141 lines
7.4 KiB
TypeScript
141 lines
7.4 KiB
TypeScript
"use client";
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import { useState, useEffect } from "react";
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import { Button } from "@/components/ui/button";
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import { Input } from "@/components/ui/input";
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import { Label } from "@/components/ui/label";
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import { Textarea } from "@/components/ui/textarea";
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import { Calendar, Search, ChevronDown, Upload, FileDown, Tag } from "lucide-react";
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export function CalendarRegistrationForm({ initialData, onSave, onCancel }: any) {
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const [formData, setFormData] = useState(initialData || {});
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useEffect(() => {
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setFormData(initialData || {});
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}, [initialData]);
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const handleChange = (e: React.ChangeEvent<HTMLInputElement | HTMLTextAreaElement | HTMLSelectElement>) => {
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const { name, value } = e.target;
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setFormData((prev: any) => ({ ...prev, [name]: value }));
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};
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const handleSubmit = (e: React.FormEvent) => {
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e.preventDefault();
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onSave(formData);
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};
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return (
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<form onSubmit={handleSubmit} className="space-y-8">
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<div className="border rounded-md p-6 space-y-4 bg-white">
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<h2 className="font-medium">Informações do paciente</h2>
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<div className="grid grid-cols-1 md:grid-cols-12 gap-4">
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<div className="md:col-span-6">
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<Label>Nome *</Label>
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<div className="relative">
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<Search className="pointer-events-none absolute left-2 top-1/2 -translate-y-1/2 h-4 w-4 text-gray-400" />
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<Input
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name="patientName"
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placeholder="Digite o nome do paciente"
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className="h-10 pl-8"
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value={formData.patientName || ''}
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onChange={handleChange}
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/>
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</div>
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</div>
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<div className="md:col-span-3">
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<Label>CPF do paciente</Label>
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<Input name="cpf" placeholder="Número do CPF" className="h-10" value={formData.cpf || ''} onChange={handleChange} />
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</div>
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<div className="md:col-span-3">
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<Label>RG</Label>
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<Input name="rg" placeholder="Número do RG" className="h-10" value={formData.rg || ''} onChange={handleChange} />
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</div>
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<div className="md:col-span-6">
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<div className="grid grid-cols-12 gap-3">
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<div className="col-span-5">
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<Label>Data de nascimento *</Label>
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<Input name="birthDate" type="date" className="h-10" value={formData.birthDate || ''} onChange={handleChange} />
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</div>
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<div className="col-span-7">
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<Label>Telefone</Label>
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<div className="grid grid-cols-[86px_1fr] gap-2">
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<select name="phoneCode" className="h-10 rounded-md border border-input bg-background px-2 text-[13px]" value={formData.phoneCode || '+55'} onChange={handleChange}>
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<option value="+55">+55</option>
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<option value="+351">+351</option>
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<option value="+1">+1</option>
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</select>
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<Input name="phoneNumber" placeholder="(99) 99999-9999" className="h-10" value={formData.phoneNumber || ''} onChange={handleChange} />
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</div>
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</div>
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</div>
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</div>
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<div className="md:col-span-6">
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<Label>E-mail</Label>
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<Input name="email" type="email" placeholder="email@exemplo.com" className="h-10" value={formData.email || ''} onChange={handleChange} />
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</div>
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</div>
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</div>
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{}
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<div className="border rounded-md p-6 space-y-4 bg-white">
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<h2 className="font-medium">Informações do atendimento</h2>
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<div className="grid grid-cols-1 md:grid-cols-12 gap-6">
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<div className="md:col-span-6 space-y-3">
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<div>
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<Label className="text-[13px]">Nome do profissional *</Label>
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<div className="relative">
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<Search className="pointer-events-none absolute left-2 top-1/2 -translate-y-1/2 h-4 w-4 text-muted-foreground" />
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<Input name="professionalName" className="h-10 w-full rounded-full border border-input pl-8 pr-12 text-[13px]" value={formData.professionalName || ''} onChange={handleChange} />
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</div>
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</div>
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<div className="grid grid-cols-2 gap-3">
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<div>
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<Label className="text-[13px]">Unidade *</Label>
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<select name="unit" className="h-10 w-full rounded-md border border-input bg-background pr-8 pl-3 text-[13px] appearance-none" value={formData.unit || 'nei'} onChange={handleChange}>
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<option value="nei">Núcleo de Especialidades Integradas</option>
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<option value="cc">Clínica Central</option>
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</select>
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</div>
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<div>
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<Label className="text-[13px]">Data *</Label>
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<div className="relative">
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<Calendar className="pointer-events-none absolute left-2 top-1/2 -translate-y-1/2 h-4 w-4 text-muted-foreground" />
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<Input name="appointmentDate" type="date" className="h-10 w-full rounded-md border border-input pl-8 pr-3 text-[13px]" value={formData.appointmentDate || ''} onChange={handleChange} />
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</div>
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</div>
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</div>
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<div className="grid grid-cols-12 gap-3 items-end">
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<div className="col-span-12 md:col-span-3">
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<Label className="text-[13px]">Início *</Label>
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<Input name="startTime" type="time" className="h-10 w-full rounded-md border border-input px-3 text-[13px]" value={formData.startTime || ''} onChange={handleChange} />
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</div>
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<div className="col-span-12 md:col-span-3">
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<Label className="text-[13px]">Término *</Label>
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<Input name="endTime" type="time" className="h-10 w-full rounded-md border border-input px-3 text-[13px]" value={formData.endTime || ''} onChange={handleChange} />
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</div>
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</div>
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</div>
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<div className="md:col-span-6">
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<div className="mb-2">
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<Label className="text-[13px]">Tipo de atendimento *</Label>
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<div className="relative mt-1">
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<Search className="pointer-events-none absolute left-2 top-1/2 h-4 w-4 -translate-y-1/2 text-muted-foreground" />
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<Input name="appointmentType" placeholder="Pesquisar" className="h-10 w-full rounded-md border border-input pl-8 pr-8 text-[13px]" value={formData.appointmentType || ''} onChange={handleChange} />
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</div>
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</div>
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<div>
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<Label className="text-[13px]">Observações</Label>
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<Textarea name="notes" rows={4} className="text-[13px] h-[110px] min-h-0 resize-none" value={formData.notes || ''} onChange={handleChange} />
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</div>
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</div>
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</div>
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</div>
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<div className="flex justify-end gap-2">
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<Button type="button" variant="outline" onClick={onCancel}>Cancelar</Button>
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<Button type="submit">Salvar</Button>
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</div>
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</form>
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);
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}
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