diff --git a/distro/configuration/ampathforms/structured_soap_note_v1.0.json b/distro/configuration/ampathforms/structured_soap_note_v1.0.json new file mode 100644 index 000000000..505b289a8 --- /dev/null +++ b/distro/configuration/ampathforms/structured_soap_note_v1.0.json @@ -0,0 +1,2541 @@ +{ + "name": "Structured Clinical Encounter Form", + "description": "A form used to collect clinical information in a structured form", + "version": "1.0", + "published": true, + "uuid": "", + "retired": false, + "encounter": "Consultation", + "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": "false", + "id": "visitType", + "questionOptions": { + "rendering": "radio", + "concept": "164181AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "164181" + } + ], + "answers": [ + { + "concept": "164180AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "New visit" + }, + { + "concept": "160530AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Return Visit" + } + ] + } + } + ] + } + ] + }, + { + "label": "Subjective History", + "sections": [ + { + "label": "Complaints and History of complaints", + "isExpanded": "true", + "questions": [ + { + "label": "History of Presenting Complaints", + "type": "obsGroup", + "id": "chiefComplaint", + "questionOptions": { + "concept": "1390AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "repeating" + }, + "validators": [], + "hide": {}, + "questions": [ + { + "label": "Complaint", + "type": "obs", + "id": "Complaint", + "questionOptions": { + "concept": "5219AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "151AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Abdominal pain" + }, + { + "concept": "141631AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Abnormal Uterine Bleeding" + }, + { + "concept": "121543AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Anxiety" + }, + { + "concept": "148035AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Back pain" + }, + { + "concept": "840AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Bloody Urine" + }, + { + "concept": "117671AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Blood in stool" + }, + { + "concept": "131021AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Breast Pain" + }, + { + "concept": "120749AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Chest Pain" + }, + { + "concept": "871AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cold and Chills" + }, + { + "concept": "120345AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Confusion" + }, + { + "concept": "143264AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cough" + }, + { + "concept": "113054AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Convulsions" + }, + { + "concept": "144576AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Coma" + }, + { + "concept": "106AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Coryza" + }, + { + "concept": "143129AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Crying Infant" + }, + { + "concept": "119574AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Delirium" + }, + { + "concept": "119537AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Depression" + }, + { + "concept": "142412AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Diarrhea" + }, + { + "concept": "122496AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Difficult in breathing" + }, + { + "concept": "118789AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Difficulty in swallowing" + }, + { + "concept": "142247AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Discharge from Penis" + }, + { + "concept": "141830AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dizziness" + }, + { + "concept": "141585AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Ear Pain" + }, + { + "concept": "141128AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Epigastric Pain" + }, + { + "concept": "131040AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Eye Pain" + }, + { + "concept": "140941AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Excessive Sweating" + }, + { + "concept": "114399AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Facial Pain" + }, + { + "concept": "162626AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Fatigue/weakness" + }, + { + "concept": "140070AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Flank Pain" + }, + { + "concept": "140238AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Fever" + }, + { + "concept": "135462AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Genital Ulcer" + }, + { + "concept": "139084AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Headache" + }, + { + "concept": "117698AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hearing Loss" + }, + { + "concept": "116214AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hypotension" + }, + { + "concept": "879AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Itchiness/Pruritus" + }, + { + "concept": "116558AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Joint Pain" + }, + { + "concept": "114395AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Leg Pain" + }, + { + "concept": "116334AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Lethargy" + }, + { + "concept": "135595AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Loss of Appetite" + }, + { + "concept": "135488AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Lymphadenopathy" + }, + { + "concept": "121657AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Memory Loss" + }, + { + "concept": "111721AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Mouth Ulceration" + }, + { + "concept": "131015AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Mouth Pain" + }, + { + "concept": "133028AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Muscle cramps" + }, + { + "concept": "133632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Muscle Pain" + }, + { + "concept": "121AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Mylagia" + }, + { + "concept": "5978AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Nausea" + }, + { + "concept": "133469AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Neck Pain" + }, + { + "concept": "133027AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Night sweats" + }, + { + "concept": "132653AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Numbness" + }, + { + "concept": "162628AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Unexplained bleeding" + }, + { + "concept": "125225AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Pain when Swallowing" + }, + { + "concept": "131034AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Pelvic Pain" + }, + { + "concept": "5953AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Poor Vision" + }, + { + "concept": "512AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Rash" + }, + { + "concept": "127777AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Red Eye" + }, + { + "concept": "6017AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Refusal to feed" + }, + { + "concept": "113224AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Running/Blocked nose" + }, + { + "concept": "131032AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Scrotal Pain" + }, + { + "concept": "206AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Seizure" + }, + { + "concept": "126535AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Shoulder Pain" + }, + { + "concept": "112989AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Shock" + }, + { + "concept": "158843AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Sore Throat" + }, + { + "concept": "141597AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Sleep Disturbance" + }, + { + "concept": "125198AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Swollen Legs" + }, + { + "concept": "112200AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Tremors" + }, + { + "concept": "160208AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Urinary Symptoms" + }, + { + "concept": "157498AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Weakness of Limbs" + }, + { + "concept": "832AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Weight Loss" + }, + { + "concept": "123396AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Vaginal Discharge" + }, + { + "concept": "122983AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Vomiting" + }, + { + "concept": "111525AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Vertigo" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Other" + } + ] + } + }, + { + "label": "Specify other complaints", + "type": "obs", + "id": "OtherComplaints", + "questionOptions": { + "concept": "160531AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "validators": [], + "hide": { + "hideWhenExpression": "Complaint !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Duration (Days)", + "type": "obs", + "id": "complaintDuration", + "questionOptions": { + "concept": "1731AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "min": "0" + }, + "validators": [] + }, + { + "label": "Onset Date", + "type": "obs", + "id": "complaintsOnset", + "questionOptions": { + "concept": "159948AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "date" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ] + } + ] + }, + { + "label": "Chief complaint (text)", + "type": "obs", + "id": "chiefComplaintTxt", + "questionOptions": { + "concept": "160531AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "validators": [], + "hide": { + "hideWhenExpression": "" + } + } + ] + }, + { + "label": "Past Medication History", + "isExpanded": "true", + "questions": [ + { + "label": "Past medical & Surgical history narrative", + "type": "obs", + "id": "pmhx", + "questionOptions": { + "rendering": "textarea", + "concept": "164181AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [] + }, + "hide": { + "hideWhenExpression": "" + } + } + ] + }, + { + "label": "Menstrual History", + "isExpanded": "true", + "questions": [ + { + "label": "Last Menstrual Period", + "type": "obs", + "id": "lmp", + "questionOptions": { + "rendering": "date", + "concept": "1427AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [] + }, + "hide": { + "hideWhenExpression": "sex !== 'F' ||sex === 'F' && (age < 10 || age > 49)", + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ] + } + }, + { + "label": "Is client pregnant?", + "type": "obs", + "id": "pregnancy", + "questionOptions": { + "concept": "5272AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Unknown" + } + ] + }, + "hide": { + "hideWhenExpression": "sex !== 'F' ||sex === 'F' && (age < 10 || age > 49)" + } + }, + { + "label": "Expected Date of Delivery (EDD)", + "type": "obs", + "id": "edd", + "questionOptions": { + "concept": "5596AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "date" + }, + "hide": { + "hideWhenExpression": "sex !== 'F' && (age < 10 || age > 49) || pregnancy !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA '" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "true" + } + ] + } + ] + }, + { + "label": "Adverse Drug Reactions", + "isExpanded": "true", + "questions": [ + { + "label": "Patient reports adverse drug reaction(s)? ", + "type": "obs", + "id": "adverseReactions", + "required": "false", + "questionOptions": { + "concept": "162871AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + }, + { + "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Unknown" + } + ] + }, + "hide": { + "hideWhenExpression": "" + } + }, + { + "label": "Adverse drug reaction(s)", + "type": "obsGroup", + "questionOptions": { + "rendering": "repeating", + "concept": "162867AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + "id": "adrs", + "hide": { + "hideWhenExpression": "adverseReactions !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + "questions": [ + { + "label": "Medicine Causing Reaction", + "type": "obs", + "id": "adrMed", + "questionOptions": { + "concept": "1193AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "70056AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Abacavir" + }, + { + "concept": "162298AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "ACE inhibitors" + }, + { + "concept": "70878AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Allopurinol" + }, + { + "concept": "155060AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Aminoglycosides" + }, + { + "concept": "71160AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Amoxicillin" + }, + { + "concept": "162299AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "ARBs (angiotensin II receptor blockers)" + }, + { + "concept": "103727AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Aspirin" + }, + { + "concept": "71647AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Atazanavir" + }, + { + "concept": "71665AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Atorvastatin" + }, + { + "concept": "72822AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Carbamazepine" + }, + { + "concept": "162301AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cephalosporins" + }, + { + "concept": "73300AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Chloroquine" + }, + { + "concept": "73449AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Ciprofloxacin" + }, + { + "concept": "73461AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Citalopram" + }, + { + "concept": "73602AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Clopidogrel" + }, + { + "concept": "73667AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Codeine" + }, + { + "concept": "74807AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Didanosine" + }, + { + "concept": "74860AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Digoxin" + }, + { + "concept": "75523AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Efavirenz" + }, + { + "concept": "162302AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Erythromycins" + }, + { + "concept": "75948AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Ethambutol" + }, + { + "concept": "76552AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Fluoxetine" + }, + { + "concept": "76734AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Furosemide" + }, + { + "concept": "77164AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Griseofulvin" + }, + { + "concept": "162305AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Heparins" + }, + { + "concept": "77675AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hydralazine" + }, + { + "concept": "78280AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Isoniazid" + }, + { + "concept": "78809AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Levothyroxine" + }, + { + "concept": "78945AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Lisinopril" + }, + { + "concept": "794AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Lopinavir/ritonavir" + }, + { + "concept": "79651AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Metformin" + }, + { + "concept": "79764AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Metoprolol" + }, + { + "concept": "80106AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Morphine" + }, + { + "concept": "80586AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Nevirapine" + }, + { + "concept": "80696AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Nitrofurans" + }, + { + "concept": "162306AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Non-steroidal anti-inflammatory drugs" + }, + { + "concept": "81041AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Omeprazole" + }, + { + "concept": "81723AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Penicillamine" + }, + { + "concept": "81724AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Penicillin" + }, + { + "concept": "81959AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Phenolphthaleins" + }, + { + "concept": "82023AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Phenytoin" + }, + { + "concept": "82453AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Prednisone" + }, + { + "concept": "82559AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Procainamide" + }, + { + "concept": "82900AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Pyrazinamide" + }, + { + "concept": "83018AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Quinidine" + }, + { + "concept": "767AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Rifampin" + }, + { + "concept": "162307AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Statins" + }, + { + "concept": "84309AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Stavudine" + }, + { + "concept": "162170AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Sulfonamides" + }, + { + "concept": "84796AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Tenofovir" + }, + { + "concept": "84893AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Tetracycline" + }, + { + "concept": "86415AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Warfarin" + }, + { + "concept": "86663AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Zidovudine" + } + ] + } + }, + { + "label": "Reaction", + "type": "obs", + "id": "adrReaction", + "questionOptions": { + "concept": "160646AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "148888AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Anaphylaxis" + }, + { + "concept": "148787AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Angioedema" + }, + { + "concept": "121629AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Anaemia" + }, + { + "concept": "120148AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Arrhythmia" + }, + { + "concept": "108AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Bronchospasm" + }, + { + "concept": "143264AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cough" + }, + { + "concept": "142412AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Diarrhea" + }, + { + "concept": "118773AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dystonia" + }, + { + "concept": "137162AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Flu-Like Syndrome" + }, + { + "concept": "140039AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Flushing" + }, + { + "concept": "140238AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Fever" + }, + { + "concept": "159581AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "GI upset" + }, + { + "concept": "5978AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Nausea" + }, + { + "concept": "117399AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hypertension" + }, + { + "concept": "111061AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hives" + }, + { + "concept": "139084AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Headache" + }, + { + "concept": "159098AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hepatotoxicity" + }, + { + "concept": "138111AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hyperuricemia" + }, + { + "concept": "879AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Itching" + }, + { + "concept": "121677AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Mental status change" + }, + { + "concept": "159347AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Musculoskeletal pain" + }, + { + "concept": "114736AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Optic Neuritis" + }, + { + "concept": "141600AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Shortness of breath" + }, + { + "concept": "512AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Rash" + }, + { + "concept": "113180AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Tendon Rupture" + }, + { + "concept": "123074AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Visual Disturbances" + }, + { + "concept": "122983AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Vomiting" + }, + { + "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Unknown" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Other" + } + ] + } + }, + { + "label": "Severity", + "type": "obs", + "id": "adrSeverity", + "questionOptions": { + "concept": "162760AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Not graded" + }, + { + "concept": "1498AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Mild" + }, + { + "concept": "1499AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Moderate" + }, + { + "concept": "1500AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Severe" + }, + { + "concept": "162819AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Life threatening" + } + ] + } + }, + { + "label": "Date of Onset", + "type": "obs", + "id": "dateOnsetAdverse", + "questionOptions": { + "concept": "160753AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "date" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ] + }, + { + "label": "Action taken", + "type": "obs", + "id": "actIonTaken", + "questionOptions": { + "concept": "1255AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "1257AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Continue drug" + }, + { + "concept": "981AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dose adjusted" + }, + { + "concept": "1260AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Discontinued" + }, + { + "concept": "1259AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Substitution" + } + ] + } + } + ] + } + ] + }, + { + "label": "Family History", + "isExpanded": "true", + "questions": [ + { + "label": "Family History Narrative", + "type": "obs", + "id": "familyHx", + "questionOptions": { + "concept": "160618AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "hide": { + "hideWhenExpression": "'" + } + } + ] + }, + { + "label": "Social History", + "isExpanded": "true", + "questions": [ + { + "label": "Do you smoke cigarattes", + "type": "obs", + "id": "smokingStatus", + "required": "false", + "questionOptions": { + "concept": "163201AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "163198AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Never smoker" + }, + { + "concept": "163200AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Unknown if ever smoked" + }, + { + "concept": "152722AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Smoker" + }, + { + "concept": "152807AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Former smoker" + } + ] + }, + "hide": { + "hideWhenExpression": "age < 10 " + } + }, + { + "label": "Number of years smoked", + "type": "obs", + "id": "smokeYears", + "questionOptions": { + "concept": "159931AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "min": "0", + "max": "500" + }, + "hide": { + "hideWhenExpression": "isEmpty(smokingStatus) || smokingStatus !== '152722AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && smokingStatus !== '152807AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || age < 10 " + } + }, + { + "label": "Number of cigarette per day", + "type": "obs", + "id": "smokeDays", + "questionOptions": { + "concept": "1546AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "min": "1", + "max": "500" + }, + "hide": { + "hideWhenExpression": "isEmpty(smokingStatus) || smokingStatus !== '152722AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && smokingStatus !== '152807AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ||age < 10 " + } + }, + { + "label": "Alcohol use", + "type": "obs", + "id": "alcoholUse", + "questionOptions": { + "concept": "159449AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1090AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Never" + }, + { + "concept": "159450AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Currently" + }, + { + "concept": "159452AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "In the past" + } + ] + }, + "hide": { + "hideWhenExpression": "age < 10 " + } + }, + { + "label": "Duration in Years", + "type": "obs", + "id": "yearsTaken", + "questionOptions": { + "concept": "1546AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "number", + "min": "0", + "max": "500" + }, + "hide": { + "hideWhenExpression": "isEmpty(alcoholUse) || alcoholUse === '1090AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' || age < 10 " + } + }, + { + "label": "History of Substance Use", + "type": "obs", + "id": "substanceUse", + "questionOptions": { + "concept": "163731AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1090AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Never" + }, + { + "concept": "159450AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Currently" + }, + { + "concept": "159452AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "In the past" + } + ] + }, + "hide": { + "hideWhenExpression": "age < 10 " + } + }, + { + "label": "History of Recent Travel?", + "type": "obs", + "id": "travelHistory", + "questionOptions": { + "rendering": "radio", + "concept": "165656AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "hide": { + "hideWhenExpression": "" + } + }, + { + "label": "Subjective narrative", + "type": "obs", + "id": "subjectivenarrative", + "questionOptions": { + "concept": "61675c28-e628-4173-bc65-d5e0df78a6da", + "rendering": "textarea" + }, + "validators": [], + "hide": { + "hideWhenExpression": "" + } + } + ] + } + ] + }, + { + "label": "Objective History", + "sections": [ + { + "label": "General Examination", + "isExpanded": "true", + "questions": [ + { + "label": "General examination findings:", + "required": "false", + "id": "fingingGenExam", + "type": "obs", + "questionOptions": { + "rendering": "checkbox", + "concept": "162737AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "answers": [ + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Normal" + }, + { + "concept": "143050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cyanosis", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "142630AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dehydration", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "140125AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Finger Clubbing", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "136443AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Jaundice", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "116334AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Lethargic", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "126952AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Lymph Node Axillary", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "126939AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Lymph Nodes Inguinal", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "5334AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Oral thrush", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "460AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Oedema", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "823AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Wasting", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "1861AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Nasal Flaring", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + }, + { + "concept": "5245AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Pallor", + "disableWhenExpression": "myValue === '1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + ] + }, + "hide": { + "hideWhenExpression": "" + }, + "validators": [] + }, + { + "label": "General Examination Notes", + "type": "obs", + "id": "noteGeneralExam", + "questionOptions": { + "concept": "163042AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "validators": [], + "hide": { + "hideWhenExpression": "" + } + } + ] + }, + { + "label": "Systemic Examination", + "isExpanded": "true", + "questions": [ + { + "label": "Physical exam outcome", + "type": "obs", + "required": "false", + "id": "syStemsRevieW", + "questionOptions": { + "concept": "162737AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "radio", + "answers": [ + { + "concept": "1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Normal" + }, + { + "concept": "1116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Abnormal" + } + ] + }, + "hide": { + "hideWhenExpression": "" + } + }, + { + "label": "Reviews of Systems", + "type": "obs", + "id": "allsystemReview", + "questionOptions": { + "concept": "1069AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "160947AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Abdominal" + }, + { + "concept": "163046AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cardiovascular" + }, + { + "concept": "163109AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Central Nervous System" + }, + { + "concept": "163045AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Head, Ear,Eye, Nose & Throat" + }, + { + "concept": "163047AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Genitourinary" + }, + { + "concept": "163048AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Musculoskeletal" + }, + { + "concept": "160689AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Respiratory" + }, + { + "concept": "160981AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Skin" + } + ] + }, + "hide": { + "hideWhenExpression": "syStemsRevieW !== '1116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + }, + { + "label": "Abdomen findings", + "type": "obs", + "id": "findingsAbd", + "questionOptions": { + "concept": "1125AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "150915AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Abdominal distension" + }, + { + "concept": "5103AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Abdominal mass" + }, + { + "concept": "5009AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Splenomegaly" + }, + { + "concept": "5008AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hepatomegaly" + }, + { + "concept": "5105AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Abdominal tenderness" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(allsystemReview) || !arrayContains(allsystemReview, '160947AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Abdomen findings notes", + "type": "obs", + "id": "notesAbd", + "questionOptions": { + "concept": "160948AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "hide": { + "hideWhenExpression": "isEmpty(allsystemReview) || !arrayContains(allsystemReview, '160947AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "CVS findings", + "type": "obs", + "id": "findingsCVS", + "questionOptions": { + "concept": "1124AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "562AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cardiac murmur" + }, + { + "concept": "130560AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Cardiac rub" + }, + { + "concept": "140147AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Elevated blood pressure" + }, + { + "concept": "136522AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Irregular heartbeat" + }, + { + "concept": "130987AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Palpitations" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(allsystemReview) || !arrayContains(allsystemReview, '163046AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "CVS findings notes", + "type": "obs", + "id": "notesCVS", + "questionOptions": { + "concept": "163046AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "hide": { + "hideWhenExpression": "isEmpty(allsystemReview) || !arrayContains(allsystemReview, '163046AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "CNS findings", + "type": "obs", + "id": "findingsCNS", + "questionOptions": { + "concept": "1082AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "150817AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Abnormal reflexes" + }, + { + "concept": "118872AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Altered sensations" + }, + { + "concept": "153009AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Brudzinski's sign" + }, + { + "concept": "1836AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Bulging fontenelle" + }, + { + "concept": "120345AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Confusion" + }, + { + "concept": "136282AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Kernicterus" + }, + { + "concept": "157494AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Kernigs sign" + }, + { + "concept": "157498AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Limb weakness" + }, + { + "concept": "135592AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Loss of consciousness" + }, + { + "concept": "112721AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Stiff neck" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(allsystemReview) || !arrayContains(allsystemReview, '163109AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "CNS findings notes", + "type": "obs", + "id": "notesCns", + "questionOptions": { + "concept": "163109AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "hide": { + "hideWhenExpression": "isEmpty(allsystemReview) || !arrayContains(allsystemReview, '163109AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Genitourinary findings", + "type": "obs", + "id": "FindingsGus", + "questionOptions": { + "concept": "1126AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "147241AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Bleeding" + }, + { + "concept": "117829AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Genital rashes/Lesions" + }, + { + "concept": "138010AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hypospadias" + }, + { + "concept": "125207AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Inguinal Swelling" + }, + { + "concept": "154311AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Rectal discharge" + }, + { + "concept": "113122AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Scrotal mass" + }, + { + "concept": "124965AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Testicular mass" + }, + { + "concept": "124087AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Ulceration" + }, + { + "concept": "123529AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Urethral discharge" + }, + { + "concept": "123396AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Vaginal discharge" + }, + { + "concept": "139505AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Warts" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(allsystemReview) || !arrayContains(allsystemReview, '163047AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Genitourinary findings notes", + "type": "obs", + "id": "notesGus", + "questionOptions": { + "concept": "163047AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "hide": { + "hideWhenExpression": "isEmpty(allsystemReview) || !arrayContains(allsystemReview, '163047AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "HEENT findings", + "type": "obs", + "id": "findingsHeent", + "questionOptions": { + "concept": "1122AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "label": "Apnea", + "concept": "148517AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Blurred vision", + "concept": "147104AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Cataracts", + "concept": "120860AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Conjuctival pallor", + "concept": "516AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Conjunctivitis", + "concept": "156287AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Dental caries", + "concept": "119558AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Diplopia", + "concept": "138063AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Double vision", + "concept": "85620AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Ear discharge", + "concept": "113787AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Ear pain", + "concept": "141507AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Erythema", + "concept": "118536AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Excessive tearing", + "concept": "140940AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Exophthalmosis", + "concept": "140919AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Eye pain", + "concept": "131040AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Eye redness", + "concept": "127777AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Eyelid swelling", + "concept": "156283AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Foreign body sensation in eyes", + "concept": "121263AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Frequent colds", + "concept": "106AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Gingival bleeding", + "concept": "147230AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Hairy cell leukoplakia", + "concept": "135841AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Hearing disorder", + "concept": "139075AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Hearing impairment", + "concept": "121139AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Hearing loss", + "concept": "117698AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Hoarseness", + "concept": "138554AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Itchy eyes", + "concept": "139100AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Kaposis Sarcoma", + "concept": "507AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Masses", + "concept": "152228AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Mastoid tenderness", + "concept": "157787AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Nasal discharge", + "concept": "128055AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Nosebleed", + "concept": "133499AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Oral sores", + "concept": "5244AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Pain", + "concept": "160285AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Periorbital cellulitis", + "concept": "123861AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Perobital edema", + "concept": "130374AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Post nasal discharge", + "concept": "110099AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Ptosis of lids", + "concept": "113516AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Pupil abnormalities", + "concept": "112125AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Rhinorrhea", + "concept": "126392AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Sclerae Jaundice", + "concept": "127100AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Scotomota", + "concept": "148175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Sinus problems", + "concept": "126423AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Sinus tenderness", + "concept": "125726AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Snoring", + "concept": "126318AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Sore throat with exudates", + "concept": "122858AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Sore throat", + "concept": "158843AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Thrush", + "concept": "5334AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Tinnitus", + "concept": "123588AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Tonsillar hypertrophy", + "concept": "113872AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Toothache", + "concept": "124601AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Ulcers", + "concept": "123919AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Vertigo", + "concept": "111525AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Visual Disturbance", + "concept": "123074AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Visual disturbances", + "concept": "129210AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + }, + { + "label": "Xanthelasma", + "concept": "122813AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(allsystemReview) || !arrayContains(allsystemReview, '163045AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "HEENT findings notes", + "type": "obs", + "id": "notesEnt", + "questionOptions": { + "concept": " 163045AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "hide": { + "hideWhenExpression": "isEmpty(allsystemReview) || !arrayContains(allsystemReview, '163045AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Musculoskeletal findings", + "type": "obs", + "id": "findingsMss", + "questionOptions": { + "concept": "1128AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "150823AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Abnormal Posture/Movement" + }, + { + "concept": "155871AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Deformity" + }, + { + "concept": "116557AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Diffuse pain and tenderness" + }, + { + "concept": "139047AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Heberdens nodes" + }, + { + "concept": "167237AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Increased of local temperature" + }, + { + "concept": "136421AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Joint crepitus" + }, + { + "concept": "139116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Joint stiffness" + }, + { + "concept": "163894AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Swelling" + }, + { + "concept": "163851AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Muscle Wasting" + }, + { + "concept": "115476AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Muscle weakness" + }, + { + "concept": "130166AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Pitting/Non pitting oedema" + }, + { + "concept": "160395AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Restriction of movement" + }, + { + "concept": "152959AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Tendon sheath crepitus" + }, + { + "concept": "122764AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Ulcers" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(allsystemReview) || !arrayContains(allsystemReview, '163048AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Musculoskeletal findings notes", + "type": "obs", + "id": "notesMss", + "questionOptions": { + "concept": "163048AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "hide": { + "hideWhenExpression": "isEmpty(allsystemReview) || !arrayContains(allsystemReview, '163048AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Respiratory findings", + "type": "obs", + "id": "findingsChest", + "questionOptions": { + "concept": "1123AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "164440AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Reduced breathing" + }, + { + "concept": "146893AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Bronchial breathing" + }, + { + "concept": "136768AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Chest in-drawing" + }, + { + "concept": "127640AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Crackles" + }, + { + "concept": "145712AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dullness" + }, + { + "concept": "156534AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Grunting" + }, + { + "concept": "127639AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Respiratory distress" + }, + { + "concept": "136790AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Stridor" + }, + { + "concept": "5209AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Wheezing" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(allsystemReview) || !arrayContains(allsystemReview, '160689AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Respiratory findings notes", + "type": "obs", + "id": "notesChest", + "questionOptions": { + "concept": "160689AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "hide": { + "hideWhenExpression": "isEmpty(allsystemReview) || !arrayContains(allsystemReview, '160689AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Skin findings", + "type": "obs", + "id": "findingSkin", + "questionOptions": { + "concept": "1120AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "checkbox", + "answers": [ + { + "concept": "150555AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Abscess" + }, + { + "concept": "135591AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hair Loss" + }, + { + "concept": "136455AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Itching" + }, + { + "concept": "507AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Kaposis Sarcoma" + }, + { + "concept": "125201AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Swelling/Growth" + }, + { + "concept": "1249AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Skin eruptions/Rashes" + }, + { + "concept": "123919AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Ulcer" + } + ] + }, + "hide": { + "hideWhenExpression": "isEmpty(allsystemReview) || !arrayContains(allsystemReview, '160981AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + }, + { + "label": "Skin finding notes", + "type": "obs", + "id": "notesSkin", + "questionOptions": { + "concept": "160981AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "textarea" + }, + "hide": { + "hideWhenExpression": "isEmpty(allsystemReview) || !arrayContains(allsystemReview, '160981AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')" + } + } + ] + }, + { + "label": "Laboratory and Diagnostic Tests", + "isExpanded": "true", + "questions": [ + { + "label": "Order Basket Launcher (place holder)", + "type": "obs", + "required": false, + "id": "orderBasket", + "questionOptions": { + "rendering": "text", + "concept": "162725AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "162725" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "397635003" + } + ], + "answers": [] + }, + "validators": [] + } + ] + } + ] + }, + { + "label": "Assessment", + "sections": [ + { + "label": "Diagnosis & Problem List", + "isExpanded": "true", + "questions": [ + { + "label": "Visit Diagnosis", + "type": "obsGroup", + "id": "Diagnosis", + "questionOptions": { + "concept": "159947AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "repeating" + }, + "validators": [], + "hide": {}, + "questions": [ + { + "label": "Diagnosis", + "type": "obs", + "id": "diagnosis", + "questionOptions": { + "concept": "1284AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "151AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "List of Dx" + } + ] + } + }, + { + "label": "Diagnosis certainty", + "type": "obs", + "id": "dxCertainty", + "questionOptions": { + "concept": "159394AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "159393AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Presumptive diagnosis" + }, + { + "concept": "160249AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Provisonal diagnosis" + }, + { + "concept": "159392AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Confirmed diagnosis" + }, + { + "concept": "160250AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Final diagnosis" + } + ] + }, + "validators": [ + {} + ] + }, + { + "label": "Diagnosis order", + "type": "obs", + "id": "dxorder", + "questionOptions": { + "concept": "159946AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "159943AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Primary" + }, + { + "concept": "159944AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Secondary" + } + ] + } + } + ] + }, + { + "label": "Diagnosis non-coded", + "type": "obs", + "required": false, + "id": "dxnoncoded", + "questionOptions": { + "rendering": "textarea", + "concept": "161602AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [], + "answers": [] + }, + "validators": [] + }, + { + "label": "Problem List", + "type": "obsGroup", + "id": "ProblemList", + "questionOptions": { + "concept": "128461AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "repeating" + }, + "validators": [], + "hide": {}, + "questions": [ + { + "label": "Problem", + "type": "obs", + "id": "problemAdded", + "questionOptions": { + "concept": "6042AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "151AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "List of Problems" + } + ] + } + }, + { + "label": "Onset Date", + "type": "obs", + "id": "onsetDate", + "questionOptions": { + "concept": "159948AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "date" + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "false" + } + ] + }, + { + "label": "Status", + "type": "obs", + "id": "conditionStatus", + "questionOptions": { + "concept": "165908AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "rendering": "select", + "answers": [ + { + "concept": "161636AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Active" + }, + { + "concept": "164928AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Inactive" + }, + { + "concept": "165870AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Resolved" + } + ] + } + } + ] + } + ] + } + ] + }, + { + "label": "Plan", + "sections": [ + { + "label": "Treatment/Management Plan", + "isExpanded": "true", + "questions": [ + { + "label": "Order Basket Launcher (place holder)", + "type": "obs", + "required": false, + "id": "orderBasketDrugs", + "questionOptions": { + "rendering": "text", + "concept": "162725AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [], + "answers": [] + }, + "validators": [] + } + ] + }, + { + "label": "Referrals", + "isExpanded": "true", + "questions": [ + { + "label": "Referrals ordered", + "type": "obs", + "required": false, + "id": "referralFor", + "questionOptions": { + "rendering": "multiCheckbox", + "concept": "1272AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "1272" + }, + { + "relationship": "SAME-AS", + "type": "SNOMED CT", + "value": "439980006" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "1932" + } + ], + "answers": [ + { + "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "None" + }, + { + "concept": "5488AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Adherence counseling" + }, + { + "concept": "1288AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Alcohol counseling" + }, + { + "concept": "5576AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "ARV for mother" + }, + { + "concept": "1374AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Dental care referral" + }, + { + "concept": "1459AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Diagnostic testing and counseling for HIV" + }, + { + "concept": "1167AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Disclosure counseling" + }, + { + "concept": "5483AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Family planning services" + }, + { + "concept": "1275AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Health center hospital" + }, + { + "concept": "1588AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Health clinic/post" + }, + { + "concept": "1589AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Hospital" + }, + { + "concept": "5485AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Inpatient care or hospitalization" + }, + { + "concept": "159937AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Maternal and child health program" + }, + { + "concept": "5489AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Mental health services" + }, + { + "concept": "5484AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Nutritional support" + }, + { + "concept": "160456AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Obstetrics and gynecology department" + }, + { + "concept": "1373AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Ophthalmology referral" + }, + { + "concept": "1372AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Postnatal care referral" + }, + { + "concept": "1371AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Prenatal care referral" + }, + { + "concept": "160479AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Private health care clinic/facility" + }, + { + "concept": "161359AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Private home-based care" + }, + { + "concept": "5490AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Psychosocial counseling" + }, + { + "concept": "1610AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Referral for antiretroviral therapy" + }, + { + "concept": "1609AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Referral for imaging study" + }, + { + "concept": "1611AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Referral for opportunistic infection treatment" + }, + { + "concept": "1636AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Referral for pregnancy termination" + }, + { + "concept": "160546AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Sexually transmitted infection program/clinic" + }, + { + "concept": "5486AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Social support services" + }, + { + "concept": "164164AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Surgical Outpatient Department" + }, + { + "concept": "1455AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Tobacco use counseling" + }, + { + "concept": "5487AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Tuberculosis Treatment or DOT Program" + }, + { + "concept": "1370AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Voluntary counseling and testing for HIV" + }, + { + "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Other non-coded" + } + ] + }, + "validators": [] + }, + { + "label": "Reason for referral (text)", + "type": "obs", + "required": false, + "id": "referralReason", + "questionOptions": { + "rendering": "textarea", + "concept": "164359AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [], + "answers": [] + }, + "validators": [] + } + ] + }, + { + "label": "Follow-up", + "isExpanded": "true", + "questions": [ + { + "label": "Follow-up need?", + "type": "obs", + "required": false, + "id": "followUpNeeded", + "questionOptions": { + "rendering": "radio", + "concept": "167079AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [], + "answers": [ + { + "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "Yes" + }, + { + "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "label": "No" + } + ] + }, + "validators": [] + }, + { + "label": "Appointment Date", + "type": "obs", + "required": false, + "id": "returnVisitDate", + "questionOptions": { + "rendering": "date", + "concept": "5096AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [ + { + "relationship": "SAME-AS", + "type": "CIEL", + "value": "5096" + }, + { + "relationship": "SAME-AS", + "type": "AMPATH", + "value": "5096" + } + ], + "answers": [] + }, + "validators": [ + { + "type": "date", + "allowFutureDates": "true" + } + ], + "hide": { + "hideWhenExpression": "isEmpty (followUpNeeded) || followUpNeeded !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" + } + } + ] + } + ] + }, + { + "label": "General Encounter Notes", + "sections": [ + { + "label": "General Note", + "isExpanded": "true", + "questions": [ + { + "label": "Notes", + "type": "obs", + "required": false, + "id": "encounterNote", + "questionOptions": { + "rendering": "textarea", + "concept": "162169AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", + "conceptMappings": [], + "answers": [] + }, + "validators": [] + } + ] + } + ] + } + ], + "encounterType": "cb0a65a7-0587-477e-89b9-cf2fd144f1d4" +} \ No newline at end of file diff --git a/distro/configuration/ocl/OHRITechGroup_OPD_vOPDRefApp_autoexpand-OPDRefApp.2024-03-15_075838.zip b/distro/configuration/ocl/OHRITechGroup_OPD_vOPDRefApp_autoexpand-OPDRefApp.2024-03-15_075838.zip new file mode 100644 index 000000000..3d76509d4 Binary files /dev/null and b/distro/configuration/ocl/OHRITechGroup_OPD_vOPDRefApp_autoexpand-OPDRefApp.2024-03-15_075838.zip differ