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_c('option',{key:state.code,domProps:{\"value\":state.code}},[_vm._v(\" \"+_vm._s(state.name)+\" \")])}),0)])]),_c('div',{staticClass:\"form-group row\"},[_c('div',{staticClass:\"col-lg-6 mx-auto\"},[_vm._m(7),_c('input',{directives:[{name:\"model\",rawName:\"v-model\",value:(_vm.form.zip),expression:\"form.zip\"}],staticClass:\"form-control\",attrs:{\"type\":\"text\",\"required\":\"\"},domProps:{\"value\":(_vm.form.zip)},on:{\"input\":function($event){if($event.target.composing){ return; }_vm.$set(_vm.form, \"zip\", $event.target.value)}}})])]),_c('div',{staticClass:\"form-group row\"},[_c('div',{staticClass:\"col-lg-6 mx-auto\"},[_c('label',{staticClass:\"label f-weight-550\"},[_vm._v(\"Home Phone \"),_c('span',{directives:[{name:\"show\",rawName:\"v-show\",value:(_vm.form.cellPhone === ''),expression:\"form.cellPhone === 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''\"}],staticStyle:{\"color\":\"red\"}},[_vm._v(\"*\")])]),_c('input',{directives:[{name:\"model\",rawName:\"v-model\",value:(_vm.form.cellPhone),expression:\"form.cellPhone\"},{name:\"mask\",rawName:\"v-mask\",value:('(###) ###-####'),expression:\"'(###) ###-####'\"}],staticClass:\"form-control\",attrs:{\"type\":\"text\",\"required\":_vm.form.homePhone === ''},domProps:{\"value\":(_vm.form.cellPhone)},on:{\"input\":function($event){if($event.target.composing){ return; }_vm.$set(_vm.form, \"cellPhone\", $event.target.value)}}})])]),_c('div',{staticClass:\"form-group row\"},[_c('div',{staticClass:\"col-lg-6 mx-auto\"},[_vm._m(8),_c('datepicker',{attrs:{\"input-class\":'form-control',\"format\":'MMMM dd, yyyy',\"id\":'dpicker',\"required\":true,\"typeable\":false,\"disabled-dates\":_vm.disabledDates,\"onkeydown\":\"return false\"},model:{value:(_vm.form.dob),callback:function ($$v) {_vm.$set(_vm.form, \"dob\", $$v)},expression:\"form.dob\"}})],1)]),_c('div',{staticClass:\"form-group row\"},[_c('div',{staticClass:\"col-lg-6 mx-auto\"},[_vm._m(9),_c('select',{directives:[{name:\"model\",rawName:\"v-model\",value:(_vm.form.sex),expression:\"form.sex\"}],staticClass:\"form-control\",on:{\"change\":function($event){var $$selectedVal = Array.prototype.filter.call($event.target.options,function(o){return o.selected}).map(function(o){var val = \"_value\" in o ? o._value : o.value;return val}); _vm.$set(_vm.form, \"sex\", $event.target.multiple ? $$selectedVal : $$selectedVal[0])}}},_vm._l((_vm.genderList),function(gender){return _c('option',{key:gender.value,domProps:{\"value\":gender.id}},[_vm._v(\" \"+_vm._s(gender.value)+\" \")])}),0)])]),_c('div',{staticClass:\"form-group row\"},[_c('div',{staticClass:\"col-lg-6 mx-auto\"},[_vm._m(10),_c('select',{directives:[{name:\"model\",rawName:\"v-model\",value:(_vm.form.employStatID),expression:\"form.employStatID\"}],staticClass:\"form-control\",attrs:{\"required\":\"\"},on:{\"change\":function($event){var $$selectedVal = Array.prototype.filter.call($event.target.options,function(o){return o.selected}).map(function(o){var val = \"_value\" in o ? o._value : o.value;return val}); _vm.$set(_vm.form, \"employStatID\", $event.target.multiple ? $$selectedVal : $$selectedVal[0])}}},_vm._l((_vm.employmentList),function(employ){return _c('option',{key:employ.value,domProps:{\"value\":employ.id}},[_vm._v(\" \"+_vm._s(employ.value)+\" \")])}),0)])]),_c('div',{staticClass:\"form-group row\"},[_c('div',{staticClass:\"col-lg-6 mx-auto\"},[_vm._m(11),_c('select',{directives:[{name:\"model\",rawName:\"v-model\",value:(_vm.form.maritalStatID),expression:\"form.maritalStatID\"}],staticClass:\"form-control\",on:{\"change\":function($event){var $$selectedVal = Array.prototype.filter.call($event.target.options,function(o){return o.selected}).map(function(o){var val = \"_value\" in o ? o._value : o.value;return val}); _vm.$set(_vm.form, \"maritalStatID\", $event.target.multiple ? $$selectedVal : $$selectedVal[0])}}},_vm._l((_vm.statusList),function(marital){return _c('option',{key:marital.value,domProps:{\"value\":marital.id}},[_vm._v(\" \"+_vm._s(marital.value)+\" \")])}),0)])]),_c('div',{staticClass:\"form-group row\"},[_c('div',{staticClass:\"col-lg-6 mx-auto\"},[_c('label',{staticClass:\"label f-weight-550\"},[_vm._v(\"Emergency Contact\")]),_c('input',{directives:[{name:\"model\",rawName:\"v-model\",value:(_vm.form.emerContact),expression:\"form.emerContact\"}],staticClass:\"form-control\",attrs:{\"type\":\"text\"},domProps:{\"value\":(_vm.form.emerContact)},on:{\"input\":function($event){if($event.target.composing){ return; }_vm.$set(_vm.form, \"emerContact\", $event.target.value)}}})])]),_c('div',{staticClass:\"form-group row\"},[_c('div',{staticClass:\"col-lg-6 mx-auto\"},[_c('label',{staticClass:\"label f-weight-550\"},[_vm._v(\"Emergency Relation\")]),_c('select',{directives:[{name:\"model\",rawName:\"v-model\",value:(_vm.form.emerRelation),expression:\"form.emerRelation\"}],staticClass:\"form-control\",on:{\"change\":function($event){var $$selectedVal = Array.prototype.filter.call($event.target.options,function(o){return o.selected}).map(function(o){var val = \"_value\" in o ? o._value : o.value;return val}); _vm.$set(_vm.form, \"emerRelation\", $event.target.multiple ? $$selectedVal : $$selectedVal[0])}}},_vm._l((_vm.relationList),function(relation){return _c('option',{key:relation,domProps:{\"value\":relation}},[_vm._v(\" \"+_vm._s(relation)+\" \")])}),0)])]),_c('div',{staticClass:\"form-group row\"},[_c('div',{staticClass:\"col-lg-6 mx-auto\"},[_c('label',{staticClass:\"label f-weight-550\"},[_vm._v(\"Emergency Phone\")]),_c('input',{directives:[{name:\"model\",rawName:\"v-model\",value:(_vm.form.emerPhone),expression:\"form.emerPhone\"},{name:\"mask\",rawName:\"v-mask\",value:('(###)-###-####'),expression:\"'(###)-###-####'\"}],staticClass:\"form-control\",attrs:{\"type\":\"text\"},domProps:{\"value\":(_vm.form.emerPhone)},on:{\"input\":function($event){if($event.target.composing){ return; }_vm.$set(_vm.form, \"emerPhone\", $event.target.value)}}})])]),_c('div',{staticClass:\"form-group row\"},[_c('div',{staticClass:\"col-lg-6 mx-auto\"},[_c('h5',{staticClass:\"h5\"},[_vm._v(\"Is this a result of:\")]),_c('div',{staticClass:\"pl-2\"},[_c('label',{staticClass:\"label fw-500 pr-2 text-right\",staticStyle:{\"width\":\"120px\"}},[_vm._v(\"Auto Accident:\")]),_c('div',{staticClass:\"form-check form-check-inline\"},[_c('input',{staticClass:\"form-check-input\",attrs:{\"type\":\"radio\",\"name\":\"aaquestion\"},domProps:{\"checked\":_vm.isAutoAccident},on:{\"click\":function($event){_vm.isAutoAccident = true}}}),_c('label',{staticClass:\"form-check-label check-inline\"},[_vm._v(\"Yes\")])]),_c('div',{staticClass:\"form-check form-check-inline\"},[_c('input',{staticClass:\"form-check-input\",attrs:{\"type\":\"radio\",\"name\":\"aaquestion\"},domProps:{\"checked\":!_vm.isAutoAccident},on:{\"click\":function($event){_vm.isAutoAccident = false}}}),_c('label',{staticClass:\"form-check-label\"},[_vm._v(\"No\")])])]),_c('div',{staticClass:\"pl-2\"},[_c('label',{staticClass:\"label fw-500 pr-2 text-right\",staticStyle:{\"width\":\"120px\"}},[_vm._v(\"Work Injury:\")]),_c('div',{staticClass:\"form-check form-check-inline\"},[_c('input',{staticClass:\"form-check-input\",attrs:{\"type\":\"radio\",\"name\":\"wiquestion\"},domProps:{\"checked\":_vm.isWorkInjury},on:{\"click\":function($event){_vm.isWorkInjury = true}}}),_c('label',{staticClass:\"form-check-label check-inline\"},[_vm._v(\"Yes\")])]),_c('div',{staticClass:\"form-check form-check-inline\"},[_c('input',{staticClass:\"form-check-input\",attrs:{\"type\":\"radio\",\"name\":\"wiquestion\"},domProps:{\"checked\":!_vm.isWorkInjury},on:{\"click\":function($event){_vm.isWorkInjury = false}}}),_c('label',{staticClass:\"form-check-label\"},[_vm._v(\"No\")])])])])])]):_vm._e(),(_vm.isLoading)?_c('div',[_c('div',{staticClass:\"col-12\"},[_c('content-placeholders',{attrs:{\"rounded\":true,\"centered\":true}},[_c('content-placeholders-text',{attrs:{\"lines\":20}})],1)],1)]):_vm._e()]),_c('footer',{staticClass:\"card-footer\"},[_c('div',{staticClass:\"row justify-content-end\"},[_c('div',{staticClass:\"col-sm-9\"},[_c('btn-saving',{attrs:{\"is-saving\":_vm.isSaving}})],1)])])])])])])}\nvar staticRenderFns = [function () {var _vm=this;var _h=_vm.$createElement;var _c=_vm._self._c||_h;return _c('header',{staticClass:\"card-header\"},[_c('h2',{staticClass:\"card-title\"},[_vm._v(\"Please confirm your information\")])])},function () {var _vm=this;var _h=_vm.$createElement;var _c=_vm._self._c||_h;return _c('label',{staticClass:\"label f-weight-550\"},[_vm._v(\"First Name \"),_c('span',{staticStyle:{\"color\":\"red\"}},[_vm._v(\"*\")])])},function () {var _vm=this;var _h=_vm.$createElement;var _c=_vm._self._c||_h;return _c('label',{staticClass:\"label f-weight-550\"},[_vm._v(\"Last Name \"),_c('span',{staticStyle:{\"color\":\"red\"}},[_vm._v(\"*\")])])},function () {var _vm=this;var _h=_vm.$createElement;var _c=_vm._self._c||_h;return _c('label',{staticClass:\"label f-weight-550\"},[_vm._v(\"Email \"),_c('span',{staticStyle:{\"color\":\"red\"}},[_vm._v(\"*\")])])},function () {var _vm=this;var _h=_vm.$createElement;var _c=_vm._self._c||_h;return _c('label',{staticClass:\"label f-weight-550\"},[_vm._v(\"Address 1 \"),_c('span',{staticStyle:{\"color\":\"red\"}},[_vm._v(\"*\")])])},function () {var _vm=this;var _h=_vm.$createElement;var _c=_vm._self._c||_h;return _c('label',{staticClass:\"label f-weight-550\"},[_vm._v(\"City \"),_c('span',{staticStyle:{\"color\":\"red\"}},[_vm._v(\"*\")])])},function () {var _vm=this;var _h=_vm.$createElement;var _c=_vm._self._c||_h;return _c('label',{staticClass:\"label f-weight-550\"},[_vm._v(\"State \"),_c('span',{staticStyle:{\"color\":\"red\"}},[_vm._v(\"*\")])])},function () {var _vm=this;var _h=_vm.$createElement;var _c=_vm._self._c||_h;return _c('label',{staticClass:\"label f-weight-550\"},[_vm._v(\"Zip Code \"),_c('span',{staticStyle:{\"color\":\"red\"}},[_vm._v(\"*\")])])},function () {var _vm=this;var _h=_vm.$createElement;var _c=_vm._self._c||_h;return _c('label',{staticClass:\"label f-weight-550\"},[_vm._v(\"Date of Birth \"),_c('span',{staticStyle:{\"color\":\"red\"}},[_vm._v(\"*\")])])},function () {var _vm=this;var _h=_vm.$createElement;var _c=_vm._self._c||_h;return _c('label',{staticClass:\"label f-weight-550\"},[_vm._v(\"Gender \"),_c('span',{staticStyle:{\"color\":\"red\"}},[_vm._v(\"*\")])])},function () {var _vm=this;var _h=_vm.$createElement;var _c=_vm._self._c||_h;return _c('label',{staticClass:\"label f-weight-550\"},[_vm._v(\"Employment \"),_c('span',{staticStyle:{\"color\":\"red\"}},[_vm._v(\"*\")])])},function () {var _vm=this;var _h=_vm.$createElement;var _c=_vm._self._c||_h;return _c('label',{staticClass:\"label f-weight-550\"},[_vm._v(\"Marital Status \"),_c('span',{staticStyle:{\"color\":\"red\"}},[_vm._v(\"*\")])])}]\n\nexport { render, staticRenderFns }","<template>\n  <section role=\"main\">\n    <form @submit.prevent=\"savePatientInfo\" class=\"mt-5 mr-2 ml-2 justify-content-md-center\">\n      <div class=\"col\">\n        <section class=\"card\">\n          <header class=\"card-header\">\n            <h2 class=\"card-title\">Please confirm your information</h2>\n          </header>\n          <div class=\"card-body\">\n            <div v-if=\"!isLoading\">\n              <div class=\"form-group row\">\n                <div class=\"col-lg-6 mx-auto\">\n                  <label class=\"label f-weight-550\">First Name <span style=\"color: red\">*</span></label>\n                  <input type=\"text\" class=\"form-control\" v-model=\"form.firstName\" required />\n                </div>\n\n              </div>\n\n              <div class=\"form-group row\">\n                <div class=\"col-lg-6 mx-auto\">\n                  <label class=\"label f-weight-550\">Last Name <span style=\"color: red\">*</span></label>\n                  <input type=\"text\" class=\"form-control\" v-model=\"form.lastName\" required />\n                </div>\n              </div>\n\n              <div class=\"form-group row\">\n                <div class=\"col-lg-6 mx-auto\">\n                  <label class=\"label f-weight-550\">Middle Initial</label>\n                  <input type=\"text\" class=\"form-control\" v-model=\"form.middleInitial\" />\n                </div>\n              </div>\n\n              <div class=\"form-group row\">\n                <div class=\"col-lg-6 mx-auto\">\n                  <label class=\"label f-weight-550\">Nickname</label>\n                  <input type=\"text\" class=\"form-control\" v-model=\"form.nickName\" />\n                </div>\n              </div>\n\n              <div class=\"form-group row\">\n                <div class=\"col-lg-6 mx-auto\">\n                  <label class=\"label f-weight-550\">Email <span style=\"color: red\">*</span></label>\n                  <input type=\"email\" class=\"form-control\" v-model=\"form.email\" required />\n                </div>\n              </div>\n\n              <div class=\"form-group row\">\n                <div class=\"col-lg-6 mx-auto\">\n                  <label class=\"label f-weight-550\">Address 1 <span style=\"color: red\">*</span> </label>\n                  <input type=\"text\" class=\"form-control\" v-model=\"form.address\" required />\n                </div>\n              </div>\n\n              <div class=\"form-group row\">\n                <div class=\"col-lg-6 mx-auto\">\n                  <label class=\"label f-weight-550\">Address 2</label>\n                  <input type=\"text\" class=\"form-control\" v-model=\"form.address2\" />\n                </div>\n              </div>\n\n              <div class=\"form-group row\">\n                <div class=\"col-lg-6 mx-auto\">\n                  <label class=\"label f-weight-550\">City <span style=\"color: red\">*</span> </label>\n                  <input type=\"text\" class=\"form-control\" v-model=\"form.city\" required />\n                </div>\n              </div>\n\n              <div class=\"form-group row\">\n                <div class=\"col-lg-6 mx-auto\">\n                  <label class=\"label f-weight-550\">State <span style=\"color: red\">*</span> </label>\n                  <select v-model=\"form.state\" class=\"form-control\" required>\n                    <option v-for=\"state in usStates\" :key=\"state.code\" :value=\"state.code\">\n                      {{ state.name }}\n                    </option>\n                  </select>\n                </div>\n\n              </div>\n\n              <div class=\"form-group row\">\n                <div class=\"col-lg-6 mx-auto\">\n                  <label class=\"label f-weight-550\">Zip Code <span style=\"color: red\">*</span> </label>\n                  <input type=\"text\" class=\"form-control\" v-model=\"form.zip\" required />\n                </div>\n              </div>\n\n              <div class=\"form-group row\">\n                <div class=\"col-lg-6 mx-auto\">\n                  <label class=\"label f-weight-550\">Home Phone <span v-show=\"form.cellPhone === ''\"\n                      style=\"color: red\">*</span></label>\n                  <input type=\"text\" class=\"form-control\" v-model=\"form.homePhone\" :required=\"form.cellPhone === ''\"\n                    v-mask=\"'(###) ###-####'\" />\n                </div>\n              </div>\n\n              <div class=\"form-group row\">\n                <div class=\"col-lg-6 mx-auto\">\n                  <label class=\"label f-weight-550\">Mobile Phone <span v-show=\"form.homePhone === ''\"\n                      style=\"color: red\">*</span></label>\n                  <input type=\"text\" class=\"form-control\" v-model=\"form.cellPhone\" :required=\"form.homePhone === ''\"\n                    v-mask=\"'(###) ###-####'\" />\n                </div>\n              </div>\n\n              <div class=\"form-group row\">\n                <div class=\"col-lg-6 mx-auto\">\n                  <label class=\"label f-weight-550\">Date of Birth <span style=\"color: red\">*</span></label>\n                  <datepicker v-model=\"form.dob\" :input-class=\"'form-control'\" :format=\"'MMMM dd, yyyy'\" :id=\"'dpicker'\"\n                    :required=\"true\" :typeable=\"false\" :disabled-dates=\"disabledDates\" onkeydown=\"return false\">\n                  </datepicker>\n                </div>\n              </div>\n\n              <div class=\"form-group row\">\n                <div class=\"col-lg-6 mx-auto\">\n                  <label class=\"label f-weight-550\">Gender <span style=\"color: red\">*</span></label>\n                  <select class=\"form-control\" v-model=\"form.sex\">\n                    <option v-for=\"gender in genderList\" :value=\"gender.id\" :key=\"gender.value\">\n                      {{ gender.value }}\n                    </option>\n                  </select>\n                </div>\n              </div>\n\n              <div class=\"form-group row\">\n                <div class=\"col-lg-6 mx-auto\">\n                  <label class=\"label f-weight-550\">Employment <span style=\"color: red\">*</span></label>\n                  <select class=\"form-control\" v-model=\"form.employStatID\" required>\n                    <option v-for=\"employ in employmentList\" :value=\"employ.id\" :key=\"employ.value\">\n                      {{ employ.value }}\n                    </option>\n                  </select>\n                </div>\n              </div>\n\n              <div class=\"form-group row\">\n                <div class=\"col-lg-6 mx-auto\">\n                  <label class=\"label f-weight-550\">Marital Status <span style=\"color: red\">*</span></label>\n                  <select v-model=\"form.maritalStatID\" class=\"form-control\">\n                    <option v-for=\"marital in statusList\" :key=\"marital.value\" :value=\"marital.id\">\n                      {{ marital.value }}\n                    </option>\n                  </select>\n                </div>\n              </div>\n\n              <div class=\"form-group row\">\n                <div class=\"col-lg-6 mx-auto\">\n                  <label class=\"label f-weight-550\">Emergency Contact</label>\n                  <input type=\"text\" class=\"form-control\" v-model=\"form.emerContact\" />\n                </div>\n              </div>\n\n              <div class=\"form-group row\">\n                <div class=\"col-lg-6 mx-auto\">\n                  <label class=\"label f-weight-550\">Emergency Relation</label>\n                  <select class=\"form-control\" v-model=\"form.emerRelation\">\n                    <option v-for=\"relation in relationList\" :value=\"relation\" :key=\"relation\">\n                      {{ relation }}\n                    </option>\n                  </select>\n                </div>\n              </div>\n\n              <div class=\"form-group row\">\n                <div class=\"col-lg-6 mx-auto\">\n                  <label class=\"label f-weight-550\">Emergency Phone</label>\n                  <input type=\"text\" class=\"form-control\" v-model=\"form.emerPhone\" v-mask=\"'(###)-###-####'\" />\n                </div>\n              </div>\n\n              <div class=\"form-group row\">\n                <div class=\"col-lg-6 mx-auto\">\n                  <h5 class=\"h5\">Is this a result of:</h5>\n                  <div class=\"pl-2\">\n                    <label class=\"label fw-500 pr-2 text-right\" style=\"width:120px\">Auto Accident:</label>\n                    <div class=\"form-check form-check-inline\">\n                      <input type=\"radio\" class=\"form-check-input\" name=\"aaquestion\" :checked=\"isAutoAccident\"\n                        @click=\"isAutoAccident = true\" />\n                      <label class=\"form-check-label check-inline\">Yes</label>\n                    </div>\n                    <div class=\"form-check form-check-inline\">\n                      <input type=\"radio\" class=\"form-check-input\" name=\"aaquestion\" :checked=\"!isAutoAccident\"\n                        @click=\"isAutoAccident = false\" />\n                      <label class=\"form-check-label\">No</label>\n                    </div>\n                  </div>\n                  <div class=\"pl-2\">\n                    <label class=\"label fw-500 pr-2 text-right\" style=\"width:120px\">Work Injury:</label>\n                    <div class=\"form-check form-check-inline\">\n                      <input type=\"radio\" class=\"form-check-input\" name=\"wiquestion\" :checked=\"isWorkInjury\"\n                        @click=\"isWorkInjury = true\" />\n                      <label class=\"form-check-label check-inline\">Yes</label>\n                    </div>\n                    <div class=\"form-check form-check-inline\">\n                      <input type=\"radio\" class=\"form-check-input\" name=\"wiquestion\" :checked=\"!isWorkInjury\"\n                        @click=\"isWorkInjury = false\" />\n                      <label class=\"form-check-label\">No</label>\n                    </div>\n                  </div>\n                </div>\n              </div>\n            </div>\n            <div v-if=\"isLoading\">\n              <div class=\"col-12\">\n                <content-placeholders :rounded=\"true\" :centered=\"true\">\n                  <content-placeholders-text :lines=\"20\" />\n                </content-placeholders>\n              </div>\n            </div>\n          </div>\n          <footer class=\"card-footer\">\n            <div class=\"row justify-content-end\">\n              <div class=\"col-sm-9\">\n                <!-- <button\n                  type=\"reset\"\n                  class=\"btn btn-default mr-2\"\n                  @click=\"previous\"\n                  v-if=\"\n                    getTaskPreviousTaskType &&\n                    getTaskPreviousTaskType !== getTaskCurrentTaskType\n                  \"\n                >\n                  Back\n                </button> -->\n                <btn-saving :is-saving=\"isSaving\" />\n              </div>\n            </div>\n          </footer>\n        </section>\n      </div>\n    </form>\n  </section>\n</template>\n\n<script>\n// import moment from 'moment'\nimport api from '../../api/http-common.js'\nimport Datepicker from 'vuejs-datepicker'\nimport { mapGetters, mapActions } from 'vuex'\nimport btnSaving from '../button-saving.vue'\nexport default {\n  components: {\n    Datepicker,\n    btnSaving\n  },\n  data() {\n    return {\n      isRequired: true,\n      isLoading: true,\n      isSaving: false,\n      portalId: null,\n      caseHistoryId: null,\n      form: {\n        firstName: '',\n        lastName: '',\n        middleInitial: '',\n        nickName: '',\n        email: '',\n        address: '',\n        address2: '',\n        city: '',\n        state: '',\n        zip: '',\n        homePhone: '',\n        cellPhone: '',\n        dob: '',\n        sex: '',\n        employment: '',\n        maritalStatID: '',\n        emerContact: '',\n        emerRelation: '',\n        emerPhone: ''\n      },\n      isAutoAccident: false,\n      isWorkInjury: false,\n      usStates: [],\n      relationList: [\n        'SPOUSE',\n        'CHILD',\n        'MOTHER',\n        'FATHER',\n        'BROTHER',\n        'SISTER',\n        'AUNT',\n        'UNCLE',\n        'COUSIN',\n        'FRIEND',\n        'OTHER'\n      ],\n      employmentList: [\n        { id: 0, value: '' },\n        { id: 1, value: 'Employed' },\n        { id: 2, value: 'Full Time Student' },\n        { id: 3, value: 'Part Time Student' },\n        { id: 4, value: 'Retired' },\n        { id: 5, value: 'Other' }\n      ],\n      statusList: [\n        { id: 0, value: '' },\n        { id: 1, value: 'Single' },\n        { id: 2, value: 'Married' },\n        { id: 3, value: 'Other' },\n        { id: 4, value: 'Divorced' },\n        { id: 5, value: 'Widowed' },\n        { id: 6, value: 'Child' }\n      ],\n      genderList: [\n        { id: 'M', value: 'Male' },\n        { id: 'F', value: 'Female' },\n        { id: 'X', value: 'Non-Binary' }\n      ],\n      disabledDates: {\n        ranges: []\n      }\n    }\n  },\n  computed: {\n    ...mapGetters([\n      'getProfilePatientAssociated',\n      'getTaskPreviousTaskType',\n      'getTaskCurrentTaskType',\n      'currentPatientAssociated',\n      'getTaskCode',\n      'getTaskInfo'\n    ]),\n    TaskInfo() {\n      if (this.getTaskInfo !== '') {\n        return JSON.parse(this.getTaskInfo)\n      } else {\n        return null\n      }\n    }\n  },\n  methods: {\n    ...mapActions(['setTaskCurrentTaskType', 'setTaskCurrentCaseHistoryId', 'setTaskInfo']),\n    toggle(val) {\n      this.isAutoAccident = val\n    },\n    async previous() {\n      // this.setTaskCurrentTaskType(this.getTaskPreviousTaskType)\n      await this.$router.push({ path: '/' })\n    },\n    async savePatientInfo() {\n      var givenDate = this.form.dob\n      var todaysDate = new Date()\n\n      if (givenDate > todaysDate) {\n        this.$swal.fire({\n          icon: 'error',\n          title: 'Oops...',\n          text: 'Invalid Date of Birth!'\n        })\n      } else {\n        this.isSaving = true\n        await api.task.request.updatePatient(this.form)\n        let result = await api.task.request.findIncompleteCaseHistory({\n          facilityId: this.currentPatientAssociated.facilityID,\n          patientId: this.currentPatientAssociated.patientID\n        })\n        if (!result.data) {\n          result = await api.task.request.insertCaseHistory({\n            facilityId: this.currentPatientAssociated.facilityID,\n            patientId: this.currentPatientAssociated.patientID,\n            aa: this.isAutoAccident\n          })\n          this.updateCaseHistory(result.data)\n        }\n        await this.setTaskCurrentCaseHistoryId(result.data)\n        this.isSaving = false\n        if (this.TaskInfo) {\n          if (this.TaskInfo.Action === 'INSINFO') {\n            const taskinfo = this.TaskInfo\n            if (this.TaskInfo.TaskType !== 'INS') {\n              taskinfo.CurrentTaskType = this.isAutoAccident ? 'NphAutoAccident' : 'NphComplaintLocation'\n            } else {\n              taskinfo.CurrentTaskType = 'NphThankyou'\n            }\n            this.setTaskInfo(JSON.stringify(taskinfo))\n            this.setTaskCurrentTaskType('NphInsurance')\n          }\n        } else if (this.isAutoAccident) {\n          this.setTaskCurrentTaskType('NphAutoAccident')\n        } else {\n          this.setTaskCurrentTaskType('NphComplaintLocation')\n        }\n      }\n    },\n    async updateCaseHistory(caseId) {\n      await api.task.request.updateCaseHistory({\n        facilityId: this.currentPatientAssociated.facilityID,\n        id: caseId,\n        aa: this.isAutoAccident,\n        wc: this.isWorkInjury\n      })\n    },\n    async getPatientInfo(patientId) {\n      const patientInfo = await api.task.request.getPatient({\n        facilityId: this.currentPatientAssociated.facilityID,\n        patientId: this.currentPatientAssociated.patientID\n      })\n\n      this.form = patientInfo.data\n      this.form.facilityId = this.currentPatientAssociated.facilityID\n      this.form.patientId = this.form.id\n      switch (this.getTaskCode) {\n        case 'AANPH':\n        case 'AACH':\n          this.isAutoAccident = true\n          break\n      }\n      this.isLoading = false\n    },\n    async getUsStates() {\n      const result = await api.task.request.getUsStates()\n      this.usStates = result.data\n    }\n  },\n  async mounted() {\n    await this.getUsStates()\n    await this.getPatientInfo()\n    this.isLoading = false\n    document.getElementById('dpicker').removeAttribute('readonly')\n\n    var obj = {}\n\n    var fromDate = new Date()\n    var futureDate = new Date(new Date().getFullYear() + 50, 0, 1)\n\n    obj.from = fromDate\n    obj.to = futureDate\n\n    this.disabledDates.ranges.push(obj)\n    this.disabledDates.from = fromDate\n  }\n}\n</script>\n<style scoped>\n.h5 {\n    font-size: 1.1em !important;\n    font-weight: 600;\n    letter-spacing: normal;\n    line-height: 18px;\n    color: black;\n}\n\n.fw-500 {\n  font-weight: 550;\n}\n</style>\n","import mod from \"-!../../../node_modules/cache-loader/dist/cjs.js??ref--13-0!../../../node_modules/thread-loader/dist/cjs.js!../../../node_modules/babel-loader/lib/index.js!../../../node_modules/cache-loader/dist/cjs.js??ref--1-0!../../../node_modules/@vue/cli-service/node_modules/vue-loader/lib/index.js??vue-loader-options!./PatientInfo.vue?vue&type=script&lang=js\"; export default mod; export * from \"-!../../../node_modules/cache-loader/dist/cjs.js??ref--13-0!../../../node_modules/thread-loader/dist/cjs.js!../../../node_modules/babel-loader/lib/index.js!../../../node_modules/cache-loader/dist/cjs.js??ref--1-0!../../../node_modules/@vue/cli-service/node_modules/vue-loader/lib/index.js??vue-loader-options!./PatientInfo.vue?vue&type=script&lang=js\"","import { render, staticRenderFns } from \"./PatientInfo.vue?vue&type=template&id=0f4bd3da&scoped=true\"\nimport script from \"./PatientInfo.vue?vue&type=script&lang=js\"\nexport * from \"./PatientInfo.vue?vue&type=script&lang=js\"\nimport style0 from \"./PatientInfo.vue?vue&type=style&index=0&id=0f4bd3da&prod&scoped=true&lang=css\"\n\n\n/* normalize component */\nimport normalizer from \"!../../../node_modules/@vue/cli-service/node_modules/vue-loader/lib/runtime/componentNormalizer.js\"\nvar component = normalizer(\n  script,\n  render,\n  staticRenderFns,\n  false,\n  null,\n  \"0f4bd3da\",\n  null\n  \n)\n\nexport default component.exports"],"sourceRoot":""}