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