import { mdiAccount, mdiChartTimelineVariant, mdiMail, mdiUpload } from '@mdi/js'
import Head from 'next/head'
import React, { ReactElement } from 'react'
import CardBox from '../../components/CardBox'
import LayoutAuthenticated from '../../layouts/Authenticated'
import SectionMain from '../../components/SectionMain'
import SectionTitleLineWithButton from '../../components/SectionTitleLineWithButton'
import { getPageTitle } from '../../config'

import { Field, Form, Formik } from 'formik'
import FormField from '../../components/FormField'
import BaseDivider from '../../components/BaseDivider'
import BaseButtons from '../../components/BaseButtons'
import BaseButton from '../../components/BaseButton'
import FormCheckRadio from '../../components/FormCheckRadio'
import FormCheckRadioGroup from '../../components/FormCheckRadioGroup'
import FormFilePicker from '../../components/FormFilePicker'
import FormImagePicker from '../../components/FormImagePicker'
import { SwitchField } from '../../components/SwitchField'

import { SelectField } from '../../components/SelectField'
import { SelectFieldMany } from "../../components/SelectFieldMany";
import {RichTextField} from "../../components/RichTextField";

import { create } from '../../stores/patients/patientsSlice'
import { useAppDispatch } from '../../stores/hooks'
import { useRouter } from 'next/router'
import moment from 'moment';

const initialValues = {
    
    
    
    
    
    
    
    
    
    
    
    
    
    organization: '',
    
    
    
    
    first_name: '',
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    last_name: '',
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    date_of_birth: '',
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    sex: 'unknown',
    
    
    
    
    
    
    
    mrn: '',
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    phone: '',
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    email: '',
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    address_line_1: '',
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    city: '',
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    state: '',
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    postal_code: '',
    
    
    
    
    
    
    
    
    
    
    
    
    
    
}


const PatientsNew = () => {
  const router = useRouter()
  const dispatch = useAppDispatch()

    
    

  const handleSubmit = async (data) => {
    await dispatch(create(data))
    await router.push('/patients/patients-list')
  }
  return (
    <>
      <Head>
        <title>{getPageTitle('New Item')}</title>
      </Head>
      <SectionMain>
        <SectionTitleLineWithButton icon={mdiChartTimelineVariant} title="New Item" main>
        {''}
        </SectionTitleLineWithButton>
        <CardBox>
          <Formik
            initialValues={
                
                initialValues
                
            }
            onSubmit={(values) => handleSubmit(values)}
          >
            <Form>





















  <FormField label="Organization" labelFor="organization">
      <Field name="organization" id="organization" component={SelectField} options={[]} itemRef={'organizations'}></Field>
  </FormField>









  <FormField
      label="FirstName"
  >
      <Field
          name="first_name"
          placeholder="FirstName"
      />
  </FormField>



























  <FormField
      label="LastName"
  >
      <Field
          name="last_name"
          placeholder="LastName"
      />
  </FormField>





































  <FormField
      label="DateOfBirth"
  >
      <Field
          type="datetime-local"
          name="date_of_birth"
          placeholder="DateOfBirth"
      />
  </FormField>































  <FormField label="Sex" labelFor="sex">
      <Field name="sex" id="sex" component="select">
      
        <option value="unknown">unknown</option>
      
        <option value="female">female</option>
      
        <option value="male">male</option>
      
        <option value="other">other</option>
      
      </Field>
  </FormField>













  <FormField
      label="MRN"
  >
      <Field
          name="mrn"
          placeholder="MRN"
      />
  </FormField>



























  <FormField
      label="Phone"
  >
      <Field
          name="phone"
          placeholder="Phone"
      />
  </FormField>



























  <FormField
      label="Email"
  >
      <Field
          name="email"
          placeholder="Email"
      />
  </FormField>



























  <FormField
      label="AddressLine1"
  >
      <Field
          name="address_line_1"
          placeholder="AddressLine1"
      />
  </FormField>



























  <FormField
      label="City"
  >
      <Field
          name="city"
          placeholder="City"
      />
  </FormField>



























  <FormField
      label="State"
  >
      <Field
          name="state"
          placeholder="State"
      />
  </FormField>



























  <FormField
      label="PostalCode"
  >
      <Field
          name="postal_code"
          placeholder="PostalCode"
      />
  </FormField>

























              <BaseDivider />
              <BaseButtons>
                <BaseButton type="submit" color="info" label="Submit" />
                <BaseButton type="reset" color="info" outline label="Reset" />
                <BaseButton type='reset' color='danger' outline label='Cancel' onClick={() => router.push('/patients/patients-list')}/>
              </BaseButtons>
            </Form>
          </Formik>
        </CardBox>
      </SectionMain>
    </>
  )
}

PatientsNew.getLayout = function getLayout(page: ReactElement) {
  return (
      <LayoutAuthenticated
        
          permission={'CREATE_PATIENTS'}
        
      >
          {page}
      </LayoutAuthenticated>
  )
}

export default PatientsNew
