105 lines
3.9 KiB
HTML
105 lines
3.9 KiB
HTML
<h1 mat-dialog-title>{{ data.context }} Family Member</h1>
|
|
|
|
<form [formGroup]="familyMemberForm">
|
|
|
|
<div fxLayout="row wrap" fxLayout.lt-md="column" fxLayoutAlign="start center" fxLayoutGap="2%">
|
|
|
|
<mat-form-field fxFlex="48%">
|
|
<mat-label>First Name</mat-label>
|
|
<input formControlName="firstName" required matInput />
|
|
<mat-error *ngIf="familyMemberForm.controls.firstName.hasError('required')">
|
|
First Name is <strong>required</strong>
|
|
</mat-error>
|
|
</mat-form-field>
|
|
|
|
<mat-form-field fxFlex="48%">
|
|
<mat-label>Middle Name</mat-label>
|
|
<input formControlName="middleName" matInput />
|
|
</mat-form-field>
|
|
|
|
<mat-form-field fxFlex="48%">
|
|
<mat-label>Last Name</mat-label>
|
|
<input formControlName="lastName" required matInput />
|
|
<mat-error *ngIf="familyMemberForm.controls.lastName.hasError('required')">
|
|
Last Name is <strong>required</strong>
|
|
</mat-error>
|
|
</mat-form-field>
|
|
|
|
<mat-form-field fxFlex="48%">
|
|
<mat-label>Qualification</mat-label>
|
|
<input formControlName="qualification" matInput />
|
|
</mat-form-field>
|
|
|
|
<mat-form-field fxFlex="48%">
|
|
<mat-label>Age</mat-label>
|
|
<input type="number" formControlName="age" matInput />
|
|
<mat-error *ngIf="familyMemberForm.controls.age.hasError('required')">
|
|
Age is <strong>required</strong>
|
|
</mat-error>
|
|
</mat-form-field>
|
|
|
|
<mat-checkbox formControlName="isDependent" labelPosition="before" fxFlex="48%">Is Dependent?</mat-checkbox>
|
|
|
|
<mat-form-field fxFlex="48%">
|
|
<mat-label>Relationship</mat-label>
|
|
<mat-select formControlName="relationshipId" required>
|
|
<mat-option *ngFor="let relation of data.options.relationshipIdOptions" [value]="relation.id">
|
|
{{ relation.name }}
|
|
</mat-option>
|
|
</mat-select>
|
|
<mat-error *ngIf="familyMemberForm.controls.relationshipId.hasError('required')">
|
|
Relationship is <strong>required</strong>
|
|
</mat-error>
|
|
</mat-form-field>
|
|
|
|
<mat-form-field fxFlex="48%">
|
|
<mat-label>Gender</mat-label>
|
|
<mat-select formControlName="genderId">
|
|
<mat-option *ngFor="let gender of data.options.genderIdOptions" [value]="gender.id">
|
|
{{ gender.name }}
|
|
</mat-option>
|
|
</mat-select>
|
|
<mat-error *ngIf="familyMemberForm.controls.genderId.hasError('required')">
|
|
Gender is <strong>required</strong>
|
|
</mat-error>
|
|
</mat-form-field>
|
|
|
|
<mat-form-field fxFlex="48%">
|
|
<mat-label>Profession</mat-label>
|
|
<mat-select formControlName="professionId">
|
|
<mat-option *ngFor="let profession of data.options.professionIdOptions" [value]="profession.id">
|
|
{{ profession.name }}
|
|
</mat-option>
|
|
</mat-select>
|
|
</mat-form-field>
|
|
|
|
<mat-form-field fxFlex="48%">
|
|
<mat-label>Marital Status</mat-label>
|
|
<mat-select formControlName="maritalStatusId">
|
|
<mat-option *ngFor="let maritalStatus of data.options.maritalStatusIdOptions"
|
|
[value]="maritalStatus.id">
|
|
{{ maritalStatus.name }}
|
|
</mat-option>
|
|
</mat-select>
|
|
</mat-form-field>
|
|
|
|
|
|
<mat-form-field fxFlex="98%">
|
|
<mat-label>Date Of Birth</mat-label>
|
|
<input formControlName="dateOfBirth" matInput [min]="minDate" [max]="maxDate" [matDatepicker]="dueDatePicker">
|
|
<mat-datepicker-toggle matSuffix [for]="dueDatePicker"></mat-datepicker-toggle>
|
|
<mat-datepicker #dueDatePicker></mat-datepicker>
|
|
<mat-error *ngIf="familyMemberForm.controls.dateOfBirth.hasError('required')">
|
|
Date of birth is <strong>required</strong>
|
|
</mat-error>
|
|
</mat-form-field>
|
|
|
|
</div>
|
|
|
|
<mat-dialog-actions align="center">
|
|
<button mat-raised-button mat-dialog-close>Cancel</button>
|
|
<button mat-raised-button color="primary" [disabled]="!familyMemberForm.valid" [mat-dialog-close]="{ member: familyMember }">Confirm</button>
|
|
</mat-dialog-actions>
|
|
|
|
</form>
|