feat(sep): modify form entry with radio input
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@@ -8,6 +8,7 @@ import { Button } from '~/components/pub/ui/button'
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import { Input } from '~/components/pub/ui/input'
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import { Label } from '~/components/pub/ui/label'
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import { Select } from '~/components/pub/ui/select'
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import { RadioGroup, RadioGroupItem } from '~/components/pub/ui/radio-group'
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import { Textarea } from '~/components/pub/ui/textarea'
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const items = [
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@@ -30,6 +31,8 @@ const schema = z.object({
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klinikTujuan: z.string().min(1, 'Klinik tujuan wajib diisi'),
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dpjp: z.string().min(1, 'DPJP wajib diisi'),
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diagnosaAwal: z.string().min(1, 'Diagnosa awal wajib diisi'),
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cob: z.string().min(1, 'COB wajib diisi'),
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katarak: z.string().min(1, 'Katarak wajib diisi'),
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})
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const { handleSubmit, errors, defineField } = useForm({
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@@ -49,6 +52,8 @@ const [tglSuratKontrol] = defineField('tglSuratKontrol')
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const [klinikTujuan] = defineField('klinikTujuan')
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const [dpjp] = defineField('dpjp')
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const [diagnosaAwal] = defineField('diagnosaAwal')
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const [cob] = defineField('cob')
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const [katarak] = defineField('katarak')
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// Submit handler
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const onSubmit = handleSubmit((values) => {
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@@ -61,84 +66,133 @@ const onSubmit = handleSubmit((values) => {
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<form @submit.prevent="onSubmit" class="grid gap-6">
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<!-- Tanggal SEP & Jalur -->
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<div class="grid gap-4 md:grid-cols-3">
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<div>
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<div class="flex flex-col gap-2">
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<Label for="tanggalSep">Tanggal SEP</Label>
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<Input id="tanggalSep" type="date" v-model="tanggalSep" />
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<p v-if="errors.tanggalSep" class="text-sm text-red-500">{{ errors.tanggalSep }}</p>
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</div>
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<div>
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<div class="flex flex-col gap-2">
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<Label for="jalur">Jalur</Label>
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<Select icon-name="i-lucide-chevron-down" v-model="jalur" :items="items" placeholder="Pilih jalur"></Select>
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<p v-if="errors.jalur" class="text-sm text-red-500">{{ errors.jalur }}</p>
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</div>
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</div>
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<hr />
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<!-- Data Pasien -->
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<div class="flex gap-2">
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<div class="flex items-center gap-2">
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<h3 class="text-lg font-semibold">Data Pasien</h3>
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<Button variant="outline" class="rounded-full border-green-600 text-green-600 hover:bg-green-50">
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<Icon name="i-lucide-search" class="h-4 w-4 mr-2" />
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Cari Data
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<Button variant="outline" class="rounded-</Button>md border-green-600 text-green-600 hover:bg-green-50">
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<Icon name="i-lucide-search" class="mr-1 h-4 w-4" />
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Cari Pasien
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</Button>
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</div>
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<div class="grid gap-4 md:grid-cols-3">
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<div>
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<div class="flex flex-col gap-2">
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<Label>No. Kartu BPJS<span class="text-red-500">*</span></Label>
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<Input v-model="noBpjs" />
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<p v-if="errors.noBpjs" class="text-sm text-red-500">{{ errors.noBpjs }}</p>
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</div>
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<div>
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<div class="flex flex-col gap-2">
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<Label>No. KTP<span class="text-red-500">*</span></Label>
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<Input v-model="noKtp" />
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<p v-if="errors.noKtp" class="text-sm text-red-500">{{ errors.noKtp }}</p>
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</div>
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<div>
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<div class="flex flex-col gap-2">
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<Label>No. RM<span class="text-red-500">*</span></Label>
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<Input v-model="noRm" />
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<p v-if="errors.noRm" class="text-sm text-red-500">{{ errors.noRm }}</p>
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</div>
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<div>
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<div class="flex flex-col gap-2">
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<Label>Nama Pasien<span class="text-red-500">*</span></Label>
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<Input v-model="namaPasien" />
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<p v-if="errors.namaPasien" class="text-sm text-red-500">{{ errors.namaPasien }}</p>
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</div>
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<div>
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<div class="flex flex-col gap-2">
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<Label>No. Telepon<span class="text-red-500">*</span></Label>
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<Input v-model="noTelp" />
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<p v-if="errors.noTelp" class="text-sm text-red-500">{{ errors.noTelp }}</p>
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</div>
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</div>
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<hr />
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<!-- Data SEP -->
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<h3 class="text-lg font-semibold">Data SEP</h3>
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<div class="grid gap-4 md:grid-cols-3">
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<div>
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<div class="flex flex-col gap-2">
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<Label>No. Surat Kontrol<span class="text-red-500">*</span></Label>
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<Input v-model="noSuratKontrol" />
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<div class="flex gap-2">
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<Input class="flex-1" v-model="noSuratKontrol" />
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<Button
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variant="outline"
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class="rounded-</Button>md h-[40px] border-green-600 text-green-600 hover:bg-green-50"
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>
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<Icon name="i-lucide-search" class="mr-1 h-4 w-4" />
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Cari Data
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</Button>
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</div>
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<p v-if="errors.noSuratKontrol" class="text-sm text-red-500">{{ errors.noSuratKontrol }}</p>
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</div>
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<div>
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<div class="flex flex-col gap-2">
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<Label>Tanggal Surat Kontrol<span class="text-red-500">*</span></Label>
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<Input v-model="tglSuratKontrol" />
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<p v-if="errors.tglSuratKontrol" class="text-sm text-red-500">{{ errors.tglSuratKontrol }}</p>
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</div>
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<div>
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<div class="flex flex-col gap-2">
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<Label>Klinik Tujuan<span class="text-red-500">*</span></Label>
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<Select v-model="klinikTujuan" :items="items" placeholder="Pilih klinik"></Select>
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<Select
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icon-name="i-lucide-chevron-down"
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v-model="klinikTujuan"
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:items="items"
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placeholder="Pilih klinik"
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></Select>
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<p v-if="errors.klinikTujuan" class="text-sm text-red-500">{{ errors.klinikTujuan }}</p>
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</div>
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<div>
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<div class="flex flex-col gap-2">
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<Label>DPJP<span class="text-red-500">*</span></Label>
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<Select v-model="dpjp" :items="items" placeholder="Pilih DPJP"></Select>
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<Select icon-name="i-lucide-chevron-down" v-model="dpjp" :items="items" placeholder="Pilih DPJP"></Select>
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<p v-if="errors.dpjp" class="text-sm text-red-500">{{ errors.dpjp }}</p>
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</div>
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<div>
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<div class="flex flex-col gap-2">
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<Label>Diagnosa Awal<span class="text-red-500">*</span></Label>
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<Input v-model="diagnosaAwal" />
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<p v-if="errors.diagnosaAwal" class="text-sm text-red-500">{{ errors.diagnosaAwal }}</p>
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</div>
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</div>
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<hr />
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<div class="flex items-center gap-4">
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<div>
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<Label class="mb-2 block">COB<span class="text-red-500">*</span></Label>
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<RadioGroup v-model="cob" class="flex items-center gap-2">
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<div class="flex items-center space-x-2">
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<RadioGroupItem value="Ya" id="cob-ya" />
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<Label for="cob-ya">Ya</Label>
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</div>
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<div class="flex items-center space-x-2">
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<RadioGroupItem value="Tidak" id="cob-tidak" />
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<Label for="cob-tidak">Tidak</Label>
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</div>
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</RadioGroup>
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</div>
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<div>
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<Label class="mb-2 block">Katarak<span class="text-red-500">*</span></Label>
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<RadioGroup v-model="katarak" class="flex items-center gap-2">
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<div class="flex items-center space-x-2">
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<RadioGroupItem value="Ya" id="katarak-ya" />
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<Label for="katarak-ya">Ya</Label>
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</div>
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<div class="flex items-center space-x-2">
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<RadioGroupItem value="Tidak" id="katarak-tidak" />
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<Label for="katarak-tidak">Tidak</Label>
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</div>
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</RadioGroup>
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</div>
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</div>
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<!-- Catatan -->
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<div>
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<Label>Catatan</Label>
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