{'Thank you ' + this.state.name + ' for taking the time to complete this survey. We truly value the information'\r\n + ' you have provided. Your responses will contribute to our analyses and the information'\r\n + ' given will not be circulated and will only be used to evaluate and/or apply for the HPSA designation.'\r\n + ' For more information, you may go to our webpage at '}\r\n Texas Primary Care Office (TPCO) \r\n {' or to email us at '} TexasPCO@dshs.texas.gov .
\r\n )\r\n }\r\n}\r\n\r\nexport default End","import React from \"react\";\r\n\r\nconst Input = (props) => (\r\n \r\n \r\n
\r\n)\r\n\r\nexport default Input;","import Confirm from './Confirm';\r\n\r\nexport default Confirm.create({});\r\n","import React from \"react\";\r\nimport Col from \"react-bootstrap/Col\";\r\nimport Row from \"react-bootstrap/Row\";\r\n\r\nconst Radio = props => (\r\n \r\n {props.error}\r\n
}\r\n \r\n \r\n \r\n \r\n \r\n
\r\n ))}\r\n {props.error.length > 0 && props.touched &&\r\n
\r\n);\r\n\r\nexport default Radio;\r\n","/* Email Validation */\r\nexport const email_regex = new RegExp(/^(([^<>()[\\]\\\\.,;:\\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,}))$/);\r\n/* Name Validation */\r\nexport const name_regex = new RegExp(/^[a-zA-ZÀ-ž- ]*$/);\r\n/* Number Validation*/\r\nexport const number_regex = new RegExp(/^[0-9]*$/);\r\n/* Street Address Validation */\r\nexport const street_address_regex = new RegExp(/^[-., A-Za-zÀ-ž0-9]*$/);\r\n/* Zip Code Validation */\r\nexport const zip_regex = new RegExp(/^\\d{5}$|^\\d{5}-\\d{4}$/);\r\n/* Phone Validation */\r\nexport const phone_regex = new RegExp(/^(\\([0-9]{3}\\)\\s*|[0-9]{3})[0-9]{3}-[0-9]{4}$/);\r\n/* Percentage Validation */\r\nexport const percentage_regex = new RegExp(/^([0-9]|[1-9][0-9]?$|100)$/);\r\n/* Weekly Hours Validation*/\r\nexport const weekly_hours_regex = new RegExp(/^([0-9]|[1-3][0-9]?$|^40)$/);\r\n/* Days in Year Validation*/\r\nexport const days_in_year_regex = new RegExp(/^([0-9]|[1-9][0-9]|[1-2][0-9][0-9]|3[0-5][0-9]|36[0-5]?$)$/);\r\n/* Minute in 4 Hours Validation*/\r\nexport const minutes_in_4hours_regex = new RegExp(/^([0-9]|[1-9][0-9]|1[0-9][0-9]|2[0-3][0-9]?$|^240)$/);\r\n\r\n/* Multiselect Validation */\r\n/* Select Validation */\r\n\r\n","import React, { Component } from \"react\";\r\n\r\n/* Import Components */\r\nimport Radio from \"../../components/Radio\";\r\nimport Input from \"../../components/Input\";\r\nimport Form from \"react-bootstrap/Form\";\r\nimport Col from \"react-bootstrap/Col\";\r\n\r\n/* Import Functions */\r\nimport {\r\n handleSiteInput,\r\n handleBlur,\r\n blurAll,\r\n validationCheck,\r\n grabUserInput,\r\n validationErrors,\r\n defaultValidator,\r\n handleError,\r\n getSpecialties\r\n} from \"../../Utils.js\";\r\n import {percentage_regex} from \"../../validation_expressions.js\"\r\n\r\nclass SiteSubSpecialty extends Component {\r\n constructor(props) {\r\n super(props);\r\n\r\n this.state = {\r\n data: {\r\n sub_specialty: this.props.getSiteData()[this.props.currentSite]\r\n .sub_specialty,\r\n sub_specialty_other: this.props.getSiteData()[this.props.currentSite]\r\n .sub_specialty_other,\r\n sub_specialty_other_percentage: this.props.getSiteData()[\r\n this.props.currentSite\r\n ].sub_specialty_other_percentage\r\n },\r\n touched: {\r\n sub_specialty: false,\r\n sub_specialty_other: false,\r\n sub_specialty_other_percentage: false\r\n },\r\n errors: {\r\n sub_specialty: \"\",\r\n sub_specialty_other: \"\",\r\n sub_specialty_other_percentage: \"\"\r\n }\r\n };\r\n\r\n this.site_number = this.props.currentSite;\r\n this.getSpecialties = getSpecialties.bind(this);\r\n this.handleInput = handleSiteInput.bind(this);\r\n this.handleBlur = handleBlur.bind(this);\r\n this.blurAll = blurAll.bind(this);\r\n this._grabUserInput = grabUserInput.bind(this);\r\n this._validationErrors = validationErrors.bind(this);\r\n this.validationCheck = validationCheck.bind(this);\r\n this.isValidated = defaultValidator.bind(this, true);\r\n this.handleError = handleError.bind(this);\r\n }\r\n\r\n componentDidMount() {\r\n document.title = 'TPCO Provider Assessment - Site Sub Specialty';\r\n document.getElementById(\"page_title\").innerHTML=\"TPCO Provider Assessment - Site Sub Specialty\";\r\n }\r\n \r\n _validateData(data) {\r\n return {\r\n sub_specialty: data.sub_specialty.length > 0,\r\n sub_specialty_other:\r\n data.sub_specialty !== \"Other\" || data.sub_specialty_other !== \"\",\r\n sub_specialty_other_percentage:\r\n data.sub_specialty !== \"Other\" || (percentage_regex.test(data.sub_specialty_other_percentage) && data.sub_specialty_other_percentage !== 0)\r\n };\r\n }\r\n\r\n render() {\r\n return (\r\n <>\r\n \r\n \r\n
\r\n {props.options\r\n .sort((a, b) => (a.value > b.value || a.value === \"Other\" ? 1 : -1))\r\n .map(option => (\r\n \r\n {\" \"}\r\n {props.error}\r\n
}\r\n Welcome
\r\n\r\n The Texas Primary Care Office (TPCO) requests your response to the\r\n Healthcare Provider Assessment for each Primary Care Physician,\r\n Psychiatrist, or Dentist in your office. The survey should only take\r\n approximately 5-10 minutes to complete, and is essential in\r\n collecting information used to determine Health Professional\r\n Shortage Area (HPSA) designations in your community. There are\r\n currently more than 30 federal and state programs which use shortage\r\n designation to determine eligibility.\r\n
\r\n\r\n To begin, please provide your NPI number and last name so that we\r\n can verify your identity with NPPES (National Plan & Provider\r\n Enumeration System):\r\n
\r\n\r\n \r\n \r\n \r\n {props.options.map(option => (\r\n \r\n {option.text ? option.text : option.value || option}\r\n \r\n ))}\r\n \r\n {props.error.length > 0 && props.touched &&\r\n
\r\n);\r\n\r\nexport default Select;\r\n","const disciplines = [\r\n { value: \"PC\", text: \"Primary Health Care\" },\r\n { value: \"MH\", text: \"Mental Health\" },\r\n { value: \"DH\", text: \"Dental Health\" },\r\n { value: \"Other\", text: \"Other\"}\r\n ]\r\nexport default disciplines","const classification = {\r\n \"PC\": [\r\n { value: \"FP\", text: \"Family Medicine\" },\r\n { value: \"IM\", text: \"Internal Medicine\" },\r\n { value: \"OBG\", text: \"Obstetrics & Gynecology\" },\r\n { value: \"PD\", text: \"Pediatrics\" },\r\n { value: \"GP\", text: \"General Practice\"}\r\n ],\r\n \"MH\": [\r\n { value: \"CPSY\", text: \"Psychologist\" },\r\n { value: \"PSY\", text: \"Psychiatrist\" },\r\n { value: \"CSW\", text: \"Social Worker\" },\r\n { value: \"MFT\", text: \"Marriage Family Therapist\" },\r\n { value: \"PNS\", text: \"Nurse Practitioner/Clinical Nurse Specialist\" }\r\n ],\r\n \"DH\": [\r\n { value: \"GDT\", text: \"Dentist\" } ]\r\n};\r\n\r\nexport default classification;\r\n","const dental_auxiliaries = [\r\n { value: \"0\", text: \"None\" },\r\n { value: \"1\", text: \"1\" },\r\n { value: \"2\", text: \"2\" },\r\n { value: \"3\", text: \"3\"},\r\n { value: \"4\", text: \"4 or more\"}\r\n ]\r\nexport default dental_auxiliaries","import React, { Component } from \"react\";\r\n/* Import Components */\r\nimport Select from \"../components/Select\";\r\nimport Form from \"react-bootstrap/Form\";\r\nimport Col from \"react-bootstrap/Col\";\r\nimport dental_auxiliaries from \"../content/option_lists/dental_auxiliaries\";\r\nimport {\r\n handleInput,\r\n handleBlur,\r\n blurAll,\r\n validationCheck,\r\n grabUserInput,\r\n validationErrors,\r\n defaultValidator\r\n} from \"../Utils.js\";\r\n\r\nclass DentalAuxiliaries extends Component {\r\n constructor(props) {\r\n super(props);\r\n\r\n this.state = {\r\n data: {\r\n dental_assistants: this.props.getData().dental_assistants,\r\n dental_hygienists: this.props.getData().dental_hygienists\r\n },\r\n touched: {\r\n dental_assistants: false,\r\n dental_hygienists: false\r\n },\r\n errors: {\r\n dental_assistants: \"\",\r\n dental_hygienists: \"\"\r\n }\r\n };\r\n\r\n this.handleInput = handleInput.bind(this);\r\n this.handleBlur = handleBlur.bind(this);\r\n this.blurAll = blurAll.bind(this);\r\n this._grabUserInput = grabUserInput.bind(this);\r\n this._validationErrors = validationErrors.bind(this);\r\n this.validationCheck = validationCheck.bind(this);\r\n this.isValidated = defaultValidator.bind(this);\r\n }\r\n componentDidMount() {\r\n document.title = 'TPCO Provider Assessment - Dental Auxiliaries';\r\n document.getElementById(\"page_title\").innerHTML=\"TPCO Provider Assessment - Dental Auxiliaries\";\r\n }\r\n _validateData(data) {\r\n return {\r\n dental_assistants: data.dental_assistants !== \"\", // required: anything besides N/A\r\n dental_hygienists: data.dental_hygienists !== \"\" // required: regex w3c uses in html5\r\n };\r\n }\r\n\r\n render() {\r\n return (\r\n <>\r\n \r\n {props.error}\r\n
}\r\n \r\n What percentage of your patients are comprised of the following\r\n special categories at this site:\r\n
\r\n\r\n How long is the average wait time (in days) for routine/non-urgent\r\n appointments at this site?\r\n
\r\n\r\n How long is the average wait time (in minutes) once the patient\r\n arrives at this site?\r\n
\r\n{this.state.site_name}
*/}\r\n\r\n {\r\n this.setState(prevState => ({\r\n ...prevState,\r\n currentSiteStep: step\r\n }));\r\n step >= this.steps.length - 1\r\n ? this.props.showMainNext(true)\r\n : this.props.showMainNext(false);\r\n step === 0\r\n ? this.props.showMainPrev(true)\r\n : this.props.showMainPrev(false);\r\n this.props.handleFocusReset();\r\n }}\r\n />\r\n
\r\n \r\n );\r\n }\r\n}\r\n\r\nexport default Site;\r\n","import React from \"react\";\r\nimport Col from \"react-bootstrap/Col\";\r\nimport Row from \"react-bootstrap/Row\";\r\n\r\nconst CheckBox = props => (\r\n \r\n \r\n
\r\n ))}\r\n
\r\n);\r\n\r\nexport default CheckBox;\r\n","const special_categories_options = [\r\n { value: \"nhsc\", text: \"National Health Service Corp\" },\r\n { value: \"resident_intern\", text: \"Resident/Intern\" },\r\n { value: \"j1_visa\", text: \"J-1 Visa Waiver Holder\" },\r\n { value: \"federal_provider\", text: \"Federal Provider\"},\r\n { value: \"loan_repayment\", text: \"State Loan Repayment/Scholarship\" },\r\n { value: \"locus_tenens\", text: \"Locus Tenens\" },\r\n { value: \"h1B_visa\", text: \"H-1B Visa Holder\" },\r\n { value: \"restricted_license\", text: \"Restricted License\" }\r\n ]\r\nexport default special_categories_options","import React, { Component } from \"react\";\r\n/* Import Components */\r\nimport CheckBox from \"../components/CheckBox\";\r\nimport special_categories_options from \"../content/option_lists/special_categories_options\";\r\n/* Import Functions */\r\nimport {\r\n handleInput,\r\n handleBlur,\r\n blurAll,\r\n validationCheck,\r\n grabUserInput,\r\n validationErrors,\r\n defaultValidator,\r\n checkEmpty\r\n} from \"../Utils.js\";\r\n\r\nclass SpecialCategories extends Component {\r\n constructor(props) {\r\n super(props);\r\n\r\n this.state = {\r\n data: {\r\n special_categories: this.props.getData().special_categories\r\n },\r\n touched: {\r\n special_categories: false\r\n },\r\n errors: {\r\n special_categories: \"\"\r\n }\r\n };\r\n\r\n this.handleInput = handleInput.bind(this);\r\n this.handleBlur = handleBlur.bind(this);\r\n this.blurAll = blurAll.bind(this);\r\n this._grabUserInput = grabUserInput.bind(this);\r\n this._validationErrors = validationErrors.bind(this);\r\n this.validationCheck = validationCheck.bind(this);\r\n this.defaultValidator = defaultValidator.bind(this);\r\n this.isValidated = this.isValidated.bind(this);\r\n }\r\n\r\n componentDidMount() {\r\n document.title = 'TPCO Provider Assessment - Special Categories';\r\n document.getElementById(\"page_title\").innerHTML = \"TPCO Provider Assessment - Special Categories\";\r\n }\r\n\r\n _validateData(data) {\r\n return {\r\n special_categories: true // required: regex w3c uses in html5\r\n };\r\n }\r\n\r\n async isValidated() {\r\n let special_categories = await this._grabUserInput().special_categories;\r\n this.props.handleFocusReset();\r\n return this.defaultValidator(false, async function () {\r\n let confirmed = await checkEmpty(special_categories,\r\n \"No special categories apply?\");\r\n return confirmed;\r\n });\r\n }\r\n\r\n render() {\r\n return (\r\n <>\r\n \r\n \r\n
\r\n {props.options.sort((a, b) => (a.name > b.name) || a.value === \"Other\" ? 1 : -1).map(option => (\r\n \r\n {\" \"}\r\n {props.error}\r\n
\r\n \r\n \r\n
\r\n );\r\n \r\n export default TextArea;","const submitter_titles = [\r\n { value: \"Provider\", text: \"Provider (self)\" },\r\n { value: \"Owner\", text: \"Owner\" },\r\n { value: \"Administrator\", text: \"Administrator\" },\r\n { value: \"Clinic/Office Manager\", text: \"Clinic/Office Manager\" },\r\n { value: \"Administrative Assistant/Clerk\", text: \"Administrative Assistant/Clerk\" },\r\n { value: \"Front Desk Staff\", text: \"Front Desk Staff\"},\r\n { value: \"Billing Staff\", text: \"Billing Staff\" }\r\n ]\r\nexport default submitter_titles","import React, { Component } from \"react\";\r\n/* Import Components */\r\nimport Container from \"react-bootstrap/Container\";\r\nimport Form from \"react-bootstrap/Form\";\r\nimport Col from \"react-bootstrap/Col\";\r\nimport TextArea from \"../components/TextArea\";\r\nimport Input from \"../components/Input\";\r\nimport Select from \"../components/Select\";\r\nimport submitter_titles from \"../content/option_lists/submitter_titles\";\r\nimport {\r\n handleInput,\r\n handleBlur,\r\n blurAll,\r\n validationCheck,\r\n grabUserInput,\r\n validationErrors,\r\n defaultValidator\r\n} from \"../Utils.js\";\r\nimport { name_regex } from \"../validation_expressions\";\r\n\r\nclass FinalQuestions extends Component {\r\n constructor(props) {\r\n super(props);\r\n\r\n this.state = {\r\n data: {\r\n submitter_name: this.props.getData().submitter_name,\r\n submitter_title: this.props.getData().submitter_title,\r\n comments: this.props.getData().comments\r\n },\r\n touched: {\r\n submitter_name: false,\r\n submitter_title: false\r\n },\r\n errors: {\r\n submitter_name: \"\",\r\n submitter_title: \"\"\r\n }\r\n };\r\n\r\n this.handleInput = handleInput.bind(this);\r\n this.handleBlur = handleBlur.bind(this);\r\n this.blurAll = blurAll.bind(this);\r\n this._grabUserInput = grabUserInput.bind(this);\r\n this._validationErrors = validationErrors.bind(this);\r\n this.validationCheck = validationCheck.bind(this);\r\n this.defaultValidator = defaultValidator.bind(this);\r\n this.isValidated = this.isValidated.bind(this);\r\n }\r\n\r\n componentDidMount() {\r\n document.title = 'TPCO Provider Assessment - Final Questions';\r\n document.getElementById(\"page_title\").innerHTML=\"TPCO Provider Assessment - Final Questions\";\r\n }\r\n\r\n _validateData(data) {\r\n return {\r\n submitter_name:\r\n name_regex.test(data.submitter_name) &&\r\n data.submitter_name.length > 0, // required: anything besides N/A\r\n submitter_title: data.submitter_title !== \"\" // required: regex w3c uses in html5\r\n };\r\n }\r\n\r\n isValidated() {\r\n return this.defaultValidator(false, this.props.submit);\r\n }\r\n\r\n render() {\r\n return (\r\n <>\r\n {props.error}
\r\n \r\n
\r\n \r\n {\r\n this.setState(\r\n prevState => ({\r\n ...prevState,\r\n currentStep: step\r\n }),\r\n this.setShowNext(\r\n this.state.site_names.includes(this.steps[step].name)\r\n ? false\r\n : true\r\n ),\r\n this.setShowPrev(\r\n step === 0 || step >= this.getLastStepIndex() ? false : true\r\n )\r\n );\r\n }}\r\n />\r\n
\r\n \r\n
\r\n \r\n