Fix: refactor rehab medik - Resume UI

app/components/app/resume/_common/print-btn.vue

@@ -0,0 +1,22 @@
+<script setup lang="ts">
+import type { ListItemDto } from '~/components/pub/my-ui/data/types';
+
+const props = defineProps<{
+  url: string
+  btnTxt?: string
+  rec: ListItemDto
+}>()
+
+function handlePrint() {
+   navigateTo(props.url || 'https://google.com', {external: true,open: { target: "_blank" },});
+}
+</script>
+
+<template>
+  <Button 
+    class="gap-3 items-center border-orange-400 text-orange-400"
+    variant="outline" @click="handlePrint">
+    <Icon name="i-lucide-printer" class="h-4 w-4" />
+    {{ props.btnTxt || 'Lampiran' }}
+  </Button>
+</template>

app/components/app/resume/_common/select-concious-level.vue

@@ -0,0 +1,70 @@
+<script setup lang="ts">
+import type { FormErrors } from '~/types/error'
+import Combobox from '~/components/pub/my-ui/combobox/combobox.vue'
+import { cn, mapToComboboxOptList } from '~/lib/utils'
+import { occupationCodes } from '~/lib/constants'
+
+import * as DE from '~/components/pub/my-ui/doc-entry'
+
+const props = defineProps<{
+  fieldName?: string
+  label?: string
+  placeholder?: string
+  errors?: FormErrors
+  class?: string
+  selectClass?: string
+  fieldGroupClass?: string
+  labelClass?: string
+  isRequired?: boolean
+}>()
+
+const {
+  fieldName = 'job',
+  label = 'Pekerjaan',
+  placeholder = 'Pilih pekerjaan',
+  errors,
+  class: containerClass,
+  fieldGroupClass,
+  labelClass,
+} = props
+
+// Generate job options from constants, sama seperti pola genderCodes
+const jobOptions = mapToComboboxOptList(occupationCodes)
+</script>
+
+<template>
+  <DE.Cell :class="cn('select-field-group', fieldGroupClass, containerClass)">
+    <DE.Label
+      :label-for="fieldName"
+      :class="cn('select-field-label', labelClass)"
+      :is-required="isRequired"
+    >
+      {{ label }}
+    </DE.Label>
+    <DE.Field
+      :id="fieldName"
+      :errors="errors"
+      :class="cn('select-field-wrapper')"
+    >
+      <FormField
+        v-slot="{ componentField }"
+        :name="fieldName"
+      >
+        <FormItem>
+          <FormControl>
+            <Combobox
+              class="focus:ring-0 focus:ring-offset-0"
+              :id="fieldName"
+              v-bind="componentField"
+              :items="jobOptions"
+              :placeholder="placeholder"
+              search-placeholder="Cari..."
+              empty-message="Data tidak ditemukan"
+            />
+          </FormControl>
+          <FormMessage />
+        </FormItem>
+      </FormField>
+    </DE.Field>
+  </DE.Cell>
+</template>

app/components/app/resume/_common/select-following-arrangement.vue

@@ -0,0 +1,70 @@
+<script setup lang="ts">
+import type { FormErrors } from '~/types/error'
+import Combobox from '~/components/pub/my-ui/combobox/combobox.vue'
+import { cn, mapToComboboxOptList } from '~/lib/utils'
+import { occupationCodes } from '~/lib/constants'
+
+import * as DE from '~/components/pub/my-ui/doc-entry'
+
+const props = defineProps<{
+  fieldName?: string
+  label?: string
+  placeholder?: string
+  errors?: FormErrors
+  class?: string
+  selectClass?: string
+  fieldGroupClass?: string
+  labelClass?: string
+  isRequired?: boolean
+}>()
+
+const {
+  fieldName = 'job',
+  label = 'Pekerjaan',
+  placeholder = 'Pilih pekerjaan',
+  errors,
+  class: containerClass,
+  fieldGroupClass,
+  labelClass,
+} = props
+
+// Generate job options from constants, sama seperti pola genderCodes
+const jobOptions = mapToComboboxOptList(occupationCodes)
+</script>
+
+<template>
+  <DE.Cell :class="cn('select-field-group', fieldGroupClass, containerClass)">
+    <DE.Label
+      :label-for="fieldName"
+      :class="cn('select-field-label', labelClass)"
+      :is-required="isRequired"
+    >
+      {{ label }}
+    </DE.Label>
+    <DE.Field
+      :id="fieldName"
+      :errors="errors"
+      :class="cn('select-field-wrapper')"
+    >
+      <FormField
+        v-slot="{ componentField }"
+        :name="fieldName"
+      >
+        <FormItem>
+          <FormControl>
+            <Combobox
+              class="focus:ring-0 focus:ring-offset-0"
+              :id="fieldName"
+              v-bind="componentField"
+              :items="jobOptions"
+              :placeholder="placeholder"
+              search-placeholder="Cari..."
+              empty-message="Data tidak ditemukan"
+            />
+          </FormControl>
+          <FormMessage />
+        </FormItem>
+      </FormField>
+    </DE.Field>
+  </DE.Cell>
+</template>

app/components/app/resume/_common/select-hospital-leave-condition.vue

@@ -0,0 +1,70 @@
+<script setup lang="ts">
+import type { FormErrors } from '~/types/error'
+import Combobox from '~/components/pub/my-ui/combobox/combobox.vue'
+import { cn, mapToComboboxOptList } from '~/lib/utils'
+import { occupationCodes } from '~/lib/constants'
+
+import * as DE from '~/components/pub/my-ui/doc-entry'
+
+const props = defineProps<{
+  fieldName?: string
+  label?: string
+  placeholder?: string
+  errors?: FormErrors
+  class?: string
+  selectClass?: string
+  fieldGroupClass?: string
+  labelClass?: string
+  isRequired?: boolean
+}>()
+
+const {
+  fieldName = 'job',
+  label = 'Pekerjaan',
+  placeholder = 'Pilih pekerjaan',
+  errors,
+  class: containerClass,
+  fieldGroupClass,
+  labelClass,
+} = props
+
+// Generate job options from constants, sama seperti pola genderCodes
+const jobOptions = mapToComboboxOptList(occupationCodes)
+</script>
+
+<template>
+  <DE.Cell :class="cn('select-field-group', fieldGroupClass, containerClass)">
+    <DE.Label
+      :label-for="fieldName"
+      :class="cn('select-field-label', labelClass)"
+      :is-required="isRequired"
+    >
+      {{ label }}
+    </DE.Label>
+    <DE.Field
+      :id="fieldName"
+      :errors="errors"
+      :class="cn('select-field-wrapper')"
+    >
+      <FormField
+        v-slot="{ componentField }"
+        :name="fieldName"
+      >
+        <FormItem>
+          <FormControl>
+            <Combobox
+              class="focus:ring-0 focus:ring-offset-0"
+              :id="fieldName"
+              v-bind="componentField"
+              :items="jobOptions"
+              :placeholder="placeholder"
+              search-placeholder="Cari..."
+              empty-message="Data tidak ditemukan"
+            />
+          </FormControl>
+          <FormMessage />
+        </FormItem>
+      </FormField>
+    </DE.Field>
+  </DE.Cell>
+</template>

app/components/app/resume/_common/select-hospital-leave-method.vue

@@ -0,0 +1,70 @@
+<script setup lang="ts">
+import type { FormErrors } from '~/types/error'
+import Combobox from '~/components/pub/my-ui/combobox/combobox.vue'
+import { cn, mapToComboboxOptList } from '~/lib/utils'
+import { occupationCodes } from '~/lib/constants'
+
+import * as DE from '~/components/pub/my-ui/doc-entry'
+
+const props = defineProps<{
+  fieldName?: string
+  label?: string
+  placeholder?: string
+  errors?: FormErrors
+  class?: string
+  selectClass?: string
+  fieldGroupClass?: string
+  labelClass?: string
+  isRequired?: boolean
+}>()
+
+const {
+  fieldName = 'job',
+  label = 'Pekerjaan',
+  placeholder = 'Pilih pekerjaan',
+  errors,
+  class: containerClass,
+  fieldGroupClass,
+  labelClass,
+} = props
+
+// Generate job options from constants, sama seperti pola genderCodes
+const jobOptions = mapToComboboxOptList(occupationCodes)
+</script>
+
+<template>
+  <DE.Cell :class="cn('select-field-group', fieldGroupClass, containerClass)">
+    <DE.Label
+      :label-for="fieldName"
+      :class="cn('select-field-label', labelClass)"
+      :is-required="isRequired"
+    >
+      {{ label }}
+    </DE.Label>
+    <DE.Field
+      :id="fieldName"
+      :errors="errors"
+      :class="cn('select-field-wrapper')"
+    >
+      <FormField
+        v-slot="{ componentField }"
+        :name="fieldName"
+      >
+        <FormItem>
+          <FormControl>
+            <Combobox
+              class="focus:ring-0 focus:ring-offset-0"
+              :id="fieldName"
+              v-bind="componentField"
+              :items="jobOptions"
+              :placeholder="placeholder"
+              search-placeholder="Cari..."
+              empty-message="Data tidak ditemukan"
+            />
+          </FormControl>
+          <FormMessage />
+        </FormItem>
+      </FormField>
+    </DE.Field>
+  </DE.Cell>
+</template>

app/components/app/resume/_common/select-icd-10.vue

@@ -0,0 +1,70 @@
+<script setup lang="ts">
+import type { FormErrors } from '~/types/error'
+import Combobox from '~/components/pub/my-ui/combobox/combobox.vue'
+import { cn, mapToComboboxOptList } from '~/lib/utils'
+import { occupationCodes } from '~/lib/constants'
+
+import * as DE from '~/components/pub/my-ui/doc-entry'
+
+const props = defineProps<{
+  fieldName?: string
+  label?: string
+  placeholder?: string
+  errors?: FormErrors
+  class?: string
+  selectClass?: string
+  fieldGroupClass?: string
+  labelClass?: string
+  isRequired?: boolean
+}>()
+
+const {
+  fieldName = 'job',
+  label = 'Pekerjaan',
+  placeholder = 'Pilih pekerjaan',
+  errors,
+  class: containerClass,
+  fieldGroupClass,
+  labelClass,
+} = props
+
+// Generate job options from constants, sama seperti pola genderCodes
+const jobOptions = mapToComboboxOptList(occupationCodes)
+</script>
+
+<template>
+  <DE.Cell :class="cn('select-field-group', fieldGroupClass, containerClass)">
+    <DE.Label
+      :label-for="fieldName"
+      :class="cn('select-field-label', labelClass)"
+      :is-required="isRequired"
+    >
+      {{ label }}
+    </DE.Label>
+    <DE.Field
+      :id="fieldName"
+      :errors="errors"
+      :class="cn('select-field-wrapper')"
+    >
+      <FormField
+        v-slot="{ componentField }"
+        :name="fieldName"
+      >
+        <FormItem>
+          <FormControl>
+            <Combobox
+              class="focus:ring-0 focus:ring-offset-0"
+              :id="fieldName"
+              v-bind="componentField"
+              :items="jobOptions"
+              :placeholder="placeholder"
+              search-placeholder="Cari..."
+              empty-message="Data tidak ditemukan"
+            />
+          </FormControl>
+          <FormMessage />
+        </FormItem>
+      </FormField>
+    </DE.Field>
+  </DE.Cell>
+</template>

app/components/app/resume/_common/select-icd-9.vue

@@ -0,0 +1,70 @@
+<script setup lang="ts">
+import type { FormErrors } from '~/types/error'
+import Combobox from '~/components/pub/my-ui/combobox/combobox.vue'
+import { cn, mapToComboboxOptList } from '~/lib/utils'
+import { occupationCodes } from '~/lib/constants'
+
+import * as DE from '~/components/pub/my-ui/doc-entry'
+
+const props = defineProps<{
+  fieldName?: string
+  label?: string
+  placeholder?: string
+  errors?: FormErrors
+  class?: string
+  selectClass?: string
+  fieldGroupClass?: string
+  labelClass?: string
+  isRequired?: boolean
+}>()
+
+const {
+  fieldName = 'job',
+  label = 'Pekerjaan',
+  placeholder = 'Pilih pekerjaan',
+  errors,
+  class: containerClass,
+  fieldGroupClass,
+  labelClass,
+} = props
+
+// Generate job options from constants, sama seperti pola genderCodes
+const jobOptions = mapToComboboxOptList(occupationCodes)
+</script>
+
+<template>
+  <DE.Cell :class="cn('select-field-group', fieldGroupClass, containerClass)">
+    <DE.Label
+      :label-for="fieldName"
+      :class="cn('select-field-label', labelClass)"
+      :is-required="isRequired"
+    >
+      {{ label }}
+    </DE.Label>
+    <DE.Field
+      :id="fieldName"
+      :errors="errors"
+      :class="cn('select-field-wrapper')"
+    >
+      <FormField
+        v-slot="{ componentField }"
+        :name="fieldName"
+      >
+        <FormItem>
+          <FormControl>
+            <Combobox
+              class="focus:ring-0 focus:ring-offset-0"
+              :id="fieldName"
+              v-bind="componentField"
+              :items="jobOptions"
+              :placeholder="placeholder"
+              search-placeholder="Cari..."
+              empty-message="Data tidak ditemukan"
+            />
+          </FormControl>
+          <FormMessage />
+        </FormItem>
+      </FormField>
+    </DE.Field>
+  </DE.Cell>
+</template>

app/components/app/resume/_common/select-national-program-service-status.vue

@@ -0,0 +1,70 @@
+<script setup lang="ts">
+import type { FormErrors } from '~/types/error'
+import Combobox from '~/components/pub/my-ui/combobox/combobox.vue'
+import { cn, mapToComboboxOptList } from '~/lib/utils'
+import { occupationCodes } from '~/lib/constants'
+
+import * as DE from '~/components/pub/my-ui/doc-entry'
+
+const props = defineProps<{
+  fieldName?: string
+  label?: string
+  placeholder?: string
+  errors?: FormErrors
+  class?: string
+  selectClass?: string
+  fieldGroupClass?: string
+  labelClass?: string
+  isRequired?: boolean
+}>()
+
+const {
+  fieldName = 'job',
+  label = 'Pekerjaan',
+  placeholder = 'Pilih pekerjaan',
+  errors,
+  class: containerClass,
+  fieldGroupClass,
+  labelClass,
+} = props
+
+// Generate job options from constants, sama seperti pola genderCodes
+const jobOptions = mapToComboboxOptList(occupationCodes)
+</script>
+
+<template>
+  <DE.Cell :class="cn('select-field-group', fieldGroupClass, containerClass)">
+    <DE.Label
+      :label-for="fieldName"
+      :class="cn('select-field-label', labelClass)"
+      :is-required="isRequired"
+    >
+      {{ label }}
+    </DE.Label>
+    <DE.Field
+      :id="fieldName"
+      :errors="errors"
+      :class="cn('select-field-wrapper')"
+    >
+      <FormField
+        v-slot="{ componentField }"
+        :name="fieldName"
+      >
+        <FormItem>
+          <FormControl>
+            <Combobox
+              class="focus:ring-0 focus:ring-offset-0"
+              :id="fieldName"
+              v-bind="componentField"
+              :items="jobOptions"
+              :placeholder="placeholder"
+              search-placeholder="Cari..."
+              empty-message="Data tidak ditemukan"
+            />
+          </FormControl>
+          <FormMessage />
+        </FormItem>
+      </FormField>
+    </DE.Field>
+  </DE.Cell>
+</template>

app/components/app/resume/_common/select-national-program-service.vue

@@ -0,0 +1,70 @@
+<script setup lang="ts">
+import type { FormErrors } from '~/types/error'
+import Combobox from '~/components/pub/my-ui/combobox/combobox.vue'
+import { cn, mapToComboboxOptList } from '~/lib/utils'
+import { occupationCodes } from '~/lib/constants'
+
+import * as DE from '~/components/pub/my-ui/doc-entry'
+
+const props = defineProps<{
+  fieldName?: string
+  label?: string
+  placeholder?: string
+  errors?: FormErrors
+  class?: string
+  selectClass?: string
+  fieldGroupClass?: string
+  labelClass?: string
+  isRequired?: boolean
+}>()
+
+const {
+  fieldName = 'job',
+  label = 'Pekerjaan',
+  placeholder = 'Pilih pekerjaan',
+  errors,
+  class: containerClass,
+  fieldGroupClass,
+  labelClass,
+} = props
+
+// Generate job options from constants, sama seperti pola genderCodes
+const jobOptions = mapToComboboxOptList(occupationCodes)
+</script>
+
+<template>
+  <DE.Cell :class="cn('select-field-group', fieldGroupClass, containerClass)">
+    <DE.Label
+      :label-for="fieldName"
+      :class="cn('select-field-label', labelClass)"
+      :is-required="isRequired"
+    >
+      {{ label }}
+    </DE.Label>
+    <DE.Field
+      :id="fieldName"
+      :errors="errors"
+      :class="cn('select-field-wrapper')"
+    >
+      <FormField
+        v-slot="{ componentField }"
+        :name="fieldName"
+      >
+        <FormItem>
+          <FormControl>
+            <Combobox
+              class="focus:ring-0 focus:ring-offset-0"
+              :id="fieldName"
+              v-bind="componentField"
+              :items="jobOptions"
+              :placeholder="placeholder"
+              search-placeholder="Cari..."
+              empty-message="Data tidak ditemukan"
+            />
+          </FormControl>
+          <FormMessage />
+        </FormItem>
+      </FormField>
+    </DE.Field>
+  </DE.Cell>
+</template>

app/components/app/resume/_common/select-pain-scale.vue

@@ -0,0 +1,70 @@
+<script setup lang="ts">
+import type { FormErrors } from '~/types/error'
+import Combobox from '~/components/pub/my-ui/combobox/combobox.vue'
+import { cn, mapToComboboxOptList } from '~/lib/utils'
+import { occupationCodes } from '~/lib/constants'
+
+import * as DE from '~/components/pub/my-ui/doc-entry'
+
+const props = defineProps<{
+  fieldName?: string
+  label?: string
+  placeholder?: string
+  errors?: FormErrors
+  class?: string
+  selectClass?: string
+  fieldGroupClass?: string
+  labelClass?: string
+  isRequired?: boolean
+}>()
+
+const {
+  fieldName = 'job',
+  label = 'Pekerjaan',
+  placeholder = 'Pilih pekerjaan',
+  errors,
+  class: containerClass,
+  fieldGroupClass,
+  labelClass,
+} = props
+
+// Generate job options from constants, sama seperti pola genderCodes
+const jobOptions = mapToComboboxOptList(occupationCodes)
+</script>
+
+<template>
+  <DE.Cell :class="cn('select-field-group', fieldGroupClass, containerClass)">
+    <DE.Label
+      :label-for="fieldName"
+      :class="cn('select-field-label', labelClass)"
+      :is-required="isRequired"
+    >
+      {{ label }}
+    </DE.Label>
+    <DE.Field
+      :id="fieldName"
+      :errors="errors"
+      :class="cn('select-field-wrapper')"
+    >
+      <FormField
+        v-slot="{ componentField }"
+        :name="fieldName"
+      >
+        <FormItem>
+          <FormControl>
+            <Combobox
+              class="focus:ring-0 focus:ring-offset-0"
+              :id="fieldName"
+              v-bind="componentField"
+              :items="jobOptions"
+              :placeholder="placeholder"
+              search-placeholder="Cari..."
+              empty-message="Data tidak ditemukan"
+            />
+          </FormControl>
+          <FormMessage />
+        </FormItem>
+      </FormField>
+    </DE.Field>
+  </DE.Cell>
+</template>

app/components/app/resume/_common/verify-badge.vue

@@ -0,0 +1,67 @@
+<script setup lang="ts">
+import { Badge, type Variants } from '~/components/pub/ui/badge'
+
+const activeStatusCodes: Record<string, string> = {
+  verified: 'Terverifikasi',
+  validated: 'Tervalidasi',
+  unverified: 'Belum Verifikasi',
+  unvalidated: 'Batal Validasi',
+}
+
+const props = defineProps<{
+  rec: any
+  idx?: number
+}>()
+
+const statusText = computed(() => {
+  let code: keyof typeof activeStatusCodes = `unverified`
+  switch (props.rec.status_code) {
+    case 1:
+      code = 'verified'
+      break
+    case 2:
+      code = 'validated'
+      break
+    case 3:
+      code = 'unverified'
+      break
+    case 4:
+      code = 'unvalidated'
+      break
+    default:
+      code = 'unverified'
+      break
+  }
+  return activeStatusCodes[code]
+})
+
+const badgeVariant = computed(() => {
+  let variant: Variants = `outline`
+  switch (props.rec.status_code) {
+    case 1:
+      variant = 'secondary'
+      break
+    case 2:
+      variant = 'default'
+      break
+    case 3:
+      variant = 'outline'
+      break
+    case 4:
+      variant = 'destructive'
+      break
+    default:
+      variant = 'outline'
+      break
+  }
+  return variant
+})
+</script>
+
+<template>
+  <div class="flex justify-center">
+    <Badge :variant="badgeVariant" class="rounded-2xl text-[0.6rem]" >
+      {{ statusText }}
+    </Badge>
+  </div>
+</template>

app/components/app/resume/add.vue

@@ -8,12 +8,19 @@ import InputBase from '~/components/pub/my-ui/form/input-base.vue'
 
 import * as DE from '~/components/pub/my-ui/doc-entry'
 import TextAreaInput from '~/components/pub/my-ui/form/text-area-input.vue'
-import SelectSecondaryDiagnosis from './_common/select-secondary-diagnosis.vue'
-import SelectPrimaryDiagnosis from './_common/select-primary-diagnosis.vue'
 import SelectArrangement from './_common/select-arrangement.vue'
 import type { ResumeArrangementType } from '~/schemas/resume.schema'
 import SelectFaskes from './_common/select-faskes.vue'
 import SelectDeathCause from './_common/select-death-cause.vue'
+import SelectIcd10 from './_common/select-icd-10.vue'
+import SelectIcd9 from './_common/select-icd-9.vue'
+import SelectConciousLevel from './_common/select-concious-level.vue'
+import SelectPainScale from './_common/select-pain-scale.vue'
+import SelectNationalProgramService from './_common/select-national-program-service.vue'
+import SelectNationalProgramServiceStatus from './_common/select-national-program-service-status.vue'
+import SelectHospitalLeaveCondition from './_common/select-hospital-leave-condition.vue'
+import SelectFollowingArrangement from './_common/select-following-arrangement.vue'
+import SelectHospitalLeaveMethod from './_common/select-hospital-leave-method.vue'
 
 const props = defineProps<{
   schema: any
@@ -22,6 +29,11 @@ const props = defineProps<{
   errors?: FormErrors
 }>()
 
+const isActionHistoryOpen = inject(`isActionHistoryOpen`) as Ref<boolean>
+const isConsultationHistoryOpen = inject(`isConsultationHistoryOpen`) as Ref<boolean>
+const isSupportingHistoryOpen = inject(`isSupportingHistoryOpen`) as Ref<boolean>
+const isFarmacyHistoryOpen = inject(`isFarmacyHistoryOpen`) as Ref<boolean>
+const isNationalProgramServiceHistoryOpen = inject(`isNationalProgramServiceHistoryOpen`) as Ref<boolean>
 const formSchema = toTypedSchema(props.schema)
 const formRef = ref()
 
@@ -31,101 +43,369 @@ defineExpose({
   setValues: (values: any, shouldValidate = true) => formRef.value?.setValues(values, shouldValidate),
   values: computed(() => formRef.value?.values),
 })
+
+const DEFAULT_SECONDARY_DIAGNOSIS_VALUE = {
+  diagnosis: '',
+  icd10: '',
+  diagnosisBasis: '',
+};
+const DEFAULT_SECONDARY_ACTION_VALUE = {
+  action: '',
+  icd9: '',
+  actionBasis: '',
+};
+const DEFAULT_CONSULTATION_VALUE = {
+  consultation: '',
+  consultationReply: '',
+};
 </script>
 
 <template>
-  <Form ref="formRef" v-slot="{ values }" as="" keep-values :validation-schema="formSchema" :validate-on-mount="false"
-    validation-mode="onSubmit" :initial-values="initialValues ? initialValues : {}">
+  <Form ref="formRef"
+    v-slot="{ values }"
+    as=""
+    keep-values
+    :validation-schema="formSchema"
+    :validate-on-mount="false"
+    validation-mode="onSubmit"
+    :initial-values="initialValues ? initialValues : {}">
+
+    <!-- Pasien -->
     <h1 class="mb-3 text-base font-medium">Pemeriksaan Pasien</h1>
     <DE.Block :col-count="3" :cell-flex="false">
       <SelectDate field-name="inDate" label="Tanggal Masuk" :errors="errors" :is-disabled="true" />
-      <SelectDate field-name="outDate" label="Tanggal Keluar" :errors="errors" :is-disabled="true" />
-    </DE.Block>
+      <SelectDate field-name="outDate" label="Tanggal Keluar" :errors="errors" :is-disabled="true" />      
+      <InputBase
+        field-name="doctor_id"
+        :is-disabled="true"
+        label="DPJP" placeholder="DPJP"/>
+    </DE.Block> 
+    <DE.Block class="" :cell-flex="false">   
+      <InputBase
+        class="w-2/3"
+        field-name="first_diagnosis"
+        :is-disabled="true"
+        label="Diagnosis Masuk/Rujukan" placeholder="Diagnosis Masuk/Rujukan"/>
+    </DE.Block> 
     <DE.Block :col-count="3" :cell-flex="false">
-      <TextAreaInput field-name="anamnesis" label="Anamnesis" placeholder="Anamnesis" :errors="errors" />
-      <TextAreaInput field-name="physicalCheckup" label="Pemeriksaan Fisik" placeholder="Pemeriksaan Fisik"
-        :errors="errors" />
-      <TextAreaInput field-name="supplementCheckup" label="Pemeriksaan Penunjang" placeholder="Pemeriksaan Penunjang"
-        :errors="errors" />
+      <TextAreaInput field-name="supplementCheckup"
+        label="Indikasi Rawat Jalan" placeholder="Indikasi Rawat Jalan" :errors="errors" />
+      <TextAreaInput field-name="supplementCheckup"
+        label="Keluhan Utama (Singkat & Menunjang)" placeholder="Keluhan Utama (Singkat & Menunjang)" :errors="errors" />
+      <TextAreaInput field-name="supplementCheckup"
+        label="Pemeriksaan Fisik (Singkat & Menunjang)" placeholder="Pemeriksaan Fisik (Singkat & Menunjang)" :errors="errors" />
+      <TextAreaInput field-name="supplementCheckup"
+        label="Riwayat Penyakit" placeholder="Riwayat Penyakit" :errors="errors" />
+      <TextAreaInput field-name="supplementCheckup"
+        label="Diagnosa Medis" placeholder="Diagnosa Medis" :errors="errors" />
     </DE.Block>
     <Separator class="my-4" />
 
+
+
     <!-- DIAGNOSIS -->
-    <h1 class="mb-3 text-base font-medium">Diagnosis</h1>
-    <DE.Block class="w-3/5 space-y-2" :cell-flex="false">
-      <SelectPrimaryDiagnosis
+    <h1 class="mb-3 text-base font-medium">Diagnosa</h1>
+    <h1 class="mb-3 text-base font-medium">Diagnosa Utama</h1>
+    <DE.Block :col-count="2" class="" :cell-flex="false">   
+      <InputBase
+        field-name="diagnosis"
+        label="Diagnosa" placeholder="Masukkan Diagnosa"
+        :errors="errors" is-required />
+      <SelectIcd10
         field-name="primaryDiagnosis"
-        label="Diagnosis Utama"
-        placeholder="Diagnosis Utama"
+        label="ICD 10"
+        placeholder="ICD 10"
         :errors="errors" is-required />
+      <DE.Cell :col-span="2">
+        <TextAreaInput field-name="supplementCheckup"
+        label="Dasar Diagnosa" placeholder="Masukkan Dasar Diagnosa utama Pasien" :errors="errors" />
+      </DE.Cell>
 
-      <div class="w-full rounded-md border bg-gray-50/50 p-4 shadow-sm dark:bg-neutral-950">
-        <h1 class="mb-3 font-medium">Diagnosis Sekunder</h1>
 
-        <FieldArray v-slot="{ fields, push, remove }" name="secondaryDiagnosis">
-          <div v-for="(field, idx) in fields" :key="idx" class="flex items-center gap-3 mb-3">
-            <SelectSecondaryDiagnosis
-              :field-name="`secondaryDiagnosis[${idx}]`"
-              :errors="errors"
-            />
-            <Button type="button" variant="destructive" size="sm" @click="remove(idx)">
-              <Icon name="i-lucide-trash-2" class="h-4 w-4" />
+      <DE.Cell :col-span="2">
+        <h1 class="mb-3 text-base font-medium">Diagnosa Sekunder</h1>
+        <div class="w-full rounded-md border bg-gray-50/50 p-4 shadow-sm dark:bg-neutral-950">
+
+          <FieldArray v-slot="{ fields, push, remove }" name="secondaryDiagnosis">
+            <div v-for="(field, idx) in fields" :key="idx" class="flex items-center gap-3 mb-3">
+              <div class="w-full">
+                <h1 class="font-medium">Diagnosa {{ idx + 1 }}</h1>
+                <div class="flex gap-3">
+                  <InputBase
+                    :field-name="`secondaryDiagnosis[${idx}].diagnosis`"
+                    label="Diagnosa" placeholder="Masukkan Diagnosa"
+                    :errors="errors" is-required />
+                  <SelectIcd10
+                    :field-name="`secondaryDiagnosis[${idx}].icd10`"
+                    label="ICD 10"
+                    placeholder="ICD 10"
+                    :errors="errors" is-required />
+                </div>
+                <TextAreaInput :field-name="`secondaryDiagnosis[${idx}].diagnosisBasis`"
+                  label="Dasar Diagnosa" placeholder="Masukkan Dasar Diagnosa Pasien" :errors="errors" />
+              </div>
+              <Button v-if="idx !== 0" type="button" variant="destructive" size="sm" @click="remove(idx)">
+                <Icon name="i-lucide-trash-2" class="h-4 w-4" />
+              </Button>
+            </div>
+            <Button type="button" variant="outline"
+              class="w-full rounded-md border border-primary bg-white px-4 py-2 text-primary hover:border-primary hover:bg-primary hover:text-white sm:w-auto sm:text-sm"
+              @click="push(DEFAULT_SECONDARY_DIAGNOSIS_VALUE)">
+              <Icon name="i-lucide-plus" class="mr-2 h-4 w-4 align-middle transition-colors" />
+              Tambah Diagnosis
             </Button>
-          </div>
-          <Button type="button" variant="outline"
-            class="w-full rounded-md border border-primary bg-white px-4 py-2 text-primary hover:border-primary hover:bg-primary hover:text-white sm:w-auto sm:text-sm"
-            @click="push(``)">
-            <Icon name="i-lucide-plus" class="mr-2 h-4 w-4 align-middle transition-colors" />
-            Tambah Diagnosis
-          </Button>
-        </FieldArray>
-      </div>
-    </DE.Block>
-    <Separator class="my-4" />
+          </FieldArray>
+        </div>
+      </DE.Cell>
 
 
-    <!-- DIAGNOSIS -->
-    <h1 class="mb-3 text-base font-medium">Tindakan Operatif/Non Operatif</h1>
-    <DE.Block class="w-3/5 space-y-2" :cell-flex="false">
-      <SelectPrimaryDiagnosis
-        field-name="primaryOperativeNonOperativeAct"
-        label="Tindakan Operatif Utama"
-        placeholder="Tindakan Operatif Utama"
-        :errors="errors" is-required />
-
-      <div class="w-full rounded-md border bg-gray-50/50 p-4 shadow-sm dark:bg-neutral-950">
-        <h1 class="mb-3 font-medium">Tindakan / Prosedur</h1>
-
-        <FieldArray v-slot="{ fields, push, remove }" name="secondaryOperativeNonOperativeAct">
-          <div v-for="(field, idx) in fields" :key="idx" class="flex items-center gap-3 mb-3">
-            <SelectSecondaryDiagnosis
-              :field-name="`secondaryOperativeNonOperativeAct[${idx}]`"
-              :errors="errors"
-            />
-            <Button type="button" variant="destructive" size="sm" @click="remove(idx)">
-              <Icon name="i-lucide-trash-2" class="h-4 w-4" />
-            </Button>
-          </div>
-          <Button type="button" variant="outline"
-            class="w-full rounded-md border border-primary bg-white px-4 py-2 text-primary hover:border-primary hover:bg-primary hover:text-white sm:w-auto sm:text-sm"
-            @click="push(``)">
-            <Icon name="i-lucide-plus" class="mr-2 h-4 w-4 align-middle transition-colors" />
-            Tambah Tindakan / Prosedur
-          </Button>
-        </FieldArray>
-      </div>
-    </DE.Block>
-    <Separator class="my-4" />
-
-    <DE.Block class="w-3/5" :cell-flex="false">
-      <TextAreaInput field-name="medikamentosa" label="Medikamentosa" placeholder="Medikamentosa" :errors="errors" />
-    </DE.Block>
-    <Separator class="my-4" />
-
-    <h1 class="mb-3 font-medium">Penatalaksanaan</h1>
-    <DE.Block :col-count="3" :cell-flex="false">
-      <SelectArrangement field-name="arrangement" label="Lanjutan Penatalaksanaan" placeholder="Pilih Arrangement" :errors="errors" />
       
+    </DE.Block>
+    <Separator class="my-4" />
+
+
+
+
+    <!-- Tindakan OPERATIF/NON OPERATIF -->
+    <div class="mb-3 flex gap-3 items-center">
+      <h1 class="text-base font-medium">Tindakan Operatif/Non Operatif</h1>
+      <Button variant="ghost"
+        class="gap-1 items-center text-orange-400"
+        @click="isActionHistoryOpen = true">
+        <Icon name="i-lucide-history" class="h-4 w-4" /> Riwayat Tindakan</Button>
+    </div>
+    <h1 class="mb-3 font-normal">Tindakan Operatif/Non Operatif Utama</h1>
+    <DE.Block :col-count="2" class="" :cell-flex="false">   
+      <InputBase
+        field-name="diagnosis"
+        label="Tindakan" placeholder="Masukkan Tindakan"
+        :errors="errors" is-required />
+      <SelectIcd9
+        field-name="primaryDiagnosis"
+        label="ICD 9"
+        placeholder="ICD 9"
+        :errors="errors" is-required />
+      <DE.Cell :col-span="2">        
+        <TextAreaInput field-name="supplementCheckup"
+          label="Dasar Tindakan" placeholder="Masukkan Dasar Tindakan utama Pasien" :errors="errors" />
+      </DE.Cell>
+
+      <DE.Cell :col-span="2">
+        <h1 class="mb-3 text-base font-medium">Tindakan Lain</h1>
+        <div class="w-full rounded-md border bg-gray-50/50 p-4 shadow-sm dark:bg-neutral-950">
+
+          <FieldArray v-slot="{ fields, push, remove }" name="secondaryOperativeNonOperativeAct">
+            <div v-for="(field, idx) in fields" :key="idx" class="flex items-center gap-3 mb-3">
+              <div class="w-full">
+                <h1 class="font-medium">Tindakan {{ idx + 1 }}</h1>
+                <div class="flex gap-3">
+                  <InputBase
+                    :field-name="`secondaryOperativeNonOperativeAct[${idx}].action`"
+                    label="Tindakan" placeholder="Masukkan Tindakan"
+                    :errors="errors" is-required />
+                  <SelectIcd10
+                    :field-name="`secondaryOperativeNonOperativeAct[${idx}].icd9`"
+                    label="ICD 10"
+                    placeholder="ICD 10"
+                    :errors="errors" is-required />
+                </div>
+                <TextAreaInput :field-name="`secondaryOperativeNonOperativeAct[${idx}].actionBasis`"
+                  label="Dasar Tindakan" placeholder="Masukkan Dasar Tindakan Pasien" :errors="errors" />
+              </div>
+              <Button v-if="idx !== 0" type="button" variant="destructive" size="sm" @click="remove(idx)">
+                <Icon name="i-lucide-trash-2" class="h-4 w-4" />
+              </Button>
+            </div>
+            <Button type="button" variant="outline"
+              class="w-full rounded-md border border-primary bg-white px-4 py-2 text-primary hover:border-primary hover:bg-primary hover:text-white sm:w-auto sm:text-sm"
+              @click="push(DEFAULT_SECONDARY_ACTION_VALUE)">
+              <Icon name="i-lucide-plus" class="mr-2 h-4 w-4 align-middle transition-colors" />
+              Tambah Tindakan
+            </Button>
+          </FieldArray>
+        </div>
+      </DE.Cell>
+      
+    </DE.Block>    
+    <TextAreaInput :field-name="`medicalAction`"
+      label="Tindakan Medis" placeholder="Masukkan Tindakan Medis" :errors="errors" />
+    <Separator class="my-4" />
+
+
+
+    <!-- KONSULTASI -->
+    <div class="mb-3 flex gap-3 items-center">
+      <h1 class="text-base font-medium">Konsultasi</h1>
+      <Button variant="ghost"
+        class="gap-1 items-center text-orange-400"
+        @click="isConsultationHistoryOpen = true">
+        <Icon name="i-lucide-history" class="h-4 w-4" /> Riwayat Konsultasi</Button>
+    </div>
+      <div class="w-full rounded-md border bg-gray-50/50 p-4 shadow-sm dark:bg-neutral-950">
+        <FieldArray v-slot="{ fields, push, remove }" name="consultation">
+          <div v-for="(field, idx) in fields" :key="idx" class="flex items-center gap-3 mb-3">
+            <div class="w-full">
+              <h1 class="font-medium mb-1">Konsultasi {{ idx + 1 }}</h1>
+              <div class="flex gap-3">
+                <TextAreaInput :field-name="`consultation[${idx}].consultation`"
+                  label="Konsultasi" placeholder="Masukkan Konsultasi" :errors="errors" />
+                <TextAreaInput :field-name="`consultation[${idx}].consultationReply`"
+                  label="Jawaban Konsultasi" placeholder="Masukkan Jawaban Konsultasi" :errors="errors" />
+              </div>
+            </div>
+            <Button v-if="idx !== 0" type="button" variant="destructive" size="sm" @click="remove(idx)">
+              <Icon name="i-lucide-trash-2" class="h-4 w-4" />
+            </Button>
+          </div>
+          <Button type="button" variant="outline"
+            class="w-full rounded-md border border-primary bg-white px-4 py-2 text-primary hover:border-primary hover:bg-primary hover:text-white sm:w-auto sm:text-sm"
+            @click="push(DEFAULT_CONSULTATION_VALUE)">
+            <Icon name="i-lucide-plus" class="mr-2 h-4 w-4 align-middle transition-colors" />
+            Tambah Konsultasi
+          </Button>
+        </FieldArray>
+      </div>
+    <Separator class="my-4" />
+
+
+
+    <!-- DATA PENUNJANG -->
+    <section>
+      <div class="mb-3 flex gap-3 items-center">
+        <h1 class="text-base font-medium">Data Penunjang</h1>
+        <Button variant="ghost"
+          class="gap-1 items-center text-orange-400"
+          @click="isSupportingHistoryOpen = true">
+          <Icon name="i-lucide-history" class="h-4 w-4" /> Riwayat Data Penunjang</Button>
+      </div>
+      <DE.Block class="" :cell-flex="false">
+        <TextAreaInput field-name="supplementCheckup" label="Pemeriksaan Penunjang" placeholder="Masukkan Pemeriksaan Penunjang" :errors="errors" />
+      </DE.Block>
+    </section>
+    <Separator class="my-4" />
+
+
+
+    <!-- DATA Farmasi -->
+    <section>
+      <div class="mb-3 flex gap-3 items-center">
+        <h1 class="text-base font-medium">Data Farmasi</h1>
+        <Button variant="ghost"
+          class="gap-1 items-center text-orange-400"
+          @click="isFarmacyHistoryOpen = true">
+          <Icon name="i-lucide-history" class="h-4 w-4" /> Riwayat Data Farmasi</Button>
+      </div>
+      <DE.Block class="items-end" :col-count="3" :cell-flex="false">
+        <TextAreaInput field-name="supplementCheckup"
+          label="Kelainan Khusus Alergi" placeholder="Masukkan Kelainan Khusus Alergi" :errors="errors" />
+        <TextAreaInput field-name="supplementCheckup"
+          label="Kelainan Lain" placeholder="Masukkan Kelainan Lain" :errors="errors" />
+        <TextAreaInput field-name="supplementCheckup"
+          label="Terapi yang Diberikan (Farmakologi dan Non Farmakologi) Selama Dirawat" placeholder="Masukkan Terapi yang Diberikan (Farmakologi dan Non Farmakologi) Selama Dirawat" :errors="errors" />
+        <TextAreaInput field-name="supplementCheckup"
+          label="Terapi yang Diberikan (Farmakologi dan Non Farmakologi) Waktu Pulang" placeholder="Masukkan Terapi yang Diberikan (Farmakologi dan Non Farmakologi) Waktu Pulang" :errors="errors" />
+        <TextAreaInput field-name="supplementCheckup"
+          label="Instruksi Tindak Lanjut/Anjuran dan Edukasi (Follow Up/Kontrol)" placeholder="Masukkan Instruksi Tindak Lanjut/Anjuran dan Edukasi (Follow Up/Kontrol)" :errors="errors" />
+      </DE.Block>
+    </section>
+    <Separator class="my-4" />
+
+
+
+    <!-- Keadaan Waktu Keluar -->
+    <section>
+      <h1 class="mb-3 font-medium">Keadaan Waktu Keluar</h1>
+      <DE.Block :col-count="4" :cell-flex="false">
+        <InputBase
+          :field-name="`aaaaaaaaaaa`"
+          label="Tekanan Darah Sistol" placeholder="Masukkan Tekanan Darah Sistol"
+          right-label="mmHg" bottom-label="Contoh: 90"
+          :errors="errors" is-required numeric-only />
+        <InputBase
+          :field-name="`aaaaaaaaaaa`"
+          label="Tekanan Darah Diastol" placeholder="Masukkan Tekanan Darah Diastol"
+          right-label="mmHg" bottom-label="Contoh: 60"
+          :errors="errors" is-required numeric-only />
+        <InputBase
+          :field-name="`aaaaaaaaaaa`"
+          label="Pernafasan" placeholder="Masukkan Pernafasan"
+          right-label="kali / menit" bottom-label="Contoh: 20"
+          :errors="errors" is-required numeric-only />
+        <InputBase
+          :field-name="`aaaaaaaaaaa`"
+          label="Denyut Jantung" placeholder="Masukkan Denyut Jantung"
+          right-label="kali / menit" bottom-label="Contoh: 20"
+          :errors="errors" is-required numeric-only />
+        <InputBase
+          :field-name="`aaaaaaaaaaa`"
+          label="Suhu Tubuh" placeholder="Masukkan Suhu Tubuh"
+          right-label="'C" bottom-label="Contoh: 37"
+          :errors="errors" is-required numeric-only />
+        <SelectConciousLevel
+          :field-name="`aaaaaaaaaaa`"
+          label="Tingkat Kesadaran"
+          placeholder="Tingkat Kesadaran"
+          :errors="errors" is-required />
+        <SelectPainScale
+          :field-name="`aaaaaaaaaaa`"
+          label="Skala Nyeri"
+          placeholder="Skala Nyeri"
+          :errors="errors" is-required />
+      </DE.Block>
+    </section>
+    <Separator class="my-4" />
+
+
+
+    <!-- Program Nasional -->
+    <section>
+      <div class="mb-3 flex gap-3 items-center">
+        <h1 class="text-base font-medium">Program Nasional</h1>
+        <Button variant="ghost"
+          class="gap-1 items-center text-orange-400"
+          @click="isNationalProgramServiceHistoryOpen = true">
+          <Icon name="i-lucide-history" class="h-4 w-4" /> Riwayat Program Nasional</Button>
+      </div>
+      <DE.Block :col-count="3" :cell-flex="false">
+        <SelectNationalProgramService
+          :field-name="`aaaaaaaaaaa`"
+          label="Layanan Program Nasional"
+          placeholder="Layanan Program Nasional"
+          :errors="errors" is-required />
+        <SelectNationalProgramServiceStatus
+          :field-name="`aaaaaaaaaaa`"
+          label="Status Layanan Program Nasional"
+          placeholder="Status Layanan Program Nasional"
+          :errors="errors" is-required />
+      </DE.Block>
+    </section>
+    <Separator class="my-4" />  
+
+
+
+    <!-- Penatalaksanaan -->
+    <section>
+      <h1 class="mb-3 font-medium">Penatalaksanaan</h1>
+      <DE.Block :col-count="3" :cell-flex="false">
+        <SelectArrangement
+          field-name="arrangement"
+          label="Lanjutan Penatalaksanaan"
+          placeholder="Pilih Arrangement"
+          :errors="errors" />
+        <SelectHospitalLeaveCondition
+          :field-name="`aaaaaaaaaaa`"
+          label="Kondisi Meninggalkan RS"
+          placeholder="Kondisi Meninggalkan RS"
+          :errors="errors" is-required />
+        <SelectHospitalLeaveMethod
+          :field-name="`aaaaaaaaaaa`"
+          label="Cara Keluar RS"
+          placeholder="Cara Keluar RS"
+          :errors="errors" is-required />
+      </DE.Block>
+    </section>
+
+    <DE.Block :col-count="3" :cell-flex="false">      
       <SelectFaskes
         v-show="resumeArrangementType === `rujuk` || resumeArrangementType === `rujukBalik` "
         field-name="faskes"
@@ -148,8 +428,8 @@ defineExpose({
         :errors="errors"
         :is-with-time="true" />
       
-      <DE.Cell class="mt-2" :col-span="2" v-show="resumeArrangementType === `meninggal`">
-        <div class="w-full rounded-md border bg-gray-50/50 p-4 shadow-sm dark:bg-neutral-950">
+      <DE.Cell class="mt-2" :col-span="3" v-show="resumeArrangementType === `meninggal`">
+        <div class="w-2/3 rounded-md border bg-gray-50/50 p-4 shadow-sm dark:bg-neutral-950">
           <h1 class="mb-3 font-medium">Sebab Meninggal</h1>
 
           <FieldArray v-slot="{ fields, push, remove }" name="deathCause">
@@ -158,11 +438,11 @@ defineExpose({
                 :field-name="`deathCause[${idx}]`"
                 :errors="errors"
               />
-              <Button type="button" variant="destructive" size="sm" @click="remove(idx)">
+              <Button v-if="idx !== 0" type="button" variant="destructive" size="sm" @click="remove(idx)">
                 <Icon name="i-lucide-trash-2" class="h-4 w-4" />
               </Button>
             </div>
-            <Button type="button" variant="outline"
+            <Button v-if="fields.length < 3" type="button" variant="outline"
               class="w-full rounded-md border border-primary bg-white px-4 py-2 text-primary hover:border-primary hover:bg-primary hover:text-white sm:w-auto sm:text-sm"
               @click="push(``)">
               <Icon name="i-lucide-plus" class="mr-2 h-4 w-4 align-middle transition-colors" />
@@ -172,12 +452,24 @@ defineExpose({
         </div>
       </DE.Cell>
 
-      <TextAreaInput
-        v-show="resumeArrangementType === `other`"
-        field-name="keterangan"
-        label="Keterangan"
-        placeholder="Keterangan"
-        :errors="errors" />
+      <DE.Cell 
+        v-show="resumeArrangementType === `meninggal`"
+        :col-span="3">
+        <TextAreaInput            
+            field-name="deathCauseDescription"
+            label="Keterangan Sebab Meninggal"
+            placeholder="Keterangan Sebab Meninggal"
+            :errors="errors" />
+      </DE.Cell>          
+
+      <DE.Cell :col-span="3"
+        v-show="resumeArrangementType === `other`">
+        <TextAreaInput
+          field-name="keterangan"
+          label="Keterangan"
+          placeholder="Keterangan"
+          :errors="errors" />
+      </DE.Cell>
     
     </DE.Block>
 

app/components/app/resume/history-list/action-history-dialog.vue

@@ -0,0 +1,66 @@
+<script setup lang="ts">
+import Dialog from '~/components/pub/my-ui/modal/dialog.vue'
+import type { PaginationMeta } from '~/components/pub/my-ui/pagination/pagination.type'
+import PaginationView from '~/components/pub/my-ui/pagination/pagination-view.vue'
+import { config } from './action-list.cfg'
+import { cn } from '~/lib/utils'
+import { CalendarDate, DateFormatter, getLocalTimeZone } from '@internationalized/date'
+import type { DateRange } from 'radix-vue'
+import { CalendarIcon } from 'lucide-vue-next'
+
+interface Props {
+  data: any[]
+  paginationMeta: PaginationMeta
+  dateValue: DateRange
+}
+const props = defineProps<Props>()
+const isModalOpen = inject(`isActionHistoryOpen`) as Ref<boolean>
+
+const df = new DateFormatter('en-US', {  dateStyle: 'medium',})
+
+const emit = defineEmits<{
+  pageChange: [page: number]
+  'update:dateValue': [value: DateRange]
+}>()
+
+function handlePageChange(page: number) {
+  emit('pageChange', page)
+}
+</script>
+
+<template>
+  <Dialog v-model:open="isModalOpen" title="" size="2xl">
+    <div class="space-y-4">
+        <Popover>
+            <PopoverTrigger as-child>
+                <Button variant="outline" :class="cn('mb-1 w-[280px] justify-start text-left font-normal',
+                !props.dateValue && 'text-muted-foreground')">
+                <CalendarIcon class="mr-2 h-4 w-4" />
+                <template v-if="props.dateValue.start">
+                    <template v-if="props.dateValue.end">
+                    {{ df.format(props.dateValue.start.toDate(getLocalTimeZone())) }} -
+                    {{ df.format(props.dateValue.end.toDate(getLocalTimeZone())) }}
+                    </template>
+
+                    <template v-else>
+                    {{ df.format(props.dateValue.start.toDate(getLocalTimeZone())) }}
+                    </template>
+                </template>
+                <template v-else> Pick a date </template>
+                </Button>
+            </PopoverTrigger>
+            <PopoverContent class="w-auto p-0">
+                <RangeCalendar v-model="props.dateValue" initial-focus :number-of-months="2"
+                    @update:model-value="(date) => emit('update:dateValue', date)" />
+            </PopoverContent>
+        </Popover>
+
+        <PubMyUiDataTable
+            v-bind="config"
+            :rows="data"
+            :skeleton-size="props.paginationMeta?.pageSize"
+        />
+        <PaginationView :pagination-meta="props.paginationMeta" @page-change="handlePageChange" />
+    </div>
+  </Dialog>
+</template>

app/components/app/resume/history-list/action-list.cfg.ts

@@ -0,0 +1,94 @@
+import type { Config } from '~/components/pub/my-ui/data-table'
+import type { Patient } from '~/models/patient'
+import { defineAsyncComponent } from 'vue'
+import { educationCodes, genderCodes } from '~/lib/constants'
+import { calculateAge } from '~/lib/utils'
+
+const action = defineAsyncComponent(() => import('~/components/pub/my-ui/data/dropdown-action-dvvp.vue'))
+
+export const config: Config = {
+  cols: [{width: 140}, {}, {}, {width: 140}, {width: 10},],
+
+  headers: [
+    [
+      { label: 'Tanggal/Jam' },
+      { label: 'Dokter' },
+      { label: 'Tempat Layanan' },
+      { label: 'Jenis' },
+      { label: 'Jenis Pemeriksaan' },
+      { label: 'Tanggal/Jam' },
+    ],
+  ],
+
+  keys: ['birth_date', 'person.name', 'person.name', 'person.name', 'person.name', 'birth_date',],
+
+  delKeyNames: [
+    { key: 'code', label: 'Kode' },
+    { key: 'name', label: 'Nama' },
+  ],
+
+  parses: {
+    patientId: (rec: unknown): unknown => {
+      const patient = rec as Patient
+      return patient.number
+    },
+    identity_number: (rec: unknown): unknown => {
+      const { person } = rec as Patient
+
+      if (person.nationality == 'WNA') {
+        return person.passportNumber
+      }
+
+      return person.residentIdentityNumber || '-'
+    },
+    birth_date: (rec: unknown): unknown => {
+      const { person } = rec as Patient
+
+      if (typeof person.birthDate == 'object' && person.birthDate) {
+        return (person.birthDate as Date).toLocaleDateString('id-ID')
+      } else if (typeof person.birthDate == 'string') {
+        return (person.birthDate as string).substring(0, 10)
+      }
+      return person.birthDate
+    },
+    patient_age: (rec: unknown): unknown => {
+      const { person } = rec as Patient
+      return calculateAge(person.birthDate)
+    },
+    gender: (rec: unknown): unknown => {
+      const { person } = rec as Patient
+
+      if (typeof person.gender_code == 'number' && person.gender_code >= 0) {
+        return person.gender_code
+      } else if (typeof person.gender_code === 'string' && person.gender_code) {
+        return genderCodes[person.gender_code] || '-'
+      }
+      return '-'
+    },
+    education: (rec: unknown): unknown => {
+      const { person } = rec as Patient
+      if (typeof person.education_code == 'number' && person.education_code >= 0) {
+        return person.education_code
+      } else if (typeof person.education_code === 'string' && person.education_code) {
+        return educationCodes[person.education_code] || '-'
+      }
+      return '-'
+    },
+  },
+
+  components: {
+    action(rec, idx) {
+      return {
+        idx,
+        rec: rec as object,
+        component: action,
+      }
+    },
+  },
+
+  htmls: {
+    patient_address(_rec) {
+      return '-'
+    },
+  },
+}

app/components/app/resume/history-list/consultation-history-dialog.vue

@@ -0,0 +1,66 @@
+<script setup lang="ts">
+import Dialog from '~/components/pub/my-ui/modal/dialog.vue'
+import type { PaginationMeta } from '~/components/pub/my-ui/pagination/pagination.type'
+import PaginationView from '~/components/pub/my-ui/pagination/pagination-view.vue'
+import { config } from './consultation-list.cfg'
+import { cn } from '~/lib/utils'
+import { CalendarDate, DateFormatter, getLocalTimeZone } from '@internationalized/date'
+import type { DateRange } from 'radix-vue'
+import { CalendarIcon } from 'lucide-vue-next'
+
+interface Props {
+  data: any[]
+  paginationMeta: PaginationMeta
+  dateValue: DateRange
+}
+const props = defineProps<Props>()
+const isModalOpen = inject(`isConsultationHistoryOpen`) as Ref<boolean>
+
+const df = new DateFormatter('en-US', {  dateStyle: 'medium',})
+
+const emit = defineEmits<{
+  pageChange: [page: number]
+  'update:dateValue': [value: DateRange]
+}>()
+
+function handlePageChange(page: number) {
+  emit('pageChange', page)
+}
+</script>
+
+<template>
+  <Dialog v-model:open="isModalOpen" title="" size="2xl">
+    <div class="space-y-4">
+        <Popover>
+            <PopoverTrigger as-child>
+                <Button variant="outline" :class="cn('mb-1 w-[280px] justify-start text-left font-normal',
+                !props.dateValue && 'text-muted-foreground')">
+                <CalendarIcon class="mr-2 h-4 w-4" />
+                <template v-if="props.dateValue.start">
+                    <template v-if="props.dateValue.end">
+                    {{ df.format(props.dateValue.start.toDate(getLocalTimeZone())) }} -
+                    {{ df.format(props.dateValue.end.toDate(getLocalTimeZone())) }}
+                    </template>
+
+                    <template v-else>
+                    {{ df.format(props.dateValue.start.toDate(getLocalTimeZone())) }}
+                    </template>
+                </template>
+                <template v-else> Pick a date </template>
+                </Button>
+            </PopoverTrigger>
+            <PopoverContent class="w-auto p-0">
+                <RangeCalendar v-model="props.dateValue" initial-focus :number-of-months="2"
+                    @update:model-value="(date) => emit('update:dateValue', date)" />
+            </PopoverContent>
+        </Popover>
+
+        <PubMyUiDataTable
+            v-bind="config"
+            :rows="data"
+            :skeleton-size="props.paginationMeta?.pageSize"
+        />
+        <PaginationView :pagination-meta="props.paginationMeta" @page-change="handlePageChange" />
+    </div>
+  </Dialog>
+</template>

app/components/app/resume/history-list/consultation-list.cfg.ts

@@ -0,0 +1,51 @@
+import type { Config } from '~/components/pub/my-ui/data-table'
+import type { Patient } from '~/models/patient'
+import { defineAsyncComponent } from 'vue'
+
+const lampiranBtn = defineAsyncComponent(() => import('../_common/print-btn.vue'))
+
+export const config: Config = {
+  cols: [{}, {}, {}, {}, {},],
+
+  headers: [
+    [
+      { label: 'Tanggal/Jam' },
+      { label: 'Dokter' },
+      { label: 'Tempat Layanan' },
+      { label: 'KSM' },
+      { label: 'Tanggal/Jam' },
+      { label: 'Tujuan' },
+      { label: 'Dokter' },
+      { label: 'Berkas' },
+    ],
+  ],
+
+  keys: ['birth_date', 'person.name', 'person.name', 'person.name', 'person.name', 'birth_date','person.name', 'action', ],
+
+  parses: {
+    birth_date: (rec: unknown): unknown => {
+      const { person } = rec as Patient
+
+      if (typeof person.birthDate == 'object' && person.birthDate) {
+        return (person.birthDate as Date).toLocaleDateString('id-ID')
+      } else if (typeof person.birthDate == 'string') {
+        return (person.birthDate as string).substring(0, 10)
+      }
+      return person.birthDate
+    },
+  },
+
+  components: {
+    action(rec, idx) {
+      return {
+        idx,
+        rec: rec as object,
+        component: lampiranBtn,
+      }
+    },
+  },
+
+  htmls: {
+    
+  },
+}

app/components/app/resume/history-list/farmacy-history-dialog.vue

@@ -0,0 +1,66 @@
+<script setup lang="ts">
+import Dialog from '~/components/pub/my-ui/modal/dialog.vue'
+import type { PaginationMeta } from '~/components/pub/my-ui/pagination/pagination.type'
+import PaginationView from '~/components/pub/my-ui/pagination/pagination-view.vue'
+import { config } from './farmacy-list.cfg'
+import { cn } from '~/lib/utils'
+import { CalendarDate, DateFormatter, getLocalTimeZone } from '@internationalized/date'
+import type { DateRange } from 'radix-vue'
+import { CalendarIcon } from 'lucide-vue-next'
+
+interface Props {
+  data: any[]
+  paginationMeta: PaginationMeta
+  dateValue: DateRange
+}
+const props = defineProps<Props>()
+const isModalOpen = inject(`isFarmacyHistoryOpen`) as Ref<boolean>
+
+const df = new DateFormatter('en-US', {  dateStyle: 'medium',})
+
+const emit = defineEmits<{
+  pageChange: [page: number]
+  'update:dateValue': [value: DateRange]
+}>()
+
+function handlePageChange(page: number) {
+  emit('pageChange', page)
+}
+</script>
+
+<template>
+  <Dialog v-model:open="isModalOpen" title="" size="2xl">
+    <div class="space-y-4">
+        <Popover>
+            <PopoverTrigger as-child>
+                <Button variant="outline" :class="cn('mb-1 w-[280px] justify-start text-left font-normal',
+                !props.dateValue && 'text-muted-foreground')">
+                <CalendarIcon class="mr-2 h-4 w-4" />
+                <template v-if="props.dateValue.start">
+                    <template v-if="props.dateValue.end">
+                    {{ df.format(props.dateValue.start.toDate(getLocalTimeZone())) }} -
+                    {{ df.format(props.dateValue.end.toDate(getLocalTimeZone())) }}
+                    </template>
+
+                    <template v-else>
+                    {{ df.format(props.dateValue.start.toDate(getLocalTimeZone())) }}
+                    </template>
+                </template>
+                <template v-else> Pick a date </template>
+                </Button>
+            </PopoverTrigger>
+            <PopoverContent class="w-auto p-0">
+                <RangeCalendar v-model="props.dateValue" initial-focus :number-of-months="2"
+                    @update:model-value="(date) => emit('update:dateValue', date)" />
+            </PopoverContent>
+        </Popover>
+
+        <PubMyUiDataTable
+            v-bind="config"
+            :rows="data"
+            :skeleton-size="props.paginationMeta?.pageSize"
+        />
+        <PaginationView :pagination-meta="props.paginationMeta" @page-change="handlePageChange" />
+    </div>
+  </Dialog>
+</template>

app/components/app/resume/history-list/farmacy-list.cfg.ts

@@ -0,0 +1,39 @@
+import type { Config } from '~/components/pub/my-ui/data-table'
+import type { Patient } from '~/models/patient'
+
+export const config: Config = {
+  cols: [{}, {}, {}, {}, {},],
+
+  headers: [
+    [
+      { label: 'Tanggal Order' },
+      { label: 'No Resep' },
+      { label: 'Tempat Layanan' },
+      { label: 'Nama Obat' },
+      { label: 'Tanggal Disetujui' },
+    ],
+  ],
+
+  keys: ['birth_date', 'person.name', 'person.name', 'person.name', 'birth_date',],
+
+  parses: {
+    birth_date: (rec: unknown): unknown => {
+      const { person } = rec as Patient
+
+      if (typeof person.birthDate == 'object' && person.birthDate) {
+        return (person.birthDate as Date).toLocaleDateString('id-ID')
+      } else if (typeof person.birthDate == 'string') {
+        return (person.birthDate as string).substring(0, 10)
+      }
+      return person.birthDate
+    },
+  },
+
+  components: {
+    
+  },
+
+  htmls: {
+    
+  },
+}

app/components/app/resume/history-list/national-program-history-dialog.vue

@@ -0,0 +1,65 @@
+<script setup lang="ts">
+import Dialog from '~/components/pub/my-ui/modal/dialog.vue'
+import type { PaginationMeta } from '~/components/pub/my-ui/pagination/pagination.type'
+import PaginationView from '~/components/pub/my-ui/pagination/pagination-view.vue'
+import { config } from './national-program-list.cfg'
+import { cn } from '~/lib/utils'
+import { CalendarDate, DateFormatter, getLocalTimeZone } from '@internationalized/date'
+import type { DateRange } from 'radix-vue'
+import { CalendarIcon } from 'lucide-vue-next'
+import type { Item } from '~/components/pub/my-ui/combobox'
+import Select from '~/components/pub/my-ui/form/select.vue'
+import * as DE from '~/components/pub/my-ui/doc-entry'
+
+interface Props {
+  data: any[]
+  paginationMeta: PaginationMeta
+  searchValue: string
+  statusValue: string
+}
+const props = defineProps<Props>()
+const isModalOpen = inject(`isNationalProgramServiceHistoryOpen`) as Ref<boolean>
+
+const emit = defineEmits<{
+  pageChange: [page: number]
+  'update:searchValue': [value: string]
+  'update:statusValue': [value: string]
+}>()
+
+function handlePageChange(page: number) {
+  emit('pageChange', page)
+}
+
+const statusOptions: Item[] = [
+  { value: 'all', label: 'All Statuses' },
+  { value: 'pending', label: 'Pending' },
+  { value: 'active', label: 'Active' },
+  { value: 'completed', label: 'Completed' },
+  { value: 'archived', label: 'Archived' },
+]
+</script>
+
+<template>
+  <Dialog v-model:open="isModalOpen" title="" size="2xl">
+    <div class="space-y-4">
+        <DE.Block :col-count="4" class="" :cell-flex="false"> 
+          <Input
+            v-model="props.searchValue"
+            class=""
+            placeholder="Cari .."/>
+          <Select
+            :items="statusOptions"
+            :model-value="props.statusValue" 
+            @update:model-value="(data) => emit('update:statusValue', data)"
+          />
+        </DE.Block>
+
+        <PubMyUiDataTable
+            v-bind="config"
+            :rows="data"
+            :skeleton-size="props.paginationMeta?.pageSize"
+        />
+        <PaginationView :pagination-meta="props.paginationMeta" @page-change="handlePageChange" />
+    </div>
+  </Dialog>
+</template>

app/components/app/resume/history-list/national-program-list.cfg.ts

@@ -0,0 +1,30 @@
+import type { Config } from '~/components/pub/my-ui/data-table'
+import type { Patient } from '~/models/patient'
+
+export const config: Config = {
+  cols: [{}, {}, {}, {}, {},],
+
+  headers: [
+    [
+      { label: 'Nomor' },
+      { label: 'Layanan Program Nasional' },
+      { label: 'Status' },
+    ],
+  ],
+
+  keys: ['person.name', 'person.name', 'person.name',],
+
+  parses: {
+    // birth_date: (rec: unknown): unknown => {
+      
+    // },
+  },
+
+  components: {
+    
+  },
+
+  htmls: {
+    
+  },
+}

app/components/app/resume/history-list/supporting-history-dialog.vue

@@ -0,0 +1,66 @@
+<script setup lang="ts">
+import Dialog from '~/components/pub/my-ui/modal/dialog.vue'
+import type { PaginationMeta } from '~/components/pub/my-ui/pagination/pagination.type'
+import PaginationView from '~/components/pub/my-ui/pagination/pagination-view.vue'
+import { config } from './supporting-list.cfg'
+import { cn } from '~/lib/utils'
+import { CalendarDate, DateFormatter, getLocalTimeZone } from '@internationalized/date'
+import type { DateRange } from 'radix-vue'
+import { CalendarIcon } from 'lucide-vue-next'
+
+interface Props {
+  data: any[]
+  paginationMeta: PaginationMeta
+  dateValue: DateRange
+}
+const props = defineProps<Props>()
+const isModalOpen = inject(`isSupportingHistoryOpen`) as Ref<boolean>
+
+const df = new DateFormatter('en-US', {  dateStyle: 'medium',})
+
+const emit = defineEmits<{
+  pageChange: [page: number]
+  'update:dateValue': [value: DateRange]
+}>()
+
+function handlePageChange(page: number) {
+  emit('pageChange', page)
+}
+</script>
+
+<template>
+  <Dialog v-model:open="isModalOpen" title="" size="2xl">
+    <div class="space-y-4">
+        <Popover>
+            <PopoverTrigger as-child>
+                <Button variant="outline" :class="cn('mb-1 w-[280px] justify-start text-left font-normal',
+                !props.dateValue && 'text-muted-foreground')">
+                <CalendarIcon class="mr-2 h-4 w-4" />
+                <template v-if="props.dateValue.start">
+                    <template v-if="props.dateValue.end">
+                    {{ df.format(props.dateValue.start.toDate(getLocalTimeZone())) }} -
+                    {{ df.format(props.dateValue.end.toDate(getLocalTimeZone())) }}
+                    </template>
+
+                    <template v-else>
+                    {{ df.format(props.dateValue.start.toDate(getLocalTimeZone())) }}
+                    </template>
+                </template>
+                <template v-else> Pick a date </template>
+                </Button>
+            </PopoverTrigger>
+            <PopoverContent class="w-auto p-0">
+                <RangeCalendar v-model="props.dateValue" initial-focus :number-of-months="2"
+                    @update:model-value="(date) => emit('update:dateValue', date)" />
+            </PopoverContent>
+        </Popover>
+
+        <PubMyUiDataTable
+            v-bind="config"
+            :rows="data"
+            :skeleton-size="props.paginationMeta?.pageSize"
+        />
+        <PaginationView :pagination-meta="props.paginationMeta" @page-change="handlePageChange" />
+    </div>
+  </Dialog>
+</template>

app/components/app/resume/history-list/supporting-list.cfg.ts

@@ -0,0 +1,39 @@
+import type { Config } from '~/components/pub/my-ui/data-table'
+import type { Patient } from '~/models/patient'
+
+export const config: Config = {
+  cols: [{}, {}, {}, {}, {},],
+
+  headers: [
+    [
+      { label: 'Tanggal Order' },
+      { label: 'No Lab' },
+      { label: 'Nama Pemeriksaan' },
+      { label: 'Tanggal Pemeriksaan' },
+    ],
+  ],
+
+  keys: ['birth_date', 'person.name', 'person.name', 'birth_date',],
+
+  parses: {
+    birth_date: (rec: unknown): unknown => {
+      const { person } = rec as Patient
+
+      if (typeof person.birthDate == 'object' && person.birthDate) {
+        return (person.birthDate as Date).toLocaleDateString('id-ID')
+      } else if (typeof person.birthDate == 'string') {
+        return (person.birthDate as string).substring(0, 10)
+      }
+      return person.birthDate
+    },
+  },
+
+  components: {
+  },
+
+  htmls: {
+    // patient_address(_rec) {
+    //   return '-'
+    // },
+  },
+}

app/components/app/resume/list.cfg.ts

@@ -4,22 +4,23 @@ import { defineAsyncComponent } from 'vue'
 import { educationCodes, genderCodes } from '~/lib/constants'
 import { calculateAge } from '~/lib/utils'
 
-const action = defineAsyncComponent(() => import('~/components/pub/my-ui/data/dropdown-action-dud.vue'))
+const action = defineAsyncComponent(() => import('~/components/pub/my-ui/data/dropdown-action-dvvp.vue'))
+const statusBadge = defineAsyncComponent(() => import('./_common/verify-badge.vue'))
 
 export const config: Config = {
-  cols: [{}, {}, {}, {}, {width: 3},],
+  cols: [{width: 140}, {}, {}, {width: 140}, {width: 10},],
 
   headers: [
     [
-      { label: 'Tgl Rencana Kontrol' },
-      { label: 'Spesialis/Sub Spesialis' },
+      { label: 'Tgl Simpan' },
       { label: 'DPJP' },
-      { label: 'Status SEP' },
+      { label: 'KSM' },
+      { label: 'Status' },
       { label: 'Action' },
     ],
   ],
 
-  keys: ['birth_date', 'number', 'person.name', 'birth_date', 'action'],
+  keys: ['birth_date', 'number', 'person.name', 'status', 'action'],
 
   delKeyNames: [
     { key: 'code', label: 'Kode' },
@@ -83,6 +84,13 @@ export const config: Config = {
         component: action,
       }
     },
+    status(rec, idx) {
+      return {
+        idx,
+        rec: rec as object,
+        component: statusBadge,
+      }
+    },
   },
 
   htmls: {

app/components/app/resume/list.vue

@@ -2,42 +2,30 @@
 import type { PaginationMeta } from '~/components/pub/my-ui/pagination/pagination.type'
 import PaginationView from '~/components/pub/my-ui/pagination/pagination-view.vue'
 import { config } from './list.cfg'
-import DetailRow from '~/components/pub/my-ui/form/view/detail-row.vue';
 
 interface Props {
-  data: any
+  data: any[]
+  paginationMeta: PaginationMeta
 }
 
 defineProps<Props>()
+
+const emit = defineEmits<{
+  pageChange: [page: number]
+}>()
+
+function handlePageChange(page: number) {
+  emit('pageChange', page)
+}
 </script>
 
 <template>
-  <article class="space-y-4">
-      <h1 class="font-medium text-[0.89rem]">Pemeriksaan Pasien</h1>
-    <div class="space-y-1">
-      <DetailRow label="Tanggal Masuk">{{ new Date().toLocaleDateString('id-ID') }}</DetailRow>
-      <DetailRow label="Tanggal Keluar">{{ new Date().toLocaleDateString('id-ID') }}</DetailRow>
-      <DetailRow label="Anamnesis">{{ `-` }}</DetailRow>
-      <DetailRow label="Pemeriksaan Fisik">{{ `-` }}</DetailRow>
-      <DetailRow label="Pemeriksaan Penunjang">{{ `-` }}</DetailRow>
-    </div>
-    <Separator class="" />
-      <h1 class="font-medium text-[0.89rem]">Diagnosis</h1>
-    <div class="space-y-1">
-      <DetailRow label="Diagnosis Utama">{{ `-` }}</DetailRow>
-      <DetailRow label="Diagnosis Sekunder">{{ `-` }}</DetailRow>
-    </div>
-    <Separator class="" />
-      <h1 class="font-medium text-[0.89rem]">Tindakan Operatif/Non Operatif</h1>
-    <div class="space-y-1">
-      <DetailRow label="Tindakan Operatif Utama">{{ `-` }}</DetailRow>
-      <DetailRow label="Tindakan /Prosedur">{{ `-` }}</DetailRow>
-      <DetailRow label="Medikamentosa">{{ `-` }}</DetailRow>
-    </div>
-    <Separator class="" />
-      <h1 class="font-medium text-[0.89rem]">Penatalaksanaan</h1>
-    <div class="space-y-1">
-      <DetailRow label="Lanjutan Penatalaksanaan">{{ `-` }}</DetailRow>
-    </div>
-  </article>
-</template>
+  <div class="space-y-4">
+    <PubMyUiDataTable
+      v-bind="config"
+      :rows="data"
+      :skeleton-size="paginationMeta?.pageSize"
+    />
+    <PaginationView :pagination-meta="paginationMeta" @page-change="handlePageChange" />
+  </div>
+</template>

app/components/app/resume/verify-dialog.vue

@@ -0,0 +1,97 @@
+<script setup lang="ts">
+import type { FormErrors } from '~/types/error'
+import { toTypedSchema } from '@vee-validate/zod'
+import FieldGroup from '~/components/pub/my-ui/form/field-group.vue'
+import Field from '~/components/pub/my-ui/form/field.vue'
+import Label from '~/components/pub/my-ui/form/label.vue'
+import Select from '~/components/pub/my-ui/form/select.vue'
+import { Form } from '~/components/pub/ui/form'
+import InputBase from '~/components/pub/my-ui/form/input-base.vue'
+import type { InstallationFormData } from '~/schemas/installation.schema'
+
+
+const props = defineProps<{
+  schema: any
+  errors?: FormErrors
+}>()
+
+const emit = defineEmits<{
+  submit: [values: InstallationFormData, resetForm: () => void]
+  cancel: [resetForm: () => void]
+}>()
+
+const formSchema = toTypedSchema(props.schema)
+
+// Form submission handler
+function onSubmitForm(values: any, { resetForm }: { resetForm: () => void }) {
+  const formData: InstallationFormData = {
+    name: values.name || '',
+    code: values.code || '',
+  }
+  emit('submit', formData, resetForm)
+}
+
+// Form cancel handler
+function onCancelForm({ resetForm }: { resetForm: () => void }) {
+  emit('cancel', resetForm)
+}
+
+const items = ref([
+  { label: 'Rujukan Internal', value: 'ri' },
+  { label: 'SEP Rujukan', value: 'sr' },
+])
+</script>
+
+<template>
+  <Form
+    v-slot="{ handleSubmit, resetForm }"
+    as=""
+    keep-values
+    :validation-schema="formSchema"
+  >
+    <form id="entry-form" @submit="handleSubmit($event, (values) => onSubmitForm(values, { resetForm }))">
+      <div class="mb-5 border-b border-b-slate-300 pb-3 text-lg xl:text-xl">
+        <div class="flex flex-col justify-between">
+
+          <InputBase
+            field-name="name"
+            label="Nama"
+            placeholder="Masukkan Nama"
+            :errors="errors"/>
+          <InputBase
+            field-name="email"
+            label="Email"
+            placeholder="Masukkan Email"
+            :errors="errors"/>
+
+          <div class="mt-2">
+            <Label class="" for="password">Password</Label>
+            <Field class="" id="password" :errors="errors">
+              <FormField v-slot="{ componentField }" name="password">
+                <FormItem>
+                  <FormControl>
+                    <Input
+                      id="password"
+                      v-bind="componentField"
+                      type="password"
+                      class="w-full"
+                    />
+                  </FormControl>
+                  <FormMessage />
+                </FormItem>
+              </FormField>
+            </Field>
+          </div>
+
+          <InputBase
+            class="mb-2"
+            field-name="captha"
+            label="Captha"
+            placeholder="Masukkan Captha"
+            :errors="errors"/>
+
+        </div>
+      </div>
+    </form>
+  </Form>
+</template>