676 lines
39 KiB
TypeScript
676 lines
39 KiB
TypeScript
"use client";
|
|
|
|
import type React from "react";
|
|
|
|
import { useState } from "react";
|
|
import Link from "next/link";
|
|
import { useRouter } from "next/navigation";
|
|
import { Button } from "@/components/ui/button";
|
|
import { Input } from "@/components/ui/input";
|
|
import { Label } from "@/components/ui/label";
|
|
import { Textarea } from "@/components/ui/textarea";
|
|
import { Select, SelectContent, SelectItem, SelectTrigger, SelectValue } from "@/components/ui/select";
|
|
import { Checkbox } from "@/components/ui/checkbox";
|
|
import { Upload, Plus, X, ChevronDown } from "lucide-react";
|
|
import { Collapsible, CollapsibleContent, CollapsibleTrigger } from "@/components/ui/collapsible";
|
|
import { useToast } from "@/hooks/use-toast";
|
|
import SecretaryLayout from "@/components/secretary-layout";
|
|
|
|
export default function NovoPacientePage() {
|
|
const [anexosOpen, setAnexosOpen] = useState(false);
|
|
const [anexos, setAnexos] = useState<string[]>([]);
|
|
const [isLoading, setIsLoading] = useState(false);
|
|
const router = useRouter();
|
|
const { toast } = useToast();
|
|
|
|
const adicionarAnexo = () => {
|
|
setAnexos([...anexos, `Documento ${anexos.length + 1}`]);
|
|
};
|
|
|
|
const removerAnexo = (index: number) => {
|
|
setAnexos(anexos.filter((_, i) => i !== index));
|
|
};
|
|
|
|
const handleSubmit = async (e: React.FormEvent<HTMLFormElement>) => {
|
|
e.preventDefault();
|
|
if (isLoading) return;
|
|
setIsLoading(true);
|
|
|
|
const form = e.currentTarget;
|
|
const formData = new FormData(form);
|
|
|
|
const apiPayload = {
|
|
nome: formData.get("nome") as string,
|
|
nome_social: (formData.get("nomeSocial") as string) || null,
|
|
cpf: formData.get("cpf") as string,
|
|
rg: (formData.get("rg") as string) || null,
|
|
outros_documentos:
|
|
(formData.get("outrosDocumentosTipo") as string) || (formData.get("outrosDocumentosNumero") as string)
|
|
? {
|
|
tipo: (formData.get("outrosDocumentosTipo") as string) || undefined,
|
|
numero: (formData.get("outrosDocumentosNumero") as string) || undefined,
|
|
}
|
|
: null,
|
|
sexo: (formData.get("sexo") as string) || null,
|
|
data_nascimento: (formData.get("dataNascimento") as string) || null,
|
|
etnia: (formData.get("etnia") as string) || null,
|
|
raca: (formData.get("raca") as string) || null,
|
|
naturalidade: (formData.get("naturalidade") as string) || null,
|
|
nacionalidade: (formData.get("nacionalidade") as string) || null,
|
|
profissao: (formData.get("profissao") as string) || null,
|
|
estado_civil: (formData.get("estadoCivil") as string) || null,
|
|
nome_mae: (formData.get("nomeMae") as string) || null,
|
|
profissao_mae: (formData.get("profissaoMae") as string) || null,
|
|
nome_pai: (formData.get("nomePai") as string) || null,
|
|
profissao_pai: (formData.get("profissaoPai") as string) || null,
|
|
nome_responsavel: (formData.get("nomeResponsavel") as string) || null,
|
|
cpf_responsavel: (formData.get("cpfResponsavel") as string) || null,
|
|
nome_esposo: (formData.get("nomeEsposo") as string) || null,
|
|
rn_na_guia_convenio: Boolean(formData.get("rnGuia")),
|
|
codigo_legado: (formData.get("codigoLegado") as string) || null,
|
|
contato: {
|
|
email: (formData.get("email") as string) || null,
|
|
celular: (formData.get("celular") as string) || null,
|
|
telefone1: (formData.get("telefone1") as string) || null,
|
|
telefone2: (formData.get("telefone2") as string) || null,
|
|
},
|
|
endereco: {
|
|
cep: (formData.get("cep") as string) || null,
|
|
logradouro: (formData.get("endereco") as string) || null,
|
|
numero: (formData.get("numero") as string) || null,
|
|
complemento: (formData.get("complemento") as string) || null,
|
|
bairro: (formData.get("bairro") as string) || null,
|
|
cidade: (formData.get("cidade") as string) || null,
|
|
estado: (formData.get("estado") as string) || null,
|
|
referencia: null,
|
|
},
|
|
observacoes: (formData.get("observacoes") as string) || null,
|
|
// Campos de convênio (opcionais, se a API aceitar)
|
|
convenio: (formData.get("convenio") as string) || null,
|
|
plano: (formData.get("plano") as string) || null,
|
|
numero_matricula: (formData.get("numeroMatricula") as string) || null,
|
|
validade_carteira: (formData.get("validadeCarteira") as string) || null,
|
|
};
|
|
|
|
const errors: string[] = [];
|
|
const nome = apiPayload.nome?.trim() || "";
|
|
if (!nome || nome.length < 2 || nome.length > 255) errors.push("Nome deve ter entre 2 e 255 caracteres.");
|
|
const cpf = apiPayload.cpf || "";
|
|
if (!/^\d{3}\.\d{3}\.\d{3}-\d{2}$/.test(cpf)) errors.push("CPF deve estar no formato XXX.XXX.XXX-XX.");
|
|
const sexo = apiPayload.sexo;
|
|
const allowedSexo = ["masculino", "feminino", "outro"];
|
|
if (!sexo || !allowedSexo.includes(sexo)) errors.push("Sexo é obrigatório e deve ser masculino, feminino ou outro.");
|
|
if (!apiPayload.data_nascimento) errors.push("Data de nascimento é obrigatória.");
|
|
const celular = apiPayload.contato?.celular || "";
|
|
if (celular && !/^\+55 \(\d{2}\) \d{4,5}-\d{4}$/.test(celular)) errors.push("Celular deve estar no formato +55 (XX) XXXXX-XXXX.");
|
|
const cep = apiPayload.endereco?.cep || "";
|
|
if (cep && !/^\d{5}-\d{3}$/.test(cep)) errors.push("CEP deve estar no formato XXXXX-XXX.");
|
|
const uf = apiPayload.endereco?.estado || "";
|
|
if (uf && uf.length !== 2) errors.push("Estado (UF) deve ter 2 caracteres.");
|
|
|
|
if (errors.length) {
|
|
toast({ title: "Corrija os campos", description: errors[0] });
|
|
setIsLoading(false);
|
|
return;
|
|
}
|
|
|
|
try {
|
|
const res = await fetch("https://mock.apidog.com/m1/1053378-0-default/pacientes", {
|
|
method: "POST",
|
|
headers: {
|
|
"Content-Type": "application/json",
|
|
Accept: "application/json",
|
|
},
|
|
body: JSON.stringify(apiPayload),
|
|
});
|
|
|
|
if (!res.ok) {
|
|
const msg = `Erro ao salvar (HTTP ${res.status})`;
|
|
throw new Error(msg);
|
|
}
|
|
|
|
let message = "Paciente cadastrado com sucesso";
|
|
try {
|
|
const payload = await res.json();
|
|
if (payload?.success === false) {
|
|
throw new Error(payload?.message || "A API retornou erro");
|
|
}
|
|
if (payload?.message) message = String(payload.message);
|
|
} catch {}
|
|
|
|
toast({
|
|
title: "Sucesso",
|
|
description: message,
|
|
});
|
|
router.push("/secretary/pacientes");
|
|
} catch (err: any) {
|
|
toast({
|
|
title: "Erro",
|
|
description: err?.message || "Não foi possível cadastrar o paciente",
|
|
});
|
|
} finally {
|
|
setIsLoading(false);
|
|
}
|
|
};
|
|
|
|
return (
|
|
<SecretaryLayout>
|
|
<div className="space-y-6">
|
|
<div className="flex items-center justify-between">
|
|
<div>
|
|
<h1 className="text-2xl font-bold text-gray-900">Novo Paciente</h1>
|
|
<p className="text-gray-600">Cadastre um novo paciente no sistema</p>
|
|
</div>
|
|
</div>
|
|
|
|
<form className="space-y-6" onSubmit={handleSubmit}>
|
|
<div className="bg-white rounded-lg border border-gray-200 p-6">
|
|
<h2 className="text-lg font-semibold text-gray-900 mb-6">Dados Pessoais</h2>
|
|
|
|
<div className="space-y-6">
|
|
<div className="flex items-center gap-4">
|
|
<div className="w-20 h-20 bg-gray-100 rounded-full flex items-center justify-center">
|
|
<Upload className="w-8 h-8 text-gray-400" />
|
|
</div>
|
|
<Button variant="outline" type="button" size="sm">
|
|
<Upload className="w-4 h-4 mr-2" />
|
|
Carregar Foto
|
|
</Button>
|
|
</div>
|
|
|
|
<div className="grid md:grid-cols-2 gap-4">
|
|
<div>
|
|
<Label htmlFor="nome" className="text-sm font-medium text-gray-700">
|
|
Nome *
|
|
</Label>
|
|
<Input id="nome" name="nome" placeholder="Nome completo" required className="mt-1" />
|
|
</div>
|
|
<div>
|
|
<Label htmlFor="nomeSocial" className="text-sm font-medium text-gray-700">
|
|
Nome Social
|
|
</Label>
|
|
<Input id="nomeSocial" name="nomeSocial" placeholder="Nome social ou apelido" className="mt-1" />
|
|
</div>
|
|
</div>
|
|
|
|
<div className="grid md:grid-cols-3 gap-4">
|
|
<div>
|
|
<Label htmlFor="cpf" className="text-sm font-medium text-gray-700">
|
|
CPF *
|
|
</Label>
|
|
<Input id="cpf" name="cpf" placeholder="000.000.000-00" required className="mt-1" />
|
|
</div>
|
|
<div>
|
|
<Label htmlFor="rg" className="text-sm font-medium text-gray-700">
|
|
RG
|
|
</Label>
|
|
<Input id="rg" name="rg" placeholder="00.000.000-0" className="mt-1" />
|
|
</div>
|
|
<div>
|
|
<Label htmlFor="outrosDocumentos" className="text-sm font-medium text-gray-700">
|
|
Outros Documentos
|
|
</Label>
|
|
<Select name="outrosDocumentos">
|
|
<SelectTrigger className="mt-1">
|
|
<SelectValue placeholder="Selecione" />
|
|
</SelectTrigger>
|
|
<SelectContent>
|
|
<SelectItem value="cnh">CNH</SelectItem>
|
|
<SelectItem value="passaporte">Passaporte</SelectItem>
|
|
<SelectItem value="carteira-trabalho">Carteira de Trabalho</SelectItem>
|
|
</SelectContent>
|
|
</Select>
|
|
</div>
|
|
</div>
|
|
|
|
<div className="grid md:grid-cols-3 gap-4">
|
|
<div>
|
|
<Label className="text-sm font-medium text-gray-700">Sexo</Label>
|
|
<div className="flex gap-4 mt-2">
|
|
<label className="flex items-center gap-2">
|
|
<input type="radio" name="sexo" value="masculino" className="text-blue-600" />
|
|
<span className="text-sm">Masculino</span>
|
|
</label>
|
|
<label className="flex items-center gap-2">
|
|
<input type="radio" name="sexo" value="feminino" className="text-blue-600" />
|
|
<span className="text-sm">Feminino</span>
|
|
</label>
|
|
</div>
|
|
</div>
|
|
<div>
|
|
<Label htmlFor="dataNascimento" className="text-sm font-medium text-gray-700">
|
|
Data de Nascimento
|
|
</Label>
|
|
<Input id="dataNascimento" name="dataNascimento" type="date" className="mt-1" />
|
|
</div>
|
|
<div>
|
|
<Label htmlFor="estadoCivil" className="text-sm font-medium text-gray-700">
|
|
Estado Civil
|
|
</Label>
|
|
<Select name="estadoCivil">
|
|
<SelectTrigger className="mt-1">
|
|
<SelectValue placeholder="Selecione" />
|
|
</SelectTrigger>
|
|
<SelectContent>
|
|
<SelectItem value="solteiro">Solteiro(a)</SelectItem>
|
|
<SelectItem value="casado">Casado(a)</SelectItem>
|
|
<SelectItem value="divorciado">Divorciado(a)</SelectItem>
|
|
<SelectItem value="viuvo">Viúvo(a)</SelectItem>
|
|
</SelectContent>
|
|
</Select>
|
|
</div>
|
|
</div>
|
|
|
|
<div className="grid md:grid-cols-2 gap-4">
|
|
<div>
|
|
<Label htmlFor="etnia" className="text-sm font-medium text-gray-700">
|
|
Etnia
|
|
</Label>
|
|
<Select name="etnia">
|
|
<SelectTrigger className="mt-1">
|
|
<SelectValue placeholder="Selecione" />
|
|
</SelectTrigger>
|
|
<SelectContent>
|
|
<SelectItem value="branca">Branca</SelectItem>
|
|
<SelectItem value="preta">Preta</SelectItem>
|
|
<SelectItem value="parda">Parda</SelectItem>
|
|
<SelectItem value="amarela">Amarela</SelectItem>
|
|
<SelectItem value="indigena">Indígena</SelectItem>
|
|
</SelectContent>
|
|
</Select>
|
|
</div>
|
|
<div>
|
|
<Label htmlFor="raca" className="text-sm font-medium text-gray-700">
|
|
Raça
|
|
</Label>
|
|
<Select name="raca">
|
|
<SelectTrigger className="mt-1">
|
|
<SelectValue placeholder="Selecione" />
|
|
</SelectTrigger>
|
|
<SelectContent>
|
|
<SelectItem value="branca">Branca</SelectItem>
|
|
<SelectItem value="preta">Preta</SelectItem>
|
|
<SelectItem value="parda">Parda</SelectItem>
|
|
<SelectItem value="amarela">Amarela</SelectItem>
|
|
<SelectItem value="indigena">Indígena</SelectItem>
|
|
</SelectContent>
|
|
</Select>
|
|
</div>
|
|
</div>
|
|
|
|
<div className="grid md:grid-cols-2 gap-4">
|
|
<div>
|
|
<Label htmlFor="naturalidade" className="text-sm font-medium text-gray-700">
|
|
Naturalidade
|
|
</Label>
|
|
<Select name="naturalidade">
|
|
<SelectTrigger className="mt-1">
|
|
<SelectValue placeholder="Selecione" />
|
|
</SelectTrigger>
|
|
<SelectContent>
|
|
<SelectItem value="aracaju">Aracaju</SelectItem>
|
|
<SelectItem value="salvador">Salvador</SelectItem>
|
|
<SelectItem value="recife">Recife</SelectItem>
|
|
</SelectContent>
|
|
</Select>
|
|
</div>
|
|
<div>
|
|
<Label htmlFor="nacionalidade" className="text-sm font-medium text-gray-700">
|
|
Nacionalidade
|
|
</Label>
|
|
<Select name="nacionalidade">
|
|
<SelectTrigger className="mt-1">
|
|
<SelectValue placeholder="Selecione" />
|
|
</SelectTrigger>
|
|
<SelectContent>
|
|
<SelectItem value="brasileira">Brasileira</SelectItem>
|
|
<SelectItem value="estrangeira">Estrangeira</SelectItem>
|
|
</SelectContent>
|
|
</Select>
|
|
</div>
|
|
</div>
|
|
|
|
<div>
|
|
<Label htmlFor="profissao" className="text-sm font-medium text-gray-700">
|
|
Profissão
|
|
</Label>
|
|
<Input id="profissao" name="profissao" placeholder="Profissão" className="mt-1" />
|
|
</div>
|
|
|
|
<div className="grid md:grid-cols-2 gap-4">
|
|
<div>
|
|
<Label htmlFor="nomeMae" className="text-sm font-medium text-gray-700">
|
|
Nome da Mãe
|
|
</Label>
|
|
<Input id="nomeMae" name="nomeMae" placeholder="Nome da mãe" className="mt-1" />
|
|
</div>
|
|
<div>
|
|
<Label htmlFor="profissaoMae" className="text-sm font-medium text-gray-700">
|
|
Profissão da Mãe
|
|
</Label>
|
|
<Input id="profissaoMae" name="profissaoMae" placeholder="Profissão da mãe" className="mt-1" />
|
|
</div>
|
|
</div>
|
|
|
|
<div className="grid md:grid-cols-2 gap-4">
|
|
<div>
|
|
<Label htmlFor="nomePai" className="text-sm font-medium text-gray-700">
|
|
Nome do Pai
|
|
</Label>
|
|
<Input id="nomePai" name="nomePai" placeholder="Nome do pai" className="mt-1" />
|
|
</div>
|
|
<div>
|
|
<Label htmlFor="profissaoPai" className="text-sm font-medium text-gray-700">
|
|
Profissão do Pai
|
|
</Label>
|
|
<Input id="profissaoPai" name="profissaoPai" placeholder="Profissão do pai" className="mt-1" />
|
|
</div>
|
|
</div>
|
|
|
|
<div className="grid md:grid-cols-2 gap-4">
|
|
<div>
|
|
<Label htmlFor="nomeResponsavel" className="text-sm font-medium text-gray-700">
|
|
Nome do Responsável
|
|
</Label>
|
|
<Input id="nomeResponsavel" name="nomeResponsavel" placeholder="Nome do responsável" className="mt-1" />
|
|
</div>
|
|
<div>
|
|
<Label htmlFor="cpfResponsavel" className="text-sm font-medium text-gray-700">
|
|
CPF do Responsável
|
|
</Label>
|
|
<Input id="cpfResponsavel" name="cpfResponsavel" placeholder="000.000.000-00" className="mt-1" />
|
|
</div>
|
|
</div>
|
|
|
|
<div>
|
|
<Label htmlFor="nomeEsposo" className="text-sm font-medium text-gray-700">
|
|
Nome do Esposo(a)
|
|
</Label>
|
|
<Input id="nomeEsposo" name="nomeEsposo" placeholder="Nome do esposo(a)" className="mt-1" />
|
|
</div>
|
|
|
|
<div className="flex items-center space-x-2">
|
|
<Checkbox id="rnGuia" name="rnGuia" />
|
|
<Label htmlFor="rnGuia" className="text-sm text-gray-700">
|
|
RN na Guia do convênio
|
|
</Label>
|
|
</div>
|
|
|
|
<div>
|
|
<Label htmlFor="codigoLegado" className="text-sm font-medium text-gray-700">
|
|
Código Legado
|
|
</Label>
|
|
<Input id="codigoLegado" name="codigoLegado" placeholder="Código do sistema anterior" className="mt-1" />
|
|
</div>
|
|
|
|
<div>
|
|
<Label htmlFor="observacoes" className="text-sm font-medium text-gray-700">
|
|
Observações
|
|
</Label>
|
|
<Textarea id="observacoes" name="observacoes" placeholder="Observações gerais sobre o paciente" className="min-h-[100px] mt-1" />
|
|
</div>
|
|
|
|
<Collapsible open={anexosOpen} onOpenChange={setAnexosOpen}>
|
|
<CollapsibleTrigger asChild>
|
|
<Button variant="ghost" type="button" className="w-full justify-between p-0 h-auto text-left">
|
|
<div className="flex items-center gap-2">
|
|
<div className="w-4 h-4 bg-gray-400 rounded-sm flex items-center justify-center">
|
|
<span className="text-white text-xs">📎</span>
|
|
</div>
|
|
<span className="text-sm font-medium text-gray-700">Anexos do paciente</span>
|
|
</div>
|
|
<ChevronDown className={`w-4 h-4 transition-transform ${anexosOpen ? "rotate-180" : ""}`} />
|
|
</Button>
|
|
</CollapsibleTrigger>
|
|
<CollapsibleContent className="space-y-4 mt-4">
|
|
{anexos.map((anexo, index) => (
|
|
<div key={index} className="flex items-center justify-between p-3 border rounded-lg bg-gray-50">
|
|
<span className="text-sm">{anexo}</span>
|
|
<Button variant="ghost" size="sm" onClick={() => removerAnexo(index)} type="button">
|
|
<X className="w-4 h-4" />
|
|
</Button>
|
|
</div>
|
|
))}
|
|
<Button variant="outline" onClick={adicionarAnexo} type="button" size="sm">
|
|
<Plus className="w-4 h-4 mr-2" />
|
|
Adicionar Anexo
|
|
</Button>
|
|
</CollapsibleContent>
|
|
</Collapsible>
|
|
</div>
|
|
</div>
|
|
|
|
<div className="bg-white rounded-lg border border-gray-200 p-6">
|
|
<h2 className="text-lg font-semibold text-gray-900 mb-6">Contato</h2>
|
|
|
|
<div className="space-y-4">
|
|
<div className="grid md:grid-cols-3 gap-4">
|
|
<div>
|
|
<Label htmlFor="email" className="text-sm font-medium text-gray-700">
|
|
E-mail
|
|
</Label>
|
|
<Input id="email" name="email" type="email" placeholder="email@exemplo.com" className="mt-1" />
|
|
</div>
|
|
<div>
|
|
<Label htmlFor="celular" className="text-sm font-medium text-gray-700">
|
|
Celular
|
|
</Label>
|
|
<div className="flex mt-1">
|
|
<Select>
|
|
<SelectTrigger className="w-20 rounded-r-none">
|
|
<SelectValue placeholder="+55" />
|
|
</SelectTrigger>
|
|
<SelectContent>
|
|
<SelectItem value="+55">+55</SelectItem>
|
|
</SelectContent>
|
|
</Select>
|
|
<Input name="celular" placeholder="(XX) XXXXX-XXXX" className="rounded-l-none" />
|
|
</div>
|
|
</div>
|
|
<div>
|
|
<Label htmlFor="telefone1" className="text-sm font-medium text-gray-700">
|
|
Telefone 1
|
|
</Label>
|
|
<Input id="telefone1" name="telefone1" placeholder="(XX) XXXX-XXXX" className="mt-1" />
|
|
</div>
|
|
</div>
|
|
<div>
|
|
<Label htmlFor="telefone2" className="text-sm font-medium text-gray-700">
|
|
Telefone 2
|
|
</Label>
|
|
<Input id="telefone2" name="telefone2" placeholder="(XX) XXXX-XXXX" className="mt-1" />
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div className="bg-white rounded-lg border border-gray-200 p-6">
|
|
<h2 className="text-lg font-semibold text-gray-900 mb-6">Endereço</h2>
|
|
|
|
<div className="space-y-4">
|
|
<div>
|
|
<Label htmlFor="cep" className="text-sm font-medium text-gray-700">
|
|
CEP
|
|
</Label>
|
|
<Input id="cep" name="cep" placeholder="00000-000" className="mt-1 max-w-xs" />
|
|
</div>
|
|
<div className="grid md:grid-cols-3 gap-4">
|
|
<div className="md:col-span-2">
|
|
<Label htmlFor="endereco" className="text-sm font-medium text-gray-700">
|
|
Endereço
|
|
</Label>
|
|
<Input id="endereco" name="endereco" placeholder="Rua, Avenida..." className="mt-1" />
|
|
</div>
|
|
<div>
|
|
<Label htmlFor="numero" className="text-sm font-medium text-gray-700">
|
|
Número
|
|
</Label>
|
|
<Input id="numero" name="numero" placeholder="123" className="mt-1" />
|
|
</div>
|
|
</div>
|
|
<div>
|
|
<Label htmlFor="complemento" className="text-sm font-medium text-gray-700">
|
|
Complemento
|
|
</Label>
|
|
<Input id="complemento" name="complemento" placeholder="Apto, Bloco..." className="mt-1" />
|
|
</div>
|
|
<div className="grid md:grid-cols-3 gap-4">
|
|
<div>
|
|
<Label htmlFor="bairro" className="text-sm font-medium text-gray-700">
|
|
Bairro
|
|
</Label>
|
|
<Input id="bairro" name="bairro" placeholder="Bairro" className="mt-1" />
|
|
</div>
|
|
<div>
|
|
<Label htmlFor="cidade" className="text-sm font-medium text-gray-700">
|
|
Cidade
|
|
</Label>
|
|
<Input id="cidade" name="cidade" placeholder="Cidade" className="mt-1" />
|
|
</div>
|
|
<div>
|
|
<Label htmlFor="estado" className="text-sm font-medium text-gray-700">
|
|
Estado
|
|
</Label>
|
|
<Select name="estado">
|
|
<SelectTrigger className="mt-1">
|
|
<SelectValue placeholder="Selecione" />
|
|
</SelectTrigger>
|
|
<SelectContent>
|
|
<SelectItem value="SE">Sergipe</SelectItem>
|
|
<SelectItem value="BA">Bahia</SelectItem>
|
|
<SelectItem value="AL">Alagoas</SelectItem>
|
|
</SelectContent>
|
|
</Select>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div className="bg-white rounded-lg border border-gray-200 p-6">
|
|
<h2 className="text-lg font-semibold text-gray-900 mb-6">Informações Médicas</h2>
|
|
|
|
<div className="space-y-4">
|
|
<div className="grid md:grid-cols-4 gap-4">
|
|
<div>
|
|
<Label htmlFor="tipoSanguineo" className="text-sm font-medium text-gray-700">
|
|
Tipo Sanguíneo
|
|
</Label>
|
|
<Select name="tipoSanguineo">
|
|
<SelectTrigger className="mt-1">
|
|
<SelectValue placeholder="Selecione" />
|
|
</SelectTrigger>
|
|
<SelectContent>
|
|
<SelectItem value="A+">A+</SelectItem>
|
|
<SelectItem value="A-">A-</SelectItem>
|
|
<SelectItem value="B+">B+</SelectItem>
|
|
<SelectItem value="B-">B-</SelectItem>
|
|
<SelectItem value="AB+">AB+</SelectItem>
|
|
<SelectItem value="AB-">AB-</SelectItem>
|
|
<SelectItem value="O+">O+</SelectItem>
|
|
<SelectItem value="O-">O-</SelectItem>
|
|
</SelectContent>
|
|
</Select>
|
|
</div>
|
|
<div>
|
|
<Label htmlFor="peso" className="text-sm font-medium text-gray-700">
|
|
Peso
|
|
</Label>
|
|
<div className="relative mt-1">
|
|
<Input id="peso" name="peso" type="number" placeholder="70" />
|
|
<span className="absolute right-3 top-1/2 transform -translate-y-1/2 text-sm text-gray-500">kg</span>
|
|
</div>
|
|
</div>
|
|
<div>
|
|
<Label htmlFor="altura" className="text-sm font-medium text-gray-700">
|
|
Altura
|
|
</Label>
|
|
<div className="relative mt-1">
|
|
<Input id="altura" name="altura" type="number" step="0.01" placeholder="1.70" />
|
|
<span className="absolute right-3 top-1/2 transform -translate-y-1/2 text-sm text-gray-500">m</span>
|
|
</div>
|
|
</div>
|
|
<div>
|
|
<Label htmlFor="imc" className="text-sm font-medium text-gray-700">
|
|
IMC
|
|
</Label>
|
|
<div className="relative mt-1">
|
|
<Input id="imc" name="imc" placeholder="Calculado automaticamente" disabled />
|
|
<span className="absolute right-3 top-1/2 transform -translate-y-1/2 text-sm text-gray-500">kg/m²</span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div>
|
|
<Label htmlFor="alergias" className="text-sm font-medium text-gray-700">
|
|
Alergias
|
|
</Label>
|
|
<Textarea id="alergias" name="alergias" placeholder="Ex: AAS, Dipirona, etc." className="min-h-[80px] mt-1" />
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div className="bg-white rounded-lg border border-gray-200 p-6">
|
|
<h2 className="text-lg font-semibold text-gray-900 mb-6">Informações de Convênio</h2>
|
|
|
|
<div className="space-y-4">
|
|
<div className="grid md:grid-cols-2 gap-4">
|
|
<div>
|
|
<Label htmlFor="convenio" className="text-sm font-medium text-gray-700">
|
|
Convênio
|
|
</Label>
|
|
<Select name="convenio">
|
|
<SelectTrigger className="mt-1">
|
|
<SelectValue placeholder="Selecione" />
|
|
</SelectTrigger>
|
|
<SelectContent>
|
|
<SelectItem value="particular">Particular</SelectItem>
|
|
<SelectItem value="sus">SUS</SelectItem>
|
|
<SelectItem value="unimed">Unimed</SelectItem>
|
|
<SelectItem value="bradesco">Bradesco Saúde</SelectItem>
|
|
</SelectContent>
|
|
</Select>
|
|
</div>
|
|
<div>
|
|
<Label htmlFor="plano" className="text-sm font-medium text-gray-700">
|
|
Plano
|
|
</Label>
|
|
<Input id="plano" name="plano" placeholder="Nome do plano" className="mt-1" />
|
|
</div>
|
|
</div>
|
|
<div className="grid md:grid-cols-2 gap-4">
|
|
<div>
|
|
<Label htmlFor="numeroMatricula" className="text-sm font-medium text-gray-700">
|
|
Nº de Matrícula
|
|
</Label>
|
|
<Input id="numeroMatricula" name="numeroMatricula" placeholder="Número da matrícula" className="mt-1" />
|
|
</div>
|
|
<div>
|
|
<Label htmlFor="validadeCarteira" className="text-sm font-medium text-gray-700">
|
|
Validade da Carteira
|
|
</Label>
|
|
<Input id="validadeCarteira" name="validadeCarteira" type="date" className="mt-1" />
|
|
</div>
|
|
</div>
|
|
<div className="flex items-center space-x-2">
|
|
<Checkbox id="validadeIndeterminada" name="validadeIndeterminada" />
|
|
<Label htmlFor="validadeIndeterminada" className="text-sm text-gray-700">
|
|
Validade Indeterminada
|
|
</Label>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<div className="flex justify-end gap-4">
|
|
<Link href="/secretary/pacientes">
|
|
<Button variant="outline" type="button">
|
|
Cancelar
|
|
</Button>
|
|
</Link>
|
|
<Button type="submit" className="bg-blue-600 hover:bg-blue-700" disabled={isLoading}>
|
|
{isLoading ? "Salvando..." : "Salvar Paciente"}
|
|
</Button>
|
|
</div>
|
|
</form>
|
|
</div>
|
|
</SecretaryLayout>
|
|
);
|
|
}
|