src/applications/ezr/config/chapters/insuranceInformation/partAEffectiveDate.js
import ezrSchema from 'vets-json-schema/dist/10-10EZR-schema.json';
import {
descriptionUI,
currentOrPastDateUI,
currentOrPastDateSchema,
} from 'platform/forms-system/src/js/web-component-patterns';
import VaTextInputField from 'platform/forms-system/src/js/web-component-fields/VaTextInputField';
import MedicareClaimNumberDescription from '../../../components/FormDescriptions/MedicareClaimNumberDescription';
import content from '../../../locales/en/content.json';
const { medicareClaimNumber } = ezrSchema.properties;
export default {
uiSchema: {
medicarePartAEffectiveDate: currentOrPastDateUI({
title: content['insurance-medicare-part-a-title'],
hint: content['insuance-medicare-part-a-hint'],
}),
medicareClaimNumber: {
'ui:title': content['insurance-medicare-claim-number-label'],
...descriptionUI(MedicareClaimNumberDescription, { hideOnReview: true }),
'ui:webComponentField': VaTextInputField,
'ui:options': {
hint: content['insurance-medicare-claim-number-hint'],
},
'ui:errorMessages': {
pattern: content['validation-medicare-claim-number'],
},
},
},
schema: {
type: 'object',
required: ['medicarePartAEffectiveDate', 'medicareClaimNumber'],
properties: {
medicarePartAEffectiveDate: currentOrPastDateSchema,
medicareClaimNumber,
},
},
};