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April 4, 2023 13:56
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{ | |
"name": "AMPATH POC Triage v1.2", | |
"uuid": "xxxx", | |
"processor": "EncounterFormProcessor", | |
"pages": [ | |
{ | |
"label": "Encounter Details", | |
"sections": [ | |
{ | |
"label": "Encounter Details", | |
"isExpanded": "true", | |
"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": "Patient covered by NHIF:", | |
"id": "nhif", | |
"questionOptions": { | |
"rendering": "select", | |
"concept": "a8b02524-1350-11df-a1f1-0026b9348838", | |
"answers": [ | |
{ | |
"concept": "8b715fed-97f6-4e38-8f6a-c167a42f8923", | |
"label": "Yes" | |
}, | |
{ | |
"concept": "a899e0ac-1350-11df-a1f1-0026b9348838", | |
"label": "No" | |
} | |
] | |
}, | |
"type": "obs", | |
"validators": [] | |
}, | |
{ | |
"label": "What is the patient's NHIF status?", | |
"id": "nhifStatus", | |
"questionOptions": { | |
"rendering": "select", | |
"concept": "548e6743-67c0-4a6b-bb07-b5f799f63bc1", | |
"answers": [ | |
{ | |
"concept": "b058a9ad-a0e4-4b37-9214-75b8aed1eaa4", | |
"label": "Active" | |
}, | |
{ | |
"concept": "dd373348-1a7f-4625-9e69-9904fa1cc9c7", | |
"label": "Inactive" | |
} | |
] | |
}, | |
"type": "obs", | |
"validators": [], | |
"hide": { | |
"hideWhenExpression": "nhif !== '8b715fed-97f6-4e38-8f6a-c167a42f8923'" | |
} | |
}, | |
{ | |
"label": "What insurance do you have?", | |
"id": "healthInsurance", | |
"questionOptions": { | |
"rendering": "select", | |
"concept": "a8b02524-1350-11df-a1f1-0026b9348838", | |
"answers": [ | |
{ | |
"concept": "0bfb0150-949b-4625-98b8-b9d8275bcf44", | |
"label": "Employer based health insurance" | |
}, | |
{ | |
"concept": "6fac74c3-fe25-4170-92a4-3ecb8859152e", | |
"label": "Individual private health insurance" | |
}, | |
{ | |
"concept": "21eb8488-76ae-47ce-a542-bb3038ab05de", | |
"label": "Zuri health insurance" | |
}, | |
{ | |
"concept": "a8aaf3e2-1350-11df-a1f1-0026b9348838", | |
"label": "Other" | |
} | |
] | |
}, | |
"type": "obs", | |
"validators": [], | |
"hide": { | |
"hideWhenExpression": "nhif !== 'a899e0ac-1350-11df-a1f1-0026b9348838'" | |
} | |
}, | |
{ | |
"label": "Was this visit scheduled?", | |
"id": "scheduledVisit", | |
"questionOptions": { | |
"rendering": "select", | |
"concept": "a89ff9a6-1350-11df-a1f1-0026b9348838", | |
"answers": [ | |
{ | |
"concept": "a89b6440-1350-11df-a1f1-0026b9348838", | |
"label": "Scheduled visit" | |
}, | |
{ | |
"concept": "a89ff816-1350-11df-a1f1-0026b9348838", | |
"label": "Unscheduled visit early" | |
}, | |
{ | |
"concept": "a89ff8de-1350-11df-a1f1-0026b9348838", | |
"label": "Unscheduled visit late" | |
} | |
] | |
}, | |
"type": "obs", | |
"validators": [] | |
}, | |
{ | |
"label": "If unscheduled, actual scheduled date", | |
"id": "actualDate", | |
"type": "obs", | |
"required": { | |
"type": "conditionalRequired", | |
"message": "Patient visit marked as unscheduled. Please provide the scheduled date.", | |
"referenceQuestionId": "scheduledVisit", | |
"referenceQuestionAnswers": [ | |
"a89ff816-1350-11df-a1f1-0026b9348838", | |
"a89ff8de-1350-11df-a1f1-0026b9348838" | |
] | |
}, | |
"questionOptions": { | |
"rendering": "date", | |
"concept": "dc1942b2-5e50-4adc-949d-ad6c905f054e" | |
}, | |
"validators": [ | |
{ | |
"type": "date", | |
"allowFutureDates": "true" | |
}, | |
{ | |
"type": "js_expression", | |
"failsWhenExpression": "!isEmpty(scheduledVisit) && arrayContains(['a89ff816-1350-11df-a1f1-0026b9348838','a89ff8de-1350-11df-a1f1-0026b9348838'], scheduledVisit) && isEmpty(myValue)", | |
"message": "Patient visit marked as unscheduled. Please provide the scheduled date." | |
} | |
], | |
"hide": { | |
"hideWhenExpression": "!arrayContains(['a89ff816-1350-11df-a1f1-0026b9348838','a89ff8de-1350-11df-a1f1-0026b9348838'], scheduledVisit)" | |
} | |
} | |
] | |
}, | |
{ | |
"label": "Child History(Peds Specific)", | |
"questions": [ | |
{ | |
"label": "If orphaned under age of 18 yrs?", | |
"historicalExpression": "_.isEmpty(HD.getObject('prevEnc').getValue('a89ad2d2-1350-11df-a1f1-0026b9348838')) ? undefined : HD.getObject('prevEnc').getValue('a89ad2d2-1350-11df-a1f1-0026b9348838')", | |
"questionOptions": { | |
"concept": "a89ad2d2-1350-11df-a1f1-0026b9348838", | |
"answers": [ | |
{ | |
"concept": "a899b35c-1350-11df-a1f1-0026b9348838", | |
"label": "Yes" | |
}, | |
{ | |
"concept": "a899b42e-1350-11df-a1f1-0026b9348838", | |
"label": "No" | |
} | |
], | |
"rendering": "select" | |
}, | |
"type": "obs" | |
}, | |
{ | |
"label": "Completed school?", | |
"questionOptions": { | |
"concept": "a8aaf9dc-1350-11df-a1f1-0026b9348838", | |
"answers": [ | |
{ | |
"concept": "a899b35c-1350-11df-a1f1-0026b9348838", | |
"label": "Yes" | |
}, | |
{ | |
"concept": "a899b42e-1350-11df-a1f1-0026b9348838", | |
"label": "No" | |
} | |
], | |
"rendering": "select" | |
}, | |
"type": "obs" | |
} | |
] | |
}, | |
{ | |
"label": "PWPs", | |
"isExpanded": "true", | |
"questions": [ | |
{ | |
"label": "Civil status:", | |
"historicalExpression": "HD.getObject('prevEnc').getValue('a899a9f2-1350-11df-a1f1-0026b9348838')", | |
"questionOptions": { | |
"rendering": "select", | |
"concept": "a899a9f2-1350-11df-a1f1-0026b9348838", | |
"answers": [ | |
{ | |
"concept": "a899af10-1350-11df-a1f1-0026b9348838", | |
"label": "Cohabitating" | |
}, | |
{ | |
"concept": "a899ad58-1350-11df-a1f1-0026b9348838", | |
"label": "Divorced" | |
}, | |
{ | |
"concept": "a8aa76b0-1350-11df-a1f1-0026b9348838", | |
"label": "Married monogamous" | |
}, | |
{ | |
"concept": "a8b03712-1350-11df-a1f1-0026b9348838", | |
"label": "Married polygamous" | |
}, | |
{ | |
"concept": "a899aba0-1350-11df-a1f1-0026b9348838", | |
"label": "Separated" | |
}, | |
{ | |
"concept": "a899ac7c-1350-11df-a1f1-0026b9348838", | |
"label": "Single" | |
}, | |
{ | |
"concept": "a899ae34-1350-11df-a1f1-0026b9348838", | |
"label": "Widowed" | |
} | |
] | |
}, | |
"type": "obs", | |
"validators": [] | |
}, | |
{ | |
"label": "Discordant couple:", | |
"required": "true", | |
"questionOptions": { | |
"rendering": "select", | |
"concept": "a8af49d8-1350-11df-a1f1-0026b9348838", | |
"answers": [ | |
{ | |
"concept": "a89ad3a4-1350-11df-a1f1-0026b9348838", | |
"label": "N/A" | |
}, | |
{ | |
"concept": "a899b35c-1350-11df-a1f1-0026b9348838", | |
"label": "Yes" | |
}, | |
{ | |
"concept": "a899b42e-1350-11df-a1f1-0026b9348838", | |
"label": "No" | |
}, | |
{ | |
"concept": "a899b50a-1350-11df-a1f1-0026b9348838", | |
"label": "Unknown" | |
} | |
] | |
}, | |
"type": "obs", | |
"validators": [] | |
}, | |
{ | |
"label": "Prevention with positives: At risk population:", | |
"required": "true", | |
"questionOptions": { | |
"rendering": "select", | |
"concept": "93aa3f1d-1c39-4196-b5e6-8adc916cd5d6", | |
"answers": [ | |
{ | |
"concept": "a89ad3a4-1350-11df-a1f1-0026b9348838", | |
"label": "N/A" | |
}, | |
{ | |
"concept": "5da55301-e28e-4fdf-8b64-02622dedc8b0", | |
"label": "Client of sex worker" | |
}, | |
{ | |
"concept": "a89ff438-1350-11df-a1f1-0026b9348838", | |
"label": "Commercial sex worker" | |
}, | |
{ | |
"concept": "a8af49d8-1350-11df-a1f1-0026b9348838", | |
"label": "Discordant couple" | |
}, | |
{ | |
"concept": "a890d57a-1350-11df-a1f1-0026b9348838", | |
"label": "IV drug use" | |
}, | |
{ | |
"concept": "e19c35f0-12f0-46c2-94ea-97050f37b811", | |
"label": "MSM" | |
} | |
] | |
}, | |
"type": "obs", | |
"validators": [] | |
}, | |
{ | |
"label": "Prevention with positives: PWP services:", | |
"required": "true", | |
"questionOptions": { | |
"rendering": "select", | |
"concept": "9ce5dbf0-a141-4ad8-8c9d-cd2bf84fe72b", | |
"answers": [ | |
{ | |
"concept": "a89ad3a4-1350-11df-a1f1-0026b9348838", | |
"label": "N/A" | |
}, | |
{ | |
"concept": "f0a280e8-eb88-41a8-837a-f9949ed1b9cd", | |
"label": "Condom promotion/provision" | |
}, | |
{ | |
"concept": "bf51f71e-937c-4da5-ae07-654acf59f5bb", | |
"label": "Couple counseling" | |
}, | |
{ | |
"concept": "91f43249-73c7-427c-8300-2038fc0d6be8", | |
"label": "Needle exchange" | |
}, | |
{ | |
"concept": "05656545-86be-4605-9527-34fb580534b1", | |
"label": "Targeted risk reduction" | |
} | |
] | |
}, | |
"type": "obs", | |
"validators": [] | |
} | |
] | |
}, | |
{ | |
"label": "HIV Disclosure", | |
"isExpanded": "true", | |
"questions": [ | |
{ | |
"label": "HIV disclosure:", | |
"historicalExpression": "_.isEmpty(HD.getObject('prevEnc').getValue('cd8ead74-96fc-4764-a9fa-c9ee059c59c5')) ? undefined : HD.getObject('prevEnc').getValue('cd8ead74-96fc-4764-a9fa-c9ee059c59c5')", | |
"required": "true", | |
"questionOptions": { | |
"concept": "cd8ead74-96fc-4764-a9fa-c9ee059c59c5", | |
"answers": [ | |
{ | |
"concept": "a89ad3a4-1350-11df-a1f1-0026b9348838", | |
"label": "N/A" | |
}, | |
{ | |
"concept": "a899ea48-1350-11df-a1f1-0026b9348838", | |
"label": "Not disclosed" | |
}, | |
{ | |
"concept": "40c4e9fa-0fc0-4ceb-89d6-1c8cfebb9bae", | |
"label": "Partially disclosed" | |
}, | |
{ | |
"concept": "a89c1ef8-1350-11df-a1f1-0026b9348838", | |
"label": "Disclosure completed" | |
}, | |
{ | |
"concept": "e30f9b6c-e4b2-4cd0-83be-8d0d487f57fe", | |
"label": "Acceptance of diagnosis and management ongoing" | |
}, | |
{ | |
"concept": "a899b50a-1350-11df-a1f1-0026b9348838", | |
"label": "Unknown" | |
} | |
], | |
"rendering": "select" | |
}, | |
"type": "obs" | |
} | |
] | |
}, | |
{ | |
"label": "Vital Signs", | |
"questions": [ | |
{ | |
"type": "obsGroup", | |
"label": "test group", | |
"questionOptions": { | |
"rendering": "group", | |
"concept": "a899e6d8-1350-11df-a1f1-0026b9348838" | |
}, | |
"questions": [ | |
{ | |
"label": "BP:Systolic:", | |
"questionOptions": { | |
"rendering": "number", | |
"concept": "a8a65d5a-1350-11df-a1f1-0026b9348838", | |
"max": "250", | |
"min": "0" | |
}, | |
"type": "obs", | |
"validators": [] | |
}, | |
{ | |
"label": "BP:Diastolic:", | |
"questionOptions": { | |
"rendering": "number", | |
"concept": "a8a65e36-1350-11df-a1f1-0026b9348838", | |
"max": "200", | |
"min": "0" | |
}, | |
"type": "obs", | |
"validators": [] | |
}, | |
{ | |
"label": "Pulse(Rate/Min):", | |
"questionOptions": { | |
"rendering": "number", | |
"concept": "a8a65f12-1350-11df-a1f1-0026b9348838", | |
"max": "230", | |
"min": "0" | |
}, | |
"type": "obs", | |
"validators": [] | |
}, | |
{ | |
"label": "RR(Breath/Min):", | |
"questionOptions": { | |
"rendering": "number", | |
"concept": "a8a6f71a-1350-11df-a1f1-0026b9348838" | |
}, | |
"type": "obs", | |
"validators": [] | |
}, | |
{ | |
"label": "Temp(C):", | |
"questionOptions": { | |
"rendering": "number", | |
"concept": "a8a65fee-1350-11df-a1f1-0026b9348838", | |
"max": "43", | |
"min": "25" | |
}, | |
"type": "obs", | |
"validators": [] | |
}, | |
{ | |
"label": "Weight(Kg):", | |
"id": "weight", | |
"questionOptions": { | |
"rendering": "number", | |
"concept": "a8a660ca-1350-11df-a1f1-0026b9348838", | |
"max": "150", | |
"min": "0" | |
}, | |
"type": "obs", | |
"validators": [] | |
}, | |
{ | |
"label": "Height(CM):", | |
"id": "height", | |
"historicalExpression": "(HD.getObject('prevEnc').getValue('a8a6619c-1350-11df-a1f1-0026b9348838'))", | |
"questionOptions": { | |
"rendering": "number", | |
"concept": "a8a6619c-1350-11df-a1f1-0026b9348838", | |
"max": "228", | |
"min": "0" | |
}, | |
"type": "obs", | |
"validators": [] | |
}, | |
{ | |
"label": "Weight for height Z-score:", | |
"id": "weightScore", | |
"questionOptions": { | |
"rendering": "number", | |
"concept": "5099d8a8-36c1-4574-a568-9bc49c15c08c", | |
"max": "4", | |
"min": "-4", | |
"calculate": { | |
"calculateExpression": "calcWeightForHeightZscore(weightForHeightRef,height,weight)" | |
} | |
}, | |
"type": "obs", | |
"validators": [], | |
"hide": { | |
"hideWhenExpression": "age>5" | |
} | |
}, | |
{ | |
"label": " Height/length for age Z-score:", | |
"id": "heightLengthScore", | |
"questionOptions": { | |
"rendering": "number", | |
"concept": "507f48e7-26fc-490b-a521-35d7c5aa8e9f", | |
"max": "4", | |
"min": "-4", | |
"calculate": { | |
"calculateExpression": "calcHeightForAgeZscore(heightForAgeRef,height,weight)" | |
} | |
}, | |
"type": "obs", | |
"validators": [], | |
"hide": { | |
"hideWhenExpression": "age>17" | |
} | |
}, | |
{ | |
"label": "Sp02:", | |
"questionOptions": { | |
"rendering": "number", | |
"concept": "a8a66354-1350-11df-a1f1-0026b9348838", | |
"max": "100", | |
"min": "0" | |
}, | |
"type": "obs", | |
"validators": [] | |
}, | |
{ | |
"label": "BMI:Kg/M2", | |
"questionOptions": { | |
"rendering": "number", | |
"concept": "a89c60c0-1350-11df-a1f1-0026b9348838", | |
"max": "100", | |
"min": "0", | |
"calculate": { | |
"calculateExpression": "calcBMI(height,weight)" | |
} | |
}, | |
"type": "obs", | |
"validators": [], | |
"hide": { | |
"hideWhenExpression": "age<18" | |
} | |
}, | |
{ | |
"label": "BMI for age Z-Score:", | |
"id": "bmiScore", | |
"questionOptions": { | |
"rendering": "number", | |
"concept": "9061e5d5-8478-4d16-be44-bfec05b6705a", | |
"max": "4", | |
"min": "-4", | |
"calculate": { | |
"calculateExpression": "calcBMIForAgeZscore(bmiForAgeRef,height,weight)" | |
} | |
}, | |
"type": "obs", | |
"validators": [], | |
"hide": { | |
"hideWhenExpression": "age<=5 ||age >=17" | |
} | |
}, | |
{ | |
"label": "MUAC:MM", | |
"questionOptions": { | |
"rendering": "number", | |
"concept": "a89c6188-1350-11df-a1f1-0026b9348838", | |
"max": "450", | |
"min": "60" | |
}, | |
"type": "obs", | |
"validators": [] | |
} | |
] | |
} | |
] | |
}, | |
{ | |
"label": "General History (Ped/Youth Specific)", | |
"isExpanded": "true", | |
"questions": [ | |
{ | |
"type": "obsGroup", | |
"label": "Person bringing patient", | |
"questionOptions": { | |
"concept": "a8a0798a-1350-11df-a1f1-0026b9348838", | |
"rendering": "group" | |
}, | |
"questions": [ | |
{ | |
"label": "Person bringing patient:", | |
"questionOptions": { | |
"concept": "a898c01e-1350-11df-a1f1-0026b9348838", | |
"answers": [ | |
{ | |
"concept": "a898c0dc-1350-11df-a1f1-0026b9348838", | |
"label": "Mother" | |
}, | |
{ | |
"concept": "a898c1a4-1350-11df-a1f1-0026b9348838", | |
"label": "Father" | |
}, | |
{ | |
"concept": "a898c262-1350-11df-a1f1-0026b9348838", | |
"label": "Sibling" | |
}, | |
{ | |
"concept": "a8a171a0-1350-11df-a1f1-0026b9348838", | |
"label": "Childrens home" | |
}, | |
{ | |
"concept": "a89defe4-1350-11df-a1f1-0026b9348838", | |
"label": "Child" | |
}, | |
{ | |
"concept": "a89c9f54-1350-11df-a1f1-0026b9348838", | |
"label": "Paternal grandparent" | |
}, | |
{ | |
"concept": "a89c9e3c-1350-11df-a1f1-0026b9348838", | |
"label": "Maternal grandparent" | |
}, | |
{ | |
"concept": "a898c6f4-1350-11df-a1f1-0026b9348838", | |
"label": "Self" | |
}, | |
{ | |
"concept": "a89ebc80-1350-11df-a1f1-0026b9348838", | |
"label": "Spouse" | |
}, | |
{ | |
"concept": "a8a17470-1350-11df-a1f1-0026b9348838", | |
"label": "Paternal aunt" | |
}, | |
{ | |
"concept": "a8a17394-1350-11df-a1f1-0026b9348838", | |
"label": "Maternal aunt" | |
}, | |
{ | |
"concept": "a8a175f6-1350-11df-a1f1-0026b9348838", | |
"label": "Paternal uncle" | |
}, | |
{ | |
"concept": "a8a1752e-1350-11df-a1f1-0026b9348838", | |
"label": "Maternal uncle" | |
}, | |
{ | |
"concept": "a8aaf3e2-1350-11df-a1f1-0026b9348838", | |
"label": "Other" | |
} | |
], | |
"rendering": "select" | |
}, | |
"type": "obs" | |
} | |
] | |
}, | |
{ | |
"label": "Patient changed their residence:", | |
"questionOptions": { | |
"rendering": "select", | |
"concept": "d9a414af-021b-459f-bcea-4c88b1382e39", | |
"answers": [ | |
{ | |
"concept": "a899b35c-1350-11df-a1f1-0026b9348838", | |
"label": "Yes" | |
}, | |
{ | |
"concept": "a899b42e-1350-11df-a1f1-0026b9348838", | |
"label": "No" | |
} | |
] | |
}, | |
"type": "obs" | |
}, | |
{ | |
"label": "Mother deceased:", | |
"historicalExpression": "_.isEmpty(HD.getObject('prevEnc').getValue('a8a0b670-1350-11df-a1f1-0026b9348838')) ? undefined : HD.getObject('prevEnc').getValue('a8a0b670-1350-11df-a1f1-0026b9348838')", | |
"type": "obs", | |
"questionOptions": { | |
"rendering": "select", | |
"concept": "a8a0b670-1350-11df-a1f1-0026b9348838", | |
"answers": [ | |
{ | |
"concept": "a899b35c-1350-11df-a1f1-0026b9348838", | |
"label": "Yes" | |
}, | |
{ | |
"concept": "a899b42e-1350-11df-a1f1-0026b9348838", | |
"label": "No" | |
} | |
] | |
}, | |
"validators": [] | |
}, | |
{ | |
"label": "Father deceased:", | |
"historicalExpression": "_.isEmpty(HD.getObject('prevEnc').getValue('a8a0b788-1350-11df-a1f1-0026b9348838')) ? undefined : HD.getObject('prevEnc').getValue('a8a0b788-1350-11df-a1f1-0026b9348838')", | |
"type": "obs", | |
"questionOptions": { | |
"rendering": "select", | |
"concept": "a8a0b788-1350-11df-a1f1-0026b9348838", | |
"answers": [ | |
{ | |
"concept": "a899b35c-1350-11df-a1f1-0026b9348838", | |
"label": "Yes" | |
}, | |
{ | |
"concept": "a899b42e-1350-11df-a1f1-0026b9348838", | |
"label": "No" | |
} | |
] | |
}, | |
"validators": [] | |
} | |
] | |
}, | |
{ | |
"label": "Assessment Notes", | |
"isExpanded": "true", | |
"questions": [ | |
{ | |
"label": "Please enter the assessment below:", | |
"type": "obs", | |
"id": "assNote", | |
"required": "false", | |
"default": "", | |
"questionOptions": { | |
"concept": "23f710cc-7f9c-4255-9b6b-c3e240215dba", | |
"rendering": "textarea", | |
"rows": 5 | |
} | |
} | |
] | |
} | |
] | |
}, | |
{ | |
"label": "Family History", | |
"sections": [ | |
{ | |
"label": "Family History", | |
"questions": [ | |
{ | |
"label": "Family History", | |
"type": "obsGroup", | |
"questionOptions": { | |
"concept": "aeddf768-5ac0-45e4-934b-bf69730a8c2d", | |
"rendering": "repeating" | |
}, | |
"questions": [ | |
{ | |
"label": "Age of family member:", | |
"type": "obs", | |
"questionOptions": { | |
"rendering": "number", | |
"concept": "d67c7f03-7559-46bd-972b-6520769ec2b7", | |
"answers": [] | |
}, | |
"validators": [] | |
}, | |
{ | |
"label": "Relation:", | |
"type": "obs", | |
"questionOptions": { | |
"rendering": "select", | |
"concept": "2ec6c229-afb6-4d95-89d2-c2f5e2715e9a", | |
"answers": [ | |
{ | |
"concept": "a898c0dc-1350-11df-a1f1-0026b9348838", | |
"label": "Mother" | |
}, | |
{ | |
"concept": "a898c1a4-1350-11df-a1f1-0026b9348838", | |
"label": "Father" | |
}, | |
{ | |
"concept": "a898c262-1350-11df-a1f1-0026b9348838", | |
"label": "Sibling" | |
}, | |
{ | |
"concept": "a8a171a0-1350-11df-a1f1-0026b9348838", | |
"label": "Childrens home" | |
}, | |
{ | |
"concept": "a89defe4-1350-11df-a1f1-0026b9348838", | |
"label": "Child" | |
}, | |
{ | |
"concept": "a89c9f54-1350-11df-a1f1-0026b9348838", | |
"label": "Paternal grandparent" | |
}, | |
{ | |
"concept": "a89c9e3c-1350-11df-a1f1-0026b9348838", | |
"label": "Maternal grandparent" | |
}, | |
{ | |
"concept": "a898c6f4-1350-11df-a1f1-0026b9348838", | |
"label": "Self" | |
}, | |
{ | |
"concept": "a89ebc80-1350-11df-a1f1-0026b9348838", | |
"label": "Spouse" | |
}, | |
{ | |
"concept": "a8a17470-1350-11df-a1f1-0026b9348838", | |
"label": "Paternal aunt" | |
}, | |
{ | |
"concept": "a8a17394-1350-11df-a1f1-0026b9348838", | |
"label": "Maternal aunt" | |
}, | |
{ | |
"concept": "a8a175f6-1350-11df-a1f1-0026b9348838", | |
"label": "Paternal uncle" | |
}, | |
{ | |
"concept": "a8a1752e-1350-11df-a1f1-0026b9348838", | |
"label": "Maternal uncle" | |
}, | |
{ | |
"concept": "a8aaf3e2-1350-11df-a1f1-0026b9348838", | |
"label": "Other" | |
} | |
] | |
}, | |
"validators": [] | |
}, | |
{ | |
"label": "HIV status of family member:", | |
"type": "obs", | |
"questionOptions": { | |
"rendering": "select", | |
"concept": "e7de7f52-9d91-4be6-a369-6cde2fe2d9a6", | |
"answers": [ | |
{ | |
"concept": "a896f3a6-1350-11df-a1f1-0026b9348838", | |
"label": "Positive" | |
}, | |
{ | |
"concept": "a896d2cc-1350-11df-a1f1-0026b9348838", | |
"label": "Negative" | |
}, | |
{ | |
"concept": "a899b50a-1350-11df-a1f1-0026b9348838", | |
"label": "Unknown" | |
} | |
] | |
}, | |
"validators": [] | |
}, | |
{ | |
"label": "Year tested", | |
"type": "obs", | |
"questionOptions": { | |
"rendering": "number", | |
"concept": "2a1066f8-35c7-48b3-ad53-d692ca6bda3d", | |
"answers": [], | |
"min": "0" | |
}, | |
"validators": [] | |
}, | |
{ | |
"label": "In care?", | |
"type": "obs", | |
"questionOptions": { | |
"rendering": "select", | |
"concept": "85c60aac-51e2-411c-98c5-56ffc0169b11", | |
"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": "Family member deceased?", | |
"type": "obs", | |
"questionOptions": { | |
"rendering": "select", | |
"concept": "1158dfed-993a-477e-9ecc-ccdde2aa382c", | |
"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": "If deceased,HIV cause of death?", | |
"type": "obs", | |
"questionOptions": { | |
"rendering": "select", | |
"concept": "758c85ed-2239-470e-a8a4-d6083ab3d0ee", | |
"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": "On anti-TB meds", | |
"type": "obs", | |
"questionOptions": { | |
"rendering": "select", | |
"concept": "a8afcc82-1350-11df-a1f1-0026b9348838", | |
"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": "Treatment Supporter Details", | |
"questions": [ | |
{ | |
"type": "personName", | |
"label": "Name", | |
"id": "name", | |
"questionOptions": { | |
"rendering": "ui-select-extended" | |
} | |
}, | |
{ | |
"label": "Relationship:", | |
"questionOptions": { | |
"concept": "2ec6c229-afb6-4d95-89d2-c2f5e2715e9a", | |
"answers": [ | |
{ | |
"concept": "a898c0dc-1350-11df-a1f1-0026b9348838", | |
"label": "Mother" | |
}, | |
{ | |
"concept": "a898c1a4-1350-11df-a1f1-0026b9348838", | |
"label": "Father" | |
}, | |
{ | |
"concept": "a898c262-1350-11df-a1f1-0026b9348838", | |
"label": "Sibling" | |
}, | |
{ | |
"concept": "a8a171a0-1350-11df-a1f1-0026b9348838", | |
"label": "Childrens home" | |
}, | |
{ | |
"concept": "a89c9f54-1350-11df-a1f1-0026b9348838", | |
"label": "Paternal grandparent" | |
}, | |
{ | |
"concept": "a89c9e3c-1350-11df-a1f1-0026b9348838", | |
"label": "Maternal grandparent" | |
}, | |
{ | |
"concept": "a898c6f4-1350-11df-a1f1-0026b9348838", | |
"label": "Self" | |
}, | |
{ | |
"concept": "a89ebc80-1350-11df-a1f1-0026b9348838", | |
"label": "Spouse" | |
}, | |
{ | |
"concept": "a8a17470-1350-11df-a1f1-0026b9348838", | |
"label": "Paternal aunt" | |
}, | |
{ | |
"concept": "a8a17394-1350-11df-a1f1-0026b9348838", | |
"label": "Maternal aunt" | |
}, | |
{ | |
"concept": "a8a175f6-1350-11df-a1f1-0026b9348838", | |
"label": "Paternal uncle" | |
}, | |
{ | |
"concept": "a8a1752e-1350-11df-a1f1-0026b9348838", | |
"label": "Maternal uncle" | |
}, | |
{ | |
"concept": "a8aaf3e2-1350-11df-a1f1-0026b9348838", | |
"label": "Other" | |
} | |
], | |
"rendering": "select" | |
}, | |
"type": "obs" | |
} | |
] | |
} | |
] | |
}, | |
{ | |
"label": "Social History (For Youths)", | |
"sections": [ | |
{ | |
"label": "Social History", | |
"questions": [ | |
{ | |
"label": "Where do you stay?", | |
"id": "stay", | |
"type": "obs", | |
"questionOptions": { | |
"concept": "cdc577ea-fb94-4e51-86b9-00336560c0e9", | |
"rendering": "select", | |
"answers": [ | |
{ | |
"label": "Parent", | |
"concept": "a89ebec4-1350-11df-a1f1-0026b9348838" | |
}, | |
{ | |
"label": "Aunt", | |
"concept": "a8a17772-1350-11df-a1f1-0026b9348838" | |
}, | |
{ | |
"label": "Uncle", | |
"concept": "a898c3e8-1350-11df-a1f1-0026b9348838" | |
}, | |
{ | |
"label": "Grandparent", | |
"concept": "a898c32a-1350-11df-a1f1-0026b9348838" | |
}, | |
{ | |
"label": "Siblings", | |
"concept": "a898c262-1350-11df-a1f1-0026b9348838" | |
}, | |
{ | |
"label": "Other", | |
"concept": "a8aaf3e2-1350-11df-a1f1-0026b9348838" | |
} | |
] | |
} | |
}, | |
{ | |
"label": "Spend days on the street?", | |
"id": "spendDay", | |
"type": "obs", | |
"questionOptions": { | |
"concept": "5738416d-665d-4955-be8a-dec9339fc0a6", | |
"rendering": "select", | |
"answers": [ | |
{ | |
"label": "Yes", | |
"concept": "a899b35c-1350-11df-a1f1-0026b9348838" | |
}, | |
{ | |
"label": "No", | |
"concept": "a899b42e-1350-11df-a1f1-0026b9348838" | |
} | |
] | |
} | |
}, | |
{ | |
"label": "Spend nights on the street?", | |
"id": "spendNight", | |
"type": "obs", | |
"questionOptions": { | |
"concept": "fa40fa53-fdd4-4d17-a80e-190b47fab82a", | |
"rendering": "select", | |
"answers": [ | |
{ | |
"label": "Yes", | |
"concept": "a899b35c-1350-11df-a1f1-0026b9348838" | |
}, | |
{ | |
"label": "No", | |
"concept": "a899b42e-1350-11df-a1f1-0026b9348838" | |
} | |
] | |
} | |
}, | |
{ | |
"label": "If identifies with staying on the street, how long have you been involved with the street:", | |
"id": "streetInvolved", | |
"type": "obs", | |
"questionOptions": { | |
"concept": "1accf04f-99bc-44a4-b466-5f3075c3f15d", | |
"rendering": "select", | |
"answers": [ | |
{ | |
"label": "Less than 6 months", | |
"concept": "474551e6-9192-4cd8-a472-b12d481b5b6b" | |
}, | |
{ | |
"label": "6 months to 1 year", | |
"concept": "16162207-f6b6-4c1b-b2bd-95efc49242f0" | |
}, | |
{ | |
"label": "1-2years", | |
"concept": "fc9fe6c0-81a5-4cb4-a2a8-ad39fa9fd774" | |
}, | |
{ | |
"label": "2-5years", | |
"concept": "82682acf-8e0d-4c3d-beb8-b2927a428359" | |
}, | |
{ | |
"label": "Greater than 5 years", | |
"concept": "6c3df06c-8bc0-457d-9291-1a3ddca225c4" | |
} | |
] | |
} | |
}, | |
{ | |
"label": "Street involment:", | |
"type": "obsGroup", | |
"questionOptions": { | |
"id": "streetInvolment", | |
"concept": "1f42592a-5e61-47bc-b8af-1f0b95e008c9", | |
"rendering": "group" | |
}, | |
"questions": [ | |
{ | |
"label": "If involved with the street, in contact with any of the following", | |
"id": "streetContact", | |
"questionOptions": { | |
"concept": "0ed530ce-5658-45fe-aa57-6e49a7d2d430", | |
"rendering": "select", | |
"answers": [ | |
{ | |
"label": "None", | |
"concept": "a899e0ac-1350-11df-a1f1-0026b9348838" | |
}, | |
{ | |
"label": "Parents", | |
"concept": "a89ebec4-1350-11df-a1f1-0026b9348838" | |
}, | |
{ | |
"label": "GrandParents", | |
"concept": "a898c32a-1350-11df-a1f1-0026b9348838" | |
}, | |
{ | |
"label": "Other relatives", | |
"concept": "a8aaf3e2-1350-11df-a1f1-0026b9348838" | |
} | |
] | |
}, | |
"type": "obs", | |
"validators": [] | |
}, | |
{ | |
"label": "Other Relatives (specify):", | |
"type": "obs", | |
"questionOptions": { | |
"concept": "a8a06fc6-1350-11df-a1f1-0026b9348838", | |
"rendering": "text" | |
}, | |
"validators": [], | |
"hide": { | |
"hideWhenExpression": "streetContact !== 'a8aaf3e2-1350-11df-a1f1-0026b9348838'" | |
} | |
} | |
] | |
}, | |
{ | |
"label": "How often are you in contact with your family?", | |
"id": "familyContact", | |
"type": "obs", | |
"questionOptions": { | |
"concept": "c8c36b3c-f7c8-468a-acc2-b0b2b3d69f79", | |
"rendering": "select", | |
"answers": [ | |
{ | |
"label": "Daily", | |
"concept": "a8a05dc4-1350-11df-a1f1-0026b9348838" | |
}, | |
{ | |
"label": "Weekly", | |
"concept": "a899d8d2-1350-11df-a1f1-0026b9348838" | |
}, | |
{ | |
"label": "At least once every month", | |
"concept": "a899d7f6-1350-11df-a1f1-0026b9348838" | |
}, | |
{ | |
"label": "A few times in a year", | |
"concept": "ea2cc3f3-dcb1-4502-b7bc-140ec95bb21b" | |
}, | |
{ | |
"label": "Not at all", | |
"concept": "a899d120-1350-11df-a1f1-0026b9348838" | |
} | |
] | |
} | |
} | |
] | |
} | |
] | |
}, | |
{ | |
"label": "Education (For Youths)", | |
"sections": [ | |
{ | |
"label": "Education", | |
"questions": [ | |
{ | |
"label": "Have you ever attended school?", | |
"id": "everAttendedSchool", | |
"questionOptions": { | |
"concept": "a8aae64a-1350-11df-a1f1-0026b9348838", | |
"answers": [ | |
{ | |
"concept": "a899b35c-1350-11df-a1f1-0026b9348838", | |
"label": "Yes" | |
}, | |
{ | |
"concept": "a899b42e-1350-11df-a1f1-0026b9348838", | |
"label": "No" | |
} | |
], | |
"rendering": "select" | |
}, | |
"type": "obs", | |
"validators": [] | |
}, | |
{ | |
"label": "Are you currently attending school?", | |
"id": "currInSchool", | |
"questionOptions": { | |
"concept": "67301b7e-6c84-4455-8de6-b8f6dfdc5f56", | |
"answers": [ | |
{ | |
"concept": "a899b35c-1350-11df-a1f1-0026b9348838", | |
"label": "Yes" | |
}, | |
{ | |
"concept": "a899b42e-1350-11df-a1f1-0026b9348838", | |
"label": "No" | |
}, | |
{ | |
"concept": "a89c1ef8-1350-11df-a1f1-0026b9348838", | |
"label": "Completed" | |
} | |
], | |
"rendering": "select" | |
}, | |
"type": "obs", | |
"validators": [] | |
}, | |
{ | |
"label": "If yes, what is the highest level you attained?", | |
"id": "levelCompleted", | |
"questionOptions": { | |
"concept": "a89e48ae-1350-11df-a1f1-0026b9348838", | |
"rendering": "select", | |
"answers": [ | |
{ | |
"concept": "1627a701-0840-4e2e-8543-3bc4d0df1cbe", | |
"label": "Pre unit" | |
}, | |
{ | |
"concept": "a8afe910-1350-11df-a1f1-0026b9348838", | |
"label": "Primary" | |
}, | |
{ | |
"concept": "a8afe9d8-1350-11df-a1f1-0026b9348838", | |
"label": "Secondary" | |
}, | |
{ | |
"concept": "a8afea96-1350-11df-a1f1-0026b9348838", | |
"label": "College" | |
}, | |
{ | |
"concept": "a89e4728-1350-11df-a1f1-0026b9348838", | |
"label": "University" | |
} | |
] | |
}, | |
"type": "obs", | |
"validators": [] | |
}, | |
{ | |
"label": "Not in school:", | |
"type": "obsGroup", | |
"questionOptions": { | |
"id": "notInSchool", | |
"concept": "86b7f0b6-2163-493f-8205-55bbde0a0cdd", | |
"rendering": "group" | |
}, | |
"questions": [ | |
{ | |
"label": "If no,why do you not attend school:", | |
"id": "notInSchool", | |
"questionOptions": { | |
"concept": "70505673-be4c-44eb-9196-bb114f291dba", | |
"answers": [ | |
{ | |
"concept": "6444e4ba-447b-4ccc-adbd-ac6416b7c5f8", | |
"label": "Lack of school uniform" | |
}, | |
{ | |
"concept": "d07dab51-304d-4277-ba31-7031ae6c2f78", | |
"label": "Fees" | |
}, | |
{ | |
"concept": "a89de2d8-1350-11df-a1f1-0026b9348838", | |
"label": "Illness" | |
}, | |
{ | |
"concept": "a89de526-1350-11df-a1f1-0026b9348838", | |
"label": "School is far" | |
}, | |
{ | |
"concept": "7e7d4555-362a-498a-b5ed-abcddcfce2a7", | |
"label": "Personal choice" | |
}, | |
{ | |
"concept": "a89ecb6c-1350-11df-a1f1-0026b9348838", | |
"label": "Taking care of younger siblings" | |
}, | |
{ | |
"concept": "cfa0df75-6932-4d5a-b9bb-8133fb8771fb", | |
"label": "To get money or food on the street" | |
}, | |
{ | |
"concept": "a8aaf3e2-1350-11df-a1f1-0026b9348838", | |
"label": "Other:" | |
} | |
], | |
"rendering": "multiCheckbox" | |
}, | |
"type": "obs", | |
"validators": [] | |
}, | |
{ | |
"label": "Other(specify):", | |
"id": "otherReasonSpec", | |
"type": "obs", | |
"questionOptions": { | |
"concept": "a8a06fc6-1350-11df-a1f1-0026b9348838", | |
"rendering": "text" | |
}, | |
"validators": [] | |
} | |
] | |
} | |
] | |
} | |
] | |
}, | |
{ | |
"label": "Nutrition (For Youths)", | |
"sections": [ | |
{ | |
"label": "Nutrition Meals", | |
"questions": [ | |
{ | |
"label": "How often do you miss meals for an entire day?", | |
"type": "obs", | |
"questionOptions": { | |
"concept": "a89ce388-1350-11df-a1f1-0026b9348838", | |
"answers": [ | |
{ | |
"concept": "a899d120-1350-11df-a1f1-0026b9348838", | |
"label": "Never" | |
}, | |
{ | |
"concept": "a899d7f6-1350-11df-a1f1-0026b9348838", | |
"label": "Monthly" | |
}, | |
{ | |
"concept": "a899d8d2-1350-11df-a1f1-0026b9348838", | |
"label": "Weekly" | |
}, | |
{ | |
"concept": "65831439-8ba0-4c64-ab62-1f7b7f548fb7", | |
"label": "Few times per week" | |
}, | |
{ | |
"concept": "a8a05dc4-1350-11df-a1f1-0026b9348838", | |
"label": "Daily" | |
} | |
], | |
"rendering": "select" | |
} | |
} | |
] | |
} | |
] | |
}, | |
{ | |
"label": "Reproductive Health (For Youths)", | |
"sections": [ | |
{ | |
"label": "Reproductive Health", | |
"questions": [ | |
{ | |
"label": "Have you started having your monthly period?", | |
"id": "monthlyPeriod", | |
"type": "obs", | |
"questionOptions": { | |
"concept": "a8a185d2-1350-11df-a1f1-0026b9348838", | |
"rendering": "select", | |
"answers": [ | |
{ | |
"label": "Present", | |
"concept": "a8a4bd42-1350-11df-a1f1-0026b9348838" | |
}, | |
{ | |
"label": "Absent", | |
"concept": "a8a4bc84-1350-11df-a1f1-0026b9348838" | |
} | |
] | |
} | |
}, | |
{ | |
"label": "LMP:", | |
"id": "lastPeriod", | |
"questionOptions": { | |
"concept": "a89ff758-1350-11df-a1f1-0026b9348838", | |
"rendering": "date" | |
}, | |
"type": "obs", | |
"validators": [ | |
{ | |
"type": "date" | |
} | |
], | |
"hide": { | |
"hideWhenExpression": "sex !== 'F'" | |
} | |
}, | |
{ | |
"label": "If you have ever had sex, have you ever been pregnant?", | |
"id": "everPregnant", | |
"type": "obs", | |
"questionOptions": { | |
"concept": "1e5f1722-2989-4dab-a63e-416625382b68", | |
"rendering": "select", | |
"answers": [ | |
{ | |
"label": "Yes", | |
"concept": "a899b35c-1350-11df-a1f1-0026b9348838" | |
}, | |
{ | |
"label": "No", | |
"concept": "a899b42e-1350-11df-a1f1-0026b9348838" | |
} | |
] | |
} | |
}, | |
{ | |
"label": "At what age did you have your first pregnancy:", | |
"type": "obs", | |
"id": "ageFirstPregn", | |
"questionOptions": { | |
"concept": "4ebfed33-debf-481a-b263-62c336115f58", | |
"rendering": "number", | |
"max": "50", | |
"min": "8" | |
} | |
}, | |
{ | |
"label": "Are you currently pregnant?", | |
"id": "currentlyPregnant", | |
"type": "obs", | |
"questionOptions": { | |
"concept": "a8a710ba-1350-11df-a1f1-0026b9348838", | |
"rendering": "select", | |
"answers": [ | |
{ | |
"label": "Yes", | |
"concept": "a899b35c-1350-11df-a1f1-0026b9348838" | |
}, | |
{ | |
"label": "No", | |
"concept": "a899b42e-1350-11df-a1f1-0026b9348838" | |
} | |
] | |
} | |
}, | |
{ | |
"label": "If currently pregnant, are you enrolled to ANC?", | |
"id": "ANCEnrolled", | |
"type": "obs", | |
"questionOptions": { | |
"concept": "a8a18140-1350-11df-a1f1-0026b9348838", | |
"rendering": "select", | |
"answers": [ | |
{ | |
"label": "Yes", | |
"concept": "a899b35c-1350-11df-a1f1-0026b9348838" | |
}, | |
{ | |
"label": "No", | |
"concept": "a899b42e-1350-11df-a1f1-0026b9348838" | |
} | |
] | |
} | |
}, | |
{ | |
"label": "How many pregnancies have you had", | |
"type": "obs", | |
"id": "gravida", | |
"questionOptions": { | |
"concept": "a8aaf59a-1350-11df-a1f1-0026b9348838", | |
"rendering": "number", | |
"max": "50" | |
} | |
}, | |
{ | |
"label": "How many pregnancies have you delivered", | |
"type": "obs", | |
"id": "parity", | |
"questionOptions": { | |
"concept": "a899a920-1350-11df-a1f1-0026b9348838", | |
"rendering": "number" | |
} | |
}, | |
{ | |
"label": "How many of your children live with you", | |
"type": "obs", | |
"id": "numberChildren", | |
"questionOptions": { | |
"concept": "a89eed5e-1350-11df-a1f1-0026b9348838", | |
"rendering": "number" | |
} | |
}, | |
{ | |
"label": "Are you circumcised(males only)?", | |
"id": "circumcised", | |
"type": "obs", | |
"questionOptions": { | |
"concept": "a8a18690-1350-11df-a1f1-0026b9348838", | |
"rendering": "select", | |
"answers": [ | |
{ | |
"label": "Yes", | |
"concept": "a899b35c-1350-11df-a1f1-0026b9348838" | |
}, | |
{ | |
"label": "No", | |
"concept": "a899b42e-1350-11df-a1f1-0026b9348838" | |
} | |
] | |
} | |
} | |
] | |
} | |
] | |
}, | |
{ | |
"label": "Relationship (Peds Only)", | |
"isExpanded": "true", | |
"sections": [ | |
{ | |
"label": "Relationship", | |
"questions": [ | |
{ | |
"label": "Siblings less than 18 months:", | |
"type": "obs", | |
"questionOptions": { | |
"rendering": "select", | |
"concept": "a8a0bbde-1350-11df-a1f1-0026b9348838", | |
"answers": [ | |
{ | |
"concept": "a899b35c-1350-11df-a1f1-0026b9348838", | |
"label": "Yes" | |
}, | |
{ | |
"concept": "a899b42e-1350-11df-a1f1-0026b9348838", | |
"label": "No" | |
}, | |
{ | |
"concept": "a89ad3a4-1350-11df-a1f1-0026b9348838", | |
"label": "N/A" | |
} | |
] | |
}, | |
"validators": [ | |
{ | |
"type": "js_expression", | |
"failsWhenExpression": "isEmpty(myValue) && age <=14", | |
"message": "Patient selected is pediatric. Please provide relationship information." | |
} | |
], | |
"hide": { | |
"hideWhenExpression": "age>14" | |
} | |
}, | |
{ | |
"label": "If yes for siblings < 18 months, are they registered in pediatric HIV clinic:", | |
"type": "obs", | |
"questionOptions": { | |
"rendering": "select", | |
"concept": "a8a0bd00-1350-11df-a1f1-0026b9348838", | |
"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": [ | |
{ | |
"type": "js_expression", | |
"failsWhenExpression": "isEmpty(myValue) && age <=14", | |
"message": "Patient selected is pediatric. Please provide relationship information." | |
} | |
], | |
"hide": { | |
"hideWhenExpression": "age>14" | |
} | |
} | |
] | |
} | |
] | |
} | |
] | |
} |
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