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/rule_requirements/rule_requirementsSlice'
import { useAppDispatch } from '../../stores/hooks'
import { useRouter } from 'next/router'
import moment from 'moment';

const initialValues = {
    
    
    
    
    
    
    
    
    
    
    
    
    
    payer_rule: '',
    
    
    
    
    
    
    
    
    
    
    
    
    
    requirement_type: 'document',
    
    
    
    
    
    
    
    requirement_label: '',
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    evidence_needed: '',
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    severity: 'info',
    
    
    
    
    
    
    
    
    
    
    
    
    
    active: false,
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    organizations: '',
    
    
    
}


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

    
    

  const handleSubmit = async (data) => {
    await dispatch(create(data))
    await router.push('/rule_requirements/rule_requirements-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="PayerRule" labelFor="payer_rule">
      <Field name="payer_rule" id="payer_rule" component={SelectField} options={[]} itemRef={'payer_rules'}></Field>
  </FormField>























  <FormField label="RequirementType" labelFor="requirement_type">
      <Field name="requirement_type" id="requirement_type" component="select">
      
        <option value="document">document</option>
      
        <option value="clinical_evidence">clinical_evidence</option>
      
        <option value="questionnaire">questionnaire</option>
      
        <option value="form_field">form_field</option>
      
        <option value="timing">timing</option>
      
        <option value="other">other</option>
      
      </Field>
  </FormField>













  <FormField
      label="RequirementLabel"
  >
      <Field
          name="requirement_label"
          placeholder="RequirementLabel"
      />
  </FormField>





























    <FormField label="EvidenceNeeded" hasTextareaHeight>
        <Field name="evidence_needed" as="textarea" placeholder="EvidenceNeeded" />
    </FormField>







































  <FormField label="Severity" labelFor="severity">
      <Field name="severity" id="severity" component="select">
      
        <option value="info">info</option>
      
        <option value="warning">warning</option>
      
        <option value="blocking">blocking</option>
      
      </Field>
  </FormField>





























  <FormField label='Active' labelFor='active'>
      <Field
          name='active'
          id='active'
          component={SwitchField}
      ></Field>
  </FormField>





























  <FormField label="organizations" labelFor="organizations">
      <Field name="organizations" id="organizations" component={SelectField} options={[]} itemRef={'organizations'}></Field>
  </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('/rule_requirements/rule_requirements-list')}/>
              </BaseButtons>
            </Form>
          </Formik>
        </CardBox>
      </SectionMain>
    </>
  )
}

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

export default Rule_requirementsNew
