From 18abe7196f0c8985486ba516194feb5d17a73281 Mon Sep 17 00:00:00 2001 From: Donald Kibet Date: Mon, 26 Feb 2024 11:19:11 +0300 Subject: [PATCH] (feat) Add facility wide forms to main pipeline (#380) --- .../ampathforms/Cardex_Nursing_Plan.json | 1041 ++++ configuration/ampathforms/Doctor_s_Note.json | 1558 ++++++ .../ampathforms/Family_Planning_Form.json | 609 +++ .../ampathforms/ILI_Surveillnce_Form.json | 1382 +++++ .../ampathforms/IPD_Procedure_Form.json | 611 +++ .../ampathforms/MCH_Antenatal_Visit.json | 1361 ----- .../ampathforms/MCH_Antenatal_form.json | 2508 +++++++++ .../ampathforms/Mortality_admission.json | 476 ++ .../ampathforms/Newborn-admission-form.json | 3248 +++++++++++ configuration/ampathforms/Nutrition_Form.json | 923 ++++ .../ampathforms/Partograph-form.json | 403 ++ .../Post_Procedure_Notes_form.json | 393 ++ .../Postnatal_examination_form.json | 907 ++++ .../ampathforms/Pre_operative_Checklist.json | 222 + .../ampathforms/clinical-encounter.json | 4815 +++++++++++++++++ 15 files changed, 19096 insertions(+), 1361 deletions(-) create mode 100644 configuration/ampathforms/Cardex_Nursing_Plan.json create mode 100644 configuration/ampathforms/Doctor_s_Note.json create mode 100644 configuration/ampathforms/Family_Planning_Form.json create mode 100644 configuration/ampathforms/ILI_Surveillnce_Form.json create mode 100644 configuration/ampathforms/IPD_Procedure_Form.json delete mode 100644 configuration/ampathforms/MCH_Antenatal_Visit.json create mode 100644 configuration/ampathforms/MCH_Antenatal_form.json create mode 100644 configuration/ampathforms/Mortality_admission.json create mode 100644 configuration/ampathforms/Newborn-admission-form.json create mode 100644 configuration/ampathforms/Nutrition_Form.json create mode 100644 configuration/ampathforms/Partograph-form.json create mode 100644 configuration/ampathforms/Post_Procedure_Notes_form.json create mode 100644 configuration/ampathforms/Postnatal_examination_form.json create mode 100644 configuration/ampathforms/Pre_operative_Checklist.json create mode 100644 configuration/ampathforms/clinical-encounter.json diff --git a/configuration/ampathforms/Cardex_Nursing_Plan.json b/configuration/ampathforms/Cardex_Nursing_Plan.json new file mode 100644 index 00000000..925acb27 --- /dev/null +++ b/configuration/ampathforms/Cardex_Nursing_Plan.json @@ -0,0 +1,1041 @@ +{ + "name": "Cardex Nursing Plan", + "description": "Cardex Nursing Plan Form", + "version": "1", + "published": true, + "uuid": "89891ea0-444f-48bf-98e6-f97e87607f7e", + "retired": false, + "encounter": "IPD Consultation", + "pages": [ + { + "label": "Visit Details", + "sections": [ + { + "label": "Encounter Details", + "isExpanded": "true", + "questions": [ + { + "label": "Visit date:", + "type": "encounterDatetime", + "required": "true", + "id": "encDate", + "questionOptions": { + "rendering": "date" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ] + }, + { + "label": "Provider:", + "type": "encounterProvider", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encProvider " + }, + { + "label": "Location:", + "type": "encounterLocation", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encLocation" + } + ] + } + ] + }, + { + "label": "Social History", + "sections": [ + { + "label": "Social History", + "isExpanded": "true", + "questions": [ + { + "label": "Social History Taking", + "type": "obsGroup", + "questionOptions": { + "rendering": "group", + "concept": "160531AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "questions": [ + { + "label": "Tobacco Use?", + "type": "obs", + "id": "tobaCCoUse", + "questionOptions": { + "concept": "163731AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } + }, + { + "label": "Alcohol Use?", + "type": "obs", + "id": "tobaCCoUse", + "questionOptions": { + "concept": "159449AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } + }, + { + "label": "Substance Use?", + "type": "obs", + "id": "suBstaNceUse", + "questionOptions": { + "concept": "160246AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } + }, + { + "label": "Any recent travels?", + "type": "obs", + "id": "rEceNtRavels", + "questionOptions": { + "concept": "165656AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } + }, + { + "label": "Living with Pets/any contact with animal?", + "type": "obs", + "id": "livingCondiTions", + "questionOptions": { + "concept": "165834AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } + } + ] + } + ] + } + ] + }, + { + "label": "OBS/Gynae History", + "sections": [ + { + "label": "OBS/Gynae History", + "isExpanded": "true", + "questions": [ + { + "label": "LMP Date", + "type": "obs", + "id": "lmPdAte", + "questionOptions": { + "concept": "1427AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "date" + }, + "historicalExpression": "_.isEmpty(HD.getObject('prevEnc').getValue('1427AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')) ? undefined : HD.getObject('prevEnc').getValue('1427AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')", + "validators": [ + { + "type": "date", + "allowFutureDate": "false" + }, + { + "type": "js_expression", + "failsWhenExpression": "isEmpty(myValue) && !isEmpty(hasLMP) && hasLMP === '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'", + "message": "Required!" + }, + { + "type": "js_expression", + "failsWhenExpression": "(new moment(encDate)).isBefore((new moment(myValue)), 'day')", + "message": "LMP date should not be greater than the encounter date." + } + ], + "hide": { + "hideWhenExpression": "sex !== 'F' || age < 15" + } + }, + { + "label": "Parity Abortion", + "type": "obs", + "id": "pariTyabOrtioN", + "questionOptions": { + "concept": "1823AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "min": "0" + }, + "hide": { + "hideWhenExpression": "sex !== 'F' || age < 15" + } + }, + { + "label": "Gravida:", + "type": "obs", + "id": "graVidA", + "questionOptions": { + "concept": "5624AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "calculate": { + "calculateExpression": "(+parItYtErm + +pariTyabOrtioN) +1" + } + }, + "hide": { + "hideWhenExpression": "sex !== 'F' || age < 15" + } + }, + { + "label": "EDD:", + "type": "obs", + "id": "patientEdd", + "questionOptions": { + "concept": "5596AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "date" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "true" + }, + { + "type": "js_expression", + "failsWhenExpression": "(new moment(encDate)).isAfter((new moment(myValue)), 'day')", + "message": "EDD date should be greater than the encounter date." + } + ], + "hide": { + "hideWhenExpression": "sex !== 'F' || age < 15" + } + } + ] + } + ] + }, + { + "label": "Pediatric History", + "sections": [ + { + "label": "Pediatric History", + "isExpanded": "true", + "questions": [ + { + "label": "Gestational Age", + "type": "obs", + "id": "maturity", + "questionOptions": { + "concept": "1438AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "min": "0", + "max": "45" + }, + "hide": { + "hideWhenExpression": "age > 1" + } + }, + { + "label": "Mode of Delivery:", + "type": "obs", + "id": "deliveryMode", + "questionOptions": { + "concept": "5630AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1170AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Spontaneous vaginal delivery" + }, + { + "concept": "159260AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "vacuum extractor delivery" + }, + { + "concept": "159901AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Forceps delivery" + }, + { + "concept": "1172AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Breech delivery" + }, + { + "concept": "155886AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Elective Cesarean section" + }, + { + "concept": "159739AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Emergency Cesarean section" + } + ] + }, + "hide": { + "hideWhenExpression": "age > 1" + } + }, + { + "label": "Birth Weight", + "type": "obs", + "id": "birtWeight", + "questionOptions": { + "concept": "5916AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "min": "0", + "max": "0" + }, + "hide": { + "hideWhenExpression": "age > 1" + } + } + ] + }, + { + "label": "Neonatal period", + "isExpanded": "true", + "questions": [ + { + "label": "Did the child have any neonatal problems?", + "type": "obs", + "id": "prOblemSneOn", + "questionOptions": { + "concept": "164122AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "None" + }, + { + "concept": "115368AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Jaundice", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "157902AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cyanosis", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "127639AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Respiratory distress", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "143388AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Fits", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "140474AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Feeding Problems", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + ] + }, + "hide": { + "hideWhenExpression": "age > 1" + } + }, + { + "label": "Immunization History", + "type": "obs", + "id": "iMMuNHist", + "questionOptions": { + "concept": "164464AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "164463AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not Started" + }, + { + "concept": "5585AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Immunization up to date" + }, + { + "concept": "164468AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not up to date with immunizations" + }, + { + "concept": "164134AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Completed" + } + ] + }, + "hide": { + "hideWhenExpression": "age > 1" + } + }, + { + "label": "Developmental Milestone History", + "type": "obs", + "id": "deVhistOry", + "questionOptions": { + "concept": "167871AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "167870AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Achieved" + }, + { + "concept": "6022AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Delayed(Specify)" + }, + { + "concept": "6025AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Regressed(Specify)" + } + ] + }, + "hide": { + "hideWhenExpression": "age > 1" + } + }, + { + "label": "Delayed(Specify)", + "type": "obs", + "id": "delaYedNotes", + "questionOptions": { + "concept": "164231AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "hide": { + "hideWhenExpression": "deVhistOry !== '6022AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Regressed(Specify)", + "type": "obs", + "id": "regRessEdNotes", + "questionOptions": { + "concept": "164231AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "hide": { + "hideWhenExpression": "deVhistOry !== '6025AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + } + ] + }, + { + "label": "Review of systems", + "isExpanded": "true", + "questions": [ + { + "label": "System Reviews", + "type": "obs", + "id": "allsystemReview", + "questionOptions": { + "concept": "1069AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "1119AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Physical Assessment" + }, + { + "concept": "160981AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Skin" + }, + { + "concept": "163046AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "CVS" + }, + { + "concept": "160689AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Respiratory" + }, + { + "concept": "1078AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Gastrointestinal" + }, + { + "concept": "166363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Genitourinary" + }, + { + "concept": "133613AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Musculoskeletal" + } + ] + }, + "hide": { + "hideWhenExpression": "syStemsRevieW !=='1116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Physical Assessment findings:", + "required": "true", + "type": "obs", + "questionOptions": { + "rendering": "checkbox", + "concept": "162737AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "None" + }, + { + "concept": "136443AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Jaundice", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "460AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Oedema", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "5334AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Oral thrush", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "5245AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Pallor", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "140125AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Finger Clubbing", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "126952AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Lymph Node Axillary", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "143050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cyanosis", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "126939AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Lymph Nodes Inguinal", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "823AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Wasting", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "142630AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dehydration", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "116334AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Lethargic", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + ] + }, + "validators": [], + "hide": { + "hideWhenExpression": "!arrayContains(allsystemReview, '1119AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + }, + "id": "genExamFindings" + }, + { + "label": "Skin findings", + "type": "obs", + "id": "SkinFinDings", + "questionOptions": { + "concept": "1120AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "125201AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Swelling/Growth" + }, + { + "concept": "1249AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Skin eruptions/Rashes" + }, + { + "concept": "135591AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hair Loss" + }, + { + "concept": "5244AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Oral sores" + }, + { + "concept": "507AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Kaposi Sarcoma" + }, + { + "concept": "136455AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Itching" + }, + { + "concept": "150555AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Abscess" + } + ] + }, + "hide": { + "hideWhenExpression": "!arrayContains(allsystemReview, '160981AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Skin finding notes", + "type": "obs", + "id": "SkInNotes", + "questionOptions": { + "concept": "160981AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "hide": { + "hideWhenExpression": "!arrayContains(allsystemReview, '160981AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "CVS findings", + "type": "obs", + "id": "CvSfiNdInGs", + "questionOptions": { + "concept": "1124AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "562AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cardiac murmur" + }, + { + "concept": "130560AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cardiac rub" + }, + { + "concept": "136522AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Irregular heartbeat" + }, + { + "concept": "140147AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Elevated blood pressure" + } + ] + }, + "hide": { + "hideWhenExpression": "!arrayContains(allsystemReview, '163046AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "CVS findings notes", + "type": "obs", + "id": "cVsNoTes", + "questionOptions": { + "concept": "163046AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "hide": { + "hideWhenExpression": "!arrayContains(allsystemReview, '163046AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Respiratory findings", + "type": "obs", + "id": "cHeStFindinGs", + "questionOptions": { + "concept": "1123AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "5209AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Wheezing" + }, + { + "concept": "127639AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Respiratory distress" + }, + { + "concept": "127640AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Crackles" + }, + { + "concept": "145712AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dullness" + }, + { + "concept": "164440AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Reduced breathing" + }, + { + "concept": "146893AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Bronchial breathing" + } + ] + }, + "hide": { + "hideWhenExpression": "!arrayContains(allsystemReview, '160689AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Respiratory findings", + "type": "obs", + "id": "childRespirationFindinGs", + "questionOptions": { + "concept": "1123AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "5209AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Wheezing" + }, + { + "concept": "127639AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Respiratory distress" + }, + { + "concept": "127640AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Crackles" + }, + { + "concept": "145712AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dullness" + }, + { + "concept": "164440AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Reduced breathing" + }, + { + "concept": "146893AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Bronchial breathing" + }, + { + "concept": "156534AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Grunting" + }, + { + "concept": "136790AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Stridor" + }, + { + "concept": "136768AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Chest in-drawing" + } + ] + }, + "hide": { + "hideWhenExpression": "!arrayContains(allsystemReview, '160689AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')|| !(age <=5)" + } + }, + { + "label": "Respiratory findings notes", + "type": "obs", + "id": "ChestfiNdinGsNotes", + "questionOptions": { + "concept": "163042AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "hide": { + "hideWhenExpression": "!arrayContains(allsystemReview, '160689AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Genitourinary findings", + "type": "obs", + "id": "GenItourinAryFins", + "questionOptions": { + "concept": "1126AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "123529AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Urethral discharge" + }, + { + "concept": "154311AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Rectal discharge" + }, + { + "concept": "147241AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Bleeding" + }, + { + "concept": "124087AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Ulceration" + }, + { + "concept": "123396AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Vaginal discharge" + } + ] + }, + "hide": { + "hideWhenExpression": "!arrayContains(allsystemReview, '166363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Genitourinary findings notes", + "type": "obs", + "id": "GenItouriNaryFinoTeS", + "questionOptions": { + "concept": "163047AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "hide": { + "hideWhenExpression": "!arrayContains(allsystemReview, '166363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Musculoskeletal findings", + "type": "obs", + "id": "musculoskelatFindns", + "questionOptions": { + "concept": "1128AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "150823AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Abnormal Posture/Movement" + }, + { + "concept": "155871AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Deformity" + }, + { + "concept": "160395AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Restriction of movement" + }, + { + "concept": "163851AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Muscle Wasting" + }, + { + "concept": "116557AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Diffuse pain and tenderness" + }, + { + "concept": "163894AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Swelling" + }, + { + "concept": "122764AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Ulcers" + }, + { + "concept": "167237AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Increased of local temperature" + }, + { + "concept": "139047AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Heberdens nodes" + }, + { + "concept": "130166AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Pitting/Non pitting oedema" + }, + { + "concept": "152959AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Tendon sheath crepitus" + }, + { + "concept": "136421AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Joint crepitus" + }, + { + "concept": "115476AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Joint stiffness" + }, + { + "concept": "115476AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Muscle weakness" + } + ] + }, + "hide": { + "hideWhenExpression": "!arrayContains(allsystemReview, '133613AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Musculoskeletal findings notes", + "type": "obs", + "id": "musculoskeletalFindingNotes", + "questionOptions": { + "concept": "163048AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "hide": { + "hideWhenExpression": "!arrayContains(allsystemReview, '133613AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + } + ] + } + ] + }, + { + "label": "Nursing Notes", + "sections": [ + { + "label": "Nursing Detailed Notes", + "isExpanded": "true", + "questions": [ + { + "label": "Notes", + "type": "obs", + "id": "nursingNotes", + "required": "true", + "questionOptions": { + "concept": "164231AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + } + }, + { + "label": "Medication Administered?", + "type": "obs", + "id": "actionTaKen", + "questionOptions": { + "concept": "1282AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } + }, + { + "label": "Medication Given", + "type": "obsGroup", + "id": "medsRepeat", + "questionOptions": { + "concept": "159369AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "repeating" + }, + "hide": { + "hideWhenExpression": "isEmpty(actionTaKen) || actionTaKen !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + "questions": [ + { + "label": "Name of Medication", + "type": "obs", + "id": "medicatIonName", + "required": "true", + "questionOptions": { + "concept": "164231AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + } + }, + { + "label": "Time Taken", + "type": "obs", + "id": "TtakEn", + "datePickerFormat": "timer", + "questionOptions": { + "concept": "a9e7c05e-7381-4e2b-a968-05d5d6a884f6", + "rendering": "date" + } + } + ] + }, + { + "label": "Fluids Administered?", + "type": "obs", + "id": "actionTaKenIVfluids", + "questionOptions": { + "concept": "1765AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "true", + "label": "Yes" + }, + { + "concept": "false", + "label": "No" + } + ] + } + }, + { + "label": "Fluids Given", + "type": "obsGroup", + "id": "fluiDsRepeat", + "questionOptions": { + "concept": "161911AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "repeating" + }, + "hide": { + "hideWhenExpression": "actionTaKenIVfluids !== 'true'" + }, + "questions": [ + { + "label": "Name of Fluid Given", + "type": "obs", + "id": "flUidName", + "required": "true", + "questionOptions": { + "concept": "164231AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + } + }, + { + "label": "Time Taken", + "type": "obs", + "id": "fluiDsTtakEn", + "datePickerFormat": "timer", + "questionOptions": { + "concept": "a9e7c05e-7381-4e2b-a968-05d5d6a884f6", + "rendering": "date" + } + } + ] + } + ] + } + ] + } + ], + "encounterType": "465a92f2-baf8-42e9-9612-53064be868e8" +} \ No newline at end of file diff --git a/configuration/ampathforms/Doctor_s_Note.json b/configuration/ampathforms/Doctor_s_Note.json new file mode 100644 index 00000000..772d90c8 --- /dev/null +++ b/configuration/ampathforms/Doctor_s_Note.json @@ -0,0 +1,1558 @@ +{ + "name": "Doctor's Note Form", + "description": "Doctor's Note Form", + "version": "1", + "published": true, + "uuid": "", + "retired": false, + "encounter": "Consultation", + "pages": [ + { + "label": "Visit Details", + "sections": [ + { + "label": "Encounter Details", + "isExpanded": "true", + "questions": [ + { + "label": "Visit date:", + "type": "encounterDatetime", + "required": "true", + "id": "encDate", + "questionOptions": { + "rendering": "date" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ] + }, + { + "label": "Provider:", + "type": "encounterProvider", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encProvider " + }, + { + "label": "Location:", + "type": "encounterLocation", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encLocation" + } + ] + } + ] + }, + { + "label": "Doctor's Notes", + "sections": [ + { + "label": "Patient Compalints", + "isExpanded": "true", + 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"122764AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Ulcers" + }, + { + "concept": "167237AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Increased of local temperature" + }, + { + "concept": "139047AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Heberdens nodes" + }, + { + "concept": "130166AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Pitting/Non pitting oedema" + }, + { + "concept": "152959AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Tendon sheath crepitus" + }, + { + "concept": "136421AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Joint crepitus" + }, + { + "concept": "115476AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Joint stiffness" + }, + { + "concept": "115476AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Muscle weakness" + } + ] + }, + "hide": { + "hideWhenExpression": "!arrayContains(allsystemReview, '133613AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Musculoskeletal findings notes", + "type": "obs", + "id": "musculoskeletalFindingNotes", + "questionOptions": { + "concept": "163048AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "hide": { + "hideWhenExpression": "!arrayContains(allsystemReview, '133613AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Diagnosis", + "id": "DiagNosIS", + "type": "diagnosis", + "questionOptions": { + "rendering": "repeating", + "dataSource": "diagnoses", + "rank": 1 + } + } + ] + } + ] + }, + { + "label": "Plan and requested actions", + "sections": [ + { + "label": "Plan and requested actions", + "isExpanded": "true", + "questions": [ + { + "label": "Medication orders", + "type": "obs", + "id": "medOrders", + "questionOptions": { + "concept": "1282AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "163057AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Continue with previous medication" + }, + { + "concept": "165487AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Change medication" + }, + { + "concept": "167533AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": 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Dressing" + }, + { + "concept": "159728AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Manual Vacuum Aspiration" + }, + { + "concept": "1637AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dilatation and Curetage" + }, + { + "concept": "159842AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Episiotomy Repair" + }, + { + "concept": "161663AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Skin Lesion Excision" + }, + { + "concept": "535aebd0-f381-4ae6-961c-caa0ecf64736", + "label": "Biopsy" + }, + { + "concept": "161803AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Circumcision" + }, + { + "concept": "161284AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Paracentesis" + }, + { + "concept": "165893AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cannulation" + }, + { + "concept": "162651AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Iv fluids management" + }, + { + "concept": "441AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Bandaging" + }, + { + "concept": "fb5b9f5c-5e02-44ed-8c28-87e5306403ab", + "label": " 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"hideWhenExpression": "!arrayContaints(theRapyOrdered, ['5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'])" + } + }, + { + "label": "Feeding orders", + "type": "obs", + "id": "feedOrders", + "questionOptions": { + "concept": "985AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "None" + }, + { + "concept": "162798AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Nasogastric tube feeding", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "165951AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Parenteral feeding", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "165951AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "NPO(Nil per Oral)", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "162758AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Clear liquids", + 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"encounterType": "" +} \ No newline at end of file diff --git a/configuration/ampathforms/Family_Planning_Form.json b/configuration/ampathforms/Family_Planning_Form.json new file mode 100644 index 00000000..41ef2e68 --- /dev/null +++ b/configuration/ampathforms/Family_Planning_Form.json @@ -0,0 +1,609 @@ +{ + "name": "Family Planning", + "description": "Family Planning Form", + "version": "1", + "published": true, + "uuid": "a52c57d4-110f-4879-82ae-907b0d90add6", + "retired": false, + "encounter": "Consultation", + "pages": [ + { + "label": "Visit Details", + "sections": [ + { + "label": "Encounter Details", + "isExpanded": "true", + "questions": [ + { + "label": "Date:", + "type": "encounterDatetime", + "questionOptions": { + "rendering": "ui-select-extended", + "allowFutureDates": "false" + }, + "id": "encDate" + }, + { + "label": "Provider:", + "type": "encounterProvider", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encProvider " + }, + { + "label": "Location:", + "type": "encounterLocation", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encLocation" + } + ] + }, + { + "label": "Family Planning", + "isExpanded": "true", + "questions": [ + { + "label": "First ever user of contraceptive", + "type": "obs", + "required": true, + "id": "firstEverUser", + "questionOptions": { + "rendering": "radio", + "concept": "160653AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "NARROWER-THAN", + "type": "SNOMED NP", + "value": "423925001" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "160653" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Counselled on family planning?", + "type": "obs", + "required": true, + "id": "counselledOnFamilyPlanning", + "questionOptions": { + "rendering": "radio", + "concept": "1382AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "410290005" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "1382" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Contraceptive dispensed at this visit?", + "type": "obs", + "required": false, + "id": "contraceptiveDispensed", + "questionOptions": { + "rendering": "select", + "concept": "374AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "13197004" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "374" + }, + { + "relationship": "SAME-AS", + "type": "PIH", + "value": "374" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "374" + } + ], 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{ + "concept": "159948AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "date" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ] + }, + { + "label": "Controlled", + "type": "obs", + "id": "controlled", + "questionOptions": { + "concept": "166937AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } + } + ] + } + ] + }, + { + "label": "Physical Examination", + "isExpanded": "true", + "questions": [ + { + "label": "Temperature (C) :", + "type": "obs", + "required": "true", + "id": "temperature", + "questionOptions": { + "concept": "5088AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "max": "43", + "min": "25" + }, + "alert": { + "alertWhenExpression": "myValue && (myValue >= 37.5 || myValue < 35)", + "message": "Temperature is out of range (Normal range 35-37)" + } + }, + { + "label": "Mode of Temperature collection?", + "type": "obs", + "id": "modeOfCollection", + "required": "true", + "questionOptions": { + "concept": "166456AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "160240AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Oral" + }, + { + "concept": "5112AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Auxillary" + }, + { + "concept": "166242AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Forehead thermometer gun" + } + ] + } + }, + { + "label": "Respiratory Rate", + "type": "obs", + "required": "true", + "id": "respRate", + "questionOptions": { + "concept": "5242AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number" + }, + "alert": { + "alertWhenExpression": "myValue && (myValue >= 16.5 || myValue < 11.5)", + "message": "Respiratory Rate is out of range (Normal range 12-16)" + } + }, + { + "label": "Oxygen Saturation", + "type": "obs", + "required": "true", + "id": "oxygenSat", + "questionOptions": { + "concept": "5092AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number" + }, + "alert": { + "alertWhenExpression": "myValue && (myValue >= 100.5 || myValue < 94.5)", + "message": "Oxygen Saturation is out of range (Normal range 95-100)" + } + }, + { + "label": "Mode of Oxygen Saturation collection?", + "type": "obs", + "id": "oxygenmodeOfCollection", + "required": "true", + "questionOptions": { + "concept": "165932AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "162735AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Room air" + }, + { + "concept": "162738AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "On Supplemental oxygen" + } + ] + } + } + ] + }, + { + "label": "Vaccination", + "isExpanded": "true", + "questions": [ + { + "label": "Has the patient received any of the following vaccination?", + "type": "obs", + "required": "true", + "id": "vaccineReceived", + "questionOptions": { + "concept": "164134AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "2967590d-4fdb-4838-905d-edfc19a1c587", + "label": "Influenza" + }, + { + "concept": "166154AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "COVID-19" + } + ] + } + }, + { + "label": "Was the vaccine given in the past 12 months", + "type": "obs", + "id": "givenVaccine", + "questionOptions": { + "concept": "1569AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Don't Know" + } + ] + }, + "hide": { + "hideWhenExpression": "!arrayContains(vaccineReceived, '2967590d-4fdb-4838-905d-edfc19a1c587')" + } + }, + { + "label": "Was this verified using a vaccination card or hospital records", + "type": "obs", + "id": "verifiedCard", + "questionOptions": { + "concept": "165911AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Don't Know" + } + ] + }, + "hide": { + "hideWhenExpression": "!arrayContains(vaccineReceived, '2967590d-4fdb-4838-905d-edfc19a1c587')" + } + }, + { + "label": "How many doses of COVID-19 were given?", + "type": "obs", + "id": "dosesGivenCovid", + "questionOptions": { + "concept": "1569AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1182AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "1" + }, + { + "concept": "1183AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "2" + }, + { + "concept": "1103AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "3" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Don't Know" + } + ] + }, + "hide": { + "hideWhenExpression": "!arrayContains(vaccineReceived, '166154AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Was this verified using a vaccination card or hospital records", + "type": "obs", + "id": "verifiedCardCovid", + "questionOptions": { + "concept": "165911AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "hide": { + "hideWhenExpression": "!arrayContains(vaccineReceived, '166154AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Since the patients Vaccination has She/He been tested for COVID-19?", + "type": "obs", + "id": "testedCovid", + "questionOptions": { + "concept": "166585AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "hide": { + "hideWhenExpression": "!arrayContains(vaccineReceived, '166154AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "What was the COVID-19 test result?", + "type": "obs", + "id": "testResults", + "questionOptions": { + "concept": "159427AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Positive" + }, + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + } + ] + }, + "hide": { + "hideWhenExpression": "testedCovid !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + } + ] + }, + { + "label": "Specimen Collection", + "isExpanded": "true", + "questions": [ + { + "label": "Was any specimen collected from this patient for Influenza testing", + "type": "obs", + "required": "true", + "id": "specimenCollected", + "questionOptions": { + "concept": "644504bd-23bc-4f1e-b9a0-d44f81f4148e", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } + }, + { + "label": "Type of Swab collected", + "type": "obs", + "id": "specimenTypeCollected", + "questionOptions": { + "concept": "159959AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "NP" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Nasal swab" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "OP" + } + ] + }, + "hide": { + "hideWhenExpression": "specimenCollected !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Date of Specimen Collection", + "type": "obs", + "id": "dateOfSpecimen", + "questionOptions": { + "concept": "159951AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "date" + }, + "hide": { + "hideWhenExpression": "specimenCollected !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ] + } + ] + } + ] + } + ], + "encounterType": "465a92f2-baf8-42e9-9612-53064be868e8" + } \ No newline at end of file diff --git a/configuration/ampathforms/IPD_Procedure_Form.json b/configuration/ampathforms/IPD_Procedure_Form.json new file mode 100644 index 00000000..004a46e6 --- /dev/null +++ b/configuration/ampathforms/IPD_Procedure_Form.json @@ -0,0 +1,611 @@ +{ + "name": "IPD Procedure Form", + "description": "IPD Procedure Form", + "version": "1", + "published": true, + "uuid": "xxxx", + "retired": false, + "encounter": "IPD Consultation", + "pages": [ + { + "label": "Visit Details", + "sections": [ + { + "label": "Encounter Details", + "isExpanded": "true", + "questions": [ + { + "label": "Visit date:", + "type": "encounterDatetime", + "required": "true", + "id": "encDate", + "questionOptions": { + "rendering": "date" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ] + }, + { + "label": "Provider:", + "type": "encounterProvider", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encProvider " + }, + { + "label": "Location:", + "type": "encounterLocation", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encLocation" + } + ] + } + ] + }, + { + "label": "Procedure Details", + "sections": [ + { + "label": "Procedure form", + "isExpanded": "true", + "questions": [ + { + "label": "Procedure/Surgery Name", + "type": "obs", + "id": "suRgeRyName", + "questionOptions": { + "concept": "166635AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + } + }, + { + "label": "Date of Procedure", + "type": "encounterDatetime", + "questionOptions": { + "rendering": "ui-select-extended", + "concept": "167132AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "id": "timeofProcedure", + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + }, + { + "type": "js_expression", + "failsWhenExpression": "(new moment(encDate)).isAfter((new moment(myValue)), 'day') || (new moment(encDate)).isSame((new moment(myValue)), 'day')", + "message": "Time of procedure should be greater than the encounter date." + } + ] + }, + { + "label": "Time Taken", + "type": "obs", + "id": "procTtakEn", + "datePickerFormat": "timer", + "questionOptions": { + "concept": "a9e7c05e-7381-4e2b-a968-05d5d6a884f6", + "rendering": "date" + } + }, + { + "label": "Operating Surgeon/Doctor's Name", + "type": "obs", + "id": "docTorsName", + "questionOptions": { + "concept": "166688AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + } + }, + { + "label": "Name of Assistant (1)", + "type": "obs", + "id": "AsstDoc", + "questionOptions": { + "concept": "159905AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + } + }, + { + "label": "Name of Assistant (2)", + "type": "obs", + "questionOptions": { + "rendering": "text", + "concept": "164523AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "id": "AssistDoc2" + }, + { + "label": "Nurse/Scrub Nurse", + "type": "obs", + "questionOptions": { + "rendering": "text", + "concept": "166010AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "id": "AssistDoc3" + }, + { + "label": "Anesthesiologist name", + "type": "obs", + "questionOptions": { + "rendering": "text", + "concept": "166689AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "id": "AssistDoc4" + }, + { + "label": "Operation Tecnique", + "type": "obs", + "id": "opsTech", + "questionOptions": { + "rendering": "radio", + "concept": "164258AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "166715AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Open" + }, + { + "concept": "161789AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Minimal Invasive" + }, + { + "concept": "ece03e1b-9a31-4d72-8b93-376eb3180227", + "label": "Insufflation" + }, + { + "concept": "164648AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Semi closed" + } + ] + } + }, + { + "label": "Operation Type", + "type": "obsGroup", + "id": "opsTyPe", + "questionOptions": { + "concept": "81bbc312-d0f6-4950-822a-f7a47e599013", + "rendering": "group" + }, + "questions": [ + { + "label": "Operation Type", + "type": "obs", + "id": "opsType2", + "questionOptions": { + "concept": "163100AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "3798940f-87b8-464e-b36a-17da246f034e", + "label": "Major Operation" + }, + { + "concept": "3c3946b1-d71d-41b3-a2e4-2d755006200a", + "label": "Minor Minor Operation" + } + ] + } + }, + { + "label": "General Anasthesia", + "type": "obs", + "id": "deathAge", + "questionOptions": { + "concept": "164254AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "164243AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Inhalation" + }, + { + "concept": "164242AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Rectal" + }, + { + "concept": "164244AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "I.V" + } + ] + } + }, + { + "label": "Local/Regional", + "type": "obs", + "id": "loCalReg", + "questionOptions": { + "concept": "164253AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "166707AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Infiltration" + }, + { + "concept": "164250AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Topical" + }, + { + "concept": "160326AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Spinal" + }, + { + "concept": "161912AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Epidural" + }, + { + "concept": "124924AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hypotherm" + } + ] + } + }, + { + "label": "Position", + "type": "obs", + "id": "similarSymptom", + "questionOptions": { + "rendering": "select", + "concept": "159633AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "165928AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Prone Arms" + }, + { + "concept": "166306AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Flat shoulder" + }, + { + "concept": "1349AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Revtren" + }, + { + "concept": "1349AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Chest" + }, + { + "concept": "163995AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Lithotomy" + }, + { + "concept": "159629AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Supine" + }, + { + "concept": "542AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Lateral" + }, + { + "concept": "159631AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Trendelenburg" + } + ] + } + }, + { + "label": "Fluids Given", + "type": "obs", + "id": "fluiDsGiven", + "questionOptions": { + "rendering": "select", + "concept": "161911AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "80804AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Saline" + }, + { + "concept": "162859AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Glucose" + }, + { + "concept": "161927AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Blood" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Others" + } + ] + } + }, + { + "label": "Other (Specify)", + "type": "obs", + "id": "OthersUsed", + "required": "true", + "questionOptions": { + "concept": "162696AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + }, + "hide": { + "hideWhenExpression": "fluiDsGiven !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Any Drains used", + "type": "obs", + "id": "dRainSused", + "required": "true", + "questionOptions": { + "concept": "166693AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } + }, + { + "label": "Intraoperative complication", + "type": "obs", + "questionOptions": { + "rendering": "checkbox", + "concept": "120198AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "None" + }, + { + "concept": "1933AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Respiratory minor", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "127642AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Respiratory major", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "162158AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Neurology", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "123498AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Urology", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "20d112d0-3811-41d6-935f-62de96a769bf", + "label": "Ailment", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "5981AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Vomit", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "160925AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Metabolic", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Other", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + ] + }, + "id": "CompSopS", + "required": "true", + "hide": { + "hideWhenExpression": "" + } + }, + { + "label": "Other (Specify)", + "type": "obs", + "id": "OthersUsed", + "required": "true", + "questionOptions": { + "concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + }, + "hide": { + "hideWhenExpression": "!arrayContains(['5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'], CompSopS)" + } + }, + { + "label": "Postoperative complication", + "type": "obs", + "questionOptions": { + "rendering": "multiCheckbox", + "concept": "120198AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "None" + }, + { + "concept": "136117AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Laryngospasm", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "108AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Bronchospasm" + }, + { + "concept": "137971AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hypoventilation" + }, + { + "concept": "148517AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Apnea" + }, + { + "concept": "460AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Edema " + }, + { + "concept": "121147AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Vocal cord paresis" + }, + { + "concept": "166517AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hypotension " + }, + { + "concept": "117399AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hypertension" + }, + { + "concept": "120148AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Arrhythmias" + }, + { + "concept": "129341AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Shock" + }, + { + "concept": "115432AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Myocardial Infarction" + }, + { + "concept": "117315AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hypovolaemia" + }, + { + "concept": "117326AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hypothermia and Shivering" + }, + { + "concept": "147241AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Late bleeding" + }, + { + "concept": "138177AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hyperthermia" + }, + { + "concept": "133473AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Postoperative nausea and vomiting " + }, + { + "concept": "150309AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Central Anticholinergic Syndrome (CAS)" + }, + { + "concept": "128195AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Psychomotor Agitation" + }, + { + "concept": "148254AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Asystole" + } + ] + }, + "id": "PostCompSopS", + "required": "true", + "hide": { + "hideWhenExpression": "" + } + }, + { + "label": "Post operative patient condition", + "type": "obs", + "id": "poStpTienOps", + "required": "true", + "questionOptions": { + "concept": "163184AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "162133AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Satifactory" + }, + { + "concept": "162132AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Poor" + }, + { + "concept": "166056AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Critical" + } + ] + } + }, + { + "label": "Blood Loss", + "type": "obs", + "id": "BlOOdlOOs", + "required": "true", + "questionOptions": { + "concept": "161928AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number" + }, + "hide": { + "hideWhenExpression": "" + } + }, + { + "label": "Specimen Collected", + "type": "obs", + "id": "collecTeDspECS", + "required": "true", + "questionOptions": { + "concept": "159959AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } + }, + { + "label": "Surgeon Remarks", + "type": "obs", + "id": "BlOOdlOOs", + "required": "true", + "questionOptions": { + "concept": "163042AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "hide": { + "hideWhenExpression": "" + } + }, + { + "label": "Surgeon's Name:", + "type": "obs", + "questionOptions": { + "rendering": "text", + "concept": "1473AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "id": "SurgName", + "required": "true" + } + ] + } + ] + } + ] + } + ], + "encounterType": "xxxxxx" +} diff --git a/configuration/ampathforms/MCH_Antenatal_Visit.json b/configuration/ampathforms/MCH_Antenatal_Visit.json deleted file mode 100644 index 67c86cfa..00000000 --- a/configuration/ampathforms/MCH_Antenatal_Visit.json +++ /dev/null @@ -1,1361 +0,0 @@ -{ - "name": "MCH Antenatal Visit", - "description": "MCH Antenatal Visit Form", - "version": "1", - "published": true, - "retired": false, - "pages": [ - { - "label": "ANC Visit", - "sections": [ - { - "label": "Encounter Details", - "isExpanded": "true", - "questions": [ - { - "label": "Date:", - "type": "encounterDatetime", - "questionOptions": { - "rendering": "datetime" - }, - "validators": [ - { - "type": "date", - "allowFutureDates": "false" - } - ], - "id": "encDate" - }, - { - "label": "Provider:", - "type": "encounterProvider", - "questionOptions": { - "rendering": "text" - }, - "id": "encProvider " - }, - { - "label": "Location:", - "type": "encounterLocation", - "questionOptions": { - "rendering": "encounter-location", - "locationTag": "8d4626ca-7abd-42ad-be48-56767bbcf272" - }, - "id": "encLocation" - } - ] - }, - { - "label": "Visit Details", - "isExpanded": "true", - "questions": [ - { - "label": "ANC Visit Number:", - "type": "obs", - "questionOptions": { - "rendering": "number", - "concept": "1425AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" - }, - "id": "visitNumber", - "required": "true" - } - ] - }, - { - "label": "Vitals", - "isExpanded": "true", - "questions": [ - { - "label": "Temperature (C) :", - "type": "obs", - "id": "temperature", - "questionOptions": { - "concept": "5088AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number", - "max": "43", - "min": "25" - }, - "alert": { - "alertWhenExpression": "myValue && (myValue >= 37.5 || myValue < 35)", - "message": "Temperature is out of range (Normal range 35-37)" - } - }, - { - "label": "Pulse Rate", - "type": "obs", - "id": "pulseRate", - "questionOptions": { - "concept": "5087AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - }, - "alert": { - "alertWhenExpression": "myValue && (myValue >= 100.5 || myValue < 59.5)", - "message": "Pulse Rate is out of range (Normal range 60-100)" - } - }, - { - "label": "Systolic B.P", - "type": "obs", - "id": "sysBP", - "questionOptions": { - "concept": "5085AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - }, - "alert": { - "alertWhenExpression": "myValue && (myValue >= 130.5 || myValue < 119.5)", - "message": "Systolic is out of range (Normal range 120-130)" - } - }, - { - "label": "Diastolic B.P", - "type": "obs", - "id": "diasBP", - "questionOptions": { - "concept": "5086AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - }, - "alert": { - "alertWhenExpression": "myValue && (myValue >= 85.5 || myValue < 79.5)", - "message": "Diastolic is out of range (Normal range 80-85)" - } - }, - { - "label": "Respiratory Rate", - "type": "obs", - "id": "respRate", - "questionOptions": { - "concept": "5242AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - }, - "alert": { - "alertWhenExpression": "myValue && (myValue >= 16.5 || myValue < 11.5)", - "message": "Respiratory Rate is out of range (Normal range 12-16)" - } - }, - { - "label": "Oxygen Saturation", - "type": "obs", - "id": "oxygenSat", - "questionOptions": { - "concept": "5092AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - }, - "alert": { - "alertWhenExpression": "myValue && (myValue >= 100.5 || myValue < 94.5)", - "message": "Oxygen Saturation is out of range (Normal range 95-100)" - } - }, - { - "label": "MUAC", - "type": "obs", - "id": "muac", - "questionOptions": { - "concept": "1343AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - } - - }, - { - "label": "Height:(cms)", - "type": "obs", - "id": "height", - "questionOptions": { - "concept": "5090AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - } - }, - { - "label": "Weight: (kg)", - "type": "obs", - "id": "weight", - "questionOptions": { - "concept": "5089AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - } - } - ] - }, - { - "label": "Other Observations", - "isExpanded": "true", - "questions": [ - { - "label": "Breast examination done:", - "type": "obs", - "id": "breastExam", - "questionOptions": { - "concept": "163590AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - } - ] - } - }, - { - "label": "Pallor:", - "type": "obs", - "id": "pallor", - "questionOptions": { - "concept": "5245AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - }, - { - "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Not applicable" - } - ] - } - }, - { - "label": "Maturity in weeks:", - "type": "obs", - "id": "maturity", - "questionOptions": { - "concept": "1438AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - } - }, - { - "label": "Fundal Height (Weeks):", - "type": "obs", - "id": "fundal", - "questionOptions": { - "concept": "1439AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - } - }, - { - "label": "Presentation:", - "type": "obs", - "id": "presentation", - "questionOptions": { - "concept": "160090AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "139814AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Frank Breech Presentation" - }, - { - "concept": "160091AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "vertex presentation" - } - ] - } - }, - { - "label": "Lie:", - "type": "obs", - "id": "lie", - "questionOptions": { - "concept": "162089AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "162088AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Longitudinal lie" - }, - { - "concept": "132623AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Oblique lie" - }, - { - "concept": "124261AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Transverse lie" - } - ] - } - }, - { - "label": "Foetal Heart Rate:", - "type": "obs", - "id": "foetalRate", - "questionOptions": { - "concept": "1440AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - } - }, - { - "label": "Foetal Movement:", - "type": "obs", - "id": "foetalMvt", - "questionOptions": { - "concept": "162107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "113377AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Decreased fetal movements" - }, - { - "concept": "162108AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Fetal movements present" - }, - { - "concept": "162090AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Increased fetal movements" - }, - { - "concept": "1452AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No fetal movements" - } - ] - } - } - ] - } - ] - }, - { - "label": "Laboratory Investigations", - "sections": [ - { - "label": "HIV Testing", - "isExpanded": "true", - "questions": [ - { - "label": "HIV Testing", - "type": "obsGroup", - "questionOptions": { - "concept": "164410AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "repeating" - }, - "questions": [ - { - "label": "Kit Name", - "type": "obs", - "id": "kitName", - "questionOptions": { - "concept": "214c83f9-435d-44f5-9ae6-d5757b7b4c7f", - "rendering": "select", - "answers": [ - { - "concept": "7cf927f8-e734-474f-b71a-1459bb566aa2", - "label": "Determine" - }, - { - "concept": "59ef8c87-eb66-4f9e-a459-7227c01f682e", - "label": "First Response" - }, - { - "concept": "2f5a80fa-6f26-4832-b8a8-f47649bb60de", - "label": "Dual Kit" - } - ] - } - }, - { - "label": "Lot Number", - "type": "obs", - "id": "lotNumber", - "questionOptions": { - "concept": "3d4f9e8e-46cc-4024-a1c4-d0167f2c84a4", - "rendering": "text" - } - }, - { - "label": "Expiry Date", - "type": "obs", - "id": "expiryDate", - "questionOptions": { - "concept": "162502AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "date" - } - }, - { - "label": "HIV Test Results:", - "type": "obs", - "id": "hivTestResult", - "questionOptions": { - "concept": "1040AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Positive" - }, - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Negative" - }, - { - "concept": "163611AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Invalid" - } - ] - } - } - ], - "id": "hivResult" - }, - { - "label": "Final Results:", - "type": "obs", - "id": "hivFinalResult", - "questionOptions": { - "concept": "159427AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Positive" - }, - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Negative" - }, - { - "concept": "1138AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Inconclusive" - } - ] - } - }, - { - "label": "Results given to client?", - "type": "obs", - "id": "resultsGivenToClient", - "questionOptions": { - "concept": "164848AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "YES" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "NO" - } - ] - } - }, - { - "label": "Has the client's partner been tested for HIV?", - "type": "obs", - "id": "partnerTested", - "questionOptions": { - "concept": "161557AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - } - ] - } - }, - { - "label": "Partner HIV Status:", - "type": "obs", - "id": "partner-hiv-status", - "questionOptions": { - "concept": "1436AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "HIV Positive" - }, - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "HIV Negative" - }, - { - "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Unknown" - } - ] - } - } - ] - }, - { - "label": "Urinalysis", - "isExpanded": "true", - "questions": [ - { - "label": "Urine Microscopy", - "type": "obs", - "id": "urinalysis", - "questionOptions": { - "concept": "56AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "textarea" - } - }, - { - "label": "Urine Leukocyte Esterase Test", - "type": "obs", - "id": "lukocyte", - "questionOptions": { - "concept": "161441AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Negative" - }, - { - "concept": "1874AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Trace" - }, - { - "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "One Plus(+)" - }, - { - "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Two Plus(++)" - }, - { - "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Three Plus(+++)" - } - ] - } - }, - { - "label": "Urinary Albumin (mg/dL)", - "type": "obs", - "id": "albumin", - "questionOptions": { - "concept": "1875AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Negative" - }, - { - "concept": "1874AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Trace - 15" - }, - { - "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "One Plus(+) - 30" - }, - { - "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Two Plus(++) - 100" - }, - { - "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Three Plus(+++) - 300" - }, - { - "concept": "1365AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Four Plus(++++) - 1000" - } - ] - } - }, - { - "label": "Urinary Ketone (mg/dL)", - "type": "obs", - "id": "ketone", - "questionOptions": { - "concept": "161442AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Negative" - }, - { - "concept": "1874AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Trace - 5" - }, - { - "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "One Plus(+) - 15" - }, - { - "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Two Plus(++) - 50" - }, - { - "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Three Plus(+++) - 150" - } - ] - } - }, - { - "label": "Glucose Measurement (Qualitative)", - "type": "obs", - "id": "glucose", - "questionOptions": { - "concept": "159734AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Normal" - }, - { - "concept": "1874AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Trace" - }, - { - "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "One Plus(+)" - }, - { - "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Two Plus(++)" - }, - { - "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Three Plus(+++)" - }, - { - "concept": "1365AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Four Plus(++++)" - } - ] - } - }, - { - "label": "Urine Bile Salt Test (mg/dL)", - "type": "obs", - "id": "bile", - "questionOptions": { - "concept": "161444AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Normal" - }, - { - "concept": "1874AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Trace - 1" - }, - { - "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "One Plus(+) - 4" - }, - { - "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Two Plus(++) - 8" - }, - { - "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Three Plus(+++) - 12" - } - ] - } - }, - { - "label": "Urine pH", - "type": "obs", - "id": "urinePH", - "questionOptions": { - "concept": "161438AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - } - }, - { - "label": "Urine Bile Pigment Test", - "type": "obs", - "id": "bile", - "questionOptions": { - "concept": "161443AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Negative" - }, - { - "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "One Plus(+)" - }, - { - "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Two Plus(++)" - }, - { - "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Three Plus(+++)" - } - ] - } - }, - { - "label": "Urine Specific Gravity", - "type": "obs", - "id": "urineSpecificGravity", - "questionOptions": { - "concept": "161439AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - } - }, - { - "label": "Urine Color", - "type": "obs", - "id": "urineColor", - "questionOptions": { - "concept": "162106AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "162100AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Brown color" - }, - { - "concept": "162099AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Colourless" - }, - { - "concept": "162098AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Dark yellow colour" - }, - { - "concept": "162097AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Light yellow colour" - }, - { - "concept": "127778AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Red color" - }, - { - "concept": "162105AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yellow-green colour" - } - ] - } - }, - { - "label": "Urine Nitrite Test", - "type": "obs", - "id": "urineNitrite", - "questionOptions": { - "concept": "161440AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Negative" - }, - { - "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Positive" - }, - { - "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "One Plus(+)" - }, - { - "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Two Plus(++)" - } - ] - } - }, - { - "label": "Urine Turbidity", - "type": "obs", - "id": "urineTurbidity", - "questionOptions": { - "concept": "162101AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "162103AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Cloudy urine" - }, - { - "concept": "162102AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Urine appears clear" - }, - { - "concept": "162104AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Urine appears turbid" - } - ] - } - }, - { - "label": "Urine Dipstick for Blood", - "type": "obs", - "id": "urineDipstick", - "questionOptions": { - "concept": "162096AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Negative" - }, - { - "concept": "1874AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Trace" - }, - { - "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "One Plus(+)" - }, - { - "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Two Plus(++)" - }, - { - "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Three Plus(+++)" - } - ] - } - } - ] - }, - { - "label": "Other Tests", - "isExpanded": "true", - "questions": [ - { - "label": "Syphilis serology:", - "type": "obs", - "id": "syphilisTestResults", - "questionOptions": { - "concept": "299AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1229AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Negative" - }, - { - "concept": "1228AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Positive" - }, - { - "concept": "1271AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Requested" - }, - { - "concept": "1402AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Not Tested" - }, - { - "concept": "1304AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Poor Sample quality" - } - ] - } - }, - { - "label": "Has the client been treated for syphilis?", - "type": "obs", - "id": "syphilisTreated", - "questionOptions": { - "concept": "159918AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - } - ] - } - }, - { - "label": "BS for MPS:", - "type": "obs", - "id": "bsForMps", - "questionOptions": { - "concept": "32AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1138AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "INDETERMINATE" - }, - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "NEGATIVE" - }, - { - "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "POSITIVE" - } - ] - } - }, - { - "label": "Haemoglobin:", - "type": "obs", - "id": "hb", - "questionOptions": { - "concept": "21AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - } - } - ] - } - ] - }, - { - "label": " Client Monitoring", - "sections": [ - { - "label": "Client Monitoring", - "isExpanded": "true", - "questions": [ - { - "label": "Has the client undergone antenatal exercises?", - "type": "obs", - "id": "physicalExercises", - "questionOptions": { - "concept": "161074AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - } - ] - } - }, - { - "label": "TB Screening Results:", - "type": "obs", - "id": "tbScreening", - "questionOptions": { - "concept": "1659AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1660AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "NO signs" - }, - { - "concept": "142177AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "TB presumed" - }, - { - "concept": "164128AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No signs and started on INH" - }, - { - "concept": "1662AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "TB Rx" - }, - { - "concept": "160737AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Not done (ND)" - } - ] - } - }, - { - "label": "Has the client been screened for CaCx ?", - "type": "obs", - "id": "cacxScreening", - "questionOptions": { - "concept": "06398e78-0d3e-43d5-8017-f2fc3865e2e0", - "rendering": "select", - "answers": [ - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Normal" - }, - { - "concept": "159393AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Presumed" - }, - { - "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Confirmed" - }, - { - "concept": "1118AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Not Done" - }, - { - "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "N/A" - } - ] - } - }, - { - "label": "CaCx screening method?", - "type": "obs", - "id": "screeningcacxMethod", - "questionOptions": { - "concept": "163589AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "885AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Pap Smear" - }, - { - "concept": "162816AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "VIA" - }, - { - "concept": "9818bba5-ecd4-4cf9-a48f-5e5d9a48eec6", - "label": "VILI" - }, - { - "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Other" - } - ] - }, - "hide": { - "hideWhenExpression": "isEmpty(cacxScreening) || cacxScreening === '1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || cacxScreening === '1118AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, - { - "label": "WHO Staging:", - "type": "obs", - "id": "whoStaging", - "questionOptions": { - "concept": "5356AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1204AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "WHO Stage1" - }, - { - "concept": "1205AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "WHO Stage2" - }, - { - "concept": "1206AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "WHO Stage3" - }, - { - "concept": "1207AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "WHO Stage4" - } - ] - } - }, - { - "label": "HIV Viral load sample taken?", - "type": "obs", - "id": "vl", - "questionOptions": { - "concept": "1271AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "856AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - } - ] - } - } - ] - }, - { - "label": "ART and Prophylaxis", - "isExpanded": "true", - "questions": [ - { - "label": "Mother's prophylaxis given during this visit?", - "type": "obs", - "id": "prophylaxisUsed", - "questionOptions": { - "concept": "1109AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "105281AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Cotrimoxazole" - }, - { - "concept": "74250AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Dapsone" - }, - { - "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "None" - } - ] - } - }, - { - "label": "AZT for the baby dispensed?", - "type": "obs", - "id": "aztDispensed", - "questionOptions": { - "concept": "1282AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "160123AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - }, - { - "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "N/A" - } - ] - } - }, - { - "label": "NVP for the baby dispensed?", - "type": "obs", - "id": "nvpDispensed", - "questionOptions": { - "concept": "1282AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "80586AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - }, - { - "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "N/A" - } - ] - } - } - ] - }, - { - "label": "Client Education", - "isExpanded": "true", - "questions": [ - { - "label": "Has the client received ANC counselling:", - "type": "obs", - "id": "counselled", - "questionOptions": { - "concept": "1912AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - } - ] - } - }, - { - "label": "Subject(s)", - "type": "obsGroup", - "questionOptions": { - "concept": "161048AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "group" - }, - "questions": [ - { - "label": "Birth plans", - "type": "obs", - "id": "birthPlans", - "questionOptions": { - "concept": "159853AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "Checkbox", - "answers": [ - { - "concept": "159758AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Birth plans" - }, - { - "concept": "159857AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Danger signs" - }, - { - "concept": "156277AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Family planning" - }, - { - "concept": "1914AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "HIV" - }, - { - "concept": "159854AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Supplimental feeding" - }, - { - "concept": "159856AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Breast care" - }, - { - "concept": "161651AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Infant feeding" - }, - { - "concept": "1381AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Insectiside treated nets" - } - ] - }, - "hide": { - "hideWhenExpression": "isEmpty(counselled) || counselled === '1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - } - ], - "id": "clientEducation" - } - ] - }, - { - "label": "Referrals", - "isExpanded": "true", - "questions": [ - { - "label": "Referred from?", - "type": "obs", - "id": "referredFrom", - "questionOptions": { - "concept": "160481AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1537AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Another Health Facility" - }, - { - "concept": "163488AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Community Unit" - }, - { - "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "N/A" - } - ] - } - }, - { - "label": "Referred to?", - "type": "obs", - "id": "referredTo", - "questionOptions": { - "concept": "163145AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1537AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Another Health Facility" - }, - { - "concept": "163488AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Community Unit" - }, - { - "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "N/A" - } - ] - } - } - ] - }, - { - "label": "Next Appointment", - "isExpanded": "true", - "questions": [ - { - "label": "Next appointment date:", - "type": "obs", - "questionOptions": { - "rendering": "date", - "concept": "5096AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" - }, - "validators": [ - { - "type": "date", - "allowFutureDates": "true" - }, - { - "type": "js_expression", - "failsWhenExpression": "(new moment(encDate)).isAfter((new moment(myValue)), 'day') || (new moment(encDate)).isSame((new moment(myValue)), 'day')", - "message": "Next appointment date should be greater than the encounter date." - } - ], - "id": "returnVisitDate", - "required": "true" - } - ] - }, - { - "label": "Clinical Notes", - "isExpanded": "true", - "questions": [ - { - "label": "Clinical Notes", - "type": "obs", - "id": "clinicalNotes", - "questionOptions": { - "concept": "159395AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "textarea" - } - } - ] - } - ] - } - ], - "uuid": "e8f98494-af35-4bb8-9fc7-c409c8fed843", - "encounterType": "c6d09e05-1f25-4164-8860-9f32c5a02df0", - "referencedForms": [ - { - "ref": { - "uuid": "d3612955-4377-410b-800e-001dfe55a55c", - "display": "component_common_form_header_v1.0" - }, - "formName": "component_common_form_header_v1.0", - "alias": "encDetails" - }, - { - "ref": { - "uuid": "f7842415-8cda-481f-89f7-7a8d86e2ac1f", - "display": "Vitals" - }, - "formName": "Component Vitals v1.0", - "alias": "vitals" - } - ] - } diff --git a/configuration/ampathforms/MCH_Antenatal_form.json b/configuration/ampathforms/MCH_Antenatal_form.json new file mode 100644 index 00000000..8189bff7 --- /dev/null +++ b/configuration/ampathforms/MCH_Antenatal_form.json @@ -0,0 +1,2508 @@ +{ + "name": "MCH Antenatal Visit", + "description": "MCH Antenatal Visit", + "version": "1", + "published": true, + "uuid": "e8f98494-af35-4bb8-9fc7-c409c8fed843", + "retired": false, + "encounter": "MCH Mother Consultation", + "pages": [ + { + "label": "ANC Visit", + "sections": [ + { + "label": "Encounter Details", + "isExpanded": "true", + "questions": [ + { + "label": "Date:", + "type": "encounterDatetime", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ], + "id": "encDate" + }, + { + "label": "Provider:", + "type": "encounterProvider", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encProvider " + }, + { + "label": "Location:", + "type": "encounterLocation", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encLocation" + } + ] + }, + { + "label": "Visit Details", + "isExpanded": "true", + "questions": [ + { + "label": "ANC Visit Number:", + "type": "obs", + "questionOptions": { + "rendering": "number", + "concept": "1425AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "id": "visitNumber", + "required": "true", + "min": "0" + }, + { + "label": "ANC Clinic Number:", + "type": "obs", + "questionOptions": { + "rendering": "number", + "concept": "163530AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "id": "clinicNumber", + "required": "true", + "min": "0" + } + ] + }, + { + "label": "Vitals", + "isExpanded": "true", + "questions": [ + { + "label": "Temperature", + "type": "obs", + "id": "temp", + "questionOptions": { + "concept": "5088AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "max": "43", + "min": "25" + }, + "hide": { + "hideWhenExpression": "isEmpty(personPresent) || personPresent !== '978AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'", + "alert": { + "alertWhenExpression": "myValue >= 37.5 || myValue <= 35", + "message": "The patient temperature is out of range" + } + } + }, + { + "label": "Pulse Rate", + "type": "obs", + "id": "pulse", + "questionOptions": { + "concept": "5087AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "max": "230", + "min": "0", + "conceptMappings": [ + { + "type": "MCL/CIEL", + "value": "5087" + }, + { + "type": "local", + "value": "5087" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(personPresent) || personPresent !== '978AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Systolic BP", + "type": "obs", + "id": "systolic", + "questionOptions": { + "concept": "5085AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "max": "180", + "min": "0", + "conceptMappings": [ + { + "type": "MCL/CIEL", + "value": "5085" + }, + { + "type": "local", + "value": "5085" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(personPresent) || personPresent !== '978AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Diastolic BP", + "type": "obs", + "id": "diastolic", + "questionOptions": { + "concept": "5086AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "max": "110", + "min": "0", + "conceptMappings": [ + { + "type": "MCL/CIEL", + "value": "5086" + }, + { + "type": "local", + "value": "5086" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(personPresent) || personPresent !== '978AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Respiratory Rate", + "type": "obs", + "id": "resp", + "questionOptions": { + "concept": "5242AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "max": "99", + "min": "0", + "conceptMappings": [ + { + "type": "local", + "value": "5242" + }, + { + "type": "MCL/CIEL", + "value": "5242" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(personPresent) || personPresent !== '978AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Oxygen Saturation", + "type": "obs", + "id": "oxygen", + "questionOptions": { + "concept": "5092AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "max": "100", + "min": "0", + "conceptMappings": [ + { + "type": "local", + "value": "5092" + }, + { + "type": "MCL/CIEL", + "value": "5092" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(personPresent) || personPresent !== '978AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "MUAC", + "type": "obs", + "questionOptions": { + "rendering": "number", + "concept": "1343AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "max": "250", + "min": "0" + }, + "id": "mUaC", + "hide": { + "hideWhenExpression": "isEmpty(personPresent) || personPresent !== '978AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || age < 5 || age > 6 || sex !== 'F'" + } + }, + { + "label": "Weight(Kg)", + "type": "obs", + "id": "weight", + "required": "true", + "questionOptions": { + "concept": "5089AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "max": "250", + "min": "0", + "conceptMappings": [ + { + "type": "local", + "value": "5089" + }, + { + "type": "MCL/CIEL", + "value": "5089" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(personPresent) || personPresent !== '978AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Height", + "type": "obs", + "questionOptions": { + "rendering": "number", + "concept": "5090AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "max": "250", + "min": "0", + "showDate": "false", + "conceptMappings": [ + { + "type": "LOINC", + "value": "8302-2" + }, + { + "type": "SNOMED CT", + "value": "CT: 50373000" + }, + { + "type": "AMPATH", + "value": "5090" + }, + { + "type": "PIH Malawi", + "value": "Malawi: 5090" + }, + { + "type": "CIEL", + "value": "5090" + }, + { + "type": "PIH", + "value": "5090" + } + ] + }, + "id": "height", + "required": "true", + "hide": { + "hideWhenExpression": "isEmpty(personPresent) || personPresent !== '978AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "BMI", + "type": "obs", + "questionOptions": { + "rendering": "number", + "concept": "1342AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "max": "100", + "min": "0", + "calculate": { + "calculateExpression": "calcBMI(height,weight)" + } + }, + "id": "bMi", + "hide": { + "hideWhenExpression": "isEmpty(personPresent) || personPresent !== '978AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + } + ] + }, + { + "label": "Other Observations", + "isExpanded": "true", + "questions": [ + { + "label": "Breast examination done:", + "type": "obs", + "id": "breastExam", + "questionOptions": { + "concept": "163590AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Normal" + }, + { + "concept": "1116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Abnormal" + } + ] + } + }, + { + "label": "Pallor:", + "type": "obs", + "id": "pallor", + "questionOptions": { + "concept": "5245AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not applicable" + } + ] + } + }, + { + "label": "Maturity in weeks:", + "type": "obs", + "id": "maturity", + "questionOptions": { + "concept": "1438AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number" + } + }, + { + "label": "Fundal Height (Weeks):", + "type": "obs", + "id": "fundal", + "questionOptions": { + "concept": "1439AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number" + } + }, + { + "label": "Presentation:", + "type": "obs", + "id": "presentation", + "questionOptions": { + "concept": "160090AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "139814AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Frank Breech Presentation" + }, + { + "concept": "160091AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Vertex presentation" + } + ] + } + }, + { + "label": "Lie:", + "type": "obs", + "id": "lie", + "questionOptions": { + "concept": "162089AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "162088AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Longitudinal lie" + }, + { + "concept": "132623AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Oblique lie" + }, + { + "concept": "124261AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Transverse lie" + } + ] + } + }, + { + "label": "Foetal Heart Rate:", + "type": "obs", + "id": "foetalRate", + "questionOptions": { + "concept": "1440AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "max": "250", + "min": "40" + } + }, + { + "label": "Foetal Movement:", + "type": "obs", + "id": "foetalMvt", + "questionOptions": { + "concept": "162107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "113377AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Decreased fetal movements" + }, + { + "concept": "162108AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Fetal movements present" + }, + { + "concept": "162090AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Increased fetal movements" + }, + { + "concept": "1452AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No fetal movements" + } + ] + } + } + ] + } + ] + }, + { + "label": "Laboratory Investigations", + "sections": [ + { + "label": "HIV Testing", + "isExpanded": "true", + "questions": [ + { + "label": "HIV Test(s)", + "type": "obsGroup", + "questionOptions": { + "rendering": "group", + "concept": "164410AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "id": "hivTest", + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(consentGiven) || consentGiven !== 'true'" + }, + "questions": [ + { + "label": "Kit Name", + "type": "obs", + "questionOptions": { + "rendering": "select", + "concept": "214c83f9-435d-44f5-9ae6-d5757b7b4c7f", + "answers": [ + { + "concept": "7cf927f8-e734-474f-b71a-1459bb566aa2", + "label": "Trinscreen" + }, + { + "concept": "2f5a80fa-6f26-4832-b8a8-f47649bb60de", + "label": "Dual Kit" + } + ] + }, + "id": "kitName", + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(consentGiven) || consentGiven !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Lot Number", + "type": "obs", + "questionOptions": { + "rendering": "text", + "concept": "3d4f9e8e-46cc-4024-a1c4-d0167f2c84a4" + }, + "id": "lotNumber", + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(consentGiven) || consentGiven !== 'true'" + } + }, + { + "label": "Expiry Date", + "type": "obs", + "validators": [ + { + "type": "date", + "allowFutureDates": "true" + }, + { + "type": "js_expression", + "failsWhenExpression": "(new moment(encDate)).isAfter((new moment(myValue)), 'day') || (new moment(encDate)).isSame((new moment(myValue)), 'day')", + "message": "Expiry date should be greater than the encounter date." + } + ], + "questionOptions": { + "rendering": "date", + "concept": "162502AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "weeksList": "" + }, + "id": "expiryDate", + "hide": { + "hideWhenExpression": "isEmpty(consentGiven) || consentGiven !== 'true'" + } + }, + { + "label": "HIV Test 1 Results:", + "type": "obs", + "questionOptions": { + "rendering": "select", + "concept": "1040AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Positive" + }, + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "163611AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Invalid" + } + ] + }, + "id": "testResults", + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(consentGiven) || consentGiven !== 'true'" + } + }, + { + "label": "Kit Name", + "type": "obs", + "questionOptions": { + "rendering": "select", + "concept": "214c83f9-435d-44f5-9ae6-d5757b7b4c7f", + "answers": [ + { + "concept": "59ef8c87-eb66-4f9e-a459-7227c01f682e", + "label": "One Step" + } + ] + }, + "id": "kitNameB", + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(testResults) || testResults !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Lot Number", + "type": "obs", + "questionOptions": { + "rendering": "text", + "concept": "3d4f9e8e-46cc-4024-a1c4-d0167f2c84a4" + }, + "id": "lotNumberB", + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(testResults) || testResults !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Expiry Date", + "type": "obs", + "validators": [ + { + "type": "date", + "allowFutureDates": "true" + }, + { + "type": "js_expression", + "failsWhenExpression": "(new moment(encDate)).isAfter((new moment(myValue)), 'day') || (new moment(encDate)).isSame((new moment(myValue)), 'day')", + "message": "Expiry date should be greater than the encounter date." + } + ], + "questionOptions": { + "rendering": "date", + "concept": "162502AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "weeksList": "" + }, + "id": "expiryDateB", + "hide": { + "hideWhenExpression": "isEmpty(testResults) || testResults !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "HIV Test 2 Results:", + "type": "obs", + "questionOptions": { + "rendering": "select", + "concept": "1040AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Positive" + }, + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "163611AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Invalid" + } + ] + }, + "id": "testResultsB", + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(testResults) || testResults !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Kit Name", + "type": "obs", + "questionOptions": { + "rendering": "select", + "concept": "214c83f9-435d-44f5-9ae6-d5757b7b4c7f", + "answers": [ + { + "concept": "7cf927f8-e734-474f-b71a-1459bb566aa2", + "label": "Trinscreen" + }, + { + "concept": "2f5a80fa-6f26-4832-b8a8-f47649bb60de", + "label": "Dual Kit" + } + ] + }, + "id": "kitNameD", + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(testResultsB) || testResultsB !== '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Lot Number", + "type": "obs", + "questionOptions": { + "rendering": "text", + "concept": "3d4f9e8e-46cc-4024-a1c4-d0167f2c84a4" + }, + "id": "lotNumberD", + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(testResultsB) || testResultsB !== '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Expiry Date", + "type": "obs", + "validators": [ + { + "type": "date", + "allowFutureDates": "true" + }, + { + "type": "js_expression", + "failsWhenExpression": "(new moment(encDate)).isAfter((new moment(myValue)), 'day') || (new moment(encDate)).isSame((new moment(myValue)), 'day')", + "message": "Expiry date should be greater than the encounter date." + } + ], + "questionOptions": { + "rendering": "date", + "concept": "162502AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "weeksList": "" + }, + "id": "expiryDateD", + "hide": { + "hideWhenExpression": "isEmpty(testResultsB) || testResultsB !== '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "HIV Test 3 Results:", + "type": "obs", + "questionOptions": { + "rendering": "select", + "concept": "1040AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Positive" + }, + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "163611AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Invalid" + } + ] + }, + "id": "testResultsD", + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(testResultsB) || testResultsB !== '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Kit Name", + "type": "obs", + "questionOptions": { + "rendering": "select", + "concept": "214c83f9-435d-44f5-9ae6-d5757b7b4c7f", + "answers": [ + { + "concept": "59ef8c87-eb66-4f9e-a459-7227c01f682e", + "label": "First Response" + } + ] + }, + "id": "kitNameC", + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(testResultsB) || testResultsB !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Lot Number", + "type": "obs", + "questionOptions": { + "rendering": "text", + "concept": "3d4f9e8e-46cc-4024-a1c4-d0167f2c84a4" + }, + "id": "lotNumberC", + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(testResultsB) || testResultsB !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Expiry Date", + "type": "obs", + "validators": [ + { + "type": "date", + "allowFutureDates": "true" + }, + { + "type": "js_expression", + "failsWhenExpression": "(new moment(encDate)).isAfter((new moment(myValue)), 'day') || (new moment(encDate)).isSame((new moment(myValue)), 'day')", + "message": "Expiry date should be greater than the encounter date." + } + ], + "questionOptions": { + "rendering": "date", + "concept": "162502AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "weeksList": "" + }, + "id": "expiryDateC", + "hide": { + "hideWhenExpression": "isEmpty(testResultsB) || testResultsB !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "HIV Test 3 Results:", + "type": "obs", + "questionOptions": { + "rendering": "select", + "concept": "1040AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Positive" + }, + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "163611AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Invalid" + } + ] + }, + "id": "testResultsC", + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(testResultsB) || testResultsB !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + } + ] + }, + { + "label": "Final Results:", + "type": "obs", + "questionOptions": { + "rendering": "select", + "concept": "159427AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "calculate": { + "calculateExpression": "String(testResults) === '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && String(testResultsB) === '163611AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '1138AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' : String(testResults) === '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && String(testResultsB) === '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && String(testResultsD) === '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '1138AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' : String(testResults) === '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && String(testResultsB) === '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && String(testResultsC) === '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' : String(testResults) === '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && String(testResultsB) === '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && String(testResultsC) === '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' : String(testResults) === '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && String(testResultsB) === '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && String(testResultsD) === '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' : String(testResults) === '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && String(testResultsB) === '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && String(testResultsC) === '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '1138AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' : String(testResults) === '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' : String(testResults) === '163611AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || String(testResultsB) === '163611AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || String(testResultsC) === '163611AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || String(testResultsD) === '163611AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '1138AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' : ''" + }, + "answers": [ + { + "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Positive" + }, + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "1138AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Inconclusive" + } + ] + }, + "id": "hivFinalResult", + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(consentGiven) || consentGiven !== 'true'" + } + }, + { + "label": "Results given to client?", + "type": "obs", + "id": "resultsGivenToClient", + "questionOptions": { + "concept": "164848AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } + }, + { + "label": "Has the client's partner been tested for HIV?", + "type": "obs", + "id": "partnerTested", + "questionOptions": { + "concept": "161557AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } + }, + { + "label": "Partner HIV Status:", + "type": "obs", + "id": "partner-hiv-status", + "questionOptions": { + "concept": "1436AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "HIV Positive" + }, + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "HIV Negative" + }, + { + "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Unknown" + } + ] + } + } + ] + }, + { + "label": "Urinalysis", + "isExpanded": "true", + "questions": [ + { + "label": "Urinalysis ", + "type": "obsGroup", + "questionOptions": { + "rendering": "group", + "concept": "161446AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "id": "urinalysis", + "questions": [ + { + "label": "Urine Microscopy", + "type": "obs", + "id": "urinalysis", + "questionOptions": { + "concept": "56AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + } + }, + { + "label": "Urine Leukocyte Esterase Test", + "type": "obs", + "id": "lukocyte", + "questionOptions": { + "concept": "161441AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "1874AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Trace" + }, + { + "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "One Plus(+)" + }, + { + "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Two Plus(++)" + }, + { + "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Three Plus(+++)" + } + ] + } + }, + { + "label": "Urinary Albumin (mg/dL)", + "type": "obs", + "id": "albumin", + "questionOptions": { + "concept": "1875AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "1874AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Trace - 15" + }, + { + "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "One Plus(+) - 30" + }, + { + "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Two Plus(++) - 100" + }, + { + "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Three Plus(+++) - 300" + }, + { + "concept": "1365AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Four Plus(++++) - 1000" + } + ] + } + }, + { + "label": "Urinary Ketone (mg/dL)", + "type": "obs", + "id": "ketone", + "questionOptions": { + "concept": "161442AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "1874AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Trace - 5" + }, + { + "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "One Plus(+) - 15" + }, + { + "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Two Plus(++) - 50" + }, + { + "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Three Plus(+++) - 150" + } + ] + } + }, + { + "label": "Glucose Measurement (Qualitative)", + "type": "obs", + "id": "glucose", + "questionOptions": { + "concept": "159734AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Normal" + }, + { + "concept": "1874AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Trace" + }, + { + "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "One Plus(+)" + }, + { + "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Two Plus(++)" + }, + { + "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Three Plus(+++)" + }, + { + "concept": "1365AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Four Plus(++++)" + } + ] + } + }, + { + "label": "Urine Bile Salt Test (mg/dL)", + "type": "obs", + "id": "bile", + "questionOptions": { + "concept": "161444AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Normal" + }, + { + "concept": "1874AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Trace - 1" + }, + { + "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "One Plus(+) - 4" + }, + { + "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Two Plus(++) - 8" + }, + { + "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Three Plus(+++) - 12" + } + ] + } + }, + { + "label": "Urine pH", + "type": "obs", + "id": "urinePH", + "questionOptions": { + "concept": "161438AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "max": "14", + "min": "0" + } + }, + { + "label": "Urine Bile Pigment Test", + "type": "obs", + "id": "bile", + "questionOptions": { + "concept": "161443AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "One Plus(+)" + }, + { + "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Two Plus(++)" + }, + { + "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Three Plus(+++)" + } + ] + } + }, + { + "label": "Urine Specific Gravity", + "type": "obs", + "id": "urineSpecificGravity", + "questionOptions": { + "concept": "161439AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "max": "1.1", + "min": "1" + } + }, + { + "label": "Urine Color", + "type": "obs", + "id": "urineColor", + "questionOptions": { + "concept": "162106AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "162100AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Brown color" + }, + { + "concept": "162099AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Colourless" + }, + { + "concept": "162098AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dark yellow colour" + }, + { + "concept": "162097AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Light yellow colour" + }, + { + "concept": "127778AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Red color" + }, + { + "concept": "162105AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yellow-green colour" + } + ] + } + }, + { + "label": "Urine Nitrite Test", + "type": "obs", + "id": "urineNitrite", + "questionOptions": { + "concept": "161440AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Positive" + }, + { + "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "One Plus(+)" + }, + { + "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Two Plus(++)" + } + ] + } + }, + { + "label": "Urine Turbidity", + "type": "obs", + "id": "urineTurbidity", + "questionOptions": { + "concept": "162101AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "162103AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cloudy urine" + }, + { + "concept": "162102AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Urine appears clear" + }, + { + "concept": "162104AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Urine appears turbid" + } + ] + } + }, + { + "label": "Urine Dipstick for Blood", + "type": "obs", + "id": "urineDipstick", + "questionOptions": { + "concept": "162096AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "1874AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Trace" + }, + { + "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "One Plus(+)" + }, + { + "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Two Plus(++)" + }, + { + "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Three Plus(+++)" + } + ] + } + } + ] + } + ] + }, + { + "label": "Other Tests", + "isExpanded": "true", + "questions": [ + { + "label": "Syphilis serology:", + "type": "obs", + "id": "syphilisTestResults", + "questionOptions": { + "concept": "299AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1229AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "1228AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Positive" + }, + { + "concept": "1271AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Requested" + }, + { + "concept": "1402AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not Tested" + }, + { + "concept": "1304AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Poor Sample quality" + } + ] + } + }, + { + "label": "Has the client been treated for syphilis?", + "type": "obs", + "id": "syphilisTreated", + "questionOptions": { + "concept": "159918AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "hide": { + "hideWhenExpression": "syphilisTestResults !== '1228AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "BS for MPS:", + "type": "obs", + "id": "bsForMps", + "questionOptions": { + "concept": "32AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1138AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "INDETERMINATE" + }, + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "NEGATIVE" + }, + { + "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "POSITIVE" + } + ] + } + }, + { + "label": "Haemoglobin:", + "type": "obs", + "id": "hb", + "questionOptions": { + "concept": "21AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number" + } + }, + { + "label": "Blood sugar testing for Diabetes:", + "type": "obs", + "id": "bldSugar", + "questionOptions": { + "concept": "119481AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No Diabetes" + }, + { + "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Has Diabetes" + }, + { + "concept": "160737AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not Done" + } + ] + } + } + ] + } + ] + }, + { + "label": " Client Monitoring", + "sections": [ + { + "label": "Client Monitoring", + "isExpanded": "true", + "questions": [ + { + "label": "Has the client undergone antenatal exercises?", + "type": "obs", + "id": "physicalExercises", + "questionOptions": { + "concept": "161074AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } + }, + { + "label": "TB Screening Results:", + "type": "obs", + "id": "tbScreening", + "questionOptions": { + "concept": "1659AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1660AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "NO signs" + }, + { + "concept": "142177AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "TB presumed" + }, + { + "concept": "164128AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No signs and started on INH" + }, + { + "concept": "1662AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "TB Rx" + }, + { + "concept": "160737AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not done (ND)" + } + ] + } + }, + { + "label": "Has the client been screened for CaCx ?", + "type": "obs", + "id": "cacxScreening", + "questionOptions": { + "concept": "06398e78-0d3e-43d5-8017-f2fc3865e2e0", + "rendering": "select", + "answers": [ + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Normal" + }, + { + "concept": "159393AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Presumed" + }, + { + "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Confirmed" + }, + { + "concept": "1118AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not Done" + }, + { + "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "N/A" + } + ] + } + }, + { + "label": "CaCx screening method?", + "type": "obs", + "id": "screeningcacxMethod", + "questionOptions": { + "concept": "163589AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "885AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Pap Smear" + }, + { + "concept": "162816AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "VIA" + }, + { + "concept": "9818bba5-ecd4-4cf9-a48f-5e5d9a48eec6", + "label": "VILI" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Other" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(cacxScreening) || cacxScreening === '1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || cacxScreening === '1118AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Hepatitis B screening:", + "type": "obs", + "id": "hepBscreen", + "questionOptions": { + "concept": "6ec3d456-ba0c-4df1-9254-4dd77037ffb8", + "rendering": "radio", + "answers": [ + { + "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Positive" + }, + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "1118AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not Done" + } + ] + } + }, + { + "label": "If Positive,was the treatment done?", + "type": "obs", + "id": "treatmentPos", + "questionOptions": { + "concept": "166665AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "hide": { + "hideWhenExpression": "hepBscreen !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "WHO Staging:", + "type": "obs", + "id": "whoStaging", + "questionOptions": { + "concept": "5356AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1204AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "WHO Stage1" + }, + { + "concept": "1205AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "WHO Stage2" + }, + { + "concept": "1206AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "WHO Stage3" + }, + { + "concept": "1207AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "WHO Stage4" + } + ] + }, + "hide": { + "hideWhenExpression": "hivFinalResult !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "HIV Viral load sample taken?", + "type": "obs", + "id": "vl", + "questionOptions": { + "concept": "1271AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "856AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "hide": { + "hideWhenExpression": "hivFinalResult !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + } + ] + }, + { + "label": "ART and Prophylaxis", + "isExpanded": "true", + "questions": [ + { + "label": "Mother's prophylaxis given during this visit?", + "type": "obs", + "id": "prophylaxisUsed", + "questionOptions": { + "concept": "1109AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "105281AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cotrimoxazole" + }, + { + "concept": "74250AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dapsone" + }, + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "None" + } + ] + }, + "hide": { + "hideWhenExpression": "hivFinalResult !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "AZT for the baby dispensed?", + "type": "obs", + "id": "aztDispensed", + "questionOptions": { + "concept": "1282AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "160123AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "N/A" + } + ] + }, + "hide": { + "hideWhenExpression": "hivFinalResult !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "NVP for the baby dispensed?", + "type": "obs", + "id": "nvpDispensed", + "questionOptions": { + "concept": "1282AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "80586AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "N/A" + } + ] + }, + "hide": { + "hideWhenExpression": "hivFinalResult !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Deworming done", + "type": "obs", + "id": "dewormingDone", + "questionOptions": { + "concept": "159922AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not applicable" + } + ] + } + }, + { + "label": "Intermittent Presumptive Treatment given during the visit?", + "type": "obs", + "id": "iptGiven", + "questionOptions": { + "concept": "1591AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "N/A" + } + ] + } + }, + { + "label": "Intermittent Presumptive Treatment dose given?", + "type": "obs", + "id": "doseIIpt", + "questionOptions": { + "concept": "1418AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1", + "label": "First Dose" + }, + { + "concept": "2", + "label": "Second Dose" + }, + { + "concept": "3", + "label": "Third Dose" + }, + { + "concept": "0", + "label": "No" + }, + { + "concept": "0", + "label": "Not Applicable" + } + ] + }, + "hide": { + "hideWhenExpression": "iptGiven !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + } + ] + }, + { + "label": "Female Health related issues", + "isExpanded": "true", + "questions": [ + { + "label": "Was FGM Done?:", + "type": "obs", + "id": "fgmDone", + "questionOptions": { + "concept": "085ce2e6-071e-43be-a32c-ecaac001e44f", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } + }, + { + "label": "What were the FGM associated complications?:", + "type": "obs", + "id": "fgmComplications", + "questionOptions": { + "concept": "120198AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "122949AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Scarring" + }, + { + "concept": "136308AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Keloids" + }, + { + "concept": "141615AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dyspaneuria" + }, + { + "concept": "111633AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "UTI" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(fgmDone) || fgmDone != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Which Postpartum family planning method was the client counselled on?:", + "type": "obs", + "id": "fpCounselled", + "questionOptions": { + "concept": "374AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "5275AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "IUD" + }, + { + "concept": "159589AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Implants" + }, + { + "concept": "1472AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "BTL" + } + ] + } + } + ] + }, + { + "label": "Other Conditions", + "isExpanded": "true", + "questions": [ + { + "label": "Does the client have other illnesses?", + "type": "obs", + "id": "chronicIllness", + "questionOptions": { + "concept": "162747AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } + }, + { + "label": "Illnesses ", + "type": "obsGroup", + "questionOptions": { + "rendering": "repeating", + "concept": "162747AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "id": "testChronic", + "hide": { + "hideWhenExpression": "isEmpty(chronicIllness) || chronicIllness != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + "questions": [ + { + "label": "Illnesses", + "type": "obs", + "questionOptions": { + "rendering": "select", + "concept": "1284AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "type": "SNOMED NP", + "value": "NP: 439401001" + }, + { + "type": "AMPATH", + "value": "1284" + }, + { + "type": "org.openmrs.module.emrapi", + "value": "Coded Diagnosis" + }, + { + "type": "SNOMED MVP", + "value": "MVP: 12841000105004" + }, + { + "type": "CIEL", + "value": "1284" + } + ], + "answers": [ + { + "concept": "149019AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Alzheimer's Disease and other Dementias" + }, + { + "concept": "148432AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Arthritis" + }, + { + "concept": "153754AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Asthma" + }, + { + "concept": "159351AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cancer" + }, + { + "concept": "119270AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cardiovascular diseases" + }, + { + "concept": "120637AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Chronic Hepatitis" + }, + { + "concept": "145438AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Chronic Kidney Disease" + }, + { + "concept": "1295AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Chronic Obstructive Pulmonary Disease(COPD)" + }, + { + "concept": "120576AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Chronic Renal Failure" + }, + { + "concept": "119692AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cystic Fibrosis" + }, + { + "concept": "120291AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Deafness and Hearing impairment" + }, + { + "concept": "119481AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Diabetes" + }, + { + "concept": "118631AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Endometriosis" + }, + { + "concept": "117855AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Epilepsy" + }, + { + "concept": "117789AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Glaucoma" + }, + { + "concept": "139071AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Heart Disease" + }, + { + "concept": "115728AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hyperlipidaemia" + }, + { + "concept": "117399AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hypertension" + }, + { + "concept": "117321AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hypothyroidism" + }, + { + "concept": "151342AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Mental illness" + }, + { + "concept": "133687AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Multiple Sclerosis" + }, + { + "concept": "115115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Obesity" + }, + { + "concept": "114662AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Osteoporosis" + }, + { + "concept": "117703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Sickle Cell Anaemia" + }, + { + "concept": "118976AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Thyroid disease" + } + ] + }, + "id": "coughtTests" + }, + { + "label": "Onset date", + "type": "obs", + "id": "OnAndDate", + "questionOptions": { + "concept": "159948AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "date" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ] + }, + { + "label": "Drug", + "type": "obs", + "id": "druG", + "questionOptions": { + "concept": "1282AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + } + }, + { + "label": "Dose", + "type": "obs", + "id": "dose", + "questionOptions": { + "concept": "1443AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number" + } + }, + { + "label": "Units", + "type": "obs", + "id": "units", + "questionOptions": { + "concept": "1444AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + } + }, + { + "label": "Frequency", + "type": "obs", + "id": "frequency", + "questionOptions": { + "concept": "160855AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "160862AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Once daily" + }, + { + "concept": "160863AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Once daily at bedtime" + }, + { + "concept": "160864AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Once daily in the evening" + }, + { + "concept": "160865AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Once daily in the morning" + }, + { + "concept": "160858AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Twice daily" + }, + { + "concept": "160866AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Thrice daily" + }, + { + "concept": "160870AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Four times daily" + } + ] + } + }, + { + "label": "Duration", + "type": "obs", + "id": "duRATion", + "questionOptions": { + "concept": "159368AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number" + } + }, + { + "label": "Duration Units", + "type": "obs", + "id": "DuraTionItS", + "questionOptions": { + "concept": "1732AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1822AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hours" + }, + { + "concept": "1072AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Days" + }, + { + "concept": "1073AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Weeks" + }, + { + "concept": "1074AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Months" + } + ] + } + } + ] + } + ] + }, + { + "label": "Client Education", + "isExpanded": "true", + "questions": [ + { + "label": "Has the client received ANC counselling:", + "type": "obs", + "id": "counSelled", + "questionOptions": { + "concept": "1912AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } + }, + { + "label": "Subject(s)", + "type": "obsGroup", + "questionOptions": { + "concept": "161048AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "group" + }, + "questions": [ + { + "label": "Subject(s)", + "type": "obs", + "id": "subJcts", + "questionOptions": { + "concept": "159853AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "159758AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Birth plans" + }, + { + "concept": "159857AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Danger signs" + }, + { + "concept": "156277AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Family planning" + }, + { + "concept": "1914AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "HIV" + }, + { + "concept": "159854AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Supplimental feeding" + }, + { + "concept": "159856AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Breast care" + }, + { + "concept": "161651AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Infant feeding" + }, + { + "concept": "1381AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Insectiside treated nets" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(counSelled) || counSelled === '1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + } + ] + } + ] + }, + { + "label": "Minimum Package of Care", + "isExpanded": "true", + "questions": [ + { + "label": "Has the client received the minimum package of care?:", + "type": "obs", + "id": "minPackg", + "questionOptions": { + "concept": "63da4194-a26a-4aa5-b5d5-4125b4822cf7", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } + }, + { + "label": "Package", + "type": "obsGroup", + "questionOptions": { + "concept": "161628AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "group" + }, + "questions": [ + { + "label": "Package", + "type": "obs", + "id": "paCkg", + "questionOptions": { + "concept": "1592AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "164836AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Identify a case manager (M2M/HCW)" + }, + { + "concept": "166607AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Pre appointmnet SMS" + }, + { + "concept": "166486AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Tartgeted home visits" + }, + { + "concept": "1167AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Psychosocial and disclosure support" + }, + { + "concept": "4342d15d-22e2-456e-bbfd-16b42b2ec8c6", + "label": "3-monthly Enhanced ART adherence assessments optimize TLD" + }, + { + "concept": "163310AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Timely viral load monitoring, early ART switches" + }, + { + "concept": "167410AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Complex case reviews in MDT/Consultation with clinical mentors" + }, + { + "concept": "167079AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Enhanced longitudinal Mother-Infant Pair follow up" + }, + { + "concept": "166563AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Early HEI case identification" + }, + { + "concept": "160116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Bi weekly random file audits to inform quality improvement" + }, + { + "concept": "160031AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Patient who default-LTFU root cause audit and return to care plan" + }, + { + "concept": "166663AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Screen and support - GBV, Disclosure and Stigma" + }, + { + "concept": "159612AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "RH education and FP during breastfeeding period" + } + ] + }, + "hide": { + "hideWhenExpression": "minPackg !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || hivFinalResult !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Minimum Package", + "type": "obs", + "id": "pacMin", + "questionOptions": { + "concept": "165241AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "959319eb-f595-4b08-9b26-4e01835b2c89", + "label": "Risk Reduction counselling" + }, + { + "concept": "161557AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "HIV Testing for the Partner" + }, + { + "concept": "165475AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Emphasize importance of follow up ANC Visits" + }, + { + "concept": "1382AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Postnatal FP Counselling and support" + }, + { + "concept": "2f3e668b-695e-4a79-9531-15872b89e5c6", + "label": "PrEP with emphasis on adherence" + }, + { + "concept": "d06d16a2-7d2e-4a9e-b72c-f7ff7ece1d9a", + "label": "STI Screening and treatment" + }, + { + "concept": "159777AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Condom Provision" + }, + { + "concept": "7dbb5b43-861e-4816-a88f-caa976ac2050", + "label": "Referrals for OVC/DREAMS" + }, + { + "concept": "161557AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "HIV Testing for the Partner" + }, + { + "concept": "d06d16a2-7d2e-4a9e-b72c-f7ff7ece1d9a", + "label": "STI Screening and treatment" + }, + { + "concept": "162223AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Referrals for VMMC Services for partner" + } + ] + }, + "hide": { + "hideWhenExpression": "minPackg !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || hivFinalResult !== '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + } + ] + } + ] + }, + { + "label": "Referrals", + "isExpanded": "true", + "questions": [ + { + "label": "Referred from?", + "type": "obs", + "id": "referredFrom", + "questionOptions": { + "concept": "160481AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1537AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Another Health Facility" + }, + { + "concept": "163488AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Community Unit" + }, + { + "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "N/A" + } + ] + } + }, + { + "label": "Reason for referral", + "type": "obs", + "id": "reasonReferralfrom", + "questionOptions": { + "concept": "164359AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "hide": { + "hideWhenExpression": "isEmpty(referredFrom) || referredFrom !== '1537AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && referredFrom !== '163488AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Referred to?", + "type": "obs", + "id": "referredTo", + "questionOptions": { + "concept": "163145AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1537AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Another Health Facility" + }, + { + "concept": "c9404c8f-cf83-4bfe-acc0-4881599c78ba", + "label": "HIV Preventive services" + }, + { + "concept": "163488AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Community Unit" + }, + { + "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "N/A" + } + ] + } + }, + { + "label": "Reason for referral", + "type": "obs", + "id": "reasonReferral", + "questionOptions": { + "concept": "164359AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "hide": { + "hideWhenExpression": "isEmpty(referredTo) || referredTo !== '1537AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && referredTo !== 'c9404c8f-cf83-4bfe-acc0-4881599c78ba' && referredTo !== '163488AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + } + ] + }, + { + "label": "Next Appointment", + "isExpanded": "true", + "questions": [ + { + "label": "Next appointment date:", + "type": "obs", + "questionOptions": { + "rendering": "date", + "concept": "5096AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "true" + }, + { + "type": "js_expression", + "failsWhenExpression": "(new moment(encDate)).isAfter((new moment(myValue)), 'day') || (new moment(encDate)).isSame((new moment(myValue)), 'day')", + "message": "Next appointment date should be greater than the encounter date." + } + ], + "id": "returnVisitDate", + "required": "true" + } + ] + }, + { + "label": "Clinical Notes", + "isExpanded": "true", + "questions": [ + { + "label": "Clinical Notes", + "type": "obs", + "id": "clinicalNotes", + "questionOptions": { + "concept": "159395AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + } + } + ] + } + ] + } + ], + "processor": "EncounterFormProcessor", + "referencedForms": [], + "encounterType": "c6d09e05-1f25-4164-8860-9f32c5a02df0" +} diff --git a/configuration/ampathforms/Mortality_admission.json b/configuration/ampathforms/Mortality_admission.json new file mode 100644 index 00000000..fb1f0203 --- /dev/null +++ b/configuration/ampathforms/Mortality_admission.json @@ -0,0 +1,476 @@ +{ + "name": "Mortality Admission Form", + "processor": "EncounterFormProcessor", + "encounterType": "465a92f2-baf8-42e9-9612-53064be868e8", + "referencedForms": [], + "uuid": "990437a8-8dbb-4ae1-a2b4-71df0041adfa", + "description": "A form to collect mortality records", + "version": "1.0", + "pages": [ + { + "label": "Mortality Admission Form", + "sections": [ + { + "label": "Encounter Details", + "isExpanded": "true", + "questions": [ + { + "label": "Date:", + "type": "encounterDatetime", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ], + "id": "encDate" + }, + { + "label": "Provider:", + "type": "encounterProvider", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encProvider " + }, + { + "label": "Location:", + "type": "encounterLocation", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encLocation" + } + ] + }, + { + "label": "Mortality Admission", + "isExpanded": "true", + "questions": [ + { + "label": "Place of Death", + "type": "obs", + "required": true, + "id": "placeOfDeath", + "questionOptions": { + "rendering": "select", + "concept": "1541AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "366044004" + }, + { + "relationship": "NARROWER-THAN", + "type": "AMPATH", + "value": "6182" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "1541" + } + ], + "answers": [ + { + "concept": "1589AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Inpatient" + }, + { + "concept": "160473AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Outpatient" + }, + { + "concept": "1601AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dead on arrival" + }, + { + "concept": "1536AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Home" + }, + { + "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Unknown (Police case)" + } + ] + }, + "validators": [] + }, + { + "label": "Date and Time of Death", + "type": "obs", + "required": true, + "id": "dateAndTimeOfDeath", + "datePickerFormat": "both", + "questionOptions": { + "rendering": "date", + "concept": "162869AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "NARROWER-THAN", + "type": "SNOMED NP", + "value": "364713004" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "162869" + } + ], + "answers": [] + }, + "validators": [ + { + "type": "date", + "allowFutureDate": "false" + } + ] + }, + { + "label": "Arrival date and time", + "type": "obs", + "required": true, + "id": "arrivalDateAndTime", + "datePickerFormat": "both", + "questionOptions": { + "rendering": "date", + "concept": "159622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "159622" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "441968004" + } + ], + "answers": [] + }, + "validators": [ + { + "type": "date", + "allowFutureDate": "false" + } + ], + "hide": { + "hideWhenExpression": "!arrayContains(placeOfDeath, '1601AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Death confirmed", + "type": "obs", + "required": true, + "id": "deathConfirmed", + "questionOptions": { + "rendering": "radio", + "concept": "165793AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Death notification number", + "type": "obs", + "required": true, + "id": "notificationNumber", + "questionOptions": { + "rendering": "text", + "min": "0", + "max": "129", + "concept": "162727AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [], + "answers": [] + }, + "validators": [] + }, + { + "label": "Attending clinician/Doctor", + "type": "obs", + "required": true, + "id": "attendingClinician", + "questionOptions": { + "rendering": "text", + "concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "160632" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "1915" + }, + { + "relationship": "NARROWER-THAN", + "type": "LOINC", + "value": "48767-8" + } + ], + "answers": [] + }, + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(placeOfDeath) || placeOfDeath === ('1536AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA') || placeOfDeath === ('1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Doctors remarks", + "type": "obs", + "required": true, + "id": "doctorsRemarks", + "questionOptions": { + "rendering": "text", + "concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "160632" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "1915" + }, + { + "relationship": "NARROWER-THAN", + "type": "LOINC", + "value": "48767-8" + } + ], + "answers": [] + }, + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(placeOfDeath) || placeOfDeath === ('1536AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA') || placeOfDeath === ('1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Cause of Death (if known)", + "type": "obs", + "required": true, + "id": "causeOfDeath", + "questionOptions": { + "rendering": "text", + "concept": "160218AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "NARROWER-THAN", + "type": "AMPATH", + "value": "5002" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "1599" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "184305005" + } + ], + "answers": [] + }, + "validators": [] + }, + { + "label": "Mortuary Transfer confirmed", + "type": "obs", + "required": true, + "id": "mortuaryTransfer", + "questionOptions": { + "rendering": "radio", + "concept": "c0f775f5-bcc3-4900-a39e-35069b3a08ef", + "conceptMappings": [], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Transfer to mortuary/Funeral home", + "type": "obs", + "required": true, + "id": "transferToMortuary", + "questionOptions": { + "rendering": "radio", + "concept": "1695AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [], + "answers": [ + { + "concept": "5b9e6cd1-f836-4144-91e4-401c58dd62af", + "label": "Released to another funeral home" + }, + { + "concept": "163266AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Facility funeral home" + }, + { + "concept": "159886AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Body released to the family" + } + ] + }, + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(mortuaryTransfer) || mortuaryTransfer !== ('1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Date and Time of Transfer", + "type": "obs", + "required": true, + "id": "dateAndTimeOfTrasnfer", + "datePickerFormat": "both", + "questionOptions": { + "rendering": "date", + "concept": "1641AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "1869" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "442864001" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "5071" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "1641" + }, + { + "relationship": "SAME-AS", + "type": "PIH", + "value": "3800" + } + ], + "answers": [] + }, + "validators": [ + { + "type": "date", + "allowFutureDate": "false" + } + ] + }, + { + "label": "Autopsy Permission (if applicable)", + "type": "obs", + "required": true, + "id": "autopsyPermission", + "questionOptions": { + "rendering": "radio", + "concept": "1707AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "1707" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Dead Body preservation", + "type": "obs", + "required": true, + "id": "deadBodyPreservation", + "questionOptions": { + "rendering": "radio", + "concept": "c67be9a5-f497-4082-af81-11753f65ed4b", + "conceptMappings": [], + "answers": [ + { + "concept": "bb78fcee-99c8-4073-9224-69c668917405", + "label": "Body embalment" + }, + { + "concept": "167231AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cold storage" + } + ] + }, + "validators": [] + }, + { + "label": "Body embalment types", + "type": "obs", + "required": true, + "id": "bodyEmbalmentTypes", + "questionOptions": { + "rendering": "radio", + "concept": "c67be9a5-f497-4082-af81-11753f65ed4b", + "conceptMappings": [], + "answers": [ + { + "concept": "166402AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Arterial" + }, + { + "concept": "160494AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cavity" + }, + { + "concept": "151870AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hypodermic" + } + ] + }, + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(deadBodyPreservation) || deadBodyPreservation !== ('bb78fcee-99c8-4073-9224-69c668917405')" + } + } + ] + } + ] + } + ] +} \ No newline at end of file diff --git a/configuration/ampathforms/Newborn-admission-form.json b/configuration/ampathforms/Newborn-admission-form.json new file mode 100644 index 00000000..1f4d8df6 --- /dev/null +++ b/configuration/ampathforms/Newborn-admission-form.json @@ -0,0 +1,3248 @@ +{ + "name": "Newborn unit admission Form", + "pages": [ + { + "label": "Newborn unit admission Form", + "sections": [ + { + "label": "Encounter Details", + "isExpanded": "true", + "questions": [ + { + "label": "Date:", + "type": "encounterDatetime", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ], + "id": "encDate" + }, + { + "label": "Provider:", + "type": "encounterProvider", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encProvider " + }, + { + "label": "Location:", + "type": "encounterLocation", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encLocation" + } + ] + }, + { + "label": "Baby's details", + "isExpanded": "true", + "questions": [ + { + "label": "Date of Admission", + "type": "obs", + "required": true, + "id": "dateOfAdmission", + "questionOptions": { + "rendering": "date", + "concept": "1640AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "PIH", + "value": "3290" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "1640" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "1868" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "399423000" + } + ], + "answers": [] + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ] + }, + { + "label": "Time of birth", + "type": "obs", + "required": true, + "id": "timeOfBirth", + "datePickerFormat": "timer", + "questionOptions": { + "rendering": "date", + "concept": "162869AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "161076" + } + ] + }, + "validators": [] + }, + { + "label": "Gestation age", + "type": "obs", + "required": true, + "id": "gestationAge", + "questionOptions": { + "rendering": "number", + "concept": "1409AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "NARROWER-THAN", + "type": "LOINC", + "value": "72147-2" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "1409" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "412726003" + } + ], + "answers": [] + }, + "validators": [] + }, + { + "label": "Birth weight", + "type": "obs", + "required": true, + "id": "birthWeight", + "questionOptions": { + "rendering": "number", + "concept": "5916AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "5916" + }, + { + "relationship": "NARROWER-THAN", + "type": "AMPATH", + "value": "6433" + }, + { + "relationship": "NARROWER-THAN", + "type": "LOINC", + "value": "8339-4" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "5916" + }, + { + "relationship": "SAME-AS", + "type": "PIH Malawi", + "value": "5916" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "364589006" + } + ], + "answers": [] + }, + "validators": [] + }, + { + "label": "Apgar Score (1 min):", + "type": "obs", + "id": "babyApgarScore1Min", + "required": "true", + "questionOptions": { + "concept": "159603AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "min": "0", + "max": "10" + } + }, + { + "label": "Apgar Score (5 min):", + "type": "obs", + "id": "babyAScore5Min", + "required": "true", + "questionOptions": { + "concept": "159604AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "min": "0", + "max": "10" + } + }, + { + "label": "Apgar Score (10 min):", + "type": "obs", + "id": "babyApgarScore10Min", + "required": "true", + "questionOptions": { + "concept": "159605AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "min": "0", + "max": "10" + } + }, + { + "label": "Place of delivery", + "type": "obs", + "required": true, + "id": "placeOfDelivery", + "questionOptions": { + "rendering": "radio", + "concept": "1572AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "PIH Malawi", + "value": "2997" + }, + { + "relationship": "NARROWER-THAN", + "type": "AMPATH", + "value": "2368" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "1572" + }, + { + "relationship": "NARROWER-THAN", + "type": "AMPATH", + "value": "6441" + }, + { + "relationship": "NARROWER-THAN", + "type": "SNOMED NP", + "value": "169812000" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "366344009" + }, + { + "relationship": "SAME-AS", + "type": "PIH", + "value": "2997" + } + ], + "answers": [ + { + "concept": "1536AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Home" + }, + { + "concept": "1588AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Facility" + }, + { + "concept": "1601AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Born before arrival" + } + ] + }, + "validators": [] + }, + { + "label": "Mode of Delivery", + "type": "obs", + "required": true, + "id": "modeOfDelivery", + "questionOptions": { + "rendering": "radio", + "concept": "5630AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "5630" + }, + { + "relationship": "NARROWER-THAN", + "type": "SNOMED NP", + "value": "236973005" + }, + { + "relationship": "SAME-AS", + "type": "PIH Malawi", + "value": "5630" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED MVP", + "value": "56301000105003" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "5630" + } + ], + "answers": [ + { + "concept": "1170AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Spontaneous vaginal delivery" + }, + { + "concept": "159260AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "vacuum extractor delivery" + }, + { + "concept": "159901AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Forceps delivery" + }, + { + "concept": "1172AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Breech delivery" + }, + { + "concept": "155886AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Elective Cesarean section" + }, + { + "concept": "159739AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Emergency Cesarean section" + } + ] + }, + "validators": [] + } + ] + }, + { + "label": "Mothers details", + "isExpanded": "true", + "questions": [ + { + "label": "Mother's Name", + "type": "obs", + "required": true, + "id": "mothersName", + "questionOptions": { + "rendering": "text", + "concept": "1593AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "SNOMED MVP", + "value": "15931000105005" + }, + { + "relationship": "NARROWER-THAN", + "type": "SNOMED NP", + "value": "302147001" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "1593" + } + ], + "answers": [] + }, + "validators": [] + }, + { + "label": "Age", + "type": "obs", + "required": true, + "id": "age", + "questionOptions": { + "rendering": "number", + "min": "0", + "max": "60", + "concept": "164168AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "164168" + }, + { + "relationship": "NARROWER-THAN", + "type": "SNOMED NP", + "value": "424144002" + } + ], + "answers": [] + }, + "validators": [] + }, + { + "label": "Residence Sub-location", + "type": "obs", + "required": true, + "id": "residenceSublocation", + "questionOptions": { + "rendering": "text", + "concept": "167131AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "NARROWER-THAN", + "type": "SNOMED CT", + "value": "432407003" + }, + { + "relationship": "NARROWER-THAN", + "type": "CIEL", + "value": "167131" + } + ], + "answers": [] + }, + "validators": [] + }, + { + "label": "Parity Term", + "type": "obs", + "id": "parityTerm", + "required": "true", + "questionOptions": { + "concept": "160080AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "min": "0", + "max": "50" + } + }, + { + "label": "Parity Abortion", + "type": "obs", + "id": "parityAbortion", + "required": "true", + "questionOptions": { + "concept": "1823AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "min": "0", + "max": "50" + } + }, + { + "label": "Gravida:", + "type": "obs", + "id": "graVida", + "questionOptions": { + "concept": "5624AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "calculate": { + "calculateExpression": "calcGravida(parityTerm,parityAbortion)" + } + } + }, + { + "label": "HIV Status", + "type": "obs", + "required": true, + "id": "hivStatus", + "questionOptions": { + "rendering": "radio", + "concept": "1396AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "NARROWER-THAN", + "type": "SNOMED NP", + "value": "278977008" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED MVP", + "value": "13961000105002" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "1396" + } + ], + "answers": [ + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Positive" + }, + { + "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Unknown" + } + ] + }, + "validators": [] + }, + { + "label": "If HIV positive(ON ARVs)", + "type": "obs", + "required": true, + "id": "hivPositiveArvs", + "questionOptions": { + "rendering": "radio", + "concept": "1149AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "PIH Malawi", + "value": "7010" + }, + { + "relationship": "SAME-AS", + "type": "PIH", + "value": "1432" + }, + { + "relationship": "SAME-AS", + "type": "PIH", + "value": "1622" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "1149" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "1149" + }, + { + "relationship": "SAME-AS", + "type": "PIH", + "value": "2589" + }, + { + "relationship": "SAME-AS", + "type": "PIH", + "value": "1577" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(hivStatus) || hivStatus !== ('703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Blood group", + "type": "obs", + "required": false, + "id": "bloodGroup", + "questionOptions": { + "rendering": "radio", + "concept": "163126AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "163126" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "365636006" + } + ], + "answers": [ + { + "concept": "692AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "A NEGATIVE" + }, + { + "concept": "690AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "A POSITIVE" + }, + { + "concept": "1231AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "AB NEGATIVE" + }, + { + "concept": "1230AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "AB POSITIVE" + }, + { + "concept": "696AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "B NEGATIVE" + }, + { + "concept": "694AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "B POSITIVE" + }, + { + "concept": "701AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "O NEGATIVE" + }, + { + "concept": "699AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "O POSITIVE" + } + ] + }, + "validators": [] + }, + { + "label": "Diabetes", + "type": "obs", + "required": true, + "id": "diabetes", + "questionOptions": { + "rendering": "radio", + "concept": "119481AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "73211009" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "175" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "119481" + }, + { + "relationship": "SAME-AS", + "type": "ICD-10-WHO", + "value": "E14.9" + }, + { + "relationship": "SAME-AS", + "type": "PIH", + "value": "3720" + }, + { + "relationship": "SAME-AS", + "type": "IMO ProblemIT", + "value": "29688" + }, + { + "relationship": "SAME-AS", + "type": "PIH Malawi", + "value": "3720" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Unknown" + } + ] + }, + "validators": [] + }, + { + "label": "Fever", + "type": "obs", + "required": true, + "id": "fever", + "questionOptions": { + "rendering": "radio", + "concept": "140238AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "386661006" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "140238" + }, + { + "relationship": "SAME-AS", + "type": "3BT", + "value": "10049305" + }, + { + "relationship": "SAME-AS", + "type": "PIH", + "value": "5945" + }, + { + "relationship": "SAME-AS", + "type": "PIH", + "value": "3722" + }, + { + "relationship": "SAME-AS", + "type": "IMO ProblemIT", + "value": "27348" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "157" + }, + { + "relationship": "SAME-AS", + "type": "ICPC2", + "value": "A03" + }, + { + "relationship": "SAME-AS", + "type": "ICD-10-WHO", + "value": "R50.9" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "5945" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "On TB Treatment", + "type": "obs", + "required": true, + "id": "onTbTreatment", + "questionOptions": { + "rendering": "radio", + "concept": "162309AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "NARROWER-THAN", + "type": "SNOMED NP", + "value": "394906002" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "162309" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + } + ] + }, + { + "label": "Delivery information", + "isExpanded": "true", + "questions": [ + { + "label": "Labour 1st stage in hours", + "type": "obs", + "required": false, + "id": "labour1stStageInHours", + "questionOptions": { + "rendering": "number", + "concept": "163191AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "163191" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "7389001" + } + ], + "answers": [] + }, + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(modeOfDelivery) || modeOfDelivery === '155886AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Labour 2nd stage in minutes", + "type": "obs", + "required": false, + "id": "labour2ndStageInMinutes", + "questionOptions": { + "rendering": "number", + "concept": "159616AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "159616" + }, + { + "relationship": "NARROWER-THAN", + "type": "AMPATH", + "value": "6225" + }, + { + "relationship": "NARROWER-THAN", + "type": "LOINC", + "value": "32396-4" + }, + { + "relationship": "SAME-AS", + "type": "PIH Malawi", + "value": "7997" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "289248003" + } + ], + "answers": [] + }, + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(modeOfDelivery) || modeOfDelivery === '155886AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Resuscitation", + "type": "obs", + "required": false, + "id": "resuscitation", + "questionOptions": { + "rendering": "select", + "concept": "162131AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "386412000" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "162131" + } + ], + "answers": [ + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "None" + }, + { + "concept": "81341AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Oxygen" + }, + { + "concept": "167383AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Bag/Mask" + } + ] + }, + "validators": [] + }, + { + "label": "Rapture of Membrane(ROM)", + "type": "obs", + "required": true, + "id": "raptureOfMembrane", + "questionOptions": { + "rendering": "select", + "concept": "163445AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "163445" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "408816000" + } + ], + "answers": [ + { + "concept": "162251AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "<12hrs" + }, + { + "concept": "164449AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "12-18hrs" + }, + { + "concept": "163734AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": ">18hrs" + } + ] + }, + "validators": [] + }, + { + "label": "Given Vitamin K", + "type": "obs", + "required": true, + "id": "givenVitamink", + "questionOptions": { + "rendering": "radio", + "concept": "166665AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "166665" + }, + { + "relationship": "NARROWER-THAN", + "type": "SNOMED CT", + "value": "182991002" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Given eye prophylaxis", + "type": "obs", + "required": true, + "id": "givenEyeProphylaxis", + "questionOptions": { + "rendering": "radio", + "concept": "112d5f03-8f9d-450b-bfc2-00ac13d96dd8", + "conceptMappings": [], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + } + ] + }, + { + "label": "Babies presenting problems", + "isExpanded": "true", + "questions": [ + { + "label": "Fever?", + "type": "obs", + "required": true, + "id": "babyFever", + "questionOptions": { + "rendering": "radio", + "min": "0", + "max": "20", + "concept": "140238AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "386661006" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "140238" + }, + { + "relationship": "SAME-AS", + "type": "3BT", + "value": "10049305" + }, + { + "relationship": "SAME-AS", + "type": "PIH", + "value": "5945" + }, + { + "relationship": "SAME-AS", + "type": "PIH", + "value": "3722" + }, + { + "relationship": "SAME-AS", + "type": "IMO ProblemIT", + "value": "27348" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "157" + }, + { + "relationship": "SAME-AS", + "type": "ICPC2", + "value": "A03" + }, + { + "relationship": "SAME-AS", + "type": "ICD-10-WHO", + "value": "R50.9" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "5945" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Duration of fever?", + "type": "obs", + "required": true, + "id": "durationOfFever", + "questionOptions": { + "rendering": "number", + "concept": "1731AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "162442009" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "1731" + }, + { + "relationship": "SAME-AS", + "type": "PIH", + "value": "2160" + }, + { + "relationship": "SAME-AS", + "type": "PIH", + "value": "1294" + }, + { + "relationship": "SAME-AS", + "type": "PIH", + "value": "2161" + } + ], + "answers": [] + }, + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(babyFever) || babyFever !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Difficulty breathing?", + "type": "obs", + "required": true, + "id": "difficultyBreathing", + "questionOptions": { + "rendering": "radio", + "concept": "122496AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "IMO ProblemIT", + "value": "27828302" + }, + { + "relationship": "SAME-AS", + "type": "IMO ProblemIT", + "value": "42466" + }, + { + "relationship": "NARROWER-THAN", + "type": "SNOMED NP", + "value": "271825005" + }, + { + "relationship": "SAME-AS", + "type": "ICD-10-WHO", + "value": "R06.0" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "5540" + }, + { + "relationship": "SAME-AS", + "type": "IMO ProblemIT", + "value": "42469" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "122496" + }, + { + "relationship": "NARROWER-THAN", + "type": "AMPATH", + "value": "2296" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "267036007" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Diarrhoea?", + "type": "obs", + "required": true, + "id": "diarrhoea", + "questionOptions": { + "rendering": "radio", + "concept": "142412AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "16" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "5983" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "142412" + }, + { + "relationship": "NARROWER-THAN", + "type": "ICD-10-WHO", + "value": "K52.9" + }, + { + "relationship": "SAME-AS", + "type": "IMO ProblemIT", + "value": "42046" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "62315008" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Diarrhea duration", + "type": "obs", + "required": true, + "id": "diarrheaDuration", + "questionOptions": { + "rendering": "number", + "max": "20", + "min": "0", + "concept": "1553AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "1553" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "162442009" + }, + { + "relationship": "NARROWER-THAN", + "type": "AMPATH", + "value": "2286" + } + ], + "answers": [] + }, + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(diarrhoea) || diarrhoea !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Bloody diarrhoea?", + "type": "obs", + "required": true, + "id": "bloodyDiarrhoea", + "questionOptions": { + "rendering": "radio", + "concept": "165908AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(diarrhoea) || diarrhoea !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Vomits everything?", + "type": "obs", + "required": true, + "id": "vomitsEverything", + "questionOptions": { + "rendering": "radio", + "concept": "122983AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "NARROWER-THAN", + "type": "ICD-10-WHO", + "value": "R11" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "5980" + }, + { + "relationship": "SAME-AS", + "type": "ICPC2", + "value": "D10" + }, + { + "relationship": "SAME-AS", + "type": "IMO ProblemIT", + "value": "88586" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "422400008" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "122983" + }, + { + "relationship": "SAME-AS", + "type": "3BT", + "value": "10014706" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Difficulty feeding?", + "type": "obs", + "required": true, + "id": "difficultyFeeding", + "questionOptions": { + "rendering": "radio", + "concept": "140475AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "IMO ProblemIT", + "value": "515041" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "140475" + }, + { + "relationship": "SAME-AS", + "type": "ICPC2", + "value": "T04" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "102609007" + }, + { + "relationship": "NARROWER-THAN", + "type": "ICD-10-WHO", + "value": "R63.3" + }, + { + "relationship": "SAME-AS", + "type": "3BT", + "value": "10083590" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Convulsions?", + "type": "obs", + "required": true, + "id": "convulsions", + "questionOptions": { + "rendering": "radio", + "concept": "113054AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "91175000" + }, + { + "relationship": "SAME-AS", + "type": "IMO ProblemIT", + "value": "193829" + }, + { + "relationship": "SAME-AS", + "type": "ICD-10-WHO", + "value": "R56.8" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "113054" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Type of convulsions", + "type": "obs", + "required": true, + "id": "typeOfConvulsions", + "questionOptions": { + "rendering": "select", + "concept": "161249AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "NARROWER-THAN", + "type": "SNOMED NP", + "value": "91175000" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "161249" + } + ], + "answers": [ + { + "concept": "150525AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Absence Seizure" + }, + { + "concept": "150524AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Absence Seizure with Atonic Components" + }, + { + "concept": "161226AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Absence seizure with automatisms" + }, + { + "concept": "161227AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Absence seizure with autonomic components" + }, + { + "concept": "161225AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Absence seizure with impairment of consciousness only" + }, + { + "concept": "161224AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Absence seizure with mild clonic components" + }, + { + "concept": "161223AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Absence seizure with tonic components" + }, + { + "concept": "161036AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Affective seizure" + }, + { + "concept": "148223AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Atonic Seizure" + }, + { + "concept": "161229AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Atypical absence seizure with abrupt onset and end" + }, + { + "concept": "161228AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Atypical absence seizure with change in muscular tone" + }, + { + "concept": "121315AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Atypical Absence Seizures" + }, + { + "concept": "148124AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Auditory Seizure" + }, + { + "concept": "148102AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Automatism" + }, + { + "concept": "145044AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Clonic Seizure" + }, + { + "concept": "160937AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cognitive seizure" + }, + { + "concept": "161038AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Complex automatism" + }, + { + "concept": "110664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Complex febrile convulsions" + }, + { + "concept": "144471AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Complex Partial Seizure Evolving to Generalised Seizure" + }, + { + "concept": "120252AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Complex Partial Seizures with Consciousness Impaired" + }, + { + "concept": "161034AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dysmnesic seizure" + }, + { + "concept": "161035AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dysphasic seizure" + }, + { + "concept": "141120AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Epileptic Vertigo" + }, + { + "concept": "118129AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Focal Motor Seizure" + }, + { + "concept": "110050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Generalized Seizure" + }, + { + "concept": "139227AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Gustatory Seizure" + }, + { + "concept": "115424AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Myoclonic Seizures" + }, + { + "concept": "132426AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Olfactory Seizure" + }, + { + "concept": "160930AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Phonatory seizure" + }, + { + "concept": "160935AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Postural seizure" + }, + { + "concept": "160936AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Seizure with structured hallucinations" + }, + { + "concept": "161037AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Simple automatism" + }, + { + "concept": "158818AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "simple febrile seizure" + }, + { + "concept": "126475AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Simple Partial Onset Seizure Followed by Impairm Consciousn" + }, + { + "concept": "126489AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Simple Partial Seizure Evolving to Complex Partial Seizure Evolving to Generalised Seizure" + }, + { + "concept": "126472AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Simple partial seizure with disturbance of higher cerebral function" + }, + { + "concept": "126471AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Simple Partial Seizure with Focal Motor Signs with March" + }, + { + "concept": "161222AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Simple partial seizure with focal motor signs without march" + }, + { + "concept": "126468AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Simple Partial Seizure with Special Sensory Symptoms" + }, + { + "concept": "126467AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Simple Partial Seizure, Consciousness Not Impaired" + }, + { + "concept": "112868AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Somatosensory Seizure" + }, + { + "concept": "112356AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Tonic Seizures" + }, + { + "concept": "110200AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Tonic-Clonic Seizures" + }, + { + "concept": "123061AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Visual Seizure" + } + ] + }, + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(convulsions) || convulsions !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Number of convulsions", + "type": "obs", + "required": true, + "id": "numberOfConvulsions", + "questionOptions": { + "rendering": "number", + "max": "100", + "min": "0", + "concept": "165416AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [], + "answers": [] + }, + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(convulsions) || convulsions !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "How long does it last?", + "type": "obs", + "required": true, + "id": "howLongDoesItLast", + "questionOptions": { + "rendering": "number", + "max": "100", + "min": "0", + "concept": "161262AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "1733" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "258701004" + } + ], + "answers": [] + }, + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(convulsions) || convulsions !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Apnoea?", + "type": "obs", + "required": true, + "id": "apnoea", + "questionOptions": { + "rendering": "radio", + "concept": "164441AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "164441" + }, + { + "relationship": "NARROWER-THAN", + "type": "SNOMED NP", + "value": "386813002" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Cry?", + "type": "obs", + "required": true, + "id": "cry", + "questionOptions": { + "rendering": "radio", + "concept": "159860AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "NARROWER-THAN", + "type": "AMPATH", + "value": "2298" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "159860" + } + ], + "answers": [ + { + "concept": "1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Normal" + }, + { + "concept": "138554AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hoarse" + }, + { + "concept": "6005AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Weak" + } + ] + }, + "validators": [] + }, + { + "label": "Inability to suck /breastfeed?", + "type": "obs", + "required": true, + "id": "inabilityToBreastfeed", + "questionOptions": { + "rendering": "radio", + "concept": "159861AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "159861" + }, + { + "relationship": "NARROWER-THAN", + "type": "SNOMED NP", + "value": "288854000" + }, + { + "relationship": "NARROWER-THAN", + "type": "AMPATH", + "value": "2294" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Stiff neck?", + "type": "obs", + "required": true, + "id": "stiffNeck", + "questionOptions": { + "rendering": "radio", + "concept": "134385AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "IMO ProblemIT", + "value": "300962" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "134385" + }, + { + "relationship": "SAME-AS", + "type": "IMO ProblemIT", + "value": "49487" + }, + { + "relationship": "NARROWER-THAN", + "type": "SNOMED NP", + "value": "437986008" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "70784009" + }, + { + "relationship": "SAME-AS", + "type": "ICD-10-WHO", + "value": "R29.1" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Bulging fontanelle?", + "type": "obs", + "required": true, + "id": "bulgingFontanelle", + "questionOptions": { + "rendering": "radio", + "concept": "1836AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "1836" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "103019006" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Irritable?", + "type": "obs", + "required": true, + "id": "irritable", + "questionOptions": { + "rendering": "radio", + "concept": "6023AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "6023" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "55929007" + }, + { + "relationship": "SAME-AS", + "type": "IMO ProblemIT", + "value": "47333" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "5263" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "6023" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Reduced movement/tone?", + "type": "obs", + "required": true, + "id": "reducedMovement", + "questionOptions": { + "rendering": "radio", + "concept": "167092AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "NARROWER-THAN", + "type": "CIEL", + "value": "167092" + }, + { + "relationship": "NARROWER-THAN", + "type": "SNOMED CT", + "value": "363791007" + }, + { + "relationship": 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+ }, + { + "concept": "164125AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Small for Gastaional Age(SGA)/Wasted" + } + ] + }, + "validators": [] + }, + { + "label": "Skin findings", + "type": "obs", + "required": false, + "id": "skin", + "questionOptions": { + "rendering": "multiCheckbox", + "concept": "165911AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [], + "answers": [ + { + "concept": "119868AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Bruising" + }, + { + "concept": "512AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Rash" + }, + { + "concept": "128047AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Pustules" + }, + { + "concept": "143050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cyanosis" + }, + { + "concept": "118536AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Erythema" + }, + { + "concept": "136443AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Jaundice" + } + ] + }, + "validators": [] + }, + { + "label": "Skin cold", + "type": "obs", + "required": false, + "id": "skinCold", + "questionOptions": { + "rendering": "multiCheckbox", + "concept": "1866AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "71200009" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "1866" + } + ], + "answers": [ + { + "concept": "164385AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hand" + }, + { + "concept": "166231AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Elbow" + }, + { + "concept": "166306AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Shoulder" + } + ] + }, + "validators": [] + }, + { + "label": "Jaundice", + "type": "obs", + "required": false, + "id": "jaundice", + "questionOptions": { + "rendering": "select", + "concept": "115368AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "+" + }, + { + "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "++" + }, + { + "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "+++" + } + ] + }, + "validators": [] + }, + { + "label": "Pallor/Anaemia", + "type": "obs", + "required": false, + "id": "pallor", + "questionOptions": { + "rendering": "select", + "concept": "5245AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "+" + }, + { + "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "++" + }, + { + "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "+++" + } + ] + }, + "validators": [] + } + ] + }, + { + "label": "Respiratory findings", + "isExpanded": "true", + "questions": [ + { + "label": "Air entry bilateral", + "type": "obs", + "required": true, + "id": "airEntryBilateral", + "questionOptions": { + "rendering": "radio", + "concept": "1123AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "272016000" + }, + { + "relationship": "NARROWER-THAN", + "type": "AMPATH", + "value": "6336" + }, + { + "relationship": "SAME-AS", + "type": "PIH", + "value": "3238" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "1123" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "1123" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Stridor", + "type": "obs", + "required": true, + "id": "stridor", + "questionOptions": { + "rendering": "radio", + "concept": "125782AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "3BT", + "value": "10094005" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "70407001" + }, + { + "relationship": "SAME-AS", + "type": "IMO ProblemIT", + "value": "27435" + }, + { + "relationship": "SAME-AS", + "type": "ICD-10-WHO", + "value": "R06.1" + }, + { + "relationship": "SAME-AS", + "type": "ICPC2", + "value": "R04" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "125782" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Oxygen Saturation", + "type": "obs", + "required": false, + "id": "oxygenSaturation", + "questionOptions": { + "rendering": "number", + "concept": "5092AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "5092" + }, + { + "relationship": "SAME-AS", + "type": "IMO ProcedureIT", + "value": "3771" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "431314004" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "5092" + }, + { + "relationship": "NARROWER-THAN", + "type": "LOINC", + "value": "2710-2" + }, + { + "relationship": "SAME-AS", + "type": "IMO ProcedureIT", + "value": "26745610" + } + ], + "answers": [] + }, + "validators": [] + }, + { + "label": "Central cyanosis", + "type": "obs", + "required": false, + "id": "centralCyanosis", + "questionOptions": { + "rendering": "radio", + "concept": "157902AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "IMO ProblemIT", + "value": "710055" + }, + { + "relationship": "NARROWER-THAN", + "type": "ICD-10-WHO", + "value": "P28.2" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "157902" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "95617006" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Chest indrawing", + "type": "obs", + "required": false, + "id": "chestIndrawing", + "questionOptions": { + "rendering": "select", + "concept": "136768AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "6442005" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "136768" + }, + { + "relationship": "SAME-AS", + "type": "IMO ProblemIT", + "value": "736042" + }, + { + "relationship": "NARROWER-THAN", + "type": "ICD-10-WHO", + "value": "R06.8" + } + ], + "answers": [ + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "None" + }, + { + "concept": "1498AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Mild" + }, + { + "concept": "1500AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Severe" + }, + { + "concept": "166302AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Sternum" + } + ] + }, + "validators": [] + }, + { + "label": "Grunting", + "type": "obs", + "required": true, + "id": "grunting", + "questionOptions": { + "rendering": "radio", + "concept": "113316AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "113316" + }, + { + "relationship": "NARROWER-THAN", + "type": "SNOMED NP", + "value": "301285005" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "128254003" + }, + { + "relationship": "NARROWER-THAN", + "type": "SNOMED NP", + "value": "53972003" + }, + { + "relationship": "SAME-AS", + "type": "IMO ProblemIT", + "value": "567617" + }, + { + "relationship": "NARROWER-THAN", + "type": "ICD-10-WHO", + "value": "R06.8" + }, + { + "relationship": "SAME-AS", + "type": "IMO ProblemIT", + "value": "703482" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Crackles", + "type": "obs", + "required": true, + "id": "crackles", + "questionOptions": { + "rendering": "radio", + "concept": "1284AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "NARROWER-THAN", + "type": "SNOMED NP", + "value": "439401001" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "1284" + }, + { + "relationship": "SAME-AS", + "type": "org.openmrs.module.emrapi", + "value": "Coded Diagnosis" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED MVP", + "value": "12841000105004" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "1284" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Nasal flaring", + "type": "obs", + "required": true, + "id": "nasalFlaring", + "questionOptions": { + "rendering": "radio", + "concept": "1861AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "21558008" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "1861" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + } + ] + }, + { + "label": "Cardiovascular Findings", + "isExpanded": "true", + "questions": [ + { + "label": "Heart Murmur", + "type": "obs", + "required": true, + "id": "heartMurmur", + "questionOptions": { + "rendering": "radio", + "concept": "139071AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "NARROWER-THAN", + "type": "AMPATH", + "value": "6237" + }, + { + "relationship": "NARROWER-THAN", + "type": "ICD-10-WHO", + "value": "I51.9" + }, + { + "relationship": "SAME-AS", + "type": "PIH", + "value": "3305" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "56265001" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "139071" + }, + { + "relationship": "SAME-AS", + "type": "IMO ProblemIT", + "value": "45639" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Femoral pulse", + "type": "obs", + "required": true, + "id": "femoralPulse", + "questionOptions": { + "rendering": "select", + "concept": "c732910a-45f3-4989-8fdc-b8960aad9eac", + "conceptMappings": [], + "answers": [ + { + "concept": "163748AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Present" + }, + { + "concept": "150518AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Absent" + }, + { + "concept": "124823AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Weak" + }, + { + "concept": "147044AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Bounding" + } + ] + }, + "validators": [] + }, + { + "label": "Capillary Refill time", + "type": "obs", + "required": false, + "id": "capillaryRefillTime", + "questionOptions": { + "rendering": "select", + "concept": "165890AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [], + "answers": [ + { + "concept": "165891AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "<3 seconds" + }, + { + "concept": "162512AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": ">3 secends" + } + ] + }, + "validators": [] + } + ] + }, + { + "label": "Abnormalities", + "isExpanded": "true", + "questions": [ + { + "label": "Skull", + "type": "obs", + "required": false, + "id": "skull", + "questionOptions": { + "rendering": "select", + "concept": "386AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "386" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "388" + }, + { + "relationship": "SAME-AS", + "type": "IMO ProcedureIT", + "value": "842551" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "55965002" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "387" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "386" + }, + { + "relationship": "SAME-AS", + "type": "IMO ProcedureIT", + "value": "5989" + } + ], + "answers": [ + { + "concept": "134213AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Microcephaly" + }, + { + "concept": "135427AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Macrocephaly" + }, + { + "concept": "146475AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Caput succedaneum" + }, + { + "concept": "140402AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cephalhaematoma" + }, + { + "concept": "140402AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Subgaleal haemorrhage" + }, + { + "concept": "156574AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Subgaleal haemorrhage" + }, + { + "concept": "143223AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Craniosynotosis" + } + ] + }, + "validators": [] + }, + { + "label": "Palate/face", + "type": "obs", + "required": false, + "id": "palate", + "questionOptions": { + "rendering": "select", + "concept": "c67be9a5-f497-4082-af81-11753f65ed4b", + "conceptMappings": [], + "answers": [ + { + "concept": "145066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cleft lip" + }, + { + "concept": "145063AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cleft palate" + }, + { + "concept": "145641AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Bilateral choanal atresia" + }, + { + "concept": "158674AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Coloboma" + } + ] + }, + "validators": [] + }, + { + "label": "Dysmorphic", + "type": "obs", + "required": false, + "id": "dysmorphic", + "questionOptions": { + "rendering": "select", + "concept": "166000AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [], + "answers": [ + { + "concept": "156320AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Flattened nasal bridge" + }, + { + "concept": "140949AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Epicanthic folds" + }, + { + "concept": "143820AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Micrognathia" + } + ] + }, + "validators": [] + }, + { + "label": "Genitals/anus", + "type": "obs", + "required": false, + "id": "genitalAnus", + "questionOptions": { + "rendering": "select", + "concept": "166362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [], + "answers": [ + { + "concept": "149013AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Ambiguous genitalia" + }, + { + "concept": "138137AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Clitoromegaly" + }, + { + "concept": "113122AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Scrotal swelling" + }, + { + "concept": "138010AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hypospadias" + }, + { + "concept": "123813AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "undescended testes" + }, + { + "concept": "137700AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Imperforated anus" + } + ] + }, + "validators": [] + }, + { + "label": "Limbs", + "type": "obs", + "required": false, + "id": "limbs", + "questionOptions": { + "rendering": "select", + "concept": "160624AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "160624" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "66019005" + } + ], + "answers": [ + { + "concept": "113439AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Absent radii" + }, + { + "concept": "133639AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Contractures" + }, + { + "concept": "129566AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Polydactyl" + }, + { + "concept": "125163AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Syndactyl" + }, + { + "concept": "125043AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Talpes equinovarus" + }, + { + "concept": "126434AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Single palmar crease" + } + ] + }, + "validators": [] + }, + { + "label": "Spine", + "type": "obs", + "required": false, + "id": "spine", + "questionOptions": { + "rendering": "select", + "concept": "390AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "79760008" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "390" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "390" + }, + { + "relationship": "SAME-AS", + "type": "IMO ProcedureIT", + "value": "5991" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "389" + } + ], + "answers": [ + { + "concept": "113125AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Scoliosis" + }, + { + "concept": "126208AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Spina bifida" + }, + { + "concept": "118652AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Encephalocele" + }, + { + "concept": "133054AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "midline naevus lipoma" + }, + { + "concept": "158719AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Deep sacral pit" + } + ] + }, + "validators": [] + } + ] + }, + { + "label": "Supportive Care", + "isExpanded": "true", + "questions": [ + { + "label": "Nutrition/Feeds", + "type": "obs", + "required": false, + "id": "nutritionFeeds", + "questionOptions": { + "rendering": "select", + "concept": "1151AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "182922004" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "985" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "985" + } + ], + "answers": [ + { + "concept": "5526AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Breast Milk" + }, + { + "concept": "5254AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Formula" + }, + { + "concept": "6046AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Mixed feeding" + }, + { + "concept": "3e2597bd-dbe2-499e-a520-f4e22b53cd4f", + "label": "Total Parenteral Nutrition" + } + ] + }, + "validators": [] + }, + { + "label": "Feeding Schedule", + "type": "obs", + "required": false, + "id": "feedingSchedule", + "questionOptions": { + "rendering": "select", + "concept": "985AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "162525" + }, + { + "relationship": "NARROWER-THAN", + "type": "SNOMED NP", + "value": "289156007" + } + ], + "answers": [ + { + "concept": "162245AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Every 2 hours" + }, + { + "concept": "162246AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Every 3 hours" + }, + { + "concept": "31AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "On Demand" + } + ] + }, + "validators": [] + }, + { + "label": "IV. Fluids Administered", + "type": "obs", + "required": false, + "id": "fluidsAdministered", + "questionOptions": { + "rendering": "select", + "concept": "161911AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "161911" + }, + { + "relationship": "SAME-AS", + "type": "PIH", + "value": "7895" + } + ], + "answers": [ + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "None" + }, + { + "concept": "74653AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dextran" + }, + { + "concept": "162857AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dextrose 5% in normal saline" + }, + { + "concept": "161250AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dextrose 5% in water" + }, + { + "concept": "161922AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dextrose 10% in water" + }, + { + "concept": "162859AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Glucose 50 MG/ML / Sodium Chloride 0.0769 MEQ/ML Injectable Solution" + }, + { + "concept": "162860AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Monopotassium phosphate 0.259% / sodium phosphate 2.9% injection solution" + }, + { + "concept": "80804AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Normal saline" + }, + { + "concept": "162855AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Potassium chloride 20 mmol/L in normal saline" + }, + { + "concept": "162856AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Potassium chloride 40 mmol/sodium chloride 0.9% infusion solution" + }, + { + "concept": "78617AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Ringer's lactate" + }, + { + "concept": "162861AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Sodium bicarbonate 1.26% injection solution" + } + ] + }, + "validators": [] + }, + { + "label": "Incubator/Keep Warm", + "type": "obs", + "required": false, + "id": "incubatorKeepWarm", + "questionOptions": { + "rendering": "radio", + "concept": "644504bd-23bc-4f1e-b9a0-d44f81f4148e", + "conceptMappings": [], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Oxygen Therapy", + "type": "obs", + "required": false, + "id": "oxygenTherapy", + "questionOptions": { + "rendering": "radio", + "concept": "165864AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Blood Transfusion", + "type": "obs", + "required": true, + "id": "bloodTransfusion", + "questionOptions": { + "rendering": "radio", + "concept": "161927AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "PIH", + "value": "7864" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "161927" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Phototherapy ", + "type": "obs", + "required": false, + "id": "phototherapy", + "questionOptions": { + "rendering": "radio", + "concept": "160846AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "31394004" + }, + { + "relationship": "SAME-AS", + "type": "IMO ProcedureIT", + "value": "671041" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "167422" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Clinician name", + "type": "obs", + "required": true, + "id": "clinicianName", + "questionOptions": { + "rendering": "text", + "concept": "1473AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "PIH", + "value": "1392" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "1473" + } + ], + "answers": [] + }, + "validators": [] + } + ] + } + ] + } + ], + "processor": "EncounterFormProcessor", + "encounterType": "415f5136-ca4a-49a8-8db3-f994187c3af6", + "referencedForms": [], + "uuid": "e8110437-e3cc-4238-bfc1-414bdd4de6a4", + "description": "A form for collecting newborn admission details", + "version": "1.0" + } \ No newline at end of file diff --git a/configuration/ampathforms/Nutrition_Form.json b/configuration/ampathforms/Nutrition_Form.json new file mode 100644 index 00000000..b73ef65b --- /dev/null +++ b/configuration/ampathforms/Nutrition_Form.json @@ -0,0 +1,923 @@ +{ + "name": "Nutrition Form", + "description": "Nutrition Form", + "version": "1", + "published": true, + "uuid": "b8357314-0f6a-4fc9-a5b7-339f47095d62", + "retired": false, + "encounter": "Consultation", + "pages": [ + { + "label": "Visit Details", + "sections": [ + { + "label": "Encounter Details", + "isExpanded": "true", + "questions": [ + { + "label": "Visit date:", + "type": "encounterDatetime", + "required": "true", + "id": "encDate", + "questionOptions": { + "rendering": "date" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ] + }, + { + "label": "Provider:", + "type": "encounterProvider", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encProvider " + }, + { + "label": "Location:", + "type": "encounterLocation", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encLocation" + } + ] + } + ] + }, + { + "label": "Nutritional Assessment", + "sections": [ + { + "label": "Nutrition Health Assessment", + "isExpanded": "true", + "questions": [ + { + "label": "Visit type", + "type": "obs", + "questionOptions": { + "rendering": "radio", + "concept": "1246AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "true", + "label": "New" + }, + { + "concept": "false", + "label": "Revisit" + }, + { + "concept": "160563AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Referred from other facilites" + } + ] + }, + "id": "visitScheduled", + "required": "true" + }, + { + "label": "Facility Name", + "type": "obs", + "id": "otheRfaCility", + "questionOptions": { + "concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + }, + "validators": [], + "hide": { + "hideWhenExpression": "visitScheduled !== '160563AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Patient Pregnant/Lactating", + "type": "obs", + "id": "peGsTaTus", + "required": "true", + "questionOptions": { + "concept": "5272AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not Applicable" + } + ] + }, + "hide": { + "hideWhenExpression": "age < 15 || sex !== 'F'" + } + }, + { + "label": "Serostatus", + "type": "obs", + "id": "sErOsTaTus", + "required": "true", + "questionOptions": { + "concept": "1169AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Positive" + }, + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Unknown" + } + ] + } + }, + { + "label": "Patient on ARVs", + "type": "obs", + "id": "paTonARVs", + "required": "true", + "questionOptions": { + "concept": "1149AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(sErOsTaTus) || sErOsTaTus !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Coexisitng medical Condition", + "type": "obs", + "id": "exMedsCond", + "questionOptions": { + "concept": "162747AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "112141AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "TB" + }, + { + "concept": "119481AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Diabetes" + }, + { + "concept": "117399AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hypertension" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Others (Specify)" + } + ] + } + }, + { + "label": "Other (Specify)", + "type": "obs", + "id": "SpecifYexMedsCond", + "questionOptions": { + "concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + }, + "validators": [], + "hide": { + "hideWhenExpression": "exMedsCond !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Patient has Edema", + "type": "obs", + "id": "pEdeMa", + "questionOptions": { + "concept": "163894AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } + }, + { + "label": "Anaemia levels", + "type": "obs", + "id": "anEamiAleV", + "questionOptions": { + "concept": "121629AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1118AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not Done" + }, + { + "concept": "1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Normal" + }, + { + "concept": "1498AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Mild" + }, + { + "concept": "1499AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Moderate" + }, + { + "concept": "1500AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Severe" + } + ] + } + }, + { + "label": "Metabolic Disorders:", + "type": "obs", + "id": "meTDisorderS", + "questionOptions": { + "concept": "163304AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "None" + }, + { + "concept": "135761AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Lypodystrophy", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "141623AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dyslipidemia", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "142473AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Type II Diabetes", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + ] + } + }, + { + "label": "Diagnosis", + "id": "DiagNosIS", + "type": "diagnosis", + "questionOptions": { + "rendering": "repeating", + "dataSource": "diagnoses", + "rank": 1 + } + }, + { + "label": "Patient's SAM/MAM", + "type": "obs", + "id": "pSAmAM", + "questionOptions": { + "concept": "160205AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1687AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "1st Time Diagnosis" + }, + { + "concept": "160033AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Relapse" + }, + { + "concept": "1655AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Re-admission" + } + ] + } + } + ] + } + ] + }, + { + "label": "Nutrition Intervention", + "sections": [ + { + "label": "Nutrition Intervention Details", + "isExpanded": "true", + "questions": [ + { + "label": "Did the client consent to receive nutrition intervention?", + "type": "obs", + "questionOptions": { + "rendering": "radio", + "concept": "1710AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "true", + "label": "Yes" + }, + { + "concept": "false", + "label": "No" + } + ] + }, + "id": "consentGiven", + "required": "true" + }, + { + "label": "First 0 - 6 Months", + "type": "obs", + "id": "fiRstSix", + "questionOptions": { + "concept": "161005AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "5526AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Exclusive breastfeeding" + }, + { + "concept": "164477AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Exclusive replacement feeding" + }, + { + "concept": "6046AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Mixed feeding" + } + ] + }, + "hide": { + "hideWhenExpression": "age > 2" + } + }, + { + "label": "6 - 12 Months", + "type": "obs", + "id": "fiRsttWelVe", + "questionOptions": { + "concept": "1151AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "5632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Breastfeeding" + }, + { + "concept": "140719AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not Breastfeeding" + }, + { + "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not Known" + }, + { + "concept": "159854AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Began complimentary feeding" + } + ] + }, + "hide": { + "hideWhenExpression": "age > 2" + } + }, + { + "label": "Infant and Young child feeding (post natal)", + "type": "obs", + "id": "poStNatal", + "questionOptions": { + "concept": "161005AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "5632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Breastfeeding" + }, + { + "concept": "164477AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Replacement feeding" + }, + { + "concept": "159854AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Complimentary feeding" + } + ] + }, + "hide": { + "hideWhenExpression": "age > 2" + } + }, + { + "label": "Maternal Nutrition", + "type": "obs", + "id": "mateRnaLnUt", + "questionOptions": { + "concept": "163300AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "129202AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Pre-natal" + }, + { + "concept": 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"label": "Therapeutic foods", + "type": "obs", + "id": "prActNutrion", + "required": "true", + "questionOptions": { + "concept": "161005AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "None" + }, + { + "concept": "163394AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "RUTF", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "163404AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "F-75", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "163404AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "F-100", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "141623AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Fiesmol", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Others", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + ] + }, + "hide": { + "hideWhenExpression": "consentGiven !== 'true'" + } + }, + { + "label": "Other (Specify)", + "type": "obs", + "id": "specifyNutFoods", + "questionOptions": { + "concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + }, + "validators": [], + "hide": { + "hideWhenExpression": "!arrayContains(prActNutrion, ['5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'])" + } + }, + { + "label": "Supplemental Foods:", + "type": "obs", + "id": "suppFooDs", + "questionOptions": { + "concept": "159854AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "None" + }, + { + "concept": "135761AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "FBF", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "143369AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "CSB", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "142473AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "RUSF", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "162758AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Liquid nutrition supplements", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Others", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + ] + }, + "hide": { + "hideWhenExpression": "consentGiven !== 'true'" + } + }, + { + "label": "Other (Specify)", + "type": "obs", + "id": "specifySuppFoods", + "questionOptions": { + "concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + }, + "validators": [], + "hide": { + "hideWhenExpression": "!arrayContains(suppFooDs, ['5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'])" + } + }, + { + "label": "Micronutrients:", + "type": "obs", + "id": "micRoFooDs", + "questionOptions": { + "concept": "159854AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "None" + }, + { + "concept": "86339AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Vitamin A", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "86343AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "B6", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "461AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Multi-vitamins", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "104677AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Iron-folate", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "86672AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Zinc", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "104300AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Multiple Micronutrients", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Others", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + ] + }, + "hide": { + "hideWhenExpression": "consentGiven !== 'true'" + } + }, + { + "label": "Other (Specify)", + "type": "obs", + "id": "specifymiCroFoods", + "questionOptions": { + "concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + }, + "validators": [], + "hide": { + "hideWhenExpression": "!arrayContains(micRoFooDs, '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + } + ] + } + ] + }, + { + "label": "Nutritional Outcome", + "sections": [ + { + "label": "Nutrition Details", + "isExpanded": "true", + "questions": [ + { + "label": "Please state the current status of continuing SAM/MAM Patients:", + "type": "obs", + "id": "caRdStatUs", + "questionOptions": { + "concept": "160205AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "5544AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Gaining Weight" + }, + { + "concept": "832AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Losing Weight" + }, + { + "concept": "128378AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Static Weight" + }, + { + "concept": "159791AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cured" + }, + { + "concept": "1692AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Discharged" + }, + { + "concept": "163484AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Refused Nutrition Support" + } + ] + } + }, + { + "label": "Referral and Transfers:", + "type": "obs", + "id": "referStatUs", + "questionOptions": { + "concept": "161934AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "5485AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Refer for admission" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Referral for other clinics" + }, + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Referral for livelihood support" + }, + { + "concept": "159492AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Transferred Out" + } + ] + }, + "hide": { + "hideWhenExpression": "" + } + }, + { + "label": "Criteria for admission", + "type": "obs", + "id": "criticAds", + "questionOptions": { + "concept": "167381AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Edema +" + }, + { + "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Edema ++" + }, + { + "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Edema +++" + }, + { + "concept": "1343AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "MUAC" + }, + { + "concept": "162584AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "WHZ" + }, + { + "concept": "1342AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "BMI for Age" + } + ] + }, + "hide": { + "hideWhenExpression": "referStatUs !== '5485AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Type of admission", + "type": "obs", + "id": "typEAddi", + "questionOptions": { + "concept": "162477AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "64144AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "New" + }, + { + "concept": "160530AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Re-Admission" + }, + { + "concept": "160033AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Relapse" + }, + { + "concept": "160031AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Returned Defaulter" + } + ] + }, + "hide": { + "hideWhenExpression": "referStatUs !== '5485AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Next appointment date:", + "type": "obs", + "questionOptions": { + "rendering": "date", + "concept": "167132AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "id": "tCAppoinTment", + "validators": [ + { + "type": "date", + "allowFutureDates": "true" + }, + { + "type": "js_expression", + "failsWhenExpression": "(new moment(encDate)).isAfter((new moment(myValue)), 'day') || (new moment(encDate)).isSame((new moment(myValue)), 'day')", + "message": "Next Appointment should be greater than the encounter date." + } + ] + }, + { + "label": "Cadre", + "type": "obs", + "id": "DesGniTionCadre", + "questionOptions": { + "concept": "5619AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "135761AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Nutritionist" + }, + { + "concept": "1577AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Nurse" + }, + { + "concept": "162591AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Doctor" + }, + { + "concept": "1574AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Clinical Officer" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Others" + } + ] + }, + "hide": { + "hideWhenExpression": "" + } + }, + { + "label": "Other (Specify)", + "type": "obs", + "id": "specifyDesGate", + "questionOptions": { + "concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + }, + "validators": [], + "hide": { + "hideWhenExpression": "DesGniTionCadre !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Provider's Name:", + "type": "encounterProvider", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "ProviderSnAme", + "hide": { + "hideWhenExpression": "isEmpty(DesGniTionCadre)" + } + } + ] + } + ] + } + ], + "encounterType": "" + } \ No newline at end of file diff --git a/configuration/ampathforms/Partograph-form.json b/configuration/ampathforms/Partograph-form.json new file mode 100644 index 00000000..7d3a213c --- /dev/null +++ b/configuration/ampathforms/Partograph-form.json @@ -0,0 +1,403 @@ +{ + "name": "Partograph Form", + "processor": "EncounterFormProcessor", + "encounterType": "c6d09e05-1f25-4164-8860-9f32c5a02df0", + "referencedForms": [], + "uuid": "3791e5b7-2cdc-44fc-982b-a81135367c96", + "description": "A form for collecting the labor progress at the maternity", + "version": "1.0", + "published": true, + "retired": false, + "pages": [ + { + "label": "Partograph Form", + "sections": [ + { + "label": "Encounter Details", + "isExpanded": "true", + "questions": [ + { + "label": "Date:", + "type": "encounterDatetime", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ], + "id": "encDate" + }, + { + "label": "Provider:", + "type": "encounterProvider", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encProvider " + }, + { + "label": "Location:", + "type": "encounterLocation", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encLocation" + } + ] + }, + { + "label": "Patient details", + "isExpanded": "true", + "questions": [ + { + "label": "Ruptured membranes", + "type": "obs", + "required": true, + "id": "rupturedMembranes", + "questionOptions": { + "rendering": "radio", + "concept": "164900AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "164900" + } + ], + "answers": [ + { + "concept": "127244AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Ruptured Membranes" + }, + { + "concept": "164899AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Intact membranes" + } + ] + }, + "validators": [] + }, + { + "label": "Hours Since Rupture", + "type": "obs", + "required": true, + "id": "hoursSinceRupture", + "questionOptions": { + "rendering": "number", + "min": "0", + "max": "100", + "concept": "167149AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "NARROWER-THAN", + "type": "CIEL", + "value": "167149" + }, + { + "relationship": "NARROWER-THAN", + "type": "SNOMED NP", + "value": "364333003" + } + ], + "answers": [] + }, + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(rupturedMembranes) || rupturedMembranes !== ('127244AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + } + ] + }, + { + "label": "Labor Progress", + "isExpanded": "true", + "questions": [ + { + "label": "Labor Progress", + "type": "obsGroup", + "questionOptions": { + "concept": "160116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "repeating" + }, + "questions": [ + { + "label": "Fetal Heart Rate(bpm)", + "type": "obs", + "required": true, + "id": "fetalHeartRate", + "questionOptions": { + "rendering": "number", + "min": "0", + "max": "200", + "concept": "1440AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "LOINC", + "value": "55283-6" + }, + { + "relationship": "SAME-AS", + "type": "PIH Malawi", + "value": "7979" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "1857" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "249043002" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "1440" + } + ], + "answers": [] + }, + "validators": [], + "alert": { + "alertWhenExpression": "myValue && (myValue >= 170.5 || myValue < 109.5)", + "message": "Fetal Heart Rate is out of range (Normal range 110-170)" + } + }, + { + "label": "Amniotic fluid and membrane", + "type": "obs", + "required": true, + "id": "amnioticFluid", + "questionOptions": { + "rendering": "select", + "concept": "162653AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "162261" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "127375006" + } + ], + "answers": [ + { + "concept": "164899AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Membrane intact" + }, + { + "concept": "159484AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Clear liquor" + }, + { + "concept": "134488AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Meconium Stained" + }, + { + "concept": "163747AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Absent" + }, + { + "concept": "1077AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Blood Stained" + } + ] + }, + "validators": [] + }, + { + "label": "Moulding", + "type": "obs", + "required": true, + "id": "moulding", + "questionOptions": { + "rendering": "select", + "concept": "166527AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [], + "answers": [ + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "0" + }, + { + "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "+" + }, + { + "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "++" + }, + { + "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "+++" + } + ] + }, + "validators": [] + }, + { + "label": "Cervical Dilation (cm)", + "type": "obs", + "required": true, + "id": "cervicalDilation", + "questionOptions": { + "rendering": "number", + "min": "0", + "max": "100", + "concept": "162261AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "162261" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "127375006" + } + ], + "answers": [] + }, + "validators": [] + }, + { + "label": "Hours taken to dilate", + "type": "obs", + "required": true, + "id": "hoursTakenToDilate", + "questionOptions": { + "rendering": "number", + "min": "0", + "max": "100", + "concept": "167149AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "NARROWER-THAN", + "type": "CIEL", + "value": "167149" + }, + { + "relationship": "NARROWER-THAN", + "type": "SNOMED NP", + "value": "364333003" + } + ], + "answers": [] + }, + "validators": [] + }, + { + "label": "Descent of Head", + "type": "obs", + "required": true, + "id": "descentOfHead", + "questionOptions": { + "rendering": "text", + "min": "0", + "max": "200", + "concept": "159942AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [], + "answers": [] + }, + "validators": [] + }, + { + "label": "Hours ", + "type": "obs", + "required": true, + "id": "hours", + "questionOptions": { + "rendering": "number", + "min": "0", + "max": "200", + "concept": "163191AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "163191" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "7389001" + } + ], + "answers": [] + }, + "validators": [] + }, + { + "label": "Time", + "type": "obs", + "required": true, + "id": "time", + "datePickerFormat": "timer", + "questionOptions": { + "rendering": "date", + "concept": "163286AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "NARROWER-THAN", + "type": "SNOMED NP", + "value": "406543005" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "163286" + } + ], + "answers": [] + }, + "validators": [] + } + ], + "id": "laborProgress" + }, + { + "label": "Contractions per 10 min", + "type": "obsGroup", + "questionOptions": { + "concept": "163750AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "repeating" + }, + "questions": [ + { + "label": "Frequency", + "type": "obs", + "id": "frequency", + "questionOptions": { + "concept": "166529AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number" + } + }, + { + "label": "Duration (Seconds)", + "type": "obs", + "id": "contractionsDuration", + "questionOptions": { + "concept": "159368AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "min": "0", + "max": "500" + } + } + ], + "id": "contractionsPerMinute" + } + ] + } + ] + } + ] +} diff --git a/configuration/ampathforms/Post_Procedure_Notes_form.json b/configuration/ampathforms/Post_Procedure_Notes_form.json new file mode 100644 index 00000000..9333d0e4 --- /dev/null +++ b/configuration/ampathforms/Post_Procedure_Notes_form.json @@ -0,0 +1,393 @@ +{ + "name": "Post Procedure Form", + "description": "Post Procedure Form", + "version": "1", + "published": true, + "uuid": "xxxx", + "retired": false, + "encounter": "IPD Consultation", + "pages": [ + { + "label": "Visit Details", + "sections": [ + { + "label": "Encounter Details", + "isExpanded": "true", + "questions": [ + { + "label": "Visit date:", + "type": "encounterDatetime", + "required": "true", + "id": "encDate", + "questionOptions": { + "rendering": "date" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ] + }, + { + "label": "Provider:", + "type": "encounterProvider", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encProvider " + }, + { + "label": "Location:", + "type": "encounterLocation", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encLocation" + } + ] + } + ] + }, + { + "label": "Post Operation Details", + "sections": [ + { + "label": "Post Operation", + "isExpanded": "true", + "questions": [ + { + "label": "Date of surgery", + "type": "encounterDatetime", + "id": "surGeryDate", + "questionOptions": { + "rendering": "ui-select-extended", + "concept": "160715AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "hide": { + "hideWhenExpression": "" + } + }, + { + "label": "Time of surgery", + "type": "obs", + "id": "TtakEn", + "datePickerFormat": "timer", + "questionOptions": { + "concept": "163509AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "date" + } + }, + { + "label": "Operative Procedure", + "type": "obs", + "id": "proCedureOps", + "questionOptions": { + "concept": "1651AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + }, + "hide": { + "hideWhenExpression": "pregnancyComplications !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Procedure Details", + "type": "obsGroup", + "id": "deTailSpRoc", + "questionOptions": { + "rendering": "group", + "concept": "1651AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "questions": [ + { + "label": "Anaesthesia Type", + "type": "obs", + "id": "loCalReg", + "questionOptions": { + "concept": "164254AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "164243AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Inhalation (mask) " + }, + { + "concept": "166991AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Intravenous" + }, + { + "concept": "160326AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Spinal" + }, + { + "concept": "161912AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Epidural" + }, + { + "concept": "166707AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Local Infiltration" + }, + { + "concept": "162777AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Topical" + } + ] + } + }, + { + "label": "Position of the Patient", + "type": "obs", + "id": "patIEntpoSItIon", + "questionOptions": { + "concept": "159633AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "159629AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Supine" + }, + { + "concept": "159631AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Fowler’s" + }, + { + "concept": "165928AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Prone" + }, + { + "concept": "542AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Lateral" + }, + { + "concept": "141235AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Trendelenburg" + }, + { + "concept": "164148AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Reverse Trendelenburg" + }, + { + "concept": "163995AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Lithotomy" + }, + { + "concept": "159630AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Sitting" + }, + { + "concept": "165928AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Jack-knife" + }, + { + "concept": "132675AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Sim's Position" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Other" + } + ] + } + }, + { + "label": "Other (Specify)", + "type": "obs", + "id": "OthersUsedposition", + "required": "true", + "questionOptions": { + "concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + }, + "hide": { + "hideWhenExpression": "patIEntpoSItIon !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Location of Incision", + "type": "obs", + "id": "IncisLocaTion", + "questionOptions": { + "concept": "161011AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + } + }, + { + "label": "Type of Incision", + "type": "obs", + "id": "typeIncisLocaTion", + "questionOptions": { + "concept": "b9879725-26f6-4aa4-8777-bc7f75d388c1", + "rendering": "select", + "answers": [ + { + "concept": "1170AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Midline" + }, + { + "concept": "1171AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Pfannenstiel" + }, + { + "concept": "506AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Inguinal" + }, + { + "concept": "118159AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Supra-umbilical/infra-umbilical" + }, + { + "concept": "1170AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Kocher" + }, + { + "concept": "124261AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Transverse" + }, + { + "concept": "506AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Paramedian" + }, + { + "concept": "118159AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "McBurney" + }, + { + "concept": "1170AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Lanz" + }, + { + "concept": "124261AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Rutherfold Morrison " + }, + { + "concept": "506AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Battle" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Other" + } + ] + } + }, + { + "label": "Other (Specify)", + "type": "obs", + "id": "OthersUsedinCision", + "required": "true", + "questionOptions": { + "concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + }, + "hide": { + "hideWhenExpression": "IncisLocaTion !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Closure Method", + "type": "obs", + "id": "clOseMethod", + "questionOptions": { + "concept": "165241AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1925AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Absorbable Suture" + }, + { + "concept": "1928AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Non Absorbable Suture" + }, + { + "concept": "73752AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Skin Staples" + }, + { + "concept": "162542AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Adhesive Strips" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Other" + } + ] + }, + "hide": { + "hideWhenExpression": "" + } + } + ] + }, + { + "label": "Findings", + "type": "obs", + "id": "FindingNotes", + "questionOptions": { + "concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + } + }, + { + "label": "Was specimen for histology collected?", + "type": "obs", + "id": "HisToloGySpeci", + "questionOptions": { + "concept": "161934AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "hide": { + "hideWhenExpression": "" + } + }, + { + "label": "Type of specimen", + "type": "obs", + "id": "speCimeNtYpe", + "questionOptions": { + "concept": "162476AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + }, + "hide": { + "hideWhenExpression": "HisToloGySpeci !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Procedure Notes", + "type": "obs", + "id": "proceDureNotes", + "questionOptions": { + "concept": "160303AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "hide": { + "hideWhenExpression": "" + } + }, + { + "label": "Diagnosis", + "id": "DiagNosIS", + "type": "diagnosis", + "questionOptions": { + "rendering": "repeating", + "dataSource": "diagnoses", + "rank": 1 + } + } + ] + } + ] + } + ], + "encounterType": "xxxxxx" +} \ No newline at end of file diff --git a/configuration/ampathforms/Postnatal_examination_form.json b/configuration/ampathforms/Postnatal_examination_form.json new file mode 100644 index 00000000..b293eb94 --- /dev/null +++ b/configuration/ampathforms/Postnatal_examination_form.json @@ -0,0 +1,907 @@ +{ + "name": "Postnatal Examination Form", + "pages": [ + { + "label": "Postnatal Examination", + "sections": [ + { + "label": "Encounter Details", + "isExpanded": "true", + "questions": [ + { + "label": "Date:", + "type": "encounterDatetime", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ], + "id": "encDate" + }, + { + "label": "Provider:", + "type": "encounterProvider", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encProvider " + }, + { + "label": "Location:", + "type": "encounterLocation", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encLocation" + } + ] + }, + { + "label": "Baby Information", + "isExpanded": "true", + "questions": [ + { + "label": "Date of Delivery", + "type": "obs", + "required": true, + "id": "dateOfDelivery", + "questionOptions": { + "rendering": "date", + "concept": "5599AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "5599" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "161714006" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "5599" + } + ], + "answers": [] + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ] + }, + { + "label": "Time of Birth", + "type": "obs", + "required": true, + "id": "timeOfBirth", + "datePickerFormat": "timer", + "questionOptions": { + "rendering": "date", + "concept": "162869AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "NARROWER-THAN", + "type": "SNOMED NP", + "value": "364713004" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "162869" + } + ], + "answers": [] + }, + "validators": [] + }, + { + "label": "Mode of Delivery", + "type": "obs", + "required": true, + "id": "modeOfDelivery", + "questionOptions": { + "rendering": "select", + "concept": "5630AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "5630" + }, + { + "relationship": "NARROWER-THAN", + "type": "SNOMED NP", + "value": "236973005" + }, + { + "relationship": "SAME-AS", + "type": "PIH Malawi", + "value": "5630" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED MVP", + "value": "56301000105003" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "5630" + } + ], + "answers": [ + { + "concept": "1171AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cesarean section" + }, + { + "concept": "159739AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Emergency cesarean section" + }, + { + "concept": "159901AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Forceps delivery" + }, + { + "concept": "1170AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Spontaneous vaginal delivery" + }, + { + "concept": "159260AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Vacuum extractor delivery" + }, + { + "concept": "1172AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Breech delivery" + } + ] + }, + "validators": [] + }, + { + "label": "Apgar Score", + "type": "obs", + "required": true, + "id": "apgarScore", + "questionOptions": { + "rendering": "number", + "min": "0", + "max": "10", + "concept": "1504AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "2369" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "302083008" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "1504" + } + ], + "answers": [] + }, + "validators": [] + }, + { + "label": "Birth Weight", + "type": "obs", + "required": true, + "id": "birthWeight", + "questionOptions": { + "rendering": "number", + "min": "0", + "max": "10", + "concept": "5916AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "5916" + }, + { + "relationship": "NARROWER-THAN", + "type": "AMPATH", + "value": "6433" + }, + { + "relationship": "NARROWER-THAN", + "type": "LOINC", + "value": "8339-4" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "5916" + }, + { + "relationship": "SAME-AS", + "type": "PIH Malawi", + "value": "5916" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "364589006" + } + ], + "answers": [] + }, + "validators": [] + }, + { + "label": "Sex of the Baby", + "type": "obs", + "required": true, + "id": "sexOfTheBaby", + "questionOptions": { + "rendering": "select", + "concept": "1587AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "NARROWER-THAN", + "type": "AMPATH", + "value": "6228" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "263495000" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "1587" + } + ], + "answers": [ + { + "concept": "1535AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Female" + }, + { + "concept": "1534AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Male" + } + ] + }, + "validators": [] + } + ] + }, + { + "label": "General examination", + "isExpanded": "true", + "questions": [ + { + "label": "Congenital abnormalities ", + "type": "obs", + "required": true, + "id": "congenitalAbnormalities", + "questionOptions": { + "rendering": "checkbox", + "concept": "c67be9a5-f497-4082-af81-11753f65ed4b", + "conceptMappings": [], + "answers": [ + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "None" + }, + { + "concept": "144282AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Skin tag", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "129566AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Extra fingers or toes", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "125043AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Congenital Talipes Equinovarus", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "145066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "cleft lip", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "145063AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "cleft palate", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "127768AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Limb reduction defects", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "138010AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hypospadias", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "143966AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Exomphalos/omphalocele", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "139569AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Gastroschisis", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "137700AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Imperforate anus", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "119978AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Congenital diaphragmatic hernia", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "134353AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Meningomyelocele", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "124403AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Tracheoesophageal fistula", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Others(specify)", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + ] + }, + "validators": [] + }, + { + "label": "Other specify", + "type": "obs", + "required": true, + "id": "otherSpecify", + "questionOptions": { + "rendering": "text", + "concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "160632" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "1915" + }, + { + "relationship": "NARROWER-THAN", + "type": "LOINC", + "value": "48767-8" + } + ], + "answers": [] + }, + "validators": [], + "hide": { + "hideWhenExpression": "!arrayContains(congenitalAbnormalities, '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Birth injury", + "type": "obs", + "required": true, + "id": "birthInjury", + "questionOptions": { + "rendering": "checkbox", + "concept": "112234AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "417163006" + }, + { + "relationship": "SAME-AS", + "type": "IMO ProblemIT", + "value": "66423" + }, + { + "relationship": "SAME-AS", + "type": "ICD-10-WHO", + "value": "T14.9" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "112234" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "148" + } + ], + "answers": [ + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "None" + }, + { + "concept": "140818AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Facial nerve injuries", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "163868AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Depressed skull fracture", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "125649AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Sub-galeal haemorrhage", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "155475AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cephalohematoma", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "162781AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Intracranial haemorrhage", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "127551AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Retinal haemorrhage", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "147031AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Brachial plexus palsy", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "118048AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Clavicle and rib fractures", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "146475AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Caput succedaneum", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "126193AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Lacerations", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "152048AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Bruising", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "131261AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Others(specify)", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + ] + }, + "validators": [] + }, + { + "label": "Other specify", + "type": "obs", + "required": true, + "id": "otherSpecifyBirthInjury", + "questionOptions": { + "rendering": "text", + "concept": "161011AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "160632" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "1915" + }, + { + "relationship": "NARROWER-THAN", + "type": "LOINC", + "value": "48767-8" + } + ], + "answers": [] + }, + "validators": [], + "hide": { + "hideWhenExpression": "!arrayContains(birthInjury, '131261AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Color of the Baby", + "type": "obs", + "required": true, + "id": "colorOfTheBaby", + "questionOptions": { + "rendering": "select", + "concept": "166807AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "304251008" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "166807" + } + ], + "answers": [ + { + "concept": "130184AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Pink" + }, + { + "concept": "147112AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Blue" + }, + { + "concept": "131004AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Pale" + } + ] + }, + "validators": [] + }, + { + "label": "Breathing", + "type": "obs", + "required": true, + "id": "breathing", + "questionOptions": { + "rendering": "select", + "concept": "164441AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "164441" + }, + { + "relationship": "NARROWER-THAN", + "type": "SNOMED NP", + "value": "386813002" + } + ], + "answers": [ + { + "concept": "1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Normal" + }, + { + "concept": "164440AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Irregular" + }, + { + "concept": "136201AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "labored" + } + ] + }, + "validators": [] + }, + { + "label": "Cord status", + "type": "obs", + "required": true, + "id": "cordStatus", + "questionOptions": { + "rendering": "select", + "concept": "162121AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "162121" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "249229001" + } + ], + "answers": [ + { + "concept": "109AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Septic" + }, + { + "concept": "162120AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dry and clean" + }, + { + "concept": "159619AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "ligated" + }, + { + "concept": "123834AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Swollen" + }, + { + "concept": "164495AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Discharging" + }, + { + "concept": "123844AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Bleeding" + } + ] + }, + "validators": [] + }, + { + "label": "Breastfeeding", + "type": "obs", + "required": true, + "id": "breastfeeding", + "questionOptions": { + "rendering": "radio", + "concept": "5632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "5632" + }, + { + "relationship": "NARROWER-THAN", + "type": "AMPATH", + "value": "2056" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "413712001" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "5632" + } + ], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Hydrated", + "type": "obs", + "required": true, + "id": "hydrated", + "questionOptions": { + "rendering": "radio", + "concept": "165911AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Stool", + "type": "obs", + "required": true, + "id": "stool", + "questionOptions": { + "rendering": "select", + "concept": "117671AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "IMO ProblemIT", + "value": "70811" + }, + { + "relationship": "SAME-AS", + "type": "IMO ProblemIT", + "value": "7670" + }, + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "117671" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "405729008" + }, + { + "relationship": "SAME-AS", + "type": "ICD-10-WHO", + "value": "K92.1" + } + ], + "answers": [ + { + "concept": "1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Normal" + }, + { + "concept": "1116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Abnormal (specify)" + }, + { + "concept": "159993AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Passed stool" + }, + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not Passed stool" + } + ] + }, + "validators": [] + }, + { + "label": "Specify abnormal stool", + "type": "obs", + "required": true, + "id": "otherAbnormalStool", + "questionOptions": { + "rendering": "text", + "concept": "160965AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "160632" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "1915" + }, + { + "relationship": "NARROWER-THAN", + "type": "LOINC", + "value": "48767-8" + } + ], + "answers": [] + }, + "validators": [], + "hide": { + "hideWhenExpression": "!arrayContains(stool, '1116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Urine", + "type": "obs", + "required": true, + "id": "urine", + "questionOptions": { + "rendering": "select", + "concept": "165438AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [], + "answers": [ + { + "concept": "159994AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Passed urine" + }, + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No urine passed" + }, + { + "concept": "150803AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Abnormal color (specify" + } + ] + }, + "validators": [] + }, + { + "label": "Specify abnormal urine color", + "type": "obs", + "required": true, + "id": "otherUrineColor", + "questionOptions": { + "rendering": "text", + "concept": "162725AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "160632" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "1915" + }, + { + "relationship": "NARROWER-THAN", + "type": "LOINC", + "value": "48767-8" + } + ], + "answers": [] + }, + "validators": [], + "hide": { + "hideWhenExpression": "!arrayContains(urine, '150803AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Additional Remarks", + "type": "obs", + "required": false, + "id": "additionalRemarks", + "questionOptions": { + "rendering": "textarea", + "concept": "605895dd-8dcf-47cc-a331-d0f563f30ab5", + "conceptMappings": [], + "answers": [] + }, + "validators": [] + } + ] + } + ] + } + ], + "processor": "EncounterFormProcessor", + "encounterType": "c6d09e05-1f25-4164-8860-9f32c5a02df0", + "referencedForms": [], + "uuid": "ad3726e7-111c-4824-b6f4-1ccda8708f28", + "description": "A form to record the examination services offered postnatally at the maternity", + "version": "1.0", + "published": true, + "retired": false +} diff --git a/configuration/ampathforms/Pre_operative_Checklist.json b/configuration/ampathforms/Pre_operative_Checklist.json new file mode 100644 index 00000000..fd8d53a5 --- /dev/null +++ b/configuration/ampathforms/Pre_operative_Checklist.json @@ -0,0 +1,222 @@ +{ + "name": "PreOperative Checklist Form", + "description": "PreOperative Checklist Form", + "version": "1", + "published": true, + "uuid": "xxxx", + "retired": false, + "encounter": "IPD Consultation", + "pages": [ + { + "label": "Visit Details", + "sections": [ + { + "label": "Encounter Details", + "isExpanded": "true", + "questions": [ + { + "label": "Visit date:", + "type": "encounterDatetime", + "required": "true", + "id": "encDate", + "questionOptions": { + "rendering": "date" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ] + }, + { + "label": "Provider:", + "type": "encounterProvider", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encProvider " + }, + { + "label": "Location:", + "type": "encounterLocation", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encLocation" + } + ] + } + ] + }, + { + "label": "Preoperative Assessment", + "sections": [ + { + "label": "General Health Assessment", + "isExpanded": "true", + "questions": [ + { + "label": "Preoperative Diagnosis", + "type": "obs", + "id": "prEpDx", + "questionOptions": { + "rendering": "repeating", + "dataSource": "diagnoses", + "rank": 1 + } + }, + { + "label": "Has the patient consumed any liquid or solid food?", + "type": "obs", + "id": "FooDsTatus", + "questionOptions": { + "concept": "162708AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } + }, + { + "label": "Time Taken", + "type": "encounterDatetime", + "id": "TtakEn", + "datePickerFormat": "timer", + "questionOptions": { + "concept": "a9e7c05e-7381-4e2b-a968-05d5d6a884f6", + "rendering": "date" + }, + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(FooDsTatus) || FooDsTatus !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Current medication given", + "type": "obs", + "id": "cuRRmeds", + "required": "true", + "questionOptions": { + "concept": "163042AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + } + }, + { + "label": "Was Urethral Catheterization done?", + "type": "obs", + "id": "CatAzised", + "required": "true", + "questionOptions": { + "concept": "1651AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } + }, + { + "label": "Preoperative skin preparation", + "type": "obs", + "id": "SkinPrep", + "required": "true", + "questionOptions": { + "concept": "b9879725-26f6-4aa4-8777-bc7f75d388c1", + "rendering": "radio", + "answers": [ + { + "concept": "1267AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Done" + }, + { + "concept": "1118AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not Done" + } + ] + } + }, + { + "label": "Procedure Urgency", + "type": "obs", + "id": "pRocedurgeNcy", + "required": "true", + "questionOptions": { + "concept": "163295AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1882AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Emergency" + }, + { + "concept": "163294AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Elective" + } + ] + } + }, + { + "label": "Patient Preoperative State", + "type": "obs", + "id": "pRoState", + "required": "true", + "questionOptions": { + "concept": "163088AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "159405AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Good" + }, + { + "concept": "162133AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Fair" + }, + { + "concept": "159407AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Poor" + } + ] + } + }, + { + "label": "Did the Patient Consent Obtained", + "type": "obs", + "id": "ConSentP", + "required": "true", + "questionOptions": { + "concept": "162696AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } + } + ] + } + ] + } + ], + 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status change" + }, + { + "concept": "117399AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hypertension" + }, + { + "concept": "121629AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Anaemia" + }, + { + "concept": "139581AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "GI upset" + }, + { + "concept": "143264AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cough" + }, + { + "concept": "512AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Rash" + }, + { + "concept": "111061AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hives" + } + ] + } + }, + { + "label": "Severity", + "type": "obs", + "id": "seVERity", + "questionOptions": { + "concept": "162760AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not graded" + }, + { + "concept": "1498AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Mild" + }, + { + "concept": "1499AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Moderate" + }, + { + "concept": "1500AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Severe" + }, + { + "concept": "162819AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Life threatening" + } + ] + } + }, + { + "label": "Date of Onset", + "type": "obs", + "id": "dateOnsetAdverse", + "questionOptions": { + "concept": "160753AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "date" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ] + }, + { + "label": "Action taken", + "type": "obs", + "id": "ActIonTaken", + "questionOptions": { + "concept": "1255AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1260AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Drug Withdrawn" + }, + { + "concept": "1257AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dose Increased" + }, + { + "concept": "1259AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dose Reduced" + }, + { + "concept": "1258AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Drug Changed" + }, + { + "concept": "981AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dose Changed" + }, + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Unknown" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "OTHER" + } + ] + } + } + ] + } + ] + }, + { + "label": "Pediatric History", + "isExpanded": "true", + "questions": [ + { + "label": "Any Complications during the pregnancy", + "type": "obs", + "id": "pregnancyComplications", + "questionOptions": { + "rendering": "radio", + "concept": "1430AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "hide": { + "hideWhenExpression": "!(age <=5) || visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Specify the Complication", + "type": "obs", + "id": "complicatonSpecify", + "questionOptions": { + "concept": "166635AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + }, + "hide": { + "hideWhenExpression": "pregnancyComplications !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Did the mother take any medication during the pregnancy?", + "type": "obs", + "id": "nedicationpregnancyComplications", + "questionOptions": { + "rendering": "radio", + "concept": "1417AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "hide": { + "hideWhenExpression": "!(age <=5) || visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Childs Gestation Age at Birth(Weeks)", + "type": "obs", + "id": "childgestationAge", + "questionOptions": { + "concept": "1409AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "min": "0", + "max": "100" + }, + "hide": { + "hideWhenExpression": "!(age <=5) || visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Length of Labor(Hours)", + "type": "obs", + "id": "lengthLabor", + "questionOptions": { + "concept": "1409AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "min": "0", + "max": "100" + }, + "hide": { + "hideWhenExpression": "!(age <=5) || visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Birth weight (kg) :", + "type": "obs", + "id": "labirthWeight", + "questionOptions": { + "concept": "5916AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "min": "0", + "max": "100" + }, + "hide": { + "hideWhenExpression": "!(age <=5) || visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Mode of Delivery:", + "type": "obs", + "id": "deliveryMode", + "questionOptions": { + "concept": "5630AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1170AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Spontaneous vaginal delivery(SVD)" + }, + { + "concept": "1171AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cesarean section(CS)" + }, + { + "concept": "1172AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Breech delivery" + }, + { + "concept": "118159AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Assisted vaginal delivery(AVD)" + } + ] + }, + "hide": { + "hideWhenExpression": "!(age <=5) || visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Apgar Score (1 min):", + "type": "obs", + "id": "babyApgarScore1Min", + "questionOptions": { + "concept": "159603AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "min": "0", + "max": "10" + }, + "hide": { + "hideWhenExpression": "!(age <=5) || visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Apgar Score (5 min):", + "type": "obs", + "id": "babyAScore5Min", + "questionOptions": { + "concept": "159604AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "min": "0", + "max": "10" + }, + "hide": { + "hideWhenExpression": "!(age <=5) || visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Apgar Score (10 min):", + "type": "obs", + "id": "babyApgarScore10Min", + "questionOptions": { + "concept": "159605AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "min": "0", + "max": "10" + }, + "hide": { + "hideWhenExpression": "!(age <=5) || visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Did the child have Any Neonatal Problems", + "type": "obs", + "id": "neonatalProblems", + "questionOptions": { + "rendering": "radio", + "concept": "1284AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "hide": { + "hideWhenExpression": "!(age <=5) || visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Specify the Neonatal Problems", + "type": "obs", + "id": "specifyNeonatal", + "questionOptions": { + "concept": "162725AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + }, + "hide": { + "hideWhenExpression": "neonatalProblems !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Development Milestones by Age", + "id": "developmentMilestones", + "type": "obs", + "questionOptions": { + "rendering": "checkbox", + "concept": "162069AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "162056AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Social Smile" + }, + { + "concept": "162057AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Head Holding/Control" + }, + { + "concept": "162058AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Turns towards the origin of sound" + }, + { + "concept": "162059AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Extends hand to grasp a toy" + }, + { + "concept": "162061AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Sitting" + }, + { + "concept": "162062AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Standing" + }, + { + "concept": "162063AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Walking" + }, + { + "concept": "162060AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Talking" + } + ] + }, + "hide": { + "hideWhenExpression": "!(age <=5) || visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Achieving Milestones?", + "type": "obs", + "id": "achievingMilestones", + "questionOptions": { + "concept": "1189AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "6022AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Delayed(D)" + }, + { + "concept": "1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Normal(N)" + }, + { + "concept": "6025AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Regressed(R)" + } + ] + }, + "hide": { + "hideWhenExpression": "!(age <=5) || visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Mode of Feeding", + "type": "obs", + "id": "modeFeeding", + "questionOptions": { + "concept": "1151AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "5632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Breastfeeding" + }, + { + "concept": "5254AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Formula Feeding" + }, + { + "concept": "159854AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Supplemental Feeding" + }, + { + "concept": "166565AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Weaning" + } + ] + }, + "hide": { + "hideWhenExpression": "!(age <=5) || visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + } + ] + }, + { + "label": "Sexual and Reproductive History", + "isExpanded": "true", + "questions": [ + { + "label": "Has patient ever had menses?", + "type": "obs", + "id": "hasLMP", + "questionOptions": { + "concept": "162877AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "hide": { + "hideWhenExpression": "sex !== 'F' ||sex === 'F' && (age < 10 || age > 49) || visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Age at Menarche:", + "type": "obs", + "id": "menarcheAge", + "questionOptions": { + "concept": "160598AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "max": "18", + "min": "8" + }, + "hide": { + "hideWhenExpression": "sex !== 'F' ||sex === 'F' && (age < 10 || age > 49) || visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || hasLMP !=='1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "When was your LMP Date", + "type": "obs", + "id": "lmPdAte", + "required": "true", + "questionOptions": { + "concept": "1427AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "date" + }, + "hide": { + "hideWhenExpression": "hasLMP !=='1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + "validators": [ + { + "type": "date", + "allowFutureDate": "true" + }, + { + "type": "js_expression", + "failsWhenExpression": "isEmpty(myValue) && !isEmpty(hasLMP) && hasLMP === '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'", + "message": "Required!" + }, + { + "type": "js_expression", + "failsWhenExpression": "(new moment(encDate)).isBefore((new moment(myValue)), 'day')", + "message": "LMP date should not be greater than the encounter date." + } + ] + }, + { + "label": "Menses Frequency", + "type": "obs", + "id": "mensesFrequency", + "questionOptions": { + "concept": "160596AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "160600AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Regular" + }, + { + "concept": "116616AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Irregular" + } + ] + }, + "hide": { + "hideWhenExpression": "hasLMP !=='1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Menstrual Flow Characteristics", + "type": "obs", + "id": "mensesCharacteristic", + "questionOptions": { + "concept": "166080AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Normal" + }, + { + "concept": "135795AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Light" + }, + { + "concept": "140947AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Heavy" + } + ] + }, + "hide": { + "hideWhenExpression": "hasLMP !=='1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Duration of menses (days) ", + "type": "obs", + "id": "mensesdays", + "questionOptions": { + "concept": "163732AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number" + }, + "hide": { + "hideWhenExpression": "hasLMP !=='1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Reasons For Amenorrhea?", + "type": "obs", + "id": "amenorrheaSymptopmsNo", + "questionOptions": { + "concept": "4b59ac07-cf72-4f46-b8c0-4f62b1779f7e", + "rendering": "radio", + "answers": [ + { + "concept": "154175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Premanarche" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Other" + } + ] + }, + "hide": { + "hideWhenExpression": "hasLMP !=='1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Other Amenorrhea reason(Specify)", + "type": "obs", + "id": "otherAmenorrhea", + "questionOptions": { + "concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + }, + "validators": [], + "hide": { + "hideWhenExpression": "amenorrheaSymptopmsNo !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "History of intermenstrual vaginal Bleeding?", + "type": "obs", + "id": "intraMenstrualHistory", + "questionOptions": { + "concept": "c67be9a5-f497-4082-af81-11753f65ed4b", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "hide": { + "hideWhenExpression": "sex !== 'F' || hasLMP !=='1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ||sex === 'F' && (age < 10 || age > 49) || visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' " + } + }, + { + "label": "Associated Symptoms", + "type": "obs", + "id": "associatedSymptoms", + "questionOptions": { + "concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "hide": { + "hideWhenExpression": "hasLMP !=='1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Any Previous gynacological surgery", + "type": "obs", + "id": "previousSurgeryGyno", + "questionOptions": { + "concept": "164258AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "hide": { + "hideWhenExpression": "sex !== 'F' ||sex === 'F' && (age < 10 || age > 49) || visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Name of the procedure", + "type": "obs", + "id": "nameOfProcedureOrderd", + "questionOptions": { + "concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "hide": { + "hideWhenExpression": "previousSurgeryGyno !=='1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + } + ] + }, + { + "label": "Family Planning Status", + "isExpanded": "true", + "questions": [ + { + "label": "Family Planning Status :", + "type": "obs", + "id": "fPlanning", + "questionOptions": { + "concept": "160653AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "965AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "On Family Planning" + }, + { + "concept": "160652AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not using Family Planning" + }, + { + "concept": "1360AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Wants Family Planning" + } + ] + }, + "hide": { + "hideWhenExpression": "age < 15 || sex !=='F' || visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "If currently using Family Planning, or wants Family Planning, specify which method(s)", + "required": "true", + "type": "obs", + "id": "fpMethod", + "questionOptions": { + "rendering": "select", + "concept": "374AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "160570AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Emergency contraceptive pills" + }, + { + "concept": "780AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Oral Contraceptives Pills" + }, + { + "concept": "5279AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Injectible" + }, + { + "concept": "1359AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Implant" + }, + { + "concept": "5275AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Intrauterine Device" + }, + { + "concept": "136163AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Lactational Amenorhea Method" + }, + { + "concept": "5278AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Diaphram/Cervical Cap" + }, + { + "concept": "5277AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Fertility Awareness" + }, + { + "concept": "1472AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Tubal Ligation" + }, + { + "concept": "190AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Condoms" + }, + { + "concept": "1489AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Vasectomy(Partner)" + } + ] + }, + "validators": [], + "hide": { + "hideWhenExpression": "fPlanning !== '965AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'|| age < 15 || sex !=='F'||fPlanning !== '1360AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Reason for not using Family Planning Methods", + "type": "obs", + "id": "FnotOnFp", + "questionOptions": { + "rendering": "checkbox", + "concept": "163297AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "159524AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not sexually active" + }, + { + "concept": "160572AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Thinks can't get pregnant" + }, + { + "concept": "160571AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Wants to get pregnant" + }, + { + "concept": "159640AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Health Concerns" + }, + { + "concept": "110360AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Religious Prohibition" + }, + { + "concept": "1778AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Fear of Side Effects" + }, + { + "concept": "134346AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Menopause" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Other" + } + ] + }, + "hide": { + "hideWhenExpression": "fPlanning !== '160652AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || age < 15 || patient.gender !=='F'" + } + }, + { + "label": "Other (Specify)", + "type": "obs", + "questionOptions": { + "rendering": "text", + "concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "id": "otherFeMale", + "hide": { + "hideWhenExpression": "isEmpty(FnotOnFp) && FnotOnFp !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || mEnoPauSe !=='1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || pregnancyIntention !=='1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || age < 15 || sex !=='F'" + } + }, + { + "label": "Family Planning Status :", + "type": "obs", + "id": "MalefPlanning", + "questionOptions": { + "concept": "160653AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "965AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "On Family Planning" + }, + { + "concept": "160652AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not using Family Planning" + }, + { + "concept": "1360AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Wants Family Planning" + } + ] + }, + "hide": { + "hideWhenExpression": "age < 15 || sex !=='M' || visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "If currently using Family Planning, or wants Family Planning, specify which method(s)", + "required": "true", + "type": "obs", + "questionOptions": { + "rendering": "checkbox", + "concept": "374AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "190AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Condoms" + }, + { + "concept": "1489AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Vasectomy" + } + ] + }, + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(MalefPlanning) || MalefPlanning === '160652AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || age < 15 || sex !=='M'" + }, + "id": "MalefpMethod" + }, + { + "label": "Reason for not using Family Planning Methods", + "type": "obs", + "id": "notOnFpMale", + "questionOptions": { + "rendering": "radio", + "concept": "160575AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "159524AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not sexually active" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Other" + } + ] + }, + "hide": { + "hideWhenExpression": "MalefPlanning !== '160652AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || age < 15 || sex !=='M'" + } + }, + { + "label": "Other (Specify)", + "type": "obs", + "questionOptions": { + "rendering": "text", + "concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "id": "otheRmaLe", + "hide": { + "hideWhenExpression": "isEmpty(notOnFpMale) && notOnFpMale !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || age < 15 || sex !=='M'" + } + } + ] + }, + { + "label": "Social History", + "isExpanded": "true", + "questions": [ + { + "label": "Do you smoke cigarattes", + "type": "obs", + "id": "smokingStatus", + "required": "true", + "questionOptions": { + "concept": "163201AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "158939AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Stopped" + } + ] + }, + "hide": { + "hideWhenExpression": "visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Number of years smoked", + "type": "obs", + "id": "smokeYears", + "questionOptions": { + "concept": "159931AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "min": "0", + "max": "500" + }, + "hide": { + "hideWhenExpression": "isEmpty(smokingStatus) || smokingStatus !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && smokingStatus !== '158939AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Number of cigarette per day", + "type": "obs", + "id": "smokeDays", + "questionOptions": { + "concept": "1546AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "min": "0", + "max": "500" + }, + "hide": { + "hideWhenExpression": "isEmpty(smokingStatus) || smokingStatus !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && smokingStatus !== '158939AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Pack Years", + "type": "obs", + "id": "pacKyrs", + "questionOptions": { + "concept": "5089AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "numeric", + "calculate": { + "calculateExpression": "(smokeYears * smokeDays) / 20" + } + }, + "hide": { + "hideWhenExpression": "isEmpty(smokingStatus) || smokingStatus !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && smokingStatus !== '158939AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Any History of Substance Use", + "type": "obs", + "id": "substanceUse", + "questionOptions": { + "concept": "163731AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "158939AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Stopped" + } + ] + }, + "hide": { + "hideWhenExpression": "visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Do you take Alcohol", + "type": "obs", + "id": "alcoholUse", + "questionOptions": { + "concept": "159449AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "167155AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Stopped" + } + ] + }, + "hide": { + "hideWhenExpression": "visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Duration in Years", + "type": "obs", + "id": "yearsTaken", + "questionOptions": { + "concept": "1546AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "min": "0", + "max": "500" + }, + "hide": { + "hideWhenExpression": "isEmpty(alcoholUse) || alcoholUse !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && alcoholUse !== '167155AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Any History of Recent Travel?", + "type": "obs", + "id": "travelHistory", + "questionOptions": { + "rendering": "radio", + "concept": 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