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(feat) Update MCH Child enrollment and discontinuation form (#118)
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CynthiaKamau authored Jul 10, 2023
1 parent 96b0499 commit 6a02363
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187 changes: 186 additions & 1 deletion configuration/ampathforms/Child_Welfare_Services_Discontinuation.json
Original file line number Diff line number Diff line change
Expand Up @@ -6,6 +6,13 @@
"uuid": "1dd02c43-904b-4206-8378-7b1a8414c326",
"retired": false,
"encounter": "MCH Child Discontinuation",
"meta": {
"programs": {
"uuid": "c2ecdf11-97cd-432a-a971-cfd9bd296b83",
"isEnrollment": false,
"discontinuationDateQuestionId": ""
}
},
"pages": [
{
"label": "Child Welfare Services Discontinuation",
Expand All @@ -15,7 +22,7 @@
"isExpanded": "true",
"questions": [
{
"label": "Date:",
"label": "Discontinued Date:",
"type": "encounterDatetime",
"questionOptions": {
"rendering": "ui-select-extended"
Expand Down Expand Up @@ -69,6 +76,14 @@
{
"concept": "159492AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Transferred Out"
},
{
"concept": "5240AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Lost to follow up"
},
{
"concept": "1692AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Discharged at 18 months"
}
]
},
Expand All @@ -86,6 +101,176 @@
"hideWhenExpression": "idReason !== '160432AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
}
},
{
"label": "Death reason",
"type": "obs",
"required": "true",
"questionOptions": {
"rendering": "select",
"concept": "599AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"answers": [
{
"concept": "163324AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "HIV disease resulting in TB"
},
{
"concept": "116030AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "HIV disease resulting in cancer"
},
{
"concept": "160159AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "HIV disease resulting in other infectious and parasitic diseases"
},
{
"concept": "160158AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Other HIV disease resulting in other diseases or conditions leading to death"
},
{
"concept": "133478AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Other natural causes not directly related to HIV"
},
{
"concept": "123812AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Non-natural causes"
},
{
"concept": "1142917AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Unknown cause"
}
]
},
"id": "idDeathReason",
"hide": {
"hideWhenExpression": "idReason !== '160432AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
}
},
{
"label": "Specific cause of death",
"type": "obs",
"required": "true",
"questionOptions": {
"rendering": "select",
"concept": "1748AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"answers": [
{
"concept": "165609AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "COVID-19 Complications"
},
{
"concept": "145439AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Non-communicable diseases such as Diabetes and hypertension"
},
{
"concept": "156673AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "HIV disease resulting in mycobacterial infection"
},
{
"concept": "155010AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "HIV disease resulting in Kaposis sarcoma"
},
{
"concept": "156667AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "HIV disease resulting in Burkitts lymphoma"
},
{
"concept": "115195AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "HIV disease resulting in other types of non-Hodgkin lymphoma"
},
{
"concept": "157593AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "HIV disease resulting in other malignant neoplasms of lymphoid and haematopoietic and related tissue"
},
{
"concept": "156672AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "HIV disease resulting in multiple malignant neoplasms"
},
{
"concept": "159988AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "HIV disease resulting in other malignant neoplasms"
},
{
"concept": "5333AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "HIV disease resulting in other bacterial infections"
},
{
"concept": "116031AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "HIV disease resulting in unspecified malignant neoplasms"
},
{
"concept": "123122AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "HIV disease resulting in other viral infections"
},
{
"concept": "156669AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "HIV disease resulting in cytomegaloviral disease"
},
{
"concept": "156668AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "HIV disease resulting in candidiasis"
},
{
"concept": "5350AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "HIV disease resulting in other mycoses"
},
{
"concept": "882AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "HIV disease resulting in Pneumocystis jirovecii pneumonia - HIV disease resulting in Pneumocystis carinii pneumonia"
},
{
"concept": "156671AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "HIV disease resulting in multiple infections"
},
{
"concept": "160159AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "HIV disease resulting in other infectious and parasitic diseases"
},
{
"concept": "171AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "HIV disease resulting in unspecified infectious or parasitic disease - HIV disease resulting in infection NOS"
},
{
"concept": "156670AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "HIV disease resulting in other specified diseases including encephalopathy or lymphoid interstitial pneumonitis or wasting syndrome and others"
},
{
"concept": "160160AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "HIV disease resulting in other conditions including acute HIV infection syndrome or persistent generalized lymphadenopathy or hematological and immunological abnormalities and others"
},
{
"concept": "161548AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "HIV disease resulting in Unspecified HIV disease"
}
]
},
"id": "idDeathReasonSpecific",
"hide": {
"hideWhenExpression": "idReason !== '160432AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
}
},
{
"label": "Other natural causes:",
"type": "obs",
"id": "otherNaturalCauses",
"questionOptions": {
"concept": "162580AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"rendering": "text"
},
"hide": {
"hideWhenExpression": "idReason !== '160432AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
}
},
{
"label": "Non-natural causes:",
"type": "obs",
"id": "nonNaturalCauses",
"questionOptions": {
"concept": "160218AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"rendering": "text"
},
"hide": {
"hideWhenExpression": "idReason !== '160432AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
}
},
{
"label": "Transfer to Facility:",
"type": "obs",
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