string;
zipCode: string; zipCode: string;
gender: string; gender: string;
} }
type Props = { type Props = {
handleFormSection1Data: ( handleFormSection1Data:(
fullName?: string | undefined, fullName?: string|undefined,
homePhone?: string | undefined, homePhone?: string|undefined,
cellPhone?: string | undefined, cellPhone?: string|undefined,
email?: string | undefined, email?: string|undefined,
age?: number | undefined | string, age?: number|undefined|string,
dateOfBirth?: string | undefined, dateOfBirth?: string|undefined,
socialSecurityNumber?: string | undefined, socialSecurityNumber?: string|undefined,
mailingAddress?: string | undefined, mailingAddress?: string|undefined,
city?: string | undefined, city?: string|undefined,
state?: string | undefined, state?: string|undefined,
zipCode?: string | undefined, zipCode?: string|undefined,
gender?: string | undefined gender?: string|undefined,
) => void; )=> void
patientDataDiplay: any; patientDataDiplay:any;
type: string; type:string;
}; }
export default function PersonalSection({
handleFormSection1Data, export default function PersonalSection({handleFormSection1Data,patientDataDiplay,type}:Props){
patientDataDiplay,
type, const [birthDateValue, setBirthDateValue] = React.useState<any>();
}: Props) { const [patient, setPatient] = React.useState<any>({
const [birthDateValue, setBirthDateValue] = React.useState<any>(); fullName: "",
const [patient, setPatient] = React.useState<any>({ fullNameError:false,
fullName: '', homePhone: "",
fullNameError: false, cellPhone: "",
homePhone: '', cellPhoneError: false,
cellPhone: '', email: "",
cellPhoneError: false, emailError: false,
email: '', age: "",
emailError: false, ageError: false,
age: '', dateOfBirth: birthDateValue,
ageError: false, socialSecurityNumber: "",
dateOfBirth: birthDateValue, mailingAddress:"",
socialSecurityNumber: '', mailingAddressFalse:false,
mailingAddress: '', city: "",
mailingAddressFalse: false, state: "",
city: '', zipCode: "",
state: '', gender: "male",
zipCode: '', });
gender: 'male',
});
useEffect(()=>{
useEffect(() => { handleFormSection1Data(
handleFormSection1Data( patient.fullName,
patient.fullName, patient.homePhone,
patient.homePhone, patient.cellPhone,
patient.cellPhone, patient.email,
patient.email, patient.age,
patient.age, birthDateValue,
birthDateValue, patient.socialSecurityNumber,
patient.socialSecurityNumber, patient.mailingAddress,
patient.mailingAddress, patient.city,
patient.city, patient.state,
patient.state, patient.zipCode,
patient.zipCode, patient.gender,
patient.gender )
); },[patient])
}, [patient]);
return (
<> return(
<Grid container direction='row' className='section1-test-class'> <>
<Grid <Grid container direction="row" className='section1-test-class'>
item <Grid item xs={4} className='collapsable-form-style '>
xs={12} <TextField
xl={3} variant="outlined"
lg={4} label="Patient's Full Name"
md={6} name="fullName"
sm={12} placeholder='Please enter your name'
className='collapsable-form-style ' value={type=='display'?patientDataDiplay.fullName:patient.fullName}
> disabled={type=='display'}
<TextField onChange={(e)=>{
variant='outlined' setPatient((prevValues:any) => ({
label="Patient's Full Name" ...prevValues,
name='fullName' fullName: e.target.value,
placeholder='Please enter your name' }));
value={ }}
type == 'display' ? patientDataDiplay.fullName : patient.fullName onBlur={(e) => {
} if (e.target.value === "") {
disabled={type == 'display'} setPatient((prevValues:any) => ({
onChange={(e) => { ...prevValues,
setPatient((prevValues: any) => ({ fullNameError: true,
...prevValues, }));
fullName: e.target.value, } else {
})); setPatient((prevValues:any) => ({
}} ...prevValues,
onBlur={(e) => { fullNameError: false,
if (e.target.value === '') { }));
setPatient((prevValues: any) => ({ }
...prevValues, }}
fullNameError: true, required
})); error={patient.fullNameError}
} else { helperText={patient.fullNameError ? "Please enter your name" : ""}
setPatient((prevValues: any) => ({ />
...prevValues, </Grid>
fullNameError: false,
}));
} <Grid item xs={4} className='collapsable-form-style'>
}} <TextField
required required
error={patient.fullNameError} variant="outlined"
helperText={patient.fullNameError ? 'Please enter your name' : ''} label="Phone Number"
/> name="cellPhone"
</Grid> type="number"
placeholder='Please enter your cell Phone number'
<Grid value={type=='display'?patientDataDiplay.cellPhone:patient.cellPhone}
item disabled={type=='display'}
xs={12} onChange={(e)=>{
xl={3} setPatient((prevValues:any) => ({
lg={4} ...prevValues,
md={6} cellPhone: e.target.value,
sm={12} }));
className='collapsable-form-style' }}
> onBlur={(e) => {
<TextField if (!(/^\d{10}$/.test(e.target.value))) {
required setPatient((prevValues:any) => ({
variant='outlined' ...prevValues,
label='Phone Number' cellPhoneError: true,
name='cellPhone' }));
type='number' } else {
placeholder='Please enter your cell Phone number' setPatient((prevValues:any) => ({
value={ ...prevValues,
type == 'display' cellPhoneError: false,
? patientDataDiplay.cellPhone }));
: patient.cellPhone }
} }}
disabled={type == 'display'} error={patient.cellPhoneError}
onChange={(e) => { helperText={patient.cellPhoneError? "Please enter a valid 10-digit phone number" : ""}
let value = e.target.value; />
if (value[0] === '0') { </Grid>
value = value.slice(1);
} <Grid item xs={4} className='collapsable-form-style'>
setPatient((prevValues: any) => ({ <TextField
...prevValues, variant="outlined"
cellPhone: value, label="Home Phone Number"
})); name="homePhone"
}} type='number'
onBlur={(e) => { placeholder='Please enter your home phone'
if (!/^\d{10}$/.test(e.target.value)) { value={type=='display'?patientDataDiplay.homePhone:patient.homePhone}
setPatient((prevValues: any) => ({ disabled={type=='display'}
...prevValues, onChange={(e)=>{
cellPhoneError: true, setPatient((prevValues:any) => ({
})); ...prevValues,
} else { homePhone: e.target.value,
setPatient((prevValues: any) => ({ }));
...prevValues, }}
cellPhoneError: false, // error={!(/^\d{10}$/.test(patient.homePhone))}
})); // helperText={!(/^\d{10}$/.test(patient.homePhone)) ? "Please enter a valid 10-digit phone number" : ""}
} />
}} </Grid>
error={patient.cellPhoneError}
helperText={ <Grid item xs={4} className='collapsable-form-style'>
patient.cellPhoneError <TextField
? 'Please enter a valid 10-digit phone number' required
: '' variant="outlined"
} label="Email"
/> name="email"
placeholder='Please enter your email'
</Grid> value={type=='display'?patientDataDiplay.email:patient.email}
disabled={type=='display'}
<Grid onChange={(e)=>{
item setPatient((prevValues:any) => ({
xs={12} ...prevValues,
xl={3} email: e.target.value,
lg={4} }));
md={6} }}
sm={12} onBlur={(e) => {
className='collapsable-form-style' if (!(/^\S+@\S+\.\S+$/.test(e.target.value))) {
> setPatient((prevValues:any) => ({
<TextField ...prevValues,
variant='outlined' emailError: true,
label='Home Phone Number' }));
name='homePhone' } else {
type='number' setPatient((prevValues:any) => ({
placeholder='Please enter your home phone' ...prevValues,
value={ emailError: false,
type == 'display' }));
? patientDataDiplay.homePhone }
: patient.homePhone }}
} error={patient.emailError}
disabled={type == 'display'} helperText={patient.emailError? "Please enter a valid email address" : ""}
onChange={(e) => { />
setPatient((prevValues: any) => ({ </Grid>
...prevValues, <Grid item xs={4} className='collapsable-form-style'>
homePhone: e.target.value, <TextField
})); required
}} variant="outlined"
// error={!(/^\d{10}$/.test(patient.homePhone))} label="Age"
// helperText={!(/^\d{10}$/.test(patient.homePhone)) ? "Please enter a valid 10-digit phone number" : ""} name="age"
/> type="number"
</Grid> placeholder='Please enter your age'
value={type=='display'?patientDataDiplay.age:patient.age}
<Grid disabled={type=='display'}
item onChange={(e)=>{
xs={12} setPatient((prevValues:any) => ({
xl={3} ...prevValues,
lg={4} age: e.target.value,
md={6} }));
sm={12} }}
className='collapsable-form-style' onBlur={(e) => {
> if (e.target.value === "") {
<TextField setPatient((prevValues:any) => ({
required ...prevValues,
variant='outlined' ageError: true,
label='Email' }));
name='email' } else {
placeholder='Please enter your email' setPatient((prevValues:any) => ({
value={type == 'display' ? patientDataDiplay.email : patient.email} ...prevValues,
disabled={type == 'display'} ageError: false,
onChange={(e) => { }));
setPatient((prevValues: any) => ({ }
...prevValues, }}
email: e.target.value, error={patient.ageError}
})); helperText={patient.ageError ? "Please enter your age" : ""}
}}
onBlur={(e) => { />
if (!/^\S+@\S+\.\S+$/.test(e.target.value)) { </Grid>
setPatient((prevValues: any) => ({
...prevValues, <Grid item xs={4} className='collapsable-form-style'>
emailError: true, <FormControl >
})); <LocalizationProvider dateAdapter={AdapterDayjs}>
} else { <DatePicker
setPatient((prevValues: any) => ({ label="Date of Birth"
...prevValues, value={type=='display'?patientDataDiplay.dateOfBirth:birthDateValue}
emailError: false, disabled={type=='display'}
})); onChange={(newValue) => {
} setBirthDateValue(newValue);
}} }}
error={patient.emailError} renderInput={(params) => <TextField variant="outlined" {...params} />}
helperText={ />
patient.emailError ? 'Please enter a valid email address' : '' </LocalizationProvider>
} </FormControl>
/>
</Grid> </Grid>
<Grid
item <Grid item xs={4} className='collapsable-form-style'>
xs={12} <TextField
xl={3} variant="outlined"
lg={4} label="Social Security Number"
md={6} name="socialSecurityNumber"
sm={12} value={type=='display'?patientDataDiplay.socialSecurityNumber:patient.socialSecurityNumber}
className='collapsable-form-style' disabled={type=='display'}
> onChange={(e)=>{
<TextField setPatient((prevValues:any) => ({
required ...prevValues,
variant='outlined' socialSecurityNumber: e.target.value,
label='Age' }));
name='age' }}
type='number' // onBlur={formik.handleBlur}
placeholder='Please enter your age' // error={formik.touched.socialSecurityNumber && Boolean(formik.errors.socialSecurityNumber)}
value={type == 'display' ? patientDataDiplay.age : patient.age} // helperText={formik.touched.socialSecurityNumber && formik.errors.socialSecurityNumber}
disabled={type == 'display'} />
onChange={(e) => { </Grid>
setPatient((prevValues: any) => ({
...prevValues, <Grid item xs={4} className='collapsable-form-style'>
age: e.target.value, <TextField
})); required
}} variant="outlined"
onBlur={(e) => { label="Mailing Address"
if (e.target.value === '') { name="mailingAddress"
setPatient((prevValues: any) => ({ value={type=='display'?patientDataDiplay.mailingAddress:patient.mailingAddress}
...prevValues, disabled={type=='display'}
ageError: true, onChange={(e)=>{
})); setPatient((prevValues:any) => ({
} else { ...prevValues,
setPatient((prevValues: any) => ({ mailingAddress: e.target.value,
...prevValues, }));
ageError: false, }}
})); onBlur={(e) => {
} if (e.target.value === "") {
}} setPatient((prevValues:any) => ({
error={patient.ageError} ...prevValues,
helperText={patient.ageError ? 'Please enter your age' : ''} mailingAddressError: true,
/> }));
</Grid> } else {
setPatient((prevValues:any) => ({
<Grid ...prevValues,
item mailingAddressError: false,
xs={12} }));
xl={3} }
lg={4} }}
md={6} error={patient.mailingAddressError}
sm={12} helperText={patient.mailingAddressError? "Please enter your mailing address" : ""}
className='collapsable-form-style' />
> </Grid>
<FormControl>
<LocalizationProvider dateAdapter={AdapterDayjs}> <Grid item xs={4} className='collapsable-form-style'>
<DatePicker <TextField
label='Date of Birth' variant="outlined"
value={ label="State"
type == 'display' name="state"
? patientDataDiplay.dateOfBirth value={type=='display'?patientDataDiplay.state:patient.state}
: birthDateValue disabled={type=='display'}
} onChange={(e)=>{
disabled={type == 'display'} setPatient((prevValues:any) => ({
onChange={(newValue) => { ...prevValues,
setBirthDateValue(newValue); state: e.target.value,
}} }));
renderInput={(params) => ( }}
<TextField variant='outlined' {...params} /> />
)} </Grid>
/>
</LocalizationProvider> <Grid item xs={4} className='collapsable-form-style'>
</FormControl> <TextField
</Grid> variant="outlined"
label="City"
<Grid name="city"
item value={type=='display'?patientDataDiplay.city:patient.city}
xs={12} disabled={type=='display'}
xl={3} onChange={(e)=>{
lg={4} setPatient((prevValues:any) => ({
md={6} ...prevValues,
sm={12} city: e.target.value,
className='collapsable-form-style' }));
> }}
<TextField />
variant='outlined' </Grid>
label='Social Security Number'
name='socialSecurityNumber' <Grid item xs={4} className='collapsable-form-style'>
value={ <TextField
type == 'display' variant="outlined"
? patientDataDiplay.socialSecurityNumber label="Zip Code"
: patient.socialSecurityNumber name="zipCode"
} value={type=='display'?patientDataDiplay.zipCode:patient.zipCode}
disabled={type == 'display'} disabled={type=='display'}
onChange={(e) => { onChange={(e)=>{
setPatient((prevValues: any) => ({ setPatient((prevValues:any) => ({
...prevValues, ...prevValues,
socialSecurityNumber: e.target.value, zipCode: e.target.value,
})); }));
}} }}
// onBlur={formik.handleBlur} // onBlur={formik.handleBlur}
// error={formik.touched.socialSecurityNumber && Boolean(formik.errors.socialSecurityNumber)} // error={formik.touched.zipCode && Boolean(formik.errors.zipCode)}
// helperText={formik.touched.socialSecurityNumber && formik.errors.socialSecurityNumber} // helperText={formik.touched.zipCode && formik.errors.zipCode}
/> />
</Grid> </Grid>
<Grid <Grid item xs={4} className='collapsable-form-style-radioButtons'>
item <FormControl >
xs={12} <FormLabel>Gender</FormLabel>
xl={3} <RadioGroup
lg={4} aria-labelledby="demo-radio-buttons-group-label"
md={6} defaultValue={type=='display'?patientDataDiplay.gender:patient.gender}
sm={12} name="radio-buttons-group"
className='collapsable-form-style' onChange={(e)=>{
> setPatient((prevValues:any) => ({
<TextField ...prevValues,
required gender: e.target.value,
variant='outlined' }));
label='Mailing Address' }}
name='mailingAddress' sx={{display:'flex', flexDirection:'row'}}
value={ >
type == 'display' <FormControlLabel
? patientDataDiplay.mailingAddress disabled={type=='display'}
: patient.mailingAddress value="male" control={<Radio />} label="Male" />
} <FormControlLabel
disabled={type == 'display'} disabled={type=='display'}
onChange={(e) => { value="female" control={<Radio />} label="Female" />
setPatient((prevValues: any) => ({ </RadioGroup>
...prevValues, </FormControl>
mailingAddress: e.target.value, </Grid>
})); </Grid>
}} </>
onBlur={(e) => { )
if (e.target.value === '') {
setPatient((prevValues: any) => ({
...prevValues,
mailingAddressError: true,
}));
} else {
setPatient((prevValues: any) => ({
...prevValues,
mailingAddressError: false,
}));
}
}}
error={patient.mailingAddressError}
helperText={
patient.mailingAddressError
? 'Please enter your mailing address'
: ''
}
/>
</Grid>
<Grid
item
xs={12}
xl={3}
lg={4}
md={6}
sm={12}
className='collapsable-form-style'
>
<TextField
variant='outlined'
label='State'
name='state'
value={type == 'display' ? patientDataDiplay.state : patient.state}
disabled={type == 'display'}
onChange={(e) => {
setPatient((prevValues: any) => ({
...prevValues,
state: e.target.value,
}));
}}
/>
</Grid>
<Grid
item
xs={12}
xl={3}
lg={4}
md={6}
sm={12}
className='collapsable-form-style'
>
<TextField
variant='outlined'
label='City'
name='city'
value={type == 'display' ? patientDataDiplay.city : patient.city}
disabled={type == 'display'}
onChange={(e) => {
setPatient((prevValues: any) => ({
...prevValues,
city: e.target.value,
}));
}}
/>
</Grid>
<Grid
item
xs={12}
xl={3}
lg={4}
md={6}
sm={12}
className='collapsable-form-style'
>
<TextField
variant='outlined'
label='Zip Code'
name='zipCode'
value={
type == 'display' ? patientDataDiplay.zipCode : patient.zipCode
}
disabled={type == 'display'}
onChange={(e) => {
setPatient((prevValues: any) => ({
...prevValues,
zipCode: e.target.value,
}));
}}
// onBlur={formik.handleBlur}
// error={formik.touched.zipCode && Boolean(formik.errors.zipCode)}
// helperText={formik.touched.zipCode && formik.errors.zipCode}
/>
</Grid>
<Grid
item
xs={12}
xl={3}
lg={4}
md={6}
sm={12}
className='collapsable-form-style-radioButtons'
>
<FormControl>
<FormLabel>Gender</FormLabel>
<RadioGroup
aria-labelledby='demo-radio-buttons-group-label'
defaultValue={
type == 'display' ? patientDataDiplay.gender : patient.gender
}
name='radio-buttons-group'
onChange={(e) => {
setPatient((prevValues: any) => ({
...prevValues,
gender: e.target.value,
}));
}}
sx={{ display: 'flex', flexDirection: 'row' }}
>
<FormControlLabel
disabled={type == 'display'}
value='male'
control={<Radio />}
label='Male'
/>
<FormControlLabel
disabled={type == 'display'}
value='female'
control={<Radio />}
label='Female'
/>
</RadioGroup>
</FormControl>
</Grid>
</Grid>
</>
);
} }

View File

@ -136,11 +136,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
</FormControl> </FormControl>
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={6} className='collapsable-form-style-radioButtons'>
xl={3}
// lg={4}
md={6}
sm={12} className='collapsable-form-style-radioButtons'>
<FormControl> <FormControl>
<FormLabel>Do you excercise?</FormLabel> <FormLabel>Do you excercise?</FormLabel>
<RadioGroup <RadioGroup
@ -160,11 +156,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
</FormControl> </FormControl>
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={6} className='collapsable-form-style-form7'>
xl={3}
// lg={4}
md={6}
sm={12} className='collapsable-form-style-form7'>
<TextField <TextField
disabled={patient.excercise!=='Yes'||type=='display'} disabled={patient.excercise!=='Yes'||type=='display'}
variant="outlined" variant="outlined"
@ -180,11 +172,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
/> />
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={6} className='collapsable-form-style-radioButtons'>
xl={3}
// lg={4}
md={6}
sm={12} className='collapsable-form-style-radioButtons'>
<FormControl> <FormControl>
<FormLabel>Use tobacco?</FormLabel> <FormLabel>Use tobacco?</FormLabel>
<RadioGroup <RadioGroup
@ -204,11 +192,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
</FormControl> </FormControl>
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={6} className='collapsable-form-style-form7'>
xl={3}
// lg={4}
md={6}
sm={12} className='collapsable-form-style-form7'>
<TextField <TextField
disabled={patient.tobacco!=='Yes'||type=='display'} disabled={patient.tobacco!=='Yes'||type=='display'}
value={type=='display'?patientDataDiplay.tobaccoExplanation:patient.tobaccoExplanation} value={type=='display'?patientDataDiplay.tobaccoExplanation:patient.tobaccoExplanation}
@ -224,11 +208,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
/> />
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={6} className='collapsable-form-style-radioButtons'>
xl={3}
// lg={4}
md={6}
sm={12} className='collapsable-form-style-radioButtons'>
<FormControl> <FormControl>
<FormLabel>Consume alcohol?</FormLabel> <FormLabel>Consume alcohol?</FormLabel>
<RadioGroup <RadioGroup
@ -248,11 +228,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
</FormControl> </FormControl>
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={6} className='collapsable-form-style-form7'>
xl={3}
// lg={4}
md={6}
sm={12} className='collapsable-form-style-form7'>
<TextField <TextField
disabled={patient.alcohol!=='Yes'||type=='display'} disabled={patient.alcohol!=='Yes'||type=='display'}
value={type=='display'?patientDataDiplay.alcoholExplanation:patient.alcoholExplanation} value={type=='display'?patientDataDiplay.alcoholExplanation:patient.alcoholExplanation}
@ -268,11 +244,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
/> />
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={6} className='collapsable-form-style-radioButtons'>
xl={3}
// lg={4}
md={6}
sm={12} className='collapsable-form-style-radioButtons'>
<FormControl> <FormControl>
<FormLabel>Have a healthy diet?</FormLabel> <FormLabel>Have a healthy diet?</FormLabel>
<RadioGroup <RadioGroup
@ -292,11 +264,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
</FormControl> </FormControl>
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={6} className='collapsable-form-style-form7'>
xl={3}
// lg={4}
md={6}
sm={12} className='collapsable-form-style-form7'>
<TextField <TextField
disabled={patient.healthyDiet!=='No'||type=='display'} disabled={patient.healthyDiet!=='No'||type=='display'}
value={type=='display'?patientDataDiplay.healthyDietExplanation:patient.healthyDietExplanation} value={type=='display'?patientDataDiplay.healthyDietExplanation:patient.healthyDietExplanation}
@ -312,11 +280,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
/> />
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={6} className='collapsable-form-style-radioButtons'>
xl={3}
// lg={4}
md={6}
sm={12} className='collapsable-form-style-radioButtons'>
<FormControl> <FormControl>
<FormLabel>Get adequate sleep?</FormLabel> <FormLabel>Get adequate sleep?</FormLabel>
<RadioGroup <RadioGroup
@ -336,11 +300,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
</FormControl> </FormControl>
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={6} className='collapsable-form-style-form7'>
xl={3}
// lg={4}
md={6}
sm={12} className='collapsable-form-style-form7'>
<TextField <TextField
disabled={patient.sleep!=='No'||type=='display'} disabled={patient.sleep!=='No'||type=='display'}
value={type=='display'?patientDataDiplay.sleepExplanation:patient.sleepExplanation} value={type=='display'?patientDataDiplay.sleepExplanation:patient.sleepExplanation}
@ -356,11 +316,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
/> />
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={6} className='collapsable-form-style-radioButtons'>
xl={3}
// lg={4}
md={6}
sm={12} className='collapsable-form-style-radioButtons'>
<FormControl> <FormControl>
<FormLabel>Is Work/School stressful to you?</FormLabel> <FormLabel>Is Work/School stressful to you?</FormLabel>
<RadioGroup <RadioGroup
@ -380,11 +336,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
</FormControl> </FormControl>
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={6} className='collapsable-form-style-form7'>
xl={3}
// lg={4}
md={6}
sm={12} className='collapsable-form-style-form7'>
<TextField <TextField
disabled={patient.workSchool!=='Yes'||type=='display'} disabled={patient.workSchool!=='Yes'||type=='display'}
value={type=='display'?patientDataDiplay.workSchool:patient.workSchool} value={type=='display'?patientDataDiplay.workSchool:patient.workSchool}
@ -400,11 +352,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
/> />
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={6} className='collapsable-form-style-radioButtons'>
xl={3}
// lg={4}
md={6}
sm={12} className='collapsable-form-style-radioButtons'>
<FormControl> <FormControl>
<FormLabel>Family life stressful to you?</FormLabel> <FormLabel>Family life stressful to you?</FormLabel>
<RadioGroup <RadioGroup
@ -424,11 +372,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
</FormControl> </FormControl>
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={6} className='collapsable-form-style-form7'>
xl={3}
// lg={4}
md={6}
sm={12} className='collapsable-form-style-form7'>
<TextField <TextField
disabled={patient.familyLife!=='Yes'||type=='display'} disabled={patient.familyLife!=='Yes'||type=='display'}
value={type=='display'?patientDataDiplay.familyLifeExplanation:patient.familyLifeExplanation} value={type=='display'?patientDataDiplay.familyLifeExplanation:patient.familyLifeExplanation}
@ -444,11 +388,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
/> />
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={6} className='collapsable-form-style-radioButtons'>
xl={3}
// lg={4}
md={6}
sm={12} className='collapsable-form-style-radioButtons'>
<FormControl> <FormControl>
<FormLabel>Use recreational drugs?</FormLabel> <FormLabel>Use recreational drugs?</FormLabel>
<RadioGroup <RadioGroup
@ -468,11 +408,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
</FormControl> </FormControl>
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={6} className='collapsable-form-style-form7'>
xl={3}
// lg={4}
md={6}
sm={12} className='collapsable-form-style-form7'>
<TextField <TextField
disabled={patient.drugs!=='Yes'||type=='display'} disabled={patient.drugs!=='Yes'||type=='display'}
value={type=='display'?patientDataDiplay.drugsExplanation:patient.drugsExplanation} value={type=='display'?patientDataDiplay.drugsExplanation:patient.drugsExplanation}

View File

@ -93,11 +93,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
<FormLabel sx={{fontWeight:600}}>Please choose body areas or systems where you may have problems:</FormLabel> <FormLabel sx={{fontWeight:600}}>Please choose body areas or systems where you may have problems:</FormLabel>
</Grid> </Grid>
<Grid container direction="row"> <Grid container direction="row">
<Grid item xs={12} <Grid item xs={3} className='collapsable-form-style-radioButtons'>
xl={3}
lg={4}
md={6}
sm={12} className='collapsable-form-style-radioButtons'>
<FormControl> <FormControl>
<FormLabel>Eyes</FormLabel> <FormLabel>Eyes</FormLabel>
<RadioGroup <RadioGroup
@ -116,11 +112,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
</RadioGroup> </RadioGroup>
</FormControl> </FormControl>
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={3} className='collapsable-form-style-radioButtons'>
xl={3}
lg={4}
md={6}
sm={12} className='collapsable-form-style-radioButtons'>
<FormControl> <FormControl>
<FormLabel>Intestines/Bowls</FormLabel> <FormLabel>Intestines/Bowls</FormLabel>
<RadioGroup <RadioGroup
@ -139,11 +131,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
</RadioGroup> </RadioGroup>
</FormControl> </FormControl>
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={3} className='collapsable-form-style-radioButtons'>
xl={3}
lg={4}
md={6}
sm={12} className='collapsable-form-style-radioButtons'>
<FormControl> <FormControl>
<FormLabel>Joints/Bones</FormLabel> <FormLabel>Joints/Bones</FormLabel>
<RadioGroup <RadioGroup
@ -162,11 +150,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
</RadioGroup> </RadioGroup>
</FormControl> </FormControl>
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={3} className='collapsable-form-style-radioButtons'>
xl={3}
lg={4}
md={6}
sm={12} className='collapsable-form-style-radioButtons'>
<FormControl> <FormControl>
<FormLabel>Allergies</FormLabel> <FormLabel>Allergies</FormLabel>
<RadioGroup <RadioGroup
@ -185,11 +169,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
</RadioGroup> </RadioGroup>
</FormControl> </FormControl>
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={3} className='collapsable-form-style-radioButtons'>
xl={3}
lg={4}
md={6}
sm={12} className='collapsable-form-style-radioButtons'>
<FormControl> <FormControl>
<FormLabel>Ears, Nose, Mouth, Throat</FormLabel> <FormLabel>Ears, Nose, Mouth, Throat</FormLabel>
<RadioGroup <RadioGroup
@ -208,11 +188,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
</RadioGroup> </RadioGroup>
</FormControl> </FormControl>
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={3} className='collapsable-form-style-radioButtons'>
xl={3}
lg={4}
md={6}
sm={12} className='collapsable-form-style-radioButtons'>
<FormControl> <FormControl>
<FormLabel>Urinary</FormLabel> <FormLabel>Urinary</FormLabel>
<RadioGroup <RadioGroup
@ -231,11 +207,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
</RadioGroup> </RadioGroup>
</FormControl> </FormControl>
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={3} className='collapsable-form-style-radioButtons'>
xl={3}
lg={4}
md={6}
sm={12} className='collapsable-form-style-radioButtons'>
<FormControl> <FormControl>
<FormLabel>Skin</FormLabel> <FormLabel>Skin</FormLabel>
<RadioGroup <RadioGroup
@ -254,11 +226,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
</RadioGroup> </RadioGroup>
</FormControl> </FormControl>
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={3} className='collapsable-form-style-radioButtons'>
xl={3}
lg={4}
md={6}
sm={12} className='collapsable-form-style-radioButtons'>
<FormControl> <FormControl>
<FormLabel>Psychological/Emotional</FormLabel> <FormLabel>Psychological/Emotional</FormLabel>
<RadioGroup <RadioGroup
@ -277,11 +245,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
</RadioGroup> </RadioGroup>
</FormControl> </FormControl>
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={3} className='collapsable-form-style-radioButtons'>
xl={3}
lg={4}
md={6}
sm={12} className='collapsable-form-style-radioButtons'>
<FormControl> <FormControl>
<FormLabel>Heart</FormLabel> <FormLabel>Heart</FormLabel>
<RadioGroup <RadioGroup
@ -300,11 +264,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
</RadioGroup> </RadioGroup>
</FormControl> </FormControl>
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={3} className='collapsable-form-style-radioButtons'>
xl={3}
lg={4}
md={6}
sm={12} className='collapsable-form-style-radioButtons'>
<FormControl> <FormControl>
<FormLabel>Muscles</FormLabel> <FormLabel>Muscles</FormLabel>
<RadioGroup <RadioGroup
@ -323,11 +283,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
</RadioGroup> </RadioGroup>
</FormControl> </FormControl>
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={3} className='collapsable-form-style-radioButtons'>
xl={3}
lg={4}
md={6}
sm={12} className='collapsable-form-style-radioButtons'>
<FormControl> <FormControl>
<FormLabel>Internal Organs</FormLabel> <FormLabel>Internal Organs</FormLabel>
<RadioGroup <RadioGroup
@ -346,11 +302,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
</RadioGroup> </RadioGroup>
</FormControl> </FormControl>
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={3} className='collapsable-form-style-radioButtons'>
xl={3}
lg={4}
md={6}
sm={12} className='collapsable-form-style-radioButtons'>
<FormControl> <FormControl>
<FormLabel>Gynecological menstrual/Brest</FormLabel> <FormLabel>Gynecological menstrual/Brest</FormLabel>
<RadioGroup <RadioGroup
@ -370,11 +322,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
</FormControl> </FormControl>
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={3} className='collapsable-form-style-radioButtons'>
xl={3}
lg={4}
md={6}
sm={12} className='collapsable-form-style-radioButtons'>
<FormControl> <FormControl>
<FormLabel>Lungs/Breathing</FormLabel> <FormLabel>Lungs/Breathing</FormLabel>
<RadioGroup <RadioGroup
@ -393,11 +341,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
</RadioGroup> </RadioGroup>
</FormControl> </FormControl>
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={3} className='collapsable-form-style-radioButtons'>
xl={3}
lg={4}
md={6}
sm={12} className='collapsable-form-style-radioButtons'>
<FormControl> <FormControl>
<FormLabel>Nerves</FormLabel> <FormLabel>Nerves</FormLabel>
<RadioGroup <RadioGroup
@ -416,11 +360,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
</RadioGroup> </RadioGroup>
</FormControl> </FormControl>
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={3} className='collapsable-form-style-radioButtons'>
xl={3}
lg={4}
md={6}
sm={12} className='collapsable-form-style-radioButtons'>
<FormControl> <FormControl>
<FormLabel>Blood</FormLabel> <FormLabel>Blood</FormLabel>
<RadioGroup <RadioGroup
@ -439,11 +379,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
</RadioGroup> </RadioGroup>
</FormControl> </FormControl>
</Grid> </Grid>
<Grid item xs={12} <Grid item xs={3} className='collapsable-form-style-radioButtons'>
xl={3}
lg={4}
md={6}
sm={12} className='collapsable-form-style-radioButtons'>
<FormControl> <FormControl>
<FormLabel>Prostate/Testicular/Penile</FormLabel> <FormLabel>Prostate/Testicular/Penile</FormLabel>
<RadioGroup <RadioGroup