Compare commits
No commits in common. "9c1174b325e921755508dcbac51e8cb79e0fafc2" and "463fc03153e4141e3912d5b0eb777dc861bb2424" have entirely different histories.
9c1174b325
...
463fc03153
@ -101,13 +101,7 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
|
||||
</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 '>
|
||||
<Grid item xs={4} className='collapsable-form-style '>
|
||||
<TextField
|
||||
|
||||
variant="outlined"
|
||||
@ -125,13 +119,7 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
|
||||
disabled={type=='display'}
|
||||
/>
|
||||
</Grid>
|
||||
<Grid item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style '>
|
||||
<Grid item xs={4} className='collapsable-form-style '>
|
||||
<TextField
|
||||
// required
|
||||
variant="outlined"
|
||||
@ -149,13 +137,7 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
|
||||
/>
|
||||
|
||||
</Grid>
|
||||
<Grid item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style '>
|
||||
<Grid item xs={4} className='collapsable-form-style '>
|
||||
<TextField
|
||||
variant="outlined"
|
||||
label="Hours/Week"
|
||||
@ -173,13 +155,7 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
|
||||
/>
|
||||
|
||||
</Grid>
|
||||
<Grid
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style '>
|
||||
<Grid item xs={4} className='collapsable-form-style '>
|
||||
<TextField
|
||||
variant="outlined"
|
||||
label="Employer"
|
||||
@ -195,13 +171,7 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
|
||||
disabled={type=='display'}
|
||||
/>
|
||||
</Grid>
|
||||
<Grid item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style '>
|
||||
<Grid item xs={4} className='collapsable-form-style '>
|
||||
<TextField
|
||||
variant="outlined"
|
||||
label="Business Phone"
|
||||
@ -219,24 +189,13 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style '></Grid>
|
||||
<Grid item xs={4} 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 '>
|
||||
<Grid item xs={4} className='collapsable-form-style '>
|
||||
<TextField
|
||||
variant="outlined"
|
||||
label="Spouse's Name"
|
||||
@ -252,13 +211,7 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
|
||||
disabled={type=='display'}
|
||||
/>
|
||||
</Grid>
|
||||
<Grid item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style '>
|
||||
<Grid item xs={4} className='collapsable-form-style '>
|
||||
<TextField
|
||||
variant="outlined"
|
||||
label="Spouse's Employer"
|
||||
@ -274,13 +227,7 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
|
||||
disabled={type=='display'}
|
||||
/>
|
||||
</Grid>
|
||||
<Grid item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style '>
|
||||
<Grid item xs={4} className='collapsable-form-style '>
|
||||
<TextField
|
||||
variant="outlined"
|
||||
label="Business Phone"
|
||||
@ -303,13 +250,7 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
|
||||
</Grid>
|
||||
|
||||
|
||||
<Grid item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style '>
|
||||
<Grid item xs={4} className='collapsable-form-style '>
|
||||
<TextField
|
||||
variant="outlined"
|
||||
label="Emergency Contact"
|
||||
@ -325,13 +266,7 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
|
||||
disabled={type=='display'}
|
||||
/>
|
||||
</Grid>
|
||||
<Grid item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style '>
|
||||
<Grid item xs={4} className='collapsable-form-style '>
|
||||
<TextField
|
||||
variant="outlined"
|
||||
label="Relationship"
|
||||
@ -347,12 +282,7 @@ export default function FamilyFormSection({handleFormSection2Data,patientDataDip
|
||||
disabled={type=='display'}
|
||||
/>
|
||||
</Grid>
|
||||
<Grid item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style '>
|
||||
<Grid item xs={4} className='collapsable-form-style '>
|
||||
<TextField
|
||||
variant="outlined"
|
||||
type="number"
|
||||
|
||||
@ -76,13 +76,7 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
|
||||
</Grid>
|
||||
|
||||
<Grid container direction="row">
|
||||
<Grid item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style'>
|
||||
<Grid item xs={4} className='collapsable-form-style'>
|
||||
<TextField
|
||||
variant="outlined"
|
||||
label="Family physician"
|
||||
@ -97,13 +91,7 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
|
||||
disabled={type=='display'}
|
||||
/>
|
||||
</Grid>
|
||||
<Grid item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style'>
|
||||
<Grid item xs={4} className='collapsable-form-style'>
|
||||
<TextField
|
||||
variant="outlined"
|
||||
label="City"
|
||||
@ -118,13 +106,7 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
|
||||
disabled={type=='display'}
|
||||
/>
|
||||
</Grid>
|
||||
<Grid item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style'>
|
||||
<Grid item xs={4} className='collapsable-form-style'>
|
||||
<TextField
|
||||
variant="outlined"
|
||||
label="State"
|
||||
@ -139,13 +121,7 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
|
||||
disabled={type=='display'}
|
||||
/>
|
||||
</Grid>
|
||||
<Grid item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style'>
|
||||
<Grid item xs={4} className='collapsable-form-style'>
|
||||
<TextField
|
||||
variant="outlined"
|
||||
label="Phone"
|
||||
@ -162,30 +138,14 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid item
|
||||
xs={12}
|
||||
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={4} className='collapsable-form-style'></Grid>
|
||||
<Grid item xs={4} className='collapsable-form-style'></Grid>
|
||||
|
||||
<Grid item xs={12} className='collapsable-form-style '>
|
||||
<FormLabel sx={{fontWeight:600}}>Chiropractor Information:</FormLabel>
|
||||
</Grid>
|
||||
|
||||
<Grid item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
sx={{paddingLeft:"14px",marginTop:2}} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={4} sx={{paddingLeft:"14px",marginTop:2}} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Previous Chiropractic Care:</FormLabel>
|
||||
<RadioGroup
|
||||
@ -206,13 +166,7 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
|
||||
</FormControl>
|
||||
</Grid>
|
||||
|
||||
<Grid item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style'>
|
||||
<Grid item xs={4} className='collapsable-form-style'>
|
||||
<TextField
|
||||
variant="outlined"
|
||||
label="Chiropractor's Name"
|
||||
@ -228,13 +182,7 @@ export default function MedicalHistoryForm({handleFormSection3Data,patientDataDi
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style'>
|
||||
<Grid item xs={4} className='collapsable-form-style'>
|
||||
<TextField
|
||||
variant="outlined"
|
||||
label="City/State"
|
||||
|
||||
@ -121,12 +121,7 @@ export default function PastTreatment5({handleFormSection5Data,patientDataDiplay
|
||||
</Grid>
|
||||
|
||||
|
||||
<Grid item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-form7'>
|
||||
<Grid item xs={4} className='collapsable-form-style-form7'>
|
||||
<TextField
|
||||
variant="outlined"
|
||||
label="If yes, when?"
|
||||
@ -140,12 +135,7 @@ export default function PastTreatment5({handleFormSection5Data,patientDataDiplay
|
||||
}}
|
||||
/>
|
||||
</Grid>
|
||||
<Grid item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-form7'>
|
||||
<Grid item xs={4} className='collapsable-form-style-form7'>
|
||||
<TextField
|
||||
variant="outlined"
|
||||
label="Was treatment provided?If yes, by whom?"
|
||||
@ -160,12 +150,7 @@ export default function PastTreatment5({handleFormSection5Data,patientDataDiplay
|
||||
}}
|
||||
/>
|
||||
</Grid>
|
||||
<Grid item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-form7'>
|
||||
<Grid item xs={4} className='collapsable-form-style-form7'>
|
||||
<TextField
|
||||
variant="outlined"
|
||||
label="Outcome?"
|
||||
@ -302,11 +287,7 @@ export default function PastTreatment5({handleFormSection5Data,patientDataDiplay
|
||||
type={type}/>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-multiline'>
|
||||
<Grid item xs={6} className='collapsable-form-style-multiline'>
|
||||
<FormLabel>Please list current supplements or drugs you may be taking:</FormLabel>
|
||||
<TextField
|
||||
multiline
|
||||
|
||||
@ -507,7 +507,7 @@ export default function PatientForm({ type }: Props) {
|
||||
id='panel9d-header'
|
||||
>
|
||||
<Typography sx={{ fontSize: 18 }}>
|
||||
Patient's Pain Zone
|
||||
Patient's Injury Image
|
||||
</Typography>
|
||||
</AccordionSummary>
|
||||
|
||||
|
||||
@ -1,15 +1,5 @@
|
||||
import * as React from 'react';
|
||||
import {
|
||||
Button,
|
||||
FormControl,
|
||||
FormControlLabel,
|
||||
FormLabel,
|
||||
Grid,
|
||||
Paper,
|
||||
Radio,
|
||||
RadioGroup,
|
||||
TextField,
|
||||
} from '@mui/material';
|
||||
import { Button, FormControl, FormControlLabel, FormLabel, Grid, Paper, Radio, RadioGroup, TextField } from '@mui/material';
|
||||
import { LocalizationProvider, DatePicker } from '@mui/x-date-pickers';
|
||||
import { AdapterDayjs } from '@mui/x-date-pickers/AdapterDayjs';
|
||||
import { useEffect } from 'react';
|
||||
@ -42,38 +32,37 @@ type Props = {
|
||||
city?: string|undefined,
|
||||
state?: string|undefined,
|
||||
zipCode?: string|undefined,
|
||||
gender?: string | undefined
|
||||
) => void;
|
||||
gender?: string|undefined,
|
||||
)=> void
|
||||
patientDataDiplay:any;
|
||||
type:string;
|
||||
};
|
||||
}
|
||||
|
||||
|
||||
export default function PersonalSection({handleFormSection1Data,patientDataDiplay,type}:Props){
|
||||
|
||||
export default function PersonalSection({
|
||||
handleFormSection1Data,
|
||||
patientDataDiplay,
|
||||
type,
|
||||
}: Props) {
|
||||
const [birthDateValue, setBirthDateValue] = React.useState<any>();
|
||||
const [patient, setPatient] = React.useState<any>({
|
||||
fullName: '',
|
||||
fullName: "",
|
||||
fullNameError:false,
|
||||
homePhone: '',
|
||||
cellPhone: '',
|
||||
homePhone: "",
|
||||
cellPhone: "",
|
||||
cellPhoneError: false,
|
||||
email: '',
|
||||
email: "",
|
||||
emailError: false,
|
||||
age: '',
|
||||
age: "",
|
||||
ageError: false,
|
||||
dateOfBirth: birthDateValue,
|
||||
socialSecurityNumber: '',
|
||||
mailingAddress: '',
|
||||
socialSecurityNumber: "",
|
||||
mailingAddress:"",
|
||||
mailingAddressFalse:false,
|
||||
city: '',
|
||||
state: '',
|
||||
zipCode: '',
|
||||
gender: 'male',
|
||||
city: "",
|
||||
state: "",
|
||||
zipCode: "",
|
||||
gender: "male",
|
||||
});
|
||||
|
||||
|
||||
useEffect(()=>{
|
||||
handleFormSection1Data(
|
||||
patient.fullName,
|
||||
@ -87,30 +76,22 @@ export default function PersonalSection({
|
||||
patient.city,
|
||||
patient.state,
|
||||
patient.zipCode,
|
||||
patient.gender
|
||||
);
|
||||
}, [patient]);
|
||||
patient.gender,
|
||||
)
|
||||
},[patient])
|
||||
|
||||
|
||||
|
||||
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 '
|
||||
>
|
||||
<Grid container direction="row" className='section1-test-class'>
|
||||
<Grid item xs={4} className='collapsable-form-style '>
|
||||
<TextField
|
||||
variant='outlined'
|
||||
variant="outlined"
|
||||
label="Patient's Full Name"
|
||||
name='fullName'
|
||||
name="fullName"
|
||||
placeholder='Please enter your name'
|
||||
value={
|
||||
type == 'display' ? patientDataDiplay.fullName : patient.fullName
|
||||
}
|
||||
value={type=='display'?patientDataDiplay.fullName:patient.fullName}
|
||||
disabled={type=='display'}
|
||||
onChange={(e)=>{
|
||||
setPatient((prevValues:any) => ({
|
||||
@ -119,7 +100,7 @@ export default function PersonalSection({
|
||||
}));
|
||||
}}
|
||||
onBlur={(e) => {
|
||||
if (e.target.value === '') {
|
||||
if (e.target.value === "") {
|
||||
setPatient((prevValues:any) => ({
|
||||
...prevValues,
|
||||
fullNameError: true,
|
||||
@ -133,44 +114,29 @@ export default function PersonalSection({
|
||||
}}
|
||||
required
|
||||
error={patient.fullNameError}
|
||||
helperText={patient.fullNameError ? 'Please enter your name' : ''}
|
||||
helperText={patient.fullNameError ? "Please enter your name" : ""}
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid
|
||||
item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style'
|
||||
>
|
||||
|
||||
<Grid item xs={4} className='collapsable-form-style'>
|
||||
<TextField
|
||||
required
|
||||
variant='outlined'
|
||||
label='Phone Number'
|
||||
name='cellPhone'
|
||||
type='number'
|
||||
variant="outlined"
|
||||
label="Phone Number"
|
||||
name="cellPhone"
|
||||
type="number"
|
||||
placeholder='Please enter your cell Phone number'
|
||||
value={
|
||||
type == 'display'
|
||||
? patientDataDiplay.cellPhone
|
||||
: patient.cellPhone
|
||||
}
|
||||
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,
|
||||
cellPhone: e.target.value,
|
||||
}));
|
||||
}}
|
||||
onBlur={(e) => {
|
||||
if (!/^\d{10}$/.test(e.target.value)) {
|
||||
if (!(/^\d{10}$/.test(e.target.value))) {
|
||||
setPatient((prevValues:any) => ({
|
||||
...prevValues,
|
||||
cellPhoneError: true,
|
||||
@ -183,35 +149,18 @@ export default function PersonalSection({
|
||||
}
|
||||
}}
|
||||
error={patient.cellPhoneError}
|
||||
helperText={
|
||||
patient.cellPhoneError
|
||||
? 'Please enter a valid 10-digit phone number'
|
||||
: ''
|
||||
}
|
||||
helperText={patient.cellPhoneError? "Please enter a valid 10-digit phone number" : ""}
|
||||
/>
|
||||
|
||||
</Grid>
|
||||
|
||||
<Grid
|
||||
item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style'
|
||||
>
|
||||
<Grid item xs={4} className='collapsable-form-style'>
|
||||
<TextField
|
||||
variant='outlined'
|
||||
label='Home Phone Number'
|
||||
name='homePhone'
|
||||
variant="outlined"
|
||||
label="Home Phone Number"
|
||||
name="homePhone"
|
||||
type='number'
|
||||
placeholder='Please enter your home phone'
|
||||
value={
|
||||
type == 'display'
|
||||
? patientDataDiplay.homePhone
|
||||
: patient.homePhone
|
||||
}
|
||||
value={type=='display'?patientDataDiplay.homePhone:patient.homePhone}
|
||||
disabled={type=='display'}
|
||||
onChange={(e)=>{
|
||||
setPatient((prevValues:any) => ({
|
||||
@ -224,20 +173,12 @@ export default function PersonalSection({
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid
|
||||
item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style'
|
||||
>
|
||||
<Grid item xs={4} className='collapsable-form-style'>
|
||||
<TextField
|
||||
required
|
||||
variant='outlined'
|
||||
label='Email'
|
||||
name='email'
|
||||
variant="outlined"
|
||||
label="Email"
|
||||
name="email"
|
||||
placeholder='Please enter your email'
|
||||
value={type=='display'?patientDataDiplay.email:patient.email}
|
||||
disabled={type=='display'}
|
||||
@ -248,7 +189,7 @@ export default function PersonalSection({
|
||||
}));
|
||||
}}
|
||||
onBlur={(e) => {
|
||||
if (!/^\S+@\S+\.\S+$/.test(e.target.value)) {
|
||||
if (!(/^\S+@\S+\.\S+$/.test(e.target.value))) {
|
||||
setPatient((prevValues:any) => ({
|
||||
...prevValues,
|
||||
emailError: true,
|
||||
@ -261,26 +202,16 @@ export default function PersonalSection({
|
||||
}
|
||||
}}
|
||||
error={patient.emailError}
|
||||
helperText={
|
||||
patient.emailError ? 'Please enter a valid email address' : ''
|
||||
}
|
||||
helperText={patient.emailError? "Please enter a valid email address" : ""}
|
||||
/>
|
||||
</Grid>
|
||||
<Grid
|
||||
item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style'
|
||||
>
|
||||
<Grid item xs={4} className='collapsable-form-style'>
|
||||
<TextField
|
||||
required
|
||||
variant='outlined'
|
||||
label='Age'
|
||||
name='age'
|
||||
type='number'
|
||||
variant="outlined"
|
||||
label="Age"
|
||||
name="age"
|
||||
type="number"
|
||||
placeholder='Please enter your age'
|
||||
value={type=='display'?patientDataDiplay.age:patient.age}
|
||||
disabled={type=='display'}
|
||||
@ -291,7 +222,7 @@ export default function PersonalSection({
|
||||
}));
|
||||
}}
|
||||
onBlur={(e) => {
|
||||
if (e.target.value === '') {
|
||||
if (e.target.value === "") {
|
||||
setPatient((prevValues:any) => ({
|
||||
...prevValues,
|
||||
ageError: true,
|
||||
@ -304,58 +235,34 @@ export default function PersonalSection({
|
||||
}
|
||||
}}
|
||||
error={patient.ageError}
|
||||
helperText={patient.ageError ? 'Please enter your age' : ''}
|
||||
helperText={patient.ageError ? "Please enter your age" : ""}
|
||||
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid
|
||||
item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style'
|
||||
>
|
||||
<Grid item xs={4} className='collapsable-form-style'>
|
||||
<FormControl >
|
||||
<LocalizationProvider dateAdapter={AdapterDayjs}>
|
||||
<DatePicker
|
||||
label='Date of Birth'
|
||||
value={
|
||||
type == 'display'
|
||||
? patientDataDiplay.dateOfBirth
|
||||
: birthDateValue
|
||||
}
|
||||
label="Date of Birth"
|
||||
value={type=='display'?patientDataDiplay.dateOfBirth:birthDateValue}
|
||||
disabled={type=='display'}
|
||||
onChange={(newValue) => {
|
||||
setBirthDateValue(newValue);
|
||||
}}
|
||||
renderInput={(params) => (
|
||||
<TextField variant='outlined' {...params} />
|
||||
)}
|
||||
renderInput={(params) => <TextField variant="outlined" {...params} />}
|
||||
/>
|
||||
</LocalizationProvider>
|
||||
</FormControl>
|
||||
|
||||
</Grid>
|
||||
|
||||
<Grid
|
||||
item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style'
|
||||
>
|
||||
<Grid item xs={4} className='collapsable-form-style'>
|
||||
<TextField
|
||||
variant='outlined'
|
||||
label='Social Security Number'
|
||||
name='socialSecurityNumber'
|
||||
value={
|
||||
type == 'display'
|
||||
? patientDataDiplay.socialSecurityNumber
|
||||
: patient.socialSecurityNumber
|
||||
}
|
||||
variant="outlined"
|
||||
label="Social Security Number"
|
||||
name="socialSecurityNumber"
|
||||
value={type=='display'?patientDataDiplay.socialSecurityNumber:patient.socialSecurityNumber}
|
||||
disabled={type=='display'}
|
||||
onChange={(e)=>{
|
||||
setPatient((prevValues:any) => ({
|
||||
@ -369,25 +276,13 @@ export default function PersonalSection({
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid
|
||||
item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style'
|
||||
>
|
||||
<Grid item xs={4} className='collapsable-form-style'>
|
||||
<TextField
|
||||
required
|
||||
variant='outlined'
|
||||
label='Mailing Address'
|
||||
name='mailingAddress'
|
||||
value={
|
||||
type == 'display'
|
||||
? patientDataDiplay.mailingAddress
|
||||
: patient.mailingAddress
|
||||
}
|
||||
variant="outlined"
|
||||
label="Mailing Address"
|
||||
name="mailingAddress"
|
||||
value={type=='display'?patientDataDiplay.mailingAddress:patient.mailingAddress}
|
||||
disabled={type=='display'}
|
||||
onChange={(e)=>{
|
||||
setPatient((prevValues:any) => ({
|
||||
@ -396,7 +291,7 @@ export default function PersonalSection({
|
||||
}));
|
||||
}}
|
||||
onBlur={(e) => {
|
||||
if (e.target.value === '') {
|
||||
if (e.target.value === "") {
|
||||
setPatient((prevValues:any) => ({
|
||||
...prevValues,
|
||||
mailingAddressError: true,
|
||||
@ -409,27 +304,15 @@ export default function PersonalSection({
|
||||
}
|
||||
}}
|
||||
error={patient.mailingAddressError}
|
||||
helperText={
|
||||
patient.mailingAddressError
|
||||
? 'Please enter your mailing address'
|
||||
: ''
|
||||
}
|
||||
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'
|
||||
>
|
||||
<Grid item xs={4} className='collapsable-form-style'>
|
||||
<TextField
|
||||
variant='outlined'
|
||||
label='State'
|
||||
name='state'
|
||||
variant="outlined"
|
||||
label="State"
|
||||
name="state"
|
||||
value={type=='display'?patientDataDiplay.state:patient.state}
|
||||
disabled={type=='display'}
|
||||
onChange={(e)=>{
|
||||
@ -441,19 +324,11 @@ export default function PersonalSection({
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid
|
||||
item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style'
|
||||
>
|
||||
<Grid item xs={4} className='collapsable-form-style'>
|
||||
<TextField
|
||||
variant='outlined'
|
||||
label='City'
|
||||
name='city'
|
||||
variant="outlined"
|
||||
label="City"
|
||||
name="city"
|
||||
value={type=='display'?patientDataDiplay.city:patient.city}
|
||||
disabled={type=='display'}
|
||||
onChange={(e)=>{
|
||||
@ -465,22 +340,12 @@ export default function PersonalSection({
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid
|
||||
item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style'
|
||||
>
|
||||
<Grid item xs={4} className='collapsable-form-style'>
|
||||
<TextField
|
||||
variant='outlined'
|
||||
label='Zip Code'
|
||||
name='zipCode'
|
||||
value={
|
||||
type == 'display' ? patientDataDiplay.zipCode : patient.zipCode
|
||||
}
|
||||
variant="outlined"
|
||||
label="Zip Code"
|
||||
name="zipCode"
|
||||
value={type=='display'?patientDataDiplay.zipCode:patient.zipCode}
|
||||
disabled={type=='display'}
|
||||
onChange={(e)=>{
|
||||
setPatient((prevValues:any) => ({
|
||||
@ -494,23 +359,13 @@ export default function PersonalSection({
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid
|
||||
item
|
||||
xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12}
|
||||
className='collapsable-form-style-radioButtons'
|
||||
>
|
||||
<Grid item xs={4} 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'
|
||||
aria-labelledby="demo-radio-buttons-group-label"
|
||||
defaultValue={type=='display'?patientDataDiplay.gender:patient.gender}
|
||||
name="radio-buttons-group"
|
||||
onChange={(e)=>{
|
||||
setPatient((prevValues:any) => ({
|
||||
...prevValues,
|
||||
@ -521,20 +376,14 @@ export default function PersonalSection({
|
||||
>
|
||||
<FormControlLabel
|
||||
disabled={type=='display'}
|
||||
value='male'
|
||||
control={<Radio />}
|
||||
label='Male'
|
||||
/>
|
||||
value="male" control={<Radio />} label="Male" />
|
||||
<FormControlLabel
|
||||
disabled={type=='display'}
|
||||
value='female'
|
||||
control={<Radio />}
|
||||
label='Female'
|
||||
/>
|
||||
value="female" control={<Radio />} label="Female" />
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
</Grid>
|
||||
</>
|
||||
);
|
||||
)
|
||||
}
|
||||
@ -136,11 +136,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
</FormControl>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Do you excercise?</FormLabel>
|
||||
<RadioGroup
|
||||
@ -160,11 +156,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
</FormControl>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-form7'>
|
||||
<Grid item xs={6} className='collapsable-form-style-form7'>
|
||||
<TextField
|
||||
disabled={patient.excercise!=='Yes'||type=='display'}
|
||||
variant="outlined"
|
||||
@ -180,11 +172,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Use tobacco?</FormLabel>
|
||||
<RadioGroup
|
||||
@ -204,11 +192,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
</FormControl>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-form7'>
|
||||
<Grid item xs={6} className='collapsable-form-style-form7'>
|
||||
<TextField
|
||||
disabled={patient.tobacco!=='Yes'||type=='display'}
|
||||
value={type=='display'?patientDataDiplay.tobaccoExplanation:patient.tobaccoExplanation}
|
||||
@ -224,11 +208,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Consume alcohol?</FormLabel>
|
||||
<RadioGroup
|
||||
@ -248,11 +228,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
</FormControl>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-form7'>
|
||||
<Grid item xs={6} className='collapsable-form-style-form7'>
|
||||
<TextField
|
||||
disabled={patient.alcohol!=='Yes'||type=='display'}
|
||||
value={type=='display'?patientDataDiplay.alcoholExplanation:patient.alcoholExplanation}
|
||||
@ -268,11 +244,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Have a healthy diet?</FormLabel>
|
||||
<RadioGroup
|
||||
@ -292,11 +264,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
</FormControl>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-form7'>
|
||||
<Grid item xs={6} className='collapsable-form-style-form7'>
|
||||
<TextField
|
||||
disabled={patient.healthyDiet!=='No'||type=='display'}
|
||||
value={type=='display'?patientDataDiplay.healthyDietExplanation:patient.healthyDietExplanation}
|
||||
@ -312,11 +280,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Get adequate sleep?</FormLabel>
|
||||
<RadioGroup
|
||||
@ -336,11 +300,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
</FormControl>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-form7'>
|
||||
<Grid item xs={6} className='collapsable-form-style-form7'>
|
||||
<TextField
|
||||
disabled={patient.sleep!=='No'||type=='display'}
|
||||
value={type=='display'?patientDataDiplay.sleepExplanation:patient.sleepExplanation}
|
||||
@ -356,11 +316,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Is Work/School stressful to you?</FormLabel>
|
||||
<RadioGroup
|
||||
@ -380,11 +336,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
</FormControl>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-form7'>
|
||||
<Grid item xs={6} className='collapsable-form-style-form7'>
|
||||
<TextField
|
||||
disabled={patient.workSchool!=='Yes'||type=='display'}
|
||||
value={type=='display'?patientDataDiplay.workSchool:patient.workSchool}
|
||||
@ -400,11 +352,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Family life stressful to you?</FormLabel>
|
||||
<RadioGroup
|
||||
@ -424,11 +372,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
</FormControl>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-form7'>
|
||||
<Grid item xs={6} className='collapsable-form-style-form7'>
|
||||
<TextField
|
||||
disabled={patient.familyLife!=='Yes'||type=='display'}
|
||||
value={type=='display'?patientDataDiplay.familyLifeExplanation:patient.familyLifeExplanation}
|
||||
@ -444,11 +388,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
/>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Use recreational drugs?</FormLabel>
|
||||
<RadioGroup
|
||||
@ -468,11 +408,7 @@ export default function RecreationalHobbiesSection7({handleFormSection7Data,pati
|
||||
</FormControl>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
// lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-form7'>
|
||||
<Grid item xs={6} className='collapsable-form-style-form7'>
|
||||
<TextField
|
||||
disabled={patient.drugs!=='Yes'||type=='display'}
|
||||
value={type=='display'?patientDataDiplay.drugsExplanation:patient.drugsExplanation}
|
||||
|
||||
@ -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>
|
||||
</Grid>
|
||||
<Grid container direction="row">
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Eyes</FormLabel>
|
||||
<RadioGroup
|
||||
@ -116,11 +112,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Intestines/Bowls</FormLabel>
|
||||
<RadioGroup
|
||||
@ -139,11 +131,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Joints/Bones</FormLabel>
|
||||
<RadioGroup
|
||||
@ -162,11 +150,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Allergies</FormLabel>
|
||||
<RadioGroup
|
||||
@ -185,11 +169,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Ears, Nose, Mouth, Throat</FormLabel>
|
||||
<RadioGroup
|
||||
@ -208,11 +188,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Urinary</FormLabel>
|
||||
<RadioGroup
|
||||
@ -231,11 +207,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Skin</FormLabel>
|
||||
<RadioGroup
|
||||
@ -254,11 +226,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Psychological/Emotional</FormLabel>
|
||||
<RadioGroup
|
||||
@ -277,11 +245,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Heart</FormLabel>
|
||||
<RadioGroup
|
||||
@ -300,11 +264,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Muscles</FormLabel>
|
||||
<RadioGroup
|
||||
@ -323,11 +283,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Internal Organs</FormLabel>
|
||||
<RadioGroup
|
||||
@ -346,11 +302,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Gynecological menstrual/Brest</FormLabel>
|
||||
<RadioGroup
|
||||
@ -370,11 +322,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</FormControl>
|
||||
</Grid>
|
||||
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Lungs/Breathing</FormLabel>
|
||||
<RadioGroup
|
||||
@ -393,11 +341,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Nerves</FormLabel>
|
||||
<RadioGroup
|
||||
@ -416,11 +360,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Blood</FormLabel>
|
||||
<RadioGroup
|
||||
@ -439,11 +379,7 @@ export default function SystemReviewSection6({handleFormSection6Data,patientData
|
||||
</RadioGroup>
|
||||
</FormControl>
|
||||
</Grid>
|
||||
<Grid item xs={12}
|
||||
xl={3}
|
||||
lg={4}
|
||||
md={6}
|
||||
sm={12} className='collapsable-form-style-radioButtons'>
|
||||
<Grid item xs={3} className='collapsable-form-style-radioButtons'>
|
||||
<FormControl>
|
||||
<FormLabel>Prostate/Testicular/Penile</FormLabel>
|
||||
<RadioGroup
|
||||
|
||||
Loading…
x
Reference in New Issue
Block a user