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oldJsonpFunction = jsonpArray.push.bind(jsonpArray);\n \tjsonpArray.push = webpackJsonpCallback;\n \tjsonpArray = jsonpArray.slice();\n \tfor(var i = 0; i < jsonpArray.length; i++) webpackJsonpCallback(jsonpArray[i]);\n \tvar parentJsonpFunction = oldJsonpFunction;\n\n\n \t// add entry module to deferred list\n \tdeferredModules.push([0,\"chunk-vendors\"]);\n \t// run deferred modules when ready\n \treturn checkDeferredModules();\n","export * from \"-!../node_modules/mini-css-extract-plugin/dist/loader.js??ref--6-oneOf-1-0!../node_modules/css-loader/dist/cjs.js??ref--6-oneOf-1-1!../node_modules/vue-loader/lib/loaders/stylePostLoader.js!../node_modules/postcss-loader/src/index.js??ref--6-oneOf-1-2!../node_modules/cache-loader/dist/cjs.js??ref--0-0!../node_modules/vue-loader/lib/index.js??vue-loader-options!./App.vue?vue&type=style&index=0&lang=css&\"","export * from \"-!../../../node_modules/mini-css-extract-plugin/dist/loader.js??ref--6-oneOf-1-0!../../../node_modules/css-loader/dist/cjs.js??ref--6-oneOf-1-1!../../../node_modules/vue-loader/lib/loaders/stylePostLoader.js!../../../node_modules/postcss-loader/src/index.js??ref--6-oneOf-1-2!../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./stepper.vue?vue&type=style&index=0&lang=css&\"","var map = {\n\t\"./af\": \"2bfb\",\n\t\"./af.js\": \"2bfb\",\n\t\"./ar\": \"8e73\",\n\t\"./ar-dz\": \"a356\",\n\t\"./ar-dz.js\": \"a356\",\n\t\"./ar-kw\": \"423e\",\n\t\"./ar-kw.js\": \"423e\",\n\t\"./ar-ly\": \"1cfd\",\n\t\"./ar-ly.js\": \"1cfd\",\n\t\"./ar-ma\": \"0a84\",\n\t\"./ar-ma.js\": \"0a84\",\n\t\"./ar-sa\": \"8230\",\n\t\"./ar-sa.js\": \"8230\",\n\t\"./ar-tn\": \"6d83\",\n\t\"./ar-tn.js\": \"6d83\",\n\t\"./ar.js\": \"8e73\",\n\t\"./az\": \"485c\",\n\t\"./az.js\": \"485c\",\n\t\"./be\": \"1fc1\",\n\t\"./be.js\": \"1fc1\",\n\t\"./bg\": \"84aa\",\n\t\"./bg.js\": \"84aa\",\n\t\"./bm\": \"a7fa\",\n\t\"./bm.js\": \"a7fa\",\n\t\"./bn\": \"9043\",\n\t\"./bn-bd\": \"9686\",\n\t\"./bn-bd.js\": \"9686\",\n\t\"./bn.js\": \"9043\",\n\t\"./bo\": \"d26a\",\n\t\"./bo.js\": \"d26a\",\n\t\"./br\": \"6887\",\n\t\"./br.js\": \"6887\",\n\t\"./bs\": \"2554\",\n\t\"./bs.js\": \"2554\",\n\t\"./ca\": \"d716\",\n\t\"./ca.js\": \"d716\",\n\t\"./cs\": \"3c0d\",\n\t\"./cs.js\": \"3c0d\",\n\t\"./cv\": \"03ec\",\n\t\"./cv.js\": \"03ec\",\n\t\"./cy\": \"9797\",\n\t\"./cy.js\": \"9797\",\n\t\"./da\": \"0f14\",\n\t\"./da.js\": \"0f14\",\n\t\"./de\": \"b469\",\n\t\"./de-at\": \"b3eb\",\n\t\"./de-at.js\": \"b3eb\",\n\t\"./de-ch\": \"bb71\",\n\t\"./de-ch.js\": \"bb71\",\n\t\"./de.js\": \"b469\",\n\t\"./dv\": \"598a\",\n\t\"./dv.js\": \"598a\",\n\t\"./el\": \"8d47\",\n\t\"./el.js\": \"8d47\",\n\t\"./en-au\": \"0e6b\",\n\t\"./en-au.js\": \"0e6b\",\n\t\"./en-ca\": \"3886\",\n\t\"./en-ca.js\": \"3886\",\n\t\"./en-gb\": \"39a6\",\n\t\"./en-gb.js\": \"39a6\",\n\t\"./en-ie\": \"e1d3\",\n\t\"./en-ie.js\": \"e1d3\",\n\t\"./en-il\": \"7333\",\n\t\"./en-il.js\": \"7333\",\n\t\"./en-in\": \"ec2e\",\n\t\"./en-in.js\": \"ec2e\",\n\t\"./en-nz\": \"6f50\",\n\t\"./en-nz.js\": \"6f50\",\n\t\"./en-sg\": \"b7e9\",\n\t\"./en-sg.js\": \"b7e9\",\n\t\"./eo\": \"65db\",\n\t\"./eo.js\": \"65db\",\n\t\"./es\": \"898b\",\n\t\"./es-do\": \"0a3c\",\n\t\"./es-do.js\": \"0a3c\",\n\t\"./es-mx\": \"b5b7\",\n\t\"./es-mx.js\": \"b5b7\",\n\t\"./es-us\": \"55c9\",\n\t\"./es-us.js\": \"55c9\",\n\t\"./es.js\": \"898b\",\n\t\"./et\": \"ec18\",\n\t\"./et.js\": \"ec18\",\n\t\"./eu\": \"0ff2\",\n\t\"./eu.js\": \"0ff2\",\n\t\"./fa\": \"8df4\",\n\t\"./fa.js\": \"8df4\",\n\t\"./fi\": \"81e9\",\n\t\"./fi.js\": \"81e9\",\n\t\"./fil\": \"d69a\",\n\t\"./fil.js\": \"d69a\",\n\t\"./fo\": \"0721\",\n\t\"./fo.js\": \"0721\",\n\t\"./fr\": \"9f26\",\n\t\"./fr-ca\": \"d9f8\",\n\t\"./fr-ca.js\": \"d9f8\",\n\t\"./fr-ch\": \"0e49\",\n\t\"./fr-ch.js\": \"0e49\",\n\t\"./fr.js\": \"9f26\",\n\t\"./fy\": \"7118\",\n\t\"./fy.js\": \"7118\",\n\t\"./ga\": \"5120\",\n\t\"./ga.js\": \"5120\",\n\t\"./gd\": \"f6b4\",\n\t\"./gd.js\": \"f6b4\",\n\t\"./gl\": \"8840\",\n\t\"./gl.js\": \"8840\",\n\t\"./gom-deva\": \"aaf2\",\n\t\"./gom-deva.js\": \"aaf2\",\n\t\"./gom-latn\": \"0caa\",\n\t\"./gom-latn.js\": \"0caa\",\n\t\"./gu\": \"e0c5\",\n\t\"./gu.js\": \"e0c5\",\n\t\"./he\": \"c7aa\",\n\t\"./he.js\": \"c7aa\",\n\t\"./hi\": \"dc4d\",\n\t\"./hi.js\": \"dc4d\",\n\t\"./hr\": \"4ba9\",\n\t\"./hr.js\": \"4ba9\",\n\t\"./hu\": \"5b14\",\n\t\"./hu.js\": \"5b14\",\n\t\"./hy-am\": \"d6b6\",\n\t\"./hy-am.js\": \"d6b6\",\n\t\"./id\": \"5038\",\n\t\"./id.js\": \"5038\",\n\t\"./is\": \"0558\",\n\t\"./is.js\": \"0558\",\n\t\"./it\": \"6e98\",\n\t\"./it-ch\": \"6f12\",\n\t\"./it-ch.js\": \"6f12\",\n\t\"./it.js\": \"6e98\",\n\t\"./ja\": \"079e\",\n\t\"./ja.js\": \"079e\",\n\t\"./jv\": \"b540\",\n\t\"./jv.js\": \"b540\",\n\t\"./ka\": \"201b\",\n\t\"./ka.js\": \"201b\",\n\t\"./kk\": \"6d79\",\n\t\"./kk.js\": \"6d79\",\n\t\"./km\": \"e81d\",\n\t\"./km.js\": \"e81d\",\n\t\"./kn\": \"3e92\",\n\t\"./kn.js\": \"3e92\",\n\t\"./ko\": \"22f8\",\n\t\"./ko.js\": \"22f8\",\n\t\"./ku\": \"2421\",\n\t\"./ku.js\": \"2421\",\n\t\"./ky\": \"9609\",\n\t\"./ky.js\": \"9609\",\n\t\"./lb\": \"440c\",\n\t\"./lb.js\": \"440c\",\n\t\"./lo\": \"b29d\",\n\t\"./lo.js\": \"b29d\",\n\t\"./lt\": \"26f9\",\n\t\"./lt.js\": \"26f9\",\n\t\"./lv\": \"b97c\",\n\t\"./lv.js\": \"b97c\",\n\t\"./me\": \"293c\",\n\t\"./me.js\": \"293c\",\n\t\"./mi\": \"688b\",\n\t\"./mi.js\": \"688b\",\n\t\"./mk\": \"6909\",\n\t\"./mk.js\": \"6909\",\n\t\"./ml\": \"02fb\",\n\t\"./ml.js\": \"02fb\",\n\t\"./mn\": \"958b\",\n\t\"./mn.js\": \"958b\",\n\t\"./mr\": \"39bd\",\n\t\"./mr.js\": \"39bd\",\n\t\"./ms\": \"ebe4\",\n\t\"./ms-my\": \"6403\",\n\t\"./ms-my.js\": \"6403\",\n\t\"./ms.js\": \"ebe4\",\n\t\"./mt\": \"1b45\",\n\t\"./mt.js\": \"1b45\",\n\t\"./my\": \"8689\",\n\t\"./my.js\": \"8689\",\n\t\"./nb\": \"6ce3\",\n\t\"./nb.js\": \"6ce3\",\n\t\"./ne\": \"3a39\",\n\t\"./ne.js\": \"3a39\",\n\t\"./nl\": \"facd\",\n\t\"./nl-be\": \"db29\",\n\t\"./nl-be.js\": \"db29\",\n\t\"./nl.js\": \"facd\",\n\t\"./nn\": \"b84c\",\n\t\"./nn.js\": \"b84c\",\n\t\"./oc-lnc\": \"167b\",\n\t\"./oc-lnc.js\": \"167b\",\n\t\"./pa-in\": \"f3ff\",\n\t\"./pa-in.js\": \"f3ff\",\n\t\"./pl\": \"8d57\",\n\t\"./pl.js\": \"8d57\",\n\t\"./pt\": \"f260\",\n\t\"./pt-br\": \"d2d4\",\n\t\"./pt-br.js\": \"d2d4\",\n\t\"./pt.js\": \"f260\",\n\t\"./ro\": \"972c\",\n\t\"./ro.js\": \"972c\",\n\t\"./ru\": \"957c\",\n\t\"./ru.js\": \"957c\",\n\t\"./sd\": \"6784\",\n\t\"./sd.js\": \"6784\",\n\t\"./se\": \"ffff\",\n\t\"./se.js\": \"ffff\",\n\t\"./si\": \"eda5\",\n\t\"./si.js\": \"eda5\",\n\t\"./sk\": \"7be6\",\n\t\"./sk.js\": \"7be6\",\n\t\"./sl\": \"8155\",\n\t\"./sl.js\": \"8155\",\n\t\"./sq\": \"c8f3\",\n\t\"./sq.js\": \"c8f3\",\n\t\"./sr\": \"cf1e\",\n\t\"./sr-cyrl\": \"13e9\",\n\t\"./sr-cyrl.js\": \"13e9\",\n\t\"./sr.js\": \"cf1e\",\n\t\"./ss\": \"52bd\",\n\t\"./ss.js\": \"52bd\",\n\t\"./sv\": \"5fbd\",\n\t\"./sv.js\": \"5fbd\",\n\t\"./sw\": \"74dc\",\n\t\"./sw.js\": \"74dc\",\n\t\"./ta\": \"3de5\",\n\t\"./ta.js\": \"3de5\",\n\t\"./te\": \"5cbb\",\n\t\"./te.js\": \"5cbb\",\n\t\"./tet\": \"576c\",\n\t\"./tet.js\": \"576c\",\n\t\"./tg\": \"3b1b\",\n\t\"./tg.js\": \"3b1b\",\n\t\"./th\": \"10e8\",\n\t\"./th.js\": \"10e8\",\n\t\"./tk\": \"5aff\",\n\t\"./tk.js\": \"5aff\",\n\t\"./tl-ph\": \"0f38\",\n\t\"./tl-ph.js\": \"0f38\",\n\t\"./tlh\": \"cf75\",\n\t\"./tlh.js\": \"cf75\",\n\t\"./tr\": \"0e81\",\n\t\"./tr.js\": \"0e81\",\n\t\"./tzl\": \"cf51\",\n\t\"./tzl.js\": \"cf51\",\n\t\"./tzm\": \"c109\",\n\t\"./tzm-latn\": \"b53d\",\n\t\"./tzm-latn.js\": \"b53d\",\n\t\"./tzm.js\": \"c109\",\n\t\"./ug-cn\": \"6117\",\n\t\"./ug-cn.js\": \"6117\",\n\t\"./uk\": \"ada2\",\n\t\"./uk.js\": \"ada2\",\n\t\"./ur\": \"5294\",\n\t\"./ur.js\": \"5294\",\n\t\"./uz\": \"2e8c\",\n\t\"./uz-latn\": \"010e\",\n\t\"./uz-latn.js\": \"010e\",\n\t\"./uz.js\": \"2e8c\",\n\t\"./vi\": \"2921\",\n\t\"./vi.js\": \"2921\",\n\t\"./x-pseudo\": \"fd7e\",\n\t\"./x-pseudo.js\": \"fd7e\",\n\t\"./yo\": \"7f33\",\n\t\"./yo.js\": \"7f33\",\n\t\"./zh-cn\": \"5c3a\",\n\t\"./zh-cn.js\": \"5c3a\",\n\t\"./zh-hk\": \"49ab\",\n\t\"./zh-hk.js\": \"49ab\",\n\t\"./zh-mo\": \"3a6c\",\n\t\"./zh-mo.js\": \"3a6c\",\n\t\"./zh-tw\": \"90ea\",\n\t\"./zh-tw.js\": \"90ea\"\n};\n\n\nfunction webpackContext(req) {\n\tvar id = webpackContextResolve(req);\n\treturn __webpack_require__(id);\n}\nfunction webpackContextResolve(req) {\n\tif(!__webpack_require__.o(map, req)) {\n\t\tvar e = new Error(\"Cannot find module '\" + req + \"'\");\n\t\te.code = 'MODULE_NOT_FOUND';\n\t\tthrow e;\n\t}\n\treturn map[req];\n}\nwebpackContext.keys = function webpackContextKeys() {\n\treturn Object.keys(map);\n};\nwebpackContext.resolve = webpackContextResolve;\nmodule.exports = webpackContext;\nwebpackContext.id = \"4678\";","export * from \"-!../../../../node_modules/mini-css-extract-plugin/dist/loader.js??ref--6-oneOf-1-0!../../../../node_modules/css-loader/dist/cjs.js??ref--6-oneOf-1-1!../../../../node_modules/vue-loader/lib/loaders/stylePostLoader.js!../../../../node_modules/postcss-loader/src/index.js??ref--6-oneOf-1-2!../../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./visit_info.vue?vue&type=style&index=0&lang=css&\"","export * from \"-!../../../node_modules/mini-css-extract-plugin/dist/loader.js??ref--6-oneOf-1-0!../../../node_modules/css-loader/dist/cjs.js??ref--6-oneOf-1-1!../../../node_modules/vue-loader/lib/loaders/stylePostLoader.js!../../../node_modules/postcss-loader/src/index.js??ref--6-oneOf-1-2!../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./main.vue?vue&type=style&index=0&lang=css&\"","var render = function () {var _vm=this;var _h=_vm.$createElement;var _c=_vm._self._c||_h;return _c('v-app',[_c('v-main',[_c('router-view',{directives:[{name:\"show\",rawName:\"v-show\",value:(!_vm.isLoading && !_vm.clientError && _vm.$store.state.clientData.localizedSettings),expression:\"!isLoading && !clientError && $store.state.clientData.localizedSettings\"}]}),_c('div',{directives:[{name:\"show\",rawName:\"v-show\",value:(_vm.isLoading),expression:\"isLoading\"}],staticClass:\"fully-centered loader\"},[_c('v-progress-circular',{attrs:{\"indeterminate\":\"\",\"color\":\"primary\",\"size\":150}}),_c('span',[_vm._v(\"We're getting things ready\")])],1),_c('v-container',{directives:[{name:\"show\",rawName:\"v-show\",value:(_vm.clientError),expression:\"clientError\"}],staticClass:\"fully-centered\",attrs:{\"fill-height\":\"\"}},[_c('v-row',[_c('v-col',{staticClass:\"d-flex justify-center\"},[_c('v-alert',{attrs:{\"prominent\":\"\",\"dark\":\"\",\"color\":\"red darken-2\",\"type\":\"error\",\"border\":\"top\"}},[_c('v-row',[_c('v-col',{staticClass:\"text-center\"},[_c('p',[_vm._v(\" \"+_vm._s(_vm.clientError)+\" \")])])],1)],1)],1)],1)],1)],1)],1)}\nvar staticRenderFns = []\n\nexport { render, staticRenderFns }","/*eslint-disable no-useless-escape*/\r\n/*eslint-disable no-debugger*/\r\n\r\nexport default {\r\n    computed: {\r\n        settings() { return this.$store.state.clientData.settings; },\r\n        currentStep() { return this.$store.state.currentStep; },\r\n        patientInfo() { return this.$store.state.patientInfo; },\r\n        petInfo() { return this.$store.state.petInfo; },\r\n        visitInfo() { return this.$store.state.visitInfo; },\r\n        referralInfo() { return this.$store.state.referralInfo; },\r\n        review() { return this.$store.state.review; },\r\n        clientData() { return this.$store.state.clientData; },\r\n        localizedSettings() { return this.$store.state.clientData.localizedSettings },\r\n        isPetFacility() { return this.$store.state.clientData.isPetFacility; },\r\n        species() { return this.$store.state.clientData.species },\r\n        subSpecies() { return this.$store.state.clientData.subSpecies },\r\n        petSex() { return this.$store.state.clientData.petSex },\r\n        petAgeInputType() { return 'CALENDER_DATE' },\r\n        nextStepText() {\r\n            if (this.isPetFacility) {\r\n                switch (this.currentStep) {\r\n                    case 1:\r\n                        return 'Continue to pet info';\r\n                    case 2:\r\n                        return 'Continue to visit info';\r\n                    case 3:\r\n                        return 'Continue to referral info';\r\n                    case 4:\r\n                        return 'Submit';\r\n                }\r\n\r\n            } else {\r\n                switch (this.currentStep) {\r\n                    case 1:\r\n                        return 'Continue to visit info';\r\n                    case 2:\r\n                        return 'Continue to referral info';\r\n                    case 3:\r\n                        return 'Submit';\r\n                }\r\n            }\r\n            return '';\r\n        },\r\n        currentStepValid() {\r\n            if (this.currentStep === 1) {\r\n                return this.patientInfo.isValid && this.patientInfo.sex && this.patientInfo.firstName && this.patientInfo.dob;\r\n            }\r\n            if (this.currentStep === 2) {\r\n                if (this.isPetFacility) {\r\n                    return this.petInfo.isValid;\r\n                }\r\n                return this.visitInfo.isValid\r\n                    && (this.visitInfo.modeOfTransport || !this.settings.displayModeOfTransportOption)\r\n                    && (this.visitInfo.visitedBefore != undefined && this.visitInfo.visitedBefore.length)\r\n                    && this.visitInfo.eta;\r\n            }\r\n            if (this.currentStep === 3 || this.currentStep === 4) {\r\n                if (this.isPetFacility && this.currentStep === 3) {\r\n                    return this.visitInfo.isValid\r\n                        && (this.visitInfo.modeOfTransport || !this.settings.displayModeOfTransportOption)\r\n                        && (this.visitInfo.visitedBefore != undefined && this.visitInfo.visitedBefore.length)\r\n                        && this.visitInfo.eta;\r\n                }\r\n                const disclaimerCheck = this.referralInfo.firstDisclaimer\r\n                    && this.referralInfo.secondDisclaimer\r\n                    && (this.visitInfo.modeOfTransport !== 'Ambulance' ? this.referralInfo.ambulanceDisclaimer : true);\r\n                const newClinicCheck = this.referralInfo.newClinic.name && this.referralInfo.newClinic.phone;\r\n                const newProviderCheck =\r\n                    this.referralInfo.newProvider.firstName\r\n                    && this.referralInfo.newProvider.lastName\r\n                    && this.referralInfo.newProvider.credentials\r\n                    && this.referralInfo.newProvider.email && /^([a-zA-Z0-9_\\-\\.]+)@([a-zA-Z0-9_\\-\\.]+)\\.([a-zA-Z]{2,5})$/.test(this.referralInfo.newProvider.email)\r\n                    && (!this.referralInfo.newProvider.phone || (this.referralInfo.newProvider.phone && this.referralInfo.newProvider.phone.length === 14 && this.referralInfo.newProvider.phoneType));\r\n                return this.referralInfo.isValid &&\r\n                    disclaimerCheck &&\r\n                    (!this.referralInfo.selectedClinic ? newClinicCheck && newProviderCheck : true) &&\r\n                    (!this.referralInfo.selectedProvider ? newProviderCheck : true) &&\r\n                    (!this.referralInfo.selectedProvider && !this.referralInfo.selectedClinic\r\n                        ? newClinicCheck && newProviderCheck\r\n                        : true);\r\n            }\r\n            return false;\r\n        },\r\n        isAddingClinic() { return this.$store.state.isAddingClinic; },\r\n        isAddingProvider() { return this.$store.state.isAddingProvider; },\r\n    },\r\n    methods: {\r\n        checkClientId() {\r\n            const clientId = this.$route.params.clientId;\r\n            this.$store.state.clientError = null;\r\n            if (clientId) {\r\n                if (isNaN(clientId)) {\r\n                    this.$store.state.clientError = 'Facility ID must be a number';\r\n                    return;\r\n                }\r\n                else if (clientId.toString().length !== 6) {\r\n                    this.$store.state.clientError = 'Invalid Facility ID';\r\n                }\r\n                else {\r\n                    this.$store.dispatch('resetFormState');\r\n                    this.$store.state.clientId = clientId;\r\n                    this.$store.dispatch('fetchClientData');\r\n                }\r\n            }\r\n            else {\r\n                this.$store.state.clientError = 'Facility ID is required';\r\n            }\r\n        },\r\n        prevStep() {\r\n            if (this.$store.state.currentStep > 1)\r\n                this.$store.state.currentStep--;\r\n        },\r\n        nextStep() {\r\n            if (this.isPetFacility) {\r\n                if (this.$store.state.currentStep === 4) {\r\n                    this.submitReferral();\r\n                    return;\r\n                }\r\n                if (this.$store.state.currentStep < 5)\r\n                    this.$store.state.currentStep++;\r\n            }\r\n            else {\r\n                if (this.$store.state.currentStep === 3) {\r\n                    this.submitReferral();\r\n                    return;\r\n                }\r\n                if (this.$store.state.currentStep < 4)\r\n                    this.$store.state.currentStep++;\r\n            }\r\n        },\r\n        submitReferral() {\r\n            const model = {\r\n                patient: {\r\n                    firstName: this.patientInfo.firstName,\r\n                    lastName: this.patientInfo.lastName,\r\n                    dob: this.patientInfo.dob,\r\n                    phone: this.patientInfo.phone,\r\n                    email: this.patientInfo.email,\r\n                    sex: this.patientInfo.sex,\r\n                    isVipReservation: this.patientInfo.isVipReservation ? this.patientInfo.isVipReservation : false\r\n                },\r\n                chiefComplaint: this.visitInfo.chiefComplaint,\r\n                diagnosticConcerns: this.visitInfo.diagnosticConcerns,\r\n                eta: this.visitInfo.eta,\r\n                modeOfTransport: this.visitInfo.modeOfTransport,\r\n                visitedBefore: this.visitInfo.visitedBefore,\r\n                clinic: {\r\n                    id: this.referralInfo.selectedClinic || -1\r\n\r\n                },\r\n                provider: {\r\n                    id: !this.referralInfo.selectedClinic ? -1 : this.referralInfo.selectedProvider || -1\r\n                }\r\n            };\r\n            if (this.isPetFacility) {\r\n                model.petInfo = {\r\n                    petName: this.petInfo.petName,\r\n                    petSpecies: this.petInfo.petSpecies,\r\n                    petSubSpecies: this.petInfo.petSubSpecies,\r\n                    petBreed: this.petInfo.petBreed,\r\n                    petColor: this.petInfo.petColor,\r\n                    petAge: this.petInfo.petAge,\r\n                    petSex: this.petInfo.petSex,\r\n                };\r\n            }\r\n            if (model.clinic.id === -1) {\r\n                Object.assign(model.clinic,\r\n                    {\r\n                        id: -1,\r\n                        isActive: true,\r\n                        name: this.referralInfo.newClinic.name,\r\n                        phone: this.referralInfo.newClinic.phone,\r\n                        clientId: parseInt(this.$store.state.clientId)\r\n                    });\r\n            }\r\n            if (model.provider.id === -1) {\r\n                model.provider =\r\n                {\r\n                    id: -1,\r\n                    isActive: true,\r\n                    firstName: this.referralInfo.newProvider.firstName,\r\n                    lastName: this.referralInfo.newProvider.lastName,\r\n                    credentials: this.referralInfo.newProvider.credentials,\r\n                    clientId: parseInt(this.$store.state.clientId)\r\n                };\r\n            }\r\n            if (model.clinic.id === -1 || model.provider.id === -1) {\r\n                model.provider =\r\n                {\r\n                    isActive: true,\r\n                    firstName: this.referralInfo.newProvider.firstName,\r\n                    lastName: this.referralInfo.newProvider.lastName,\r\n                    credentials: this.referralInfo.newProvider.credentials,\r\n                    clientId: parseInt(this.$store.state.clientId)\r\n                };\r\n                model.provider.clinics = [{\r\n                    clinicId: model.clinic.id || -1,\r\n                    dataRecords: [\r\n                        {\r\n                            type: 'Email',\r\n                            value: this.referralInfo.newProvider.email\r\n                        },\r\n                        {\r\n                            type: 'Phone',\r\n                            value: this.referralInfo.newProvider.phone,\r\n                            additional: this.referralInfo.newProvider.phoneType\r\n                        }\r\n                    ]\r\n                }];\r\n            }\r\n\r\n            const payload = {\r\n                model: model,\r\n                files: this.visitInfo.files\r\n            }\r\n\r\n            this.$store.state.isSubmitting = true;\r\n            // console.log('asdasdasdsadas', payload)\r\n            this.$store.dispatch('submitReferral', payload).then(resp => {\r\n                if (resp.data.success) {\r\n                    this.$store.state.confirmation = resp.data.result;\r\n                    this.$router.push({\r\n                        name: 'confirmation',\r\n                        params: {\r\n                            clientId: this.$store.state.clientId,\r\n                            confirmationNumber: resp.data.result.confirmationNumber\r\n                        }\r\n                    });\r\n                } else {\r\n                    this.$store.state.submissionError = resp.data.message;\r\n                    this.$store.state.showSubmissionError = true;\r\n                }\r\n            }).finally(() => this.$store.state.isSubmitting = false);\r\n\r\n        }\r\n    }\r\n}","<template>\r\n  <v-app>\r\n      <v-main>\r\n          <router-view v-show=\"!isLoading && !clientError && $store.state.clientData.localizedSettings\"></router-view>\r\n          <div v-show=\"isLoading\" class=\"fully-centered loader\">\r\n              <v-progress-circular indeterminate color=\"primary\" :size=\"150\"></v-progress-circular>\r\n              <span>We're getting things ready</span>\r\n          </div>\r\n          <v-container class=\"fully-centered\" v-show=\"clientError\" fill-height>\r\n              <v-row>\r\n                  <v-col class=\"d-flex justify-center\">\r\n                      <v-alert prominent dark color=\"red darken-2\" type=\"error\" border=\"top\">\r\n                          <v-row>\r\n                              <v-col class=\"text-center\">\r\n                                  <p>\r\n                                      {{clientError}}\r\n                                  </p>\r\n                              </v-col>\r\n                          </v-row>\r\n                      </v-alert>\r\n                  </v-col>\r\n              </v-row>\r\n          </v-container>\r\n      </v-main>\r\n  </v-app>\r\n</template>\r\n\r\n<script>\r\n    /*eslint-disable no-debugger*/\r\n    import referralMixin from './mixins/referral'\r\n    export default {\r\n        name: 'App',\r\n        mixins: [referralMixin],\r\n        watch: {\r\n            '$store.state.clientData.clientType': function (m) {                \r\n                if (!m) return;\r\n                if (m.toUpperCase() === 'GROUP' && this.$router.currentRoute && !this.$router.currentRoute.name.includes('landing')) {\r\n                    this.$router.push({\r\n                        name: 'landing',\r\n                        params: { clientId: this.selectedFacility }\r\n                    });\r\n                }\r\n                if (m.toUpperCase() === 'FACILITY' && this.$router.currentRoute && !this.$router.currentRoute.name.includes('referral')) {\r\n\r\n                    this.$router.push({\r\n                        name: 'referral',\r\n                        params: { clientId: this.$route.params.clientId }\r\n                    });\r\n                }\r\n            },\r\n            '$store.state.clientData.settings.passportQueueEnabled': function (enabled) {\r\n                if (enabled !== undefined && !enabled && this.$store.state.clientData.clientType.toUpperCase() === 'FACILITY') {\r\n                    this.$store.state.clientError = 'Referrals are not enabled for this facility';\r\n                    return;\r\n                }\r\n            },\r\n            '$route.params.clientId': function () {\r\n                this.checkClientId();\r\n            }\r\n        },\r\n        mounted() {\r\n            this.$store.dispatch('resetFormState');\r\n            this.checkClientId();\r\n        },\r\n        computed: {\r\n            isLoading() {\r\n                return this.$store.state.isLoading;\r\n            },\r\n            clientError() {\r\n                return this.$store.state.clientError;\r\n            }\r\n        }\r\n    };\r\n</script>\r\n\r\n<style>\r\n    .v-alert {\r\n        height: 100px;\r\n        width: 500px;\r\n    }\r\n    .v-alert__wrapper > i {\r\n        display: none !important;\r\n    }\r\n</style>\r\n","import mod from \"-!../node_modules/cache-loader/dist/cjs.js??ref--12-0!../node_modules/thread-loader/dist/cjs.js!../node_modules/babel-loader/lib/index.js!../node_modules/cache-loader/dist/cjs.js??ref--0-0!../node_modules/vue-loader/lib/index.js??vue-loader-options!./App.vue?vue&type=script&lang=js&\"; export default mod; export * from \"-!../node_modules/cache-loader/dist/cjs.js??ref--12-0!../node_modules/thread-loader/dist/cjs.js!../node_modules/babel-loader/lib/index.js!../node_modules/cache-loader/dist/cjs.js??ref--0-0!../node_modules/vue-loader/lib/index.js??vue-loader-options!./App.vue?vue&type=script&lang=js&\"","import { render, staticRenderFns } from \"./App.vue?vue&type=template&id=7b64fbd1&\"\nimport script from \"./App.vue?vue&type=script&lang=js&\"\nexport * from \"./App.vue?vue&type=script&lang=js&\"\nimport style0 from \"./App.vue?vue&type=style&index=0&lang=css&\"\n\n\n/* normalize component */\nimport normalizer from \"!../node_modules/vue-loader/lib/runtime/componentNormalizer.js\"\nvar component = normalizer(\n  script,\n  render,\n  staticRenderFns,\n  false,\n  null,\n  null,\n  null\n  \n)\n\nexport default component.exports\n\n/* vuetify-loader */\nimport installComponents from \"!../node_modules/vuetify-loader/lib/runtime/installComponents.js\"\nimport { VAlert } from 'vuetify/lib/components/VAlert';\nimport { VApp } from 'vuetify/lib/components/VApp';\nimport { VCol } from 'vuetify/lib/components/VGrid';\nimport { VContainer } from 'vuetify/lib/components/VGrid';\nimport { VMain } from 'vuetify/lib/components/VMain';\nimport { VProgressCircular } from 'vuetify/lib/components/VProgressCircular';\nimport { VRow } from 'vuetify/lib/components/VGrid';\ninstallComponents(component, {VAlert,VApp,VCol,VContainer,VMain,VProgressCircular,VRow})\n","import Vue from \"vue\";\r\nimport Vuetify from \"vuetify/lib\";\r\n\r\nVue.use(Vuetify);\r\n\r\nexport default new Vuetify({\r\n    theme: {\r\n        options: {\r\n            customProperties: true\r\n        },\r\n        themes: {\r\n            light: {\r\n                primary: \"#3BADEA\",\r\n                secondary: \"#82B232\",\r\n                accent: \"#2F89BA\",\r\n                error: \"#b71c1c\",\r\n                info: \"#2196F3\",\r\n                success: \"#4CAF50\",\r\n                warning: \"#FFC107\",\r\n                background: \"#F1F1F1\"\r\n            }\r\n        }\r\n    }\r\n});","var render = function () {var _vm=this;var _h=_vm.$createElement;var _c=_vm._self._c||_h;return _c('v-container',[_c('v-row',[_c('v-col',{staticClass:\"d-none d-md-flex d-lg-flex py-0\",attrs:{\"cols\":\"2\"}}),_c('v-col',{staticClass:\"pb-0\",staticStyle:{\"max-width\":\"950px\"},attrs:{\"cols\":\"12\",\"md\":\"10\",\"lg\":\"10\"}},[_c('v-row',{staticClass:\"d-none d-sm-flex d-md-flex d-lg-flex\"},[_c('v-col',{attrs:{\"justify\":\"center\",\"align\":\"center\"}},[_c('logo')],1)],1),_c('v-row',[_c('v-col',{staticClass:\"d-flex flex-column justify-start align-start pl-5 pl-lg-3 pl-md-3 pb-0 pr-0 pt-0\",attrs:{\"cols\":\"7\"}},[_c('span',{staticClass:\"clinic-name\"},[_vm._v(_vm._s(_vm.clientData.name))]),(_vm.$store.state.clientData.parentClientId)?_c('router-link',{attrs:{\"to\":{ name: 'landing', params: { clientId: _vm.$store.state.clientData.parentClientId }},\"exact\":\"\",\"replace\":\"\"},scopedSlots:_vm._u([{key:\"default\",fn:function(ref){\nvar href = ref.href;\nvar navigate = ref.navigate;\nreturn [_c('a',{staticStyle:{\"font-weight\":\"600\"},on:{\"click\":navigate}},[_vm._v(\"Change location\")])]}}],null,false,1754581258)}):_vm._e()],1),_c('v-col',{staticClass:\"address-container d-flex flex-column pr-5 pr-lg-3 pr-md-3 pl-0 pt-0\",staticStyle:{\"align-items\":\"flex-end\",\"justify-content\":\"flex-end\"},attrs:{\"cols\":\"5\"}},[_c('p',[_vm._v(_vm._s(_vm.clientData.address1))]),_c('p',[_vm._v(_vm._s(_vm.clientData.city)+\", \"+_vm._s(_vm.clientData.state)+\" \"+_vm._s(_vm.clientData.zip))]),_c('p',[_vm._v(_vm._s(_vm.clientData.phone))])])],1)],1)],1),_c('v-row',[_c('v-col',{staticClass:\"d-none d-md-flex d-lg-flex align-center pr-8 pl-0 pt-0\",attrs:{\"cols\":\"2\"}},[_c('stepper')],1),_c('v-col',{staticClass:\"py-0\",staticStyle:{\"max-width\":\"950px\"},attrs:{\"cols\":\"12\",\"md\":\"10\",\"lg\":\"10\"}},[_c('v-container',{staticClass:\"referral-container\",attrs:{\"fluid\":\"\"}},[_c('v-row',[_c('v-col',[_c('div',{staticClass:\"white-container form-container\"},[_c('stepper-content')],1)])],1)],1)],1)],1),_c('v-snackbar',{attrs:{\"light\":\"\",\"elevation\":\"10\",\"timeout\":\"3000\"},scopedSlots:_vm._u([{key:\"action\",fn:function(ref){\nvar attrs = ref.attrs;\nreturn [_c('v-btn',_vm._b({attrs:{\"color\":\"primary\",\"fab\":\"\",\"small\":\"\"},on:{\"click\":function($event){_vm.$store.state.showSubmissionError = false}}},'v-btn',attrs,false),[_c('v-icon',[_vm._v(\"mdi-close\")])],1)]}}]),model:{value:(_vm.$store.state.showSubmissionError),callback:function ($$v) {_vm.$set(_vm.$store.state, \"showSubmissionError\", $$v)},expression:\"$store.state.showSubmissionError\"}},[_vm._v(\" \"+_vm._s(_vm.$store.state.submissionError)+\" \")])],1)}\nvar staticRenderFns = []\n\nexport { render, staticRenderFns }","var render = function () {var _vm=this;var _h=_vm.$createElement;var _c=_vm._self._c||_h;return _vm._m(0)}\nvar staticRenderFns = [function () {var _vm=this;var _h=_vm.$createElement;var _c=_vm._self._c||_h;return _c('div',{staticClass:\"logo\"},[_c('span',{staticClass:\"light\"},[_vm._v(\"er\")]),_c('span',{staticClass:\"strong\"},[_vm._v(\"passport\")])])}]\n\nexport { render, staticRenderFns }","<template>\r\n    <div class=\"logo\">\r\n        <span class=\"light\">er</span>\r\n        <span class=\"strong\">passport</span>\r\n    </div>\r\n</template>\r\n\r\n<script>\r\nexport default {\r\n  name: 'Logo',\r\n  components: {\r\n  },\r\n\r\n  data: () => ({\r\n    //\r\n  })\r\n};\r\n</script>\r\n<style>\r\n    .logo {\r\n        height: 55px\r\n    }\r\n    .logo span {\r\n        font-family: \"Montserrat\";\r\n        font-size: 32px;\r\n        color: var(--v-primary-base);\r\n    }\r\n    .logo span.light {\r\n        font-weight: 600;\r\n    }\r\n    .logo span.strong {\r\n        font-weight: 800;\r\n    }\r\n</style>","import mod from \"-!../../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../../node_modules/thread-loader/dist/cjs.js!../../../node_modules/babel-loader/lib/index.js!../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./logo.vue?vue&type=script&lang=js&\"; export default mod; export * from \"-!../../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../../node_modules/thread-loader/dist/cjs.js!../../../node_modules/babel-loader/lib/index.js!../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./logo.vue?vue&type=script&lang=js&\"","import { render, staticRenderFns } from \"./logo.vue?vue&type=template&id=b13fdf56&\"\nimport script from \"./logo.vue?vue&type=script&lang=js&\"\nexport * from \"./logo.vue?vue&type=script&lang=js&\"\nimport style0 from \"./logo.vue?vue&type=style&index=0&lang=css&\"\n\n\n/* normalize component */\nimport normalizer from \"!../../../node_modules/vue-loader/lib/runtime/componentNormalizer.js\"\nvar component = normalizer(\n  script,\n  render,\n  staticRenderFns,\n  false,\n  null,\n  null,\n  null\n  \n)\n\nexport default component.exports","var render = function () {var _vm=this;var _h=_vm.$createElement;var _c=_vm._self._c||_h;return _c('section',{staticClass:\"stepper\"},[(!_vm.isPetFacility)?_c('div',[_c('div',{staticClass:\"step\",class:{'active': _vm.currentStep === 1, 'complete': _vm.currentStep > 1}},[_c('span',{staticClass:\"label\"},[_vm._v(\"Patient info\")]),_c('span',{staticClass:\"bubble\"},[(_vm.currentStep > 1)?_c('v-icon',[_vm._v(\"mdi-check\")]):_c('span',[_vm._v(\"1\")])],1)]),_c('div',{staticClass:\"step\",class:{'active': _vm.currentStep === 2, 'complete': _vm.currentStep > 2}},[_c('span',{staticClass:\"label\"},[_vm._v(\"Visit info\")]),_c('span',{staticClass:\"bubble\"},[(_vm.currentStep > 2)?_c('v-icon',[_vm._v(\"mdi-check\")]):_c('span',[_vm._v(\"2\")])],1)]),_c('div',{staticClass:\"step\",class:{'active': _vm.currentStep === 3, 'complete': _vm.currentStep > 3}},[_c('span',{staticClass:\"label\"},[_vm._v(\"Referral info\")]),_c('span',{staticClass:\"bubble\"},[(_vm.currentStep > 3)?_c('v-icon',[_vm._v(\"mdi-check\")]):_c('span',[_vm._v(\"3\")])],1)])]):_vm._e(),(_vm.isPetFacility)?_c('div',[_c('div',{staticClass:\"step\",class:{'active': _vm.currentStep === 1, 'complete': _vm.currentStep > 1}},[_c('span',{staticClass:\"label\"},[_vm._v(\"Owner\")]),_c('span',{staticClass:\"bubble\"},[(_vm.currentStep > 1)?_c('v-icon',[_vm._v(\"mdi-check\")]):_c('span',[_vm._v(\"1\")])],1)]),_c('div',{staticClass:\"step\",class:{'active': _vm.currentStep === 2, 'complete': _vm.currentStep > 2}},[_c('span',{staticClass:\"label\"},[_vm._v(\"Pet info\")]),_c('span',{staticClass:\"bubble\"},[(_vm.currentStep > 2)?_c('v-icon',[_vm._v(\"mdi-check\")]):_c('span',[_vm._v(\"2\")])],1)]),_c('div',{staticClass:\"step\",class:{'active': _vm.currentStep === 3, 'complete': _vm.currentStep > 3}},[_c('span',{staticClass:\"label\"},[_vm._v(\"Visit info\")]),_c('span',{staticClass:\"bubble\"},[(_vm.currentStep > 3)?_c('v-icon',[_vm._v(\"mdi-check\")]):_c('span',[_vm._v(\"3\")])],1)]),_c('div',{staticClass:\"step\",class:{'active': _vm.currentStep === 4, 'complete': _vm.currentStep > 4}},[_c('span',{staticClass:\"label\"},[_vm._v(\"Referral info\")]),_c('span',{staticClass:\"bubble\"},[(_vm.currentStep > 4)?_c('v-icon',[_vm._v(\"mdi-check\")]):_c('span',[_vm._v(\"4\")])],1)])]):_vm._e()])}\nvar staticRenderFns = []\n\nexport { render, staticRenderFns }","<template>\r\n    <section class=\"stepper\">\r\n        <div v-if=\"!isPetFacility\">\r\n            <div class=\"step\" v-bind:class=\"{'active': currentStep === 1, 'complete': currentStep > 1}\">\r\n                <span class=\"label\">Patient info</span>\r\n                <span class=\"bubble\">\r\n                    <v-icon v-if=\"currentStep > 1\">mdi-check</v-icon>\r\n                    <span v-else>1</span>\r\n                </span>\r\n            </div>\r\n            <div class=\"step\" v-bind:class=\"{'active': currentStep === 2, 'complete': currentStep > 2}\">\r\n                <span class=\"label\">Visit info</span>\r\n                <span class=\"bubble\">\r\n                    <v-icon v-if=\"currentStep > 2\">mdi-check</v-icon>\r\n                    <span v-else>2</span>\r\n                </span>\r\n            </div>\r\n            <div class=\"step\" v-bind:class=\"{'active': currentStep === 3, 'complete': currentStep > 3}\">\r\n                <span class=\"label\">Referral info</span>\r\n                <span class=\"bubble\">\r\n                    <v-icon v-if=\"currentStep > 3\">mdi-check</v-icon>\r\n                    <span v-else>3</span>\r\n                </span>\r\n            </div>\r\n        </div>\r\n        <div v-if=\"isPetFacility\">\r\n            <div class=\"step\" v-bind:class=\"{'active': currentStep === 1, 'complete': currentStep > 1}\">\r\n                <span class=\"label\">Owner</span>\r\n                <span class=\"bubble\">\r\n                    <v-icon v-if=\"currentStep > 1\">mdi-check</v-icon>\r\n                    <span v-else>1</span>\r\n                </span>\r\n            </div>\r\n            <div class=\"step\" v-bind:class=\"{'active': currentStep === 2, 'complete': currentStep > 2}\">\r\n                <span class=\"label\">Pet info</span>\r\n                <span class=\"bubble\">\r\n                    <v-icon v-if=\"currentStep > 2\">mdi-check</v-icon>\r\n                    <span v-else>2</span>\r\n                </span>\r\n            </div>\r\n            <div class=\"step\" v-bind:class=\"{'active': currentStep === 3, 'complete': currentStep > 3}\">\r\n                <span class=\"label\">Visit info</span>\r\n                <span class=\"bubble\">\r\n                    <v-icon v-if=\"currentStep > 3\">mdi-check</v-icon>\r\n                    <span v-else>3</span>\r\n                </span>\r\n            </div>\r\n            <div class=\"step\" v-bind:class=\"{'active': currentStep === 4, 'complete': currentStep > 4}\">\r\n                <span class=\"label\">Referral info</span>\r\n                <span class=\"bubble\">\r\n                    <v-icon v-if=\"currentStep > 4\">mdi-check</v-icon>\r\n                    <span v-else>4</span>\r\n                </span>\r\n            </div>\r\n        </div>\r\n    </section>\r\n</template>\r\n\r\n<script>\r\n    import ReferralMixin from '../../mixins/referral'\r\n\r\n    export default {\r\n        name: 'Stepper',\r\n        mixins: [ReferralMixin]\r\n    };\r\n</script>\r\n<style>\r\n    .stepper * {\r\n        transition: all 0.16s ease;\r\n    }\r\n    .stepper {\r\n        padding-top: 30px;\r\n        display: flex;\r\n        flex-direction: column;\r\n        width: 100%;\r\n        align-items: center;\r\n        justify-content: center;\r\n    }\r\n        .stepper .step {\r\n            display: flex;\r\n            flex-direction: row;\r\n            align-items: center;\r\n            justify-content: center;\r\n            padding: 50px 0 50px 0;\r\n            width: 100%;\r\n        }\r\n\r\n            .stepper .step:not(:last-of-type):after {\r\n                content: \"\";\r\n                height: 100px;\r\n                width: 3px;\r\n                position: absolute;\r\n                margin-left: 99px;\r\n                margin-top: 125px;\r\n                background: #ccc;\r\n                transition: all 0.35s ease;\r\n            }\r\n\r\n            .stepper .step.complete:after {\r\n                background: var(--v-primary-base);\r\n            }\r\n\r\n            .stepper .step .bubble {\r\n                font-family: \"Montserrat\";\r\n                background: #ccc;\r\n                min-width: 25px;\r\n                min-height: 25px;\r\n                text-align: center;\r\n                color: #fff;\r\n                font-weight: 800;\r\n                border-radius: 50%;\r\n                padding: 3px 1px 0 0px;\r\n                transition: all 0.35s ease;\r\n            }\r\n\r\n            .stepper .step.complete .bubble {\r\n                background: var(--v-primary-base);\r\n            }\r\n\r\n            .stepper .step .bubble i {\r\n                color: #fff;\r\n                font-size: 16px;\r\n                padding-bottom: 3px;\r\n            }\r\n\r\n            .stepper .step .label {\r\n                width: 100px;\r\n                font-weight: 600;\r\n                color: #999;\r\n            }\r\n\r\n            .stepper .step.active .bubble {\r\n                background: var(--v-primary-base);\r\n            }\r\n            .stepper .step.active .label {\r\n                color: #333;\r\n                font-weight: 800;\r\n            }\r\n</style>","import mod from \"-!../../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../../node_modules/thread-loader/dist/cjs.js!../../../node_modules/babel-loader/lib/index.js!../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./stepper.vue?vue&type=script&lang=js&\"; export default mod; export * from \"-!../../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../../node_modules/thread-loader/dist/cjs.js!../../../node_modules/babel-loader/lib/index.js!../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./stepper.vue?vue&type=script&lang=js&\"","import { render, staticRenderFns } from \"./stepper.vue?vue&type=template&id=71336bf9&\"\nimport script from \"./stepper.vue?vue&type=script&lang=js&\"\nexport * from \"./stepper.vue?vue&type=script&lang=js&\"\nimport style0 from \"./stepper.vue?vue&type=style&index=0&lang=css&\"\n\n\n/* normalize component */\nimport normalizer from \"!../../../node_modules/vue-loader/lib/runtime/componentNormalizer.js\"\nvar component = normalizer(\n  script,\n  render,\n  staticRenderFns,\n  false,\n  null,\n  null,\n  null\n  \n)\n\nexport default component.exports\n\n/* vuetify-loader */\nimport installComponents from \"!../../../node_modules/vuetify-loader/lib/runtime/installComponents.js\"\nimport { VIcon } from 'vuetify/lib/components/VIcon';\ninstallComponents(component, {VIcon})\n","var render = function () {var _vm=this;var _h=_vm.$createElement;var _c=_vm._self._c||_h;return _c('section',{staticClass:\"content-wrapper\"},[_c('v-stepper',{staticStyle:{\"width\":\"100%\",\"box-shadow\":\"none\",\"background\":\"transparent\",\"height\":\"100%\"},attrs:{\"alt-labels\":\"\"},model:{value:(_vm.currentStep),callback:function ($$v) {_vm.currentStep=$$v},expression:\"currentStep\"}},[(!_vm.isPetFacility)?_c('v-stepper-items',{staticStyle:{\"border\":\"none\",\"box-shadow\":\"none\"}},[_c('v-stepper-content',{attrs:{\"step\":\"1\"}},[_c('patient-info')],1),_c('v-stepper-content',{attrs:{\"step\":\"2\"}},[_c('visit-info')],1),_c('v-stepper-content',{attrs:{\"step\":\"3\"}},[_c('referral-info')],1)],1):_vm._e(),(_vm.isPetFacility)?_c('v-stepper-items',{staticStyle:{\"border\":\"none\",\"box-shadow\":\"none\"}},[_c('v-stepper-content',{attrs:{\"step\":\"1\"}},[_c('patient-info')],1),_c('v-stepper-content',{attrs:{\"step\":\"2\"}},[_c('pet-info')],1),_c('v-stepper-content',{attrs:{\"step\":\"3\"}},[_c('visit-info')],1),_c('v-stepper-content',{attrs:{\"step\":\"4\"}},[_c('referral-info')],1)],1):_vm._e()],1),(!_vm.$store.state.isSubmitting)?_c('actions'):_vm._e()],1)}\nvar staticRenderFns = []\n\nexport { render, staticRenderFns }","var render = function () {var _vm=this;var _h=_vm.$createElement;var _c=_vm._self._c||_h;return _c('v-form',{ref:\"patientInfo\",attrs:{\"lazy-validation\":\"\"},model:{value:(_vm.patientInfo.isValid),callback:function ($$v) {_vm.$set(_vm.patientInfo, \"isValid\", $$v)},expression:\"patientInfo.isValid\"}},[_c('v-container',{attrs:{\"fluid\":\"\"}},[_c('v-row',{staticClass:\"mb-5\",staticStyle:{\"max-height\":\"65px\"}},[_c('v-col',{staticClass:\"col\",staticStyle:{\"align-self\":\"center\"},attrs:{\"cols\":\"6\",\"md\":\"3\",\"sm\":\"4\"}},[_c('strong',{staticClass:\"header\"},[_vm._v(_vm._s(_vm.isPetFacility ? 'Owner information' : 'Patient information'))])]),(_vm.localizedSettings)?_c('v-col',{staticClass:\"col d-flex d-md-none d-lg-none justify-end align-center\",attrs:{\"cols\":\"6\",\"md\":\"4\",\"sm\":\"4\"}},[_c('v-tooltip',{attrs:{\"top\":\"\"},scopedSlots:_vm._u([{key:\"activator\",fn:function(ref){\nvar on = ref.on;\nvar attrs = ref.attrs;\nreturn [_c('v-btn',_vm._g(_vm._b({staticClass:\"elevation-3\",staticStyle:{\"height\":\"35px\",\"width\":\"35px\"},attrs:{\"fab\":\"\",\"color\":\"primary\"}},'v-btn',attrs,false),on),[_c('v-icon',{staticStyle:{\"font-size\":\"18px\"}},[_vm._v(\"mdi-help\")])],1)]}}],null,false,604041623)},[_c('span',[_vm._v(_vm._s(_vm.localizedSettings['passport_form_instructions']))])])],1):_vm._e(),_c('v-col',{staticClass:\"col d-none d-md-flex d-lg-flex pl-4\",attrs:{\"cols\":\"6\",\"md\":\"8\",\"lg\":\"8\"}},[_c('p',{staticStyle:{\"margin\":\"0\",\"font-size\":\"12px\",\"color\":\"#333\"}},[_vm._v(_vm._s(_vm.localizedSettings['passport_form_instructions']))])])],1),_c('v-row',[_c('v-col',{attrs:{\"sm\":\"8\",\"md\":\"7\",\"lg\":\"7\"}},[_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"firstName\"}},[_vm._v(\"First name\")]),_c('v-text-field',{staticClass:\"mt-2\",attrs:{\"name\":\"firstName\",\"id\":\"firstName\",\"autocomplete\":\"off\",\"rules\":_vm.firstNameRules,\"outlined\":\"\",\"solo\":\"\",\"required\":\"\",\"validate-on-blur\":\"\"},on:{\"keydown\":function($event){if(!$event.type.indexOf('key')&&_vm._k($event.keyCode,\"enter\",13,$event.key,\"Enter\")){ return null; }return _vm.validate($event)}},model:{value:(_vm.patientInfo.firstName),callback:function ($$v) {_vm.$set(_vm.patientInfo, \"firstName\", $$v)},expression:\"patientInfo.firstName\"}})],1)])],1),_c('v-row',[_c('v-col',{attrs:{\"sm\":\"8\",\"md\":\"7\",\"lg\":\"7\"}},[_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"lastName\"}},[_vm._v(\"Last name\")]),_c('v-text-field',{staticClass:\"mt-2\",attrs:{\"name\":\"lastName\",\"id\":\"lastName\",\"autocomplete\":\"off\",\"rules\":_vm.lastNameRules,\"solo\":\"\",\"outlined\":\"\",\"required\":\"\",\"validate-on-blur\":\"\"},model:{value:(_vm.patientInfo.lastName),callback:function ($$v) {_vm.$set(_vm.patientInfo, \"lastName\", $$v)},expression:\"patientInfo.lastName\"}})],1)])],1),(_vm.$store.state.clientData.settings.allowVipOption && !_vm.isPetFacility)?_c('v-row',[_c('v-col',{attrs:{\"sm\":\"8\",\"md\":\"7\",\"lg\":\"7\"}},[_c('div',{staticClass:\"row  form-group\",staticStyle:{\"padding-left\":\"3%\"}},[_c('label',{staticStyle:{\"margin\":\"7px\"},attrs:{\"for\":\"isVipReservation\"},on:{\"click\":function($event){_vm.patientInfo.isVipReservation = !_vm.patientInfo.isVipReservation}}},[_vm._v(\"VÏP patient\")]),_c('v-checkbox',{staticStyle:{\"margin-top\":\"0px\",\"padding-top\":\"0px\"},attrs:{\"name\":\"isVipReservation\"},model:{value:(_vm.patientInfo.isVipReservation),callback:function ($$v) {_vm.$set(_vm.patientInfo, \"isVipReservation\", $$v)},expression:\"patientInfo.isVipReservation\"}}),_c('v-tooltip',{staticClass:\"tooltip-custom\",attrs:{\"right\":\"\",\"color\":\"white\"},scopedSlots:_vm._u([{key:\"activator\",fn:function(ref){\nvar on = ref.on;\nvar attrs = ref.attrs;\nreturn [_c('v-btn',_vm._g(_vm._b({staticClass:\"elevation-3\",staticStyle:{\"height\":\"26px\",\"width\":\"26px\",\"cursor\":\"pointer\",\"background-color\":\"grey !important\",\"top\":\"6px\"},attrs:{\"fab\":\"\",\"color\":\"primary\"}},'v-btn',attrs,false),on),[_c('v-icon',{staticStyle:{\"font-size\":\"18px\"},attrs:{\"color\":\"white\"}},[_vm._v(\"mdi-help\")])],1)]}}],null,false,1060843461)},[_c('span',{staticStyle:{\"color\":\"black\"}},[_vm._v(_vm._s(_vm.tooltip))])])],1)])],1):_vm._e(),_c('v-row',[_c('v-col',{attrs:{\"md\":\"3\"}},[_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"dob\"}},[_vm._v(\"Date of birth\")]),_c('v-text-field',{directives:[{name:\"facade\",rawName:\"v-facade\",value:('##/##/####'),expression:\"'##/##/####'\"}],ref:\"dob\",staticClass:\"mt-1\",staticStyle:{\"max-width\":\"160px\"},attrs:{\"name\":\"dob\",\"type\":\"tel\",\"id\":\"dob\",\"placeholder\":\"MM/DD/YYYY\",\"inputmode\":\"numeric\",\"autocomplete\":\"off\",\"rules\":_vm.dobRules,\"solo\":\"\",\"outlined\":\"\",\"validate-on-blur\":\"\"},model:{value:(_vm.patientInfo.dob),callback:function ($$v) {_vm.$set(_vm.patientInfo, \"dob\", $$v)},expression:\"patientInfo.dob\"}})],1)])],1),_c('v-row',[_c('v-col',{staticClass:\"mb-3\",attrs:{\"sm\":\"8\",\"md\":\"7\",\"lg\":\"7\"}},[_c('div',{staticClass:\"form-group\"},[_c('label',[_vm._v(\"Sex\")]),_c('v-btn-toggle',{staticClass:\"has-3-toggles mt-2\",attrs:{\"dense\":_vm.$vuetify.breakpoint.xs},model:{value:(_vm.patientInfo.sex),callback:function ($$v) {_vm.$set(_vm.patientInfo, \"sex\", $$v)},expression:\"patientInfo.sex\"}},[_c('v-btn',{attrs:{\"value\":\"Male\",\"outlined\":\"\",\"color\":\"primary\",\"light\":\"\"}},[_vm._v(\"Male\")]),_c('v-btn',{attrs:{\"value\":\"Female\",\"outlined\":\"\",\"color\":\"primary\",\"light\":\"\"}},[_vm._v(\"Female\")]),_c('v-btn',{attrs:{\"value\":\"Other\",\"outlined\":\"\",\"color\":\"primary\",\"light\":\"\"}},[_vm._v(\"Other\")])],1)],1)])],1),_c('v-row',{staticClass:\"mt-5\"},[_c('v-col',{staticClass:\"pr-md-5 pr-lg-6 col\",attrs:{\"cols\":\"12\",\"sm\":\"6\",\"md\":\"3\",\"lg\":\"3\"}},[_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"phone\"}},[_vm._v(\"Phone \"),_c('span',{staticStyle:{\"color\":\"#999\"}},[_vm._v(\"(optional)\")])]),_c('v-text-field',{directives:[{name:\"facade\",rawName:\"v-facade\",value:('(###)-###-####'),expression:\"'(###)-###-####'\"}],staticClass:\"mt-1\",staticStyle:{\"max-width\":\"160px\"},attrs:{\"placeholder\":\"(___)-___-____\",\"name\":\"phone\",\"id\":\"phone\",\"type\":\"tel\",\"autocomplete\":\"off\",\"rules\":_vm.phoneRules,\"outlined\":\"\",\"solo\":\"\",\"validate-on-blur\":\"\"},model:{value:(_vm.patientInfo.phone),callback:function ($$v) {_vm.$set(_vm.patientInfo, \"phone\", $$v)},expression:\"patientInfo.phone\"}})],1)]),_c('v-col',{staticClass:\"col\",attrs:{\"cols\":\"12\",\"sm\":\"8\",\"md\":\"4\",\"lg\":\"4\"}},[_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"email\"}},[_vm._v(\"Email \"),_c('span',{staticStyle:{\"color\":\"#999\"}},[_vm._v(\"(optional)\")])]),_c('v-text-field',{staticClass:\"mt-1\",attrs:{\"name\":\"email\",\"type\":\"email\",\"autocomplete\":\"off\",\"rules\":_vm.emailRules,\"outlined\":\"\",\"solo\":\"\",\"validate-on-blur\":\"\"},model:{value:(_vm.patientInfo.email),callback:function ($$v) {_vm.$set(_vm.patientInfo, \"email\", $$v)},expression:\"patientInfo.email\"}})],1)])],1)],1)],1)}\nvar staticRenderFns = []\n\nexport { render, staticRenderFns }","<template>\r\n    <v-form v-model=\"patientInfo.isValid\" ref=\"patientInfo\" lazy-validation>\r\n        <v-container fluid>\r\n            <v-row class=\"mb-5\" style=\"max-height: 65px;\">\r\n                <v-col cols=\"6\" md=\"3\" sm=\"4\" class=\"col\" style=\"align-self: center;\">\r\n                    <strong class=\"header\">{{ isPetFacility ? 'Owner information' : 'Patient information' }}</strong>\r\n                </v-col>\r\n                <v-col cols=\"6\" md=\"4\" sm=\"4\" class=\"col d-flex d-md-none d-lg-none justify-end align-center\" v-if=\"localizedSettings\">\r\n                    <v-tooltip top>\r\n                        <template v-slot:activator=\"{ on, attrs }\">\r\n                            <v-btn fab color=\"primary\" v-bind=\"attrs\" v-on=\"on\" class=\"elevation-3\" style=\"height: 35px; width: 35px;\">\r\n                                <v-icon style=\"font-size: 18px;\">mdi-help</v-icon>\r\n                            </v-btn>\r\n                        </template>\r\n                        <span>{{localizedSettings['passport_form_instructions']}}</span>\r\n                    </v-tooltip>\r\n                </v-col>\r\n                <v-col cols=\"6\" md=\"8\" lg=\"8\" class=\"col d-none d-md-flex d-lg-flex pl-4\">\r\n                    <p style=\"margin: 0; font-size: 12px; color: #333;\">{{localizedSettings['passport_form_instructions']}}</p>\r\n                </v-col>\r\n            </v-row>\r\n            <v-row>\r\n                <v-col sm=\"8\" md=\"7\" lg=\"7\">\r\n                    <div class=\"form-group\">\r\n                        <label for=\"firstName\">First name</label>\r\n                        <v-text-field v-model=\"patientInfo.firstName\"\r\n                                      name=\"firstName\"\r\n                                      id=\"firstName\"\r\n                                      autocomplete=\"off\"\r\n                                      class=\"mt-2\"\r\n                                      :rules=\"firstNameRules\"\r\n                                      @keydown.enter=\"validate\"\r\n                                      outlined\r\n                                      solo\r\n                                      required\r\n                                      validate-on-blur>\r\n                        </v-text-field>\r\n                    </div>\r\n                </v-col>\r\n            </v-row>\r\n            <v-row>\r\n                <v-col sm=\"8\" md=\"7\" lg=\"7\">\r\n                    <div class=\"form-group\">\r\n                        <label for=\"lastName\">Last name</label>\r\n                        <v-text-field v-model=\"patientInfo.lastName\"\r\n                                      name=\"lastName\"\r\n                                      id=\"lastName\"\r\n                                      autocomplete=\"off\"\r\n                                      class=\"mt-2\"\r\n                                      :rules=\"lastNameRules\"\r\n                                      solo\r\n                                      outlined\r\n                                      required\r\n                                      validate-on-blur>\r\n                        </v-text-field>\r\n                    </div>\r\n                </v-col>\r\n            </v-row>\r\n            <v-row v-if=\"$store.state.clientData.settings.allowVipOption && !isPetFacility\">\r\n                <v-col sm=\"8\" md=\"7\" lg=\"7\">\r\n\r\n                    <div class=\"row  form-group\" style=\"padding-left:3%\">\r\n                        <label for=\"isVipReservation\" @click=\"patientInfo.isVipReservation = !patientInfo.isVipReservation\" style=\"margin:7px\">VÏP patient</label>\r\n                        <!--<label for=\"isVipReservation\" @click=\"patientInfo.isVipReservation = !patientInfo.isVipReservation\">{{localizedSettings['passport_t&c_first_disclaimer']}}</label>-->\r\n                        <v-checkbox v-model=\"patientInfo.isVipReservation\" name=\"isVipReservation\" style=\"margin-top:0px;padding-top:0px\">\r\n                        </v-checkbox>\r\n                        <v-tooltip right class=\"tooltip-custom\"  color=\"white\">\r\n                            <template v-slot:activator=\"{ on, attrs }\">\r\n                                <v-btn fab color=\"primary\" v-bind=\"attrs\" v-on=\"on\" class=\"elevation-3\" style=\"height: 26px; width: 26px; cursor: pointer; background-color: grey !important; top: 6px \">\r\n                                    <v-icon  color=\"white\" style=\"font-size: 18px;\" >mdi-help</v-icon>\r\n                                </v-btn>\r\n                            </template>\r\n                            <span style=\"color:black\">{{tooltip}}</span>\r\n                        </v-tooltip>\r\n\r\n                    </div>\r\n                </v-col>\r\n            </v-row>\r\n            <v-row>\r\n                <v-col md=\"3\">\r\n                    <div class=\"form-group\">\r\n                        <label for=\"dob\">Date of birth</label>\r\n                        <v-text-field v-facade=\"'##/##/####'\"\r\n                                      v-model=\"patientInfo.dob\"\r\n                                      name=\"dob\"\r\n                                      type=\"tel\"\r\n                                      id=\"dob\"\r\n                                      class=\"mt-1\"\r\n                                      ref=\"dob\"\r\n                                      placeholder=\"MM/DD/YYYY\"\r\n                                      inputmode=\"numeric\"\r\n                                      autocomplete=\"off\"\r\n                                      style=\"max-width: 160px;\"\r\n                                      :rules=\"dobRules\"\r\n                                      solo\r\n                                      outlined\r\n                                      validate-on-blur>\r\n                        </v-text-field>\r\n                    </div>\r\n                </v-col>\r\n            </v-row>\r\n            <v-row>\r\n                <v-col sm=\"8\" md=\"7\" lg=\"7\" class=\"mb-3\">\r\n                    <div class=\"form-group\">\r\n                        <label>Sex</label>\r\n                        <v-btn-toggle v-model=\"patientInfo.sex\" class=\"has-3-toggles mt-2\" :dense=\"$vuetify.breakpoint.xs\">\r\n                            <v-btn value=\"Male\" outlined color=\"primary\" light>Male</v-btn>\r\n                            <v-btn value=\"Female\" outlined color=\"primary\" light>Female</v-btn>\r\n                            <v-btn value=\"Other\" outlined color=\"primary\" light>Other</v-btn>\r\n                        </v-btn-toggle>\r\n                    </div>\r\n                </v-col>\r\n            </v-row>\r\n            <v-row class=\"mt-5\">\r\n                <v-col cols=\"12\" sm=\"6\" md=\"3\" lg=\"3\" class=\"pr-md-5 pr-lg-6 col\">\r\n                    <div class=\"form-group\">\r\n                        <label for=\"phone\">Phone <span style=\"color: #999;\">(optional)</span> </label>\r\n                        <v-text-field v-model=\"patientInfo.phone\"\r\n                                      v-facade=\"'(###)-###-####'\"\r\n                                      placeholder=\"(___)-___-____\"\r\n                                      name=\"phone\"\r\n                                      id=\"phone\"\r\n                                      class=\"mt-1\"\r\n                                      type=\"tel\"\r\n                                      autocomplete=\"off\"\r\n                                      style=\"max-width: 160px\"\r\n                                      :rules=\"phoneRules\"\r\n                                      outlined\r\n                                      solo\r\n                                      validate-on-blur>\r\n                        </v-text-field>\r\n                    </div>\r\n                </v-col>\r\n                <v-col cols=\"12\" sm=\"8\" md=\"4\" lg=\"4\" class=\"col\">\r\n                    <div class=\"form-group\">\r\n                        <label for=\"email\">Email <span style=\"color: #999;\">(optional)</span> </label>\r\n                        <v-text-field v-model=\"patientInfo.email\"\r\n                                      name=\"email\"\r\n                                      type=\"email\"\r\n                                      class=\"mt-1\"\r\n                                      autocomplete=\"off\"\r\n                                      :rules=\"emailRules\"\r\n                                      outlined\r\n                                      solo\r\n                                      validate-on-blur>\r\n                        </v-text-field>\r\n                    </div>\r\n                </v-col>\r\n            </v-row>\r\n        </v-container>\r\n    </v-form>\r\n</template>\r\n\r\n<script>\r\n    /*eslint-disable no-useless-escape*/\r\n    import referralMixin from '../../../mixins/referral'\r\n    import moment from 'moment'\r\n\r\n    export default {\r\n        name: 'PatientInfo',\r\n        mixins: [referralMixin],\r\n        data: () => ({\r\n            tooltip: \"Marking your patient as a VIP means that their name will not be visible to staff members at the receiving ED unless they have an Admin role within the ER Passport application. They may also ensure that your patient waits in a private area and if admitted, they will stay in a private room.\",\r\n            firstNameRules: [\r\n                v => !!v || 'First name is required',\r\n                v => /^[a-zA-Z0-9 '-.�]+$/.test(v) || 'First name is invalid.',\r\n                v => isNaN(v) || 'First name is invalid'\r\n            ],\r\n            lastNameRules: [\r\n                v => !!v || 'Last name is required',\r\n                v => /^[a-zA-Z0-9 '-.�]+$/.test(v) || 'Last name is invalid.',\r\n                v => isNaN(v) || 'Last name is invalid'\r\n            ],\r\n            dobRules: [\r\n                v => !!v || 'Date of birth is required',\r\n                v => moment(v, 'MM/DD/YYYY', true).isValid() || 'Date of birth is invalid',\r\n                v => moment().diff(v, 'years', false) < 120 || 'Date of birth is invalid',\r\n                v => moment().diff(v, 'years', true) > 0 || 'Date of birth is invalid',\r\n                v => moment(v, 'MM/DD/YYYY', true).years() > 1000 || 'Date of birth is invalid',\r\n            ],\r\n            phoneRules: [\r\n                v => !v || (v && v.length === 14) || 'Phone is invalid'\r\n            ],\r\n            emailRules: [\r\n                v => !v || /^([a-zA-Z0-9_\\-\\.]+)@([a-zA-Z0-9_\\-\\.]+)\\.([a-zA-Z]{2,5})$/.test(v) || 'Email is invalid'\r\n            ],\r\n        })\r\n    };\r\n</script>\r\n<style>\r\n    #phone,\r\n    #dob,\r\n    #providerPhone,\r\n    #clinicPhone {\r\n        letter-spacing: 1px;\r\n    }\r\n    .tooltip-custom {\r\n        background: var(--unnamed-color-ffffff) 0% 0% no-repeat padding-box;\r\n        background: #FFFFFF 0% 0% no-repeat padding-box;\r\n        box-shadow: 0px 0px 5px #0000001A;\r\n        opacity: 1;\r\n    }\r\n</style>\r\n","import mod from \"-!../../../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../../../node_modules/thread-loader/dist/cjs.js!../../../../node_modules/babel-loader/lib/index.js!../../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./patient_info.vue?vue&type=script&lang=js&\"; export default mod; export * from \"-!../../../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../../../node_modules/thread-loader/dist/cjs.js!../../../../node_modules/babel-loader/lib/index.js!../../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./patient_info.vue?vue&type=script&lang=js&\"","import { render, staticRenderFns } from \"./patient_info.vue?vue&type=template&id=3c34f06e&\"\nimport script from \"./patient_info.vue?vue&type=script&lang=js&\"\nexport * from \"./patient_info.vue?vue&type=script&lang=js&\"\nimport style0 from \"./patient_info.vue?vue&type=style&index=0&lang=css&\"\n\n\n/* normalize component */\nimport normalizer from \"!../../../../node_modules/vue-loader/lib/runtime/componentNormalizer.js\"\nvar component = normalizer(\n  script,\n  render,\n  staticRenderFns,\n  false,\n  null,\n  null,\n  null\n  \n)\n\nexport default component.exports\n\n/* vuetify-loader */\nimport installComponents from \"!../../../../node_modules/vuetify-loader/lib/runtime/installComponents.js\"\nimport { VBtn } from 'vuetify/lib/components/VBtn';\nimport { VBtnToggle } from 'vuetify/lib/components/VBtnToggle';\nimport { VCheckbox } from 'vuetify/lib/components/VCheckbox';\nimport { VCol } from 'vuetify/lib/components/VGrid';\nimport { VContainer } from 'vuetify/lib/components/VGrid';\nimport { VForm } from 'vuetify/lib/components/VForm';\nimport { VIcon } from 'vuetify/lib/components/VIcon';\nimport { VRow } from 'vuetify/lib/components/VGrid';\nimport { VTextField } from 'vuetify/lib/components/VTextField';\nimport { VTooltip } from 'vuetify/lib/components/VTooltip';\ninstallComponents(component, {VBtn,VBtnToggle,VCheckbox,VCol,VContainer,VForm,VIcon,VRow,VTextField,VTooltip})\n","var render = function () {var _vm=this;var _h=_vm.$createElement;var _c=_vm._self._c||_h;return _c('v-form',{ref:\"visitInfo\",model:{value:(_vm.visitInfo.isValid),callback:function ($$v) {_vm.$set(_vm.visitInfo, \"isValid\", $$v)},expression:\"visitInfo.isValid\"}},[_c('v-container',{attrs:{\"fluid\":\"\"}},[_c('v-row',{staticClass:\"mb-5\",staticStyle:{\"max-height\":\"65px\"}},[_c('v-col',{staticClass:\"col\",staticStyle:{\"align-self\":\"center\"},attrs:{\"cols\":\"6\",\"md\":\"3\",\"sm\":\"6\"}},[_c('strong',{staticClass:\"header\"},[_vm._v(\"Visit information\")])]),(_vm.localizedSettings)?_c('v-col',{staticClass:\"col d-flex d-md-none d-lg-none justify-end align-center\",attrs:{\"cols\":\"6\",\"md\":\"4\",\"sm\":\"6\"}},[_c('v-tooltip',{attrs:{\"top\":\"\"},scopedSlots:_vm._u([{key:\"activator\",fn:function(ref){\nvar on = ref.on;\nvar attrs = ref.attrs;\nreturn [_c('v-btn',_vm._g(_vm._b({staticClass:\"elevation-3\",staticStyle:{\"height\":\"35px\",\"width\":\"35px\"},attrs:{\"fab\":\"\",\"color\":\"primary\"}},'v-btn',attrs,false),on),[_c('v-icon',{staticStyle:{\"font-size\":\"18px\"}},[_vm._v(\"mdi-help\")])],1)]}}],null,false,604041623)},[_c('span',[_vm._v(_vm._s(_vm.localizedSettings['passport_form_instructions']))])])],1):_vm._e(),_c('v-col',{staticClass:\"col d-none d-md-flex d-lg-flex pl-4\",attrs:{\"cols\":\"6\",\"md\":\"8\",\"lg\":\"8\"}},[_c('p',{staticStyle:{\"margin\":\"0\",\"font-size\":\"12px\",\"color\":\"#333\"}},[_vm._v(_vm._s(_vm.localizedSettings['passport_form_instructions']))])])],1),_c('v-row',[_c('v-col',{staticClass:\"col\",attrs:{\"cols\":\"12\",\"md\":\"8\",\"lg\":\"8\"}},[_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"chiefComplaint\"}},[_vm._v(\"Chief complaint\")]),_c('v-textarea',{staticClass:\"mt-1\",attrs:{\"name\":\"chiefComplaint\",\"id\":\"chiefComplaint\",\"required\":\"\",\"height\":\"60\",\"rules\":_vm.chiefComplaintRules,\"auto-grow\":false,\"no-resize\":true,\"background-color\":\"white\",\"dense\":\"\",\"solo\":\"\",\"outlined\":\"\"},model:{value:(_vm.visitInfo.chiefComplaint),callback:function ($$v) {_vm.$set(_vm.visitInfo, \"chiefComplaint\", $$v)},expression:\"visitInfo.chiefComplaint\"}})],1)])],1),_c('v-row',[_c('v-col',{staticClass:\"col\",attrs:{\"cols\":\"12\",\"md\":\"8\",\"lg\":\"8\"}},[_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"diagnosticConcerns\"}},[_vm._v(\"Diagnostic concerns / comments \"),_c('span',{staticStyle:{\"color\":\"#999\"}},[_vm._v(\"(optional)\")])]),_c('v-textarea',{staticClass:\"mt-1\",attrs:{\"name\":\"diagnosticConcerns\",\"id\":\"diagnosticConcerns\",\"height\":\"60\",\"rules\":_vm.diagnosticConcernsRules,\"auto-grow\":false,\"no-resize\":true,\"background-color\":\"white\",\"dense\":\"\",\"solo\":\"\",\"outlined\":\"\"},model:{value:(_vm.visitInfo.diagnosticConcerns),callback:function ($$v) {_vm.$set(_vm.visitInfo, \"diagnosticConcerns\", $$v)},expression:\"visitInfo.diagnosticConcerns\"}})],1)])],1),_c('v-row',{staticClass:\"mb-5 mb-md-0 mb-lg-0\"},[_c('v-col',{staticClass:\"col pr-0 pr-md-5 pr-lg-5\",attrs:{\"cols\":\"12\",\"md\":\"3\",\"lg\":\"3\"}},[_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"lastName\"}},[_vm._v(\"ETA\")]),_c('v-select',{staticClass:\"mt-2\",attrs:{\"allow-overflow\":false,\"disable-lookup\":true,\"items\":_vm.getEtaValues(),\"required\":\"\",\"background-color\":\"white\",\"outlined\":\"\",\"solo\":\"\"},model:{value:(_vm.visitInfo.eta),callback:function ($$v) {_vm.$set(_vm.visitInfo, \"eta\", $$v)},expression:\"visitInfo.eta\"}})],1)]),(_vm.settings.displayModeOfTransportOption)?_c('v-col',{staticClass:\"col\",attrs:{\"cols\":\"12\",\"md\":\"5\",\"lg\":\"5\"}},[_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"lastName\"}},[_vm._v(\"Mode of transport\")]),_c('v-btn-toggle',{staticClass:\"mt-2\",attrs:{\"dense\":_vm.$vuetify.breakpoint.xs},model:{value:(_vm.visitInfo.modeOfTransport),callback:function ($$v) {_vm.$set(_vm.visitInfo, \"modeOfTransport\", $$v)},expression:\"visitInfo.modeOfTransport\"}},[_c('v-btn',{staticStyle:{\"width\":\"30%\"},attrs:{\"value\":\"Private\",\"outlined\":\"\",\"color\":\"primary\",\"light\":\"\"}},[_vm._v(\"Private\")]),_c('v-btn',{staticStyle:{\"width\":\"40%\"},attrs:{\"value\":\"Ambulance\",\"outlined\":\"\",\"color\":\"primary\",\"light\":\"\"}},[_vm._v(\"Ambulance\")]),_c('v-btn',{staticStyle:{\"width\":\"30%\"},attrs:{\"value\":\"Other\",\"outlined\":\"\",\"color\":\"primary\",\"light\":\"\"}},[_vm._v(\"Other\")])],1)],1)]):_vm._e()],1),_c('v-row',{staticClass:\"mb-6\"},[_c('v-col',{attrs:{\"cols\":\"12\"}},[_c('div',{staticClass:\"form-group\"},[(_vm.localizedSettings)?_c('label',{attrs:{\"for\":\"lastName\"}},[_vm._v(_vm._s(_vm.localizedSettings['visited_facility_before']))]):_vm._e(),_c('v-btn-toggle',{staticClass:\"has-3-toggles mt-2\",staticStyle:{\"max-width\":\"320px\",\"display\":\"block\"},attrs:{\"dense\":_vm.$vuetify.breakpoint.xs},model:{value:(_vm.visitInfo.visitedBefore),callback:function ($$v) {_vm.$set(_vm.visitInfo, \"visitedBefore\", $$v)},expression:\"visitInfo.visitedBefore\"}},[_c('v-btn',{attrs:{\"value\":\"Yes\",\"outlined\":\"\",\"color\":\"primary\",\"light\":\"\"}},[_vm._v(\"Yes\")]),_c('v-btn',{attrs:{\"value\":\"No\",\"outlined\":\"\",\"color\":\"primary\",\"light\":\"\"}},[_vm._v(\"No\")]),_c('v-btn',{attrs:{\"value\":\"NotSure\",\"outlined\":\"\",\"color\":\"primary\",\"light\":\"\"}},[_vm._v(\"Not sure\")])],1)],1)])],1),_c('v-row',[_c('v-col',{staticClass:\"col\",attrs:{\"cols\":\"12\",\"md\":\"9\",\"lg\":\"9\"}},[_c('v-dialog',{attrs:{\"max-width\":\"330\"},model:{value:(_vm.fileSizeError),callback:function ($$v) {_vm.fileSizeError=$$v},expression:\"fileSizeError\"}},[_c('v-card',[_c('v-card-title',{staticClass:\"headline\"},[_vm._v(\" Maximum file size exceeded \")]),_c('v-card-text',[_vm._v(\" Please make sure your file size is under 10 MB \")]),_c('v-card-actions',{staticClass:\"justify-center\"},[_c('v-btn',{attrs:{\"color\":\"primary\"},on:{\"click\":function($event){_vm.fileSizeError = false}}},[_vm._v(\" Got it \")])],1)],1)],1),_c('div',{staticClass:\"form-group\"},[_c('label',[_vm._v(\"Attach patient records \"),_c('span',{staticStyle:{\"color\":\"#999\"}},[_vm._v(\"(optional)\")]),_c('small',{staticClass:\"ml-3\",staticStyle:{\"color\":\"#999\"}},[_vm._v(\"PDF, PNG or JPEG formats only. Limited to 3 files.\")])]),_c('v-file-input',{ref:\"fileInput\",staticClass:\"d-none\",attrs:{\"multiple\":\"\",\"label\":\"Add files\",\"hide-input\":\"\"},on:{\"change\":_vm.filesChanged},model:{value:(_vm.localFiles),callback:function ($$v) {_vm.localFiles=$$v},expression:\"localFiles\"}}),_c('div',{staticClass:\"mt-2 attach-wrapper\"},[_c('v-btn',{staticStyle:{\"display\":\"block\"},attrs:{\"color\":\"primary\",\"disabled\":_vm.visitInfo.files.length === 3},on:{\"click\":_vm.browseFiles}},[_vm._v(\" Browse files \")]),_c('div',{staticClass:\"file-list ml-5\"},_vm._l((_vm.visitInfo.files),function(file,index){return _c('v-tooltip',{key:index,attrs:{\"top\":\"\"},scopedSlots:_vm._u([{key:\"activator\",fn:function(ref){\nvar on = ref.on;\nvar attrs = ref.attrs;\nreturn [_c('v-chip',_vm._g(_vm._b({attrs:{\"close\":\"\"},on:{\"click:close\":function($event){return _vm.removeFile(index)}}},'v-chip',attrs,false),on),[_c('span',[_vm._v(_vm._s(file.name))])])]}}],null,true)},[_c('span',[_vm._v(_vm._s(file.name))])])}),1)],1)],1)],1)],1)],1)],1)}\nvar staticRenderFns = []\n\nexport { render, staticRenderFns }","<template>\r\n    <v-form v-model=\"visitInfo.isValid\" ref=\"visitInfo\">\r\n        <v-container fluid>\r\n            <v-row class=\"mb-5\" style=\"max-height: 65px;\">\r\n                <v-col cols=\"6\" md=\"3\" sm=\"6\" class=\"col\" style=\"align-self: center;\">\r\n                    <strong class=\"header\">Visit information</strong>\r\n                </v-col>\r\n                <v-col cols=\"6\" md=\"4\" sm=\"6\" class=\"col d-flex d-md-none d-lg-none justify-end align-center\" v-if=\"localizedSettings\">\r\n                    <v-tooltip top>\r\n                        <template v-slot:activator=\"{ on, attrs }\">\r\n                            <v-btn fab color=\"primary\" v-bind=\"attrs\" v-on=\"on\" class=\"elevation-3\" style=\"height: 35px; width: 35px;\">\r\n                                <v-icon style=\"font-size: 18px;\">mdi-help</v-icon>\r\n                            </v-btn>\r\n                        </template>\r\n                        <span>{{localizedSettings['passport_form_instructions']}}</span>\r\n                    </v-tooltip>\r\n                </v-col>\r\n                <v-col cols=\"6\" md=\"8\" lg=\"8\" class=\"col d-none d-md-flex d-lg-flex pl-4\">\r\n                    <p style=\"margin: 0; font-size: 12px; color: #333;\">{{localizedSettings['passport_form_instructions']}}</p>\r\n                </v-col>\r\n            </v-row>\r\n            <v-row>\r\n                <v-col cols=\"12\" md=\"8\" lg=\"8\" class=\"col\">\r\n                    <div class=\"form-group\">\r\n                        <label for=\"chiefComplaint\">Chief complaint</label>\r\n                        <v-textarea v-model=\"visitInfo.chiefComplaint\"\r\n                                    name=\"chiefComplaint\"\r\n                                    id=\"chiefComplaint\"\r\n                                    class=\"mt-1\"\r\n                                    required\r\n                                    height=\"60\"\r\n                                    :rules=\"chiefComplaintRules\"\r\n                                    :auto-grow=\"false\"\r\n                                    :no-resize=\"true\"\r\n                                    background-color=\"white\"\r\n                                    dense\r\n                                    solo\r\n                                    outlined>\r\n                        </v-textarea>\r\n                    </div>\r\n                </v-col>\r\n            </v-row>\r\n            <v-row>\r\n                <v-col cols=\"12\" md=\"8\" lg=\"8\" class=\"col\">\r\n                    <div class=\"form-group\">\r\n                        <label for=\"diagnosticConcerns\">Diagnostic concerns / comments <span style=\"color: #999;\">(optional)</span> </label>\r\n                        <v-textarea v-model=\"visitInfo.diagnosticConcerns\"\r\n                                    name=\"diagnosticConcerns\"\r\n                                    id=\"diagnosticConcerns\"\r\n                                    class=\"mt-1\"\r\n                                    height=\"60\"\r\n                                    :rules=\"diagnosticConcernsRules\"\r\n                                    :auto-grow=\"false\"\r\n                                    :no-resize=\"true\"\r\n                                    background-color=\"white\"\r\n                                    dense\r\n                                    solo\r\n                                    outlined>\r\n                        </v-textarea>\r\n                    </div>\r\n                </v-col>\r\n            </v-row>\r\n            <v-row class=\"mb-5 mb-md-0 mb-lg-0\">\r\n                <v-col cols=\"12\" md=\"3\" lg=\"3\" class=\"col pr-0 pr-md-5 pr-lg-5\">\r\n                    <div class=\"form-group\">\r\n                        <label for=\"lastName\">ETA</label>\r\n                        <v-select v-model=\"visitInfo.eta\"\r\n                                  :allow-overflow=\"false\"\r\n                                  :disable-lookup=\"true\"\r\n                                  :items=\"getEtaValues()\"\r\n                                  class=\"mt-2\"\r\n                                  required\r\n                                  background-color=\"white\"\r\n                                  outlined\r\n                                  solo>\r\n                        </v-select>\r\n                    </div>\r\n                </v-col>\r\n                <v-col cols=\"12\" md=\"5\" lg=\"5\" class=\"col\" v-if=\"settings.displayModeOfTransportOption\">\r\n                    <div class=\"form-group\">\r\n                        <label for=\"lastName\">Mode of transport</label>\r\n                        <v-btn-toggle v-model=\"visitInfo.modeOfTransport\" class=\"mt-2\" :dense=\"$vuetify.breakpoint.xs\">\r\n                            <v-btn value=\"Private\" outlined color=\"primary\" light style=\"width: 30%\">Private</v-btn>\r\n                            <v-btn value=\"Ambulance\" outlined color=\"primary\" light style=\"width: 40%\">Ambulance</v-btn>\r\n                            <v-btn value=\"Other\" outlined color=\"primary\" light style=\"width: 30%\">Other</v-btn>\r\n                        </v-btn-toggle>\r\n                    </div>\r\n                </v-col>\r\n            </v-row>\r\n            <v-row class=\"mb-6\">\r\n                <v-col cols=\"12\">\r\n                    <div class=\"form-group\">\r\n                        <label for=\"lastName\" v-if=\"localizedSettings\">{{localizedSettings['visited_facility_before']}}</label>\r\n                        <v-btn-toggle v-model=\"visitInfo.visitedBefore\" class=\"has-3-toggles mt-2\" :dense=\"$vuetify.breakpoint.xs\" style=\"max-width: 320px; display: block;\">\r\n                            <v-btn value=\"Yes\" outlined color=\"primary\" light>Yes</v-btn>\r\n                            <v-btn value=\"No\" outlined color=\"primary\" light>No</v-btn>\r\n                            <v-btn value=\"NotSure\" outlined color=\"primary\" light>Not sure</v-btn>\r\n                        </v-btn-toggle>\r\n                    </div>\r\n                </v-col>\r\n            </v-row>\r\n            <v-row>\r\n                <v-col cols=\"12\" md=\"9\" lg=\"9\" class=\"col\">\r\n                    <v-dialog v-model=\"fileSizeError\"\r\n                              max-width=\"330\">\r\n                        <v-card>\r\n                            <v-card-title class=\"headline\">\r\n                                Maximum file size exceeded\r\n                            </v-card-title>\r\n\r\n                            <v-card-text>\r\n                                Please make sure your file size is under 10 MB\r\n                            </v-card-text>\r\n\r\n                            <v-card-actions class=\"justify-center\">\r\n                                <v-btn color=\"primary\"\r\n                                       @click=\"fileSizeError = false\">\r\n                                    Got it\r\n                                </v-btn>\r\n                            </v-card-actions>\r\n                        </v-card>\r\n                    </v-dialog>\r\n                    <div class=\"form-group\">\r\n                        <label>Attach patient records <span style=\"color: #999;\">(optional)</span><small class=\"ml-3\" style=\"color:#999;\">PDF, PNG or JPEG formats only. Limited to 3 files.</small></label>\r\n                        <v-file-input ref=\"fileInput\"\r\n                                      v-model=\"localFiles\"\r\n                                      multiple\r\n                                      label=\"Add files\"\r\n                                      @change=\"filesChanged\"\r\n                                      hide-input\r\n                                      class=\"d-none\">\r\n                        </v-file-input>\r\n                        <div class=\"mt-2 attach-wrapper\">\r\n                            <v-btn color=\"primary\" @click=\"browseFiles\" style=\"display: block;\" :disabled=\"visitInfo.files.length === 3\">\r\n                                Browse files\r\n                            </v-btn>\r\n                            <div class=\"file-list ml-5\">\r\n                                <v-tooltip top v-for=\"(file, index) in visitInfo.files\" v-bind:key=\"index\">\r\n                                    <template v-slot:activator=\"{ on, attrs }\">\r\n                                        <v-chip close\r\n                                                @click:close=\"removeFile(index)\"\r\n                                                v-bind=\"attrs\"\r\n                                                v-on=\"on\">\r\n                                            <span>{{file.name}}</span>\r\n                                        </v-chip>\r\n                                    </template>\r\n                                    <span>{{file.name}}</span>\r\n                                </v-tooltip>\r\n                            </div>\r\n                        </div>\r\n                    </div>\r\n                </v-col>\r\n            </v-row>\r\n        </v-container>\r\n    </v-form>\r\n</template>\r\n\r\n<script>\r\n\r\n    /*eslint-disable no-useless-escape*/\r\n    /*eslint-disable no-debugger*/\r\n    import ReferralMixin from '../../../mixins/referral'\r\n    import moment from 'moment'\r\n\r\n    export default {\r\n        name: 'VisitInfo',\r\n        mixins: [ReferralMixin],\r\n        data() {\r\n            return {\r\n                chiefComplaintRules: [\r\n                    v => !!v || 'Chief complaint is required.',\r\n                    v => /^[a-zA-Z0-9 \\r\\n!@#$&%?�*'�()=\\-_`�.+:;,/\\\"]*$/.test(v) && v.length >= 4 || 'Chief complaint is invalid.'\r\n                ],\r\n                diagnosticConcernsRules: [\r\n                    v => /^[a-zA-Z0-9 \\r\\n!@#$&%?�*'�()=\\-_`�.+:;,/\\\"]*$/.test(v) || 'Diagnostic concerns is invalid.'\r\n                ],\r\n                localFiles: [],\r\n                fileSizeError: false\r\n            }\r\n        },\r\n        methods: {\r\n            getEtaValues() {\r\n                const periodsInADay = moment.duration(4, 'hours').as('minutes');\r\n                const timeLabels = [];\r\n                const now = new Date();\r\n                now.setMinutes(now.getMinutes() > 30 ? 30 : 0)\r\n                const startTimeMoment = moment(now);\r\n                for (let i = 0; i <= periodsInADay; i += 15) {\r\n                    startTimeMoment.add(i === 0 ? 0 : 15, 'minutes');\r\n                    timeLabels.push({\r\n                        text: startTimeMoment.format('hh:mm A'),\r\n                        value: startTimeMoment.format('MM/DD/YYYY hh:mm A')\r\n                    });\r\n                }\r\n                timeLabels.splice(0, 2);\r\n                return timeLabels;\r\n            },\r\n            filesChanged() {\r\n                this.visitInfo.files = [\r\n                    ...this.localFiles,\r\n                    ...this.visitInfo.files\r\n                ];\r\n            },\r\n            removeFile(idx) {\r\n                this.visitInfo.files.splice(idx, 1);\r\n            },\r\n            browseFiles() {\r\n                this.$refs.fileInput.$refs.input.click();\r\n            }\r\n        },\r\n        mounted() {\r\n            let tis = this;\r\n            this.$refs.fileInput.$refs.input.accept = '.jpg,.jpeg,.png,.pdf';\r\n            this.$refs.fileInput.$refs.input.onchange = (e) => {\r\n                let file = e.target.files[0];\r\n                if (file) {\r\n                    let size = ((file.size / 1024) / 1024).toFixed(2);\r\n                    if (size >= 10) {\r\n                        tis.fileSizeError = true;\r\n                        tis.localFiles.splice(0, 1);\r\n                        tis.visitInfo.files.splice(0, 1);\r\n                    }\r\n                }\r\n            }\r\n        },\r\n        watch: {\r\n            VisitInfo: {\r\n                handler() {\r\n                    this.$refs.visitInfo.validate()\r\n                },\r\n                deep: true\r\n            }\r\n        },\r\n    };\r\n</script>\r\n<style>\r\n    .attach-wrapper {\r\n        display: flex;\r\n    }\r\n\r\n    .file-list {\r\n        display: flex;\r\n        align-items: center;\r\n        overflow: auto;\r\n    }\r\n\r\n        .file-list .v-chip {\r\n            max-width: 140px;\r\n        }\r\n\r\n            .file-list .v-chip:not(:last-of-type) {\r\n                margin-right: 5px;\r\n            }\r\n\r\n            .file-list .v-chip .v-chip__content span {\r\n                max-width: 100px;\r\n                overflow: hidden;\r\n                text-overflow: ellipsis;\r\n                font-size: 12px;\r\n            }\r\n</style>","import mod from \"-!../../../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../../../node_modules/thread-loader/dist/cjs.js!../../../../node_modules/babel-loader/lib/index.js!../../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./visit_info.vue?vue&type=script&lang=js&\"; export default mod; export * from \"-!../../../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../../../node_modules/thread-loader/dist/cjs.js!../../../../node_modules/babel-loader/lib/index.js!../../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./visit_info.vue?vue&type=script&lang=js&\"","import { render, staticRenderFns } from \"./visit_info.vue?vue&type=template&id=05a955cc&\"\nimport script from \"./visit_info.vue?vue&type=script&lang=js&\"\nexport * from \"./visit_info.vue?vue&type=script&lang=js&\"\nimport style0 from \"./visit_info.vue?vue&type=style&index=0&lang=css&\"\n\n\n/* normalize component */\nimport normalizer from \"!../../../../node_modules/vue-loader/lib/runtime/componentNormalizer.js\"\nvar component = normalizer(\n  script,\n  render,\n  staticRenderFns,\n  false,\n  null,\n  null,\n  null\n  \n)\n\nexport default component.exports\n\n/* vuetify-loader */\nimport installComponents from \"!../../../../node_modules/vuetify-loader/lib/runtime/installComponents.js\"\nimport { VBtn } from 'vuetify/lib/components/VBtn';\nimport { VBtnToggle } from 'vuetify/lib/components/VBtnToggle';\nimport { VCard } from 'vuetify/lib/components/VCard';\nimport { VCardActions } from 'vuetify/lib/components/VCard';\nimport { VCardText } from 'vuetify/lib/components/VCard';\nimport { VCardTitle } from 'vuetify/lib/components/VCard';\nimport { VChip } from 'vuetify/lib/components/VChip';\nimport { VCol } from 'vuetify/lib/components/VGrid';\nimport { VContainer } from 'vuetify/lib/components/VGrid';\nimport { VDialog } from 'vuetify/lib/components/VDialog';\nimport { VFileInput } from 'vuetify/lib/components/VFileInput';\nimport { VForm } from 'vuetify/lib/components/VForm';\nimport { VIcon } from 'vuetify/lib/components/VIcon';\nimport { VRow } from 'vuetify/lib/components/VGrid';\nimport { VSelect } from 'vuetify/lib/components/VSelect';\nimport { VTextarea } from 'vuetify/lib/components/VTextarea';\nimport { VTooltip } from 'vuetify/lib/components/VTooltip';\ninstallComponents(component, {VBtn,VBtnToggle,VCard,VCardActions,VCardText,VCardTitle,VChip,VCol,VContainer,VDialog,VFileInput,VForm,VIcon,VRow,VSelect,VTextarea,VTooltip})\n","var render = function () {var _vm=this;var _h=_vm.$createElement;var _c=_vm._self._c||_h;return _c('v-form',{ref:\"referralInfo\",model:{value:(_vm.referralInfo.isValid),callback:function ($$v) {_vm.$set(_vm.referralInfo, \"isValid\", $$v)},expression:\"referralInfo.isValid\"}},[(!_vm.isSubmitting)?_c('v-container',[_c('v-row',{staticClass:\"mb-5\",staticStyle:{\"max-height\":\"65px\"}},[_c('v-col',{staticClass:\"col\",staticStyle:{\"align-self\":\"center\"},attrs:{\"cols\":\"6\",\"md\":\"3\",\"sm\":\"6\"}},[_c('strong',{staticClass:\"header\"},[_vm._v(\"Referral information\")])]),(_vm.localizedSettings)?_c('v-col',{staticClass:\"col d-flex d-md-none d-lg-none justify-end align-center\",attrs:{\"cols\":\"6\",\"md\":\"4\",\"sm\":\"4\"}},[_c('v-tooltip',{attrs:{\"top\":\"\"},scopedSlots:_vm._u([{key:\"activator\",fn:function(ref){\nvar on = ref.on;\nvar attrs = ref.attrs;\nreturn [_c('v-btn',_vm._g(_vm._b({staticClass:\"elevation-3\",staticStyle:{\"height\":\"35px\",\"width\":\"35px\"},attrs:{\"fab\":\"\",\"color\":\"primary\"}},'v-btn',attrs,false),on),[_c('v-icon',{staticStyle:{\"font-size\":\"18px\"}},[_vm._v(\"mdi-help\")])],1)]}}],null,false,604041623)},[_c('span',[_vm._v(_vm._s(_vm.localizedSettings['passport_form_instructions']))])])],1):_vm._e(),_c('v-col',{staticClass:\"col d-none d-md-flex d-lg-flex pl-4\",attrs:{\"cols\":\"6\",\"md\":\"8\",\"lg\":\"8\"}},[_c('p',{staticStyle:{\"margin\":\"0\",\"font-size\":\"12px\",\"color\":\"#333\"}},[_vm._v(_vm._s(_vm.localizedSettings['passport_form_instructions']))])])],1),_c('v-row',[_c('v-col',{staticClass:\"col\",attrs:{\"cols\":\"12\",\"md\":\"7\"}},[_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"selectedClinic\"}},[_vm._v(\"Referring clinic name\")]),_c('v-select',{staticClass:\"mt-1\",attrs:{\"name\":\"selectedClinic\",\"rules\":_vm.selectClinic,\"items\":_vm.clinics,\"allow-overflow\":false,\"disable-lookup\":true,\"item-text\":\"name\",\"item-value\":\"id\",\"placeholder\":\"Select a clinic\",\"height\":\"40\",\"background-color\":\"white\",\"required\":\"\",\"outlined\":\"\",\"solo\":\"\"},on:{\"change\":_vm.clinicChanged},model:{value:(_vm.referralInfo.selectedClinic),callback:function ($$v) {_vm.$set(_vm.referralInfo, \"selectedClinic\", $$v)},expression:\"referralInfo.selectedClinic\"}})],1)])],1),(!_vm.isCreatingClinic)?_c('v-row',[_c('v-col',{staticClass:\"col\",attrs:{\"cols\":\"12\",\"md\":\"7\"}},[_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"selectedProvider\"}},[_vm._v(\"Provider name\")]),_c('v-select',{staticClass:\"mt-1\",attrs:{\"name\":\"selectedProvider\",\"rules\":_vm.selectProvider,\"items\":_vm.providers,\"allow-overflow\":false,\"disable-lookup\":true,\"disabled\":!_vm.referralInfo.selectedClinic,\"item-text\":\"name\",\"item-value\":\"id\",\"required\":\"\",\"placeholder\":\"Select a provider\",\"height\":\"40\",\"background-color\":\"white\",\"outlined\":\"\",\"solo\":\"\"},on:{\"change\":_vm.providerChanged},model:{value:(_vm.referralInfo.selectedProvider),callback:function ($$v) {_vm.$set(_vm.referralInfo, \"selectedProvider\", $$v)},expression:\"referralInfo.selectedProvider\"}})],1)])],1):_vm._e(),(_vm.isCreatingClinic)?_c('v-row',[_c('v-col',{staticClass:\"col\",attrs:{\"cols\":\"12\",\"md\":\"4\",\"lg\":\"4\"}},[_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"clinicName\"}},[_vm._v(\"Clinic name\")]),_c('v-text-field',{staticClass:\"mt-2\",attrs:{\"name\":\"clinicName\",\"id\":\"clinicName\",\"autocomplete\":\"off\",\"rules\":_vm.clinicNameRules,\"maxlength\":\"100\",\"required\":\"\",\"outlined\":\"\",\"solo\":\"\",\"validate-on-blur\":\"\"},model:{value:(_vm.referralInfo.newClinic.name),callback:function ($$v) {_vm.$set(_vm.referralInfo.newClinic, \"name\", $$v)},expression:\"referralInfo.newClinic.name\"}})],1)]),_c('v-col',{staticClass:\"col pl-md-5 pl-lg-5\",attrs:{\"cols\":\"12\",\"md\":\"3\",\"lg\":\"3\"}},[_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"clinicPhone\"}},[_vm._v(\"Clinic phone\")]),_c('v-text-field',{directives:[{name:\"facade\",rawName:\"v-facade\",value:('(###)-###-####'),expression:\"'(###)-###-####'\"}],staticClass:\"mt-2\",attrs:{\"name\":\"clinicPhone\",\"id\":\"clinicPhone\",\"autocomplete\":\"off\",\"rules\":_vm.phoneRules,\"placeholder\":\"(___)-___-____\",\"required\":\"\",\"outlined\":\"\",\"solo\":\"\",\"validate-on-blur\":\"\"},model:{value:(_vm.referralInfo.newClinic.phone),callback:function ($$v) {_vm.$set(_vm.referralInfo.newClinic, \"phone\", $$v)},expression:\"referralInfo.newClinic.phone\"}})],1)])],1):_vm._e(),(_vm.isCreatingClinic)?_c('v-row',[_c('v-col',{staticClass:\"col mb-5\",attrs:{\"cols\":\"12\"}},[_c('hr')])],1):_vm._e(),(_vm.isCreatingProvider)?_c('v-row',[_c('v-col',{staticClass:\"col\",attrs:{\"cols\":\"12\",\"sm\":\"4\",\"md\":\"4\",\"lg\":\"4\"}},[_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"providerFirstName\"}},[_vm._v(\"First name\")]),_c('v-text-field',{staticClass:\"mt-2\",attrs:{\"name\":\"providerFirstName\",\"id\":\"providerFirstName\",\"required\":\"\",\"autocomplete\":\"off\",\"rules\":_vm.firstNameRules,\"outlined\":\"\",\"solo\":\"\",\"validate-on-blur\":\"\"},model:{value:(_vm.referralInfo.newProvider.firstName),callback:function ($$v) {_vm.$set(_vm.referralInfo.newProvider, \"firstName\", $$v)},expression:\"referralInfo.newProvider.firstName\"}})],1)]),_c('v-col',{staticClass:\"col px-0 px-sm-3 px-md-3 px-lg-3\",attrs:{\"cols\":\"12\",\"sm\":\"4\",\"md\":\"4\",\"lg\":\"4\"}},[_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"providerLastName\"}},[_vm._v(\"Last name\")]),_c('v-text-field',{staticClass:\"mt-2\",attrs:{\"name\":\"providerLastName\",\"id\":\"providerLastName\",\"autocomplete\":\"off\",\"required\":\"\",\"rules\":_vm.lastNameRules,\"outlined\":\"\",\"solo\":\"\",\"validate-on-blur\":\"\"},model:{value:(_vm.referralInfo.newProvider.lastName),callback:function ($$v) {_vm.$set(_vm.referralInfo.newProvider, \"lastName\", $$v)},expression:\"referralInfo.newProvider.lastName\"}})],1)]),_c('v-col',{staticClass:\"col\",attrs:{\"cols\":\"12\",\"sm\":\"2\",\"md\":\"2\",\"lg\":\"2\"}},[_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"providerCreds\"}},[_vm._v(\"Credentials\")]),_c('v-select',{staticClass:\"mt-2\",attrs:{\"name\":\"providerCreds\",\"id\":\"providerCreds\",\"items\":_vm.credentials,\"allow-overflow\":false,\"disable-lookup\":true,\"rules\":_vm.required,\"required\":\"\",\"height\":\"40\",\"background-color\":\"white\",\"outlined\":\"\",\"solo\":\"\"},model:{value:(_vm.referralInfo.newProvider.credentials),callback:function ($$v) {_vm.$set(_vm.referralInfo.newProvider, \"credentials\", $$v)},expression:\"referralInfo.newProvider.credentials\"}})],1)])],1):_vm._e(),(_vm.isCreatingProvider)?_c('v-row',[_c('v-col',{staticClass:\"col\",attrs:{\"cols\":\"12\",\"sm\":\"4\",\"md\":\"4\",\"lg\":\"4\"}},[_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"providerEmail\"}},[_vm._v(\" Email \"),_c('v-tooltip',{attrs:{\"top\":\"\"},scopedSlots:_vm._u([{key:\"activator\",fn:function(ref){\nvar on = ref.on;\nvar attrs = ref.attrs;\nreturn [_c('v-icon',_vm._g(_vm._b({attrs:{\"small\":\"\"}},'v-icon',attrs,false),on),[_vm._v(\"mdi-information\")])]}}],null,false,1241205831)},[_c('p',[_vm._v(\" We do not publish your email anywhere patients can see it. We use it to send alerts to update you on the patient status. \")])])],1),_c('v-text-field',{staticClass:\"mt-2\",attrs:{\"name\":\"providerEmail\",\"id\":\"providerEmail\",\"autocomplete\":\"off\",\"rules\":_vm.emailRules,\"outlined\":\"\",\"solo\":\"\",\"required\":\"\",\"validate-on-blur\":\"\"},model:{value:(_vm.referralInfo.newProvider.email),callback:function ($$v) {_vm.$set(_vm.referralInfo.newProvider, \"email\", $$v)},expression:\"referralInfo.newProvider.email\"}})],1)]),_c('v-col',{staticClass:\"col pl-0 pl-sm-5 pl-md-5 pl-lg-5\",attrs:{\"cols\":\"9\",\"sm\":\"5\",\"md\":\"3\",\"lg\":\"3\"}},[_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"providerPhone\"}},[_vm._v(\" Phone \"),_c('span',{staticStyle:{\"color\":\"#999\",\"margin-right\":\"5px\"}},[_vm._v(\"(optional)\")]),_c('v-tooltip',{attrs:{\"top\":\"\"},scopedSlots:_vm._u([{key:\"activator\",fn:function(ref){\nvar on = ref.on;\nvar attrs = ref.attrs;\nreturn [_c('v-icon',_vm._g(_vm._b({attrs:{\"small\":\"\"}},'v-icon',attrs,false),on),[_vm._v(\"mdi-information\")])]}}],null,false,1241205831)},[_c('span',[_vm._v(\"We do not publish your phone anywhere patients can see it. We use it to send alerts to update you on the patient status.\")])])],1),_c('v-text-field',{directives:[{name:\"facade\",rawName:\"v-facade\",value:('(###)-###-####'),expression:\"'(###)-###-####'\"}],staticClass:\"mt-2 provider-phone\",attrs:{\"name\":\"providerPhone\",\"id\":\"providerPhone\",\"autocomplete\":\"off\",\"placeholder\":\"(___)-___-____\",\"rules\":_vm.phoneRules,\"outlined\":\"\",\"solo\":\"\",\"validate-on-blur\":\"\"},model:{value:(_vm.referralInfo.newProvider.phone),callback:function ($$v) {_vm.$set(_vm.referralInfo.newProvider, \"phone\", $$v)},expression:\"referralInfo.newProvider.phone\"}})],1)]),_c('v-col',{staticClass:\"col\",attrs:{\"cols\":\"3\",\"md\":\"2\",\"lg\":\"2\"}},[_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"phoneType\"}},[_vm._v(\"Type\")]),_c('v-select',{staticClass:\"mt-2 phone-type\",attrs:{\"name\":\"phoneType\",\"id\":\"phoneType\",\"items\":_vm.phoneTypes,\"allow-overflow\":false,\"disable-lookup\":true,\"rules\":_vm.phoneTypeRules,\"height\":\"40\",\"background-color\":\"white\",\"outlined\":\"\",\"solo\":\"\"},model:{value:(_vm.referralInfo.newProvider.phoneType),callback:function ($$v) {_vm.$set(_vm.referralInfo.newProvider, \"phoneType\", $$v)},expression:\"referralInfo.newProvider.phoneType\"}})],1)])],1):_vm._e(),(_vm.localizedSettings)?_c('v-row',[_c('v-col',[_c('v-dialog',{attrs:{\"max-width\":\"800\"},model:{value:(_vm.tcModal),callback:function ($$v) {_vm.tcModal=$$v},expression:\"tcModal\"}},[_c('v-card',{staticStyle:{\"padding\":\"10px 15px 10px 15px\"}},[_c('v-card-title',{staticClass:\"headline\",staticStyle:{\"padding-bottom\":\"20px\",\"font-weight\":\"700\"}},[_vm._v(\" \"+_vm._s(_vm.localizedSettings['passport_t&c_title'])+\" \"),(_vm.$vuetify.breakpoint.smAndUp)?_c('v-spacer'):_vm._e(),_c('v-btn',{attrs:{\"fab\":\"\",\"x-small\":\"\"},on:{\"click\":function($event){_vm.tcModal=false}}},[_c('v-icon',[_vm._v(\"mdi-close\")])],1)],1),_c('v-card-text',{domProps:{\"innerHTML\":_vm._s(_vm.localizedSettings['passport_t&c_content'])}})],1)],1),_c('div',{staticClass:\"tc-row\"},[_c('span',{staticClass:\"title\"},[_vm._v(\"TERMS & CONDITIONS\")]),(_vm.visitInfo.modeOfTransport !== 'Ambulance')?_c('div',{staticClass:\"tc-checkbox\"},[_c('v-checkbox',{attrs:{\"name\":\"ambulanceDisclaimer\",\"required\":\"\"},model:{value:(_vm.referralInfo.ambulanceDisclaimer),callback:function ($$v) {_vm.$set(_vm.referralInfo, \"ambulanceDisclaimer\", $$v)},expression:\"referralInfo.ambulanceDisclaimer\"}}),_c('label',{attrs:{\"for\":\"ambulanceDisclaimer\"},on:{\"click\":function($event){_vm.referralInfo.ambulanceDisclaimer = !_vm.referralInfo.ambulanceDisclaimer}}},[_vm._v(\"The patient understands the risks of declining ambulance transportation if they are being referred for life-threatening conditions. \"),_c('a',{staticStyle:{\"font-weight\":\"600\"},on:{\"click\":function($event){_vm.tcModal = true}}},[_vm._v(\"What does this mean?\")])])],1):_vm._e(),_c('div',{staticClass:\"tc-checkbox\"},[_c('v-checkbox',{attrs:{\"name\":\"firstDisclaimer\",\"required\":\"\"},model:{value:(_vm.referralInfo.firstDisclaimer),callback:function ($$v) {_vm.$set(_vm.referralInfo, \"firstDisclaimer\", $$v)},expression:\"referralInfo.firstDisclaimer\"}}),_c('label',{attrs:{\"for\":\"fistDisclaimer\"},on:{\"click\":function($event){_vm.referralInfo.firstDisclaimer = !_vm.referralInfo.firstDisclaimer}}},[_vm._v(_vm._s(_vm.localizedSettings['passport_t&c_first_disclaimer']))])],1),_c('div',{staticClass:\"tc-checkbox\"},[_c('v-checkbox',{attrs:{\"name\":\"secondDisclaimer\",\"required\":\"\"},model:{value:(_vm.referralInfo.secondDisclaimer),callback:function ($$v) {_vm.$set(_vm.referralInfo, \"secondDisclaimer\", $$v)},expression:\"referralInfo.secondDisclaimer\"}}),_c('label',{attrs:{\"for\":\"secondDisclaimer\"},on:{\"click\":function($event){_vm.referralInfo.secondDisclaimer = !_vm.referralInfo.secondDisclaimer}}},[_vm._v(_vm._s(_vm.localizedSettings['passport_t&c_second_disclaimer']))])],1)])],1)],1):_vm._e()],1):_c('div',{staticClass:\"loader\",staticStyle:{\"height\":\"570px\"}},[_c('v-progress-circular',{attrs:{\"indeterminate\":\"\",\"color\":\"primary\",\"size\":150}}),_c('span',[_vm._v(\"We're securely transmitting your information\")])],1)],1)}\nvar staticRenderFns = []\n\nexport { render, staticRenderFns }","<template>\r\n    <v-form v-model=\"referralInfo.isValid\" ref=\"referralInfo\">\r\n        <v-container v-if=\"!isSubmitting\">\r\n            <v-row class=\"mb-5\" style=\"max-height: 65px;\">\r\n                <v-col cols=\"6\" md=\"3\" sm=\"6\" class=\"col\" style=\"align-self: center;\">\r\n                    <strong class=\"header\">Referral information</strong>\r\n                </v-col>\r\n                <v-col cols=\"6\" md=\"4\" sm=\"4\" class=\"col d-flex d-md-none d-lg-none justify-end align-center\" v-if=\"localizedSettings\">\r\n                    <v-tooltip top>\r\n                        <template v-slot:activator=\"{ on, attrs }\">\r\n                            <v-btn fab color=\"primary\" v-bind=\"attrs\" v-on=\"on\" class=\"elevation-3\" style=\"height: 35px; width: 35px;\">\r\n                                <v-icon style=\"font-size: 18px;\">mdi-help</v-icon>\r\n                            </v-btn>\r\n                        </template>\r\n                        <span>{{localizedSettings['passport_form_instructions']}}</span>\r\n                    </v-tooltip>\r\n                </v-col>\r\n                <v-col cols=\"6\" md=\"8\" lg=\"8\" class=\"col d-none d-md-flex d-lg-flex pl-4\">\r\n                    <p style=\"margin: 0; font-size: 12px; color: #333;\">{{localizedSettings['passport_form_instructions']}}</p>\r\n                </v-col>\r\n            </v-row>\r\n            <v-row>\r\n                <v-col cols=\"12\" md=\"7\" class=\"col\">\r\n                    <div class=\"form-group\">\r\n                        <label for=\"selectedClinic\">Referring clinic name</label>\r\n                        <v-select v-model=\"referralInfo.selectedClinic\"\r\n                                  @change=\"clinicChanged\"\r\n                                  name=\"selectedClinic\"\r\n                                  :rules=\"selectClinic\"\r\n                                  :items=\"clinics\"\r\n                                  :allow-overflow=\"false\"\r\n                                  :disable-lookup=\"true\"\r\n                                  item-text=\"name\"\r\n                                  item-value=\"id\"\r\n                                  placeholder=\"Select a clinic\"\r\n                                  height=\"40\"\r\n                                  class=\"mt-1\"\r\n                                  background-color=\"white\"\r\n                                  required\r\n                                  outlined\r\n                                  solo>\r\n                        </v-select>\r\n                    </div>\r\n                </v-col>\r\n            </v-row>\r\n            <v-row v-if=\"!isCreatingClinic\">\r\n                <v-col cols=\"12\" md=\"7\" class=\"col\">\r\n                    <div class=\"form-group\">\r\n                        <label for=\"selectedProvider\">Provider name</label>\r\n                        <v-select v-model=\"referralInfo.selectedProvider\"\r\n                                  @change=\"providerChanged\"\r\n                                  name=\"selectedProvider\"\r\n                                  :rules=\"selectProvider\"\r\n                                  :items=\"providers\"\r\n                                  :allow-overflow=\"false\"\r\n                                  :disable-lookup=\"true\"\r\n                                  :disabled=\"!referralInfo.selectedClinic\"\r\n                                  item-text=\"name\"\r\n                                  item-value=\"id\"\r\n                                  required\r\n                                  placeholder=\"Select a provider\"\r\n                                  height=\"40\"\r\n                                  class=\"mt-1\"\r\n                                  background-color=\"white\"\r\n                                  outlined\r\n                                  solo>\r\n                        </v-select>\r\n                    </div>\r\n                </v-col>\r\n            </v-row>\r\n            <v-row v-if=\"isCreatingClinic\">\r\n                <v-col cols=\"12\" md=\"4\" lg=\"4\" class=\"col\">\r\n                    <div class=\"form-group\">\r\n                        <label for=\"clinicName\">Clinic name</label>\r\n                        <v-text-field v-model=\"referralInfo.newClinic.name\"\r\n                                      name=\"clinicName\"\r\n                                      id=\"clinicName\"\r\n                                      autocomplete=\"off\"\r\n                                      class=\"mt-2\"\r\n                                      :rules=\"clinicNameRules\"\r\n                                      maxlength=\"100\"\r\n                                      required\r\n                                      outlined\r\n                                      solo\r\n                                      validate-on-blur>\r\n                        </v-text-field>\r\n                    </div>\r\n                </v-col>\r\n                <v-col cols=\"12\" md=\"3\" lg=\"3\" class=\"col pl-md-5 pl-lg-5\">\r\n                    <div class=\"form-group\">\r\n                        <label for=\"clinicPhone\">Clinic phone</label>\r\n                        <v-text-field v-model=\"referralInfo.newClinic.phone\"\r\n                                      name=\"clinicPhone\"\r\n                                      id=\"clinicPhone\"\r\n                                      autocomplete=\"off\"\r\n                                      class=\"mt-2\"\r\n                                      :rules=\"phoneRules\"\r\n                                      v-facade=\"'(###)-###-####'\"\r\n                                      placeholder=\"(___)-___-____\"\r\n                                      required\r\n                                      outlined\r\n                                      solo\r\n                                      validate-on-blur>\r\n                        </v-text-field>\r\n                    </div>\r\n                </v-col>\r\n            </v-row>\r\n            <v-row v-if=\"isCreatingClinic\">\r\n                <v-col cols=\"12\" class=\"col mb-5\">\r\n                    <hr />\r\n                </v-col>\r\n            </v-row>\r\n            <v-row v-if=\"isCreatingProvider\">\r\n                <v-col cols=\"12\" sm=\"4\" md=\"4\" lg=\"4\" class=\"col\">\r\n                    <div class=\"form-group\">\r\n                        <label for=\"providerFirstName\">First name</label>\r\n                        <v-text-field v-model=\"referralInfo.newProvider.firstName\"\r\n                                      name=\"providerFirstName\"\r\n                                      id=\"providerFirstName\"\r\n                                      required\r\n                                      autocomplete=\"off\"\r\n                                      class=\"mt-2\"\r\n                                      :rules=\"firstNameRules\"\r\n                                      outlined\r\n                                      solo\r\n                                      validate-on-blur>\r\n                        </v-text-field>\r\n                    </div>\r\n                </v-col>\r\n                <v-col cols=\"12\" sm=\"4\" md=\"4\" lg=\"4\" class=\"col px-0 px-sm-3 px-md-3 px-lg-3\">\r\n                    <div class=\"form-group\">\r\n                        <label for=\"providerLastName\">Last name</label>\r\n                        <v-text-field v-model=\"referralInfo.newProvider.lastName\"\r\n                                      name=\"providerLastName\"\r\n                                      id=\"providerLastName\"\r\n                                      autocomplete=\"off\"\r\n                                      required\r\n                                      class=\"mt-2\"\r\n                                      :rules=\"lastNameRules\"\r\n                                      outlined\r\n                                      solo\r\n                                      validate-on-blur>\r\n                        </v-text-field>\r\n                    </div>\r\n                </v-col>\r\n                <v-col cols=\"12\" sm=\"2\" md=\"2\" lg=\"2\" class=\"col\">\r\n                    <div class=\"form-group\">\r\n                        <label for=\"providerCreds\">Credentials</label>\r\n                        <v-select v-model=\"referralInfo.newProvider.credentials\"\r\n                                  name=\"providerCreds\"\r\n                                  id=\"providerCreds\"\r\n                                  :items=\"credentials\"\r\n                                  :allow-overflow=\"false\"\r\n                                  :disable-lookup=\"true\"\r\n                                  :rules=\"required\"\r\n                                  required\r\n                                  height=\"40\"\r\n                                  class=\"mt-2\"\r\n                                  background-color=\"white\"\r\n                                  outlined\r\n                                  solo>\r\n                        </v-select>\r\n                    </div>\r\n                </v-col>\r\n            </v-row>\r\n            <v-row v-if=\"isCreatingProvider\">\r\n                <v-col cols=\"12\" sm=\"4\" md=\"4\" lg=\"4\" class=\"col\">\r\n                    <div class=\"form-group\">\r\n                        <label for=\"providerEmail\">\r\n                            Email\r\n                            <v-tooltip top>\r\n                                <template v-slot:activator=\"{ on, attrs }\">\r\n                                    <v-icon small v-bind=\"attrs\" v-on=\"on\">mdi-information</v-icon>\r\n                                </template>\r\n                                <p>\r\n                                    We do not publish your email anywhere patients can see it.\r\n                                    We use it to send alerts to update you on the patient status.\r\n                                </p>\r\n\r\n                            </v-tooltip>\r\n                        </label>\r\n                        <v-text-field v-model=\"referralInfo.newProvider.email\"\r\n                                      name=\"providerEmail\"\r\n                                      id=\"providerEmail\"\r\n                                      autocomplete=\"off\"\r\n                                      class=\"mt-2\"\r\n                                      :rules=\"emailRules\"\r\n                                      outlined\r\n                                      solo\r\n                                      required\r\n                                      validate-on-blur>\r\n                        </v-text-field>\r\n                    </div>\r\n                </v-col>\r\n                <v-col cols=\"9\" sm=\"5\" md=\"3\" lg=\"3\" class=\"col pl-0 pl-sm-5 pl-md-5 pl-lg-5\">\r\n                    <div class=\"form-group\">\r\n                        <label for=\"providerPhone\">\r\n                            Phone\r\n                            <span style=\"color: #999; margin-right: 5px;\">(optional)</span>\r\n                            <v-tooltip top>\r\n                                <template v-slot:activator=\"{ on, attrs }\">\r\n                                    <v-icon small v-bind=\"attrs\" v-on=\"on\">mdi-information</v-icon>\r\n                                </template>\r\n                                <span>We do not publish your phone anywhere patients can see it. We use it to send alerts to update you on the patient status.</span>\r\n                            </v-tooltip>\r\n                        </label>\r\n                        <v-text-field v-model=\"referralInfo.newProvider.phone\"\r\n                                      name=\"providerPhone\"\r\n                                      id=\"providerPhone\"\r\n                                      autocomplete=\"off\"\r\n                                      class=\"mt-2 provider-phone\"\r\n                                      v-facade=\"'(###)-###-####'\"\r\n                                      placeholder=\"(___)-___-____\"\r\n                                      :rules=\"phoneRules\"\r\n                                      outlined\r\n                                      solo\r\n                                      validate-on-blur>\r\n                        </v-text-field>\r\n                    </div>\r\n                </v-col>\r\n                <v-col cols=\"3\" md=\"2\" lg=\"2\" class=\"col\">\r\n                    <div class=\"form-group\">\r\n                        <label for=\"phoneType\">Type</label>\r\n                        <v-select v-model=\"referralInfo.newProvider.phoneType\"\r\n                                  name=\"phoneType\"\r\n                                  id=\"phoneType\"\r\n                                  :items=\"phoneTypes\"\r\n                                  :allow-overflow=\"false\"\r\n                                  :disable-lookup=\"true\"\r\n                                  :rules=\"phoneTypeRules\"\r\n                                  height=\"40\"\r\n                                  class=\"mt-2 phone-type\"\r\n                                  background-color=\"white\"\r\n                                  outlined\r\n                                  solo>\r\n                        </v-select>\r\n                    </div>\r\n                </v-col>\r\n            </v-row>\r\n            <v-row v-if=\"localizedSettings\">\r\n                <v-col>\r\n                    <v-dialog v-model=\"tcModal\"\r\n                              max-width=\"800\">\r\n                        <v-card style=\"padding: 10px 15px 10px 15px\">\r\n                            <v-card-title class=\"headline\" style=\"padding-bottom: 20px; font-weight: 700\">\r\n                                {{localizedSettings['passport_t&c_title']}}\r\n                                <v-spacer v-if=\"$vuetify.breakpoint.smAndUp\"></v-spacer>\r\n                                <v-btn fab @click=\"tcModal=false\" x-small><v-icon>mdi-close</v-icon></v-btn>\r\n                            </v-card-title>\r\n                            <v-card-text v-html=\"localizedSettings['passport_t&c_content']\"></v-card-text>\r\n                        </v-card>\r\n                    </v-dialog>\r\n                    <div class=\"tc-row\">\r\n                        <span class=\"title\">TERMS & CONDITIONS</span>\r\n                        <div class=\"tc-checkbox\" v-if=\"visitInfo.modeOfTransport !== 'Ambulance'\">\r\n                            <v-checkbox v-model=\"referralInfo.ambulanceDisclaimer\" name=\"ambulanceDisclaimer\" required>\r\n                            </v-checkbox>\r\n                            <label for=\"ambulanceDisclaimer\" @click=\"referralInfo.ambulanceDisclaimer = !referralInfo.ambulanceDisclaimer\">The patient understands the risks of declining ambulance transportation if they are being referred for life-threatening conditions. <a @click=\"tcModal = true\" style=\"font-weight: 600;\">What does this mean?</a></label>\r\n                        </div>\r\n                        <div class=\"tc-checkbox\">\r\n                            <v-checkbox v-model=\"referralInfo.firstDisclaimer\" name=\"firstDisclaimer\" required>\r\n                            </v-checkbox>\r\n                            <label for=\"fistDisclaimer\" @click=\"referralInfo.firstDisclaimer = !referralInfo.firstDisclaimer\">{{localizedSettings['passport_t&c_first_disclaimer']}}</label>\r\n                        </div>\r\n                        <div class=\"tc-checkbox\">\r\n                            <v-checkbox v-model=\"referralInfo.secondDisclaimer\" name=\"secondDisclaimer\" required>\r\n                            </v-checkbox>\r\n                            <label for=\"secondDisclaimer\" @click=\"referralInfo.secondDisclaimer = !referralInfo.secondDisclaimer\">{{localizedSettings['passport_t&c_second_disclaimer']}}</label>\r\n                        </div>\r\n                    </div>\r\n                </v-col>\r\n            </v-row>\r\n        </v-container>\r\n        <div v-else class=\"loader\" style=\"height: 570px\">\r\n            <v-progress-circular indeterminate color=\"primary\" :size=\"150\"></v-progress-circular>\r\n            <span>We're securely transmitting your information</span>\r\n        </div>\r\n    </v-form>\r\n</template>\r\n\r\n<script>\r\n    /*eslint-disable no-useless-escape*/\r\n    /*eslint-disable no-debugger*/\r\n    import ReferralMixin from '../../../mixins/referral'\r\n\r\n    export default {\r\n        name: 'ReferralInfo',\r\n        mixins: [ReferralMixin],\r\n        data() {\r\n            return {\r\n                selectClinic: [\r\n                    v => !!v || 'Referring clinic  is required',\r\n                ],\r\n                selectProvider: [\r\n                    v => !!v || 'Provider is required',\r\n                ],\r\n                phoneRules: [\r\n                    v => !v || v && v.length === 14 || 'Phone is invalid'\r\n                ],\r\n                phoneTypeRules: [\r\n                    v => !this.referralInfo.newProvider.phone.length || (this.referralInfo.newProvider.phone && !!v) || 'Required'\r\n                ],\r\n                emailRules: [\r\n                    v => !!v || 'Email is required',\r\n                    v => /^([a-zA-Z0-9_\\-\\.]+)@([a-zA-Z0-9_\\-\\.]+)\\.([a-zA-Z]{2,5})$/.test(v) || 'Email is invalid'\r\n                ],\r\n                clinicNameRules: [\r\n                    v => !!v || 'Clinic name is required',\r\n                    v => v.length <= 100 || 'Clinic name length exceeded'\r\n                ],\r\n                firstNameRules: [\r\n                    v => !!v || 'First name is required',\r\n                    v => /^[a-zA-Z0-9 '-.�]+$/.test(v) || 'First name is invalid.',\r\n                    v => isNaN(v) || 'First name is invalid'\r\n                ],\r\n                lastNameRules: [\r\n                    v => !!v || 'Last name is required',\r\n                    v => /^[a-zA-Z0-9 '-.�]+$/.test(v) || 'Last name is invalid.',\r\n                    v => isNaN(v) || 'Last name is invalid'\r\n                ],\r\n                required: [\r\n                    v => !!v || 'Required'\r\n                ],\r\n                tcModal: false,\r\n                phoneTypes: ['Work', 'Cell', 'Home']\r\n            }\r\n        },\r\n        computed: {\r\n            clinics() {\r\n                let existingClinics = this.$store.state.clientData.clinics || [];\r\n                return [...existingClinics, { id: -1, name: 'Add new', providers: [] }]\r\n            },\r\n            providers() {\r\n                if (!this.referralInfo.selectedClinic) return [];\r\n                return [...this.clinics.filter(x => x.id === this.referralInfo.selectedClinic)[0].providers.map(p => {\r\n                    return {\r\n                        id: p.id,\r\n                        name: `${p.firstName} ${p.lastName}, ${p.credentials}`\r\n                    }\r\n                }), { id: -1, name: 'Add new' }]\r\n            },\r\n            isCreatingClinic() {\r\n                return this.referralInfo.selectedClinic === -1;\r\n            },\r\n            isCreatingProvider() {\r\n                return this.referralInfo.selectedProvider === -1 || this.isCreatingClinic;\r\n            },\r\n            isSubmitting() {\r\n                return this.$store.state.isSubmitting;\r\n            },\r\n            credentials() {\r\n                return this.$store.state.clientData.credentials;\r\n            }\r\n        },\r\n        methods: {\r\n            clinicChanged() {\r\n                this.$store.state.isAddingClinic = this.referralInfo.selectedClinic === -1;\r\n            },\r\n            providerChanged() {\r\n                this.$store.state.isAddingProvider = this.referralInfo.selectedProvider === 0;\r\n            }\r\n        }\r\n    };\r\n</script>\r\n<style>\r\n    .tc-row .title {\r\n        color: #999;\r\n        text-transform: uppercase;\r\n        font-size: 12px !important;\r\n        font-weight: 700;\r\n    }\r\n\r\n    .tc-row .tc-checkbox {\r\n        font-size: 14px;\r\n    }\r\n\r\n    .tc-row .tc-checkbox {\r\n        display: flex;\r\n        flex-direction: row;\r\n        align-items: center;\r\n        padding-left: 10px;\r\n        margin-top: 5px;\r\n    }\r\n\r\n    .tc-row label {\r\n        font-size: 13px;\r\n    }\r\n\r\n    .terms-and-conditions {\r\n        color: #333;\r\n        font-weight: 400;\r\n        font-size: 14px;\r\n    }\r\n\r\n        .terms-and-conditions ul {\r\n            margin-bottom: 10px;\r\n        }\r\n\r\n    .provider-phone fieldset {\r\n        border-top-right-radius: 0;\r\n        border-bottom-right-radius: 0;\r\n    }\r\n\r\n    .phone-type fieldset {\r\n        border-top-left-radius: 0;\r\n        border-bottom-left-radius: 0;\r\n    }\r\n</style>","import mod from \"-!../../../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../../../node_modules/thread-loader/dist/cjs.js!../../../../node_modules/babel-loader/lib/index.js!../../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./referral_info.vue?vue&type=script&lang=js&\"; export default mod; export * from \"-!../../../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../../../node_modules/thread-loader/dist/cjs.js!../../../../node_modules/babel-loader/lib/index.js!../../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./referral_info.vue?vue&type=script&lang=js&\"","import { render, staticRenderFns } from \"./referral_info.vue?vue&type=template&id=09ae1061&\"\nimport script from \"./referral_info.vue?vue&type=script&lang=js&\"\nexport * from \"./referral_info.vue?vue&type=script&lang=js&\"\nimport style0 from \"./referral_info.vue?vue&type=style&index=0&lang=css&\"\n\n\n/* normalize component */\nimport normalizer from \"!../../../../node_modules/vue-loader/lib/runtime/componentNormalizer.js\"\nvar component = normalizer(\n  script,\n  render,\n  staticRenderFns,\n  false,\n  null,\n  null,\n  null\n  \n)\n\nexport default component.exports\n\n/* vuetify-loader */\nimport installComponents from \"!../../../../node_modules/vuetify-loader/lib/runtime/installComponents.js\"\nimport { VBtn } from 'vuetify/lib/components/VBtn';\nimport { VCard } from 'vuetify/lib/components/VCard';\nimport { VCardText } from 'vuetify/lib/components/VCard';\nimport { VCardTitle } from 'vuetify/lib/components/VCard';\nimport { VCheckbox } from 'vuetify/lib/components/VCheckbox';\nimport { VCol } from 'vuetify/lib/components/VGrid';\nimport { VContainer } from 'vuetify/lib/components/VGrid';\nimport { VDialog } from 'vuetify/lib/components/VDialog';\nimport { VForm } from 'vuetify/lib/components/VForm';\nimport { VIcon } from 'vuetify/lib/components/VIcon';\nimport { VProgressCircular } from 'vuetify/lib/components/VProgressCircular';\nimport { VRow } from 'vuetify/lib/components/VGrid';\nimport { VSelect } from 'vuetify/lib/components/VSelect';\nimport { VSpacer } from 'vuetify/lib/components/VGrid';\nimport { VTextField } from 'vuetify/lib/components/VTextField';\nimport { VTooltip } from 'vuetify/lib/components/VTooltip';\ninstallComponents(component, {VBtn,VCard,VCardText,VCardTitle,VCheckbox,VCol,VContainer,VDialog,VForm,VIcon,VProgressCircular,VRow,VSelect,VSpacer,VTextField,VTooltip})\n","var render = function () {var _vm=this;var _h=_vm.$createElement;var _c=_vm._self._c||_h;return _c('v-form',{ref:\"petInfo\",attrs:{\"lazy-validation\":\"\"},model:{value:(_vm.petInfo.isValid),callback:function ($$v) {_vm.$set(_vm.petInfo, \"isValid\", $$v)},expression:\"petInfo.isValid\"}},[_c('v-container',{attrs:{\"fluid\":\"\"}},[_c('v-row',[_c('v-col',{attrs:{\"sm\":\"8\",\"md\":\"7\",\"lg\":\"7\"}},[(_vm.petInfo.showPassportPetName)?_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"petName\"}},[_vm._v(\"Pet Name\")]),_c('v-text-field',{staticClass:\"mt-2\",attrs:{\"name\":\"petName\",\"id\":\"petName\",\"autocomplete\":\"off\",\"rules\":_vm.petNameRules,\"outlined\":\"\",\"solo\":\"\",\"required\":\"\",\"validate-on-blur\":\"\"},model:{value:(_vm.petInfo.petName),callback:function ($$v) {_vm.$set(_vm.petInfo, \"petName\", $$v)},expression:\"petInfo.petName\"}})],1):_vm._e()])],1),_c('v-row',[_c('v-col',{attrs:{\"sm\":\"8\",\"md\":\"7\",\"lg\":\"7\"}},[(_vm.petInfo.showPassportSpeciesGeneral)?_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"petSpecies\"}},[_vm._v(\"Pet Species General\")]),_c('v-select',{ref:\"petSpecies\",staticStyle:{\"max-width\":\"400px\"},attrs:{\"items\":_vm.speciesList,\"allow-overflow\":false,\"name\":\"petSpecies\",\"id\":\"petSpecies\",\"rules\":_vm.petSpeciesRules,\"background-color\":\"white\",\"dense\":\"\",\"outlined\":\"\"},model:{value:(_vm.petInfo.petSpecies),callback:function ($$v) {_vm.$set(_vm.petInfo, \"petSpecies\", $$v)},expression:\"petInfo.petSpecies\"}})],1):_vm._e()])],1),_c('v-row',[_c('v-col',{attrs:{\"sm\":\"8\",\"md\":\"7\",\"lg\":\"7\"}},[(_vm.petInfo.showPassportSubSpecies)?_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"petSubSpecies\"}},[_vm._v(\"Pet Sub Species\")]),_c('v-select',{ref:\"petSubSpecies\",staticStyle:{\"max-width\":\"400px\"},attrs:{\"items\":_vm.petSubSpecies,\"allow-overflow\":false,\"name\":\"petSubSpecies\",\"id\":\"petSubSpecies\",\"background-color\":\"white\",\"dense\":\"\",\"outlined\":\"\"},model:{value:(_vm.petInfo.petSubSpecies),callback:function ($$v) {_vm.$set(_vm.petInfo, \"petSubSpecies\", $$v)},expression:\"petInfo.petSubSpecies\"}})],1):_vm._e()])],1),_c('v-row',[_c('v-col',{attrs:{\"sm\":\"8\",\"md\":\"7\",\"lg\":\"7\"}},[(_vm.petInfo.showPassportPetBreed)?_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"petBreed\"}},[_vm._v(\"Pet Breed\")]),_c('v-text-field',{ref:\"petBreed\",staticStyle:{\"max-width\":\"400px\"},attrs:{\"name\":\"petBreed\",\"id\":\"petBreed\",\"background-color\":\"white\",\"autocomplete\":\"off\",\"rules\":_vm.petBreedRules,\"dense\":\"\",\"solo\":\"\",\"outlined\":\"\",\"valdiate-on-blur\":\"\"},model:{value:(_vm.petInfo.petBreed),callback:function ($$v) {_vm.$set(_vm.petInfo, \"petBreed\", $$v)},expression:\"petInfo.petBreed\"}})],1):_vm._e()])],1),_c('v-row',[_c('v-col',{attrs:{\"sm\":\"8\",\"md\":\"7\",\"lg\":\"7\"}},[(_vm.petInfo.showPassportColor)?_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"petColor\"}},[_vm._v(\"Pet Color\")]),_c('v-text-field',{ref:\"petColor\",staticStyle:{\"max-width\":\"400px\"},attrs:{\"name\":\"PetColor\",\"id\":\"petColor\",\"background-color\":\"white\",\"autocomplete\":\"off\",\"rules\":_vm.petColorRules,\"dense\":\"\",\"solo\":\"\",\"outlined\":\"\",\"valdiate-on-blur\":\"\"},model:{value:(_vm.petInfo.petColor),callback:function ($$v) {_vm.$set(_vm.petInfo, \"petColor\", $$v)},expression:\"petInfo.petColor\"}})],1):_vm._e()])],1),_c('v-row',[_c('v-col',{attrs:{\"sm\":\"8\",\"md\":\"7\",\"lg\":\"7\"}},[(_vm.petAgeInputType === 'CALENDER_DATE')?_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"petApproximateAge\"}},[_vm._v(_vm._s(_vm.localizedSettings['online_pet_approx_age_label']))]),_c('v-text-field',{directives:[{name:\"facade\",rawName:\"v-facade\",value:('##/##/####'),expression:\"'##/##/####'\"}],ref:\"petApproximateAge\",staticClass:\"mt-1\",attrs:{\"name\":\"petApproximateAge\",\"type\":\"text\",\"id\":\"petApproximateAge\",\"background-color\":\"white\",\"autocomplete\":\"off\",\"rules\":_vm.petApproxCalenderAgeAgeRules,\"placeholder\":\"MM/DD/YYYY\",\"solo\":\"\",\"outlined\":\"\",\"validate-on-blur\":\"\"},model:{value:(_vm.petInfo.petAge),callback:function ($$v) {_vm.$set(_vm.petInfo, \"petAge\", $$v)},expression:\"petInfo.petAge\"}})],1):_vm._e(),(_vm.petAgeInputType === 'PICKLIST')?_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"petApproximateAge\"}},[_vm._v(_vm._s(_vm.localizedSettings['online_pet_approx_age_label']))]),_c('v-select',{ref:\"petApproximateAge\",staticClass:\"mt-1\",attrs:{\"items\":this.$store.state.settings.approximateAgeValues,\"allow-overflow\":false,\"name\":\"approxAge\",\"id\":\"petApproximateAge\",\"background-color\":\"white\",\"outlined\":\"\"},model:{value:(_vm.petInfo.petAge),callback:function ($$v) {_vm.$set(_vm.petInfo, \"petAge\", $$v)},expression:\"petInfo.petAge\"}})],1):_vm._e(),(_vm.petAgeInputType === 'FREE_TEXT')?_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"petApproximateAge\"}},[_vm._v(_vm._s(_vm.localizedSettings['online_pet_approx_age_label']))]),_c('v-row',[_c('v-col',[_c('v-text-field',{ref:\"petApproximateAge\",staticClass:\"mt-1\",attrs:{\"name\":\"petApproximateAge\",\"background-color\":\"white\",\"id\":\"petApproximateAge\",\"autocomplete\":\"off\",\"rules\":_vm.petApproximateAgeRules,\"solo\":\"\",\"outlined\":\"\",\"validate-on-blur\":\"\"},model:{value:(_vm.petInfo.petAge),callback:function ($$v) {_vm.$set(_vm.petInfo, \"petAge\", $$v)},expression:\"petInfo.petAge\"}})],1),_c('v-col',[_c('v-select',{ref:\"petApproxAgeType\",staticClass:\"mt-1\",attrs:{\"items\":this.$store.state.settings.approximateAgeTypes,\"allow-overflow\":false,\"name\":\"petApproxAgeType\",\"id\":\"petApproxAgeType\",\"background-color\":\"white\",\"outlined\":\"\"},model:{value:(_vm.petInfo.petApproxAgeType),callback:function ($$v) {_vm.$set(_vm.petInfo, \"petApproxAgeType\", $$v)},expression:\"petInfo.petApproxAgeType\"}})],1)],1)],1):_vm._e()])],1),_c('v-row',[_c('v-col',{attrs:{\"sm\":\"8\",\"md\":\"7\",\"lg\":\"7\"}},[(_vm.petInfo.showPassportPetGender)?_c('div',{staticClass:\"form-group\"},[_c('label',{attrs:{\"for\":\"petSex\"}},[_vm._v(\"Pet Sex\")]),_c('v-select',{ref:\"petSex\",staticStyle:{\"max-width\":\"400px\"},attrs:{\"items\":_vm.petSexList,\"allow-overflow\":false,\"name\":\"petSex\",\"id\":\"petSex\",\"rules\":_vm.petSexRules,\"background-color\":\"white\",\"dense\":\"\",\"outlined\":\"\"},model:{value:(_vm.petInfo.petSex),callback:function ($$v) {_vm.$set(_vm.petInfo, \"petSex\", $$v)},expression:\"petInfo.petSex\"}})],1):_vm._e()])],1)],1)],1)}\nvar staticRenderFns = []\n\nexport { render, staticRenderFns }","<template>\r\n    <v-form v-model=\"petInfo.isValid\" ref=\"petInfo\" lazy-validation>\r\n        <v-container fluid>\r\n            <v-row>\r\n                <v-col sm=\"8\" md=\"7\" lg=\"7\">\r\n                    <div class=\"form-group\" v-if=\"petInfo.showPassportPetName\">\r\n                        <label for=\"petName\">Pet Name</label>\r\n                        <v-text-field v-model=\"petInfo.petName\"\r\n                                      name=\"petName\"\r\n                                      id=\"petName\"\r\n                                      autocomplete=\"off\"\r\n                                      class=\"mt-2\"\r\n                                      :rules=\"petNameRules\"\r\n                                      outlined\r\n                                      solo\r\n                                      required\r\n                                      validate-on-blur>\r\n                        </v-text-field>\r\n                    </div>\r\n                </v-col>\r\n            </v-row>\r\n            <v-row>\r\n                <v-col sm=\"8\" md=\"7\" lg=\"7\">\r\n                    <div class=\"form-group\" v-if=\"petInfo.showPassportSpeciesGeneral\">\r\n                        <label for=\"petSpecies\">Pet Species General</label>\r\n                        <v-select v-model=\"petInfo.petSpecies\"\r\n                                  :items=\"speciesList\"\r\n                                  :allow-overflow=\"false\"\r\n                                  name=\"petSpecies\"\r\n                                  id=\"petSpecies\"\r\n                                  ref=\"petSpecies\"\r\n                                  :rules=\"petSpeciesRules\"\r\n                                  background-color=\"white\"\r\n                                  style=\"max-width: 400px;\"\r\n                                  dense\r\n                                  outlined>\r\n                        </v-select>\r\n                    </div>\r\n                </v-col>\r\n            </v-row>\r\n            <v-row>\r\n                <v-col sm=\"8\" md=\"7\" lg=\"7\">\r\n                    <div class=\"form-group\" v-if=\"petInfo.showPassportSubSpecies\">\r\n                        <label for=\"petSubSpecies\">Pet Sub Species</label>\r\n                        <v-select v-model=\"petInfo.petSubSpecies\"\r\n                                  :items=\"petSubSpecies\"\r\n                                  :allow-overflow=\"false\"\r\n                                  name=\"petSubSpecies\"\r\n                                  id=\"petSubSpecies\"\r\n                                  ref=\"petSubSpecies\"\r\n                                  background-color=\"white\"\r\n                                  style=\"max-width: 400px;\"\r\n                                  dense\r\n                                  outlined>\r\n                        </v-select>\r\n                    </div>\r\n                </v-col>\r\n            </v-row>\r\n            <v-row>\r\n                <v-col sm=\"8\" md=\"7\" lg=\"7\">\r\n                    <div class=\"form-group\" v-if=\"petInfo.showPassportPetBreed\">\r\n                        <label for=\"petBreed\">Pet Breed</label>\r\n                        <v-text-field v-model=\"petInfo.petBreed\"\r\n                                      name=\"petBreed\"\r\n                                      id=\"petBreed\"\r\n                                      ref=\"petBreed\"\r\n                                      background-color=\"white\"\r\n                                      autocomplete=\"off\"\r\n                                      style=\"max-width: 400px;\"\r\n                                      :rules=\"petBreedRules\"\r\n                                      dense\r\n                                      solo\r\n                                      outlined\r\n                                      valdiate-on-blur>\r\n                        </v-text-field>\r\n                    </div>\r\n                </v-col>\r\n            </v-row>\r\n            <v-row>\r\n                <v-col sm=\"8\" md=\"7\" lg=\"7\">\r\n                    <div class=\"form-group\" v-if=\"petInfo.showPassportColor\">\r\n                        <label for=\"petColor\">Pet Color</label>\r\n                        <v-text-field v-model=\"petInfo.petColor\"\r\n                                      name=\"PetColor\"\r\n                                      id=\"petColor\"\r\n                                      ref=\"petColor\"\r\n                                      background-color=\"white\"\r\n                                      autocomplete=\"off\"\r\n                                      style=\"max-width: 400px;\"\r\n                                      :rules=\"petColorRules\"\r\n                                      dense\r\n                                      solo\r\n                                      outlined\r\n                                      valdiate-on-blur>\r\n                        </v-text-field>\r\n                    </div>\r\n                </v-col>\r\n            </v-row>\r\n            <v-row>\r\n                <v-col sm=\"8\" md=\"7\" lg=\"7\">\r\n                    <div class=\"form-group\" v-if=\"petAgeInputType === 'CALENDER_DATE'\">\r\n                        <label for=\"petApproximateAge\">{{ localizedSettings['online_pet_approx_age_label'] }}</label>\r\n                        <v-text-field v-facade=\"'##/##/####'\"\r\n                                      v-model=\"petInfo.petAge\"\r\n                                      name=\"petApproximateAge\"\r\n                                      type=\"text\"\r\n                                      class=\"mt-1\"\r\n                                      id=\"petApproximateAge\"\r\n                                      ref=\"petApproximateAge\"\r\n                                      background-color=\"white\"\r\n                                      autocomplete=\"off\"\r\n                                      :rules=\"petApproxCalenderAgeAgeRules\"\r\n                                      placeholder=\"MM/DD/YYYY\"\r\n                                      solo\r\n                                      outlined\r\n                                      validate-on-blur>\r\n                        </v-text-field>\r\n                    </div>\r\n                    <div class=\"form-group\" v-if=\"petAgeInputType === 'PICKLIST'\">\r\n                        <label for=\"petApproximateAge\">{{ localizedSettings['online_pet_approx_age_label'] }}</label>\r\n                        <v-select v-model=\"petInfo.petAge\"\r\n                                  :items=\"this.$store.state.settings.approximateAgeValues\"\r\n                                  :allow-overflow=\"false\"\r\n                                  class=\"mt-1\"\r\n                                  name=\"approxAge\"\r\n                                  id=\"petApproximateAge\"\r\n                                  ref=\"petApproximateAge\"\r\n                                  background-color=\"white\"\r\n                                  outlined>\r\n                        </v-select>\r\n                    </div>\r\n                    <div class=\"form-group\" v-if=\"petAgeInputType === 'FREE_TEXT'\">\r\n                        <label for=\"petApproximateAge\">{{ localizedSettings['online_pet_approx_age_label'] }}</label>\r\n                        <v-row>\r\n                            <v-col>\r\n                                <v-text-field v-model=\"petInfo.petAge\"\r\n                                              name=\"petApproximateAge\"\r\n                                              background-color=\"white\"\r\n                                              id=\"petApproximateAge\"\r\n                                              ref=\"petApproximateAge\"\r\n                                              class=\"mt-1\"\r\n                                              autocomplete=\"off\"\r\n                                              :rules=\"petApproximateAgeRules\"\r\n                                              solo\r\n                                              outlined\r\n                                              validate-on-blur>\r\n                                </v-text-field>\r\n                            </v-col>\r\n                            <v-col>\r\n                                <v-select v-model=\"petInfo.petApproxAgeType\"\r\n                                          :items=\"this.$store.state.settings.approximateAgeTypes\"\r\n                                          :allow-overflow=\"false\"\r\n                                          class=\"mt-1\"\r\n                                          name=\"petApproxAgeType\"\r\n                                          id=\"petApproxAgeType\"\r\n                                          ref=\"petApproxAgeType\"\r\n                                          background-color=\"white\"\r\n                                          outlined>\r\n                                </v-select>\r\n                            </v-col>\r\n                        </v-row>\r\n                    </div>\r\n                </v-col>\r\n            </v-row>\r\n            <v-row>\r\n                <v-col sm=\"8\" md=\"7\" lg=\"7\">\r\n                    <div class=\"form-group\" v-if=\"petInfo.showPassportPetGender\">\r\n                        <label for=\"petSex\">Pet Sex</label>\r\n                        <v-select v-model=\"petInfo.petSex\"\r\n                                  :items=\"petSexList\"\r\n                                  :allow-overflow=\"false\"\r\n                                  name=\"petSex\"\r\n                                  id=\"petSex\"\r\n                                  ref=\"petSex\"\r\n                                  :rules=\"petSexRules\"\r\n                                  background-color=\"white\"\r\n                                  style=\"max-width: 400px;\"\r\n                                  dense\r\n                                  outlined>\r\n                        </v-select>\r\n                    </div>\r\n                </v-col>\r\n            </v-row>\r\n        </v-container>\r\n    </v-form>\r\n</template>\r\n\r\n<script>\r\n    /*eslint-disable no-useless-escape*/\r\n    import referralMixin from '../../../mixins/referral'\r\n    import moment from 'moment'\r\n\r\n    export default {\r\n        name: 'PetInfo',\r\n        mixins: [referralMixin],\r\n        data: () => ({\r\n            petNameRules: [\r\n                v => !!v || 'Pet name is required',\r\n                v => /^[a-zA-Z0-9 '-.�]+$/.test(v) || 'Pet name is invalid.',\r\n                v => isNaN(v) || 'Pet name is invalid'\r\n            ],\r\n            petSpeciesRules: [\r\n                v => !!v || 'Pet species is required',\r\n            ],\r\n            petBreedRules: [\r\n                v => !!v || 'Pet breed is required',\r\n            ],\r\n            petColorRules: [\r\n                v => !!v || 'Pet color is required'\r\n            ],\r\n            petApproximateAgeRules: [\r\n                v => !isNaN(v) || 'Age should be numeric'\r\n            ],\r\n            petApproxFreeTextAgeRules: [\r\n                v => !!v || 'Date of birth is required',\r\n                v => moment(v, 'MM/DD/YYYY', true).isValid() || 'Date of birth is invalid',\r\n                v => moment().diff(v, 'years', false) < 120 || 'Date of birth is invalid',\r\n                v => moment().diff(v, 'years', true) > 0 || 'Date of birth is invalid',\r\n                v => moment(v, 'MM/DD/YYYY', true).years() > 1000 || 'Date of birth is invalid',\r\n            ],\r\n            petApproxCalenderAgeAgeRules: [\r\n                v => !!v || 'Date of birth is required',\r\n                v => moment(v, 'MM/DD/YYYY', true).isValid() || 'Date of birth is invalid',\r\n                v => moment().diff(v, 'years', false) < 120 || 'Date of birth is invalid',\r\n                v => moment().diff(v, 'years', true) > 0 || 'Date of birth is invalid',\r\n                v => moment(v, 'MM/DD/YYYY', true).years() > 1000 || 'Date of birth is invalid',\r\n            ],\r\n            petSexRules: [\r\n                v => !!v || 'Pet sex is required',\r\n            ]\r\n        }),\r\n        computed: {\r\n            formData() {\r\n                return this.$store.state.form.petInfo.data;\r\n            },\r\n            speciesList() {\r\n                if (!this.species) return [];\r\n                return this.species.map(x => x.speciesName);\r\n            },\r\n            petSubSpecies() {\r\n                if (!this.$store.state.petInfo.petSpecies) return [];\r\n                let tis = this;\r\n                let speciesId = this.species.filter(x => x.speciesName === tis.petInfo.petSpecies)[0].id;\r\n                return this.subSpecies.filter(x => x.speciesId === speciesId)\r\n                    .map(x => x.subSpeciesName);\r\n            },\r\n            petSexList() {\r\n                if (!this.petSex) return [];\r\n                return this.petSex.map(x => x.petGenderName);\r\n            },\r\n            petNameValid() {\r\n                if (!this.formData.petName || !this.$refs.petName)\r\n                    return false;\r\n                return this.$refs.petName.validate();\r\n            },\r\n            //petSpeciesValid() {\r\n            //    if (!this.formData.petSpecies || !this.$refs.petSpecies)\r\n            //        return false;\r\n            //    return this.$refs.petSpecies.validate();\r\n            //},\r\n            //petSubSpeciesValid() {\r\n            //    if (!this.formData.petSubSpecies || !this.$refs.petSubSpecies)\r\n            //        return false;\r\n            //    return this.$refs.petSubSpecies.validate();\r\n            //},\r\n            petColorValid() {\r\n                if (!this.formData.petColor || !this.$refs.petColor)\r\n                    return false;\r\n                return this.$refs.petColor.validate();\r\n            },\r\n            petBreedValid() {\r\n                if (!this.formData.petBreed || !this.$refs.petBreed)\r\n                    return false;\r\n                return this.$refs.petBreed.validate();\r\n            }\r\n        },\r\n    };\r\n</script>\r\n<style>\r\n    #phone,\r\n    #dob,\r\n    #providerPhone,\r\n    #clinicPhone {\r\n        letter-spacing: 1px;\r\n    }\r\n\r\n    .tooltip-custom {\r\n        background: var(--unnamed-color-ffffff) 0% 0% no-repeat padding-box;\r\n        background: #FFFFFF 0% 0% no-repeat padding-box;\r\n        box-shadow: 0px 0px 5px #0000001A;\r\n        opacity: 1;\r\n    }\r\n</style>","import mod from \"-!../../../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../../../node_modules/thread-loader/dist/cjs.js!../../../../node_modules/babel-loader/lib/index.js!../../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./pet_info.vue?vue&type=script&lang=js&\"; export default mod; export * from \"-!../../../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../../../node_modules/thread-loader/dist/cjs.js!../../../../node_modules/babel-loader/lib/index.js!../../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./pet_info.vue?vue&type=script&lang=js&\"","import { render, staticRenderFns } from \"./pet_info.vue?vue&type=template&id=4886fee0&\"\nimport script from \"./pet_info.vue?vue&type=script&lang=js&\"\nexport * from \"./pet_info.vue?vue&type=script&lang=js&\"\nimport style0 from \"./pet_info.vue?vue&type=style&index=0&lang=css&\"\n\n\n/* normalize component */\nimport normalizer from \"!../../../../node_modules/vue-loader/lib/runtime/componentNormalizer.js\"\nvar component = normalizer(\n  script,\n  render,\n  staticRenderFns,\n  false,\n  null,\n  null,\n  null\n  \n)\n\nexport default component.exports\n\n/* vuetify-loader */\nimport installComponents from \"!../../../../node_modules/vuetify-loader/lib/runtime/installComponents.js\"\nimport { VCol } from 'vuetify/lib/components/VGrid';\nimport { VContainer } from 'vuetify/lib/components/VGrid';\nimport { VForm } from 'vuetify/lib/components/VForm';\nimport { VRow } from 'vuetify/lib/components/VGrid';\nimport { VSelect } from 'vuetify/lib/components/VSelect';\nimport { VTextField } from 'vuetify/lib/components/VTextField';\ninstallComponents(component, {VCol,VContainer,VForm,VRow,VSelect,VTextField})\n","var render = function () {var _vm=this;var _h=_vm.$createElement;var _c=_vm._self._c||_h;return _c('v-container',[_c('v-row',[_c('v-col',{staticClass:\"col d-flex d-sm-inline d-md-inline d-lg-inline flex-column justify-center align-center\",attrs:{\"cols\":\"12\",\"md\":\"8\",\"lg\":\"8\"}},[(_vm.currentStep > 1)?_c('v-btn',{staticClass:\"mb-5 mr-0 mb-sm-0 mb-md-0 mb-lg-0 mr-sm-5 mr-md-7 mr-lg-7 action-button\",on:{\"click\":_vm.prevStep}},[_c('v-icon',{attrs:{\"left\":\"\"}},[_vm._v(\" mdi-chevron-left \")]),_vm._v(\" Go back \")],1):_vm._e(),(!_vm.isPetFacility && _vm.currentStep < 4)?_c('v-btn',{staticClass:\"action-button\",attrs:{\"color\":\"secondary\",\"disabled\":!_vm.currentStepValid},on:{\"click\":_vm.nextStep}},[_vm._v(\" \"+_vm._s(_vm.nextStepText)+\" \"),(_vm.currentStep !== 3)?_c('v-icon',{attrs:{\"right\":\"\"}},[_vm._v(\" mdi-chevron-right \")]):_vm._e()],1):_vm._e(),(_vm.isPetFacility && _vm.currentStep < 5)?_c('v-btn',{staticClass:\"action-button\",attrs:{\"color\":\"secondary\",\"disabled\":!_vm.currentStepValid},on:{\"click\":_vm.nextStep}},[_vm._v(\" \"+_vm._s(_vm.nextStepText)+\" \"),(_vm.currentStep !== 4)?_c('v-icon',{attrs:{\"right\":\"\"}},[_vm._v(\" mdi-chevron-right \")]):_vm._e()],1):_vm._e()],1)],1)],1)}\nvar staticRenderFns = []\n\nexport { render, staticRenderFns }","<template>  \r\n    <v-container>\r\n        <v-row>\r\n            <v-col cols=\"12\" md=\"8\" lg=\"8\" class=\"col d-flex d-sm-inline d-md-inline d-lg-inline flex-column justify-center align-center\">\r\n                <v-btn @click=\"prevStep\" class=\"mb-5 mr-0 mb-sm-0 mb-md-0 mb-lg-0 mr-sm-5 mr-md-7 mr-lg-7 action-button\" v-if=\"currentStep > 1\">\r\n                    <v-icon left>\r\n                        mdi-chevron-left\r\n                    </v-icon>\r\n                    Go back\r\n                </v-btn>\r\n                <v-btn v-if=\"!isPetFacility && currentStep < 4\" color=\"secondary\" @click=\"nextStep\" class=\"action-button\" :disabled=\"!currentStepValid\">\r\n                    {{nextStepText}}\r\n                    <v-icon right v-if=\"currentStep !== 3\">\r\n                        mdi-chevron-right\r\n                    </v-icon>\r\n                </v-btn>\r\n                <v-btn v-if=\"isPetFacility && currentStep < 5\" color=\"secondary\" @click=\"nextStep\" class=\"action-button\" :disabled=\"!currentStepValid\">\r\n                    {{nextStepText}}\r\n                    <v-icon right v-if=\"currentStep !== 4\">\r\n                        mdi-chevron-right\r\n                    </v-icon>\r\n                </v-btn>\r\n            </v-col>\r\n        </v-row>\r\n    </v-container>\r\n</template>\r\n\r\n<script>\r\n    import ReferralMixin from '../../mixins/referral.js'\r\n    export default {\r\n        name: 'Review',\r\n        mixins: [ReferralMixin]\r\n    };\r\n</script>\r\n<style>\r\n    .action-button {\r\n        font-size: 14px !important;\r\n        min-width: 135px !important;\r\n    }\r\n    @media (max-width: 599px) {\r\n        .action-button {\r\n            min-width: 260px !important;\r\n        }\r\n    }\r\n</style>","import mod from \"-!../../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../../node_modules/thread-loader/dist/cjs.js!../../../node_modules/babel-loader/lib/index.js!../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./actions.vue?vue&type=script&lang=js&\"; export default mod; export * from \"-!../../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../../node_modules/thread-loader/dist/cjs.js!../../../node_modules/babel-loader/lib/index.js!../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./actions.vue?vue&type=script&lang=js&\"","import { render, staticRenderFns } from \"./actions.vue?vue&type=template&id=704ceffa&\"\nimport script from \"./actions.vue?vue&type=script&lang=js&\"\nexport * from \"./actions.vue?vue&type=script&lang=js&\"\nimport style0 from \"./actions.vue?vue&type=style&index=0&lang=css&\"\n\n\n/* normalize component */\nimport normalizer from \"!../../../node_modules/vue-loader/lib/runtime/componentNormalizer.js\"\nvar component = normalizer(\n  script,\n  render,\n  staticRenderFns,\n  false,\n  null,\n  null,\n  null\n  \n)\n\nexport default component.exports\n\n/* vuetify-loader */\nimport installComponents from \"!../../../node_modules/vuetify-loader/lib/runtime/installComponents.js\"\nimport { VBtn } from 'vuetify/lib/components/VBtn';\nimport { VCol } from 'vuetify/lib/components/VGrid';\nimport { VContainer } from 'vuetify/lib/components/VGrid';\nimport { VIcon } from 'vuetify/lib/components/VIcon';\nimport { VRow } from 'vuetify/lib/components/VGrid';\ninstallComponents(component, {VBtn,VCol,VContainer,VIcon,VRow})\n","<template>\r\n    <section class=\"content-wrapper\">\r\n        <v-stepper v-model=\"currentStep\" alt-labels style=\"width: 100%; box-shadow: none; background: transparent; height: 100%;\">\r\n            <v-stepper-items style=\"border: none; box-shadow: none;\" v-if=\"!isPetFacility\">\r\n                <v-stepper-content step=\"1\">\r\n                    <patient-info></patient-info>\r\n                </v-stepper-content>\r\n                <v-stepper-content step=\"2\">\r\n                    <visit-info></visit-info>\r\n                </v-stepper-content>\r\n                <v-stepper-content step=\"3\">\r\n                    <referral-info></referral-info>\r\n                </v-stepper-content>\r\n            </v-stepper-items>\r\n            <v-stepper-items style=\"border: none; box-shadow: none;\" v-if=\"isPetFacility\">\r\n                <v-stepper-content step=\"1\">\r\n                    <patient-info></patient-info>\r\n                </v-stepper-content>\r\n                <v-stepper-content step=\"2\">\r\n                    <pet-info></pet-info>\r\n                </v-stepper-content>\r\n                <v-stepper-content step=\"3\">\r\n                    <visit-info></visit-info>\r\n                </v-stepper-content>\r\n                <v-stepper-content step=\"4\">\r\n                    <referral-info></referral-info>\r\n                </v-stepper-content>\r\n            </v-stepper-items>\r\n        </v-stepper>\r\n        <actions v-if=\"!$store.state.isSubmitting\"></actions>\r\n    </section>\r\n</template>\r\n\r\n<script>\r\n    import PatientInfo from './steps/patient_info'\r\n    import VisitInfo from './steps/visit_info'\r\n    import ReferralInfo from './steps/referral_info'\r\n    import ReferralMixin from '../../mixins/referral'\r\n    import PetInfo from './steps/pet_info'\r\n\r\n    import Actions from './actions'\r\n\r\n    export default {\r\n        name: 'StepperContent',\r\n        mixins: [ReferralMixin],\r\n        components: {\r\n            PatientInfo,\r\n            VisitInfo,\r\n            ReferralInfo,\r\n            Actions,\r\n            PetInfo\r\n        },\r\n    };\r\n</script>","import mod from \"-!../../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../../node_modules/thread-loader/dist/cjs.js!../../../node_modules/babel-loader/lib/index.js!../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./stepper_content.vue?vue&type=script&lang=js&\"; export default mod; export * from \"-!../../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../../node_modules/thread-loader/dist/cjs.js!../../../node_modules/babel-loader/lib/index.js!../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./stepper_content.vue?vue&type=script&lang=js&\"","import { render, staticRenderFns } from \"./stepper_content.vue?vue&type=template&id=50aab9ca&\"\nimport script from \"./stepper_content.vue?vue&type=script&lang=js&\"\nexport * from \"./stepper_content.vue?vue&type=script&lang=js&\"\n\n\n/* normalize component */\nimport normalizer from \"!../../../node_modules/vue-loader/lib/runtime/componentNormalizer.js\"\nvar component = normalizer(\n  script,\n  render,\n  staticRenderFns,\n  false,\n  null,\n  null,\n  null\n  \n)\n\nexport default component.exports\n\n/* vuetify-loader */\nimport installComponents from \"!../../../node_modules/vuetify-loader/lib/runtime/installComponents.js\"\nimport { VStepper } from 'vuetify/lib/components/VStepper';\nimport { VStepperContent } from 'vuetify/lib/components/VStepper';\nimport { VStepperItems } from 'vuetify/lib/components/VStepper';\ninstallComponents(component, {VStepper,VStepperContent,VStepperItems})\n","<template>\r\n    <v-container>\r\n        <v-row>\r\n            <v-col cols=\"2\" class=\"d-none d-md-flex d-lg-flex py-0\"></v-col>\r\n            <v-col cols=\"12\" md=\"10\" lg=\"10\" class=\"pb-0\" style=\"max-width: 950px;\">\r\n                <v-row class=\"d-none d-sm-flex d-md-flex d-lg-flex\">\r\n                    <v-col justify=\"center\" align=\"center\">\r\n                        <logo></logo>\r\n                    </v-col>\r\n                </v-row>\r\n                <v-row>\r\n                    <v-col cols=\"7\" class=\"d-flex flex-column justify-start align-start pl-5 pl-lg-3 pl-md-3 pb-0 pr-0 pt-0\">\r\n                        <span class=\"clinic-name\">{{clientData.name}}</span>\r\n                        <router-link v-if=\"$store.state.clientData.parentClientId\"\r\n                                     :to=\"{ name: 'landing', params: { clientId: $store.state.clientData.parentClientId }}\"\r\n                                     v-slot=\"{ href, navigate }\" exact replace>\r\n                            <a @click=\"navigate\" style=\"font-weight: 600;\">Change location</a>\r\n                        </router-link>\r\n                    </v-col>\r\n                    <v-col cols=\"5\" class=\"address-container d-flex flex-column pr-5 pr-lg-3 pr-md-3 pl-0 pt-0\" style=\"align-items: flex-end; justify-content: flex-end;\">\r\n                        <p>{{clientData.address1}}</p>\r\n                        <p>{{clientData.city}}, {{clientData.state}} {{clientData.zip}}</p>\r\n                        <p>{{clientData.phone}}</p>\r\n                    </v-col>\r\n                </v-row>\r\n            </v-col>\r\n        </v-row>\r\n        <v-row>\r\n            <v-col cols=\"2\" class=\"d-none d-md-flex d-lg-flex align-center pr-8 pl-0 pt-0\">\r\n                <stepper></stepper>\r\n            </v-col>\r\n            <v-col cols=\"12\" md=\"10\" lg=\"10\" class=\"py-0\" style=\"max-width: 950px;\">\r\n                <v-container fluid class=\"referral-container\">\r\n                    <v-row>\r\n                        <v-col>\r\n                            <div class=\"white-container form-container\">\r\n                                <stepper-content></stepper-content>\r\n                            </div>\r\n                        </v-col>\r\n                    </v-row>\r\n                </v-container>\r\n            </v-col>\r\n        </v-row>\r\n        <v-snackbar v-model=\"$store.state.showSubmissionError\" light elevation=\"10\" timeout=\"3000\">\r\n            {{$store.state.submissionError}}\r\n            <template v-slot:action=\"{ attrs }\">\r\n                <v-btn color=\"primary\"\r\n                       v-bind=\"attrs\"\r\n                       fab\r\n                       small\r\n                       @click=\"$store.state.showSubmissionError = false\">\r\n                    <v-icon>mdi-close</v-icon>\r\n                </v-btn>\r\n            </template>\r\n        </v-snackbar>\r\n    </v-container>\r\n</template>\r\n\r\n<script>\r\n    import Logo from './logo'\r\n    import Stepper from './stepper'\r\n    import StepperContent from './stepper_content'\r\n    import referralMixin from '../../mixins/referral'\r\n\r\n    /*eslint-disable no-debugger*/\r\n    export default {\r\n        name: 'ReferralForm',\r\n        mixins: [referralMixin],\r\n        computed: {\r\n            arrowTop() {\r\n                if (this.currentStep === 1)\r\n                    return '-462px';\r\n                if (this.currentStep === 2)\r\n                    return '-338px';\r\n                if (this.currentStep === 3 && this.isAddingClinic)\r\n                    return '-246px'\r\n                if (this.currentStep === 3 && this.isAddingProvider && !this.isAddingClinic)\r\n                    return '-243px';\r\n                return '-211px';\r\n            }\r\n        },\r\n        methods: {\r\n            backToLanding() {\r\n                this.$router.push({\r\n                    name: 'referral',\r\n                    params: { clientId: this.$store.state.clientData.parentClientId }\r\n                });\r\n            }\r\n        },\r\n        components: {\r\n            Logo,\r\n            Stepper,\r\n            StepperContent\r\n        }\r\n    };\r\n</script>\r\n\r\n<style>\r\n    .clinic-name {\r\n        font-size: 26px;\r\n        font-weight: 800;\r\n    }\r\n    .address-container p {\r\n        color: #666;\r\n        font-size: 16px;\r\n        margin: 0;\r\n        line-height: 19px;\r\n        font-weight: 600;\r\n        text-align: right;\r\n    }\r\n    .referral-container {\r\n        width: 100%;\r\n        padding: 0;\r\n    }\r\n    .white-container {\r\n        background: #fff;\r\n        border-radius: 17px;\r\n        box-shadow: 0px 0px 30px #0000001A;\r\n        padding: 10px 30px 20px 30px\r\n    }\r\n\r\n    .stepper-container {\r\n        padding-top: 0;\r\n        padding-bottom: 0;\r\n    }\r\n\r\n    .content-wrapper {\r\n        min-height: 675px;\r\n    }\r\n\r\n    .content-wrapper > .container {\r\n        padding-left: 50px;\r\n    }\r\n\r\n    .content-wrapper {\r\n        display: flex;\r\n        flex-direction: column;\r\n        justify-content: space-between;\r\n    }\r\n\r\n    .v-stepper__content {\r\n        padding-bottom: 0;\r\n        padding-left: 40px;\r\n        padding-right: 40px;\r\n    }\r\n\r\n\r\n    @media (max-width: 780px) {\r\n        .referral-container {\r\n            padding: 0;\r\n        }\r\n\r\n        .v-stepper__content {\r\n            padding-left: 15px;\r\n            padding-right: 5px;\r\n        }\r\n    }\r\n</style>\r\n","import mod from \"-!../../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../../node_modules/thread-loader/dist/cjs.js!../../../node_modules/babel-loader/lib/index.js!../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./main.vue?vue&type=script&lang=js&\"; export default mod; export * from \"-!../../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../../node_modules/thread-loader/dist/cjs.js!../../../node_modules/babel-loader/lib/index.js!../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./main.vue?vue&type=script&lang=js&\"","import { render, staticRenderFns } from \"./main.vue?vue&type=template&id=957be784&\"\nimport script from \"./main.vue?vue&type=script&lang=js&\"\nexport * from \"./main.vue?vue&type=script&lang=js&\"\nimport style0 from \"./main.vue?vue&type=style&index=0&lang=css&\"\n\n\n/* normalize component */\nimport normalizer from \"!../../../node_modules/vue-loader/lib/runtime/componentNormalizer.js\"\nvar component = normalizer(\n  script,\n  render,\n  staticRenderFns,\n  false,\n  null,\n  null,\n  null\n  \n)\n\nexport default component.exports\n\n/* vuetify-loader */\nimport installComponents from \"!../../../node_modules/vuetify-loader/lib/runtime/installComponents.js\"\nimport { VBtn } from 'vuetify/lib/components/VBtn';\nimport { VCol } from 'vuetify/lib/components/VGrid';\nimport { VContainer } from 'vuetify/lib/components/VGrid';\nimport { VIcon } from 'vuetify/lib/components/VIcon';\nimport { VRow } from 'vuetify/lib/components/VGrid';\nimport { VSnackbar } from 'vuetify/lib/components/VSnackbar';\ninstallComponents(component, {VBtn,VCol,VContainer,VIcon,VRow,VSnackbar})\n","var render = function () {var _vm=this;var _h=_vm.$createElement;var _c=_vm._self._c||_h;return _c('v-container',{attrs:{\"fluid\":\"\",\"fill-height\":\"\"}},[_c('v-row',[_c('v-col',{staticClass:\"d-flex justify-center align-center flex-column\"},[_c('div',{staticClass:\"facility-selector\"},[_c('logo',{staticClass:\"mb-8\"}),(_vm.localizedSettings)?_c('div',{staticClass:\"header\",domProps:{\"innerHTML\":_vm._s(_vm.localizedSettings['passport_facility_selector_text'])}}):_vm._e(),_c('v-select',{staticClass:\"mt-5\",attrs:{\"id\":\"selector\",\"items\":_vm.childFacilities,\"allow-overflow\":false,\"disable-lookup\":true,\"placeholder\":\"Select location\",\"height\":\"50\",\"background-color\":\"white\",\"outlined\":\"\",\"solo\":\"\"},model:{value:(_vm.selectedFacility),callback:function ($$v) {_vm.selectedFacility=$$v},expression:\"selectedFacility\"}})],1)])],1)],1)}\nvar staticRenderFns = []\n\nexport { render, staticRenderFns }","<template>\r\n    <v-container fluid fill-height>\r\n        <v-row>\r\n            <v-col class=\"d-flex justify-center align-center flex-column\">\r\n                <div class=\"facility-selector\">\r\n                    <logo class=\"mb-8\"></logo>\r\n                    <div class=\"header\" v-if=\"localizedSettings\" v-html=\"localizedSettings['passport_facility_selector_text']\">\r\n                    </div>\r\n                    <v-select v-model=\"selectedFacility\"\r\n                              id=\"selector\"\r\n                              :items=\"childFacilities\"\r\n                              :allow-overflow=\"false\"\r\n                              :disable-lookup=\"true\"\r\n                              placeholder=\"Select location\"\r\n                              height=\"50\"\r\n                              class=\"mt-5\"\r\n                              background-color=\"white\"\r\n                              outlined\r\n                              solo>\r\n                    </v-select>\r\n                </div>\r\n            </v-col>\r\n        </v-row>\r\n    </v-container>\r\n</template>\r\n\r\n<script>\r\n    import logo from '../referral_form/logo'\r\n    import referralMixin from '../../mixins/referral'\r\n\r\n    export default {\r\n        name: 'Landing',\r\n        mixins: [referralMixin],\r\n        data() {\r\n            return {\r\n                selectedFacility: null\r\n            }\r\n        },\r\n        computed: {\r\n            childFacilities() {\r\n                if (!this.$store.state.clientData.children.length) return [];\r\n                return this.$store.state.clientData.children.map(f => {\r\n                    return {\r\n                        text: f.shortClientName,\r\n                        value: f.clientId\r\n                    }\r\n                })\r\n            }\r\n        },\r\n        watch: {\r\n            selectedFacility() {\r\n                this.$router.push({\r\n                    name: 'referral',\r\n                    params: { clientId: this.selectedFacility }\r\n                });\r\n            }\r\n        },\r\n        components: {\r\n            logo\r\n        }\r\n    };\r\n</script>\r\n\r\n<style>\r\n    .facility-selector {\r\n        width: 100%;\r\n        text-align: center;\r\n    }\r\n    .facility-selector .header {\r\n        font-size: 18px;\r\n        margin-bottom: 20px;\r\n        color: #333;\r\n    }\r\n    .facility-selector .v-select__selection {\r\n        max-height: 40px;\r\n    }\r\n    .facility-selector > .v-input {\r\n        width: 50%;\r\n        max-width: 400px;\r\n        min-width: 300px;\r\n        margin: 0 auto;\r\n    }\r\n</style>\r\n","import mod from \"-!../../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../../node_modules/thread-loader/dist/cjs.js!../../../node_modules/babel-loader/lib/index.js!../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./main.vue?vue&type=script&lang=js&\"; export default mod; export * from \"-!../../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../../node_modules/thread-loader/dist/cjs.js!../../../node_modules/babel-loader/lib/index.js!../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./main.vue?vue&type=script&lang=js&\"","import { render, staticRenderFns } from \"./main.vue?vue&type=template&id=d5b2fc92&\"\nimport script from \"./main.vue?vue&type=script&lang=js&\"\nexport * from \"./main.vue?vue&type=script&lang=js&\"\nimport style0 from \"./main.vue?vue&type=style&index=0&lang=css&\"\n\n\n/* normalize component */\nimport normalizer from \"!../../../node_modules/vue-loader/lib/runtime/componentNormalizer.js\"\nvar component = normalizer(\n  script,\n  render,\n  staticRenderFns,\n  false,\n  null,\n  null,\n  null\n  \n)\n\nexport default component.exports\n\n/* vuetify-loader */\nimport installComponents from \"!../../../node_modules/vuetify-loader/lib/runtime/installComponents.js\"\nimport { VCol } from 'vuetify/lib/components/VGrid';\nimport { VContainer } from 'vuetify/lib/components/VGrid';\nimport { VRow } from 'vuetify/lib/components/VGrid';\nimport { VSelect } from 'vuetify/lib/components/VSelect';\ninstallComponents(component, {VCol,VContainer,VRow,VSelect})\n","var render = function () {var _vm=this;var _h=_vm.$createElement;var _c=_vm._self._c||_h;return _c('v-container',{attrs:{\"fluid\":\"\"}},[_c('v-row',{staticClass:\"my-md-5 my-lg-5\"},[_c('v-col',{staticClass:\"d-flex justify-center\"},[_c('logo')],1)],1),_c('v-row',[_c('v-col',[_c('v-container',{staticClass:\"confirmation-container py-10\"},[_c('v-row',[_c('v-col',{staticClass:\"d-flex justify-center\"},[_c('h1',{staticStyle:{\"font-weight\":\"800\"}},[_vm._v(\" \"+_vm._s(_vm.localizedSettings['passport_confirmation_headline'])+\" \")])])],1),_c('v-row',[_c('v-col',[_c('v-container',{staticClass:\"referral-summary\"},[_c('v-row',[_c('v-col',[_c('v-row',[_c('v-col',[_c('label',[_vm._v(\"patient\")]),_c('span',[_vm._v(_vm._s(_vm.patientInfo.firstName)+\" \"+_vm._s(_vm.patientInfo.lastName))])])],1),_c('v-row',[_c('v-col',[_c('label',[_vm._v(\"receiving emergency department\")]),_c('span',[_vm._v(_vm._s(_vm.$store.state.clientData.name))]),_c('span',[_vm._v(_vm._s(_vm.clientData.address1))]),_c('span',[_vm._v(_vm._s(_vm.clientData.city)+\", \"+_vm._s(_vm.clientData.state)+\" \"+_vm._s(_vm.clientData.zip))]),_c('span',[_vm._v(_vm._s(_vm.clientData.phone))])])],1)],1),_c('v-col',[_c('v-row',[_c('v-col',[_c('label',[_vm._v(\"eta\")]),_c('span',[_vm._v(_vm._s(_vm.eta))])])],1),_c('v-row',[_c('v-col',[_c('label',[_vm._v(\"confirmation number\")]),_c('span',[_vm._v(_vm._s(_vm.confirmationNumber))])])],1)],1)],1)],1)],1)],1),_c('v-row',[_c('v-col',{staticClass:\"d-flex justify-center\"},[_c('p',{staticClass:\"referral-disclaimer\"},[_vm._v(\" \"+_vm._s(_vm.localizedSettings['passport_confirmation_disclaimer'])+\" \")])])],1),_c('v-row',{staticClass:\"button-row\"},[_c('v-col',{staticClass:\"d-flex justify-center\"},[_c('v-btn',{staticClass:\"refer-another\",attrs:{\"color\":\"primary\"},on:{\"click\":_vm.referAnother}},[_vm._v(\"Refer another patient\")]),_c('v-tooltip',{attrs:{\"right\":\"\"},scopedSlots:_vm._u([{key:\"activator\",fn:function(ref){\nvar on = ref.on;\nvar attrs = ref.attrs;\nreturn [_c('v-btn',_vm._g(_vm._b({staticClass:\"print\",attrs:{\"color\":\"secondary\"},on:{\"click\":function($event){return _vm.window.print()}}},'v-btn',attrs,false),on),[_c('v-icon',[_vm._v(\"mdi-printer\")])],1)]}}])},[_c('span',[_vm._v(\"Print\")])])],1)],1)],1)],1)],1)],1)}\nvar staticRenderFns = []\n\nexport { render, staticRenderFns }","<template>\r\n    <v-container fluid>\r\n        <v-row class=\"my-md-5 my-lg-5\">\r\n            <v-col class=\"d-flex justify-center\">\r\n                <logo></logo>\r\n            </v-col>\r\n        </v-row>\r\n        <v-row>\r\n            <v-col>\r\n                <v-container class=\"confirmation-container py-10\">\r\n                    <v-row>\r\n                        <v-col class=\"d-flex justify-center\">\r\n                            <h1 style=\"font-weight: 800\">\r\n                                {{localizedSettings['passport_confirmation_headline']}}\r\n                            </h1>\r\n                        </v-col>\r\n                    </v-row>\r\n                    <v-row>\r\n                        <v-col>\r\n                            <v-container class=\"referral-summary\">\r\n                                <v-row>\r\n                                    <v-col>\r\n                                        <v-row>\r\n                                            <v-col>\r\n                                                <label>patient</label>\r\n                                                <span>{{patientInfo.firstName}} {{patientInfo.lastName}}</span>\r\n                                            </v-col>\r\n                                        </v-row>\r\n                                        <v-row>\r\n                                            <v-col>\r\n                                                <label>receiving emergency department</label>\r\n                                                <span>{{$store.state.clientData.name}}</span>\r\n                                                <span>{{clientData.address1}}</span>\r\n                                                <span>{{clientData.city}}, {{clientData.state}} {{clientData.zip}}</span>\r\n                                                <span>{{clientData.phone}}</span>\r\n                                            </v-col>\r\n                                        </v-row>\r\n                                    </v-col>\r\n                                    <v-col>\r\n                                        <v-row>\r\n                                            <v-col>\r\n                                                <label>eta</label>\r\n                                                <span>{{eta}}</span>\r\n                                            </v-col>\r\n                                        </v-row>\r\n                                        <v-row>\r\n                                            <v-col>\r\n                                                <label>confirmation number</label>\r\n                                                <span>{{confirmationNumber}}</span>\r\n                                            </v-col>\r\n                                        </v-row>\r\n                                    </v-col>\r\n                                </v-row>\r\n                            </v-container>\r\n                        </v-col>\r\n                    </v-row>\r\n                    <v-row>\r\n                        <v-col class=\"d-flex justify-center\">\r\n                            <p class=\"referral-disclaimer\">\r\n                                {{localizedSettings['passport_confirmation_disclaimer']}}\r\n                            </p>\r\n                        </v-col>\r\n                    </v-row>\r\n                    <v-row class=\"button-row\">\r\n                        <v-col class=\"d-flex justify-center\">\r\n                            <v-btn color=\"primary\" class=\"refer-another\" @click=\"referAnother\">Refer another patient</v-btn>\r\n                            <v-tooltip right>\r\n                                <template v-slot:activator=\"{ on, attrs }\">\r\n                                    <v-btn color=\"secondary\" class=\"print\" v-bind=\"attrs\" v-on=\"on\" @click=\"window.print()\"><v-icon>mdi-printer</v-icon></v-btn>\r\n                                </template>\r\n                                <span>Print</span>\r\n                            </v-tooltip>\r\n                        </v-col>\r\n                    </v-row>\r\n                </v-container>\r\n            </v-col>\r\n        </v-row>\r\n    </v-container>\r\n</template>\r\n\r\n<script>\r\n    import referralMixin from '../../mixins/referral'\r\n    import logo from './logo'\r\n\r\n    export default {\r\n        name: 'Review',\r\n        mixins: [referralMixin],\r\n        computed: {\r\n            confirmationNumber() {\r\n                let unformatted = this.$store.state.confirmation?.confirmationNumber;\r\n                if (!unformatted) return '';\r\n                let formatted = `${unformatted.substring(0, 5)}-${unformatted.substring(5, 10)}-${unformatted.substring(10, 13)}`;\r\n                return formatted.toUpperCase();\r\n            },\r\n            eta() {\r\n                return `${this.visitInfo.eta}`\r\n            },\r\n            window() {\r\n                return window;\r\n            }\r\n        },\r\n        methods: {\r\n            referAnother() {\r\n                let clientId = this.$store.state.clientId;\r\n                this.$store.dispatch('resetFormState');\r\n                this.checkClientId();\r\n                this.$router.push({\r\n                    name: 'referral',\r\n                    params: { clientId: clientId }\r\n                });\r\n            }\r\n        },\r\n        mounted() {\r\n            if (!this.$route.params.confirmationNumber || !this.$store.state.confirmation?.confirmationNumber)\r\n                this.referAnother();\r\n        },\r\n        components: {\r\n            logo\r\n        },\r\n    };\r\n</script>\r\n<style>\r\n\r\n    .confirmation-container {\r\n        background: #fff;\r\n        background: #fff;\r\n        border-radius: 17px;\r\n        box-shadow: 0px 0px 30px #0000001A;\r\n    }\r\n\r\n    .referral-summary {\r\n        min-height: 200px;\r\n        max-width: 600px;\r\n        width: 80%;\r\n        border: solid 1px #ccc;\r\n        border-radius: 17px;\r\n        padding: 25px 40px 24px 40px;\r\n    }\r\n\r\n    .referral-summary .col > label,\r\n    .referral-summary .col > span {\r\n        display: block;\r\n    }\r\n\r\n    .referral-summary .col > label {\r\n        text-transform: uppercase;\r\n        color: #999;\r\n        font-weight: 700;\r\n        font-size: 12px;\r\n        margin-bottom: 5px;\r\n    }\r\n\r\n    .referral-summary .col > span {\r\n        color: #333;\r\n        font-size: 14px;\r\n        font-weight: 700;\r\n    }\r\n\r\n    .referral-disclaimer {\r\n        max-width: 600px;\r\n        text-align: center;\r\n        font-size: 12px;\r\n        color: #707070;\r\n    }\r\n\r\n    .refer-another {\r\n        height: 60px !important;\r\n        width: 250px;\r\n        font-size: 14px !important;\r\n    }\r\n\r\n    .print {\r\n        height: 60px !important;\r\n        margin-left: 10px\r\n    }\r\n    \r\n    @media print {\r\n        .logo,\r\n        .button-row {\r\n            visibility: hidden;\r\n            display: none;\r\n        }\r\n        .confirmation-container {\r\n            box-shadow: none;\r\n        }\r\n    }\r\n\r\n</style>","import mod from \"-!../../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../../node_modules/thread-loader/dist/cjs.js!../../../node_modules/babel-loader/lib/index.js!../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./confirmation.vue?vue&type=script&lang=js&\"; export default mod; export * from \"-!../../../node_modules/cache-loader/dist/cjs.js??ref--12-0!../../../node_modules/thread-loader/dist/cjs.js!../../../node_modules/babel-loader/lib/index.js!../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./confirmation.vue?vue&type=script&lang=js&\"","import { render, staticRenderFns } from \"./confirmation.vue?vue&type=template&id=5a5dd0e4&\"\nimport script from \"./confirmation.vue?vue&type=script&lang=js&\"\nexport * from \"./confirmation.vue?vue&type=script&lang=js&\"\nimport style0 from \"./confirmation.vue?vue&type=style&index=0&lang=css&\"\n\n\n/* normalize component */\nimport normalizer from \"!../../../node_modules/vue-loader/lib/runtime/componentNormalizer.js\"\nvar component = normalizer(\n  script,\n  render,\n  staticRenderFns,\n  false,\n  null,\n  null,\n  null\n  \n)\n\nexport default component.exports\n\n/* vuetify-loader */\nimport installComponents from \"!../../../node_modules/vuetify-loader/lib/runtime/installComponents.js\"\nimport { VBtn } from 'vuetify/lib/components/VBtn';\nimport { VCol } from 'vuetify/lib/components/VGrid';\nimport { VContainer } from 'vuetify/lib/components/VGrid';\nimport { VIcon } from 'vuetify/lib/components/VIcon';\nimport { VRow } from 'vuetify/lib/components/VGrid';\nimport { VTooltip } from 'vuetify/lib/components/VTooltip';\ninstallComponents(component, {VBtn,VCol,VContainer,VIcon,VRow,VTooltip})\n","// ReSharper disable InconsistentNaming\r\n\r\nimport Vue from 'vue'\r\nimport VueRouter from 'vue-router'\r\nimport Referral from '../components/referral_form/main'\r\nimport Landing from '../components/landing/main'\r\nimport Confirmation from '../components/referral_form/confirmation'\r\n\r\nVue.use(VueRouter);\r\n\r\nexport default new VueRouter({\r\n    routes: [\r\n        {\r\n            name: 'referral',\r\n            path: '/referral/:clientId',\r\n            component: Referral\r\n        },\r\n        {\r\n            name: 'landing',\r\n            path: '/:clientId',\r\n            component: Landing\r\n        },\r\n        {\r\n            name: 'confirmation',\r\n            path: '/:clientId/confirmation/:confirmationNumber',\r\n            component: Confirmation\r\n        },\r\n        {\r\n            name: 'api_ignore',\r\n            path: '/api/*'\r\n        },\r\n        {\r\n            name: 'api_ignore2',\r\n            path: '/api'\r\n        },\r\n        {\r\n            name: 'api_ignore3',\r\n            path: '*'\r\n        }\r\n    ]\r\n});","import vue from 'vue'\r\nimport vuex from 'vuex'\r\nimport axios from 'axios'\r\n\r\nvue.use(vuex);\r\n\r\nconst getDefaultState = () => {\r\n    return {\r\n        currentStep: 1,\r\n        patientInfo: {\r\n            firstName: '',\r\n            lastName: '',\r\n            dob: '',\r\n            sex: '',\r\n            phone: '',\r\n            email: '',\r\n            isValid: false,\r\n            isVipReservation: false,\r\n\r\n        },\r\n        petInfo: {\r\n            petName: '',\r\n            petSpecies: '',\r\n            petSubSpecies: '',\r\n            petBreed: '',\r\n            petColor: '',\r\n            petAge: '',\r\n            petSex: '',\r\n            showPassportSpeciesGeneral: false,\r\n            showPassportSubSpecies: false,\r\n            showPassportPetGender: false,\r\n            showPassportPetBreed: false,\r\n            showPassportColor: false,\r\n            showPassportPetName: false\r\n        },\r\n        visitInfo: {\r\n            chiefComplaint: '',\r\n            diagnosticConcerns: '',\r\n            eta: '',\r\n            modeOfTransport: '',\r\n            visitedBefore: '',\r\n            files: [],\r\n            isValid: false\r\n        },\r\n        referralInfo: {\r\n            selectedClinic: null,\r\n            selectedProvider: null,\r\n            newClinic: {\r\n                name: '',\r\n                phone: ''\r\n            },\r\n            newProvider: {\r\n                title: '',\r\n                firstName: '',\r\n                lastName: '',\r\n                credentials: '',\r\n                email: '',\r\n                phone: '',\r\n                phoneType: ''\r\n            },\r\n            ambulanceDisclaimer: false,\r\n            firstDisclaimer: false,\r\n            secondDisclaimer: false,\r\n            isValid: false\r\n        },\r\n        confirmation: {},\r\n        isLoading: false,\r\n        isSubmitting: false,\r\n        clientId: null,\r\n        clientData: {\r\n            settings: {},\r\n            clinics: [],\r\n            providers: [],\r\n            children: [],\r\n            localizedSettings: {},\r\n            name: '',\r\n            address1: '',\r\n            address2: '',\r\n            state: '',\r\n            city: '',\r\n            zip: '',\r\n            phone: '',\r\n            parentClientId: null,\r\n            clientType: '',\r\n            isPetFacility: false,\r\n            species: null,\r\n            subSpecies: null,\r\n            petSex: null\r\n        },\r\n        clientError: null,\r\n        submissionError: 'An error occured while creating your referral. Please try again later.',\r\n        showSubmissionError: false,\r\n        isAddingClinic: false,\r\n        isAddingProvider: false\r\n    }\r\n}\r\n/*eslint-disable no-debugger*/\r\nexport default new vuex.Store({\r\n    state: getDefaultState(),\r\n    actions: {\r\n        resetFormState(ctx) {\r\n            ctx.commit('resetState');\r\n        },\r\n        fetchClientData(ctx) {\r\n            if (!ctx.state.clientId) return;\r\n            ctx.state.isLoading = true;\r\n\r\n            const clinics = axios.get(`api/passport/${ctx.state.clientId}/clinics`)\r\n                .then(resp => {\r\n                    ctx.state.clientData.clinics = resp.data;\r\n                })\r\n                .catch(err => {\r\n                    ctx.state.clientError = err.message;\r\n                });\r\n\r\n            const settings = axios.get(`api/passport/${ctx.state.clientId}/settings`)\r\n                .then(resp => {\r\n                    if (resp.data) {\r\n                        if (resp.data.children.length) {\r\n                            ctx.state.clientData.children = resp.data.children;\r\n                        }\r\n                        if (resp.data.localizedContent) {\r\n                            ctx.state.clientData.localizedSettings = resp.data.localizedContent;\r\n                        }\r\n                        ctx.state.clientData.settings = resp.data.settings;\r\n                        ctx.state.clientData.credentials = resp.data.credentials;\r\n                        ctx.state.clientData.name = resp.data.clientName;\r\n                        ctx.state.clientData.address1 = resp.data.clientAddress1;\r\n                        ctx.state.clientData.address2 = resp.data.clientAddress2;\r\n                        ctx.state.clientData.state = resp.data.clientState;\r\n                        ctx.state.clientData.city = resp.data.clientCity;\r\n                        ctx.state.clientData.zip = resp.data.clientZip;\r\n                        ctx.state.clientData.phone = resp.data.clientPhone;\r\n                        ctx.state.clientData.clientType = resp.data.clientType;\r\n                        ctx.state.clientData.parentClientId = resp.data.parentClientId;\r\n                        ctx.state.clientData.isPetFacility = resp.data.isPetFacility;\r\n                        ctx.state.clientData.species = resp.data.species;\r\n                        ctx.state.clientData.subSpecies = resp.data.subSpecies;\r\n                        ctx.state.clientData.petSex = resp.data.petSex;\r\n                        ctx.state.petInfo.showPassportSpeciesGeneral = resp.data.showPassportSpeciesGeneral;\r\n                        ctx.state.petInfo.showPassportSubSpecies = resp.data.showPassportSubSpecies;\r\n                        ctx.state.petInfo.showPassportPetGender = resp.data.showPassportPetGender;\r\n                        ctx.state.petInfo.showPassportPetBreed = resp.data.showPassportPetBreed;\r\n                        ctx.state.petInfo.showPassportColor = resp.data.showPassportColor;\r\n                        ctx.state.petInfo.showPassportPetName = resp.data.showPassportPetName;\r\n                    }\r\n                })\r\n                .catch(err => {\r\n                    ctx.state.clientError = err.message;\r\n                });\r\n\r\n            Promise.all([clinics, settings])\r\n                .finally(() => ctx.state.isLoading = false);\r\n        },\r\n        submitReferral(ctx, payload) {\r\n            const formData = new FormData();\r\n            // console.log(payload)\r\n            formData.append('model', JSON.stringify(payload.model));\r\n            if (payload.files && payload.files.length) {\r\n                payload.files.forEach((file, idx) => {\r\n                    formData.append('file_' + idx, file);\r\n                });\r\n            }\r\n            return new Promise((resolve, reject) => {\r\n                axios.post(`api/passport/${ctx.state.clientId}/referral`, formData)\r\n                    .then(resp => resolve(resp))\r\n                    .catch(error => { reject(error); });\r\n            });\r\n        }\r\n    },\r\n    mutations: {\r\n        resetState(state) {\r\n            Object.assign(state, getDefaultState());\r\n        }\r\n    }\r\n})\r\n","import Vue from 'vue';\r\nimport App from './App.vue';\r\nimport vuetify from './plugins/vuetify';\r\nimport router from './router'\r\nimport store from './store'\r\nimport './scss/main.scss'\r\nimport InputFacade from 'vue-input-facade'\r\n\r\nVue.config.productionTip = false;\r\nVue.use(InputFacade);\r\n\r\nnew Vue({\r\n    store,\r\n    vuetify,\r\n    router,\r\n    render: h => h(App)\r\n}).$mount(\"#app\");","export * from \"-!../../../node_modules/mini-css-extract-plugin/dist/loader.js??ref--6-oneOf-1-0!../../../node_modules/css-loader/dist/cjs.js??ref--6-oneOf-1-1!../../../node_modules/vue-loader/lib/loaders/stylePostLoader.js!../../../node_modules/postcss-loader/src/index.js??ref--6-oneOf-1-2!../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./confirmation.vue?vue&type=style&index=0&lang=css&\"","export * from \"-!../../../../node_modules/mini-css-extract-plugin/dist/loader.js??ref--6-oneOf-1-0!../../../../node_modules/css-loader/dist/cjs.js??ref--6-oneOf-1-1!../../../../node_modules/vue-loader/lib/loaders/stylePostLoader.js!../../../../node_modules/postcss-loader/src/index.js??ref--6-oneOf-1-2!../../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./referral_info.vue?vue&type=style&index=0&lang=css&\"","export * from \"-!../../../node_modules/mini-css-extract-plugin/dist/loader.js??ref--6-oneOf-1-0!../../../node_modules/css-loader/dist/cjs.js??ref--6-oneOf-1-1!../../../node_modules/vue-loader/lib/loaders/stylePostLoader.js!../../../node_modules/postcss-loader/src/index.js??ref--6-oneOf-1-2!../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./main.vue?vue&type=style&index=0&lang=css&\"","export * from \"-!../../../node_modules/mini-css-extract-plugin/dist/loader.js??ref--6-oneOf-1-0!../../../node_modules/css-loader/dist/cjs.js??ref--6-oneOf-1-1!../../../node_modules/vue-loader/lib/loaders/stylePostLoader.js!../../../node_modules/postcss-loader/src/index.js??ref--6-oneOf-1-2!../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./actions.vue?vue&type=style&index=0&lang=css&\"","export * from \"-!../../../node_modules/mini-css-extract-plugin/dist/loader.js??ref--6-oneOf-1-0!../../../node_modules/css-loader/dist/cjs.js??ref--6-oneOf-1-1!../../../node_modules/vue-loader/lib/loaders/stylePostLoader.js!../../../node_modules/postcss-loader/src/index.js??ref--6-oneOf-1-2!../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./logo.vue?vue&type=style&index=0&lang=css&\"","export * from \"-!../../../../node_modules/mini-css-extract-plugin/dist/loader.js??ref--6-oneOf-1-0!../../../../node_modules/css-loader/dist/cjs.js??ref--6-oneOf-1-1!../../../../node_modules/vue-loader/lib/loaders/stylePostLoader.js!../../../../node_modules/postcss-loader/src/index.js??ref--6-oneOf-1-2!../../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./patient_info.vue?vue&type=style&index=0&lang=css&\"","export * from \"-!../../../../node_modules/mini-css-extract-plugin/dist/loader.js??ref--6-oneOf-1-0!../../../../node_modules/css-loader/dist/cjs.js??ref--6-oneOf-1-1!../../../../node_modules/vue-loader/lib/loaders/stylePostLoader.js!../../../../node_modules/postcss-loader/src/index.js??ref--6-oneOf-1-2!../../../../node_modules/cache-loader/dist/cjs.js??ref--0-0!../../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./pet_info.vue?vue&type=style&index=0&lang=css&\""],"sourceRoot":""}