diff --git a/configuration/ampathforms/MCH_Antenatal_Visit.json b/configuration/ampathforms/MCH_Antenatal_Visit.json index f7b5c617..f78c0124 100644 --- a/configuration/ampathforms/MCH_Antenatal_Visit.json +++ b/configuration/ampathforms/MCH_Antenatal_Visit.json @@ -1,1361 +1,2508 @@ { - "name": "MCH Antenatal Visit", - "description": "MCH Antenatal Visit Form", - "version": "1", - "published": true, - "retired": false, - "pages": [ - { - "label": "ANC Visit", - "sections": [ - { - "label": "Encounter Details", - "isExpanded": "true", - "questions": [ - { - "label": "Date:", - "type": "encounterDatetime", - "questionOptions": { - "rendering": "datetime" - }, - "validators": [ - { - "type": "date", - "allowFutureDates": "false" - } - ], - "id": "encDate" - }, - { - "label": "Provider:", - "type": "encounterProvider", - "questionOptions": { - "rendering": "text" - }, - "id": "encProvider " - }, - { - "label": "Location:", - "type": "encounterLocation", - "questionOptions": { - "rendering": "encounter-location", - "locationTag": "8d4626ca-7abd-42ad-be48-56767bbcf272" - }, - "id": "encLocation" - } - ] - }, - { - "label": "Visit Details", - "isExpanded": "true", - "questions": [ - { - "label": "ANC Visit Number:", - "type": "obs", - "questionOptions": { - "rendering": "number", - "concept": "1425AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" - }, - "id": "visitNumber", - "required": "true" - } - ] - }, - { - "label": "Vitals", - "isExpanded": "true", - "questions": [ - { - "label": "Temperature", - "type": "obs", - "id": "temp", - "questionOptions": { - "concept": "5088AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number", - "max":"43", - "min":"25" - }, - "alert": { - "alertWhenExpression": "myValue >= 37.5 || myValue < 35 ", - "message": "Temperature is out of range" - } - }, - { - "label": "Pulse Rate", - "type": "obs", - "id": "pulseRate", - "questionOptions": { - "concept": "5087AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - }, - "alert": { - "alertWhenExpression": "myValue >= 16.5 || myValue < 11.5 ", - "message": "Pulse Rate is out of range" - } - }, - { - "label": "Systolic B.P", - "type": "obs", - "id": "sysBP", - "questionOptions": { - "concept": "5085AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - }, - "alert": { - "alertWhenExpression": "myValue >= 130.5", - "message": "Systolic is out of range" - } - }, - { - "label": "Diastolic B.P", - "type": "obs", - "id": "diasBP", - "questionOptions": { - "concept": "5086AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - }, - "alert": { - "alertWhenExpression": "myValue >= 90.5", - "message": "Diastolic is out of range" - } - }, - { - "label": "Respiratory Rate", - "type": "obs", - "id": "respRate", - "questionOptions": { - "concept": "5242AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - }, - "alert": { - "alertWhenExpression": "myValue >= 131", - "message": "Respiratory Rate is out of range" - } - }, - { - "label": "Oxygen Saturation", - "type": "obs", - "id": "oxygenSat", - "questionOptions": { - "concept": "5092AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - }, - "alert": { - "alertWhenExpression": "myValue <= 94.5", - "message": "Oxygen Saturation is out of range" - } - }, - { - "label": "MUAC", - "type": "obs", - "id": "muac", - "questionOptions": { - "concept": "1343AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - } - - }, - { - "label": "Height:(cms)", - "type": "obs", - "id": "height", - "questionOptions": { - "concept": "5090AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - } - }, - { - "label": "Weight: (kg)", - "type": "obs", - "id": "weight", - "questionOptions": { - "concept": "5089AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - } - } - ] - }, - { - "label": "Other Observations", - "isExpanded": "true", - "questions": [ - { - "label": "Breast examination done:", - "type": "obs", - "id": "breastExam", - "questionOptions": { - "concept": "163590AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - } - ] - } - }, - { - "label": "Pallor:", - "type": "obs", - "id": "pallor", - "questionOptions": { - "concept": "5245AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - }, - { - "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Not applicable" - } - ] - } - }, - { - "label": "Maturity in weeks:", - "type": "obs", - "id": "maturity", - "questionOptions": { - "concept": "1438AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - } - }, - { - "label": "Fundal Height (Weeks):", - "type": "obs", - "id": "fundal", - "questionOptions": { - "concept": "1439AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - } - }, - { - "label": "Presentation:", - "type": "obs", - "id": "presentation", - "questionOptions": { - "concept": "160090AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "139814AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Frank Breech Presentation" - }, - { - "concept": "160091AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "vertex presentation" - } - ] - } - }, - { - "label": "Lie:", - "type": "obs", - "id": "lie", - "questionOptions": { - "concept": "162089AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "162088AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Longitudinal lie" - }, - { - "concept": "132623AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Oblique lie" - }, - { - "concept": "124261AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Transverse lie" - } - ] - } - }, - { - "label": "Foetal Heart Rate:", - "type": "obs", - "id": "foetalRate", - "questionOptions": { - "concept": "1440AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - } - }, - { - "label": "Foetal Movement:", - "type": "obs", - "id": "foetalMvt", - "questionOptions": { - "concept": "162107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "113377AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Decreased fetal movements" - }, - { - "concept": "162108AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Fetal movements present" - }, - { - "concept": "162090AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Increased fetal movements" - }, - { - "concept": "1452AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No fetal movements" - } - ] - } - } - ] - } - ] - }, - { - "label": "Laboratory Investigations", - "sections": [ - { - "label": "HIV Testing", - "isExpanded": "true", - "questions": [ - { - "label": "HIV Testing", - "type": "obsGroup", - "questionOptions": { - "concept": "164410AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "repeating" - }, - "questions": [ - { - "label": "Kit Name", - "type": "obs", - "id": "kitName", - "questionOptions": { - "concept": "214c83f9-435d-44f5-9ae6-d5757b7b4c7f", - "rendering": "select", - "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" - } - ] - } - }, - { - "label": "Lot Number", - "type": "obs", - "id": "lotNumber", - "questionOptions": { - "concept": "3d4f9e8e-46cc-4024-a1c4-d0167f2c84a4", - "rendering": "text" - } - }, - { - "label": "Expiry Date", - "type": "obs", - "id": "expiryDate", - "questionOptions": { - "concept": "162502AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "date" - } - }, - { - "label": "HIV Test Results:", - "type": "obs", - "id": "hivTestResult", - "questionOptions": { - "concept": "1040AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Positive" - }, - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Negative" - }, - { - "concept": "163611AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Invalid" - } - ] - } - } - ], - "id": "hivResult" - }, - { - "label": "Final Results:", - "type": "obs", - "id": "hivFinalResult", - "questionOptions": { - "concept": "159427AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Positive" - }, - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Negative" - }, - { - "concept": "1138AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Inconclusive" - } - ] - } - }, - { - "label": "Results given to client?", - "type": "obs", - "id": "resultsGivenToClient", - "questionOptions": { - "concept": "164848AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "YES" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "NO" - } - ] - } - }, - { - "label": "Has the client's partner been tested for HIV?", - "type": "obs", - "id": "partnerTested", - "questionOptions": { - "concept": "161557AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - } - ] - } - }, - { - "label": "Partner HIV Status:", - "type": "obs", - "id": "partner-hiv-status", - "questionOptions": { - "concept": "1436AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "HIV Positive" - }, - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "HIV Negative" - }, - { - "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Unknown" - } - ] - } - } - ] - }, - { - "label": "Urinalysis", - "isExpanded": "true", - "questions": [ - { - "label": "Urine Microscopy", - "type": "obs", - "id": "urinalysis", - "questionOptions": { - "concept": "56AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "textarea" - } - }, - { - "label": "Urine Leukocyte Esterase Test", - "type": "obs", - "id": "lukocyte", - "questionOptions": { - "concept": "161441AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Negative" - }, - { - "concept": "1874AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Trace" - }, - { - "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "One Plus(+)" - }, - { - "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Two Plus(++)" - }, - { - "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Three Plus(+++)" - } - ] - } - }, - { - "label": "Urinary Albumin (mg/dL)", - "type": "obs", - "id": "albumin", - "questionOptions": { - "concept": "1875AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Negative" - }, - { - "concept": "1874AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Trace - 15" - }, - { - "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "One Plus(+) - 30" - }, - { - "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Two Plus(++) - 100" - }, - { - "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Three Plus(+++) - 300" - }, - { - "concept": "1365AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Four Plus(++++) - 1000" - } - ] - } - }, - { - "label": "Urinary Ketone (mg/dL)", - "type": "obs", - "id": "ketone", - "questionOptions": { - "concept": "161442AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Negative" - }, - { - "concept": "1874AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Trace - 5" - }, - { - "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "One Plus(+) - 15" - }, - { - "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Two Plus(++) - 50" - }, - { - "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Three Plus(+++) - 150" - } - ] - } - }, - { - "label": "Glucose Measurement (Qualitative)", - "type": "obs", - "id": "glucose", - "questionOptions": { - "concept": "159734AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Normal" - }, - { - "concept": "1874AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Trace" - }, - { - "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "One Plus(+)" - }, - { - "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Two Plus(++)" - }, - { - "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Three Plus(+++)" - }, - { - "concept": "1365AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Four Plus(++++)" - } - ] - } - }, - { - "label": "Urine Bile Salt Test (mg/dL)", - "type": "obs", - "id": "bile", - "questionOptions": { - "concept": "161444AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Normal" - }, - { - "concept": "1874AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Trace - 1" - }, - { - "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "One Plus(+) - 4" - }, - { - "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Two Plus(++) - 8" - }, - { - "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Three Plus(+++) - 12" - } - ] - } - }, - { - "label": "Urine pH", - "type": "obs", - "id": "urinePH", - "questionOptions": { - "concept": "161438AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - } - }, - { - "label": "Urine Bile Pigment Test", - "type": "obs", - "id": "bile", - "questionOptions": { - "concept": "161443AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Negative" - }, - { - "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "One Plus(+)" - }, - { - "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Two Plus(++)" - }, - { - "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Three Plus(+++)" - } - ] - } - }, - { - "label": "Urine Specific Gravity", - "type": "obs", - "id": "urineSpecificGravity", - "questionOptions": { - "concept": "161439AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - } - }, - { - "label": "Urine Color", - "type": "obs", - "id": "urineColor", - "questionOptions": { - "concept": "162106AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "162100AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Brown color" - }, - { - "concept": "162099AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Colourless" - }, - { - "concept": "162098AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Dark yellow colour" - }, - { - "concept": "162097AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Light yellow colour" - }, - { - "concept": "127778AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Red color" - }, - { - "concept": "162105AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yellow-green colour" - } - ] - } - }, - { - "label": "Urine Nitrite Test", - "type": "obs", - "id": "urineNitrite", - "questionOptions": { - "concept": "161440AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Negative" - }, - { - "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Positive" - }, - { - "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "One Plus(+)" - }, - { - "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Two Plus(++)" - } - ] - } - }, - { - "label": "Urine Turbidity", - "type": "obs", - "id": "urineTurbidity", - "questionOptions": { - "concept": "162101AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "162103AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Cloudy urine" - }, - { - "concept": "162102AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Urine appears clear" - }, - { - "concept": "162104AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Urine appears turbid" - } - ] - } - }, - { - "label": "Urine Dipstick for Blood", - "type": "obs", - "id": "urineDipstick", - "questionOptions": { - "concept": "162096AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Negative" - }, - { - "concept": "1874AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Trace" - }, - { - "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "One Plus(+)" - }, - { - "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Two Plus(++)" - }, - { - "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Three Plus(+++)" - } - ] - } - } - ] - }, - { - "label": "Other Tests", - "isExpanded": "true", - "questions": [ - { - "label": "Syphilis serology:", - "type": "obs", - "id": "syphilisTestResults", - "questionOptions": { - "concept": "299AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1229AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Negative" - }, - { - "concept": "1228AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Positive" - }, - { - "concept": "1271AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Requested" - }, - { - "concept": "1402AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Not Tested" - }, - { - "concept": "1304AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Poor Sample quality" - } - ] - } - }, - { - "label": "Has the client been treated for syphilis?", - "type": "obs", - "id": "syphilisTreated", - "questionOptions": { - "concept": "159918AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - } - ] - } - }, - { - "label": "BS for MPS:", - "type": "obs", - "id": "bsForMps", - "questionOptions": { - "concept": "32AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1138AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "INDETERMINATE" - }, - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "NEGATIVE" - }, - { - "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "POSITIVE" - } - ] - } - }, - { - "label": "Haemoglobin:", - "type": "obs", - "id": "hb", - "questionOptions": { - "concept": "21AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "number" - } - } - ] - } - ] - }, - { - "label": " Client Monitoring", - "sections": [ - { - "label": "Client Monitoring", - "isExpanded": "true", - "questions": [ - { - "label": "Has the client undergone antenatal exercises?", - "type": "obs", - "id": "physicalExercises", - "questionOptions": { - "concept": "161074AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - } - ] - } - }, - { - "label": "TB Screening Results:", - "type": "obs", - "id": "tbScreening", - "questionOptions": { - "concept": "1659AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1660AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "NO signs" - }, - { - "concept": "142177AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "TB presumed" - }, - { - "concept": "164128AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No signs and started on INH" - }, - { - "concept": "1662AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "TB Rx" - }, - { - "concept": "160737AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Not done (ND)" - } - ] - } - }, - { - "label": "Has the client been screened for CaCx ?", - "type": "obs", - "id": "cacxScreening", - "questionOptions": { - "concept": "06398e78-0d3e-43d5-8017-f2fc3865e2e0", - "rendering": "select", - "answers": [ - { - "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Normal" - }, - { - "concept": "159393AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Presumed" - }, - { - "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Confirmed" - }, - { - "concept": "1118AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Not Done" - }, - { - "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "N/A" - } - ] - } - }, - { - "label": "CaCx screening method?", - "type": "obs", - "id": "screeningcacxMethod", - "questionOptions": { - "concept": "163589AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "885AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Pap Smear" - }, - { - "concept": "162816AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "VIA" - }, - { - "concept": "9818bba5-ecd4-4cf9-a48f-5e5d9a48eec6", - "label": "VILI" - }, - { - "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Other" - } - ] - }, - "hide": { - "hideWhenExpression": "isEmpty(cacxScreening) || cacxScreening === '1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || cacxScreening === '1118AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - }, - { - "label": "WHO Staging:", - "type": "obs", - "id": "whoStaging", - "questionOptions": { - "concept": "5356AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1204AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "WHO Stage1" - }, - { - "concept": "1205AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "WHO Stage2" - }, - { - "concept": "1206AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "WHO Stage3" - }, - { - "concept": "1207AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "WHO Stage4" - } - ] - } - }, - { - "label": "HIV Viral load sample taken?", - "type": "obs", - "id": "vl", - "questionOptions": { - "concept": "1271AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "856AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - } - ] - } - } - ] - }, - { - "label": "ART and Prophylaxis", - "isExpanded": "true", - "questions": [ - { - "label": "Mother's prophylaxis given during this visit?", - "type": "obs", - "id": "prophylaxisUsed", - "questionOptions": { - "concept": "1109AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "105281AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Cotrimoxazole" - }, - { - "concept": "74250AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Dapsone" - }, - { - "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "None" - } - ] - } - }, - { - "label": "AZT for the baby dispensed?", - "type": "obs", - "id": "aztDispensed", - "questionOptions": { - "concept": "1282AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "160123AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - }, - { - "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "N/A" - } - ] - } - }, - { - "label": "NVP for the baby dispensed?", - "type": "obs", - "id": "nvpDispensed", - "questionOptions": { - "concept": "1282AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "80586AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - }, - { - "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "N/A" - } - ] - } - } - ] - }, - { - "label": "Client Education", - "isExpanded": "true", - "questions": [ - { - "label": "Has the client received ANC counselling:", - "type": "obs", - "id": "counselled", - "questionOptions": { - "concept": "1912AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "radio", - "answers": [ - { - "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Yes" - }, - { - "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "No" - } - ] - } - }, - { - "label": "Subject(s)", - "type": "obsGroup", - "questionOptions": { - "concept": "161048AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "group" - }, - "questions": [ - { - "label": "Birth plans", - "type": "obs", - "id": "birthPlans", - "questionOptions": { - "concept": "159853AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "Checkbox", - "answers": [ - { - "concept": "159758AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Birth plans" - }, - { - "concept": "159857AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Danger signs" - }, - { - "concept": "156277AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Family planning" - }, - { - "concept": "1914AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "HIV" - }, - { - "concept": "159854AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Supplimental feeding" - }, - { - "concept": "159856AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Breast care" - }, - { - "concept": "161651AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Infant feeding" - }, - { - "concept": "1381AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Insectiside treated nets" - } - ] - }, - "hide": { - "hideWhenExpression": "isEmpty(counselled) || counselled === '1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" - } - } - ], - "id": "clientEducation" - } - ] - }, - { - "label": "Referrals", - "isExpanded": "true", - "questions": [ - { - "label": "Referred from?", - "type": "obs", - "id": "referredFrom", - "questionOptions": { - "concept": "160481AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1537AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Another Health Facility" - }, - { - "concept": "163488AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Community Unit" - }, - { - "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "N/A" - } - ] - } - }, - { - "label": "Referred to?", - "type": "obs", - "id": "referredTo", - "questionOptions": { - "concept": "163145AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "select", - "answers": [ - { - "concept": "1537AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Another Health Facility" - }, - { - "concept": "163488AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "Community Unit" - }, - { - "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "label": "N/A" - } - ] - } - } - ] - }, - { - "label": "Next Appointment", - "isExpanded": "true", - "questions": [ - { - "label": "Next appointment date:", - "type": "obs", - "questionOptions": { - "rendering": "date", - "concept": "5096AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" - }, - "validators": [ - { - "type": "date", - "allowFutureDates": "true" - }, - { - "type": "js_expression", - "failsWhenExpression": "(new moment(encDate)).isAfter((new moment(myValue)), 'day') || (new moment(encDate)).isSame((new moment(myValue)), 'day')", - "message": "Next appointment date should be greater than the encounter date." - } - ], - "id": "returnVisitDate", - "required": "true" - } - ] - }, - { - "label": "Clinical Notes", - "isExpanded": "true", - "questions": [ - { - "label": "Clinical Notes", - "type": "obs", - "id": "clinicalNotes", - "questionOptions": { - "concept": "159395AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", - "rendering": "textarea" - } - } - ] - } - ] - } - ], - "uuid": "e8f98494-af35-4bb8-9fc7-c409c8fed843", - "encounterType": "c6d09e05-1f25-4164-8860-9f32c5a02df0", - "referencedForms": [ - { - "ref": { - "uuid": "d3612955-4377-410b-800e-001dfe55a55c", - "display": "component_common_form_header_v1.0" - }, - "formName": "component_common_form_header_v1.0", - "alias": "encDetails" - }, - { - "ref": { - "uuid": "f7842415-8cda-481f-89f7-7a8d86e2ac1f", - "display": "Vitals" - }, - "formName": "Component Vitals v1.0", - "alias": "vitals" - } - ] - } + "name": "MCH Antenatal Visit", + "description": "MCH Antenatal Visit", + "version": "1", + "published": true, + "uuid": "e8f98494-af35-4bb8-9fc7-c409c8fed843", + "retired": false, + "encounter": "MCH Mother Consultation", + "pages": [ + { + "label": "ANC Visit", + "sections": [ + { + "label": "Encounter Details", + "isExpanded": "true", + "questions": [ + { + "label": "Date:", + "type": "encounterDatetime", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ], + "id": "encDate" + }, + { + "label": "Provider:", + "type": "encounterProvider", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encProvider " + }, + { + "label": "Location:", + "type": "encounterLocation", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encLocation" + } + ] + }, + { + "label": "Visit Details", + "isExpanded": "true", + "questions": [ + { + "label": "ANC Visit Number:", + "type": "obs", + "questionOptions": { + "rendering": "number", + "concept": "1425AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "id": "visitNumber", + "required": "true", + "min": "0" + }, + { + "label": "ANC Clinic Number:", + "type": "obs", + "questionOptions": { + "rendering": "number", + "concept": "163530AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "id": "clinicNumber", + "required": "true", + "min": "0" + } + ] + }, + { + "label": "Vitals", + "isExpanded": "true", + "questions": [ + { + "label": "Temperature", + "type": "obs", + "id": "temp", + "questionOptions": { + "concept": "5088AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "max": "43", + "min": "25" + }, + "hide": { + "hideWhenExpression": "isEmpty(personPresent) || personPresent !== '978AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'", + "alert": { + "alertWhenExpression": "myValue >= 37.5 || myValue <= 35", + "message": "The patient temperature is out of range" + } + } + }, + { + "label": "Pulse Rate", + "type": "obs", + "id": "pulse", + "questionOptions": { + "concept": "5087AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "max": "230", + "min": "0", + "conceptMappings": [ + { + "type": "MCL/CIEL", + "value": "5087" + }, + { + "type": "local", + "value": "5087" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(personPresent) || personPresent !== '978AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Systolic BP", + "type": "obs", + "id": "systolic", + "questionOptions": { + "concept": "5085AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "max": "180", + "min": "0", + "conceptMappings": [ + { + "type": "MCL/CIEL", + "value": "5085" + }, + { + "type": "local", + "value": "5085" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(personPresent) || personPresent !== '978AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Diastolic BP", + "type": "obs", + "id": "diastolic", + "questionOptions": { + "concept": "5086AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "max": "110", + "min": "0", + "conceptMappings": [ + { + "type": "MCL/CIEL", + "value": "5086" + }, + { + "type": "local", + "value": "5086" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(personPresent) || personPresent !== '978AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Respiratory Rate", + "type": "obs", + "id": "resp", + "questionOptions": { + "concept": "5242AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "max": "99", + "min": "0", + "conceptMappings": [ + { + "type": "local", + "value": "5242" + }, + { + "type": "MCL/CIEL", + "value": "5242" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(personPresent) || personPresent !== '978AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Oxygen Saturation", + "type": "obs", + "id": "oxygen", + "questionOptions": { + "concept": "5092AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "max": "100", + "min": "0", + "conceptMappings": [ + { + "type": "local", + "value": "5092" + }, + { + "type": "MCL/CIEL", + "value": "5092" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(personPresent) || personPresent !== '978AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "MUAC", + "type": "obs", + "questionOptions": { + "rendering": "number", + "concept": "1343AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "max": "250", + "min": "0" + }, + "id": "mUaC", + "hide": { + "hideWhenExpression": "isEmpty(personPresent) || personPresent !== '978AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || age < 5 || age > 6 || sex !== 'F'" + } + }, + { + "label": "Weight(Kg)", + "type": "obs", + "id": "weight", + "required": "true", + "questionOptions": { + "concept": "5089AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "max": "250", + "min": "0", + "conceptMappings": [ + { + "type": "local", + "value": "5089" + }, + { + "type": "MCL/CIEL", + "value": "5089" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(personPresent) || personPresent !== '978AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Height", + "type": "obs", + "questionOptions": { + "rendering": "number", + "concept": "5090AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "max": "250", + "min": "0", + "showDate": "false", + "conceptMappings": [ + { + "type": "LOINC", + "value": "8302-2" + }, + { + "type": "SNOMED CT", + "value": "CT: 50373000" + }, + { + "type": "AMPATH", + "value": "5090" + }, + { + "type": "PIH Malawi", + "value": "Malawi: 5090" + }, + { + "type": "CIEL", + "value": "5090" + }, + { + "type": "PIH", + "value": "5090" + } + ] + }, + "id": "height", + "required": "true", + "hide": { + "hideWhenExpression": "isEmpty(personPresent) || personPresent !== '978AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "BMI", + "type": "obs", + "questionOptions": { + "rendering": "number", + "concept": "1342AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "max": "100", + "min": "0", + "calculate": { + "calculateExpression": "calcBMI(height,weight)" + } + }, + "id": "bMi", + "hide": { + "hideWhenExpression": "isEmpty(personPresent) || personPresent !== '978AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + } + ] + }, + { + "label": "Other Observations", + "isExpanded": "true", + "questions": [ + { + "label": "Breast examination done:", + "type": "obs", + "id": "breastExam", + "questionOptions": { + "concept": "163590AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Normal" + }, + { + "concept": "1116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Abnormal" + } + ] + } + }, + { + "label": "Pallor:", + "type": "obs", + "id": "pallor", + "questionOptions": { + "concept": "5245AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not applicable" + } + ] + } + }, + { + "label": "Maturity in weeks:", + "type": "obs", + "id": "maturity", + "questionOptions": { + "concept": "1438AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number" + } + }, + { + "label": "Fundal Height (Weeks):", + "type": "obs", + "id": "fundal", + "questionOptions": { + "concept": "1439AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number" + } + }, + { + "label": "Presentation:", + "type": "obs", + "id": "presentation", + "questionOptions": { + "concept": "160090AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "139814AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Frank Breech Presentation" + }, + { + "concept": "160091AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Vertex presentation" + } + ] + } + }, + { + "label": "Lie:", + "type": "obs", + "id": "lie", + "questionOptions": { + "concept": "162089AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "162088AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Longitudinal lie" + }, + { + "concept": "132623AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Oblique lie" + }, + { + "concept": "124261AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Transverse lie" + } + ] + } + }, + { + "label": "Foetal Heart Rate:", + "type": "obs", + "id": "foetalRate", + "questionOptions": { + "concept": "1440AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "max": "250", + "min": "40" + } + }, + { + "label": "Foetal Movement:", + "type": "obs", + "id": "foetalMvt", + "questionOptions": { + "concept": "162107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "113377AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Decreased fetal movements" + }, + { + "concept": "162108AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Fetal movements present" + }, + { + "concept": "162090AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Increased fetal movements" + }, + { + "concept": "1452AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No fetal movements" + } + ] + } + } + ] + } + ] + }, + { + "label": "Laboratory Investigations", + "sections": [ + { + "label": "HIV Testing", + "isExpanded": "true", + "questions": [ + { + "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": "Trinscreen" + }, + { + "concept": "2f5a80fa-6f26-4832-b8a8-f47649bb60de", + "label": "Dual Kit" + } + ] + }, + "id": "kitName", + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(consentGiven) || consentGiven !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "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", + "validators": [ + { + "type": "date", + "allowFutureDates": "true" + }, + { + "type": "js_expression", + "failsWhenExpression": "(new moment(encDate)).isAfter((new moment(myValue)), 'day') || (new moment(encDate)).isSame((new moment(myValue)), 'day')", + "message": "Expiry date should be greater than the encounter date." + } + ], + "questionOptions": { + "rendering": "date", + "concept": "162502AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "weeksList": "" + }, + "id": "expiryDate", + "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": "Kit Name", + "type": "obs", + "questionOptions": { + "rendering": "select", + "concept": "214c83f9-435d-44f5-9ae6-d5757b7b4c7f", + "answers": [ + { + "concept": "59ef8c87-eb66-4f9e-a459-7227c01f682e", + "label": "One Step" + } + ] + }, + "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", + "validators": [ + { + "type": "date", + "allowFutureDates": "true" + }, + { + "type": "js_expression", + "failsWhenExpression": "(new moment(encDate)).isAfter((new moment(myValue)), 'day') || (new moment(encDate)).isSame((new moment(myValue)), 'day')", + "message": "Expiry date should be greater than the encounter date." + } + ], + "questionOptions": { + "rendering": "date", + "concept": "162502AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "weeksList": "" + }, + "id": "expiryDateB", + "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": "Kit Name", + "type": "obs", + "questionOptions": { + "rendering": "select", + "concept": "214c83f9-435d-44f5-9ae6-d5757b7b4c7f", + "answers": [ + { + "concept": "7cf927f8-e734-474f-b71a-1459bb566aa2", + "label": "Trinscreen" + }, + { + "concept": "2f5a80fa-6f26-4832-b8a8-f47649bb60de", + "label": "Dual Kit" + } + ] + }, + "id": "kitNameD", + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(testResultsB) || testResultsB !== '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Lot Number", + "type": "obs", + "questionOptions": { + "rendering": "text", + "concept": "3d4f9e8e-46cc-4024-a1c4-d0167f2c84a4" + }, + "id": "lotNumberD", + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(testResultsB) || testResultsB !== '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Expiry Date", + "type": "obs", + "validators": [ + { + "type": "date", + "allowFutureDates": "true" + }, + { + "type": "js_expression", + "failsWhenExpression": "(new moment(encDate)).isAfter((new moment(myValue)), 'day') || (new moment(encDate)).isSame((new moment(myValue)), 'day')", + "message": "Expiry date should be greater than the encounter date." + } + ], + "questionOptions": { + "rendering": "date", + "concept": "162502AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "weeksList": "" + }, + "id": "expiryDateD", + "hide": { + "hideWhenExpression": "isEmpty(testResultsB) || testResultsB !== '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "HIV Test 3 Results:", + "type": "obs", + "questionOptions": { + "rendering": "select", + "concept": "1040AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Positive" + }, + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "163611AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Invalid" + } + ] + }, + "id": "testResultsD", + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(testResultsB) || testResultsB !== '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "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": "kitNameC", + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(testResultsB) || testResultsB !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Lot Number", + "type": "obs", + "questionOptions": { + "rendering": "text", + "concept": "3d4f9e8e-46cc-4024-a1c4-d0167f2c84a4" + }, + "id": "lotNumberC", + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(testResultsB) || testResultsB !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Expiry Date", + "type": "obs", + "validators": [ + { + "type": "date", + "allowFutureDates": "true" + }, + { + "type": "js_expression", + "failsWhenExpression": "(new moment(encDate)).isAfter((new moment(myValue)), 'day') || (new moment(encDate)).isSame((new moment(myValue)), 'day')", + "message": "Expiry date should be greater than the encounter date." + } + ], + "questionOptions": { + "rendering": "date", + "concept": "162502AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "weeksList": "" + }, + "id": "expiryDateC", + "hide": { + "hideWhenExpression": "isEmpty(testResultsB) || testResultsB !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "HIV Test 3 Results:", + "type": "obs", + "questionOptions": { + "rendering": "select", + "concept": "1040AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Positive" + }, + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "163611AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Invalid" + } + ] + }, + "id": "testResultsC", + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(testResultsB) || testResultsB !== '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' && String(testResultsD) === '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '1138AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' : String(testResults) === '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && String(testResultsB) === '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && String(testResultsC) === '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' : String(testResults) === '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && String(testResultsB) === '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && String(testResultsC) === '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' : String(testResults) === '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && String(testResultsB) === '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && String(testResultsD) === '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' : String(testResults) === '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && String(testResultsB) === '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && String(testResultsC) === '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '1138AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' : String(testResults) === '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' : String(testResults) === '163611AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || String(testResultsB) === '163611AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || String(testResultsC) === '163611AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || String(testResultsD) === '163611AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '1138AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' : ''" + }, + "answers": [ + { + "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Positive" + }, + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "1138AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Inconclusive" + } + ] + }, + "id": "hivFinalResult", + "validators": [], + "hide": { + "hideWhenExpression": "isEmpty(consentGiven) || consentGiven !== 'true'" + } + }, + { + "label": "Results given to client?", + "type": "obs", + "id": "resultsGivenToClient", + "questionOptions": { + "concept": "164848AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } + }, + { + "label": "Has the client's partner been tested for HIV?", + "type": "obs", + "id": "partnerTested", + "questionOptions": { + "concept": "161557AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } + }, + { + "label": "Partner HIV Status:", + "type": "obs", + "id": "partner-hiv-status", + "questionOptions": { + "concept": "1436AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "HIV Positive" + }, + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "HIV Negative" + }, + { + "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Unknown" + } + ] + } + } + ] + }, + { + "label": "Urinalysis", + "isExpanded": "true", + "questions": [ + { + "label": "Urinalysis ", + "type": "obsGroup", + "questionOptions": { + "rendering": "group", + "concept": "161446AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "id": "urinalysis", + "questions": [ + { + "label": "Urine Microscopy", + "type": "obs", + "id": "urinalysis", + "questionOptions": { + "concept": "56AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + } + }, + { + "label": "Urine Leukocyte Esterase Test", + "type": "obs", + "id": "lukocyte", + "questionOptions": { + "concept": "161441AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "1874AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Trace" + }, + { + "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "One Plus(+)" + }, + { + "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Two Plus(++)" + }, + { + "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Three Plus(+++)" + } + ] + } + }, + { + "label": "Urinary Albumin (mg/dL)", + "type": "obs", + "id": "albumin", + "questionOptions": { + "concept": "1875AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "1874AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Trace - 15" + }, + { + "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "One Plus(+) - 30" + }, + { + "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Two Plus(++) - 100" + }, + { + "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Three Plus(+++) - 300" + }, + { + "concept": "1365AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Four Plus(++++) - 1000" + } + ] + } + }, + { + "label": "Urinary Ketone (mg/dL)", + "type": "obs", + "id": "ketone", + "questionOptions": { + "concept": "161442AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "1874AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Trace - 5" + }, + { + "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "One Plus(+) - 15" + }, + { + "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Two Plus(++) - 50" + }, + { + "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Three Plus(+++) - 150" + } + ] + } + }, + { + "label": "Glucose Measurement (Qualitative)", + "type": "obs", + "id": "glucose", + "questionOptions": { + "concept": "159734AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Normal" + }, + { + "concept": "1874AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Trace" + }, + { + "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "One Plus(+)" + }, + { + "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Two Plus(++)" + }, + { + "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Three Plus(+++)" + }, + { + "concept": "1365AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Four Plus(++++)" + } + ] + } + }, + { + "label": "Urine Bile Salt Test (mg/dL)", + "type": "obs", + "id": "bile", + "questionOptions": { + "concept": "161444AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Normal" + }, + { + "concept": "1874AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Trace - 1" + }, + { + "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "One Plus(+) - 4" + }, + { + "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Two Plus(++) - 8" + }, + { + "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Three Plus(+++) - 12" + } + ] + } + }, + { + "label": "Urine pH", + "type": "obs", + "id": "urinePH", + "questionOptions": { + "concept": "161438AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "max": "14", + "min": "0" + } + }, + { + "label": "Urine Bile Pigment Test", + "type": "obs", + "id": "bile", + "questionOptions": { + "concept": "161443AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "One Plus(+)" + }, + { + "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Two Plus(++)" + }, + { + "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Three Plus(+++)" + } + ] + } + }, + { + "label": "Urine Specific Gravity", + "type": "obs", + "id": "urineSpecificGravity", + "questionOptions": { + "concept": "161439AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "max": "1.1", + "min": "1" + } + }, + { + "label": "Urine Color", + "type": "obs", + "id": "urineColor", + "questionOptions": { + "concept": "162106AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "162100AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Brown color" + }, + { + "concept": "162099AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Colourless" + }, + { + "concept": "162098AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dark yellow colour" + }, + { + "concept": "162097AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Light yellow colour" + }, + { + "concept": "127778AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Red color" + }, + { + "concept": "162105AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yellow-green colour" + } + ] + } + }, + { + "label": "Urine Nitrite Test", + "type": "obs", + "id": "urineNitrite", + "questionOptions": { + "concept": "161440AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Positive" + }, + { + "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "One Plus(+)" + }, + { + "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Two Plus(++)" + } + ] + } + }, + { + "label": "Urine Turbidity", + "type": "obs", + "id": "urineTurbidity", + "questionOptions": { + "concept": "162101AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "162103AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cloudy urine" + }, + { + "concept": "162102AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Urine appears clear" + }, + { + "concept": "162104AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Urine appears turbid" + } + ] + } + }, + { + "label": "Urine Dipstick for Blood", + "type": "obs", + "id": "urineDipstick", + "questionOptions": { + "concept": "162096AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "1874AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Trace" + }, + { + "concept": "1362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "One Plus(+)" + }, + { + "concept": "1363AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Two Plus(++)" + }, + { + "concept": "1364AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Three Plus(+++)" + } + ] + } + } + ] + } + ] + }, + { + "label": "Other Tests", + "isExpanded": "true", + "questions": [ + { + "label": "Syphilis serology:", + "type": "obs", + "id": "syphilisTestResults", + "questionOptions": { + "concept": "299AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1229AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "1228AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Positive" + }, + { + "concept": "1271AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Requested" + }, + { + "concept": "1402AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not Tested" + }, + { + "concept": "1304AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Poor Sample quality" + } + ] + } + }, + { + "label": "Has the client been treated for syphilis?", + "type": "obs", + "id": "syphilisTreated", + "questionOptions": { + "concept": "159918AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "hide": { + "hideWhenExpression": "syphilisTestResults !== '1228AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "BS for MPS:", + "type": "obs", + "id": "bsForMps", + "questionOptions": { + "concept": "32AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1138AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "INDETERMINATE" + }, + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "NEGATIVE" + }, + { + "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "POSITIVE" + } + ] + } + }, + { + "label": "Haemoglobin:", + "type": "obs", + "id": "hb", + "questionOptions": { + "concept": "21AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number" + } + }, + { + "label": "Blood sugar testing for Diabetes:", + "type": "obs", + "id": "bldSugar", + "questionOptions": { + "concept": "119481AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No Diabetes" + }, + { + "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Has Diabetes" + }, + { + "concept": "160737AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not Done" + } + ] + } + } + ] + } + ] + }, + { + "label": " Client Monitoring", + "sections": [ + { + "label": "Client Monitoring", + "isExpanded": "true", + "questions": [ + { + "label": "Has the client undergone antenatal exercises?", + "type": "obs", + "id": "physicalExercises", + "questionOptions": { + "concept": "161074AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } + }, + { + "label": "TB Screening Results:", + "type": "obs", + "id": "tbScreening", + "questionOptions": { + "concept": "1659AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1660AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "NO signs" + }, + { + "concept": "142177AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "TB presumed" + }, + { + "concept": "164128AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No signs and started on INH" + }, + { + "concept": "1662AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "TB Rx" + }, + { + "concept": "160737AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not done (ND)" + } + ] + } + }, + { + "label": "Has the client been screened for CaCx ?", + "type": "obs", + "id": "cacxScreening", + "questionOptions": { + "concept": "06398e78-0d3e-43d5-8017-f2fc3865e2e0", + "rendering": "select", + "answers": [ + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Normal" + }, + { + "concept": "159393AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Presumed" + }, + { + "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Confirmed" + }, + { + "concept": "1118AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not Done" + }, + { + "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "N/A" + } + ] + } + }, + { + "label": "CaCx screening method?", + "type": "obs", + "id": "screeningcacxMethod", + "questionOptions": { + "concept": "163589AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "885AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Pap Smear" + }, + { + "concept": "162816AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "VIA" + }, + { + "concept": "9818bba5-ecd4-4cf9-a48f-5e5d9a48eec6", + "label": "VILI" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Other" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(cacxScreening) || cacxScreening === '1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || cacxScreening === '1118AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Hepatitis B screening:", + "type": "obs", + "id": "hepBscreen", + "questionOptions": { + "concept": "6ec3d456-ba0c-4df1-9254-4dd77037ffb8", + "rendering": "radio", + "answers": [ + { + "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Positive" + }, + { + "concept": "664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Negative" + }, + { + "concept": "1118AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not Done" + } + ] + } + }, + { + "label": "If Positive,was the treatment done?", + "type": "obs", + "id": "treatmentPos", + "questionOptions": { + "concept": "166665AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "hide": { + "hideWhenExpression": "hepBscreen !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "WHO Staging:", + "type": "obs", + "id": "whoStaging", + "questionOptions": { + "concept": "5356AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1204AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "WHO Stage1" + }, + { + "concept": "1205AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "WHO Stage2" + }, + { + "concept": "1206AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "WHO Stage3" + }, + { + "concept": "1207AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "WHO Stage4" + } + ] + }, + "hide": { + "hideWhenExpression": "hivFinalResult !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "HIV Viral load sample taken?", + "type": "obs", + "id": "vl", + "questionOptions": { + "concept": "1271AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "856AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "hide": { + "hideWhenExpression": "hivFinalResult !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + } + ] + }, + { + "label": "ART and Prophylaxis", + "isExpanded": "true", + "questions": [ + { + "label": "Mother's prophylaxis given during this visit?", + "type": "obs", + "id": "prophylaxisUsed", + "questionOptions": { + "concept": "1109AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "105281AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cotrimoxazole" + }, + { + "concept": "74250AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dapsone" + }, + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "None" + } + ] + }, + "hide": { + "hideWhenExpression": "hivFinalResult !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "AZT for the baby dispensed?", + "type": "obs", + "id": "aztDispensed", + "questionOptions": { + "concept": "1282AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "160123AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "N/A" + } + ] + }, + "hide": { + "hideWhenExpression": "hivFinalResult !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "NVP for the baby dispensed?", + "type": "obs", + "id": "nvpDispensed", + "questionOptions": { + "concept": "1282AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "80586AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "N/A" + } + ] + }, + "hide": { + "hideWhenExpression": "hivFinalResult !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Deworming done", + "type": "obs", + "id": "dewormingDone", + "questionOptions": { + "concept": "159922AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not applicable" + } + ] + } + }, + { + "label": "Intermittent Presumptive Treatment given during the visit?", + "type": "obs", + "id": "iptGiven", + "questionOptions": { + "concept": "1591AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "N/A" + } + ] + } + }, + { + "label": "Intermittent Presumptive Treatment dose given?", + "type": "obs", + "id": "doseIIpt", + "questionOptions": { + "concept": "1418AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1", + "label": "First Dose" + }, + { + "concept": "2", + "label": "Second Dose" + }, + { + "concept": "3", + "label": "Third Dose" + }, + { + "concept": "0", + "label": "No" + }, + { + "concept": "0", + "label": "Not Applicable" + } + ] + }, + "hide": { + "hideWhenExpression": "iptGiven !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + } + ] + }, + { + "label": "Female Health related issues", + "isExpanded": "true", + "questions": [ + { + "label": "Was FGM Done?:", + "type": "obs", + "id": "fgmDone", + "questionOptions": { + "concept": "085ce2e6-071e-43be-a32c-ecaac001e44f", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } + }, + { + "label": "What were the FGM associated complications?:", + "type": "obs", + "id": "fgmComplications", + "questionOptions": { + "concept": "120198AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "122949AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Scarring" + }, + { + "concept": "136308AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Keloids" + }, + { + "concept": "141615AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dyspaneuria" + }, + { + "concept": "111633AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "UTI" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(fgmDone) || fgmDone != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Which Postpartum family planning method was the client counselled on?:", + "type": "obs", + "id": "fpCounselled", + "questionOptions": { + "concept": "374AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "5275AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "IUD" + }, + { + "concept": "159589AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Implants" + }, + { + "concept": "1472AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "BTL" + } + ] + } + } + ] + }, + { + "label": "Other Conditions", + "isExpanded": "true", + "questions": [ + { + "label": "Does the client have other illnesses?", + "type": "obs", + "id": "chronicIllness", + "questionOptions": { + "concept": "162747AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + } + }, + { + "label": "Illnesses ", + "type": "obsGroup", + "questionOptions": { + "rendering": "repeating", + "concept": "162747AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "id": "testChronic", + "hide": { + "hideWhenExpression": "isEmpty(chronicIllness) || chronicIllness != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + "questions": [ + { + "label": "Illnesses", + "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": "149019AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Alzheimer's Disease and other Dementias" + }, + { + "concept": "148432AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Arthritis" + }, + { + "concept": "153754AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Asthma" + }, + { + "concept": "159351AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cancer" + }, + { + "concept": "119270AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cardiovascular diseases" + }, + { + "concept": "120637AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Chronic Hepatitis" + }, + { + "concept": "145438AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Chronic Kidney Disease" + }, + { + "concept": "1295AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Chronic Obstructive Pulmonary Disease(COPD)" + }, + { + "concept": "120576AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Chronic Renal Failure" + }, + { + "concept": "119692AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cystic Fibrosis" + }, + { + "concept": "120291AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Deafness and Hearing impairment" + }, + { + "concept": "119481AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Diabetes" + }, + { + "concept": "118631AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Endometriosis" + }, + { + "concept": "117855AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Epilepsy" + }, + { + "concept": "117789AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Glaucoma" + }, + { + "concept": "139071AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Heart Disease" + }, + { + "concept": "115728AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hyperlipidaemia" + }, + { + "concept": "117399AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hypertension" + }, + { + "concept": "117321AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hypothyroidism" + }, + { + "concept": "151342AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Mental illness" + }, + { + "concept": "133687AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Multiple Sclerosis" + }, + { + "concept": "115115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Obesity" + }, + { + "concept": "114662AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Osteoporosis" + }, + { + "concept": "117703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Sickle Cell Anaemia" + }, + { + "concept": "118976AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Thyroid disease" + } + ] + }, + "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": "160862AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Once daily" + }, + { + "concept": "160863AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Once daily at bedtime" + }, + { + "concept": "160864AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Once daily in the evening" + }, + { + "concept": "160865AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Once daily in the morning" + }, + { + "concept": "160858AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Twice daily" + }, + { + "concept": "160866AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Thrice 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": "1073AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Weeks" + }, + { + "concept": 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"concept": "159857AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Danger signs" + }, + { + "concept": "156277AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Family planning" + }, + { + "concept": "1914AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "HIV" + }, + { + "concept": "159854AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Supplimental feeding" + }, + { + "concept": "159856AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Breast care" + }, + { + "concept": "161651AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Infant feeding" + }, + { + "concept": "1381AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Insectiside treated nets" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(counSelled) || counSelled === '1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + } + ] + } + ] + }, + { + "label": "Minimum Package of Care", + "isExpanded": "true", + "questions": [ + { + "label": "Has the client received the minimum package of care?:", + "type": "obs", + "id": "minPackg", + "questionOptions": { + "concept": 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support - GBV, Disclosure and Stigma" + }, + { + "concept": "159612AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "RH education and FP during breastfeeding period" + } + ] + }, + "hide": { + "hideWhenExpression": "minPackg !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || hivFinalResult !== '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Minimum Package", + "type": "obs", + "id": "pacMin", + "questionOptions": { + "concept": "165241AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "959319eb-f595-4b08-9b26-4e01835b2c89", + "label": "Risk Reduction counselling" + }, + { + "concept": "161557AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "HIV Testing for the Partner" + }, + { + "concept": "165475AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Emphasize importance of follow up ANC Visits" + }, + { + "concept": "1382AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Postnatal FP Counselling and support" + }, + { + "concept": 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"type": "obs", + "id": "referredFrom", + "questionOptions": { + "concept": "160481AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1537AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Another Health Facility" + }, + { + "concept": "163488AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Community Unit" + }, + { + "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "N/A" + } + ] + } + }, + { + "label": "Reason for referral", + "type": "obs", + "id": "reasonReferralfrom", + "questionOptions": { + "concept": "164359AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "hide": { + "hideWhenExpression": "isEmpty(referredFrom) || referredFrom !== '1537AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && referredFrom !== '163488AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Referred to?", + "type": "obs", + "id": "referredTo", + "questionOptions": { + "concept": "163145AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1537AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Another Health Facility" + }, + { + "concept": "c9404c8f-cf83-4bfe-acc0-4881599c78ba", + "label": "HIV Preventive services" + }, + { + "concept": "163488AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Community Unit" + }, + { + "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "N/A" + } + ] + } + }, + { + "label": "Reason for referral", + "type": "obs", + "id": "reasonReferral", + "questionOptions": { + "concept": "164359AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "hide": { + "hideWhenExpression": "isEmpty(referredTo) || referredTo !== '1537AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && referredTo !== 'c9404c8f-cf83-4bfe-acc0-4881599c78ba' && referredTo !== '163488AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + } + ] + }, + { + "label": "Next Appointment", + "isExpanded": "true", + "questions": [ + { + "label": "Next appointment date:", + "type": "obs", + "questionOptions": { + "rendering": "date", + "concept": "5096AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "true" + }, + { + "type": "js_expression", + "failsWhenExpression": "(new moment(encDate)).isAfter((new moment(myValue)), 'day') || (new moment(encDate)).isSame((new moment(myValue)), 'day')", + "message": "Next appointment date should be greater than the encounter date." + } + ], + "id": "returnVisitDate", + "required": "true" + } + ] + }, + { + "label": "Clinical Notes", + "isExpanded": "true", + "questions": [ + { + "label": "Clinical Notes", + "type": "obs", + "id": "clinicalNotes", + "questionOptions": { + "concept": "159395AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + } + } + ] + } + ] + } + ], + "processor": "EncounterFormProcessor", + "referencedForms": [], + "encounterType": "c6d09e05-1f25-4164-8860-9f32c5a02df0" +}