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http from \"./core\";\r\n\r\nexport default {\r\n  async query(filter) {\r\n    const result = await http.post(`api/portal/ScheduleEvents`, filter);\r\n    return result.data;\r\n  },\r\n  async setCheckedIn(id, data) {\r\n    const result = await http.patch(\r\n      `api/portal/ScheduleEvents/SetCheckedIn/${id}`,\r\n      data\r\n    );\r\n    return result.data;\r\n  },\r\n  async cancelAppointment(id, scheduleEventId) {\r\n    const result = await http.patch(\r\n      `api/portal/ScheduleEvents/CancelAppointment/${id}/${scheduleEventId}`\r\n    );\r\n    return result.data;\r\n  },\r\n  async isPatientOutstandingBalance(id) {\r\n    const result = await http.get(\r\n      `api/portal/ScheduleEvents/IsPatientOutstandingBalance/${id}`\r\n    );\r\n    return result.data;\r\n  },\r\n  async getEventsByEoc(eocId) {\r\n    return await http.get(`api/portal/ScheduleEvents/GetEventsByEoc/${eocId}`);\r\n  }\r\n};\r\n","var render = function render(){var _vm=this,_c=_vm._self._c;return _c('vue-tel-input',{ref:\"telInput\",attrs:{\"autoDefaultCountry\":false,\"defaultCountry\":_vm.defaultCountry,\"inputOptions\":_vm.inputOptions,\"preferredCountries\":['US'],\"validCharactersOnly\":true},model:{value:(_vm.computedValue),callback:function ($$v) {_vm.computedValue=$$v},expression:\"computedValue\"}})\n}\nvar staticRenderFns = []\n\nexport { render, staticRenderFns }","<template>\r\n  <vue-tel-input\r\n    ref=\"telInput\"\r\n    v-model=\"computedValue\"\r\n    :autoDefaultCountry=\"false\"\r\n    :defaultCountry=\"defaultCountry\"\r\n    :inputOptions=\"inputOptions\"\r\n    :preferredCountries=\"['US']\"\r\n    :validCharactersOnly=\"true\"\r\n  ></vue-tel-input>\r\n</template>\r\n\r\n<script>\r\nexport default {\r\n  name: \"PhoneInput\",\r\n  props: [\"value\", \"defaultCountry\"],\r\n  data() {\r\n    return {\r\n      inputOptions: {\r\n        placeholder: \"Enter the phone number\",\r\n        showDialCode: true,\r\n        styleClasses: \"form-control\"\r\n      }\r\n    };\r\n  },\r\n  computed: {\r\n    computedValue: {\r\n      get() {\r\n        return this.value || \"+1\";\r\n      },\r\n      set(newValue) {\r\n        this.$emit(\"input\", newValue);\r\n      }\r\n    }\r\n  },\r\n  watch: {\r\n    computedValue: {\r\n      handler(dialCode) {\r\n        const dialc = this.$refs.telInput.allCountries.filter(\r\n          country => country.dialCode === dialCode.substr(1)\r\n        );\r\n        if (dialc.length > 0) {\r\n          this.$refs.telInput.choose(\r\n            dialc.filter(\r\n              item => item.iso2 === this.$refs.telInput.preferredCountries[0]\r\n            ).length > 0\r\n              ? \"US\"\r\n              : dialc[0].iso2\r\n          );\r\n        }\r\n      },\r\n      deep: true\r\n    }\r\n  }\r\n};\r\n</script>\r\n\r\n<style></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!./PhoneInput.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!./PhoneInput.vue?vue&type=script&lang=js&\"","import { render, staticRenderFns } from \"./PhoneInput.vue?vue&type=template&id=7af1dc7d&\"\nimport script from \"./PhoneInput.vue?vue&type=script&lang=js&\"\nexport * from \"./PhoneInput.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","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!./LoadingOverlay.vue?vue&type=style&index=0&id=7d97db7b&prod&scoped=true&lang=css&\"","var render = function render(){var _vm=this,_c=_vm._self._c;return _c('layout',[_c('div',{staticClass:\"container my-4\"},[(_vm.submitting)?_c('loading-overlay'):_vm._e(),_vm._v(\" \"),_c('div',{staticClass:\"row\"},[_c('div',{staticClass:\"col-md-12\"},[_c('b-card',[(!_vm.ready)?_c('div',{staticClass:\"d-flex flex-column align-items-center mt-4 mb-4\"},[_c('b-spinner',{staticStyle:{\"width\":\"4rem\",\"height\":\"4rem\"},attrs:{\"variant\":\"primary\",\"label\":\"Spinning\"}})],1):_vm._e(),_vm._v(\" \"),(_vm.ready)?_c('div',{staticClass:\"document-toolbar\"},[_c('div',[_c('b-button',{staticClass:\"font-weight-bold\",attrs:{\"variant\":\"link\",\"size\":\"sm\"},on:{\"click\":function($event){return _vm.goBack()}}},[_c('i',{staticClass:\"fa fa-arrow-left\"}),_vm._v(\"\\n                Back\\n              \")])],1),_vm._v(\" \"),_c('div',[_vm._v(\"\\n              \"+_vm._s(_vm.formComputed.name)+\"\\n              \"+_vm._s(_vm.sharedDocument.sentBy\n                  ? `Sent by ${_vm.sharedDocument.sentBy?.fullName} On`\n                  : ``)+\"\\n              \"+_vm._s(_vm._f(\"formatDate\")(_vm.sharedDocument.sentAt))+\"\\n            \")]),_vm._v(\" \"),(_vm.sharedDocument.readOnly)?_c('div',[_c('i',{staticClass:\"fa fa-print\"}),_vm._v(\" \"),_c('b-link',{on:{\"click\":_vm.printCustom}},[_vm._v(\" Print\")])],1):_vm._e()]):_vm._e(),_vm._v(\" \"),(_vm.ready && _vm.isActionRequired)?_c('b-row',[_c('b-col',[(_vm.form)?_c('div',{staticClass:\"text-center document-container\"},[_c('div',{staticClass:\"builder w-100\"},[(_vm.preFormComponent)?_c('div',{staticClass:\"text-left\"},[_c(_vm.preFormComponent,{ref:\"preFormComponent\",tag:\"component\",attrs:{\"documentId\":_vm.sharedDocument.document?.id,\"eocId\":_vm.sharedDocument.episodeOfCareId ?? null}})],1):_vm._e(),_vm._v(\" \"),_c('fb-form-viewer',{ref:\"formViewer\",attrs:{\"json\":_vm.json.layout,\"showType\":\"e-form\"},on:{\"updateTotalPages\":n => (_vm.totalPages = n)}})],1)]):_vm._e(),_vm._v(\" \"),_c('div',{staticClass:\"d-flex justify-content-between\"},[(_vm.isActionRequired)?_c('b-button',{attrs:{\"disabled\":_vm.submitting,\"size\":\"sm\",\"variant\":\"primary\"},on:{\"click\":function($event){return _vm.submitForm()}}},[_vm._v(\"\\n                  Complete and Submit\\n                \")]):_vm._e(),_vm._v(\" \"),(_vm.validationErrorMessage)?_c('div',{staticClass:\"text-danger text-left\"},[_vm._v(\"\\n                  \"+_vm._s(_vm.validationErrorMessage)+\"\\n                \")]):_vm._e()],1)])],1):_vm._e(),_vm._v(\" \"),(!_vm.isActionRequired)?_c('b-row',{directives:[{name:\"html-sanitize\",rawName:\"v-html-sanitize\",value:(_vm.documentRendered),expression:\"documentRendered\"}],staticClass:\"document-render-container mt-4\"}):_vm._e()],1)],1)])],1)])\n}\nvar staticRenderFns = []\n\nexport { render, staticRenderFns }","import api from \"./core\";\r\n\r\nconst basePath = \"api/portal/Forms\";\r\n\r\nexport default {\r\n  async get(id) {\r\n    const result = await api.get(`${basePath}/${id}`);\r\n    return result.data;\r\n  },\r\n  async getVersions(id) {\r\n    const result = await api.get(`${basePath}/${id}/Versions`);\r\n    return result.data;\r\n  }\r\n};\r\n","import api from \"./core\";\r\n\r\nconst basePath = \"api/portal/Versions\";\r\n\r\nexport default {\r\n  async get(id) {\r\n    const result = await api.get(`${basePath}/${id}`);\r\n    return result.data;\r\n  },\r\n  async query(formId) {\r\n    const result = await api.post(`${basePath}/${formId}`);\r\n    return result.data;\r\n  }\r\n};\r\n","var render = function render(){var _vm=this,_c=_vm._self._c;return _c('div',[_c('b-form-group',{attrs:{\"label\":\"1. Client Information\"}},[_c('p',{staticClass:\"my-1\"},[_c('span',{staticClass:\"font-weight-bold\"},[_vm._v(\"Legal Name: \")]),_vm._v(_vm._s(_vm._f(\"formatClient\")(_vm.patient?.patient))+\"\\n    \")]),_vm._v(\" \"),_c('p',{staticClass:\"my-1\"},[_c('span',{staticClass:\"font-weight-bold\"},[_vm._v(\"DOB: \")]),_vm._v(_vm._s(_vm.formatDateOnly(_vm.patient.patient.dateOfBirth))+\"\\n    \")])]),_vm._v(\" \"),_c('b-form-group',{attrs:{\"label\":\"2. I give my permission to the clinic and professional(s) stated below\"}},[_c('p',{staticClass:\"my-0\"},[_vm._v(_vm._s(_vm.systemSettings.organizationName))]),_vm._v(\" \"),_c('p',{staticClass:\"my-0\"},[_vm._v(\"\\n      \"+_vm._s(_vm.getOrganizationInfo)+\"\\n    \")])]),_vm._v(\" \"),_c('b-form-group',{attrs:{\"label\":\"Attention (optional):\"}},[_c('b-input',{staticClass:\"mt-2 mb-0\",model:{value:(_vm.attention),callback:function ($$v) {_vm.attention=$$v},expression:\"attention\"}}),_vm._v(\" \"),_c('small',{},[_vm._v(\"Specify name(s) of provider(s) you are working with\")])],1),_vm._v(\" \"),_c('b-form-group',{attrs:{\"label\":\"3. To:\"}},[_c('b-form-radio-group',{attrs:{\"name\":\"release-to\",\"options\":_vm.releaseToOptions,\"stacked\":\"\",\"state\":_vm.errors.releaseTo.length == 0 ? null : false,\"invalid-feedback\":_vm.errors.releaseTo.join(', ')},model:{value:(_vm.releaseTo),callback:function ($$v) {_vm.releaseTo=$$v},expression:\"releaseTo\"}}),_vm._v(\" \"),_c('b-form-group',{staticClass:\"mt-3\",attrs:{\"label\":\"Entity\",\"state\":_vm.errors.entity.length == 0 ? null : false,\"invalid-feedback\":_vm.errors.entity.join(', ')}},[_c('b-form-radio-group',{attrs:{\"name\":\"entity\",\"options\":_vm.entityOptions,\"plain\":\"\"},model:{value:(_vm.entity),callback:function ($$v) {_vm.entity=$$v},expression:\"entity\"}})],1),_vm._v(\" \"),_c('b-form-group',{directives:[{name:\"show\",rawName:\"v-show\",value:(_vm.entity == 0),expression:\"entity == 0\"}],staticClass:\"mt-3\",attrs:{\"label\":\"Entity\"}},[_c('v-select',{attrs:{\"options\":_vm.releaseToContactOptions},on:{\"input\":function($event){return _vm.getContactData()}},model:{value:(_vm.contact),callback:function ($$v) {_vm.contact=$$v},expression:\"contact\"}}),_vm._v(\" \"),_c('b-form-group',{staticClass:\"mt-3\",attrs:{\"label\":\"Contact Information\"}},[_c('b-row',{staticClass:\"mb-3\"},[_c('b-col',[_c('small',[_vm._v(\"Full Name \"),_c('span',{staticClass:\"text-red\"},[_vm._v(\"*\")])]),_vm._v(\" \"),_c('b-form-input',{attrs:{\"state\":_vm.errors.contact.name.length == 0 ? null : false,\"aria-describedby\":\"input-full-name-error\"},model:{value:(_vm.contactFullName),callback:function ($$v) {_vm.contactFullName=$$v},expression:\"contactFullName\"}}),_vm._v(\" \"),_c('b-form-invalid-feedback',{staticClass:\"text-red\",attrs:{\"id\":\"input-full-name-error\"}},[_vm._v(\"\\n              \"+_vm._s(_vm.errors.contact.name.join(\", \"))+\"\\n            \")])],1),_vm._v(\" \"),_c('b-col',[_c('small',[_vm._v(\"Relationship\")]),_vm._v(\" \"),_c('v-select',{attrs:{\"options\":_vm.relationships,\"disabled\":_vm.contact?.value != 0},model:{value:(_vm.contactRelationship),callback:function ($$v) {_vm.contactRelationship=$$v},expression:\"contactRelationship\"}})],1)],1),_vm._v(\" \"),_c('b-row',{staticClass:\"mb-3\"},[_c('b-col',[_c('small',[_vm._v(\"Email\")]),_vm._v(\" \"),_c('b-form-input',{attrs:{\"state\":_vm.errors.contact.email.length == 0 ? null : false,\"aria-describedby\":\"input-email-error\"},model:{value:(_vm.contactEmail),callback:function ($$v) {_vm.contactEmail=$$v},expression:\"contactEmail\"}}),_vm._v(\" \"),_c('b-form-invalid-feedback',{staticClass:\"text-red\",attrs:{\"id\":\"input-email-error\"}},[_vm._v(\"\\n              \"+_vm._s(_vm.errors.contact.email.join(\", \"))+\"\\n            \")])],1),_vm._v(\" \"),_c('b-col',[_c('small',[_vm._v(\"Mobile Phone Number\")]),_vm._v(\" \"),_c('phone-input',{ref:\"contactPhoneInput\",attrs:{\"defaultCountry\":\"US\",\"trim\":\"\",\"state\":_vm.errors.contact.phone.length == 0 ? null : false,\"aria-describedby\":\"input-phone-error\"},model:{value:(_vm.contactPhone),callback:function ($$v) {_vm.contactPhone=$$v},expression:\"contactPhone\"}}),_vm._v(\" \"),_c('b-form-invalid-feedback',{staticClass:\"text-red\",attrs:{\"id\":\"input-phone-error\"}},[_vm._v(\"\\n              \"+_vm._s(_vm.errors.contact.phone.join(\", \"))+\"\\n            \")])],1)],1),_vm._v(\" \"),_c('b-row',{staticClass:\"mb-3\"},[_c('b-col',[_c('small',[_vm._v(\"Street Address\")]),_vm._v(\" \"),_c('b-form-input',{model:{value:(_vm.contactStreet),callback:function ($$v) {_vm.contactStreet=$$v},expression:\"contactStreet\"}})],1),_vm._v(\" \"),_c('b-col',[_c('small',[_vm._v(\"City\")]),_vm._v(\" \"),_c('b-form-input',{model:{value:(_vm.contactCity),callback:function ($$v) {_vm.contactCity=$$v},expression:\"contactCity\"}})],1)],1),_vm._v(\" \"),_c('b-row',{staticClass:\"mb-3\"},[_c('b-col',[_c('small',[_vm._v(\"Zip Code\")]),_vm._v(\" \"),_c('b-form-input',{model:{value:(_vm.contactZipcode),callback:function ($$v) {_vm.contactZipcode=$$v},expression:\"contactZipcode\"}})],1),_vm._v(\" \"),_c('b-col',[_c('small',[_vm._v(\"State\")]),_vm._v(\" \"),_c('v-select',{attrs:{\"options\":_vm.states,\"disabled\":_vm.contact?.value != 0},model:{value:(_vm.contactState),callback:function ($$v) {_vm.contactState=$$v},expression:\"contactState\"}})],1)],1)],1)],1),_vm._v(\" \"),_c('b-form-group',{directives:[{name:\"show\",rawName:\"v-show\",value:(_vm.entity == 1),expression:\"entity == 1\"}],staticClass:\"mt-3\"},[_c('b-row',{staticClass:\"mb-3\"},[_c('b-col',[_c('small',[_vm._v(\"Organization/Agency Name\")]),_vm._v(\" \"),_c('b-form-input',{attrs:{\"state\":_vm.errors.other.name.length == 0 ? null : false,\"aria-describedby\":\"input-other-name-error\"},model:{value:(_vm.otherName),callback:function ($$v) {_vm.otherName=$$v},expression:\"otherName\"}}),_vm._v(\" \"),_c('b-form-invalid-feedback',{staticClass:\"text-red\",attrs:{\"id\":\"input-other-name-error\"}},[_vm._v(\"\\n            \"+_vm._s(_vm.errors.other.name.join(\", \"))+\"\\n          \")])],1),_vm._v(\" \"),_c('b-col',[_c('small',[_vm._v(\"Attention (Optional)\")]),_vm._v(\" \"),_c('b-form-input',{model:{value:(_vm.otherAttention),callback:function ($$v) {_vm.otherAttention=$$v},expression:\"otherAttention\"}})],1)],1),_vm._v(\" \"),_c('b-row',{staticClass:\"mb-3\"},[_c('b-col',[_c('small',[_vm._v(\"Email\")]),_vm._v(\" \"),_c('b-form-input',{attrs:{\"state\":_vm.errors.other.email.length == 0 ? null : false,\"aria-describedby\":\"input-other-email-error\"},model:{value:(_vm.otherEmail),callback:function ($$v) {_vm.otherEmail=$$v},expression:\"otherEmail\"}}),_vm._v(\" \"),_c('b-form-invalid-feedback',{staticClass:\"text-red\",attrs:{\"id\":\"input-other-email-error\"}},[_vm._v(\"\\n            \"+_vm._s(_vm.errors.other.email.join(\", \"))+\"\\n          \")])],1),_vm._v(\" \"),_c('b-col',[_c('small',[_vm._v(\"Phone\")]),_vm._v(\" \"),_c('phone-input',{ref:\"otherPhoneInput\",attrs:{\"defaultCountry\":\"US\",\"trim\":\"\",\"state\":_vm.errors.other.phone.length == 0 ? null : false,\"aria-describedby\":\"input-other-phone-error\"},model:{value:(_vm.otherPhone),callback:function ($$v) {_vm.otherPhone=$$v},expression:\"otherPhone\"}}),_vm._v(\" \"),_c('b-form-invalid-feedback',{staticClass:\"text-red\",attrs:{\"id\":\"input-other-phone-error\"}},[_vm._v(\"\\n            \"+_vm._s(_vm.errors.other.phone.join(\", \"))+\"\\n          \")])],1)],1),_vm._v(\" \"),_c('b-row',{staticClass:\"mb-3\"},[_c('b-col',[_c('small',[_vm._v(\"Address\")]),_vm._v(\" \"),_c('b-form-input',{attrs:{\"state\":_vm.errors.other.address.length == 0 ? null : false,\"aria-describedby\":\"input-other-address-error\"},model:{value:(_vm.otherAddress),callback:function ($$v) {_vm.otherAddress=$$v},expression:\"otherAddress\"}}),_vm._v(\" \"),_c('b-form-invalid-feedback',{staticClass:\"text-red\",attrs:{\"id\":\"input-other-address-error\"}},[_vm._v(\"\\n            \"+_vm._s(_vm.errors.other.address.join(\", \"))+\"\\n          \")])],1),_vm._v(\" \"),_c('b-col',[_c('small',[_vm._v(\"Fax\")]),_vm._v(\" \"),_c('phone-input',{ref:\"contactPhoneInput\",attrs:{\"defaultCountry\":\"US\",\"trim\":\"\",\"state\":_vm.errors.other.fax.length == 0 ? null : false,\"aria-describedby\":\"input-other-fax-error\"},model:{value:(_vm.otherFax),callback:function ($$v) {_vm.otherFax=$$v},expression:\"otherFax\"}}),_vm._v(\" \"),_c('b-form-invalid-feedback',{staticClass:\"text-red\",attrs:{\"id\":\"input-other-fax-error\"}},[_vm._v(\"\\n            \"+_vm._s(_vm.errors.other.fax.join(\", \"))+\"\\n          \")])],1)],1)],1)],1),_vm._v(\" \"),_c('b-form-group',{attrs:{\"label\":\"4. Expiration Date*\",\"state\":_vm.errors.expirationDate.length == 0 ? null : false,\"invalid-feedback\":_vm.errors.expirationDate.join(', ')}},[_c('date-picker',{attrs:{\"errors\":_vm.errors.expirationDate},model:{value:(_vm.expirationDate),callback:function ($$v) {_vm.expirationDate=$$v},expression:\"expirationDate\"}})],1)],1)\n}\nvar staticRenderFns = []\n\nexport { render, staticRenderFns }","import api from \"./core\";\r\n\r\nconst basePath = \"api/portal/PatientContacts\";\r\n\r\nexport default {\r\n  get(patientId) {\r\n    return api.post(`${basePath}/${patientId}`);\r\n  },\r\n  create(data, extraHeaders = {}) {\r\n    return api.put(`${basePath}`, data, extraHeaders);\r\n  }\r\n};\r\n","import api from \"./core\";\r\n\r\nconst basePath = \"api/portal/ReleaseOfInformation\";\r\n\r\nexport default {\r\n  getFromDocument(documentId) {\r\n    return api.get(`${basePath}/${documentId}`);\r\n  },\r\n  update(id, data) {\r\n    return api.patch(`${basePath}/${id}`, data);\r\n  },\r\n  create(data) {\r\n    return api.put(`${basePath}`, data);\r\n  }\r\n};\r\n","<template>\r\n  <div>\r\n    <b-form-group label=\"1. Client Information\">\r\n      <p class=\"my-1\">\r\n        <span class=\"font-weight-bold\">Legal Name: </span\r\n        >{{ patient?.patient | formatClient }}\r\n      </p>\r\n      <p class=\"my-1\">\r\n        <span class=\"font-weight-bold\">DOB: </span\r\n        >{{ formatDateOnly(patient.patient.dateOfBirth) }}\r\n      </p>\r\n    </b-form-group>\r\n    <b-form-group\r\n      label=\"2. I give my permission to the clinic and professional(s) stated below\"\r\n    >\r\n      <p class=\"my-0\">{{ systemSettings.organizationName }}</p>\r\n      <p class=\"my-0\">\r\n        {{ getOrganizationInfo }}\r\n      </p>\r\n    </b-form-group>\r\n    <b-form-group label=\"Attention (optional):\">\r\n      <b-input class=\"mt-2 mb-0\" v-model=\"attention\" />\r\n      <small class=\"\"\r\n        >Specify name(s) of provider(s) you are working with</small\r\n      >\r\n    </b-form-group>\r\n    <b-form-group label=\"3. To:\">\r\n      <b-form-radio-group\r\n        name=\"release-to\"\r\n        v-model=\"releaseTo\"\r\n        :options=\"releaseToOptions\"\r\n        stacked\r\n        :state=\"errors.releaseTo.length == 0 ? null : false\"\r\n        :invalid-feedback=\"errors.releaseTo.join(', ')\"\r\n      />\r\n      <b-form-group\r\n        label=\"Entity\"\r\n        class=\"mt-3\"\r\n        :state=\"errors.entity.length == 0 ? null : false\"\r\n        :invalid-feedback=\"errors.entity.join(', ')\"\r\n      >\r\n        <b-form-radio-group\r\n          name=\"entity\"\r\n          v-model=\"entity\"\r\n          :options=\"entityOptions\"\r\n          plain\r\n        />\r\n      </b-form-group>\r\n      <b-form-group v-show=\"entity == 0\" label=\"Entity\" class=\"mt-3\">\r\n        <v-select\r\n          v-model=\"contact\"\r\n          :options=\"releaseToContactOptions\"\r\n          @input=\"getContactData()\"\r\n        />\r\n        <b-form-group label=\"Contact Information\" class=\"mt-3\">\r\n          <b-row class=\"mb-3\">\r\n            <b-col>\r\n              <small>Full Name <span class=\"text-red\">*</span></small>\r\n              <b-form-input\r\n                :state=\"errors.contact.name.length == 0 ? null : false\"\r\n                v-model=\"contactFullName\"\r\n                aria-describedby=\"input-full-name-error\"\r\n              />\r\n              <b-form-invalid-feedback\r\n                id=\"input-full-name-error\"\r\n                class=\"text-red\"\r\n              >\r\n                {{ errors.contact.name.join(\", \") }}\r\n              </b-form-invalid-feedback>\r\n            </b-col>\r\n            <b-col>\r\n              <small>Relationship</small>\r\n              <v-select\r\n                v-model=\"contactRelationship\"\r\n                :options=\"relationships\"\r\n                :disabled=\"contact?.value != 0\"\r\n              />\r\n            </b-col>\r\n          </b-row>\r\n          <b-row class=\"mb-3\">\r\n            <b-col>\r\n              <small>Email</small>\r\n              <b-form-input\r\n                v-model=\"contactEmail\"\r\n                :state=\"errors.contact.email.length == 0 ? null : false\"\r\n                aria-describedby=\"input-email-error\"\r\n              />\r\n              <b-form-invalid-feedback id=\"input-email-error\" class=\"text-red\">\r\n                {{ errors.contact.email.join(\", \") }}\r\n              </b-form-invalid-feedback>\r\n            </b-col>\r\n            <b-col>\r\n              <small>Mobile Phone Number</small>\r\n              <phone-input\r\n                ref=\"contactPhoneInput\"\r\n                defaultCountry=\"US\"\r\n                v-model=\"contactPhone\"\r\n                trim\r\n                :state=\"errors.contact.phone.length == 0 ? null : false\"\r\n                aria-describedby=\"input-phone-error\"\r\n              ></phone-input>\r\n              <b-form-invalid-feedback id=\"input-phone-error\" class=\"text-red\">\r\n                {{ errors.contact.phone.join(\", \") }}\r\n              </b-form-invalid-feedback>\r\n            </b-col>\r\n          </b-row>\r\n          <b-row class=\"mb-3\">\r\n            <b-col>\r\n              <small>Street Address</small>\r\n              <b-form-input v-model=\"contactStreet\" />\r\n            </b-col>\r\n            <b-col>\r\n              <small>City</small>\r\n              <b-form-input v-model=\"contactCity\" />\r\n            </b-col>\r\n          </b-row>\r\n          <b-row class=\"mb-3\">\r\n            <b-col>\r\n              <small>Zip Code</small>\r\n              <b-form-input v-model=\"contactZipcode\" />\r\n            </b-col>\r\n            <b-col>\r\n              <small>State</small>\r\n              <v-select\r\n                v-model=\"contactState\"\r\n                :options=\"states\"\r\n                :disabled=\"contact?.value != 0\"\r\n              />\r\n            </b-col>\r\n          </b-row>\r\n        </b-form-group>\r\n      </b-form-group>\r\n      <b-form-group v-show=\"entity == 1\" class=\"mt-3\">\r\n        <b-row class=\"mb-3\">\r\n          <b-col>\r\n            <small>Organization/Agency Name</small>\r\n            <b-form-input\r\n              v-model=\"otherName\"\r\n              :state=\"errors.other.name.length == 0 ? null : false\"\r\n              aria-describedby=\"input-other-name-error\"\r\n            />\r\n            <b-form-invalid-feedback\r\n              id=\"input-other-name-error\"\r\n              class=\"text-red\"\r\n            >\r\n              {{ errors.other.name.join(\", \") }}\r\n            </b-form-invalid-feedback>\r\n          </b-col>\r\n          <b-col>\r\n            <small>Attention (Optional)</small>\r\n            <b-form-input v-model=\"otherAttention\" />\r\n          </b-col>\r\n        </b-row>\r\n        <b-row class=\"mb-3\">\r\n          <b-col>\r\n            <small>Email</small>\r\n            <b-form-input\r\n              v-model=\"otherEmail\"\r\n              :state=\"errors.other.email.length == 0 ? null : false\"\r\n              aria-describedby=\"input-other-email-error\"\r\n            />\r\n            <b-form-invalid-feedback\r\n              id=\"input-other-email-error\"\r\n              class=\"text-red\"\r\n            >\r\n              {{ errors.other.email.join(\", \") }}\r\n            </b-form-invalid-feedback>\r\n          </b-col>\r\n          <b-col>\r\n            <small>Phone</small>\r\n            <phone-input\r\n              ref=\"otherPhoneInput\"\r\n              defaultCountry=\"US\"\r\n              v-model=\"otherPhone\"\r\n              trim\r\n              :state=\"errors.other.phone.length == 0 ? null : false\"\r\n              aria-describedby=\"input-other-phone-error\"\r\n            ></phone-input>\r\n            <b-form-invalid-feedback\r\n              id=\"input-other-phone-error\"\r\n              class=\"text-red\"\r\n            >\r\n              {{ errors.other.phone.join(\", \") }}\r\n            </b-form-invalid-feedback>\r\n          </b-col>\r\n        </b-row>\r\n        <b-row class=\"mb-3\">\r\n          <b-col>\r\n            <small>Address</small>\r\n            <b-form-input\r\n              v-model=\"otherAddress\"\r\n              :state=\"errors.other.address.length == 0 ? null : false\"\r\n              aria-describedby=\"input-other-address-error\"\r\n            />\r\n            <b-form-invalid-feedback\r\n              id=\"input-other-address-error\"\r\n              class=\"text-red\"\r\n            >\r\n              {{ errors.other.address.join(\", \") }}\r\n            </b-form-invalid-feedback>\r\n          </b-col>\r\n          <b-col>\r\n            <small>Fax</small>\r\n            <phone-input\r\n              ref=\"contactPhoneInput\"\r\n              defaultCountry=\"US\"\r\n              v-model=\"otherFax\"\r\n              trim\r\n              :state=\"errors.other.fax.length == 0 ? null : false\"\r\n              aria-describedby=\"input-other-fax-error\"\r\n            ></phone-input>\r\n            <b-form-invalid-feedback\r\n              id=\"input-other-fax-error\"\r\n              class=\"text-red\"\r\n            >\r\n              {{ errors.other.fax.join(\", \") }}\r\n            </b-form-invalid-feedback>\r\n          </b-col>\r\n        </b-row>\r\n      </b-form-group>\r\n    </b-form-group>\r\n    <b-form-group\r\n      label=\"4. Expiration Date*\"\r\n      :state=\"errors.expirationDate.length == 0 ? null : false\"\r\n      :invalid-feedback=\"errors.expirationDate.join(', ')\"\r\n    >\r\n      <date-picker v-model=\"expirationDate\" :errors=\"errors.expirationDate\" />\r\n    </b-form-group>\r\n  </div>\r\n</template>\r\n<script>\r\nimport { mapActions, mapState } from \"vuex\";\r\nimport systemSettingService from \"../../server/systemSettings\";\r\nimport eocService from \"../../server/eoc\";\r\nimport patientContactsServer from \"../../server/patientContacts\";\r\nimport releaseOfInformationServer from \"../../server/releaseOfInformation\";\r\nimport DatePicker from \"../controls/DatePicker\";\r\nimport PhoneInput from \"../controls/PhoneInput.vue\";\r\nimport { validateEmail, validatePhoneNumber } from \"../../helpers/validation\";\r\n\r\nexport default {\r\n  name: \"DocumentReleaseOfInformation\",\r\n  components: {\r\n    DatePicker,\r\n    PhoneInput\r\n  },\r\n  props: [\"documentId\", \"documentStatus\", \"effectiveDateTime\", \"eocId\", \"save\"],\r\n  data() {\r\n    return {\r\n      errors: {\r\n        releaseTo: [],\r\n        entity: [],\r\n        expirationDate: [],\r\n        contact: {\r\n          name: [],\r\n          phone: [],\r\n          email: []\r\n        },\r\n        other: {\r\n          name: [],\r\n          phone: [],\r\n          email: [],\r\n          address: [],\r\n          fax: []\r\n        }\r\n      },\r\n      releaseTo: null,\r\n      entity: null,\r\n      releaseToOptions: [\r\n        { value: 0, text: \"Obtain Information From\" },\r\n        { value: 1, text: \"Disclose Information To\" },\r\n        { value: 2, text: \"Exchange Information With\" }\r\n      ],\r\n      entityOptions: [\r\n        { value: 0, text: \"Contact\" },\r\n        { value: 1, text: \"Other\" }\r\n      ],\r\n      contact: null,\r\n      attention: null,\r\n      releaseToContactOptions: [],\r\n      contactFullName: null,\r\n      contactRelationship: null,\r\n      contactEmail: null,\r\n      contactPhone: null,\r\n      contactStreet: null,\r\n      contactCity: null,\r\n      contactZipcode: null,\r\n      contactState: null,\r\n      otherName: null,\r\n      otherAttention: null,\r\n      otherEmail: null,\r\n      otherPhone: null,\r\n      otherAddress: null,\r\n      otherFax: null,\r\n      systemSettings: null,\r\n      patient: null,\r\n      formId: null,\r\n      expirationDate: null\r\n    };\r\n  },\r\n  async mounted() {\r\n    await this.fetchRelationships();\r\n    await this.fetchStates();\r\n    await this.fetchCurrentUser();\r\n    const sysSettings = await systemSettingService.get();\r\n    this.systemSettings = sysSettings.data;\r\n    this.patient = this.eocId\r\n      ? await eocService.get(this.eocId)\r\n      : this.currentUser;\r\n    await this.fetchReleaseToContactOptions();\r\n    await this.fecthReleaseOfInformation();\r\n    this.setExpirationDateForSharedEmptyROI();\r\n  },\r\n  methods: {\r\n    ...mapActions(\"client\", [\"fetchRelationships\", \"fetchStates\"]),\r\n    ...mapActions(\"layout\", [\"fetchCurrentUser\"]),\r\n    async fetchReleaseToContactOptions() {\r\n      this.releaseToContactOptions = [];\r\n      const contacts = await patientContactsServer.get(this.patient.patientId);\r\n      this.releaseToContactOptions = contacts.data.map(x => ({\r\n        value: x.id,\r\n        label: `${x.name} ${\r\n          x.relationship ? \"(\" + x.relationship.name + \")\" : \"\"\r\n        }`,\r\n        data: x\r\n      }));\r\n      this.releaseToContactOptions.unshift({ value: 0, label: \"New Contact\" });\r\n      this.contact = this.releaseToContactOptions[0];\r\n    },\r\n    async fecthReleaseOfInformation() {\r\n      if (this.documentId) {\r\n        const releaseOfInformation = await releaseOfInformationServer.getFromDocument(\r\n          this.documentId\r\n        );\r\n        if (releaseOfInformation.data != null) {\r\n          this.formId = releaseOfInformation.data.id;\r\n          this.releaseTo =\r\n            releaseOfInformation.data.toType == \"ObtainInformationFrom\"\r\n              ? 0\r\n              : releaseOfInformation.data.toType == \"DiscloseInformationTo\"\r\n              ? 1\r\n              : 2;\r\n          this.entity = releaseOfInformation.data.toEntity == \"Contact\" ? 0 : 1;\r\n\r\n          if (releaseOfInformation.data.toPatientContact) {\r\n            this.contact = this.releaseToContactOptions.find(\r\n              x => x.value == releaseOfInformation.data.toPatientContact.id\r\n            );\r\n            const patientcontacts = await patientContactsServer.get(\r\n              releaseOfInformation.data.toPatientContact.patientId\r\n            );\r\n            const contactInfo = patientcontacts.data.find(\r\n              x => x.id == releaseOfInformation.data.toPatientContact.id\r\n            );\r\n            this.contactFullName = contactInfo.name ?? \"\";\r\n            this.contactRelationship = this.contact.data.relationship\r\n              ? this.relationships.find(\r\n                  x => x.value == this.contact.data.relationship.id\r\n                )\r\n              : \"\";\r\n            this.contactEmail = contactInfo.email ?? \"\";\r\n            this.contactPhone = contactInfo.phone ?? \"\";\r\n            this.contactStreet = contactInfo.address ?? \"\";\r\n            this.contactCity = contactInfo.city ?? \"\";\r\n            this.contactZipcode = contactInfo.zipCode ?? \"\";\r\n            this.contactState = this.contact.data.state\r\n              ? this.states.find(x => x.value == this.contact.data.state.id)\r\n              : \"\";\r\n          } else {\r\n            this.otherName = releaseOfInformation.data.toOrganizationName ?? \"\";\r\n            this.otherAttention =\r\n              releaseOfInformation.data.toOrganizationAttention ?? \"\";\r\n            this.otherEmail =\r\n              releaseOfInformation.data.toOrganizationEmail ?? \"\";\r\n            this.otherPhone =\r\n              releaseOfInformation.data.toOrganizationPhone ?? \"\";\r\n            this.otherAddress =\r\n              releaseOfInformation.data.toOrganizationAddress ?? \"\";\r\n            this.otherFax = releaseOfInformation.data.toOrganizationFax ?? \"\";\r\n          }\r\n          this.attention = releaseOfInformation.data.attention ?? \"\";\r\n          this.expirationDate = this.formatDateOnly(\r\n            releaseOfInformation.data.expirationDate\r\n          );\r\n        }\r\n      }\r\n    },\r\n    cleanContactData() {\r\n      this.contactFullName = null;\r\n      this.contactRelationship = null;\r\n      this.contactEmail = null;\r\n      this.contactPhone = null;\r\n      this.contactStreet = null;\r\n      this.contactCity = null;\r\n      this.contactZipcode = null;\r\n      this.contactState = null;\r\n    },\r\n    getContactData() {\r\n      if (this.contact.value != 0) {\r\n        const contactData = this.contact.data;\r\n        this.cleanContactData();\r\n        this.contactFullName = contactData.name;\r\n        this.contactRelationship = contactData.relationship\r\n          ? this.relationships.find(x => x.value == contactData.relationship.id)\r\n          : \"\";\r\n        this.contactEmail = contactData.email;\r\n        this.contactPhone = contactData.phone;\r\n        this.contactStreet = contactData.address;\r\n        this.contactCity = contactData.city;\r\n        this.contactZipcode = contactData.zipCode;\r\n        this.contactState = contactData.state\r\n          ? this.states.find(x => x.value == contactData.state.id)\r\n          : \"\";\r\n      }\r\n    },\r\n    isEmailContact(email) {\r\n      const contactEmails = this.releaseToContactOptions.map(contact => contact.data?.email);\r\n      return contactEmails.indexOf(email) >= 0;\r\n    },\r\n    isPhoneContact(phone) {\r\n      const contactPhones = this.releaseToContactOptions.map(contact => contact.data?.phone);\r\n      return contactPhones.indexOf(phone) >= 0;\r\n    },\r\n    validateReleaseOfInformationSubmit() {\r\n      let withoutErrors = true;\r\n      this.resetErrors();\r\n      if (this.releaseTo == null) {\r\n        this.errors.releaseTo.push(\"Required field!\");\r\n        withoutErrors = false;\r\n      }\r\n      if (this.entity == null) {\r\n        this.errors.entity.push(\"Required field!\");\r\n        withoutErrors = false;\r\n      }\r\n      if (this.expirationDate == null) {\r\n        this.errors.expirationDate.push(\"Required field!\");\r\n        withoutErrors = false;\r\n      }\r\n      if (this.entity == 0) {\r\n        if (this.contact.value == 0) {\r\n          if (this.contactFullName == null || this.contactFullName == \"\") {\r\n            this.errors.contact.name.push(\"Required Full Name field!\");\r\n            withoutErrors = false;\r\n          }\r\n          if (this.contactEmail) {\r\n            if (validateEmail(this.contactEmail)) {\r\n              if (this.isEmailContact(this.contactEmail) || this.patient.patient.email === this.contactEmail) {\r\n                this.errors.contact.email.push(\r\n                  'This email address is being used by another contact or the patient. Choose \"Other\" under \"Entity\" rather than creating a new contact.'\r\n                );\r\n                withoutErrors = false;\r\n              }\r\n            } else {\r\n              this.errors.contact.email.push(\"Invalid email\");\r\n              withoutErrors = false;\r\n            }\r\n          }\r\n          if (this.contactPhone) {\r\n            if (validatePhoneNumber(this.contactPhone)) {\r\n              if (this.isPhoneContact(this.contactPhone)) {\r\n                this.errors.contact.phone.push(\r\n                  \"This phone is being used by one of the patient's contact\"\r\n                );\r\n                withoutErrors = false;\r\n              }\r\n            } else {\r\n              this.errors.contact.phone.push(\"Invalid phone\");\r\n              withoutErrors = false;\r\n            }\r\n          }\r\n        }\r\n      }\r\n      if (this.entity == 1) {\r\n        if (this.otherName == null || this.otherName == \"\") {\r\n          this.errors.other.name.push(\"Required Name field!\");\r\n          withoutErrors = false;\r\n        }\r\n        if (this.otherEmail) {\r\n          if (!validateEmail(this.otherEmail)) {\r\n            this.errors.other.email.push(\"Invalid email\");\r\n            withoutErrors = false;\r\n          }\r\n        }\r\n        if (\r\n          this.otherPhone != null &&\r\n          this.otherPhone != \"+1\" &&\r\n          !validatePhoneNumber(this.otherPhone)\r\n        ) {\r\n          this.errors.other.phone.push(\"Invalid phone number\");\r\n          withoutErrors = false;\r\n        }\r\n        if (this.otherAddress == null || this.otherAddress == \"\") {\r\n          this.errors.other.address.push(\"Required Address field!\");\r\n          withoutErrors = false;\r\n        }\r\n        if (\r\n          this.otherFax != null &&\r\n          this.otherFax != \"+1\" &&\r\n          !validatePhoneNumber(this.otherFax)\r\n        ) {\r\n          this.errors.other.fax.push(\"Invalid fax number\");\r\n          withoutErrors = false;\r\n        }\r\n      } else {\r\n        if (this.entity == 0) {\r\n          if (this.contact.value == 0) {\r\n            if (this.contactEmail) {\r\n              if (this.isEmailContact(this.contactEmail)) {\r\n                this.errors.contact.email.push(\r\n                  \"This email is being used by one of the patient's contact\"\r\n                );\r\n                withoutErrors = false;\r\n              }\r\n            }\r\n            if (this.contactPhone) {\r\n              if (this.isPhoneContact(this.contactPhone)) {\r\n                this.errors.contact.phone.push(\r\n                  \"This phone is being used by one of the patient's contact\"\r\n                );\r\n                withoutErrors = false;\r\n              }\r\n            }\r\n          }\r\n        }\r\n      }\r\n      return withoutErrors;\r\n    },\r\n    scrolltoErrors() {\r\n      this.submitting = false;\r\n      let firstErrorElement = document.querySelector(\".is-invalid\");\r\n      let topPos = 0;\r\n      while (firstErrorElement && firstErrorElement.toString() != \"NAN\") {\r\n        topPos += firstErrorElement.offsetTop;\r\n        firstErrorElement = firstErrorElement.offsetParent;\r\n      }\r\n      const container = document.querySelector(\".main-container\");\r\n      container.scrollTop = topPos - 155;\r\n    },\r\n    async submitComponentData(documentId) {\r\n      const result = this.validateReleaseOfInformationSubmit();\r\n      if (result) {\r\n        const formData = {\r\n          DocumentId: documentId,\r\n          Attention: this.attention,\r\n          ToType: this.releaseTo,\r\n          ToEntity: this.entity,\r\n          ExpirationDate: this.formatDateTimeSql(this.expirationDate),\r\n          ToOrganizationName: this.otherName ?? null,\r\n          ToOrganizationAttention: this.otherAttention ?? null,\r\n          ToOrganizationEmail: this.otherEmail ?? null,\r\n          ToOrganizationPhone: this.otherPhone ?? null,\r\n          ToOrganizationAddress: this.otherAddress ?? null,\r\n          ToOrganizationFax: this.otherFax ?? null\r\n        };\r\n        if (this.entity == 0 && this.contact.value == 0) {\r\n          const newContactData = {\r\n            Name: this.contactFullName,\r\n            RelationshipId: this.contactRelationship?.value ?? null,\r\n            Email: this.contactEmail,\r\n            Phone: this.contactPhone,\r\n            Address: this.contactStreet,\r\n            ZipCode: this.contactZipcode,\r\n            City: this.contactCity,\r\n            StateId: this.contactState?.value ?? null,\r\n            PatientId: this.patient.patientId\r\n          };\r\n          var newPatientContact = await patientContactsServer.create(\r\n            newContactData\r\n          );\r\n          formData[\"ToPatientContactId\"] = newPatientContact.data.id;\r\n        } else if (this.entity == 0) {\r\n          formData[\"ToPatientContactId\"] = this.contact.value;\r\n        }\r\n        const createdBy = this.currentUser.data\r\n          ? this.currentUser.data.name\r\n          : \"\";\r\n        if (this.formId) {\r\n          await releaseOfInformationServer.update(this.formId, formData);\r\n        } else {\r\n          formData[\r\n            \"Creation\"\r\n          ] = `Created by ${createdBy} \\n on ${this.formatDate(new Date())}`;\r\n          await releaseOfInformationServer.create(formData);\r\n        }\r\n      }\r\n    },\r\n    getBakedLayout() {\r\n      return `<div class=\"mt-2 mx-2 text-left\" style=\"font-size:13px;\">\r\n        <div class=\"row mb-3\">\r\n            <div class=\"col\">\r\n              <fieldset class=\"form-group\" >\r\n                  <legend tabindex=\"-1\" class=\"bv-no-focus-ring col-form-label pt-0\" style=\"font-size: 15px; font-weight: bold;\">1. Client Information</legend>\r\n                  <div>\r\n                    <p class=\"my-1\">\r\n                      <span class=\"font-weight-bold\">Legal Name: </span\r\n                      >${\r\n                        this.patient?.patient\r\n                          ? this.formatClient(\r\n                              this.patient?.patient?.firstName ?? \"\",\r\n                              this.patient?.patient?.middleName ?? \"\",\r\n                              this.patient?.patient?.preferredName ?? \"\",\r\n                              this.patient?.patient?.lastName ?? \"\"\r\n                            )\r\n                          : \"\"\r\n                      }\r\n                    </p>\r\n                    <p class=\"my-1\">\r\n                      <span class=\"font-weight-bold\">DOB: </span\r\n                      >${this.formatDateOnly(this.patient?.patient.dateOfBirth)}\r\n                    </p>\r\n                  </div>\r\n              </fieldset>\r\n            </div>\r\n            <div class=\"col\"></div>\r\n        </div>\r\n        <div class=\"row mb-3\">\r\n            <div class=\"col\">\r\n              <fieldset class=\"form-group\" >\r\n                  <legend tabindex=\"-1\" class=\"bv-no-focus-ring col-form-label pt-0\" style=\"font-size: 15px; font-weight: bold;\">2. I give my permission to the clinic and professional(s) stated below</legend>\r\n                  <div>\r\n                    <p class=\"my-0\">${this.systemSettings.organizationName ??\r\n                      \"\"}</p>\r\n                    <p class=\"my-0\">\r\n                      ${this.getOrganizationInfo ?? \"\"}\r\n                    </p>\r\n                  </div>\r\n              </fieldset>\r\n            </div>\r\n            <div class=\"col\"></div>\r\n        </div>\r\n        <div class=\"row mb-3\">\r\n            <div class=\"col\">\r\n              <fieldset class=\"form-group\" >\r\n                <span class=\"font-weight-bold\">Attention: </span>\r\n                <div>\r\n                  ${this.attention ?? \"\"}\r\n                </div>\r\n              </fieldset>\r\n            </div>\r\n        </div>\r\n        <div class=\"row mb-3\">\r\n            <div class=\"col\">\r\n              <fieldset class=\"form-group\" >\r\n                  <legend tabindex=\"-1\" class=\"bv-no-focus-ring col-form-label pt-0\" style=\"font-size: 15px; font-weight: bold;\">\r\n                    <div class=\"d-flex justify-content-between\">\r\n                        <div>3. To:</div>\r\n                    </div>\r\n                  </legend><div>\r\n                    <p class=\"my-1 mb-2\">\r\n                      ${this.releaseToOptions.find(\r\n                        x => x.value == this.releaseTo\r\n                      )?.text ?? \"\"} ${this.entityOptions.find(\r\n        x => x.value == this.entity\r\n      )?.text ?? \"\"}\r\n                    </p>\r\n                    ${this.getContactInfo ?? \"\"}\r\n                  </div>\r\n              </fieldset>\r\n            </div>\r\n        </div>\r\n        <div class=\"row mb-3\">\r\n            <div class=\"col\">\r\n              <fieldset class=\"form-group\" >\r\n                  <legend tabindex=\"-1\" class=\"bv-no-focus-ring col-form-label pt-0\" style=\"font-size: 15px; font-weight: bold;\">\r\n                    <div class=\"d-flex justify-content-between\">\r\n                        <div>Expiration Date:</div>\r\n                    </div>\r\n                  </legend><div>\r\n                  ${this.formatDateOnly(this.expirationDate) ?? \"\"}\r\n                  </div>\r\n              </fieldset>\r\n            </div>\r\n        </div>\r\n      </div>`;\r\n    },\r\n    resetErrors() {\r\n      this.errors = {\r\n        releaseTo: [],\r\n        entity: [],\r\n        expirationDate: [],\r\n        contact: {\r\n          name: [],\r\n          phone: [],\r\n          email: []\r\n        },\r\n        other: {\r\n          name: [],\r\n          phone: [],\r\n          email: [],\r\n          address: [],\r\n          fax: []\r\n        }\r\n      };\r\n    },\r\n    setExpirationDateForSharedEmptyROI() {\r\n      if (!this.documentId) {\r\n        const nowDate = new Date();\r\n        nowDate.setFullYear(nowDate.getFullYear() + 1);\r\n        this.expirationDate = this.formatDateOnly(nowDate.toString());\r\n      }\r\n    }\r\n  },\r\n  computed: {\r\n    ...mapState(\"layout\", {\r\n      currentUser: state => state.currentUser\r\n    }),\r\n    ...mapState({\r\n      states: state =>\r\n        state.client.states.map(state => {\r\n          return {\r\n            label: state.name,\r\n            value: state.id,\r\n            data: state\r\n          };\r\n        }),\r\n      relationships: state =>\r\n        state.client.relationships.map(relation => {\r\n          return {\r\n            label: relation.name,\r\n            value: relation.id,\r\n            data: relation\r\n          };\r\n        })\r\n    }),\r\n    getOrganizationInfo() {\r\n      let organization = [];\r\n      if (this.systemSettings.organizationAddressLine1 != null) {\r\n        organization.push(this.systemSettings.organizationAddressLine1);\r\n      }\r\n      if (this.systemSettings.organizationAddressLine2 != null) {\r\n        organization.push(this.systemSettings.organizationAddressLine2);\r\n      }\r\n      if (this.systemSettings.organizationState != null) {\r\n        const state = this.states.find(\r\n          x => x.value == this.systemSettings.organizationState\r\n        );\r\n        if (state != null) {\r\n          organization.push(state.data.abbreviation);\r\n        }\r\n      }\r\n      if (this.systemSettings.organizationZipcode != null) {\r\n        organization.push(this.systemSettings.organizationZipcode);\r\n      }\r\n      return organization.join(\", \");\r\n    },\r\n    getContactInfo() {\r\n      return this.entity == 0\r\n        ? `\r\n            <p class=\"my-1\">\r\n              <span class=\"font-weight-bold\">Full Name: </span>\r\n                ${this.contactFullName ?? \"\"}\r\n            </p>\r\n            <p class=\"my-1\">\r\n              <span class=\"font-weight-bold\">Relationship: </span>\r\n                ${this.contactRelationship?.label ?? \"\"}\r\n            </p>\r\n            <p class=\"my-1\">\r\n              <span class=\"font-weight-bold\">Email: </span>\r\n                ${this.contactEmail ?? \"\"}\r\n            </p>\r\n            <p class=\"my-1\">\r\n              <span class=\"font-weight-bold\">Mobile Phone Number: </span>\r\n                ${\r\n                  this.contactPhone != null && this.contactPhone != \"+1\"\r\n                    ? this.contactPhone\r\n                    : \"\"\r\n                }\r\n            </p>\r\n            <p class=\"my-1\">\r\n              <span class=\"font-weight-bold\">Street Address: </span>\r\n                ${this.contactStreet ?? \"\"}\r\n            </p>\r\n            <p class=\"my-1\">\r\n              <span class=\"font-weight-bold\">City: </span>\r\n                ${this.contactCity ?? \"\"}\r\n            </p>\r\n            <p class=\"my-1\">\r\n              <span class=\"font-weight-bold\">Zip Code: </span>\r\n                ${this.contactZipcode ?? \"\"}\r\n            </p>\r\n            <p class=\"my-1\">\r\n              <span class=\"font-weight-bold\">State: </span>\r\n                ${this.contactState?.label ?? \"\"}\r\n            </p>\r\n          `\r\n        : `\r\n            <p class=\"my-1\">\r\n              <span class=\"font-weight-bold\">Organization/Agency Name: </span>\r\n                ${this.otherName ?? \"\"}\r\n            </p>\r\n            <p class=\"my-1\">\r\n              <span class=\"font-weight-bold\">Attention: </span>\r\n                ${this.otherAttention ?? \"\"}\r\n            </p>\r\n            <p class=\"my-1\">\r\n              <span class=\"font-weight-bold\">Email: </span>\r\n                ${this.otherEmail ?? \"\"}\r\n            </p>\r\n            <p class=\"my-1\">\r\n              <span class=\"font-weight-bold\">Phone: </span>\r\n                ${\r\n                  this.otherPhone != null && this.otherPhone != \"+1\"\r\n                    ? this.otherPhone\r\n                    : \"\"\r\n                }\r\n            </p>\r\n            <p class=\"my-1\">\r\n              <span class=\"font-weight-bold\">Address: </span>\r\n                ${this.otherAddress ?? \"\"}\r\n            </p>\r\n            <p class=\"my-1\">\r\n              <span class=\"font-weight-bold\">Fax: </span>\r\n                ${\r\n                  this.otherFax != null && this.otherFax != \"+1\"\r\n                    ? this.otherFax\r\n                    : \"\"\r\n                }\r\n            </p>\r\n          `;\r\n    }\r\n  },\r\n  watch: {\r\n    contact: function(value) {\r\n      if (value == null) this.contact = this.releaseToContactOptions[0];\r\n    },\r\n    \"contact.value\": function(value) {\r\n      if (value == 0) {\r\n        this.cleanContactData();\r\n      }\r\n    }\r\n  }\r\n};\r\n</script>\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!./DocumentReleaseOfInformation.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!./DocumentReleaseOfInformation.vue?vue&type=script&lang=js&\"","import { render, staticRenderFns } from \"./DocumentReleaseOfInformation.vue?vue&type=template&id=055cd078&\"\nimport script from \"./DocumentReleaseOfInformation.vue?vue&type=script&lang=js&\"\nexport * from \"./DocumentReleaseOfInformation.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","var render = function render(){var _vm=this,_c=_vm._self._c;return _c('div',{staticClass:\"loading-container w-100 h-100 d-flex justify-content-center align-items-center\"},[_c('b-spinner',{staticStyle:{\"width\":\"4rem\",\"height\":\"4rem\"},attrs:{\"variant\":\"primary\",\"label\":\"Spinning\"}})],1)\n}\nvar staticRenderFns = []\n\nexport { render, staticRenderFns }","<template>\r\n  <div\r\n    class=\"loading-container w-100 h-100 d-flex justify-content-center align-items-center\"\r\n  >\r\n    <b-spinner\r\n      style=\"width: 4rem; height: 4rem\"\r\n      variant=\"primary\"\r\n      label=\"Spinning\"\r\n    />\r\n  </div>\r\n</template>\r\n\r\n<script>\r\nexport default {\r\n  name: \"LoadingOverlay\"\r\n};\r\n</script>\r\n\r\n<style scoped>\r\n.loading-container {\r\n  z-index: 9999;\r\n  position: absolute;\r\n  top: 50%;\r\n  left: 50%;\r\n  transform: translate(-50%, -50%);\r\n  background-color: rgba(233, 236, 239, 0.8) !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!./LoadingOverlay.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!./LoadingOverlay.vue?vue&type=script&lang=js&\"","import { render, staticRenderFns } from \"./LoadingOverlay.vue?vue&type=template&id=7d97db7b&scoped=true&\"\nimport script from \"./LoadingOverlay.vue?vue&type=script&lang=js&\"\nexport * from \"./LoadingOverlay.vue?vue&type=script&lang=js&\"\nimport style0 from \"./LoadingOverlay.vue?vue&type=style&index=0&id=7d97db7b&prod&scoped=true&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  \"7d97db7b\",\n  null\n  \n)\n\nexport default component.exports","<template>\r\n  <layout>\r\n    <div class=\"container my-4\">\r\n      <loading-overlay v-if=\"submitting\" />\r\n      <div class=\"row\">\r\n        <div class=\"col-md-12\">\r\n          <b-card>\r\n            <div\r\n              v-if=\"!ready\"\r\n              class=\"d-flex flex-column align-items-center mt-4 mb-4\"\r\n            >\r\n              <b-spinner\r\n                style=\"width: 4rem; height: 4rem\"\r\n                variant=\"primary\"\r\n                label=\"Spinning\"\r\n              />\r\n            </div>\r\n\r\n            <div class=\"document-toolbar\" v-if=\"ready\">\r\n              <div>\r\n                <b-button\r\n                  @click=\"goBack()\"\r\n                  variant=\"link\"\r\n                  size=\"sm\"\r\n                  class=\"font-weight-bold\"\r\n                >\r\n                  <i class=\"fa fa-arrow-left\" />\r\n                  Back\r\n                </b-button>\r\n              </div>\r\n\r\n              <div>\r\n                {{ formComputed.name }}\r\n                {{\r\n                  sharedDocument.sentBy\r\n                    ? `Sent by ${sharedDocument.sentBy?.fullName} On`\r\n                    : ``\r\n                }}\r\n                {{ sharedDocument.sentAt | formatDate }}\r\n              </div>\r\n              <div v-if=\"sharedDocument.readOnly\">\r\n                <i class=\"fa fa-print\" />\r\n                <b-link @click=\"printCustom\"> Print</b-link>\r\n              </div>\r\n            </div>\r\n\r\n            <b-row v-if=\"ready && isActionRequired\">\r\n              <b-col>\r\n                <div class=\"text-center document-container\" v-if=\"form\">\r\n                  <div class=\"builder w-100\">\r\n                    <div class=\"text-left\" v-if=\"preFormComponent\">\r\n                      <component\r\n                        :is=\"preFormComponent\"\r\n                        :documentId=\"sharedDocument.document?.id\"\r\n                        :eocId=\"sharedDocument.episodeOfCareId ?? null\"\r\n                        ref=\"preFormComponent\"\r\n                      ></component>\r\n                    </div>\r\n                    <fb-form-viewer\r\n                      :json=\"json.layout\"\r\n                      showType=\"e-form\"\r\n                      ref=\"formViewer\"\r\n                      @updateTotalPages=\"n => (totalPages = n)\"\r\n                    />\r\n                  </div>\r\n                </div>\r\n\r\n                <div class=\"d-flex justify-content-between\">\r\n                  <b-button\r\n                    :disabled=\"submitting\"\r\n                    size=\"sm\"\r\n                    variant=\"primary\"\r\n                    @click=\"submitForm()\"\r\n                    v-if=\"isActionRequired\"\r\n                  >\r\n                    Complete and Submit\r\n                  </b-button>\r\n                  <div\r\n                    v-if=\"validationErrorMessage\"\r\n                    class=\"text-danger text-left\"\r\n                  >\r\n                    {{ validationErrorMessage }}\r\n                  </div>\r\n                </div>\r\n              </b-col>\r\n            </b-row>\r\n            <b-row\r\n              v-if=\"!isActionRequired\"\r\n              v-html-sanitize=\"documentRendered\"\r\n              class=\"document-render-container mt-4\"\r\n            >\r\n              <!-- This Document is complete and submitted. -->\r\n            </b-row>\r\n          </b-card>\r\n        </div>\r\n      </div>\r\n    </div>\r\n  </layout>\r\n</template>\r\n\r\n<script>\r\nimport { mapActions, mapGetters, mapMutations, mapState } from \"vuex\";\r\nimport Layout from \"../workspace/Layout.vue\";\r\nimport eocServer from \"../../server/eoc\";\r\nimport scheduleEventServer from \"../../server/scheduleEvents\";\r\nimport catalogServer from \"../../server/catalog\";\r\nimport formServer from \"../../server/form\";\r\nimport formVersionServer from \"../../server/formVersion\";\r\nimport documentServer from \"../../server/document\";\r\nimport { getFormBuilderComponents } from \"../../../../Breeze.FormBuilder.Frontend/helpers/formBuilder\";\r\nimport { formatDateOnlyMysql } from \"../../../../Breeze.FormBuilder.Frontend/helpers/date\";\r\nimport scheduledMedicationServer from \"../../server/scheduledMedication\";\r\nimport DocumentReleaseOfInformation from \"../documents/DocumentReleaseOfInformation.vue\";\r\nimport LoadingOverlay from \"../layout/LoadingOverlay.vue\";\r\n\r\nexport default {\r\n  name: \"Document\",\r\n  components: {\r\n    Layout,\r\n    LoadingOverlay\r\n  },\r\n  data() {\r\n    return {\r\n      sharedDocumentId: this.$route.params.sharedDocumentId,\r\n      documentRendered: \"\",\r\n      singleBlobUrl: null,\r\n      singleUrl: null,\r\n      singleHtml: null,\r\n      sharedDocument: {\r\n        readOnly: true,\r\n        document: {\r\n          status: \"loading\"\r\n        }\r\n      },\r\n      form: {\r\n        name: \"\",\r\n        current: {\r\n          createdAt: \"\",\r\n          createdBy: {\r\n            firstName: \"\",\r\n            lastName: \"\",\r\n            fullName: \"\"\r\n          }\r\n        }\r\n      },\r\n      submit: null,\r\n      validationErrorMessage: \"\",\r\n      eoc: null,\r\n      documentStatus: \"Pending\",\r\n      ready: false,\r\n      localSubmitId: null,\r\n      submitting: false,\r\n      totalPages: 1,\r\n      saveROI: false\r\n    };\r\n  },\r\n  async mounted() {\r\n    await this.initializeFormSubmitter();\r\n    if (!this.isActionRequired) {\r\n      this.renderDocument();\r\n    }\r\n  },\r\n  methods: {\r\n    ...mapMutations(\"formSubmitter\", [\r\n      \"setInitialValues\",\r\n      \"setFormSubmitterFormHasUnsavedChanges\",\r\n      \"setDocumentData\"\r\n    ]),\r\n    ...mapActions(\"formSubmitter\", [\r\n      \"initializeFormSubmitterForm\",\r\n      \"addFormSubmitterForm\",\r\n      \"editFormSubmitterForm\",\r\n      \"validateFormSubmitterForm\",\r\n      \"copyFormValuesToClipboard\",\r\n      \"pasteFormValuesFromClipboard\"\r\n    ]),\r\n    ...mapActions(\"session\", [\"loadDocuments\"]),\r\n    renderDocument() {\r\n      if (this.sharedDocument.document?.id) {\r\n        documentServer\r\n          .render(this.sharedDocument.document.id)\r\n          .then(res => {\r\n            this.documentRendered = res.data;\r\n          })\r\n          .catch(console.error);\r\n      }\r\n    },\r\n    async printCustom() {\r\n      this.singleUrl = documentServer.documentViewUrl([\r\n        this.sharedDocument.document.id\r\n      ]);\r\n      var response = await fetch(this.singleUrl.url, {\r\n        headers: this.singleUrl.headers\r\n      });\r\n      var blob = await response.blob();\r\n      this.singleBlobUrl = URL.createObjectURL(blob);\r\n      const iframe = document.createElement(\"iframe\");\r\n      iframe.style.position = \"fixed\";\r\n      iframe.style.zIndex = -100;\r\n      iframe.style.width = \"2250px\";\r\n      iframe.src = this.singleBlobUrl;\r\n      iframe.onload = function() {\r\n        iframe.contentWindow.onafterprint = function() {\r\n          document.body.removeChild(iframe);\r\n        };\r\n\r\n        setTimeout(() => {\r\n          iframe.contentWindow.print();\r\n        }, 500);\r\n      };\r\n      document.body.appendChild(iframe);\r\n    },\r\n    async initializeFormSubmitter() {\r\n      this.ready = false;\r\n      this.sharedDocument = await documentServer.getSharedDocument(\r\n        this.sharedDocumentId\r\n      );\r\n      await this.setInitialValues();\r\n      this.localSubmitId = this.sharedDocument.document?.id;\r\n      this.form = await formServer.get(this.sharedDocument.form.id);\r\n      let version = this.form.current;\r\n      if (this.localSubmitId) {\r\n        this.submit = await this.getFormSubmitById(this.localSubmitId);\r\n        version = await formVersionServer.get(this.submit.versionId);\r\n        this.documentStatus = this.submit.status;\r\n      }\r\n      const client = await catalogServer.getClient(\r\n        this.sharedDocument.patientId\r\n      );\r\n\r\n      const eoc = await eocServer.get(this.sharedDocument.episodeOfCareId);\r\n      const eocCares = await scheduleEventServer.query({\r\n        episodeOfCareIds: [eoc.id],\r\n        types: [\"LOC\"]\r\n      });\r\n\r\n      const primaryProvider = eoc.caseLoads.find(\r\n        cL => cL.caseRole.type == \"PrimaryProvider\"\r\n      )\r\n        ? eoc.caseLoads.find(cL => cL.caseRole.type == \"PrimaryProvider\").user\r\n        : null;\r\n      const medicationScheduledList = await scheduledMedicationServer.query(\r\n        eoc.id\r\n      );\r\n\r\n      const events = await this.getEocEvents(eoc.id, version);\r\n\r\n      const clientFiltered = {\r\n        id: client.id,\r\n        mrn: client.mrn,\r\n        firstName: client.firstName,\r\n        middleName: client.middleName,\r\n        lastName: client.lastName,\r\n        dateOfBirth: client.dateOfBirth,\r\n        email: client.email,\r\n        phone: client.phone,\r\n        ssn: client.ssn,\r\n        ssnUnmasked: client.ssnUnmasked,\r\n        gender: client.gender ? client.gender.name : \"\",\r\n        race: client.race ? client.race.name : \"\",\r\n        ethnicity: client.ethnicity ? client.ethnicity.name : \"\",\r\n        language: client.language ? client.language.name : \"\",\r\n        city: client.city,\r\n        state: client.state ? client.state.name : \"\",\r\n        maritalStatus: client.maritalStatus ? client.maritalStatus.name : \"\",\r\n        occupation: client.occupation,\r\n        zipcode: client.zipcode,\r\n        addressLine1: client.addressLine1,\r\n        addressLine2: client.addressLine2,\r\n        episodeOfCare: {\r\n          id: eoc.id,\r\n          eocn: eoc.eocn,\r\n          status: eoc.status,\r\n          location: eoc.location\r\n            ? {\r\n                name: eoc.location.name,\r\n                addressLine1: eoc.location.addressLine1,\r\n                addressLine2: eoc.location.addressLine2,\r\n                city: eoc.location.city,\r\n                email: eoc.location.email,\r\n                fax: eoc.location.fax,\r\n                npiNo: eoc.location.npiNo,\r\n                phoneNumber: eoc.location.phoneNumber,\r\n                state: eoc.location.state,\r\n                taxId: eoc.location.taxId,\r\n                zipcode: eoc.location.zipcode\r\n              }\r\n            : {},\r\n          startDate: eoc.startDate,\r\n          endDate: eoc.endDate,\r\n          additionalsReportResults: eoc.additionalsReportResults,\r\n          referralSource: eoc.referralSource,\r\n          primaryProvider: primaryProvider\r\n            ? {\r\n                id: primaryProvider.id,\r\n                firstName: primaryProvider.firstName,\r\n                lastName: primaryProvider.lastName,\r\n                middleName: primaryProvider.middleName,\r\n                credentials: primaryProvider.credentials\r\n              }\r\n            : null,\r\n          eocCares: eocCares.map(eocC => ({\r\n            day: formatDateOnlyMysql(eocC.startDateTime),\r\n            levelOfCare:\r\n              eocC.services.length > 0 ? eocC.services[0].service.name : \"\"\r\n          })),\r\n          locationObj: eoc.location,\r\n          medicationScheduledList: medicationScheduledList\r\n        },\r\n        insurances: client.insurances,\r\n        allergies: client.allergies,\r\n        contacts: client.contacts,\r\n        guarantors: client.guarantors,\r\n        events\r\n      };\r\n      await this.initializeFormSubmitterForm({\r\n        formId: this.form.id,\r\n        formName: this.form.name,\r\n        version: version,\r\n        client: clientFiltered,\r\n        eoc: eoc,\r\n        document: this.submit ? this.submit : null,\r\n        otherResults: this.otherResults,\r\n        defaultValues: this.defaultValues,\r\n        showType: \"e-form\",\r\n        selectedLocation: this.locationId\r\n      });\r\n      if (version.content.properties.modalSize)\r\n        this.lastModalSize = version.content.properties.modalSize;\r\n      this.eoc = eoc;\r\n      this.ready = true;\r\n    },\r\n    async getEocEvents(eocId, version) {\r\n      const hasFetchEventsActivated = version.content.properties.fetchEvents;\r\n      if (hasFetchEventsActivated) {\r\n        const events = await scheduleEventServer.getEventsByEoc(eocId);\r\n        return events;\r\n      }\r\n      return [];\r\n    },\r\n    async validateFormSubmit() {\r\n      let withoutErrors = await this.validateFormSubmitterForm();\r\n      return withoutErrors;\r\n    },\r\n    async submitForm() {\r\n      var valid = true;\r\n      if (this.preFormComponent) {\r\n        valid = this.$refs[\r\n          \"preFormComponent\"\r\n        ].validateReleaseOfInformationSubmit();\r\n\r\n        if (!valid) {\r\n          this.$nextTick(() => {\r\n            this.$refs[\"preFormComponent\"].scrolltoErrors();\r\n            this.validationErrorMessage = \"Please fix errors and try again.\";\r\n          });\r\n        }\r\n      }\r\n      if (valid) {\r\n        this.submitting = true;\r\n        this.validationErrorMessage = \"\";\r\n        let result = true;\r\n        if (this.config.patientPortalDefaultDocumentStatus != \"Draft\")\r\n          result = await this.validateFormSubmit();\r\n        if (result) {\r\n          const bakedLayout = `<div>\r\n              <div class=\"text-left\">\r\n                ${\r\n                  this.preFormComponent\r\n                    ? this.$refs.preFormComponent.getBakedLayout()\r\n                    : \"\"\r\n                }\r\n              </div>\r\n              ${this.$refs.formViewer.getBakedLayout()}\r\n            </div>`;\r\n          let score = null;\r\n          if (this.form.current.content.properties.scoreFunctionBody) {\r\n            score = this.superComputeFormSubmitterValue({\r\n              elementId: this.form.current.content.id,\r\n              property: \"scoreFunctionValue\",\r\n              value:\r\n                \"{{\" +\r\n                this.form.current.content.properties.scoreFunctionBody +\r\n                \"}}\",\r\n              defaultValue: 0,\r\n              statements: true\r\n            });\r\n          } else {\r\n            const components = getFormBuilderComponents(\r\n              this.form.current.content\r\n            );\r\n            const assessmentQuestions = components.filter(\r\n              u => u.elType == \"AssessmentQuestion\"\r\n            );\r\n            if (assessmentQuestions.length > 0) {\r\n              score = assessmentQuestions.reduce((acc, assessmentQuestion) => {\r\n                const value = this.values[assessmentQuestion.id].value;\r\n                if (typeof value === \"number\" && value >= 0) {\r\n                  return acc + value;\r\n                }\r\n                return acc;\r\n              }, 0);\r\n            }\r\n          }\r\n          if (this.localSubmitId) {\r\n            await this.editFormSubmitterForm({\r\n              submitId: this.sharedDocumentId,\r\n              mode: \"Results\",\r\n              status:\r\n                this.config.patientPortalDefaultDocumentStatus ?? \"Pending\",\r\n              parentDocumentId: this.parentDocumentId,\r\n              bakedLayout,\r\n              careAppointmentId: this.appointmentId,\r\n              score\r\n            }).then(() => {\r\n              this.submitting = false;\r\n            });\r\n          } else {\r\n            await this.addFormSubmitterForm({\r\n              sharedDocumentId: this.sharedDocumentId,\r\n              mode: \"Results\",\r\n              status:\r\n                this.config.patientPortalDefaultDocumentStatus ?? \"Pending\",\r\n              parentDocumentId: this.parentDocumentId,\r\n              bakedLayout,\r\n              score,\r\n              careAppointmentId: this.appointmentId\r\n            }).then(result => {\r\n              this.localSubmitId = result.submitId;\r\n              this.submitting = false;\r\n            });\r\n          }\r\n          if (this.preFormComponent) {\r\n            await this.$refs[\"preFormComponent\"].submitComponentData(\r\n              this.localSubmitId\r\n            );\r\n          }\r\n          this.refetchDocuments = true;\r\n          this.$swal({\r\n            icon: \"success\",\r\n            title: \"Document Completed\",\r\n            timer: 3000\r\n          });\r\n          this.loadDocuments();\r\n          await this.initializeFormSubmitter();\r\n          this.renderDocument();\r\n        } else {\r\n          this.submitting = false;\r\n          let firstErrorElement = document.querySelector(\".is-invalid\");\r\n          firstErrorElement.scrollIntoView({\r\n            behavior: \"smooth\",\r\n            block: \"center\"\r\n          });\r\n          this.validationErrorMessage = \"Please fix errors and try again.\";\r\n        }\r\n      }\r\n    },\r\n    goBack() {\r\n      this.$router.back();\r\n    }\r\n  },\r\n  computed: {\r\n    ...mapState(\"formSubmitter\", {\r\n      json: state => state.form.json,\r\n      values: state => state.form.values,\r\n      firstFormError: state =>\r\n        Object.keys(state.form.errors).length > 0\r\n          ? Object.keys(state.form.errors)[0]\r\n          : null,\r\n      hasUnsavedChanges: state => state.form.hasUnsavedChanges\r\n    }),\r\n    ...mapGetters(\"formSubmitter\", [\r\n      \"getFormSubmitById\",\r\n      \"superComputeFormSubmitterValue\"\r\n    ]),\r\n    ...mapState(\"session\", {\r\n      patientId: state => state.user.patient.id,\r\n      locationId: state => state.location.id\r\n    }),\r\n    ...mapState({\r\n      config: state => state.session.systemSettings\r\n    }),\r\n    formComputed() {\r\n      return {\r\n        ...this.form,\r\n        name:\r\n          (this.form.showInOmt ? \"Assessment\" : this.form.name) || \"Untitled\",\r\n        current: {\r\n          createdAt: this.form.current?.createdAt || \"--\",\r\n          createdBy: {\r\n            firstName: this.form.current?.createdBy?.firstName || \"N/A\",\r\n            lastName: this.form.current?.createdBy?.lastName || \"N/A\",\r\n            fullName: this.form.current?.createdBy?.fullName || \"N/A\"\r\n          }\r\n        }\r\n      };\r\n    },\r\n    isActionRequired() {\r\n      if (!this.sharedDocument.readOnly) return true;\r\n      if (!this.sharedDocument.document) return true;\r\n      return false;\r\n    },\r\n    preFormComponent() {\r\n      if (this.form && this.form.category == \"releaseOfInformation\") {\r\n        return DocumentReleaseOfInformation;\r\n      }\r\n      return null;\r\n    }\r\n  }\r\n};\r\n</script>\r\n\r\n<style lang=\"scss\" scoped></style>\r\n\r\n<style scoped>\r\n.document-render-container >>> .general-container {\r\n  background: transparent !important;\r\n  height: auto !important;\r\n}\r\n.document-render-container::v-deep > .vh-100 {\r\n  height: auto !important;\r\n}\r\n.document-render-container >>> .general-container .document-view {\r\n  padding: 0;\r\n  margin: 0 15px;\r\n  max-width: 100% !important;\r\n}\r\n.fa-print {\r\n  color: #0275d8;\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!./Document.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!./Document.vue?vue&type=script&lang=js&\"","import { render, staticRenderFns } from \"./Document.vue?vue&type=template&id=c3cb857a&scoped=true&\"\nimport script from \"./Document.vue?vue&type=script&lang=js&\"\nexport * from \"./Document.vue?vue&type=script&lang=js&\"\nimport style1 from \"./Document.vue?vue&type=style&index=1&id=c3cb857a&prod&scoped=true&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  \"c3cb857a\",\n  null\n  \n)\n\nexport default component.exports","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!./Document.vue?vue&type=style&index=1&id=c3cb857a&prod&scoped=true&lang=css&\"","import api from \"./core\";\r\n\r\nexport default {\r\n  async query(eocId) {\r\n    return api.post(`api/portal/ScheduledMedication/${eocId}`);\r\n  }\r\n};\r\n","import moment from \"moment\";\r\nimport { isValidPhoneNumber } from \"libphonenumber-js\";\r\n\r\nexport const validateRequired = value => {\r\n  if (!value) return false;\r\n  if (typeof value == \"string\") return value.trim().length > 0;\r\n  return true;\r\n};\r\n\r\nexport const validateEmail = email => {\r\n  const re = /^(([^<>()[\\]\\\\.,;:\\s@\"]+(\\.[^<>()[\\]\\\\.,;:\\s@\"]+)*)|(\".+\"))@((\\[[0-9]{1,3}\\.[0-9]{1,3}\\.[0-9]{1,3}\\.[0-9]{1,3}\\])|(([a-zA-Z\\-0-9]+\\.)+[a-zA-Z]{2,}))$/;\r\n  return re.test(String(email).toLowerCase());\r\n};\r\n\r\nexport const validateDate = date => {\r\n  return moment(date, \"YYYY-MM-DD\", true).isValid();\r\n};\r\n\r\nexport const validateDateTime = date => {\r\n  return moment(date, \"YYYY-MM-DD HH:mm:ss\", true).isValid();\r\n};\r\n\r\nexport const validatePhoneNumber = phone => {\r\n  return isValidPhoneNumber(phone);\r\n};\r\n\r\nexport const validateSSN = ssn => {\r\n  if (!ssn) return false;\r\n  const justNumbers = ssn.replace(/[^0-9]+/g, \"\");\r\n  return justNumbers.length == 9;\r\n};\r\n\r\nexport const validateZipcode = zipcode => {\r\n  if (!zipcode) return false;\r\n  return zipcode.match(/^\\d{5}(?:-\\d{4})?$/);\r\n};\r\n\r\nexport const validateNumberGreaterEqualThan = (value, min) => {\r\n  return value >= min;\r\n};\r\n\r\nexport const validateNumberLessEqualThan = (value, max) => {\r\n  return value <= max;\r\n};\r\n\r\nexport const validateLengthGreaterEqualThan = (value, min) => {\r\n  return value.trim().length >= min;\r\n};\r\n\r\nexport const validateLengthLessEqualThan = (value, max) => {\r\n  return value.trim().length <= max;\r\n};\r\n","import api from \"./core\";\r\n\r\nconst basePath = \"api/portal/EpisodeOfCare\";\r\n\r\nexport default {\r\n  async get(id) {\r\n    const result = await api.get(`${basePath}/${id}`);\r\n    return result.data;\r\n  }\r\n};\r\n"],"sourceRoot":""}