oncology_poc_breast_screening_form_v1.4

{
  "name": "oncology_poc_breast_screening_form_v1.4",
  "uuid": "xxxx",
  "processor": "EncounterFormProcessor",
  "referencedForms": [
    {
      "formName": "component_oncology-preclinic-review-v1.1",
      "alias": "preReview",
      "ref": {
        "uuid": "b0fc7dac-5d1d-4a04-b238-e1976f6cb8c0",
        "display": "Preclinic Review Component"
      }
    },
    {
      "formName": "component_oncology-breast-treatment-v1.1",
      "alias": "obt",
      "ref": {
        "uuid": "90d9eed8-0913-4de8-a293-eb7b28250934",
        "display": "Oncology Breast treatment v1.1 Component"
      }
    },
    {
      "formName": "component_oncology-adult-hiv-status-v1.1",
      "alias": "adultHIV",
      "ref": {
        "uuid": "66c39f79-e5da-4168-a4d1-0f45d6d2bf8d",
        "display": "HIV-Status Component"
      }
    },
    {
      "formName": "component_oncology-substance-use-v1.1",
      "alias": "osu",
      "ref": {
        "uuid": "c8c2324d-800c-45fc-b859-756c4a220d1f",
        "display": "Oncology Substance Use v1.1 Component"
      }
    },
    {
      "formName": "component_oncology-family-information-v1.3",
      "alias": "ofih",
      "ref": {
        "uuid": "52b2d56a-be1d-4f2e-8d49-f6ca7ce98628",
        "display": "Oncology Family Information v1.3 Component"
      }
    },
    {
      "formName": "component_oncology-reproductive-health-v1.1",
      "alias": "orh",
      "ref": {
        "uuid": "2b332d73-33a5-49b4-b387-ab4016a9a830",
        "display": "Oncology Reproductive health v1.1 Component"
      }
    },
    {
      "formName": "component_oncology-breast-physical-exam-v1.2",
      "alias": "breastPhyEx",
      "ref": {
        "uuid": "ba8f3168-ac74-4901-b335-684cc9f8f42e",
        "display": "Oncology breast physical exam Component"
      }
    },
    {
      "formName": "component_oncology-management-plan-v1.2",
      "alias": "mplan",
      "ref": {
        "uuid": "308d1e88-e696-4dc4-99d0-1d71d8e2121b",
        "display": "Management plan Component"
      }
    }
  ],
  "pages": [
    {
      "label": "Encounter Details",
      "sections": [
        {
          "label": "Encounter Details",
          "questions": [
            {
              "label": "Visit date",
              "type": "encounterDatetime",
              "required": "true",
              "default": "",
              "id": "encDate",
              "questionOptions": {
                "rendering": "date"
              },
              "validators": [
                {
                  "type": "date"
                }
              ]
            },
            {
              "type": "encounterProvider",
              "label": "Provider",
              "id": "provider",
              "required": "true",
              "default": "",
              "questionOptions": {
                "rendering": "ui-select-extended"
              }
            },
            {
              "type": "encounterLocation",
              "label": "Facility name (site/satellite clinic required):",
              "id": "location",
              "required": "true",
              "questionOptions": {
                "rendering": "ui-select-extended"
              }
            }
          ]
        }
      ]
    },
    {
      "label": "Pre-Clinical Review",
      "sections": [
        {
          "reference": {
            "form": "preReview",
            "page": "Pre-clinic Review",
            "section": "Purpose of Visit"
          }
        }
      ]
    },
    {
      "label": "Reproductive Health",
      "sections": [
        {
          "reference": {
            "form": "orh",
            "page": "Reproductive health",
            "section": "Reproductive Health"
          }
        },
        {
          "reference": {
            "form": "orh",
            "page": "Reproductive health",
            "section": "Pregnancy History",
            "excludeQuestions": [
              "monthlyPeriod",
              "mensesTrouble",
              "troubleMenses",
              "everPregnant",
              "ageFirstPregn",
              "currentlyPregnant",
              "ANCEnrolled"
            ]
          }
        }
      ]
    },
    {
      "label": "Social History",
      "sections": [
        {
          "reference": {
            "form": "osu",
            "page": "Substance Use",
            "section": "Substance Use",
            "excludeQuestions": [
              "alcconslastyear",
              "averageBottles",
              "alcnumlastyear",
              "alcconfrequency"
            ]
          }
        }
      ]
    },
    {
      "label": "HIV Status",
      "sections": [
        {
          "reference": {
            "form": "adultHIV",
            "page": "Adult HIV Status",
            "section": "HIV Status"
          }
        }
      ]
    },
    {
      "label": "Treatment History",
      "sections": [
        {
          "reference": {
            "form": "obt",
            "page": "Treatment History",
            "section": "Previous Examinations"
          }
        },
        {
          "reference": {
            "form": "obt",
            "page": "Treatment History",
            "section": "Previous Treatment"
          }
        }
      ]
    },
    {
      "label": "Family History",
      "sections": [
        {
          "reference": {
            "form": "ofih",
            "page": "Family History",
            "section": "Personal History of Breast Cancer"
          }
        },
        {
          "reference": {
            "form": "ofih",
            "page": "Family History",
            "section": "Family History of Breast Cancer"
          }
        }
      ]
    },
    {
      "label": "Physical Breast Examination",
      "sections": [
        {
          "reference": {
            "form": "breastPhyEx",
            "page": "Physical Exam",
            "section": "Breast Findings"
          }
        },
        {
          "reference": {
            "form": "breastPhyEx",
            "page": "Physical Exam",
            "section": "Lymph Node Findings"
          }
        }
      ]
    },
    {
      "label": "Management Plan",
      "sections": [
        {
          "reference": {
            "form": "mplan",
            "page": "Management Plan",
            "section": "Patient Education"
          }
        },

        {
          "reference": {
            "form": "mplan",
            "page": "Management Plan",
            "section": "Investigations Done"
          }
        },
        {
          "reference": {
            "form": "mplan",
            "page": "Management Plan",
            "section": "Screening Referral"
          }
        },
        {
          "reference": {
            "form": "mplan",
            "page": "Management Plan",
            "section": "Referral for Management"
          }
        }
      ]
    },
    {
      "label": "Next Appointment",
      "sections": [
        {
          "label": "Next appointment",
          "isExpanded": "true",
          "questions": [
            {
              "label": "Return to clinic date",
              "type": "obs",
              "required": "true",
              "questionOptions": {
                "concept": "a8a666ba-1350-11df-a1f1-0026b9348838",
                "rendering": "date",
                "weeksList": [2, 4, 9, 13, 26, 52]
              },
              "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": "Return to clinic date should be greater than the encounter date."
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}