diff --git a/omod/src/main/webapp/resources/jsonforms/HMIS-MCH-008-IntegratedPostnatalRegister.json b/omod/src/main/webapp/resources/jsonforms/HMIS-MCH-008-IntegratedPostnatalRegister.json new file mode 100644 index 000000000..e65f701df --- /dev/null +++ b/omod/src/main/webapp/resources/jsonforms/HMIS-MCH-008-IntegratedPostnatalRegister.json @@ -0,0 +1,1267 @@ +{ + "name": "HMIS MCH 008 - Integrated Postnatal Register", + "version": "4.0.0", + "description": "Encounter form for patients enrolled for PNC services", + "encounterType": "fa6f3ff5-b784-43fb-ab35-a08ab7dbf074", + "encounter": "PNC - Encounter", + "uuid": "f98a99f5-e750-4e06-92da-1385dc608541", + "processor": "EncounterFormProcessor", + "published": true, + "retired": false, + "pages": [ + { + "label": "Mother's/Father's Information", + "sections": [ + { + "label": "Mother's Information", + "isExpanded": "true", + "questions": [ + { + "label": "Serial No", + "type": "obs", + "required": "true", + "id": "serialNumber", + "questionOptions": { + "rendering": "text", + "concept": "1646AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [], + "answers": [] + }, + "validators": [] + }, + { + "label": "Client No", + "type": "obs", + "required": "true", + "id": "clientNumber", + "questionOptions": { + "rendering": "text", + "concept": "ef1f4c7a-2b90-4412-83bb-87ae8094ce4c", + "conceptMappings": [], + "answers": [] + }, + "validators": [] + }, + { + "label": "INR No", + "type": "obs", + "required": "fale", + "id": "inrNumber", + "questionOptions": { + "rendering": "number", + "concept": "b644c29c-9bb0-447e-9f73-2ae89496a709", + "conceptMappings": [], + "answers": [] + }, + "validators": [] + }, + { + "label": "Father's Name", + "type": "obs", + "required": "false", + "id": "fathersName", + "questionOptions": { + "rendering": "text", + "concept": "e96d0880-e80e-4088-9787-bb2623fd46af", + "conceptMappings": [], + "answers": [] + }, + "validators": [] + }, + { + "label": "Father's Contact", + "type": "obs", + "required": "false", + "id": "fathersContact", + "questionOptions": { + "rendering": "text", + "concept": "dce17480-30ab-102d-86b0-7a5022ba4115", + "conceptMappings": [], + "answers": [] + }, + "validators": [] + }, + { + "label": "Timing of PNC Visit", + "type": "obs", + "id": "pncTimingVisit", + "questionOptions": { + "rendering": "select", + "concept": "c7700c4f-3dc6-4270-ba0d-dd42c0557027", + "answers": [ + { + "concept": "d0d97e19-4955-4dc8-93bb-d29084f48d4e", + "label": "PNC at 6 days", + "conceptMappings": [] + }, + { + "concept": "b86c8e18-2c4e-4b0f-b7a4-9442c6a90102", + "label": "PNC at 6 weeks", + "conceptMappings": [] + }, + { + "concept": "2fdad88f-23a2-45f1-8e16-618e28ea2d83", + "label": "PNC at 6 months", + "conceptMappings": [] + } + ] + } + }, + { + "label": "Client counseled and linked to Family Planning Services", + "type": "obs", + "id": "clientLinkedForFpServices", + "questionOptions": { + "rendering": "radio", + "concept": "0815c786-5994-49e4-aa07-28b662b0e428", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes", + "conceptMappings": [] + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No", + "conceptMappings": [] + } + ] + } + } + ] + }, + { + "label": "Breast Examination", + "isExpanded": "true", + "questions": [ + { + "label": "Status of the breast", + "type": "obs", + "id": "breastStatus", + "questionOptions": { + "rendering": "select", + "concept": "07c10f5c-17fd-4a7e-8d72-c2252f589da0", + "answers": [ + { + "concept": "e4c6b70d-aaa6-490b-8edc-01c44d982cb2", + "label": "FOM - Free Of Malignancy", + "conceptMappings": [] + }, + { + "concept": "5e416f86-aaf1-4ae4-96f0-30226b9fdd5f", + "label": "SS - Suspicious Of Malignancy", + "conceptMappings": [] + }, + { + "concept": "dc9825cf-30ab-102d-86b0-7a5022ba4115", + "label": "ND - Not Done", + "conceptMappings": [] + } + ] + } + } + ] + }, + { + "label": "Cervical Cancer Screening", + "isExpanded": "true", + "questions": [ + { + "label": "Cervical cancer screening method", + "type": "obs", + "id": "cervicalCancerScreeningMethod", + "questionOptions": { + "rendering": "select", + "concept": "bd0c20f2-39a5-4d82-ad69-742e7b67e447", + "answers": [ + { + "concept": "159859AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "HPV", + "conceptMappings": [] + }, + { + "concept": "6155ab75-5849-4130-ba07-0bb9da59f595", + "label": "VIA", + "conceptMappings": [] + }, + { + "concept": "dc8e17cc-30ab-102d-86b0-7a5022ba4115", + "label": "Pap Smear", + "conceptMappings": [] + } + ] + } + }, + { + "label": "Cervical cancer screening status", + "type": "obs", + "id": "cervicalCancerScreeningStatus", + "questionOptions": { + "rendering": "select", + "concept": "d3ac6593-b782-4ba9-9ff9-f320e59c6417", + "answers": [ + { + "concept": "dc85aa72-30ab-102d-86b0-7a5022ba4115", + "label": "Negative", + "conceptMappings": [] + }, + { + "concept": "dc866728-30ab-102d-86b0-7a5022ba4115", + "label": "Positive", + "conceptMappings": [] + }, + { + "concept": "03a2a1b7-f1c0-4655-a26b-9053e8c57fa4", + "label": "Suspicious of Cancer", + "conceptMappings": [] + }, + { + "concept": "5b3f1946-a7e2-11ed-afa1-0242ac120002", + "label": "Invasive Cancer", + "conceptMappings": [] + }, + { + "concept": "dca26f78-30ab-102d-86b0-7a5022ba4115", + "label": "Not Eligible", + "conceptMappings": [] + }, + { + "concept": "dc9825cf-30ab-102d-86b0-7a5022ba4115", + "label": "Not Done", + "conceptMappings": [] + } + ] + } + } + ] + }, + { + "label": "Cervical Cancer Treatment", + "isExpanded": "true", + "questions": [ + { + "label": "Cervical cancer treatment given", + "type": "obs", + "id": "cervicalCancerScreeningTreatment", + "questionOptions": { + "rendering": "selecet", + "concept": "6f1baf4c-1cdd-44a5-a48e-909391ed05f2", + "answers": [ + { + "concept": "c09f8971-8bf4-4624-b9f2-a62bfea92c67", + "label": "Thermocoagulation", + "conceptMappings": [] + }, + { + "concept": "12f92268-8e92-4c4e-8b8d-53b81c1c361d", + "label": "LEEP", + "conceptMappings": 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"c872b356-46fc-11ee-be56-0242ac120002", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes", + "conceptMappings": [] + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No", + "conceptMappings": [] + } + ] + } + }, + { + "label": "TB No", + "type": "obs", + "required": "true", + "id": "tbNumber", + "questionOptions": { + "rendering": "text", + "concept": "67e9ec2f-4c72-408b-8122-3706909d77ec", + "conceptMappings": [], + "answers": [] + }, + "validators": [] + } + ] + }, + { + "label": "HIV STK Kit Information", + "isExpanded": "true", + "questions": [ + { + "label": "HIV Status", + "type": "obs", + "id": "hivStatus", + "required": "false", + "questionOptions": { + "concept": "1f98a7e6-4d0a-4008-a6f7-4ec118f08983", + "rendering": "select", + "answers": [ + { + "concept": "dcdf4241-30ab-102d-86b0-7a5022ba4115", + "label": "Positive" + }, + { + "concept": "dcdf4653-30ab-102d-86b0-7a5022ba4115", + "label": "Negative" + }, + { + "concept": "4d9159a2-37a6-4115-afe3-3f70050c4df3", + "label": "Inconclusive HIV Results" + }, + { + "concept": "dcd6865a-30ab-102d-86b0-7a5022ba4115", + "label": "Unknown" + } + ] + } + }, + { + "label": "Timing", + "type": "obs", + "id": "timing", + "required": "false", + "questionOptions": { + "concept": "", + "rendering": "select", + "answers": [ + { + "concept": "", + "label": "1st Time" + }, + { + "concept": "", + "label": "Re-Attd" + }, + { + "concept": "", + "label": "Retest" + }, + { + "concept": "6e46ac6b-944d-4a66-a994-b99ae90d4fed", + "label": "Known Positive" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(hivStatus) || hivStatus !== 'dcdf4241-30ab-102d-86b0-7a5022ba4115'" + } + }, + { + "label": "TFV", + "type": "obs", + "id": "tfv", + "required": "false", + "questionOptions": { + "concept": "d0cd851a-0a11-4196-b0ac-459bf003594f", + "rendering": "select", + "answers": [ + { + "concept": "dcdf4241-30ab-102d-86b0-7a5022ba4115", + "label": "Positive" + }, + { + "concept": "dcdf4653-30ab-102d-86b0-7a5022ba4115", + "label": "Negative" + }, + { + "concept": "4d9159a2-37a6-4115-afe3-3f70050c4df3", + "label": "Inconclusive HIV Results" + }, + { + "concept": "dcd6865a-30ab-102d-86b0-7a5022ba4115", + "label": "Unknown" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(hivStatus) || hivStatus !== 'dcdf4241-30ab-102d-86b0-7a5022ba4115'" + } + }, + { + "label": "Received HIV STK Kit", + "type": "obs", + "id": "receivedHivStkKit", + "questionOptions": { + "concept": "609c9aee-92b3-4e17-828a-efc7933f2ecf", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes", + "conceptMappings": [] + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No", + "conceptMappings": [] + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(hivStatus) || hivStatus !== 'dcdf4241-30ab-102d-86b0-7a5022ba4115'" + } + } + ] + }, + { + "label": "HIV STK Result (Partner)", + "isExpanded": "true", + "questions": [ + { + "label": "Age", + "type": "obs", + "id": "ageOfPartner", + "questionOptions": { + "concept": "dc919a6d-30ab-102d-86b0-7a5022ba4115", + "rendering": "text" + } + }, + { + "label": "HIV Status", + "type": "obs", + "id": "partnerHivStatus", + "required": "false", + "questionOptions": { + "concept": "1f98a7e6-4d0a-4008-a6f7-4ec118f08983", + "rendering": "select", + "answers": [ + { + "concept": "dcdf4241-30ab-102d-86b0-7a5022ba4115", + "label": "Positive" + }, + { + "concept": "dcdf4653-30ab-102d-86b0-7a5022ba4115", + "label": "Negative" + }, + { + "concept": "4d9159a2-37a6-4115-afe3-3f70050c4df3", + "label": "Inconclusive HIV Results" + }, + { + "concept": "dcd6865a-30ab-102d-86b0-7a5022ba4115", + "label": "Unknown" + } + ] + } + }, + { + "label": "TFV", + "type": "obs", + "id": "partnerTfv", + "required": "false", + "questionOptions": { + "concept": "03aad24f-b80f-4f17-af88-90b83592d044", + "rendering": "select", + "answers": [ + { + "concept": 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"required": "false", + "id": "partnerArtCode", + "questionOptions": { + "rendering": "select", + "concept": "11dafd93-23c1-4b89-86e0-593e5f7ca386", + "conceptMappings": [], + "answers": [ + { + "concept": "026e31b7-4a26-44d0-8398-9a41c40ff7d3", + "label": "New", + "conceptMappings": [] + }, + { + "concept": "6e46ac6b-944d-4a66-a994-b99ae90d4fed", + "label": "Known ART", + "conceptMappings": [] + }, + { + "concept": "2c000b41-f9d7-40c1-8de0-bce91dbae932", + "label": "Refill", + "conceptMappings": [] + }, + { + "concept": "dc9b0596-30ab-102d-86b0-7a5022ba4115", + "label": "Not Applicable", + "conceptMappings": [] + }, + { + "concept": "", + "label": "No Drugs", + "conceptMappings": [] + } + ] + } + }, + { + "label": "Pre-ART No", + "type": "obs", + "required": "false", + "id": "partnerPreArtNumber", + "questionOptions": { + "rendering": "text", + "concept": "723c45bf-57eb-4865-b5c9-4a0ad6a36522", + "conceptMappings": [], + "answers": [] + }, + "validators": [] + } + ] + }, + { + "label": "PrEP Screening", + "isExpanded": "true", + "questions": [ + { + "label": "Screened for PrEP", + "type": "obs", + "id": "prepScreening", + "questionOptions": { + "rendering": "radio", + "concept": "", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes", + "conceptMappings": [] + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No", + "conceptMappings": [] + } + ] + } + }, + { + "label": "Eligible for PrEP", + "type": "obs", + "id": "prepEligible", + "questionOptions": { + "rendering": "radio", + "concept": "", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes", + "conceptMappings": [] + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No", + "conceptMappings": [] + } + ] + }, + "hide": { + "hideWhenExpression": "prepScreening !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + } + ] + }, + { + "label": "CD4 Results, CD4 Date", + "isExpanded": "true", + "questions": [ + { + "label": "CD4 Results", + "type": "obs", + "id": "cd4TestResult", + "questionOptions": { + "rendering": "number", + "concept": "dcbcba2c-30ab-102d-86b0-7a5022ba4115" + }, + "validators": [] + }, + { + "label": "Date CD4 Sample collected", + "type": "obs", + "id": "cd4SampleCollectionDate", + "questionOptions": { + "rendering": "date", + "concept": "1ae6f663-d3b0-4527-bb8f-4ed18a9ca96c" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ] + } + ] + }, + { + "label": "WHO Clinical Stage", + "isExpanded": "true", + "questions": [ + { + "label": "WHO Clinical Stage", + "type": "obs", + "required": "false", + "id": "whoClinicalStage", + "questionOptions": { + "rendering": "select", + "concept": "39243cef-b375-44b1-9e79-cbf21bd10878", + "conceptMappings": [], + "answers": [ + { + "concept": "dc9b8cd1-30ab-102d-86b0-7a5022ba4115", + "label": "Stage 1" + }, + { + "concept": "dc9b9113-30ab-102d-86b0-7a5022ba4115", + "label": "Stage 2" + }, + { + "concept": 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+ { + "label": "Viral Load Results (copies/ml)", + "type": "obs", + "id": "vlresults", + "questionOptions": { + "rendering": "number", + "concept": "dc8d83e3-30ab-102d-86b0-7a5022ba4115", + "conceptMappings": [], + "answers": [] + }, + "validators": [], + "hide": { + "hideWhenExpression": "eligibleForVl !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + } + ] + }, + { + "label": "Treatment(s) Offered", + "isExpanded": "true", + "questions": [ + { + "label": "Routine Medication", + "type": "obs", + "id": "routineMedication", + "questionOptions": { + "rendering": "radio", + "concept": "673d99cc-79a9-45a6-ba84-ecd3e9e793ef", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes", + "conceptMappings": [] + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No", + "conceptMappings": [] + } + ] + } + }, + { + "label": "Routine Administration", + "type": "obs", + "id": "routineAdministration", + "questionOptions": { + "rendering": 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], + "referencedForms": [] +} \ No newline at end of file