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(feat) Add facility wide forms to main pipeline (#380)
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configuration/ampathforms/Cardex_Nursing_Plan.json
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configuration/ampathforms/ILI_Surveillnce_Form.json
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configuration/ampathforms/MCH_Antenatal_Visit.json
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configuration/ampathforms/MCH_Antenatal_form.json
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configuration/ampathforms/Newborn-admission-form.json
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configuration/ampathforms/Post_Procedure_Notes_form.json
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{ | ||
"name": "Post Procedure Form", | ||
"description": "Post Procedure Form", | ||
"version": "1", | ||
"published": true, | ||
"uuid": "xxxx", | ||
"retired": false, | ||
"encounter": "IPD 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": "Post Operation Details", | ||
"sections": [ | ||
{ | ||
"label": "Post Operation", | ||
"isExpanded": "true", | ||
"questions": [ | ||
{ | ||
"label": "Date of surgery", | ||
"type": "encounterDatetime", | ||
"id": "surGeryDate", | ||
"questionOptions": { | ||
"rendering": "ui-select-extended", | ||
"concept": "160715AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" | ||
}, | ||
"hide": { | ||
"hideWhenExpression": "" | ||
} | ||
}, | ||
{ | ||
"label": "Time of surgery", | ||
"type": "obs", | ||
"id": "TtakEn", | ||
"datePickerFormat": "timer", | ||
"questionOptions": { | ||
"concept": "163509AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"rendering": "date" | ||
} | ||
}, | ||
{ | ||
"label": "Operative Procedure", | ||
"type": "obs", | ||
"id": "proCedureOps", | ||
"questionOptions": { | ||
"concept": "1651AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"rendering": "text" | ||
}, | ||
"hide": { | ||
"hideWhenExpression": "pregnancyComplications !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" | ||
} | ||
}, | ||
{ | ||
"label": "Procedure Details", | ||
"type": "obsGroup", | ||
"id": "deTailSpRoc", | ||
"questionOptions": { | ||
"rendering": "group", | ||
"concept": "1651AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA" | ||
}, | ||
"questions": [ | ||
{ | ||
"label": "Anaesthesia Type", | ||
"type": "obs", | ||
"id": "loCalReg", | ||
"questionOptions": { | ||
"concept": "164254AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"rendering": "select", | ||
"answers": [ | ||
{ | ||
"concept": "164243AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Inhalation (mask) " | ||
}, | ||
{ | ||
"concept": "166991AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Intravenous" | ||
}, | ||
{ | ||
"concept": "160326AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Spinal" | ||
}, | ||
{ | ||
"concept": "161912AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Epidural" | ||
}, | ||
{ | ||
"concept": "166707AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Local Infiltration" | ||
}, | ||
{ | ||
"concept": "162777AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Topical" | ||
} | ||
] | ||
} | ||
}, | ||
{ | ||
"label": "Position of the Patient", | ||
"type": "obs", | ||
"id": "patIEntpoSItIon", | ||
"questionOptions": { | ||
"concept": "159633AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"rendering": "select", | ||
"answers": [ | ||
{ | ||
"concept": "159629AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Supine" | ||
}, | ||
{ | ||
"concept": "159631AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Fowler’s" | ||
}, | ||
{ | ||
"concept": "165928AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Prone" | ||
}, | ||
{ | ||
"concept": "542AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Lateral" | ||
}, | ||
{ | ||
"concept": "141235AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Trendelenburg" | ||
}, | ||
{ | ||
"concept": "164148AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Reverse Trendelenburg" | ||
}, | ||
{ | ||
"concept": "163995AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Lithotomy" | ||
}, | ||
{ | ||
"concept": "159630AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Sitting" | ||
}, | ||
{ | ||
"concept": "165928AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Jack-knife" | ||
}, | ||
{ | ||
"concept": "132675AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Sim's Position" | ||
}, | ||
{ | ||
"concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Other" | ||
} | ||
] | ||
} | ||
}, | ||
{ | ||
"label": "Other (Specify)", | ||
"type": "obs", | ||
"id": "OthersUsedposition", | ||
"required": "true", | ||
"questionOptions": { | ||
"concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"rendering": "text" | ||
}, | ||
"hide": { | ||
"hideWhenExpression": "patIEntpoSItIon !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" | ||
} | ||
}, | ||
{ | ||
"label": "Location of Incision", | ||
"type": "obs", | ||
"id": "IncisLocaTion", | ||
"questionOptions": { | ||
"concept": "161011AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"rendering": "text" | ||
} | ||
}, | ||
{ | ||
"label": "Type of Incision", | ||
"type": "obs", | ||
"id": "typeIncisLocaTion", | ||
"questionOptions": { | ||
"concept": "b9879725-26f6-4aa4-8777-bc7f75d388c1", | ||
"rendering": "select", | ||
"answers": [ | ||
{ | ||
"concept": "1170AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Midline" | ||
}, | ||
{ | ||
"concept": "1171AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Pfannenstiel" | ||
}, | ||
{ | ||
"concept": "506AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Inguinal" | ||
}, | ||
{ | ||
"concept": "118159AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Supra-umbilical/infra-umbilical" | ||
}, | ||
{ | ||
"concept": "1170AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Kocher" | ||
}, | ||
{ | ||
"concept": "124261AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Transverse" | ||
}, | ||
{ | ||
"concept": "506AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Paramedian" | ||
}, | ||
{ | ||
"concept": "118159AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "McBurney" | ||
}, | ||
{ | ||
"concept": "1170AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Lanz" | ||
}, | ||
{ | ||
"concept": "124261AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Rutherfold Morrison " | ||
}, | ||
{ | ||
"concept": "506AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Battle" | ||
}, | ||
{ | ||
"concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Other" | ||
} | ||
] | ||
} | ||
}, | ||
{ | ||
"label": "Other (Specify)", | ||
"type": "obs", | ||
"id": "OthersUsedinCision", | ||
"required": "true", | ||
"questionOptions": { | ||
"concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"rendering": "text" | ||
}, | ||
"hide": { | ||
"hideWhenExpression": "IncisLocaTion !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" | ||
} | ||
}, | ||
{ | ||
"label": "Closure Method", | ||
"type": "obs", | ||
"id": "clOseMethod", | ||
"questionOptions": { | ||
"concept": "165241AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"rendering": "select", | ||
"answers": [ | ||
{ | ||
"concept": "1925AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Absorbable Suture" | ||
}, | ||
{ | ||
"concept": "1928AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Non Absorbable Suture" | ||
}, | ||
{ | ||
"concept": "73752AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Skin Staples" | ||
}, | ||
{ | ||
"concept": "162542AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Adhesive Strips" | ||
}, | ||
{ | ||
"concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Other" | ||
} | ||
] | ||
}, | ||
"hide": { | ||
"hideWhenExpression": "" | ||
} | ||
} | ||
] | ||
}, | ||
{ | ||
"label": "Findings", | ||
"type": "obs", | ||
"id": "FindingNotes", | ||
"questionOptions": { | ||
"concept": "160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"rendering": "textarea" | ||
} | ||
}, | ||
{ | ||
"label": "Was specimen for histology collected?", | ||
"type": "obs", | ||
"id": "HisToloGySpeci", | ||
"questionOptions": { | ||
"concept": "161934AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"rendering": "radio", | ||
"answers": [ | ||
{ | ||
"concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "Yes" | ||
}, | ||
{ | ||
"concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"label": "No" | ||
} | ||
] | ||
}, | ||
"hide": { | ||
"hideWhenExpression": "" | ||
} | ||
}, | ||
{ | ||
"label": "Type of specimen", | ||
"type": "obs", | ||
"id": "speCimeNtYpe", | ||
"questionOptions": { | ||
"concept": "162476AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"rendering": "text" | ||
}, | ||
"hide": { | ||
"hideWhenExpression": "HisToloGySpeci !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" | ||
} | ||
}, | ||
{ | ||
"label": "Procedure Notes", | ||
"type": "obs", | ||
"id": "proceDureNotes", | ||
"questionOptions": { | ||
"concept": "160303AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", | ||
"rendering": "textarea" | ||
}, | ||
"hide": { | ||
"hideWhenExpression": "" | ||
} | ||
}, | ||
{ | ||
"label": "Diagnosis", | ||
"id": "DiagNosIS", | ||
"type": "diagnosis", | ||
"questionOptions": { | ||
"rendering": "repeating", | ||
"dataSource": "diagnoses", | ||
"rank": 1 | ||
} | ||
} | ||
] | ||
} | ||
] | ||
} | ||
], | ||
"encounterType": "xxxxxx" | ||
} |
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