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Add lab order form (#254)
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@makombe
makombe authored Nov 6, 2023
1 parent 587e7a0 commit c382a55
Showing 1 changed file with 237 additions and 0 deletions.
237 changes: 237 additions & 0 deletions configuration/ampathforms/lab_order.json
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{
"name": "Laboratory Test Orders",
"description": "Lab order entry form",
"version": "1",
"published": true,
"retired": false,
"encounter": "Lab Order",
"pages": [
{
"label": "Lab Orders",
"sections": [
{
"label": "Add Test Orders",
"isExpanded": "true",
"questions": [
{
"type": "obsGroup",
"label": "Test orders",
"questionOptions": {
"concept": "1271AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"rendering": "group"
},
"questions": [
{
"label": "Tests Ordered",
"id": "order1",
"type": "testOrder",
"questionOptions": {
"rendering": "repeating",
"orderSettingUuid": "6f0c9a92-6f24-11e3-af88-005056821db0",
"orderType": "testorder",
"selectableOrders": [
{
"concept": "856AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "HIV VIRAL LOAD"
},
{
"concept": "5497AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "CD4 Count"
},
{
"concept": "167452AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Serum Cryptococcal Antigen (CRAG)"
},
{
"concept": "1030AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "HIV DNA PCR "
},
{
"concept": "730AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": " CD4 %"
},
{
"concept": "163722AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Rapid test for HIV"
},
{
"concept": "162202AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Gene Xpert"
}
]
}
},
{
"label": "Viral load order reason:",
"type": "obs",
"id": "vljust",
"questionOptions": {
"concept": "164126AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"rendering": "select",
"answers": [
{
"concept": "161236AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Routine VL"
},
{
"concept": "843AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Confirmation of treatment failure (repeat VL)"
},
{
"concept": "163523AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Clinical failure"
},
{
"concept": "1259AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Single drug substitution"
},
{
"concept": "162080AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Baseline VL (for infants diagnsed through EID)"
},
{
"concept": "160032AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Confirmation of persistent low level viremia (PLLV)"
},
{
"concept": "159882AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Breastfeeding"
}
]
},
"validators": [
{
"type": "js_expression",
"failsWhenExpression": "isEmpty(myValue) && !(isEmpty(order1) || !arrayContains(order1, '856AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'))",
"message": "Viral load order reason required."
}
],
"hide": {
"hideWhenExpression": "isEmpty(order1) || !arrayContains(order1, '856AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')"
}
},
{
"label": "CD4 order reason:",
"type": "obs",
"id": "cd4just",
"questionOptions": {
"concept": "163544AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"rendering": "select",
"answers": [
{
"label": "Baseline",
"concept": "167390AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"label": "Suspected treatment failure",
"concept": "167387AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"label": "Return to care after Interrupting treatment for >3months",
"concept": "160740AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"label": "Patient on fluconazole maintenance therapy",
"concept": "167527AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
},
"validators": [
{
"type": "js_expression",
"failsWhenExpression": "isEmpty(myValue) && !(isEmpty(order1) || !arrayContains(order1, '5497AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'))",
"message": "CD4 order reason required."
}
],
"hide": {
"hideWhenExpression": "isEmpty(order1) || !arrayContains(order1, '5497AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')"
}
},
{
"label": "PCR order reason:",
"type": "obs",
"id": "pcrjust",
"questionOptions": {
"concept": "163725AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"rendering": "select",
"answers": [
{
"label": "Initial PCR (6week or first contact)",
"concept": "1040AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"label": "2nd PCR (6 months)",
"concept": "1326AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"label": "3rd PCR (12months)",
"concept": "844AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"label": "Confirmatory PCR and Baseline VL",
"concept": "162082AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
},
"validators": [
{
"type": "js_expression",
"failsWhenExpression": "isEmpty(myValue) && !(isEmpty(order1) || !arrayContains(order1, '1030AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'))",
"message": "PCR order reason required."
}
],
"hide": {
"hideWhenExpression": "isEmpty(order1) || !arrayContains(order1, '1030AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')"
}
},
{
"label": "Antibody test order reason:",
"type": "obs",
"id": "antibodyjust",
"questionOptions": {
"concept": "162087AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"rendering": "select",
"answers": [
{
"label": "Ab test 6 weeks after cessation of breastfeeding",
"concept": "164460AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"label": "Ab test at 18 months (1.5 years)",
"concept": "164860AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
},
"validators": [
{
"type": "js_expression",
"failsWhenExpression": "isEmpty(myValue) && !(isEmpty(order1) || !arrayContains(order1, '163722AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'))",
"message": "Antibody test reason required."
}
],
"hide": {
"hideWhenExpression": "isEmpty(order1) || !arrayContains(order1, '163722AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')"
}
},
{
"type": "encounterLocation",
"label": "Facility name (site/satellite clinic required):",
"id": "location",
"required": "true",
"questionOptions": {
"rendering": "ui-select-extended"
}
}
]
}
]
}
]
}
],
"processor": "EncounterFormProcessor",
"uuid": "2cdeded1-3f69-3bda-beff-1ed2ead94eaf",
"referencedForms": [],
"encounterType": "e1406e88-e9a9-11e8-9f32-f2801f1b9fd1"
}

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