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denniskigen/component_oncology-family-information-v1.0

Created July 6, 2020 19:03
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component_oncology-family-information-v1.0
{
"name": "component_oncology-family-information-v1.0",
"uuid": "xxxx",
"processor": "EncounterFormProcessor",
"pages": [
{
"label": "Family History",
"sections": [
{
"label": "Family Members' Cancer History",
"isExpanded": "true",
"questions": [
{
"label": "Any family member diagnosed with breast cancer?",
"id": "anyFamilydiag",
"type": "obs",
"required": "true",
"questionOptions": {
"rendering": "select",
"concept": "c9e39076-81ab-481b-8f49-4595ffd3e5db",
"answers": [
{
"concept": "a899b35c-1350-11df-a1f1-0026b9348838",
"label": "Yes"
},
{
"concept": "a899b42e-1350-11df-a1f1-0026b9348838",
"label": "No"
},
{
"concept": "a899b50a-1350-11df-a1f1-0026b9348838",
"label": "Unknown"
}
]
},
"validators": []
},
{
"label": "Any of your family members had breast cancer at or before age 50?",
"id": "breastCancerAtOrBefore50",
"type": "obs",
"questionOptions": {
"rendering": "multiCheckbox",
"concept": "a1bd2f6e-4cae-4555-83aa-d4dc7f3cfdde",
"answers": [
{
"concept": "a898c6f4-1350-11df-a1f1-0026b9348838",
"label": "Self"
},
{
"concept": "a89ebec4-1350-11df-a1f1-0026b9348838",
"label": "Parent"
},
{
"concept": "a898c262-1350-11df-a1f1-0026b9348838",
"label": "Siblings"
},
{
"concept": "a89ebdfc-1350-11df-a1f1-0026b9348838",
"label": "Children"
},
{
"concept": "a89c9f54-1350-11df-a1f1-0026b9348838",
"label": "Patenal grandparent"
},
{
"concept": "a89c9e3c-1350-11df-a1f1-0026b9348838",
"label": "Maternal grandparent"
},
{
"concept": "a89ca9ea-1350-11df-a1f1-0026b9348838",
"label": "Paternal auntie and uncle"
},
{
"concept": "a89ca06c-1350-11df-a1f1-0026b9348838",
"label": "Maternal auntie and uncle"
}
]
},
"validators": [],
"hide": {
"hideWhenExpression": "isEmpty(anyFamilydiag) || anyFamilydiag !== 'a899b35c-1350-11df-a1f1-0026b9348838'"
}
},
{
"label": "Any of your family members had breast cancer after age 50?",
"id": "breastCancerAfter50",
"type": "obs",
"questionOptions": {
"rendering": "multiCheckbox",
"concept": "d3f348d2-455e-43fd-a742-ed35a1294545",
"answers": [
{
"concept": "a898c6f4-1350-11df-a1f1-0026b9348838",
"label": "Self"
},
{
"concept": "a89ebec4-1350-11df-a1f1-0026b9348838",
"label": "Parent"
},
{
"concept": "a898c262-1350-11df-a1f1-0026b9348838",
"label": "Siblings"
},
{
"concept": "a89ebdfc-1350-11df-a1f1-0026b9348838",
"label": "Children"
},
{
"concept": "a89c9f54-1350-11df-a1f1-0026b9348838",
"label": "Patenal grandparent"
},
{
"concept": "a89c9e3c-1350-11df-a1f1-0026b9348838",
"label": "Maternal grandparent"
},
{
"concept": "a89ca9ea-1350-11df-a1f1-0026b9348838",
"label": "Paternal auntie and uncle"
},
{
"concept": "a89ca06c-1350-11df-a1f1-0026b9348838",
"label": "Maternal auntie and uncle"
}
]
},
"validators": [],
"hide": {
"hideWhenExpression": "isEmpty(anyFamilydiag) || anyFamilydiag !== 'a899b35c-1350-11df-a1f1-0026b9348838'"
}
},
{
"label": "Any of your male family members had breast cancer?",
"id": "breastCancerinMales",
"type": "obs",
"questionOptions": {
"rendering": "multiCheckbox",
"concept": "f0f164cf-e625-4f2e-a1fa-0d4fe4ca2e45",
"answers": [
{
"concept": "a898c6f4-1350-11df-a1f1-0026b9348838",
"label": "Self"
},
{
"concept": "a89ebec4-1350-11df-a1f1-0026b9348838",
"label": "Parent"
},
{
"concept": "a898c262-1350-11df-a1f1-0026b9348838",
"label": "Siblings"
},
{
"concept": "a89ebdfc-1350-11df-a1f1-0026b9348838",
"label": "Children"
},
{
"concept": "a89c9f54-1350-11df-a1f1-0026b9348838",
"label": "Patenal grandparent"
},
{
"concept": "a89c9e3c-1350-11df-a1f1-0026b9348838",
"label": "Maternal grandparent"
},
{
"concept": "a89ca9ea-1350-11df-a1f1-0026b9348838",
"label": "Paternal auntie and uncle"
},
{
"concept": "a89ca06c-1350-11df-a1f1-0026b9348838",
"label": "Maternal auntie and uncle"
}
]
},
"validators": [],
"hide": {
"hideWhenExpression": "isEmpty(anyFamilydiag) || anyFamilydiag !== 'a899b35c-1350-11df-a1f1-0026b9348838'"
}
},
{
"label": "Any of your family members had ovarian cancer?",
"id": "ovarianCancer",
"type": "obs",
"questionOptions": {
"rendering": "multiCheckbox",
"concept": "0d1be6b3-5e0d-44df-8371-089790244a27",
"answers": [
{
"concept": "a898c6f4-1350-11df-a1f1-0026b9348838",
"label": "Self"
},
{
"concept": "a89ebec4-1350-11df-a1f1-0026b9348838",
"label": "Parent"
},
{
"concept": "a898c262-1350-11df-a1f1-0026b9348838",
"label": "Siblings"
},
{
"concept": "a89ebdfc-1350-11df-a1f1-0026b9348838",
"label": "Children"
},
{
"concept": "a89c9f54-1350-11df-a1f1-0026b9348838",
"label": "Patenal grandparent"
},
{
"concept": "a89c9e3c-1350-11df-a1f1-0026b9348838",
"label": "Maternal grandparent"
},
{
"concept": "a89ca9ea-1350-11df-a1f1-0026b9348838",
"label": "Paternal auntie and uncle"
},
{
"concept": "a89ca06c-1350-11df-a1f1-0026b9348838",
"label": "Maternal auntie and uncle"
}
]
},
"validators": [],
"hide": {
"hideWhenExpression": "isEmpty(anyFamilydiag) || anyFamilydiag !== 'a899b35c-1350-11df-a1f1-0026b9348838'"
}
},
{
"label": "Any of your family member had other related cancers?",
"id": "otherFCancers",
"type": "obs",
"questionOptions": {
"rendering": "multiCheckbox",
"concept": "c74a2982-c64c-4a4a-8ca5-d4232f8b940e",
"answers": [
{
"concept": "a898c6f4-1350-11df-a1f1-0026b9348838",
"label": "Self"
},
{
"concept": "a89ebec4-1350-11df-a1f1-0026b9348838",
"label": "Parent"
},
{
"concept": "a898c262-1350-11df-a1f1-0026b9348838",
"label": "Siblings"
},
{
"concept": "a89ebdfc-1350-11df-a1f1-0026b9348838",
"label": "Children"
},
{
"concept": "a89c9f54-1350-11df-a1f1-0026b9348838",
"label": "Patenal grandparent"
},
{
"concept": "a89c9e3c-1350-11df-a1f1-0026b9348838",
"label": "Maternal grandparent"
},
{
"concept": "a89ca9ea-1350-11df-a1f1-0026b9348838",
"label": "Paternal auntie and uncle"
},
{
"concept": "a89ca06c-1350-11df-a1f1-0026b9348838",
"label": "Maternal auntie and uncle"
},
{
"concept": "a899e0ac-1350-11df-a1f1-0026b9348838",
"label": "None"
}
]
},
"validators": []
},
{
"type": "obsGroup",
"label": "Family Cancer history detailed",
"id": "othercancerDetail",
"questionOptions": {
"concept": "d6c78f29-a413-41ff-ab4e-a9463066d140",
"rendering": "group"
},
"questions": [
{
"label": "If having other cancers, list below:",
"id": "otherCancers",
"type": "obs",
"questionOptions": {
"rendering": "multiCheckbox",
"concept": "5f221707-12d0-4770-9bc4-d4b28d4a1b09",
"answers": [
{
"concept": "9346c2e9-1f4b-4970-aa6d-1d7fbf3cafcf",
"label": "Thyroid cancer"
},
{
"concept": "9454da12-f3a1-496f-bb96-903221188df8",
"label": "Endometrical cancer"
},
{
"concept": "2b56b63b-a999-4863-810a-4bd6a6040a55",
"label": "Bone or soft tissue cancer"
},
{
"concept": "84d94638-c681-49de-9e49-97d8a4f2d703",
"label": "Sarcoma"
},
{
"concept": "f6382813-cd55-4e0f-ade2-3e2f5917feb7",
"label": "Adrenoctortical carcinoma"
},
{
"concept": "3163f901-b38c-4121-9039-d748495faeb2",
"label": "Brain cancer"
},
{
"concept": "497a4d9b-c602-4f4e-bed2-b54ee991886f",
"label": "Diffuse gastric cancer"
},
{
"concept": "5d5ee579-392e-4ceb-9e7d-892cbae77f44",
"label": "Acute leukimia"
}
]
},
"validators": [],
"hide": {
"hideWhenExpression": "isEmpty(otherFCancers)"
}
},
{
"label": "Specify other related cancers:",
"type": "obs",
"questionOptions": {
"concept": "a8a06fc6-1350-11df-a1f1-0026b9348838",
"rendering": "text"
},
"validators": [],
"hide": {
"hideWhenExpression": "isEmpty(otherFCancers)"
}
}
]
}
]
},
{
"label": "Family Cancer History",
"isExpanded": "true",
"questions": [
{
"type": "obsGroup",
"label": "Family Cancer history detailed",
"id": "familyOther",
"questionOptions": {
"concept": "d6c78f29-a413-41ff-ab4e-a9463066d140",
"rendering": "group"
},
"questions": [
{
"label": "Any of your family members had other related cancers?",
"id": "familyOtherCA",
"type": "obs",
"questionOptions": {
"rendering": "multiCheckbox",
"concept": "c74a2982-c64c-4a4a-8ca5-d4232f8b940e",
"answers": [
{
"concept": "a899e0ac-1350-11df-a1f1-0026b9348838",
"label": "None"
},
{
"concept": "a89ebdfc-1350-11df-a1f1-0026b9348838",
"label": "Children"
},
{
"label": "Cousin",
"concept": "a89ebf78-1350-11df-a1f1-0026b9348838"
},
{
"concept": "a898c6f4-1350-11df-a1f1-0026b9348838",
"label": "Self"
},
{
"concept": "a89ebec4-1350-11df-a1f1-0026b9348838",
"label": "Parent"
},
{
"concept": "a898c262-1350-11df-a1f1-0026b9348838",
"label": "Siblings"
},
{
"concept": "a89c9f54-1350-11df-a1f1-0026b9348838",
"label": "Paternal grandparent"
},
{
"concept": "a89c9e3c-1350-11df-a1f1-0026b9348838",
"label": "Maternal grandparent"
},
{
"concept": "a89ca9ea-1350-11df-a1f1-0026b9348838",
"label": "Paternal auntie and uncle"
},
{
"concept": "a89ca06c-1350-11df-a1f1-0026b9348838",
"label": "Maternal auntie and uncle"
}
]
},
"validators": []
},
{
"label": "Specify other related cancers:",
"type": "obs",
"questionOptions": {
"concept": "a8a06fc6-1350-11df-a1f1-0026b9348838",
"rendering": "text"
},
"validators": [],
"hide": {
"hideWhenExpression": "isEmpty(familyOtherCA) || arrayContains(['a899e0ac-1350-11df-a1f1-0026b9348838'],familyOtherCA)"
}
}
]
}
]
}
]
}
]
}
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