SAVING LIVES & LIMBS: ONE PATIENT AT A TIME
{ parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el) }} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-first-name" as=${html``} />
parent.activateValidation({"message":"This field is required.","emailMessage":"Please enter a valid Email address","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-email" as=${html``} />
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-telephone" as=${html``} />
<${props.Flatpickr} name="mf-date" className="mf-input mf-date-input mf-left-parent " placeholder="${ parent.decodeEntities(`Date`) } " options=${{"minDate":"","maxDate":"","dateFormat":"m-d-Y","enableTime":"","disable":[],"mode":"single","static":true,"disableMobile":true,"time_24hr":false}} value=${parent.getValue('mf-date')} onInput=${parent.handleDateTime} aria-invalid=${validation.errors['mf-date'] ? 'true' : 'false'} ref=${el => props.DateWidget( el, '', {"message":"This field is required.","required":false}, register, parent )} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-date" as=${html``} />
<${props.Select} className=${"mf-input mf-input-select " + ( validation.errors['mf-select'] ? 'mf-invalid' : '' )} classNamePrefix="mf_select" name="mf-select" placeholder="${ parent.decodeEntities(`Select Services`) } " isSearchable=${false} options=${[{"label":"Medical Checkup","value":"value-1","isDisabled":false},{"label":"Dental Care","value":"value-2","isDisabled":false},{"label":"Laboratory Service","value":"value-3","isDisabled":false},{"label":"Vaccination","value":"value-4","isDisabled":false}]} value=${parent.getValue("mf-select") ? [{"label":"Medical Checkup","value":"value-1","isDisabled":false},{"label":"Dental Care","value":"value-2","isDisabled":false},{"label":"Laboratory Service","value":"value-3","isDisabled":false},{"label":"Vaccination","value":"value-4","isDisabled":false}].filter(item => item.value === parent.getValue("mf-select"))[0] : []} onChange=${(e)=> parent.handleSelect(e, "mf-select")} ref=${() => { register({ name: "mf-select" }, parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false})); if ( parent.getValue("mf-select") === '' && false ) { parent.setValue( 'mf-select', '', true ); parent.handleChange({ target: { name: 'mf-select', value: '' } }); } }} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-select" as=${html``} />
<${props.Select} className=${"mf-input mf-input-select " + ( validation.errors['mf-select'] ? 'mf-invalid' : '' )} classNamePrefix="mf_select" name="mf-select" placeholder="${ parent.decodeEntities(`Select Doctor`) } " isSearchable=${false} options=${[{"label":"Dr. Ryley Mueller","value":"value-1","isDisabled":false},{"label":"Dr. Elisa Hodges","value":"value-2","isDisabled":false},{"label":"Dr. Denny Barker","value":"value-3","isDisabled":false},{"label":"Dr. Carlo Hilton","value":"value-4","isDisabled":false}]} value=${parent.getValue("mf-select") ? [{"label":"Dr. Ryley Mueller","value":"value-1","isDisabled":false},{"label":"Dr. Elisa Hodges","value":"value-2","isDisabled":false},{"label":"Dr. Denny Barker","value":"value-3","isDisabled":false},{"label":"Dr. Carlo Hilton","value":"value-4","isDisabled":false}].filter(item => item.value === parent.getValue("mf-select"))[0] : []} onChange=${(e)=> parent.handleSelect(e, "mf-select")} ref=${() => { register({ name: "mf-select" }, parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false})); if ( parent.getValue("mf-select") === '' && false ) { parent.setValue( 'mf-select', '', true ); parent.handleChange({ target: { name: 'mf-select', value: '' } }); } }} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-select" as=${html``} />
<${validation.ErrorMessage} errors=${validation.errors} name="mf-comment" as=${html``} />