diff --git a/configuration/ampathforms/HTS_Initial.json b/configuration/ampathforms/HTS_Initial.json index 2c51fb36..c81f1b1e 100644 --- a/configuration/ampathforms/HTS_Initial.json +++ b/configuration/ampathforms/HTS_Initial.json @@ -1,1574 +1,1429 @@ { - "name": "HTS Initial Form", - "description": "HTS Initial Form", - "version": "1", - "published": true, - "uuid": "402dc5d7-46da-42d4-b2be-f43ea4ad87b0", - "retired": false, - "encounter": "HTS", - "pages": [ - { - "label": "Encounter Details", - "sections": [ - { - "label": "Encounter Details", - "isExpanded": "true", - "questions": [ - { - "label": "HTS Date", - "type": "encounterDate", - "questionOptions": { - "rendering": "date" - }, - "id": "encDate", - "required": "true", - "validators": [ - { - "type": "date", - "allowFutureDates": "false" - } - ] - }, - { - "label": "HTS Provider", - "type": "encounterProvider", - "questionOptions": { - "rendering": "ui-select-extended" - }, - "id": "encounterProvider" - }, - { - "label": "Facility name", - "type": "encounterLocation", - "questionOptions": { - "rendering": "ui-select-extended" - }, - "id": "encounterLocation" - } - ] - } - ] - }, - { - "label": "HTS Recordings", - "sections": [ - { - "label": "Population Type", - "isExpanded": "true", - "questions": [ - { - "label": "Population type", - "type": "obs", - "questionOptions": { - "rendering": "select", - "concept": "cf543666-ce76-4e91-8b8d-c0b54a436a2e", - "answers": [ - { - "concept": "5d308c8c-ad49-45e1-9885-e5d09a8e5587", - "label": "General Population" - }, - { - "concept": "bf850dd4-309b-4cbd-9470-9d8110ea5550", - "label": "Key Population" - }, - { - "concept": "138643AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Priority Population" - } - ] - }, - "id": "populationType" - }, - { - "label": "Please indicate Key population type :", - "type": "obs", - "questionOptions": { - "rendering": "select", - "concept": "160581AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "answers": [ - { - "concept": "105AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "People who inject drugs" - }, - { - "concept": "160579AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Female sex Worker" - }, - { - "concept": "162277AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "People in prison and other closed settings" - }, - { - "concept": "165100AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Transgender" - }, - { - "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Others" - } - ] - }, - "id": "femaleKeyPopTypes", - "hide": { - "hideWhenExpression": "isEmpty(populationType) || populationType != 'bf850dd4-309b-4cbd-9470-9d8110ea5550' || sex !== 'F'" - } - }, - { - "label": "Please indicate Key population type :", - "type": "obs", - "questionOptions": { - "rendering": "select", - "concept": "160581AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "answers": [ - { - "concept": "105AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "People who inject drugs" - }, - { - "concept": "160578AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Men who have sex with men" - }, - { - "concept": "162277AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "People in prison and other closed settings" - }, - { - "concept": "165100AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Transgender" - }, - { - "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Others" - } - ] - }, - "id": "maleKeyPopTypes", - "hide": { - "hideWhenExpression": "isEmpty(populationType) || populationType != 'bf850dd4-309b-4cbd-9470-9d8110ea5550' || sex !== 'M'" - } - }, - { - "label": "Please indicate Priority Population :", - "type": "obs", - "questionOptions": { - "rendering": "select", - "concept": "160581AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "answers": [ - { - "concept": "159674AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Fisher folk" - }, - { - "concept": "162198AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Truck driver" - }, - { - "concept": "160549AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Adolescent and young girls" - }, - { - "concept": "162277AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Prisoner" - }, - { - "concept": "253b40ec-54da-4e92-9ab1-2d99075b19e8", - "label": "Military and other uniformed services" - }, - { - "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Not Applicable" - } - ] - }, - "id": "femalePriorityPopulation", - "hide": { - "hideWhenExpression": "isEmpty(populationType) || populationType != '138643AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || sex !== 'F'" - } - }, - { - "label": "Please indicate Priority Population :", - "type": "obs", - "questionOptions": { - "rendering": "select", - "concept": "160581AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "answers": [ - { - "concept": "159674AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Fisher folk" - }, - { - "concept": "162198AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Truck driver" - }, - { - "concept": "162277AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Prisoner" - }, - { - "concept": "253b40ec-54da-4e92-9ab1-2d99075b19e8", - "label": "Military and other uniformed services" - }, - { - "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Not Applicable" - } - ] - }, - "id": "malePriorityPopulation", - "hide": { - "hideWhenExpression": "isEmpty(populationType) || populationType !== '138643AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || sex !== 'M'" - } - }, - { - "label": "Does client have any disability?", - "type": "obs", - "questionOptions": { - "rendering": "radio", - "concept": "91a87033-8f75-4f08-9f15-0d8ae66bd9d9", - "answers": [ - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes", - "conceptMappings": [ - { - "type": "PIH", - "value": "1065" - }, - { - "type": "PIH Malawi", - "value": "Malawi: 1065" - }, - { - "type": "AMPATH", - "value": "1065" - }, - { - "type": "CIEL", - "value": "1065" - }, - { - "type": "SNOMED CT", - "value": "CT: 373066001" - } - ] - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No", - "conceptMappings": [ - { - "type": "PIH", - "value": "1066" - }, - { - "type": "SNOMED CT", - "value": "CT: 373067005" - }, - { - "type": "PIH Malawi", - "value": "Malawi: 1066" - }, - { - "type": "CIEL", - "value": "1066" - }, - { - "type": "AMPATH", - "value": "1066" - } - ] - } - ] - }, - "id": "clientDisability" - }, - { - "label": "Please indicated the type of disability :", - "type": "obs", - "questionOptions": { - "rendering": "checkbox", - "concept": "162558AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "answers": [ - { - "concept": "120291AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Hearing impairment" - }, - { - "concept": "147215AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Visual impairment" - }, - { - "concept": "151342AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Mentally Challenged" - }, - { - "concept": "164538AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Physically Challenged" - }, - { - "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Others" - } - ] - }, - "id": "disabilityTypes", - "hide": { - "hideWhenExpression": "isEmpty(clientDisability) || clientDisability !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, - { - "label": "Specify", - "type": "obs", - "id": "specifyOtherDisability", - "questionOptions": { - "rendering": "text", - "concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" - }, - "hide": { - "hideWhenExpression": "isEmpty(disabilityTypes) || !arrayContains(['5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'], disabilityTypes)" - } - } - ] - }, - { - "label": "HIV Test History", - "isExpanded": "true", - "questions": [ - { - "label": " Has the client ever been tested for HIV by a HTS provider?", - "type": "obs", - "questionOptions": { - "rendering": "radio", - "concept": "164401AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "conceptMappings": [ - { - "type": "CIEL", - "value": "164401" - } - ], - "answers": [ - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes", - "conceptMappings": [ - { - "type": "PIH", - "value": "1065" - }, - { - "type": "PIH Malawi", - "value": "Malawi: 1065" - }, - { - "type": "AMPATH", - "value": "1065" - }, - { - "type": "CIEL", - "value": "1065" - }, - { - "type": "SNOMED CT", - "value": "CT: 373066001" - } - ] - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No", - "conceptMappings": [ - { - "type": "PIH", - "value": "1066" - }, - { - "type": "SNOMED CT", - "value": "CT: 373067005" - }, - { - "type": "PIH Malawi", - "value": "Malawi: 1066" - }, - { - "type": "CIEL", - "value": "1066" - }, - { - "type": "AMPATH", - "value": "1066" - } - ] - } - ] - }, - "id": "everTested" - }, - { - "label": "Duration in months since the last test:", - "type": "obs", - "id": "durationSinceLastTest", - "questionOptions": { - "rendering": "number", - "concept": "159813AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "max": "", - "min": "", - "showDate": "", - "conceptMappings": [ - { - "type": "CIEL", - "value": "159813" - }, - { - "type": "AMPATH", - "value": "6151" - } - ] - }, - "hide": { - "hideWhenExpression": "everTested === '1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, - { - "label": "Has the client done HIV self test in the last 12 months?", - "type": "obs", - "questionOptions": { - "rendering": "radio", - "concept": "2797e57b-d1ff-4928-b10e-b72e95b63faf", - "answers": [ - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes", - "conceptMappings": [ - { - "type": "PIH", - "value": "1065" - }, - { - "type": "PIH Malawi", - "value": "Malawi: 1065" - }, - { - "type": "AMPATH", - "value": "1065" - }, - { - "type": "CIEL", - "value": "1065" - }, - { - "type": "SNOMED CT", - "value": "CT: 373066001" - } - ] - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No", - "conceptMappings": [ - { - "type": "PIH", - "value": "1066" - }, - { - "type": "SNOMED CT", - "value": "CT: 373067005" - }, - { - "type": "PIH Malawi", - "value": "Malawi: 1066" - }, - { - "type": "CIEL", - "value": "1066" - }, - { - "type": "AMPATH", - "value": "1066" - } - ] - } - ] - }, - "id": "selfTestLastTwelveMonths" - }, - { - "label": "Is client willing to share results?", - "type": "obs", - "questionOptions": { - "rendering": "radio", - "concept": "193d9d3b-d1c5-42f6-b44d-0c1905940c73", - "answers": [ - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes", - "conceptMappings": [ - { - "type": "PIH", - "value": "1065" - }, - { - "type": "PIH Malawi", - "value": "Malawi: 1065" - }, - { - "type": "AMPATH", - "value": "1065" - }, - { - "type": "CIEL", - "value": "1065" - }, - { - "type": "SNOMED CT", - "value": "CT: 373066001" - } - ] - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No", - "conceptMappings": [ - { - "type": "PIH", - "value": "1066" - }, - { - "type": "SNOMED CT", - "value": "CT: 373067005" - }, - { - "type": "PIH Malawi", - "value": "Malawi: 1066" - }, - { - "type": "CIEL", - "value": "1066" - }, - { - "type": "AMPATH", - "value": "1066" - } - ] - } - ] - }, - "id": "willingToShareResults", - "hide": { - "hideWhenExpression": "isEmpty(selfTestLastTwelveMonths) || selfTestLastTwelveMonths != '1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, - { - "label": "Self test results?", - "type": "obs", - "questionOptions": { - "rendering": "radio", - "concept": "c3a6b427-32cb-41d1-badc-9b623bb411c1", - "answers": [ - { - "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "SKT Positive" - }, - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "SKT Negative" - } - ] - }, - "id": "selfTestResults", - "hide": { - "hideWhenExpression": "isEmpty(willingToShareResults) || willingToShareResults != '1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, - { - "label": "Date of self test", - "type": "obs", - "questionOptions": { - "rendering": "date", - "concept": "164400AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" - }, - "id": "DeteOfSelfTest", - "validators": [ - { - "type": "date", - "allowFutureDates": "false" - } - ], - "hide": { - "hideWhenExpression": "isEmpty(willingToShareResults) || willingToShareResults != '1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - } - ] - }, - { - "label": "Setting", - "isExpanded": "true", - "questions": [ - { - "label": "HTS Setting:", - "type": "obs", - "questionOptions": { - "rendering": "radio", - "concept": "cabad9c8-87e1-4163-b5fc-64cab0ca578b", - "answers": [ - { - "concept": "1537AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Facility" - }, - { - "concept": "163488AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Community" - } - ] - }, - "id": "htsSetting", - "required": "true" - } - ] - }, - { - "label": "Approach", - "isExpanded": "true", - "questions": [ - { - "label": "HTS Approach: ", - "type": "obs", - "questionOptions": { - "rendering": "select", - "concept": "163556AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "answers": [ - { - "concept": "164163AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Provider Initiated Testing(PITC)" - }, - { - "concept": "06f16792-9611-40d4-82ec-9615930cc486", - "label": "Client Initiated Testing (CITC)" - } - ] - }, - "id": "htsApproach" - } - ] - }, - { - "label": "HTS Strategy", - "isExpanded": "true", - "questions": [ - { - "label": "Indicate HTS strategy used:", - "type": "obs", - "required": "true", - "questionOptions": { - "rendering": "select", - "concept": "d85ff219-0f5a-408d-8df0-96bcc9be5071", - "answers": [ - { - "concept": "b611df60-94a5-411b-b3f8-80065a1363a8", - "label": "Stand Alone VCT Center" - }, - { - "concept": "159938AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Home Based Testing" - }, - { - "concept": "159939AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "MO: Mobile Outreach HTS" - }, - { - "concept": "161557AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Index testing" - }, - { - "concept": "163108AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "SNS: Social Networks" - }, - { - "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "O: Others" - } - ] - }, - "id": "communityStrategy", - "hide": { - "hideWhenExpression": "isEmpty(htsSetting) || htsSetting != '163488AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, - { - "label": "Indicate HTS strategy used:", - "type": "obs", - "questionOptions": { - "rendering": "select", - "concept": "d85ff219-0f5a-408d-8df0-96bcc9be5071", - "answers": [ - { - "concept": "164163AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "HP:Provider Initiated Testing(PITC)" - }, - { - "concept": "06f16792-9611-40d4-82ec-9615930cc486", - "label": "NP: HTS for non-patients" - }, - { - "concept": "d650368d-0228-4493-b7c3-25bd1c74b462", - "label": "VI:Integrated VCT Center" - }, - { - "concept": "159939AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "MO: Mobile Outreach HTS" - }, - { - "concept": "161557AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Index testing" - }, - { - "concept": "163108AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "SNS: Social Networks" - }, - { - "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "O: Others" - } - ] - }, - "id": "facilityStrategy", - "hide": { - "hideWhenExpression": "isEmpty(htsSetting) || htsSetting != '1537AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, - { - "label": "Specify:", - "type": "obs", - "questionOptions": { - "rendering": "text", - "concept": "163761AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" - }, - "id": "otherFacilityhtsStrategy", - "hide": { - "hideWhenExpression": "isEmpty(facilityStrategy) || facilityStrategy != '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, - { - "label": "Specify:", - "type": "obs", - "questionOptions": { - "rendering": "text", - "concept": "163761AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" - }, - "id": "otherCommunityhtsStrategy", - "hide": { - "hideWhenExpression": "isEmpty(communityStrategy) || communityStrategy != '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' " - } - } - ] - }, - { - "label": "HTS Entry Point", - "isExpanded": "true", - "questions": [ - { - "label": "Indicate HTS entry point: ", - "type": "obs", - "questionOptions": { - "rendering": "select", - "concept": "160540AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "answers": [ - { - "concept": "5485AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "In Patient Department(IPD)" - }, - { - "concept": "160542AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Out Patient Department(OPD)" - }, - { - "concept": "162181AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Peadiatric Clinic" - }, - { - "concept": "160552AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Nutrition Clinic" - }, - { - "concept": "160538AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "PMTCT - ANC" - }, - { - "concept": "160456AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "PMTCT - MAT" - }, - { - "concept": "1623AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "PMTCT - PNC" - }, - { - "concept": "160541AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "TB" - }, - { - "concept": "159940AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "VCT" - }, - { - "concept": "162223AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "VMMC" - }, - { - "concept": "160546AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "STI Clinic" - }, - { - "concept": "160522AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Emergency" - }, - { - "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Other" - } - ] - }, - "id": "htsFacilityEntryPoint", - "hide": { - "hideWhenExpression": "isEmpty(htsSetting) || htsSetting != '1537AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, - { - "label": "Indicate HTS entry point: ", - "type": "obs", - "questionOptions": { - "rendering": "select", - "concept": "160540AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "answers": [ - { - "concept": "163096AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Community Testing" - }, - { - "concept": "159938AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Home Based Testing" - }, - { - "concept": "159939AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Mobile Outreach" - }, - { - "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Other" - } - ] - }, - "id": "htsCommunityEntryPoint", - "hide": { - "hideWhenExpression": "isEmpty(htsSetting) || htsSetting != '163488AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - } - ] - }, - { - "label": "TB Screening", - "isExpanded": "true", - "questions": [ - { - "label": "Tb Screening results: ", - "type": "obs", - "questionOptions": { - "rendering": "radio", - "concept": "1659AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "conceptMappings": [ - { - "type": "SNOMED CT", - "value": "CT: 415760001" - }, - { - "type": "CIEL", - "value": "1659" - } - ], - "answers": [ - { - "concept": "1660AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No TB Signs", - "conceptMappings": [ - { - "type": "SNOMED NP", - "value": "NP: 161915001" - }, - { - "type": "CIEL", - "value": "1660" - }, - { - "type": "SNOMED MVP", - "value": "MVP: 16601000105003" - } - ] - }, - { - "concept": "142177AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Presumed TB", - "conceptMappings": [ - { - "type": "SNOMED CT", - "value": "CT: 41769001" - }, - { - "type": "CIEL", - "value": "142177" - }, - { - "type": "IMO ProblemIT", - "value": "ProblemIT: 27053" - }, - { - "type": "ICD-10-WHO", - "value": "R69" - } - ] - }, - { - "concept": "160737AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Not Done", - "conceptMappings": [ - { - "type": "SNOMED CT", - "value": "CT: 262008008" - }, - { - "type": "CIEL", - "value": "160737" - } - ] - }, - { - "concept": "1111AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "On TB Treatment" - } - ] - }, - "id": "tbScreeningResults" - } - ] - }, - { - "label": "HIV Testing", - "isExpanded": "true", - "questions": [ - { - "label": "Has consent been given? ", - "type": "obs", - "questionOptions": { - "rendering": "radio", - "concept": "1710AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "answers": [ - { - "concept": "true", - "label": "Yes" - }, - { - "concept": "false", - "label": "No" - } - ] - }, - "id": "consentGiven", - "required": "true" - }, - { - "label": "Client tested as? ", - "type": "obs", - "questionOptions": { - "rendering": "radio", - "concept": "b61c1482-1697-404c-ab96-fd698d5fd317", - "answers": [ - { - "concept": "147082f4-0662-4bfa-a54c-914f1db97373", - "label": "Individual" - }, - { - "concept": "c3eba392-6f4d-4990-809f-91000503afbc", - "label": "Couple" - } - ] - }, - "id": "testedAs", - "validators": [], - "hide": { - "hideWhenExpression": "isEmpty(consentGiven) || consentGiven !== 'true'" - } - }, - { - "label": "HIV Test(s)", - "type": "obsGroup", - "questionOptions": { - "rendering": "group", - "concept": "164410AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" - }, - "id": "hivTest", - "validators": [], - "hide": { - "hideWhenExpression": "isEmpty(consentGiven) || consentGiven !== 'true'" - }, - "questions": [ - { - "label": "Kit Name", - "type": "obs", - "questionOptions": { - "rendering": "select", - "concept": "214c83f9-435d-44f5-9ae6-d5757b7b4c7f", - "answers": [ - { - "concept": "7cf927f8-e734-474f-b71a-1459bb566aa2", - "label": "Determine" - }, - { - "concept": "59ef8c87-eb66-4f9e-a459-7227c01f682e", - "label": "First Response" - }, - { - "concept": "2f5a80fa-6f26-4832-b8a8-f47649bb60de", - "label": "Dual Kit" - } - ] - }, - "id": "kitName", - "validators": [], - "hide": { - "hideWhenExpression": "isEmpty(consentGiven) || consentGiven !== 'true'" - } - }, - { - "label": "Lot Number", - "type": "obs", - "questionOptions": { - "rendering": "text", - "concept": "3d4f9e8e-46cc-4024-a1c4-d0167f2c84a4" - }, - "id": "lotNumber", - "validators": [], - "hide": { - "hideWhenExpression": "isEmpty(consentGiven) || consentGiven !== 'true'" - } - }, - { - "label": "Expiry Date", - "type": "obs", - "questionOptions": { - "rendering": "date", - "concept": "162502AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "weeksList": "" - }, - "id": "expiryDate", - "validators": [ - { - "type": "date", - "allowFutureDates": "true" - }, - { - "type": "js_expression", - "failsWhenExpression": "(new moment(encDate)).isAfter((new moment(myValue)), 'day')", - "message": "The Expiry date should be in the future." - } - ], - "hide": { - "hideWhenExpression": "isEmpty(consentGiven) || consentGiven !== 'true'" - } - }, - { - "label": "HIV Test 1 Results:", - "type": "obs", - "questionOptions": { - "rendering": "select", - "concept": "1040AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "answers": [ - { - "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Positive" - }, - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Negative" - }, - { - "concept": "163611AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Invalid" - } - ] - }, - "id": "testResults", - "validators": [], - "hide": { - "hideWhenExpression": "isEmpty(consentGiven) || consentGiven !== 'true'" - } - }, - { - "label": "Syphillis Results", - "type": "obs", - "questionOptions":{ - "rendering": "select", - "concept": "163276AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "answers": [ - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Negative" - }, - { - "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Positive" - } - ] - }, - "id": "syPhResulTs", - "hide":{ - "hideWhenExpression": "kitName !== '2f5a80fa-6f26-4832-b8a8-f47649bb60de'" - } - }, - { - "label": "Kit Name", - "type": "obs", - "questionOptions": { - "rendering": "select", - "concept": "214c83f9-435d-44f5-9ae6-d5757b7b4c7f", - "answers": [ - { - "concept": "59ef8c87-eb66-4f9e-a459-7227c01f682e", - "label": "First Response" - } - ] - }, - "id": "kitNameB", - "validators": [], - "hide": { - "hideWhenExpression": "isEmpty(testResults) || testResults !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, - { - "label": "Lot Number", - "type": "obs", - "questionOptions": { - "rendering": "text", - "concept": "3d4f9e8e-46cc-4024-a1c4-d0167f2c84a4" - }, - "id": "lotNumberB", - "validators": [], - "hide": { - "hideWhenExpression": "isEmpty(testResults) || testResults !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, - { - "label": "Expiry Date", - "type": "obs", - "questionOptions": { - "rendering": "date", - "concept": "162502AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "weeksList": "" - }, - "id": "expiryDateB", - "validators": [ - { - "type": "date", - "allowFutureDates": "true" - }, - { - "type": "js_expression", - "failsWhenExpression": "(new moment(encDate)).isAfter((new moment(myValue)), 'day')", - "message": "The Expiry date should be in the future." - } - ], - "hide": { - "hideWhenExpression": "isEmpty(testResults) || testResults !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, - { - "label": "HIV Test 2 Results:", - "type": "obs", - "questionOptions": { - "rendering": "select", - "concept": "1040AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "answers": [ - { - "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Positive" - }, - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Negative" - }, - { - "concept": "163611AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Invalid" - } - ] - }, - "id": "testResultsB", - "validators": [], - "hide": { - "hideWhenExpression": "isEmpty(testResults) || testResults !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - } - ] - }, - { - "label": "Final Results:", - "type": "obs", - "questionOptions": { - "rendering": "select", - "concept": "159427AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "calculate": { - "calculateExpression": "String(testResults) === '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && String(testResultsB) === '163611AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '1138AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' : String(testResults) === '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && String(testResultsB) === '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '1138AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' : String(testResults) === '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' : String(testResults) === '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' : String(testResults) || String(testResultsB) === '163611AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '1138AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' : ''" - }, - "answers": [ - { - "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Positive" - }, - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Negative" - }, - { - "concept": "1138AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Inconclusive" - } - ] - }, - "id": "finalResult", - "validators": [], - "hide": { - "hideWhenExpression": "isEmpty(consentGiven) || consentGiven !== 'true'" - } - }, - { - "label": "Results given to client?", - "type": "obs", - "questionOptions": { - "rendering": "select", - "concept": "164848AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "answers": [ - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes", - "conceptMappings": [ - { - "type": "PIH", - "value": "1065" - }, - { - "type": "SNOMED CT", - "value": "CT: 373066001" - }, - { - "type": "PIH Malawi", - "value": "Malawi: 1065" - }, - { - "type": "CIEL", - "value": "1065" - }, - { - "type": "AMPATH", - "value": "1065" - } - ] - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No", - "conceptMappings": [ - { - "type": "PIH", - "value": "1066" - }, - { - "type": "PIH Malawi", - "value": "Malawi: 1066" - }, - { - "type": "AMPATH", - "value": "1066" - }, - { - "type": "CIEL", - "value": "1066" - }, - { - "type": "SNOMED CT", - "value": "CT: 373067005" - } - ] - } - ] - }, - "id": "resultsGiven", - "validators": [], - "hide": { - "hideWhenExpression": "isEmpty(consentGiven) || consentGiven !== 'true'" - } - }, - { - "label": "Couple is discordant:", - "type": "obs", - "questionOptions": { - "rendering": "radio", - "concept": "6096AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "calculate": { - "calculateExpression": "String(testedAs) === '147082f4-0662-4bfa-a54c-914f1db97373' ? '1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' : ''" - }, - "conceptMappings": [ - { - "type": "CIEL", - "value": "6096" - }, - { - "type": "AMPATH", - "value": "6096" - } - ], - "answers": [ - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes", - "conceptMappings": [ - { - "type": "PIH", - "value": "1065" - }, - { - "type": "SNOMED CT", - "value": "CT: 373066001" - }, - { - "type": "PIH Malawi", - "value": "Malawi: 1065" - }, - { - "type": "CIEL", - "value": "1065" - }, - { - "type": "AMPATH", - "value": "1065" - } - ] - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No", - "conceptMappings": [ - { - "type": "PIH", - "value": "1066" - }, - { - "type": "PIH Malawi", - "value": "Malawi: 1066" - }, - { - "type": "AMPATH", - "value": "1066" - }, - { - "type": "CIEL", - "value": "1066" - }, - { - "type": "SNOMED CT", - "value": "CT: 373067005" - } - ] - }, - { - "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "N/A" - } - ] - }, - "id": "coupleDiscordant", - "validators": [], - "hide": { - "hideWhenExpression": "isEmpty(consentGiven) || consentGiven !== 'true'" - } - } - ] - }, - { - "label": "Referral", - "isExpanded": "true", - "questions": [ - { - "label": "Client referred for other services:", - "type": "obs", - "questionOptions": { - "rendering": "radio", - "concept": "165093AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "answers": [ - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - } - ] - }, - "id": "ClieNtReferrEd", - "hide": { - "hideWhenExpression": "finalResult !=='664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, - { - "label": "Referred for which services::", - "type": "obs", - "questionOptions": { - "rendering": "checkbox", - "concept": "163180AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "answers": [ - { - "concept": "165276AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Risk reduction counselling" - }, - { - "concept": "159612AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Safer sex practices" - }, - { - "concept": "190AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Condom use counselling" - }, - { - "concept": "1691AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Post-exposure prophylaxis" - }, - { - "concept": "167125AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Prevention and treatment of STIs" - }, - { - "concept": "118855AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Substance abuse and mental health treatment" - }, - { - "concept": "141814AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Prevention of GBV" - }, - { - "concept": "162223AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "VMMC" - }, - { - "concept": "1370AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "HIV testing and re-testing" - }, - { - "concept": "166536AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Pre-Exposure Prophylaxis" - }, - { - "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Others" - } - ] - }, - "id": "refeRRalSerVicEs", - "hide": { - "hideWhenExpression": "isEmpty(ClieNtReferrEd) || ClieNtReferrEd !=='1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, - { - "label": "Specify Referral", - "type": "obs", - "id": "SpeCrEferRed", - "questionOptions": { - "rendering": "textbox", - "concept": "164359AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" - }, - "hide": { - "hideWhenExpression": "refeRRalSerVicEs !=='5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, + "name": "HTS Initial Form", + "description": "HTS Initial Form", + "version": "1", + "published": true, + "retired": false, + "pages": [ + { + "label": "Encounter Details", + "sections": [ + { + "label": "Encounter Details", + "isExpanded": "true", + "questions": [ { - "label": "Referral for:", - "type": "obs", - "questionOptions": { - "rendering": "radio", - "concept": "1887AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "calculate": { - "calculateExpression": "String(finalResult) === '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '162050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' : String(finalResult) === '1138AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '167441AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' : '08657979-0a23-411d-be18-2ddceeb2f346'" - }, - "answers": [ - { - "concept": "08657979-0a23-411d-be18-2ddceeb2f346", - "label": "Confirmatory Test" - }, - { - "concept": "162050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Comprehensive care center" - }, - { - "concept": "167441AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "DBS for PCR" - } - ] - }, - "id": "ReferredForCare", - "hide": { - "hideWhenExpression": "isEmpty(finalResult) || finalResult === '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, - { - "label": "Referral to:", - "type": "obs", - "questionOptions": { - "concept": "fe72de11-9ccb-4622-b947-ab8635aa92ca", - "rendering": "select", - "answers": [ - { - "concept": "163266AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "This health facility" - }, - { - "concept": "164407AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Other health facility" - } - ] - }, - "id": "ReferredToCare", - "hide": { - "hideWhenExpression": "isEmpty(finalResult) || finalResult === '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, - { - "label": "Facility name :", - "type": "obs", - "id": "otherFacility", - "questionOptions": { - "concept": "161550AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "text" - }, - "hide": { - "hideWhenExpression": "ReferredToCare !== '164407AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - } - ] - }, - { - "label": "Remarks", - "isExpanded": "true", - "questions": [ - { - "label": "Remarks", - "type": "obs", - "questionOptions": { - "rendering": "textarea", - "concept": "163042AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rows": "3" - }, - "id": "rEmArks" - } - ] - } - ] - } - ], - "processor": "EncounterFormProcessor", - "referencedForms": [] -} \ No newline at end of file + "label": "Visit Date", + "type": "encounterDate", + "questionOptions": { + "rendering": "date" + }, + "id": "encounterDate", + "required": "true", + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ] + }, + { + "label": "Provider", + "type": "encounterProvider", + "questionOptions": { + "rendering": "text" + }, + "id": "encounterProvider" + }, + { + "label": "Facility name", + "type": "encounterLocation", + "questionOptions": { + "rendering": "encounter-location", + "locationTag": "" + }, + "id": "encounterLocation" + } + ] + } + ] + }, + { + "label": "HTS Recordings", + "sections": [ + { + "label": "Population Type", + "isExpanded": "true", + "questions": [ + { + "label": "Population type", + "type": "obs", + "questionOptions": { + "rendering": "select", + "concept": "cf543666-ce76-4e91-8b8d-c0b54a436a2e", + "answers": [ + { + "concept": "5d308c8c-ad49-45e1-9885-e5d09a8e5587", + "label": "General Population" + }, + { + "concept": "bf850dd4-309b-4cbd-9470-9d8110ea5550", + "label": "Key Population" + }, + { + "concept": "138643AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Priority Population" + } + ] + }, + "id": "populationType" + }, + { + "label": "Does client have any disability?", + "type": "obs", + "questionOptions": { + "rendering": "radio", + "concept": "91a87033-8f75-4f08-9f15-0d8ae66bd9d9", + "answers": [ + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No", + "conceptMappings": [ + { + "type": "PIH", + "value": "1066" + }, + { + "type": "PIH Malawi", + "value": "Malawi: 1066" + }, + { + "type": "AMPATH", + "value": "1066" + }, + { + "type": "CIEL", + "value": "1066" + }, + { + "type": "SNOMED CT", + "value": "CT: 373067005" + } + ] + }, + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes", + "conceptMappings": [ + { + "type": "PIH", + "value": "1065" + }, + { + "type": "SNOMED CT", + "value": "CT: 373066001" + }, + { + "type": "PIH Malawi", + "value": "Malawi: 1065" + }, + { + "type": "CIEL", + "value": "1065" + }, + { + "type": "AMPATH", + "value": "1065" + } + ] + } + ] + }, + "id": "clientDisability" + }, + { + "label": "Please indicated the type of disability :", + "type": "obs", + "questionOptions": { + "rendering": "checkbox", + "concept": "162558AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "120291AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hearing impairment" + }, + { + "concept": "147215AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Visual impairment" + }, + { + "concept": "151342AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Mentally Challenged" + }, + { + "concept": "164538AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Physically Challenged" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Others" + } + ] + }, + "id": "disabilityTypes", + "hide": { + "hideWhenExpression": "isEmpty(clientDisability) || clientDisability != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Specify", + "type": "obs", + "questionOptions": { + "rendering": "text", + "concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "id": "specifyOtherDisability", + "hide": { + "hideWhenExpression": "!includes('disabilityTypes','5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Please indicate Key population type :", + "type": "obs", + "questionOptions": { + "rendering": "select", + "concept": "160581AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "105AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "People who inject drugs" + }, + { + "concept": "160579AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Female sex Worker" + }, + { + "concept": "162277AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "People in prison and other closed settings" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Others" + } + ] + }, + "id": "femaleKeyPopTypes", + "hide": { + "hideWhenExpression": "isEmpty(populationType) || populationType != 'bf850dd4-309b-4cbd-9470-9d8110ea5550' || sex !== 'F'" + } + }, + { + "label": "Please indicate Key population type :", + "type": "obs", + "questionOptions": { + "rendering": "select", + "concept": "160581AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "105AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "People who inject drugs" + }, + { + "concept": "160578AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Men who have sex with men" + }, + { + "concept": "162277AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "People in prison and other closed settings" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Others" + } + ] + }, + "id": "maleKeyPopTypes", + "hide": { + "hideWhenExpression": "isEmpty(populationType) || populationType != 'bf850dd4-309b-4cbd-9470-9d8110ea5550' || sex !== 'M'" + } + }, + { + "label": "Please indicate Priority Population :", + "type": "obs", + "questionOptions": { + "rendering": "select", + "concept": "160581AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "159674AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Fisher folk" + }, + { + "concept": "162198AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Truck driver" + }, + { + "concept": "160549AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Adolescent and young girls" + }, + { + "concept": "162277AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Prisoner" + }, + { + "concept": "253b40ec-54da-4e92-9ab1-2d99075b19e8", + "label": "Military and other uniformed services" + }, + { + "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not Applicable" + } + ] + }, + "id": "femalePriorityPopulation", + "hide": { + "hideWhenExpression": "isEmpty(populationType) || populationType != '138643AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || sex !== 'F'" + } + }, + { + "label": "Please indicate Priority Population :", + "type": "obs", + "questionOptions": { + "rendering": "select", + "concept": "160581AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "159674AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Fisher folk" + }, + { + "concept": "162198AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Truck driver" + }, + { + "concept": "162277AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Prisoner" + }, + { + "concept": "253b40ec-54da-4e92-9ab1-2d99075b19e8", + "label": "Military and other uniformed services" + }, + { + "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not Applicable" + } + ] + }, + "id": "malePriorityPopulation", + "hide": { + "hideWhenExpression": "isEmpty(populationType) || populationType != '138643AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || sex !== 'M'" + } + } + ] + }, + { + "label": "HIV Test History", + "isExpanded": "true", + "questions": [ + { + "label": " Has the client ever been tested for HIV by a HTS provider?", + "type": "obs", + "questionOptions": { + "rendering": "radio", + "concept": "164401AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "type": "CIEL", + "value": "164401" + } + ], + "answers": [ + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + } + ] + }, + "id": "everTested" + }, + { + "label": "Duration in months since the last test:", + "type": "obs", + "questionOptions": { + "rendering": "number", + "concept": "159813AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "max": "", + "min": "", + "showDate": "", + "conceptMappings": [ + { + "type": "CIEL", + "value": "159813" + }, + { + "type": "AMPATH", + "value": "6151" + } + ] + }, + "id": "durationSinceLastTest", + "hide": { + "hideWhenExpression": "isEmpty(everTested) || everTested !='1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Has the client done HIV self test in the last 12 months?", + "type": "obs", + "questionOptions": { + "rendering": "radio", + "concept": "2797e57b-d1ff-4928-b10e-b72e95b63faf", + "answers": [ + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No", + "conceptMappings": [ + { + "type": "PIH", + "value": "1066" + }, + { + "type": "PIH Malawi", + "value": "Malawi: 1066" + }, + { + "type": "AMPATH", + "value": "1066" + }, + { + "type": "CIEL", + "value": "1066" + }, + { + "type": "SNOMED CT", + "value": "CT: 373067005" + } + ] + }, + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes", + "conceptMappings": [ + { + "type": "PIH", + "value": "1065" + }, + { + "type": "SNOMED CT", + "value": "CT: 373066001" + }, + { + "type": "PIH Malawi", + "value": "Malawi: 1065" + }, + { + "type": "CIEL", + "value": "1065" + }, + { + "type": "AMPATH", + "value": "1065" + } + ] + } + ] + }, + "id": "selfTestLastTwelveMonths" + }, + { + "label": "Is client willing to share results?", + "type": "obs", + "questionOptions": { + "rendering": "radio", + "concept": "193d9d3b-d1c5-42f6-b44d-0c1905940c73", + "answers": [ + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No", + "conceptMappings": [ + { + "type": "PIH", + "value": "1066" + }, + { + "type": "PIH Malawi", + "value": "Malawi: 1066" + }, + { + "type": "AMPATH", + "value": "1066" + }, + { + "type": "CIEL", + "value": "1066" + }, + { + "type": "SNOMED CT", + "value": "CT: 373067005" + } + ] + }, + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes", + "conceptMappings": [ + { + "type": "PIH", + "value": "1065" + }, + { + "type": "SNOMED CT", + "value": "CT: 373066001" + }, + { + "type": "PIH Malawi", + "value": "Malawi: 1065" + }, + { + "type": "CIEL", + "value": "1065" + }, + { + "type": "AMPATH", + "value": "1065" + } + ] + } + ] + }, + "id": "willingToShareResults", + "hide": { + "hideWhenExpression": "isEmpty(selfTestLastTwelveMonths) || selfTestLastTwelveMonths != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Self test results?", + "type": "obs", + "questionOptions": { + "rendering": "radio", + "concept": "c3a6b427-32cb-41d1-badc-9b623bb411c1", + "answers": [ + { + "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Positive" + }, + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + } + ] + }, + "id": "selfTestResults", + "hide": { + "hideWhenExpression": "isEmpty(willingToShareResults) || willingToShareResults != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Date of self test", + "type": "obs", + "questionOptions": { + "rendering": "date", + "concept": "164400AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "id": "DeteOfSelfTest", + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ], + "hide": { + "hideWhenExpression": "isEmpty(willingToShareResults) || willingToShareResults != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + } + ] + }, + { + "label": "Setting", + "isExpanded": "true", + "questions": [ + { + "label": "HTS Setting:", + "type": "obs", + "questionOptions": { + "rendering": "radio", + "concept": "cabad9c8-87e1-4163-b5fc-64cab0ca578b", + "answers": [ + { + "concept": "1537AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Facility" + }, + { + "concept": "163488AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Community" + } + ] + }, + "id": "htsSetting", + "required": "true" + } + ] + }, + { + "label": "Approach", + "isExpanded": "true", + "questions": [ + { + "label": "HTS Approach: ", + "type": "obs", + "questionOptions": { + "rendering": "select", + "concept": "163556AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "164163AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Provider Initiated Testing(PITC)" + }, + { + "concept": "06f16792-9611-40d4-82ec-9615930cc486", + "label": "Client Initiated Testing (CITC)" + } + ] + }, + "id": "htsApproach" + } + ] + }, + { + "label": "HTS Strategy", + "isExpanded": "true", + "questions": [ + { + "label": "Indicate HTS strategy used:", + "type": "obs", + "required": "true", + "questionOptions": { + "rendering": "select", + "concept": "d85ff219-0f5a-408d-8df0-96bcc9be5071", + "answers": [ + { + "concept": "b611df60-94a5-411b-b3f8-80065a1363a8", + "label": "Stand Alone VCT Center" + }, + { + "concept": "159938AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Home Based Testing" + }, + { + "concept": "159939AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "MO: Mobile Outreach HTS" + }, + { + "concept": "161557AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Index testing" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "O: Others" + } + ] + }, + "id": "communityStrategy", + "hide": { + "hideWhenExpression": "isEmpty(htsSetting) || htsSetting != '163488AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Indicate HTS strategy used:", + "type": "obs", + "questionOptions": { + "rendering": "select", + "concept": "d85ff219-0f5a-408d-8df0-96bcc9be5071", + "answers": [ + { + "concept": "164163AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "HP:Provider Initiated Testing(PITC)" + }, + { + "concept": "06f16792-9611-40d4-82ec-9615930cc486", + "label": "NP: HTS for non-patients" + }, + { + "concept": "d650368d-0228-4493-b7c3-25bd1c74b462", + "label": "VI:Integrated VCT Center" + }, + { + "concept": "159939AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "MO: Mobile Outreach HTS" + }, + { + "concept": "161557AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Index testing" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "O: Others" + } 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"concept": "160540AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "5485AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "In Patient Department(IPD)" + }, + { + "concept": "160542AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Out Patient Department(OPD)" + }, + { + "concept": "162181AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Peadiatric Clinic" + }, + { + "concept": "160552AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Nutrition Clinic" + }, + { + "concept": "160538AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "PMTCT - ANC" + }, + { + "concept": "160456AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "PMTCT - MAT" + }, + { + "concept": "1623AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "PMTCT - PNC" + }, + { + "concept": "160541AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "TB" + }, + { + "concept": "159940AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "VCT" + }, + { + "concept": "162223AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "VMMC" + }, + { + "concept": 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"hideWhenExpression": "isEmpty(htsSetting) || htsSetting != '163488AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + } + ] + }, + { + "label": "HIV Testing", + "isExpanded": "true", + "questions": [ + { + "label": "Has consent been given? ", + "type": "obs", + "questionOptions": { + "rendering": "radio", + "concept": "1710AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "false", + "label": "No" + }, + { + "concept": "true", + "label": "Yes" + } + ] + }, + "id": "consentGiven", + "required": "true" + }, + { + "label": "Client tested as? ", + "type": "obs", + "questionOptions": { + "rendering": "radio", + "concept": "b61c1482-1697-404c-ab96-fd698d5fd317", + "answers": [ + { + "concept": "147082f4-0662-4bfa-a54c-914f1db97373", + "label": "Individual" + }, + { + "concept": "c3eba392-6f4d-4990-809f-91000503afbc", + "label": "Couple" + } + ] + }, + "id": "testedAs", + "validators": [], + "hide": { + "hideWhenExpression": "!includes('consentGiven','true')" + } + }, + { + "label": "HIV Test(s)", + "type": "obsGroup", + "questionOptions": { + "rendering": "repeating", + "concept": "164410AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "id": "hivTest", + "validators": [], + "hide": { + "hideWhenExpression": "!includes('consentGiven','true')" + }, + "questions": [ + { + "label": "Kit Name", + "type": "obs", + "questionOptions": { + "rendering": "select", + "concept": "214c83f9-435d-44f5-9ae6-d5757b7b4c7f", + "answers": [ + { + "concept": "7cf927f8-e734-474f-b71a-1459bb566aa2", + "label": "Determine" + }, + { + "concept": 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"163611AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Invalid" + } + ] + }, + "id": "testResults" + } + ] + }, + { + "label": "Final Results:", + "type": "obs", + "questionOptions": { + "rendering": "select", + "concept": "159427AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Positive" + }, + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "1138AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Inconclusive" + } + ] + }, + "id": "finalResult", + "validators": [], + "hide": { + "hideWhenExpression": "!includes('consentGiven','true')" + } + }, + { + "label": "Results given to client?", + "type": "obs", + "questionOptions": { + "rendering": "select", + "concept": "164848AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes", + "conceptMappings": [ + { + "type": "PIH", + "value": "1065" + }, + { + "type": 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"answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes", + "conceptMappings": [ + { + "type": "PIH", + "value": "1065" + }, + { + "type": "SNOMED CT", + "value": "CT: 373066001" + }, + { + "type": "PIH Malawi", + "value": "Malawi: 1065" + }, + { + "type": "CIEL", + "value": "1065" + }, + { + "type": "AMPATH", + "value": "1065" + } + ] + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No", + "conceptMappings": [ + { + "type": "PIH", + "value": "1066" + }, + { + "type": "PIH Malawi", + "value": "Malawi: 1066" + }, + { + "type": "AMPATH", + "value": "1066" + }, + { + "type": "CIEL", + "value": "1066" + }, + { + "type": "SNOMED CT", + "value": "CT: 373067005" + } + ] + }, + { + "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "N/A" + } + ] + }, + "id": "coupleDiscordant", + "hide": { + "hideWhenExpression": "!includes('consentGiven','true')" + } + } + ] + }, + { + "label": "TB Screening", + "isExpanded": "true", + "questions": [ + { + "label": "TB Screening results: ", + "type": "obs", + "questionOptions": { + "rendering": "select", + "concept": "1659AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "type": "SNOMED CT", + "value": "CT: 415760001" + }, + { + "type": "CIEL", + "value": "1659" + } + ], + "answers": [ + { + "concept": "1660AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No TB Signs", + "conceptMappings": [ + { + "type": "SNOMED NP", + "value": "NP: 161915001" + }, + { + "type": "CIEL", + "value": "1660" + }, + { + "type": "SNOMED MVP", + "value": "MVP: 16601000105003" + } + ] + }, + { + "concept": "142177AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Presumed TB", + "conceptMappings": [ + { + "type": "SNOMED CT", + "value": "CT: 41769001" + }, + { + "type": "CIEL", + "value": "142177" + }, + { + "type": "IMO ProblemIT", + "value": "ProblemIT: 27053" + }, + { + "type": "ICD-10-WHO", + "value": "R69" + } + ] + }, + { + "concept": "160737AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not Done", + "conceptMappings": [ + { + "type": "SNOMED CT", + "value": "CT: 262008008" + }, + { + "type": "CIEL", + "value": "160737" + } + ] + }, + { + "concept": "1111AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "On TB Treatment" + } + ] + }, + "id": "tbScreeningResults" + } + ] + }, + { + "label": "Referral", + "isExpanded": "true", + "questions": [ + { + "label": "Referral for:", + "type": "obs", + "questionOptions": { + "rendering": "radio", + "concept": "1887AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "162082AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Confirmatory Test" + }, + { + "concept": "162050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Comprehensive Care Center" + }, + { + "concept": "164461AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "DBS for PCR" + } + ] + }, + "id": "ReferrAl", + "hide": { + "hideWhenExpression": "finalResult !=='703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Referral to:", + "type": "obs", + "id": "referralTo", + "questionOptions": { + "rendering": "select", + "concept": "160481AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "163266AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "This health facility" + }, + { + "concept": "164407AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Other health facility" + } + ] + }, + "hide": { + "hideWhenExpression": "finalResult !=='703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Facility name:", + "type": "obs", + "id": "facilitName", + "questionOptions": { + "rendering": "textbox", + "concept": "161550AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "hide": { + "hideWhenExpression": "isEmpty(referralTo) || referralTo !=='164407AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Client referred for other services:", + "type": "obs", + "questionOptions": { + "rendering": "radio", + "concept": "165093AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, 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"true", + "questions": [ + { + "label": "Has recency screening been done:", + "type": "obs", + "questionOptions": { + "rendering": "radio", + "concept": "163777AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "id": "recencyScreening", + "hide": { + "hideWhenExpression": "isEmpty(finalResult) || finalResult === '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "type": "patientIdentifier", + "label": "Recency Id", + "questionInfo": "", + "id": "recencyId", + "required": "false", + "default": "", + "questionOptions": { + "rendering": "text", + "identifierType": "fd52829a-75d2-4732-8e43-4bff8e5b4f1a" + }, + "validators": [ + { + "type": "js_expression", + "failsWhenExpression": "doesNotMatchExpression('^REC\\\\d{5}-\\\\d{5,6}$', recencyId)", + "message": "Please provide the correct format for the recency id ie. REC+mflCode+number eg.REC11902-00062" + } + ], + "hide": { + "hideWhenExpression": "isEmpty(finalResult) || finalResult === '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || isEmpty(recencyScreening) || recencyScreening === '1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' " + } + } + ] + }, + { + "label": "Remarks", + "isExpanded": "true", + "questions": [ + { + "label": "Remarks", + "type": "obs", + "questionOptions": { + "rendering": "textarea", + "concept": "163042AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rows": "3" + }, + "id": "rEmArks" + } + ] + } + ] + } + ], + "uuid": "402dc5d7-46da-42d4-b2be-f43ea4ad87b0", + "encounterType": "9c0a7a57-62ff-4f75-babe-5835b0e921b7" +}