diff --git a/configuration/ampathforms/Delivery.json b/configuration/ampathforms/Delivery.json index c6dc984b..4d84684d 100644 --- a/configuration/ampathforms/Delivery.json +++ b/configuration/ampathforms/Delivery.json @@ -32,7 +32,7 @@ "label": "Provider:", "type": "encounterProvider", "questionOptions": { - "rendering": "ui-select-extended" + "rendering": "text" }, "id": "encProvider " }, @@ -40,7 +40,8 @@ "label": "Location:", "type": "encounterLocation", "questionOptions": { - "rendering": "ui-select-extended" + "rendering": "encounter-location", + "locationTag": "8d4626ca-7abd-42ad-be48-56767bbcf272" }, "id": "encLocation" } @@ -58,6 +59,15 @@ "concept": "162054AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "rendering": "number" } + }, + { + "label": "Number of ANC Visits:", + "type": "obs", + "id": "noOfAncVisits", + "questionOptions": { + "concept": "1590AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number" + } } ] }, @@ -65,6 +75,136 @@ "label": "Delivery and Baby Observations", "isExpanded": "true", "questions": [ + { + "label": "Date of Last Menstrual Period(LMP)", + "type": "obs", + "id": "lastLmpDate", + "questionOptions": { + "concept": "1427AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "date" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "true" + } + ] + }, + { + "label": "VDRL/RPR Results:", + "type": "obs", + "id": "vdrlResults", + "questionOptions": { + "concept": "299AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Positive" + }, + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "1118AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not Done" + } + ] + } + }, + { + "label": "Estimated date of Delivery", + "type": "obs", + "id": "lastDeliveryDate", + "questionOptions": { + "concept": "5596AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "date" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "true" + } + ] + }, + { + "label": "Placenta complete?", + "type": "obs", + "id": "placentaComplete", + "questionOptions": { + "concept": "163454AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1501AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Baby born before arrival" + } + ] + } + }, + { + "label": "Vagina Examination?", + "type": "obs", + "id": "vaginalExamination", + "questionOptions": { + "concept": "160704AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "132681AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Normal" + }, + { + "concept": "5577AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Episiotomy" + }, + { + "concept": "159264AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Vaginal tear" + }, + { + "concept": "118935AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "FGM" + }, + { + "concept": "139505AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Vaginal warts" + } + ] + } + }, + { + "label": "Uterotonic given?", + "type": "obs", + "id": "uterotonicGiven", + "questionOptions": { + "concept": "1282AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "81369AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Oxytocin" + }, + { + "concept": "104590AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Carbetocin" + }, + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "None" + } + ] + } + }, { "label": "Gestation at birth (in weeks):", "type": "obs", @@ -127,49 +267,12 @@ "required": "true" }, { - "label": "Placenta complete?", - "type": "obs", - "id": "placentaComplete", - "questionOptions": { - "concept": "163454AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "163455AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - }, - { - "concept": "163456AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - } - ] - } - }, - { - "label": "Blood Loss:", + "label": "Blood loss during delivery in millilitres (mls):", "type": "obs", "id": "bloodLoss", "questionOptions": { - "concept": "162092AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "None" - }, - { - "concept": "1498AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Mild" - }, - { - "concept": "1499AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Moderate" - }, - { - "concept": "1500AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Severe" - } - ] + "concept": "161928AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" } }, { @@ -408,6 +511,25 @@ ] } }, + { + "label": "Chlorhexidine applied on cord stump:", + "type": "obs", + "id": "deliveryOutcome", + "questionOptions": { + "concept": "159369AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } + }, { "label": "Baby details", "type": "obsGroup", @@ -485,7 +607,7 @@ "rendering": "select", "answers": [ { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "concept": "155871AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Yes" }, { @@ -508,7 +630,7 @@ "rendering": "select", "answers": [ { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "concept": "84893AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Yes" }, { @@ -526,20 +648,62 @@ } }, { - "label": "Initiated BF in less than 1 hour:", + "label": "Given Vitamin K :", "type": "obs", - "id": "babyInitiatedBF", + "id": "vitaminK", "questionOptions": { - "concept": "161543AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "concept": "984AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "rendering": "select", "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, { "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "No" + } + ] + } + }, + { + "label": "Kangaroo Mother care given:", + "type": "obs", + "id": "kangarooMotherCare", + "questionOptions": { + "concept": "161094AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "N/A" + } + ] + } + }, + { + "label": "Initiated BF in less than 1 hour:", + "type": "obs", + "id": "babyInitiatedBF", + "questionOptions": { + "concept": "161543AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ { "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" } ] }, @@ -660,10 +824,6 @@ "concept": "1040AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "rendering": "select", "answers": [ - { - "concept": "163611AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Invalid" - }, { "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Positive" @@ -671,6 +831,10 @@ { "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Negative" + }, + { + "concept": "163611AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Invalid" } ] } @@ -693,77 +857,58 @@ } ] } + }, + { + "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": "resultsGiven", + "questionOptions": { + "concept": "164848AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } } ], "id": "hivTesting" }, { - "label": "Final Results:", - "type": "obs", - "id": "hivFinalResult", - "questionOptions": { - "concept": "159427AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1138AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Inconclusive" - }, - { - "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Positive" - }, - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Negative" - } - ] - } - }, - { - "label": "On HAART", - "type": "obs", - "id": "OnHaART", - "questionOptions": { - "concept": "163783AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - } - ] - } - }, - { - "label": "Current Regimen", + "label": "HIV Status:", "type": "obs", - "id": "CurreNTRegimen", + "id": "hivStatus", "questionOptions": { - "concept": "164855AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - } - ] - } - }, - { - "label": "Results given to client?", - "type": "obs", - "id": "resultsGiven", - "questionOptions": { - "concept": "164848AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "concept": "1396AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "rendering": "select", "answers": [ { @@ -851,6 +996,52 @@ ] } }, + { + "label": "Mother started on HAART at maternity ?", + "type": "obs", + "id": "startedHaartAnc", + "questionOptions": { + "concept": "166665AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "N/A" + } + ] + } + }, + { + "label": "Was mother on HAART during ANC?", + "type": "obs", + "id": "wasOnHaartAnc", + "questionOptions": { + "concept": "163783AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "N/A" + } + ] + } + }, { "label": "AZT for the baby dispensed?", "type": "obs", @@ -860,7 +1051,7 @@ "rendering": "radio", "answers": [ { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "concept": "160123AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Yes" }, { @@ -883,7 +1074,7 @@ "rendering": "radio", "answers": [ { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "concept": "80586AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Yes" }, { @@ -925,6 +1116,15 @@ } ] } + }, + { + "label": "Reasons for referral? ", + "type": "obs", + "id": "referralReason", + "questionOptions": { + "concept": "164359AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + } } ] },