diff --git a/configuration/ampathforms/PLHIV_Link_Facility_Documentation_Tracking_form.json b/configuration/ampathforms/PLHIV_Link_Facility_Documentation_Tracking_form.json new file mode 100644 index 00000000..ea62c5bb --- /dev/null +++ b/configuration/ampathforms/PLHIV_Link_Facility_Documentation_Tracking_form.json @@ -0,0 +1,866 @@ +{ + "name": "PLHIV Link Facility Documentation Tracking form", + "description": "A form collecting data for KVP clients receiving ART status in a separate facility other than the DICE. ", + "version": "2.1", + "published": true, + "uuid": "052ede51-ddda-4f04-aa25-754ff40abf37", + "retired": false, + "encounter": "PLHIV Link Facility Documentation Tracking", + "pages": [ + { + "label": "PLHIV Link Facility Details", + "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": "Facility Details", + "isExpanded": "true", + "questions": [ + { + "label": "County", + "type": "obs", + "required": true, + "id": "county", + "questionOptions": { + "rendering": "text", + "concept": "e18c92d4-1c17-48e5-94a5-95d7835b67ec", + "answers": [] + }, + "validators": [] + }, + { + "label": "Sub-County", + "type": "obs", + "required": "true", + "id": "subCounty", + "questionOptions": { + "rendering": "text", + "concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [] + }, + "validators": [] + }, + { + "label": "Ward", + "type": "obs", + "required": "true", + "id": "ward", + "questionOptions": { + "rendering": "text", + "concept": "844bf107-32e6-4d5d-8d40-de8978f79cb3", + "answers": [] + }, + "validators": [] + }, + { + "label": "Link facility name", + "type": "obs", + "required": "true", + "id": "linkFacilityName", + "questionOptions": { + "rendering": "text", + "concept": "162724AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [] + }, + "validators": [] + }, + { + "label": "CCC number", + "type": "obs", + "required": "true", + "id": "cccNumber", + "questionOptions": { + "rendering": "number", + "concept": "162053AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [] + }, + "validators": [ + { + "type": "js_expression", + "failsWhenExpression": "doesNotMatchExpression('^\\\\\\d{10}$', cccNumber)", + "message": "Please provide the correct format for the CCC Number ie. mflCode+number eg.1200401212" + } + ] + }, + { + "label": "Date Diagnosed", + "type": "obs", + "required": "true", + "id": "dateDiagnosed", + "questionOptions": { + "rendering": "date", + "concept": "159948AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [] + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ] + }, + { + "label": "Date initiated ART", + "type": "obs", + "required": "true", + "id": "dateInitiatedArt", + "questionOptions": { + "rendering": "date", + "concept": "159599AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [] + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + }, + { + "type": "js_expression", + "failsWhenExpression": "(new moment(dateDiagnosed)).isAfter((new moment(myValue)), 'day')", + "message": "Date initiated ART should be after the date diagnosed." + } + ] + }, + { + "label": "Original regimen", + "type": "obs", + "required": "true", + "id": "originalRegimen", + "questionOptions": { + "rendering": "select", + "concept": "164855AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "162559AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "ABC/DDI/LPV/r" + }, + { + "concept": "162562AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "ABC/LPV/R/TDF" + }, + { + "concept": "161361AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "EDF/3TC/EFV" + }, + { + "concept": "792AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "D4T/3TC/NVP" + }, + { + "concept": "9fb85385-b4fb-468c-b7c1-22f75834b4b0", + "label": "TDF/3TC/DTG" + }, + { + "concept": "162200AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "3TC/ABC/LPV/r" + }, + { + "concept": "4dc0119b-b2a6-4565-8d90-174b97ba31db", + "label": "ABC/3TC/DTG" + }, + { + "concept": "164511AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "AZT-3TC-ATV/r" + }, + { + "concept": "162563AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "3TC/ABC/EFV" + }, + { + "concept": "6dec7d7d-0fda-4e8d-8295-cb6ef426878d", + "label": "AZT/3TC/DTG" + }, + { + "concept": "164505AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "TDF-3TC-EFV" + }, + { + "concept": "817AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "ABC/3TC/AZT" + }, + { + "concept": "1652AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "3TC/NVP/AZT" + }, + { + "concept": "162560AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "3TC/D4T/LPV/r" + }, + { + "concept": "162199AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "ABC/NVP/3TC" + }, + { + "concept": "164512AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "TDF-3TC-ATV/r" + }, + { + "concept": "104565AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "EFV/FTC/TDF" + }, + { + "concept": "162201AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "3TC/LPV/TDF/r" + }, + { + "concept": "162565AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "3TC/NVP/TDF" + }, + { + "concept": "162561AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "3TC/AZT/LPV/r" + }, + { + "concept": "160124AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "AZT/3TC/EFV" + }, + { + "concept": "160104AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "D4T/3TC/EFV" + } + ] + }, + "validators": [] + }, + { + "label": "Current ART regimen", + "type": "obs", + "required": true, + "id": "currentArtRegimen", + "questionOptions": { + "rendering": "select", + "concept": "164432AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "162559AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "ABC/DDI/LPV/r" + }, + { + "concept": "162562AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "ABC/LPV/R/TDF" + }, + { + "concept": "161361AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "EDF/3TC/EFV" + }, + { + "concept": "792AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "D4T/3TC/NVP" + }, + { + "concept": "9fb85385-b4fb-468c-b7c1-22f75834b4b0", + "label": "TDF/3TC/DTG" + }, + { + "concept": "162200AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "3TC/ABC/LPV/r" + }, + { + "concept": "4dc0119b-b2a6-4565-8d90-174b97ba31db", + "label": "ABC/3TC/DTG" + }, + { + "concept": "164511AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "AZT-3TC-ATV/r" + }, + { + "concept": "162563AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "3TC/ABC/EFV" + }, + { + "concept": "6dec7d7d-0fda-4e8d-8295-cb6ef426878d", + "label": "AZT/3TC/DTG" + }, + { + "concept": "164505AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "TDF-3TC-EFV" + }, + { + "concept": "817AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "ABC/3TC/AZT" + }, + { + "concept": "1652AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "3TC/NVP/AZT" + }, + { + "concept": "162560AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "3TC/D4T/LPV/r" + }, + { + "concept": "162199AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "ABC/NVP/3TC" + }, + { + "concept": "164512AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "TDF-3TC-ATV/r" + }, + { + "concept": "104565AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "EFV/FTC/TDF" + }, + { + "concept": "162201AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "3TC/LPV/TDF/r" + }, + { + "concept": "162565AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "3TC/NVP/TDF" + }, + { + "concept": "162561AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "3TC/AZT/LPV/r" + }, + { + "concept": "160124AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "AZT/3TC/EFV" + }, + { + "concept": "160104AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "D4T/3TC/EFV" + } + ] + }, + "validators": [] + }, + { + "label": "Date switched", + "type": "obs", + "id": "dateSwitched", + "questionOptions": { + "rendering": "date", + "concept": "164516AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [] + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + }, + { + "type": "js_expression", + "failsWhenExpression": "(new moment(dateInitiatedArt)).isAfter((new moment(myValue)), 'day') || (new moment(dateInitiatedArt)).isSame((new moment(myValue)), 'day')", + "message": "Date switched should be after the date initiated ART." + } + ] + }, + { + "label": "Reason for switch", + "type": "obs", + "required": false, + "id": "reasonForSwitch", + "questionOptions": { + "rendering": "text", + "concept": "162725AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [] + }, + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(dateSwitched)" + } + }, + { + "label": "Date of last visit", + "type": "obs", + "required": false, + "id": "dateOfLastVisit", + "questionOptions": { + "rendering": "date", + "concept": "164093AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [] + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ] + }, + { + "label": "Date viral load sample collected", + "type": "obs", + "required": false, + "id": "dateViralLoadSampleCollected", + "questionOptions": { + "rendering": "date", + "concept": "162078AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [] + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + }, + { + "type": "js_expression", + "failsWhenExpression": "(new moment(dateInitiatedArt)).isAfter((new moment(myValue)), 'day') || (new moment(dateInitiatedArt)).isSame((new moment(myValue)), 'day')", + "message": "Date switched should be after the date initiated ART." + } + ] + }, + { + "label": "Date viral load results received", + "type": "obs", + "required": false, + "id": "dateViralLoadResultsReceived", + "questionOptions": { + "rendering": "date", + "concept": "163281AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [] + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + }, + { + "type": "js_expression", + "failsWhenExpression": "(new moment(dateViralLoadSampleCollected)).isAfter((new moment(myValue)), 'day')", + "message": "Date viral load results received should be after the date viral load sample collected." + } + ], + "hide": { + "hideWhenExpression": "isEmpty(dateViralLoadSampleCollected)" + } + }, + { + "label": "Viral Load results", + "type": "obs", + "id": "viralLoadResults", + "questionOptions": { + "concept": "3d608267-a366-4409-be99-eb39aea151fd", + "rendering": "radio", + "answers": [ + { + "concept": "167484AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "LDL" + }, + { + "concept": "167485AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Copies" + }, + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "None" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(dateViralLoadResultsReceived)" + } + }, + { + "label": "Viral Load results (Copies)", + "type": "obs", + "id": "viralLoadResultsCopies", + "questionOptions": { + "concept": "856AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number" + }, + "hide": { + "hideWhenExpression": "isEmpty(viralLoadResults) || viralLoadResults !== '167485AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Date of next visit", + "type": "obs", + "required": false, + "id": "dateOfNextVisit", + "questionOptions": { + "rendering": "date", + "concept": "5096AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [] + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "true" + }, + { + "type": "js_expression", + "failsWhenExpression": "(new moment(dateOfLastVisit)).isAfter((new moment(myValue)), 'day') || (new moment(dateOfLastVisit)).isSame((new moment(myValue)), 'day')", + "message": "Date of next visit should be greater than the date of last visit." + } + ] + }, + { + "label": "Enrolled in PSSG?", + "type": "obs", + "required": true, + "id": "enrolledInPssg", + "questionOptions": { + "rendering": "radio", + "concept": "d242f0e5-bd5a-4962-8fa9-ec4879ee0399", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Attended PSSG", + "type": "obs", + "required": false, + "id": "attendedPssg", + "questionOptions": { + "rendering": "radio", + "concept": "af430c90-a512-43eb-aa91-50143c385304", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(enrolledInPssg) || enrolledInPssg !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "On PMTCT", + "type": "obs", + "required": false, + "id": "onPmtct", + "questionOptions": { + "rendering": "radio", + "concept": "163532AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Date of delivery/EDD", + "type": "obs", + "required": false, + "id": "dateOfDelivery", + "questionOptions": { + "rendering": "date", + "concept": "5599AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [] + }, + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(onPmtct) || onPmtct !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "TB screening", + "type": "obs", + "required": false, + "id": "tbScreening", + "questionOptions": { + "rendering": "radio", + "concept": "166663AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "STI treatment", + "type": "obs", + "required": false, + "id": "stiTreatment", + "questionOptions": { + "rendering": "radio", + "concept": "166665AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Trauma counselling", + "type": "obs", + "required": false, + "id": "traumaCounselling", + "questionOptions": { + "rendering": "radio", + "concept": "600cf489-4a92-488e-aa71-96beafe634bb", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "NA" + } + ] + }, + "validators": [] + }, + { + "label": "Cervical cancer screening", + "type": "obs", + "required": false, + "id": "cervicalCancerScreening", + "questionOptions": { + "rendering": "radio", + "concept": "7a58e4da-3544-457b-84eb-014f65a01d83", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "NA" + } + ] + }, + "validators": [], + "hide": { + "hideWhenExpression": "age < 17 || sex !=='F'" + } + }, + { + "label": "Family planning", + "type": "obs", + "required": false, + "id": "familyPlanning", + "questionOptions": { + "rendering": "radio", + "concept": "160653AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "NA" + } + ] + }, + "validators": [], + "hide": { + "hideWhenExpression": "age < 15 || age > 49" + } + }, + { + "label": "Currently on TB treatment", + "type": "obs", + "required": false, + "id": "currentlyOnTbTreatment", + "questionOptions": { + "rendering": "radio", + "concept": "162309AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Date initated TB treatment", + "type": "obs", + "required": false, + "id": "dateInitiatedTbTreatment", + "questionOptions": { + "rendering": "date", + "concept": "1113AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [] + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ], + "hide": { + "hideWhenExpression": "currentlyOnTbTreatment !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "TPT status", + "type": "obs", + "required": false, + "id": "tptStatus", + "questionOptions": { + "rendering": "radio", + "concept": "162230AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "1264AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "On TPT" + }, + { + "concept": "1267AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Completed" + }, + { + "concept": "167156AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Declined" + }, + { + "concept": "1090AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Never Initiated" + } + ] + }, + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(currentlyOnTbTreatment) || currentlyOnTbTreatment === '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Date initiated", + "type": "obs", + "required": false, + "id": "dateInitiated", + "questionOptions": { + "rendering": "date", + "concept": "162320AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [] + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ], + "hide": { + "hideWhenExpression": "isEmpty(tptStatus) || tptStatus === '167156AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || tptStatus === '1090AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Data collected through ", + "type": "obs", + "required": false, + "id": "dataCollectedThrough", + "questionOptions": { + "rendering": "radio", + "concept": "162568AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "1502AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Visiting Facility" + }, + { + "concept": "162189AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Calling Facility" + }, + { + "concept": "978AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Self-reported" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Other" + } + ] + }, + "validators": [] + }, + { + "label": "Other Specify", + "type": "obs", + "id": "medicalSpecify", + "questionOptions": { + "concept": "166635AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + }, + "hide": { + "hideWhenExpression": "isEmpty(dataCollectedThrough) || !arrayContains(dataCollectedThrough, '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + } + ] + } + ] + } + ], + "processor": "EncounterFormProcessor", + "encounterType": "b93ae0fc-9b57-4c79-936b-596553aab8b0", + "referencedForms": [] + } \ No newline at end of file