diff --git a/configuration/ampathforms/PrEP_Initial.json b/configuration/ampathforms/PrEP_Initial.json index 879655c2..7cc2614c 100644 --- a/configuration/ampathforms/PrEP_Initial.json +++ b/configuration/ampathforms/PrEP_Initial.json @@ -7,2146 +7,1906 @@ "retired": false, "encounter": "PrEP Initial", "pages": [ - { - "label": "PrEP Initial Form", - "sections": [ - { - "label": "Visit 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": "PrEP Initial Form", + "sections": [ + { + "label": "Visit Details", + "isExpanded": "true", + "questions": [ + { + "label": "Date:", + "type": "encounterDatetime", + "questionOptions": { + "rendering": "ui-select-extended" }, - { - "label": "HIV Positive Partner Profile", - "isExpanded": "true", - "questions": [ - { - "label": "HIV Positive Partner Profile", - "type": "obsGroup", - "questionOptions": { - "concept": "141814AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "group" - }, - "questions": [], - "id": "__rMxMvsIDH" - }, - { - "label": "HIV+ partner CCC Number", - "type": "obs", - "id": "partners-ccc", - "questionOptions": { - "concept": "162053AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - }, - "validators": [ - { - "type": "js_expression", - "failsWhenExpression": "(myValue).length > 10 || (myValue).length < 10", - "message": "CCC Number digits should not be more or less than 10" - } - ] - }, - { - "label": "CCC number/Enrollment status unknown", - "type": "obs", - "id": "ccc-enrollment-status", - "questionOptions": { - "concept": "159812AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "checkbox", - "answers": [ - { - "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "CCC number/Enrollment status unknown" - } - ] - } - }, - { - "label": "HIV+ partners ART start date", - "type": "obs", - "id": "artStartDate", - "questionOptions": { - "concept": "159599AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "date" - }, - "validators": [ - { - "type": "date", - "allowFutureDates": "false" - } - ] - }, - { - "label": "Year(s)", - "type": "obs", - "id": "years", - "questionOptions": { - "concept": "164393AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - } - }, - { - "label": "Month(s)", - "type": "obs", - "id": "months", - "questionOptions": { - "concept": "4978edd0-75ab-40a9-9c07-d4bbeb43fed5", - "rendering": "number" - } - }, - { - "label": "Sex without a condom with a HIV+ partner in the past 30 days", - "type": "obs", - "id": "sex-without-condom", - "questionOptions": { - "concept": "6cb0434b-baa2-4862-aec8-9c468a7340ba", - "rendering": "radio", - "answers": [ - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - }, - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - } - ] - } - }, - { - "label": "Number of living children with HIV+ partner", - "type": "obs", - "id": "number-of-children", - "questionOptions": { - "concept": "1825AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - } - } - ] + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ], + "id": "encDate" + }, + { + "label": "Provider:", + "type": "encounterProvider", + "questionOptions": { + "rendering": "ui-select-extended" }, - { - "label": "STI Screening", - "isExpanded": "true", - "questions": [ - { - "label": "STI Screening", - "type": "obs", - "id": "STIscrEEned", - "required": "true", - "questionOptions": { - "concept": "161558AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - }, - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - } - ] - } - }, - { - "label": "Select all that apply", - "type": "obs", - "id": "STIOptions", - "questionOptions": { - "concept": "", - "rendering": "checkbox", - "answers": [ - { - "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "None" - }, - { - "concept": "145762AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Genital Ulcer Disease(GUD)" - }, - { - "concept": "121809AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Vaginitis and/or Vaginal Discharge(VG)" - }, - { - "concept": "116995AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Cervicitis and/or Cervical Discharge(CD)" - }, - { - "concept": "130644AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Pelvic Inflammatory Disease(PID)" - }, - { - "concept": "123529AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Urethral Discharge(UD)" - }, - { - "concept": "148895AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Anal Discharge(AD)" - }, - { - "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Other(O)" - } - ] - }, - "hide": { - "hideWhenExpression": "STIscrEEned !=='1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, - { - "label": "Other Specify", - "type": "obs", - "id": "OtherSTIsymptoMs", - "questionOptions": { - "concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "text" - }, - "hide": { - "hideWhenExpression": "STIOptions !=='5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, - { - "label": "Treated", - "type": "obs", - "id": "STItrEAted", - "questionOptions": { - "concept": "d7b6a98f-025e-4732-b0b2-2fe8b00e6b4c", - "rendering": "radio", - "answers": [ - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - }, - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - } - ] - }, - "hide": { - "hideWhenExpression": "STIscrEEned !=='1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - } - ] + "id": "encProvider " + }, + { + "label": "Location:", + "type": "encounterLocation", + "questionOptions": { + "rendering": "ui-select-extended" }, - { - "label": "VMMC Screening", - "isExpanded": "true", - "questions": [ - { - "label": "VMMC Screening done", - "type": "obs", - "id": "VMMCscrEEned", - "questionOptions": { - "concept": "8565825d-6cff-4451-8707-09e46d861fc7", - "rendering": "radio", - "answers": [ - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - }, - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - } - ] - }, - "hide": { - "hideWhenExpression": "sex !== 'M'" - } - }, - { - "label": "Is the client circumcised?", - "type": "obs", - "id": "VMMCstatus", - "questionOptions": { - "concept": "085ce2e6-071e-43be-a32c-ecaac001e44f", - "rendering": "radio", - "answers": [ - { - "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Unknown" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - }, - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - } - ] - }, - "hide": { - "hideWhenExpression": "isEmpty(VMMCscrEEned) || VMMCscrEEned !=='1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || sex !== 'M'" - } - }, - { - "label": "Referred", - "type": "obs", - "id": "VMMCrefeRRed", - "questionOptions": { - "concept": "1272AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - }, - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - } - ] - }, - "hide": { - "hideWhenExpression": "isEmpty(VMMCscrEEned) || VMMCscrEEned !=='1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || sex !== 'M'" - } - } - ] + "id": "encLocation" + } + ] + }, + { + "label": "HIV Positive Partner Profile", + "isExpanded": "true", + "questions": [ + { + "label": "HIV Positive Partner Profile", + "type": "obsGroup", + "questionOptions": { + "concept": "141814AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "group" }, - { - "label": "Fertility intentions", - "isExpanded": "true", - "questions": [ - { - "label": "Menopause (Status)", - "type": "obs", - "id": "menoPausE", - "questionOptions": { - "concept": "160596AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "134346AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Menopause" - } - ] - }, - "hide": { - "hideWhenExpression": "sex !== 'F'" - } - }, - { - "label": "LMP", - "type": "obs", - "id": "lMp", - "questionOptions": { - "concept": "1427AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "date" - }, - "validators": [ - { - "type": "date", - "allowFutureDates": "false" - } - ], - "hide": { - "hideWhenExpression": "menoPausE ==='134346AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || sex !== 'F'" - } - }, - { - "label": "Is client pregnant?", - "type": "obs", - "id": "PrEgnancyStatus", - "questionOptions": { - "concept": "5272AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - }, - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - } - ] - }, - "hide": { - "hideWhenExpression": "menoPausE ==='134346AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || sex !== 'F'" - } - }, - { - "label": "EDD", - "type": "obs", - "id": "eDd", - "questionOptions": { - "concept": "5596AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "date" - }, - "validators": [ - { - "type": "date", - "allowFutureDates": "true" - } - ], - "hide": { - "hideWhenExpression": "menoPausE ==='134346AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || sex !== 'F'" - } - }, - { - "label": "Was the pregnancy planned?", - "type": "obs", - "id": "PlannedPregnancY", - "questionOptions": { - "concept": "1426AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - }, - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - } - ] - }, - "hide": { - "hideWhenExpression": "menoPausE ==='134346AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || sex !== 'F'" - } - }, - { - "label": "Planning to get pregnant?", - "type": "obs", - "id": "PregnancyWanteD", - "questionOptions": { - "concept": "b3b2fa9f-d4ac-42c1-8ac2-5cba19fa0403", - "rendering": "radio", - "answers": [ - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - }, - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - } - ] - }, - "hide": { - "hideWhenExpression": "menoPausE ==='134346AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || sex !== 'F'" - } - }, - { - "label": "Breastfeeding status", - "type": "obs", - "id": "BreastFeeding", - "questionOptions": { - "concept": "5632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - }, - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - } - ] - }, - "hide": { - "hideWhenExpression": "menoPausE ==='134346AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || sex !== 'F'" - } - }, - { - "label": "Family planning Status", - "type": "obs", - "id": "FamilyPlanningStatus", - "questionOptions": { - "concept": "160653AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "160652AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Not using Family Planning" - }, - { - "concept": "965AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "On Family Planning" - }, - { - "concept": "1360AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Wants Family Planning" - } - ] - }, - "hide": { - "hideWhenExpression": "menoPausE ==='134346AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, - { - "label": "Select FP Method", - "type": "obs", - "id": "FPMethods", - "questionOptions": { - "concept": "", - "rendering": "checkbox", - "answers": [ - { - "concept": "160570AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Emergency contraceptive pills" - }, - { - "concept": "780AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Oral Contraceptives Pills" - }, - { - "concept": "5279AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": " Injectable" - }, - { - "concept": "1359AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": " Implant" - }, - { - "concept": "136163AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": " Lactational Amenorhea Method" - }, - { - "concept": "5275AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": " Intrauterine Device" - }, - { - "concept": "5278AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Diaphram/Cervical Cap" - }, - { - "concept": "5277AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Fertility Awareness" - }, - { - "concept": "1472AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Tubal Ligation/Female sterilization" - }, - { - "concept": "190AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Condoms" - }, - { - "concept": "1489AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Vasectomy(Partner)" - } - ] - }, - "hide": { - "hideWhenExpression": "menoPausE ==='134346AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || FamilyPlanningStatus === '160652AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - } - ] + "questions": [], + "id": "__rMxMvsIDH" + }, + { + "label": "HIV+ partner CCC Number", + "type": "obs", + "id": "partners-ccc", + "questionOptions": { + "concept": "162053AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number" + }, + "validators": [ + { + "type": "js_expression", + "failsWhenExpression": "(myValue).length > 10 || (myValue).length < 10", + "message": "CCC Number digits should not be more or less than 10" + } + ] + }, + { + "label": "CCC number/Enrollment status unknown", + "type": "obs", + "id": "ccc-enrollment-status", + "questionOptions": { + "concept": "159812AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "CCC number/Enrollment status unknown" + } + ] + } + }, + { + "label": "HIV+ partners ART start date", + "type": "obs", + "id": "artStartDate", + "questionOptions": { + "concept": "159599AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "date" }, - { + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ] + }, + { + "label": "Year(s)", + "type": "obs", + "id": "years", + "questionOptions": { + "concept": "164393AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number" + } + }, + { + "label": "Month(s)", + "type": "obs", + "id": "months", + "questionOptions": { + "concept": "4978edd0-75ab-40a9-9c07-d4bbeb43fed5", + "rendering": "number" + } + }, + { + "label": "Sex without a condom with a HIV+ partner in the past 30 days", + "type": "obs", + "id": "sex-without-condom", + "questionOptions": { + "concept": "6cb0434b-baa2-4862-aec8-9c468a7340ba", + "rendering": "radio", + "answers": [ + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + } + ] + } + }, + { + "label": "Number of living children with HIV+ partner", + "type": "obs", + "id": "number-of-children", + "questionOptions": { + "concept": "1825AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number" + } + } + ] + }, + { + "label": "STI Screening", + "isExpanded": "true", + "questions": [ + { + "label": "STI Screening", + "type": "obs", + "id": "STIscrEEned", + "required": "true", + "questionOptions": { + "concept": "161558AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + } + ] + } + }, + { + "label": "Select all that apply", + "type": "obs", + "id": "STIOptions", + "questionOptions": { + "concept": "", + "rendering": "checkbox", + "answers": [ + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "None" + }, + { + "concept": "145762AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Genital Ulcer Disease(GUD)" + }, + { + "concept": "121809AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Vaginitis and/or Vaginal Discharge(VG)" + }, + { + "concept": "116995AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cervicitis and/or Cervical Discharge(CD)" + }, + { + "concept": "130644AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Pelvic Inflammatory Disease(PID)" + }, + { + "concept": "123529AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Urethral Discharge(UD)" + }, + { + "concept": "148895AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Anal Discharge(AD)" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Other(O)" + } + ] + }, + "hide": { + "hideWhenExpression": "STIscrEEned !=='1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Other Specify", + "type": "obs", + "id": "OtherSTIsymptoMs", + "questionOptions": { + "concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + }, + "hide": { + "hideWhenExpression": "STIOptions !=='5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Treated", + "type": "obs", + "id": "STItrEAted", + "questionOptions": { + "concept": "d7b6a98f-025e-4732-b0b2-2fe8b00e6b4c", + "rendering": "radio", + "answers": [ + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + } + ] + }, + "hide": { + "hideWhenExpression": "STIscrEEned !=='1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + } + ] + }, + { + "label": "VMMC Screening", + "isExpanded": "true", + "questions": [ + { + "label": "VMMC Screening done", + "type": "obs", + "id": "VMMCscrEEned", + "questionOptions": { + "concept": "8565825d-6cff-4451-8707-09e46d861fc7", + "rendering": "radio", + "answers": [ + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + } + ] + }, + "hide": { + "hideWhenExpression": "sex !== 'M'" + } + }, + { + "label": "Is the client circumcised?", + "type": "obs", + "id": "VMMCstatus", + "questionOptions": { + "concept": "085ce2e6-071e-43be-a32c-ecaac001e44f", + "rendering": "radio", + "answers": [ + { + "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Unknown" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(VMMCscrEEned) || VMMCscrEEned !=='1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || sex !== 'M'" + } + }, + { + "label": "Referred", + "type": "obs", + "id": "VMMCrefeRRed", + "questionOptions": { + "concept": "1272AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(VMMCscrEEned) || VMMCscrEEned !=='1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || sex !== 'M'" + } + } + ] + }, + { + "label": "Fertility intentions", + "isExpanded": "true", + "questions": [ + { + "label": "Menopause (Status)", + "type": "obs", + "id": "menoPausE", + "questionOptions": { + "concept": "160596AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "134346AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Menopause" + } + ] + }, + "hide": { + "hideWhenExpression": "sex !== 'F'" + } + }, + { + "label": "LMP", + "type": "obs", + "id": "lMp", + "questionOptions": { + "concept": "1427AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "date" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ], + "hide": { + "hideWhenExpression": "menoPausE ==='134346AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || sex !== 'F'" + } + }, + { + "label": "Is client pregnant?", + "type": "obs", + "id": "PrEgnancyStatus", + "questionOptions": { + "concept": "5272AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + } + ] + }, + "hide": { + "hideWhenExpression": "menoPausE ==='134346AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || sex !== 'F'" + } + }, + { + "label": "EDD", + "type": "obs", + "id": "eDd", + "questionOptions": { + "concept": "5596AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "date" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "true" + } + ], + "hide": { + "hideWhenExpression": "menoPausE ==='134346AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || sex !== 'F'" + } + }, + { + "label": "Was the pregnancy planned?", + "type": "obs", + "id": "PlannedPregnancY", + "questionOptions": { + "concept": "1426AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + } + ] + }, + "hide": { + "hideWhenExpression": "menoPausE ==='134346AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || sex !== 'F'" + } + }, + { + "label": "Planning to get pregnant?", + "type": "obs", + "id": "PregnancyWanteD", + "questionOptions": { + "concept": "b3b2fa9f-d4ac-42c1-8ac2-5cba19fa0403", + "rendering": "radio", + "answers": [ + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + } + ] + }, + "hide": { + "hideWhenExpression": "menoPausE ==='134346AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || sex !== 'F'" + } + }, + { + "label": "Breastfeeding status", + "type": "obs", + "id": "BreastFeeding", + "questionOptions": { + "concept": "5632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + } + ] + }, + "hide": { + "hideWhenExpression": "menoPausE ==='134346AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || sex !== 'F'" + } + }, + { + "label": "Family planning Status", + "type": "obs", + "id": "FamilyPlanningStatus", + "questionOptions": { + "concept": "160653AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "160652AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not using Family Planning" + }, + { + "concept": "965AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "On Family Planning" + }, + { + "concept": "1360AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Wants Family Planning" + } + ] + }, + "hide": { + "hideWhenExpression": "menoPausE ==='134346AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Select FP Method", + "type": "obs", + "id": "FPMethods", + "questionOptions": { + "concept": "", + "rendering": "checkbox", + "answers": [ + { + "concept": "160570AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Emergency contraceptive pills" + }, + { + "concept": "780AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Oral Contraceptives Pills" + }, + { + "concept": "5279AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": " Injectable" + }, + { + "concept": "1359AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": " Implant" + }, + { + "concept": "136163AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": " Lactational Amenorhea Method" + }, + { + "concept": "5275AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": " Intrauterine Device" + }, + { + "concept": "5278AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Diaphram/Cervical Cap" + }, + { + "concept": "5277AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Fertility Awareness" + }, + { + "concept": "1472AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Tubal Ligation/Female sterilization" + }, + { + "concept": "190AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Condoms" + }, + { + "concept": "1489AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Vasectomy(Partner)" + } + ] + }, + "hide": { + "hideWhenExpression": "menoPausE ==='134346AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || FamilyPlanningStatus === '160652AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + } + ] + }, + { + "label": "Chronic Illnesses and Cormobidities", + "isExpanded": "true", + "questions": [ + { + "label": "Client has any chronic illnesse(s)? ", + "type": "obs", + "id": "ChronicIllNess", + "required": "true", + "questionOptions": { + "concept": "162747AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + } + ] + } + }, + { + "label": "Chronic Illnesses and Cormobidities", + "type": "obsGroup", + "questionOptions": { + "rendering": "repeating", + "concept": "162747AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "id": "testChronic", + "hide": { + "hideWhenExpression": "ChronicIllNess !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + "questions": [ + { "label": "Chronic Illnesses and Cormobidities", - "isExpanded": "true", - "questions": [ - { - "label": "Client has any chronic illnesse(s)? ", - "type": "obs", - "id": "ChronicIllNess", - "required": "true", - "questionOptions": { - "concept": "162747AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - }, - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - } - ] - } - }, - { - "label": "Chronic Illnesses and Cormobidities", - "type": "obsGroup", - "questionOptions": { - "rendering": "repeating", - "concept": "162747AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" - }, - "id": "testChronic", - "hide": { - "hideWhenExpression": "ChronicIllNess !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - }, - "questions": [ - { - "label": "Chronic Illnesses and Cormobidities", - "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": "114662AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Osteoporosis" - }, - { - "concept": "115728AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Hyperlipidaemia" - }, - { - "concept": "149019AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Alzheimer's Disease and other Dementias" - }, - { - "concept": "117789AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Glaucoma" - }, - { - "concept": "117855AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Epilepsy" - }, - { - "concept": "133687AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Multiple Sclerosis" - }, - { - "concept": "148432AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Arthritis" - }, - { - "concept": "145438AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Chronic Kidney Disease" - }, - { - "concept": "119692AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Cystic Fibrosis" - }, - { - "concept": "118631AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Endometriosis" - }, - { - "concept": "117703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Sickle Cell Anaemia" - }, - { - "concept": "159351AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Cancer" - }, - { - "concept": "1295AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Chronic Obstructive Pulmonary Disease(COPD)" - }, - { - "concept": "119270AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Cardiovascular diseases" - }, - { - "concept": "115115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Obesity" - }, - { - "concept": "119481AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Diabetes" - }, - { - "concept": "139071AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Heart Disease" - }, - { - "concept": "120576AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Chronic Renal Failure" - }, - { - "concept": "117321AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Hypothyroidism" - }, - { - "concept": "118976AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Thyroid disease" - }, - { - "concept": "120637AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Chronic Hepatitis" - }, - { - "concept": "117399AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Hypertension" - }, - { - "concept": "120291AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Deafness and Hearing impairment" - }, - { - "concept": "153754AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Asthma" - }, - { - "concept": "151342AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Mental illness" - } - ] - }, - "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": "160864AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Once daily in the evening" - }, - { - "concept": "160866AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Thrice daily" - }, - { - "concept": "160862AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Once daily" - }, - { - "concept": "160865AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Once daily in the morning" - }, - { - "concept": "160863AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Once daily at bedtime" - }, - { - "concept": "160858AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Twice 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": "1074AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Months" - }, - { - "concept": "1073AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Weeks" - } - ] - } - } - ] + "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" } - ] - }, - { - "label": "Adverse Drug Reactions", - "isExpanded": "true", - "questions": [ - { - "label": "Client has adverse drug reaction(s)? ", - "type": "obs", - "id": "AdverseReactions", - "required": "true", - "questionOptions": { - "concept": "121764AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - } - ] - } - }, - { - "label": "Client has adverse drug reaction(s)", - "type": "obsGroup", - "questionOptions": { - "rendering": "repeating", - "concept": "162747AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" - }, - "id": "ClientADvReactions", - "hide": { - "hideWhenExpression": "AdverseReactions !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - }, - "questions": [ - { - "label": "Medicine Causing Reaction", - "type": "obs", - "id": "AdVerseMed", - "questionOptions": { - "concept": "1193AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "103727AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Aspirin" - }, - { - "concept": "77164AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Griseofulvin" - }, - { - "concept": "78280AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Isoniazid" - }, - { - "concept": "162298AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "ACE inhibitors" - }, - { - "concept": "162305AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Heparins" - }, - { - "concept": "86663AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Zidovudine" - }, - { - "concept": "82023AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Phenytoin" - }, - { - "concept": "162307AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Statins" - }, - { - "concept": "72822AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Carbamazepine" - }, - { - "concept": "794AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Lopinavir/ritonavir" - }, - { - "concept": "80106AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Morphine" - }, - { - "concept": "73300AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Chloroquine" - }, - { - "concept": "80586AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Nevirapine" - }, - { - "concept": "74807AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Didanosine" - }, - { - "concept": "84893AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Tetracycline" - }, - { - "concept": "73667AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Codeine" - }, - { - "concept": "162302AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Erythromycins" - }, - { - "concept": "767AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Rifampin" - }, - { - "concept": "83018AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Quinidine" - }, - { - "concept": "70056AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Abicavir" - }, - { - "concept": "82900AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Pyrazinamide" - }, - { - "concept": "84309AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Stavudine" - }, - { - "concept": "81959AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Phenolphthaleins" - }, - { - "concept": "162299AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "ARBs (angiotensin II receptor blockers)" - }, - { - "concept": "80696AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Nitrofurans" - }, - { - "concept": "82559AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Procainamide" - }, - { - "concept": "81723AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Penicillamine" - }, - { - "concept": "162301AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Cephalosporins" - }, - { - "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Other" - }, - { - "concept": "75948AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Ethambutol" - }, - { - "concept": "77675AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Hydralazine" - }, - { - "concept": "84795AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Tenofovir" - }, - { - "concept": "155060AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Aminoglycosides" - }, - { - "concept": "162306AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Non-steroidal anti-inflammatory drugs" - }, - { - "concept": "75523AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Efavirenz" - }, - { - "concept": "70878AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Allopurinol" - }, - { - "concept": "81724AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Penicillin" - }, - { - "concept": "71647AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Atazanavir" - }, - { - "concept": "162170AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Sulfonamides" - } - ] - } - }, - { - "label": "Reaction", - "type": "obs", - "id": "rEAction", - "questionOptions": { - "concept": "159935AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "879AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Itching" - }, - { - "concept": "121AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Myalgia" - }, - { - "concept": "140238AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Fever" - }, - { - "concept": "159347AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Musculoskeletal pain" - }, - { - "concept": "139084AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Headache" - }, - { - "concept": "108AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Bronchospasm" - }, - { - "concept": "148787AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Angioedema" - }, - { - "concept": "159098AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Hepatotoxicity" - }, - { - "concept": "142412AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Diarrhea" - }, - { - "concept": "140039AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Flushing" - }, - { - "concept": "148888AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Anaphylaxis" - }, - { - "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Other" - }, - { - "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Unknown" - }, - { - "concept": "120148AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Arrhythmia" - }, - { - "concept": "118773AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Dystonia" - }, - { - "concept": "121677AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Mental 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": "162819AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Life threatening" - }, - { - "concept": "1499AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Moderate" - }, - { - "concept": "1500AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Severe" - }, - { - "concept": "1498AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Mild" - } - ] - } - }, - { - "label": "Date of Onset", - "type": "obs", - "id": "DatEoNSETA", - "questionOptions": { - "concept": "160753AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "date" - }, - "validators": [ - { - "type": "date", - "allowFutureDates": "false" - } - ] - }, - { - "label": "Action taken", - "type": "obs", - "id": "ActIonTaken", - "questionOptions": { - "concept": "1255AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1259AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "SWITCHED REGIMEN" - }, - { - "concept": "1260AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "STOP" - }, - { - "concept": "1257AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "CONTINUE REGIMEN" - }, - { - "concept": "1258AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "SUBSTITUTED DRUG" - }, - { - "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "NONE" - }, - { - "concept": "981AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "CHANGED DOSE" - }, - { - "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "OTHER" - } - ] - } - } - ] + ], + "answers": [ + { + "concept": "114662AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Osteoporosis" + }, + { + "concept": "115728AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hyperlipidaemia" + }, + { + "concept": "149019AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Alzheimer's Disease and other Dementias" + }, + { + "concept": "117789AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Glaucoma" + }, + { + "concept": "117855AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Epilepsy" + }, + { + "concept": "133687AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Multiple Sclerosis" + }, + { + "concept": "148432AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Arthritis" + }, + { + "concept": "145438AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Chronic Kidney Disease" + }, + { + "concept": "119692AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cystic Fibrosis" + }, + { + "concept": "118631AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Endometriosis" + }, + { + "concept": "117703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Sickle Cell Anaemia" + }, + { + "concept": "159351AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cancer" + }, + { + "concept": "1295AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Chronic Obstructive Pulmonary Disease(COPD)" + }, + { + "concept": "119270AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cardiovascular diseases" + }, + { + "concept": "115115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Obesity" + }, + { + "concept": "119481AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Diabetes" + }, + { + "concept": "139071AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Heart Disease" + }, + { + "concept": "120576AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Chronic Renal Failure" + }, + { + "concept": "117321AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hypothyroidism" + }, + { + "concept": "118976AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Thyroid disease" + }, + { + "concept": "120637AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Chronic Hepatitis" + }, + { + "concept": "117399AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hypertension" + }, + { + "concept": "120291AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Deafness and Hearing impairment" + }, + { + "concept": "153754AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Asthma" + }, + { + "concept": "151342AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Mental illness" } + ] + }, + "id": "coughtTests" + }, + { + "label": "Onset date", + "type": "obs", + "id": "OnAndDate", + "questionOptions": { + "concept": "159948AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "date" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } ] - }, - { - "label": "Known Allergies", - "isExpanded": "true", - "questions": [ - { - "label": "Client has any known allergie(s)? ", - "type": "obs", - "id": "KnoWnAllerg", - "required": "true", - "questionOptions": { - "concept": "160557AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - } - ] - } - }, - { - "label": "Client has any known allergie(s)", - "type": "obsGroup", - "questionOptions": { - "rendering": "repeating", - "concept": "162747AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" - }, - "id": "ClientADvAllergies", - "hide": { - "hideWhenExpression": "KnoWnAllerg !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - }, - "questions": [ - { - "label": "Causative agent", - "type": "obs", - "id": "AllerGyField", - "questionOptions": { - "concept": "160643AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "162539AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Mold" - }, - { - "concept": "162542AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Adhesive Tape" - }, - { - "concept": "162547AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Milk Protein" - }, - { - "concept": "72609AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Caffeine" - }, - { - "concept": "162172AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Peanuts" - }, - { - "concept": "162538AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Latex" - }, - { - "concept": "162543AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Beef" - }, - { - "concept": "162175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Shellfish" - }, - { - "concept": "162546AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Fish" - }, - { - "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Other" - }, - { - "concept": "162537AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Dust" - }, - { - "concept": "162176AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Soy" - }, - { - "concept": "162540AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Pollen" - }, - { - "concept": "162545AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Dairy Food" - }, - { - "concept": "162171AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Eggs" - }, - { - "concept": "162548AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Strawberries" - }, - { - "concept": "162544AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Chocolate" - }, - { - "concept": "162177AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Wheat" - }, - { - "concept": "162541AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Ragweed" - }, - { - "concept": "162536AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Bee Stings" - } - ] - } - }, - { - "label": "Reaction", - "type": "obs", - "id": "reaCTION", - "questionOptions": { - "concept": "159935AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "879AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Itching" - }, - { - "concept": "121AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Myalgia" - }, - { - "concept": "140238AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Fever" - }, - { - "concept": "159347AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Musculoskeletal pain" - }, - { - "concept": "139084AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Headache" - }, - { - "concept": "108AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Bronchospasm" - }, - { - "concept": "148787AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Angioedema" - }, - { - "concept": "159098AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Hepatotoxicity" - }, - { - "concept": "142412AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Diarrhea" - }, - { - "concept": "140039AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Flushing" - }, - { - "concept": "148888AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Anaphylaxis" - }, - { - "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Other" - }, - { - "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Unknown" - }, - { - "concept": "120148AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Arrhythmia" - }, - { - "concept": "118773AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Dystonia" - }, - { - "concept": "121677AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Mental 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": "160755AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Moderate" - }, - { - "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Unknown" - }, - { - "concept": "160754AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Mild" - }, - { - "concept": "160756AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Severe" - }, - { - "concept": "160758AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Fatal" - } - ] - } - }, - { - "label": "Date of Onset", - "type": "obs", - "id": "DateOfOnset", - "questionOptions": { - "concept": "160753AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "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": "160864AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Once daily in the evening" + }, + { + "concept": "160866AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Thrice daily" + }, + { + "concept": "160862AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Once daily" + }, + { + "concept": "160865AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Once daily in the morning" + }, + { + "concept": "160863AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Once daily at bedtime" + }, + { + "concept": "160858AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Twice daily" + }, + { + "concept": "160870AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Four times daily" } - ] - }, - { - "label": "Laboratory Investigation", - "isExpanded": "true", - "questions": [ - { - "label": "Hepatitis B", - "type": "obs", - "questionOptions": { - "rendering": "text", - "concept": "111759AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "readonly": "true", - "conceptMappings": [ - { - "type": "IMO ProblemIT", - "value": "ProblemIT: 1513131" - }, - { - "type": "CIEL", - "value": "111759" - }, - { - "type": "ICPC2", - "value": "D72" - }, - { - "type": "3BT", - "value": "10117991" - }, - { - "type": "ICD-10-WHO", - "value": "B16.9" - }, - { - "type": "AMPATH", - "value": "27" - }, - { - "type": "SNOMED CT", - "value": "CT: 66071002" - }, - { - "type": "SNOMED NP", - "value": "NP: 111891008" - } - ] - }, - "id": "HepB" - }, - { - "label": "Order Date", - "type": "obs", - "id": "OrderDateC", - "questionOptions": { - "concept": "", - "rendering": "date", - "readonly": "true" - } - }, - { - "label": "Result Date", - "type": "obs", - "id": "ResultDateB", - "questionOptions": { - "concept": "", - "rendering": "date", - "readonly": "true" - } - }, - { - "label": "Result", - "type": "obs", - "id": "ResulTB", - "questionOptions": { - "concept": "", - "rendering": "text", - "readonly": "true" - } - }, - { - "label": "If negative, vaccine series initiated", - "type": "obs", - "id": "hepatitisb-vaccine-initiated", - "questionOptions": { - "concept": "1272AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - }, - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - } - ] - } - }, - { - "label": "If positive, treatment offered", - "type": "obs", - "id": "hepatitisb-treatment-offered", - "questionOptions": { - "concept": "1272AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "1788AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Patient referred to hospital?" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - }, - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - } - ] - } - }, - { - "label": "Hepatitis C", - "type": "obs", - "questionOptions": { - "rendering": "text", - "concept": "161471AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "conceptMappings": [ - { - "type": "CIEL", - "value": "161471" - }, - { - "type": "LOINC", - "value": "22327-1" - }, - { - "type": "SNOMED NP", - "value": "NP: 313612007" - } - ] - }, - "id": "HepC" - }, - { - "label": "Order Date", - "type": "obs", - "id": "OrderDateC", - "questionOptions": { - "concept": "", - "rendering": "date", - "readonly": "true" - } - }, - { - "label": "Result Date", - "type": "obs", - "id": "ResultDateC", - "questionOptions": { - "concept": "", - "rendering": "date", - "readonly": "true" - } - }, - { - "label": "Result", - "type": "obs", - "id": "ResulTC", - "questionOptions": { - "concept": "", - "rendering": "text", - "readonly": "true" - } - }, - { - "label": "If negative, vaccine series initiated", - "type": "obs", - "id": "hepatitisc-vaccine-initiated", - "questionOptions": { - "concept": "1272AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - }, - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - } - ] - } - }, - { - "label": "If positive, treatment offered", - "type": "obs", - "id": "hepatitisc-treatment-offered", - "questionOptions": { - "concept": "1272AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "1788AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Patient referred to hospital?" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - }, - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - } - ] - } - }, - { - "label": "Serum Creatinine done?", - "type": "obs", - "id": "serum-creatinine", - "questionOptions": { - "concept": "1272AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - }, - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - } - ] - } - }, - { - "label": "Order Date", - "type": "obs", - "id": "OrderDateSer", - "questionOptions": { - "concept": "", - "rendering": "date", - "readonly": "true" - } - }, - { - "label": "Result Date", - "type": "obs", - "id": "ResultDateSer", - "questionOptions": { - "concept": "", - "rendering": "date", - "readonly": "true" - } - }, - { - "label": "Result", - "type": "obs", - "id": "ResulTSer", - "questionOptions": { - "concept": "", - "rendering": "text", - "readonly": "true" - } + ] + } + }, + { + "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": "1074AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Months" + }, + { + "concept": "1073AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Weeks" } - ] + ] + } + } + ] + } + ] + }, + { + "label": "Adverse Drug Reactions", + "isExpanded": "true", + "questions": [ + { + "label": "Client has adverse drug reaction(s)? ", + "type": "obs", + "id": "AdverseReactions", + "required": "true", + "questionOptions": { + "concept": "121764AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "true", + "label": "Yes" + }, + { + "concept": "false", + "label": "No" + } + ] + } + }, + { + "label": "Client has adverse drug reaction(s)", + "type": "obsGroup", + "questionOptions": { + "rendering": "repeating", + "concept": "162747AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" }, - { - "label": "Prep status", - "isExpanded": "true", - "questions": [ - { - "label": "Signs and symptoms of acute HIV", - "type": "obs", - "questionOptions": { - "rendering": "radio", - "concept": "aba5a106-719b-46f3-9199-224f3881a738", - "answers": [ - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - }, - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - } - ] - }, - "id": "hivSigns", - "required": "true" - }, - { - "label": "Adherence counselling done", - "type": "obs", - "questionOptions": { - "rendering": "radio", - "concept": "906ac5d0-566a-466e-93e4-2f23b4fb319b", - "answers": [ - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - }, - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - } - ] - }, - "id": "adherenceCounsellingDone", - "required": "true" - }, - { - "label": "Adherance Outcome", - "type": "obs", - "id": "adheranceOutcome", - "questionOptions": { - "concept": "160433AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "159405AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Good" - }, - { - "concept": "159406AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Fair" - }, - { - "concept": "159407AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Poor" - } - ] - }, - "hide": { - "hideWhenExpression": "adherenceCounsellingDone !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, - { - "label": "Contraindication for PrEP", - "type": "obs", - "id": "contraindicationForPrEP", - "questionOptions": { - "concept": "5725724b-058b-45cc-9384-57221daa3a0d", - "rendering": "checkbox", - "answers": [ - { - "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "None" - }, - { - "concept": "138571AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Confirmed HIV+" - }, - { - "concept": "155589AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Renal impairment" - }, - { - "concept": "127750AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Not willing" - }, - { - "concept": "39fa4212-1210-49e0-ad62-d01090c1cf67", - "label": "Less than 30ks and under 15 yrs" - } - ] - } - }, - { - "label": "PrEP treatment plan", - "type": "obs", - "questionOptions": { - "rendering": "radio", - "concept": "42ad51f2-dc4f-48eb-8440-9a0bd8969374", - "answers": [ - { - "concept": "1257AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Continue" - }, - { - "concept": "162904AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Restart" - }, - { - "concept": "1256AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Switch" - }, - { - "concept": "1260AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Discontinue" - } - ] - }, - "id": "treatmentPlan", - "required": "true" - }, - { - "label": "Reason for switching", - "type": "obs", - "id": "reasonForSwitch", - "questionOptions": { - "concept": "4b59ac07-cf72-4f46-b8c0-4f62b1779f7e", - "rendering": "select", - "answers": [ - { - "concept": "159737AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Client Preference" - }, - { - "concept": "141748AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Drug Interactions" - }, - { - "concept": "167533AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Discontinuing Injection PrEP" - }, - { - "concept": "121760AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Adverse Drug Reactions" - }, - { - "concept": "160662AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Stock-out" - } - ] - }, - "hide": { - "hideWhenExpression": "treatmentPlan !== '1256AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, - { - "label": "Date of switch", - "type": "obs", - "id": "dateOfSwitch", - "questionOptions": { - "concept": "68bfa3f3-1fc7-4d9d-bb41-e897c3c430ef", - "rendering": "date" - }, - "validators": [ - { - "type": "date", - "allowFutureDates": "false" - } - ], - "hide": { - "hideWhenExpression": "treatmentPlan !== '1256AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, - { - "label": "Prescribed PrEP today?", - "type": "obs", - "id": "prescribedPrepToday", - "questionOptions": { - "concept": "1417AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - }, - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - } - ] - }, - "hide": { - "hideWhenExpression": "isEmpty(treatmentPlan) || treatmentPlan === '1260AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, - { - "label": "Regimen prescribed", - "type": "obs", - "id": "regimenOptions", - "questionOptions": { - "concept": "164515AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "161364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "TDF/3TC" - }, - { - "concept": "84795AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "TDF" - }, - { - "concept": "104567AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "TDF/FTC(Preferred)" - } - ] - }, - "hide": { - "hideWhenExpression": "isEmpty(treatmentPlan) || treatmentPlan === '1260AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, - { - "label": "Number of months", - "type": "obs", - "id": "regimenMonthsPrescribed", - "questionOptions": { - "concept": "164433AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "text" - }, - "hide": { - "hideWhenExpression": "isEmpty(treatmentPlan) || treatmentPlan === '1260AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, - { - "label": "Condoms issued", - "type": "obs", - "id": "condomIssued", - "questionOptions": { - "concept": "159777AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - }, - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - } - ] - } - }, - { - "label": "Number of condoms issued", - "type": "obs", - "id": "numberOfCondoms", - "questionOptions": { - "concept": "771638d9-9600-4a6b-8e5d-c6dcdedbc9cd", - "rendering": "number" - }, - "hide": { - "hideWhenExpression": "isEmpty(condomIssued) || condomIssued !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - } - ] + "id": "ClientADvReactions", + "hide": { + "hideWhenExpression": "AdverseReactions !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" }, - { - "label": "Next appointment", - "isExpanded": "true", - "questions": [ - { - "label": "Client given next appointment?", - "type": "obs", - "id": "NextAppClient", - "required": "true", - "questionOptions": { - "rendering": "radio", - "concept": "", - "answers": [ - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - }, - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - } - ] - } - }, - { - "label": "Appointment Date", - "type": "obs", - "id": "TCAdAte", - "questionOptions": { - "concept": "5096AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "date" - }, - "validators": [ - { - "type": "date", - "allowFutureDates": "true" - } - ], - "hide": { - "hideWhenExpression": "NextAppClient !=='1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, - { - "label": "Reason for failure to give appointment", - "type": "obs", - "id": "reason-tca-date", - "questionOptions": { - "concept": "2e91618a-1f42-4781-ae1e-96d0d8a86e16", - "rendering": "radio", - "answers": [ - { - "concept": "159492AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Transferred out" - }, - { - "concept": "8bc555fe-c317-4983-af94-f42bce8a220e", - "label": "Risk reduction supported" - } - ] - } + "questions": [ + { + "label": "Medicine Causing Reaction", + "type": "obs", + "id": "AdVerseMed", + "questionOptions": { + "concept": "1193AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "103727AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Aspirin" + }, + { + "concept": "77164AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Griseofulvin" + }, + { + "concept": "78280AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Isoniazid" + }, + { + "concept": "162298AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "ACE inhibitors" + }, + { + "concept": "162305AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Heparins" + }, + { + "concept": "86663AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Zidovudine" + }, + { + "concept": "82023AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Phenytoin" + }, + { + "concept": "162307AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Statins" + }, + { + "concept": "72822AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Carbamazepine" + }, + { + "concept": "794AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Lopinavir/ritonavir" + }, + { + "concept": "80106AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Morphine" + }, + { + "concept": "73300AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Chloroquine" + }, + { + "concept": "80586AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Nevirapine" + }, + { + "concept": "74807AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Didanosine" + }, + { + "concept": "84893AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Tetracycline" + }, + { + "concept": "73667AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Codeine" + }, + { + "concept": "162302AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Erythromycins" + }, + { + "concept": "767AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Rifampin" + }, + { + "concept": "83018AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Quinidine" + }, + { + "concept": "70056AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Abicavir" + }, + { + "concept": "82900AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Pyrazinamide" + }, + { + "concept": "84309AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Stavudine" + }, + { + "concept": "81959AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Phenolphthaleins" + }, + { + "concept": "162299AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "ARBs (angiotensin II receptor blockers)" + }, + { + "concept": "80696AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Nitrofurans" + }, + { + "concept": "82559AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Procainamide" + }, + { + "concept": "81723AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Penicillamine" + }, + { + "concept": "162301AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cephalosporins" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Other" + }, + { + "concept": "75948AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Ethambutol" + }, + { + "concept": "77675AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hydralazine" + }, + { + "concept": "84795AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Tenofovir" + }, + { + "concept": "155060AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Aminoglycosides" + }, + { + "concept": "162306AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Non-steroidal anti-inflammatory drugs" + }, + { + "concept": "75523AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Efavirenz" + }, + { + "concept": "70878AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Allopurinol" + }, + { + "concept": "81724AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Penicillin" + }, + { + "concept": "71647AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Atazanavir" + }, + { + "concept": "162170AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Sulfonamides" } + ] + } + }, + { + "label": "Reaction", + "type": "obs", + "id": "rEAction", + "questionOptions": { + "concept": "159935AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "879AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Itching" + }, + { + "concept": "121AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Myalgia" + }, + { + "concept": "140238AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Fever" + }, + { + "concept": "159347AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Musculoskeletal pain" + }, + { + "concept": "139084AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Headache" + }, + { + "concept": "108AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Bronchospasm" + }, + { + "concept": "148787AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Angioedema" + }, + { + "concept": "159098AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hepatotoxicity" + }, + { + "concept": "142412AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Diarrhea" + }, + { + "concept": "140039AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Flushing" + }, + { + "concept": "148888AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Anaphylaxis" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Other" + }, + { + "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Unknown" + }, + { + "concept": "120148AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Arrhythmia" + }, + { + "concept": "118773AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dystonia" + }, + { + "concept": "121677AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Mental 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": "162819AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Life threatening" + }, + { + "concept": "1499AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Moderate" + }, + { + "concept": "1500AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Severe" + }, + { + "concept": "1498AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Mild" + } + ] + } + }, + { + "label": "Date of Onset", + "type": "obs", + "id": "DatEoNSETA", + "questionOptions": { + "concept": "160753AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "date" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } ] + }, + { + "label": "Action taken", + "type": "obs", + "id": "ActIonTaken", + "questionOptions": { + "concept": "1255AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1259AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "SWITCHED REGIMEN" + }, + { + "concept": "1260AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "STOP" + }, + { + "concept": "1257AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "CONTINUE REGIMEN" + }, + { + "concept": "1258AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "SUBSTITUTED DRUG" + }, + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "NONE" + }, + { + "concept": "981AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "CHANGED DOSE" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "OTHER" + } + ] + } + } + ] + } + ] + }, + { + "label": "Known Allergies", + "isExpanded": "true", + "questions": [ + { + "label": "Client has any known allergie(s)? ", + "type": "obs", + "id": "KnoWnAllerg", + "required": "true", + "questionOptions": { + "concept": "160557AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "true", + "label": "Yes" + }, + { + "concept": "false", + "label": "No" + } + ] + } + }, + { + "label": "Client has any known allergie(s)", + "type": "obsGroup", + "questionOptions": { + "rendering": "repeating", + "concept": "162747AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "id": "ClientADvAllergies", + "hide": { + "hideWhenExpression": "KnoWnAllerg !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" }, - { - "label": "Clinical notes", - "isExpanded": "true", - "questions": [ - { - "label": "Clinical Notes", - "type": "obs", - "questionOptions": { - "rendering": "textarea", - "concept": "163042AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rows": "" - }, - "id": "clinical-notes" + "questions": [ + { + "label": "Causative agent", + "type": "obs", + "id": "AllerGyField", + "questionOptions": { + "concept": "160643AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "162539AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Mold" + }, + { + "concept": "162542AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Adhesive Tape" + }, + { + "concept": "162547AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Milk Protein" + }, + { + "concept": "72609AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Caffeine" + }, + { + "concept": "162172AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Peanuts" + }, + { + "concept": "162538AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Latex" + }, + { + "concept": "162543AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Beef" + }, + { + "concept": "162175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Shellfish" + }, + { + "concept": "162546AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Fish" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Other" + }, + { + "concept": "162537AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dust" + }, + { + "concept": "162176AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Soy" + }, + { + "concept": "162540AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Pollen" + }, + { + "concept": "162545AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dairy Food" + }, + { + "concept": "162171AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Eggs" + }, + { + "concept": "162548AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Strawberries" + }, + { + "concept": "162544AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Chocolate" + }, + { + "concept": "162177AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Wheat" + }, + { + "concept": "162541AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Ragweed" + }, + { + "concept": "162536AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Bee Stings" + } + ] + } + }, + { + "label": "Reaction", + "type": "obs", + "id": "reaCTION", + "questionOptions": { + "concept": "159935AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "879AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Itching" + }, + { + "concept": "121AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Myalgia" + }, + { + "concept": "140238AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Fever" + }, + { + "concept": "159347AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Musculoskeletal pain" + }, + { + "concept": "139084AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Headache" + }, + { + "concept": "108AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Bronchospasm" + }, + { + "concept": "148787AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Angioedema" + }, + { + "concept": "159098AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hepatotoxicity" + }, + { + "concept": "142412AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Diarrhea" + }, + { + "concept": "140039AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Flushing" + }, + { + "concept": "148888AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Anaphylaxis" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Other" + }, + { + "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Unknown" + }, + { + "concept": "120148AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Arrhythmia" + }, + { + "concept": "118773AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dystonia" + }, + { + "concept": "121677AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Mental 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": "160755AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Moderate" + }, + { + "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Unknown" + }, + { + "concept": "160754AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Mild" + }, + { + "concept": "160756AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Severe" + }, + { + "concept": "160758AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Fatal" + } + ] + } + }, + { + "label": "Date of Onset", + "type": "obs", + "id": "DateOfOnset", + "questionOptions": { + "concept": "160753AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "date" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } ] + } + ] + } + ] + }, + { + "label": "Laboratory Investigation", + "isExpanded": "true", + "questions": [ + { + "label": "Serum Creatinine done?", + "type": "obs", + "id": "serum-creatinine", + "questionOptions": { + "concept": "1272AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + } + ] + } + } + ] + }, + { + "label": "Prep status", + "isExpanded": "true", + "questions": [ + { + "label": "Signs and symptoms of acute HIV", + "type": "obs", + "questionOptions": { + "rendering": "radio", + "concept": "aba5a106-719b-46f3-9199-224f3881a738", + "answers": [ + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + } + ] + }, + "id": "hivSigns", + "required": "true" + }, + { + "label": "Adherence counselling done", + "type": "obs", + "questionOptions": { + "rendering": "radio", + "concept": "906ac5d0-566a-466e-93e4-2f23b4fb319b", + "answers": [ + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + } + ] + }, + "id": "adherenceCounsellingDone", + "required": "true" + }, + { + "label": "Adherance Outcome", + "type": "obs", + "id": "adheranceOutcome", + "questionOptions": { + "concept": "160433AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "159405AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Good" + }, + { + "concept": "159406AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Fair" + }, + { + "concept": "159407AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Poor" + } + ] + }, + "hide": { + "hideWhenExpression": "adherenceCounsellingDone !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Contraindication for PrEP", + "type": "obs", + "id": "contraindicationForPrEP", + "questionOptions": { + "concept": "5725724b-058b-45cc-9384-57221daa3a0d", + "rendering": "checkbox", + "answers": [ + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "None" + }, + { + "concept": "138571AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Confirmed HIV+" + }, + { + "concept": "155589AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Renal impairment" + }, + { + "concept": "127750AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not willing" + }, + { + "concept": "39fa4212-1210-49e0-ad62-d01090c1cf67", + "label": "Less than 30ks and under 15 yrs" + } + ] + } + }, + { + "label": "PrEP treatment plan", + "type": "obs", + "questionOptions": { + "rendering": "radio", + "concept": "42ad51f2-dc4f-48eb-8440-9a0bd8969374", + "answers": [ + { + "concept": "1257AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Continue" + }, + { + "concept": "162904AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Restart" + }, + { + "concept": "1256AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Switch" + }, + { + "concept": "1260AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Discontinue" + } + ] + }, + "id": "treatmentPlan", + "required": "true" + }, + { + "label": "Reason for switching", + "type": "obs", + "id": "reasonForSwitch", + "questionOptions": { + "concept": "4b59ac07-cf72-4f46-b8c0-4f62b1779f7e", + "rendering": "select", + "answers": [ + { + "concept": "159737AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Client Preference" + }, + { + "concept": "141748AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Drug Interactions" + }, + { + "concept": "167533AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Discontinuing Injection PrEP" + }, + { + "concept": "121760AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Adverse Drug Reactions" + }, + { + "concept": "160662AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Stock-out" + } + ] + }, + "hide": { + "hideWhenExpression": "treatmentPlan !== '1256AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Date of switch", + "type": "obs", + "id": "dateOfSwitch", + "questionOptions": { + "concept": "68bfa3f3-1fc7-4d9d-bb41-e897c3c430ef", + "rendering": "date" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ], + "hide": { + "hideWhenExpression": "treatmentPlan !== '1256AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Prescribed PrEP today?", + "type": "obs", + "id": "prescribedPrepToday", + "questionOptions": { + "concept": "1417AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(treatmentPlan) || treatmentPlan === '1260AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Regimen prescribed", + "type": "obs", + "id": "regimenOptions", + "questionOptions": { + "concept": "164515AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "161364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "TDF/3TC" + }, + { + "concept": "84795AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "TDF" + }, + { + "concept": "104567AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "TDF/FTC(Preferred)" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(treatmentPlan) || treatmentPlan === '1260AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" } + }, + { + "label": "Number of months", + "type": "obs", + "id": "regimenMonthsPrescribed", + "questionOptions": { + "concept": "164433AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + }, + "hide": { + "hideWhenExpression": "isEmpty(treatmentPlan) || treatmentPlan === '1260AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Condoms issued", + "type": "obs", + "id": "condomIssued", + "questionOptions": { + "concept": "159777AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + } + ] + } + }, + { + "label": "Number of condoms issued", + "type": "obs", + "id": "numberOfCondoms", + "questionOptions": { + "concept": "771638d9-9600-4a6b-8e5d-c6dcdedbc9cd", + "rendering": "number" + }, + "hide": { + "hideWhenExpression": "isEmpty(condomIssued) || condomIssued !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + } + ] + }, + { + "label": "Next appointment", + "isExpanded": "true", + "questions": [ + { + "label": "Client given next appointment?", + "type": "obs", + "id": "NextAppClient", + "required": "true", + "questionOptions": { + "rendering": "radio", + "concept": "7bfe041e-e921-4798-b9fd-a8f222a56be2", + "answers": [ + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + } + ] + } + }, + { + "label": "Appointment Date", + "type": "obs", + "id": "TCAdAte", + "questionOptions": { + "concept": "5096AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "date" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "true" + } + ], + "hide": { + "hideWhenExpression": "NextAppClient !=='1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Reason for failure to give appointment", + "type": "obs", + "id": "reason-tca-date", + "questionOptions": { + "concept": "2e91618a-1f42-4781-ae1e-96d0d8a86e16", + "rendering": "radio", + "answers": [ + { + "concept": "159492AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Transferred out" + }, + { + "concept": "8bc555fe-c317-4983-af94-f42bce8a220e", + "label": "Risk reduction supported" + } + ] + } + } + ] + }, + { + "label": "Clinical notes", + "isExpanded": "true", + "questions": [ + { + "label": "Clinical Notes", + "type": "obs", + "questionOptions": { + "rendering": "textarea", + "concept": "163042AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rows": "" + }, + "id": "clinical-notes" + } ] - } + } + ] + } ], "processor": "EncounterFormProcessor", - "referencedForms": [] -} \ No newline at end of file + "referencedForms": [], + "encounterType": "706a8b12-c4ce-40e4-aec3-258b989bf6d3" + } \ No newline at end of file