diff --git a/configuration/ampathforms/POPC_Clinical_Consultation_Form.json b/configuration/ampathforms/POPC_Clinical_Consultation_Form.json new file mode 100644 index 00000000..6d38f51e --- /dev/null +++ b/configuration/ampathforms/POPC_Clinical_Consultation_Form.json @@ -0,0 +1,3004 @@ +{ + "name": "POPC Clinical Form", + "description": "A form used to capture pediatric clinical Cases", + "version": "1.0", + "published": true, + "uuid": "d95e44dd-e389-42ae-a9b6-1160d8eeebc4", + "retired": false, + "encounter": "POPC", + "pages": [ + { + "label": "Visit Details", + "sections": [ + { + "label": "Encounter Details", + "isExpanded": "true", + "questions": [ + { + "label": "Visit date:", + "type": "encounterDatetime", + "required": "true", + "id": "encDate", + "questionOptions": { + "rendering": "date" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ] + }, + { + "label": "Provider:", + "type": "encounterProvider", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encProvider " + }, + { + "label": "Location:", + "type": "encounterLocation", + "questionOptions": { + "rendering": "ui-select-extended" + }, + "id": "encLocation" + } + ] + }, + { + "label": "Patient Details", + "isExpanded": "true", + "questions": [ + { + "label": "Visit Type?", + "type": "obs", + "required": true, + "id": "visitType", + "questionOptions": { + "rendering": "radio", + "concept": "164181AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "164180AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "New visit" + }, + { + "concept": "160530AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Return Visit" + }, + { + "concept": "160551AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Referral" + } + ] + } + }, + { + "label": "Visit To:", + "type": "obs", + "id": "visitTo", + "questionOptions": { + "rendering": "radio", + "concept": "161643AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "160542AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Outpatient department(OPD)" + }, + { + "concept": "167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Inpatient department(IPD)" + } + ] + }, + "validators": [], + "hide": { + "hideWhenExpression": "visitType !== '160551AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + } + ] + } + ] + }, + { + "label": "Patient History", + "sections": [ + { + "label": "Complaints and History of complaints", + "isExpanded": "true", + "questions": [ + { + "label": "Patient having complaint(s) today?", + "type": "obs", + "id": "complaintsToday", + "required": "true", + "questionOptions": { + "concept": "5219AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "hide": { + "hideWhenExpression": "visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Presenting complaints", + "type": "obsGroup", + "id": "ComplaintLodgeByClient", + "questionOptions": { + "concept": "160531AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "repeating" + }, + "validators": [], + "hide": { + "hideWhenExpression": "complaintsToday !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + "questions": [ + { + "label": "Complaint", + "type": "obs", + "id": "cOmplaIntField", + "questionOptions": { + "concept": "5219AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "148573AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Antisocial behaviour" + }, + { + "concept": "148517AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Apnea" + }, + { + "concept": "80AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Arthralgia" + }, + { + "concept": "151AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Abdominal pain" + }, + { + "concept": "147104AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Blurry vision" + }, + { + "concept": "141600AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Breathlessness" + }, + { + "concept": "120749AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Chest Pain" + }, + { + "concept": "143264AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cough" + }, + { + "concept": "996AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Constipation" + }, + { + "concept": "113054AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Convulsions" + }, + { + "concept": "144576AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Coma" + }, + { + "concept": "119492AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Developmental Delay" + }, + { + "concept": "142412AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Diarrhoea" + }, + { + "concept": "118771AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dysuria" + }, + { + "concept": "122496AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dyspnea" + }, + { + "concept": "141585AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Ear Pain" + }, + { + "concept": "162626AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Fatigue" + }, + { + "concept": "140238AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Fever" + }, + { + "concept": "139084AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Headache" + }, + { + "concept": "113950AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hypotonia" + }, + { + "concept": "116558AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Joint Pain" + }, + { + "concept": "116334AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Lethargy" + }, + { + "concept": "121AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Mylagia" + }, + { + "concept": "132653AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Numbness" + }, + { + "concept": "133027AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Night sweats" + }, + { + "concept": "163282AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Persistent fever" + }, + { + "concept": "159407AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Poor exercise tolerance" + }, + { + "concept": "512AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Rash" + }, + { + "concept": "127777AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Red Eye/ Conjuctivitis" + }, + { + "concept": "6017AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Refusal to feed" + }, + { + "concept": "136522AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Rapid or Irregular heartbeat" + }, + { + "concept": "158843AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Sore Throat" + }, + { + "concept": "141597AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Sleep Disturbance" + }, + { + "concept": "126351AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Slurred Speech" + }, + { + "concept": "126318AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Snoring" + }, + { + "concept": "125166AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Syncope on exertion" + }, + { + "concept": "112200AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Tremors" + }, + { + "concept": "122983AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Vomiting" + }, + { + "concept": "832AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Weight Loss" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Other" + } + ] + } + }, + { + "label": "Specify other complaints", + "type": "obs", + "id": "OtherSpecificComplaints", + "questionOptions": { + "concept": "20395601-257c-490c-86c2-acffb627f91f", + "rendering": "textarea" + }, + "validators": [], + "hide": { + "hideWhenExpression": "cOmplaIntField !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Duration (Days)", + "type": "obs", + "id": "complaint-duration", + "questionOptions": { + "concept": "159368AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "min": "0" + }, + "validators": [] + }, + { + "label": "Onset Status", + "type": "obs", + "id": "onsetStatus", + "questionOptions": { + "concept": "d7a3441d-6aeb-49be-b7d6-b2a3bb39e78d", + "rendering": "select", + "answers": [ + { + "concept": "1499AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Gradual" + }, + { + "concept": "162707AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Sudden" + } + ] + } + } + ] + }, + { + "label": "History of present illness (HPI)", + "type": "obs", + "id": "ClinICNotes", + "questionOptions": { + "concept": "160430AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "hide": { + "hideWhenExpression": "visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + "validators": [] + } + ] + }, + { + "label": "Prenatal History", + "isExpanded": "true", + "questions": [ + { + "label": "What was the length of the pregnancy with this child?", + "type": "obs", + "id": "pregLength", + "questionOptions": { + "concept": "1503AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "min": "0", + "max": "50" + }, + "hide": { + "hideWhenExpression": "visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + "validators": [] + }, + { + "label": "Were there any complications during the pregnancy", + "type": "obs", + "id": "complicationsPregnancy", + "questionOptions": { + "concept": "1576AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "150802AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Abnormal bleeding" + }, + { + "concept": "117399AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hypertension" + }, + { + "concept": "151673AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Infectious Illnesses" + }, + { + "concept": "1490AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Trauma" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Other" + } + ] + }, + "hide": { + "hideWhenExpression": "visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + "validators": [] + }, + { + "label": "Specify other complaints", + "type": "obs", + "id": "OtherComplications", + "questionOptions": { + "concept": "20395601-257c-490c-86c2-acffb627f91f", + "rendering": "textarea" + }, + "validators": [], + "hide": { + "hideWhenExpression": "complicationsPregnancy !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Did the mother take any drugs/alcohol /smoking during pregnancy?", + "type": "obs", + "id": "smokingStatus", + "questionOptions": { + "concept": "159933AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "hide": { + "hideWhenExpression": "visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "If Yes specify drugs", + "type": "obs", + "id": "drugsSpecify", + "questionOptions": { + "concept": "160629AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "hide": { + "hideWhenExpression": "smokingStatus !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + "validators": [] + } + ] + }, + { + "label": "Birth History", + "isExpanded": "true", + "questions": [ + { + "label": "What was this childs gestation at birth", + "type": "obs", + "id": "gestAge", + "questionOptions": { + "concept": "1503AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "min": "0", + "max": "50" + }, + "hide": { + "hideWhenExpression": "visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + "validators": [] + }, + { + "label": "Child Birth weight", + "type": "obs", + "id": "birthWeight", + "questionOptions": { + "concept": "5916AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "min": "0", + "max": "50" + }, + "hide": { + "hideWhenExpression": "visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + "validators": [] + }, + { + "label": "How long was labour?", + "type": "obs", + "id": "labourDur", + "questionOptions": { + "concept": "159616AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "min": "0", + "max": "50" + }, + "hide": { + "hideWhenExpression": "visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + "validators": [] + }, + { + "label": "Was there maternal fever or premature rupture of membranes?", + "type": "obs", + "id": "prematureLabor", + "questionOptions": { + "concept": "1860AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "hide": { + "hideWhenExpression": "visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Mode of Delivery:", + "type": "obs", + "id": "deliveryMode", + "questionOptions": { + "concept": "5630AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1170AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Spontaneous vaginal delivery(SVD)" + }, + { + "concept": "1171AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cesarean section(CS)" + }, + { + "concept": "1172AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Breech delivery" + }, + { + "concept": "159901AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Vacuum/forcep delivery" + } + ] + }, + "hide": { + "hideWhenExpression": "visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + } + ] + }, + { + "label": "Neonatal period", + "isExpanded": "true", + "questions": [ + { + "label": "Did the child have any neonatal problems?", + "type": "obs", + "id": "neonatalProblems", + "questionOptions": { + "concept": "162077AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "None" + }, + { + "concept": "164440AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Breathing problems", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "143050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cyanosis", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "140477AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Feeding Difficulties", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "110843AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Fits", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "136443AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Jaundice", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Other", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + ] + }, + "hide": { + "hideWhenExpression": "visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Other (Specify)", + "type": "obs", + "id": "otherProblems", + "questionOptions": { + "rendering": "text", + "concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "hide": { + "hideWhenExpression": "isEmpty(neonatalProblems) || !arrayContains(neonatalProblems, '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Was vitamin K given?", + "type": "obs", + "id": "vitK", + "questionOptions": { + "concept": "166665AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": 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achievingMilestones !== '6025AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Was the weigt gain satisfactory?", + "type": "obs", + "id": "weightGain", + "questionOptions": { + "concept": "164136AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "hide": { + "hideWhenExpression": "visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Have there been any concerns about development, vision, hearing?", + "type": "obs", + "id": "developmentConcerns", + "questionOptions": { + "concept": "c67be9a5-f497-4082-af81-11753f65ed4b", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "hide": { + "hideWhenExpression": "visitTo === 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"hideWhenExpression": "childInfections !=='1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Does the child have chronic condition ?", + "id": "chronicCondition", + "type": "obs", + "questionOptions": { + "rendering": "checkbox", + "concept": "162737AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "None" + }, + { + "concept": "121375AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Asthma", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "119481AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Diabetes", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "155AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Epilepsy", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Other", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + ] + }, + "hide": { + "hideWhenExpression": "visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Other (Specify)", + "type": "obs", + "id": "otherCndtnd", + "questionOptions": { + "rendering": "text", + "concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "hide": { + "hideWhenExpression": "isEmpty(chronicCondition) || !arrayContains(chronicCondition, '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Is the child on any medication?", + "type": "obs", + "id": "medHis", + "questionOptions": { + "rendering": "radio", + "concept": "1628AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "hide": { + "hideWhenExpression": "visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Medication Name", + "type": "obs", + "id": "druG", + "questionOptions": { + "concept": "162725AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + }, + "hide": { + "hideWhenExpression": "medHis !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "History for Surgical procedures", + "type": "obs", + "id": "surgHis", + "questionOptions": { + "rendering": "radio", + "concept": "30fe6669-75f3-4a1d-89c3-753a060d559a", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "hide": { + "hideWhenExpression": "visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Type of Surgery performed", + "type": "obs", + "id": "typeofSurgery", + "questionOptions": { + "concept": "166635AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + }, + "hide": { + "hideWhenExpression": "surgHis !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Any Admission History", + "type": "obs", + "id": "admissionHistory", + "questionOptions": { + "rendering": "radio", + "concept": "165644AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "hide": { + "hideWhenExpression": "visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Reason for admission", + "type": "obs", + "id": "admiReason", + "questionOptions": { + "concept": "162879AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + }, + "hide": { + "hideWhenExpression": "admissionHistory !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Is the child seeing another clinician?", + "type": "obs", + "id": "primaryDoctor", + "questionOptions": { + "rendering": "radio", + "concept": "5619AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "hide": { + "hideWhenExpression": "visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Reason for seeing the doctor", + "type": "obs", + "id": "reasonDoctor", + "questionOptions": { + "concept": "162879AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "text" + }, + "hide": { + "hideWhenExpression": "primaryDoctor !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Any History of Trauma/Accidents", + "type": "obs", + "id": "traumaHistory", + "questionOptions": { + "rendering": "radio", + "concept": "159520AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "hide": { + "hideWhenExpression": "visitTo === '167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Any History of 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