@icap-ethiopia/esm-ethiohri-app
Version:
A microfrontend ethiohri OpenMRS
423 lines • 20.1 kB
JSON
{
"name": "POC ICT Offer",
"version": "1.0",
"published": true,
"retired": false,
"encounter": "ICT Offer",
"processor": "EncounterFormProcessor",
"referencedForms": [],
"uuid": "23b08733-6d26-48b5-bict-general25e1e",
"encounterType": "23b08733-6d26-48b5-b135-dac294e25e1e",
"allowUnspecifiedAll": true,
"pages": [
{
"label": "ICT SERVICE OFFERING",
"sections": [
{
"label": "ICT SERVICE OFFERING",
"isExpanded": "true",
"questions": [
{
"label": "Visit date",
"type": "obs",
"required": false,
"id": "visitDate",
"questionOptions": {
"rendering": "date",
"concept": "53097498-c1b3-49d0-a159-ee09b4b5a914",
"conceptMappings": [],
"answers": []
}
},
{
"label": "Prioritization for ICT",
"type": "obs",
"required": false,
"id": "priorityCriteria",
"questionOptions": {
"rendering": "checkbox",
"concept": "8534a956-49e8-42d9-82c4-33e51429265d",
"conceptMappings": [],
"answers": [
{
"concept": "4693bef1-4d6b-4546-b2c9-1a3409b6158f",
"label": "Newly Diagnosed"
},
{
"concept": "7b370f0a-61e2-4cc4-99c1-f38d96d7cee0",
"label": "PLHIV with HVL & Adult"
},
{
"concept": "bde58790-d3fc-40d6-bcce-f728105f91cf",
"label": "PLHIV restart ART & Adult"
},
{
"concept": "c1c0c92c-521c-454c-bfd2-52db5b308f6a",
"label": "PLHIV incare with STI"
},
{
"concept": "cd44c2af-e628-455f-8826-7aab004bd100",
"label": "Enrolled at PMTCT"
},
{
"concept": "41a9a67e-ce27-4a33-be91-0725209c69b0",
"label": "Key population"
},
{
"concept": "a30f0bd7-c81c-4f5d-9d9c-12afb084e005",
"label": "Client with new partner"
},
{
"concept": "c2881eae-b745-499f-872a-62f3a270d793",
"label": "Client with partner not yet disclosed"
},
{
"concept": "62b44258-b73b-4362-a0bc-f90703ed6d38",
"label": "Client with partner not tested"
},
{
"concept": "dd0515e2-abe7-457e-bc6a-b7faf14aeecb",
"label": "Client child (<15 Years) not tested"
},
{
"concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Other"
}
]
},
"validators": []
},
{
"label": "Specify other",
"type": "obs",
"questionOptions": {
"rendering": "text",
"concept": "373c74c7-0957-487f-a7a1-e086857c5fb7"
},
"hide": {
"hideWhenExpression": "!includes('priorityCriteria','5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')"
},
"id": "otherPrioritization"
},
{
"label": "Offered",
"type": "obs",
"required": false,
"id": "offered",
"questionOptions": {
"rendering": "radio",
"concept": "eef33554-8844-48ed-abec-a06e4918b7fe",
"conceptMappings": [],
"answers": [
{
"concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Yes"
},
{
"concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "No"
}
]
}
},
{
"label": "Offered date",
"type": "obs",
"required": false,
"hide": {
"hideWhenExpression": "offered !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
},
"id": "offeredDate",
"validators": [
{
"type": "date",
"allowFutureDates": "false"
}
],
"questionOptions": {
"rendering": "date",
"concept": "a7c606b1-9f3e-4095-815a-3a623dc738e1",
"conceptMappings": [],
"answers": []
}
},
{
"label": "Accepted",
"type": "obs",
"required": false,
"id": "accepted",
"hide": {
"hideWhenExpression": "offered !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
},
"questionOptions": {
"rendering": "radio",
"concept": "fdcbadef-40c5-486a-a30b-a88477ab90ae",
"conceptMappings": [],
"answers": [
{
"concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Yes"
},
{
"concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "No"
}
]
}
},
{
"label": "Accepted date",
"type": "obs",
"required": false,
"hide": {
"hideWhenExpression": "accepted !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
},
"id": "acceptedDate",
"validators": [
{
"type": "date",
"allowFutureDates": "false"
}
],
"questionOptions": {
"rendering": "date",
"concept": "da8e65a1-04ee-44a0-be4b-d2bc4f002aa4",
"conceptMappings": [],
"answers": []
}
},
{
"label": "Elicited",
"type": "obs",
"required": false,
"id": "elicited",
"hide": {
"hideWhenExpression": "accepted !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
},
"questionOptions": {
"rendering": "radio",
"concept": "77296687-cba5-4e70-9d51-e20e54d50548",
"conceptMappings": [],
"answers": [
{
"concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Yes"
},
{
"concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "No"
}
]
}
},
{
"label": "Reason ICT service not accepted",
"type": "obs",
"required": false,
"hide": {
"hideWhenExpression": "accepted !== '1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
},
"id": "notAccepted",
"questionOptions": {
"rendering": "checkbox",
"concept": "59fa6f41-a1d0-45bc-af79-643b2e7dcd23",
"conceptMappings": [],
"answers": [
{
"concept": "8611a257-6b96-464f-8ae2-410c9c692c55",
"label": "No reason"
},
{
"concept": "7a203f1c-3ff1-492d-af7d-d804d7d1f84a",
"label": "No time"
},
{
"concept": "53384cd2-dff0-4db2-b403-78bd3d8903cd",
"label": "Fear of disclosure"
},
{
"concept": "3c2c53ec-efa8-4254-bb0c-202c4bb9d750",
"label": "Afraid of IPV"
},
{
"concept": "6369d2cb-bf3d-44e4-8cd3-639b40bd8ce1",
"label": "Prefer other HF"
},
{
"concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Other"
}
]
}
},
{
"label": "Specify other reason",
"type": "obs",
"questionOptions": {
"rendering": "text",
"concept": "f39fc7e2-0485-43dc-9d22-b065850710c8"
},
"hide": {
"hideWhenExpression": "!includes('notAccepted','5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')"
},
"id": "otherReason"
}
]
},
{
"label": "IPV/AE",
"isExpanded": "true",
"questions": [
{
"label": "High risk for IPV",
"type": "obs",
"required": false,
"id": "highRiskIpv",
"questionOptions": {
"rendering": "radio",
"concept": "6cb09073-5bc1-4cbb-a13c-27c98956231b",
"conceptMappings": [],
"answers": [
{
"concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Yes"
},
{
"concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "No"
}
]
}
},
{
"label": "AE reported",
"type": "obs",
"required": false,
"id": "aeReported",
"questionOptions": {
"rendering": "radio",
"concept": "ff68acf5-9a2f-44c9-a2a3-fa8807dcb04a",
"conceptMappings": [],
"answers": [
{
"concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Yes"
},
{
"concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "No"
}
]
}
},
{
"label": "Adverse event type",
"type": "obs",
"required": false,
"id": "adverseEventType",
"questionOptions": {
"rendering": "checkbox",
"concept": "e0e6d06a-fec6-4ae9-aec5-6d2ffda07f40",
"conceptMappings": [],
"answers": [
{
"concept": "1058AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Divorce"
},
{
"concept": "74f8c5a5-be94-4605-947f-2eb2cac3c187",
"label": "Loss of relationship"
},
{
"concept": "c405b20b-0845-4721-b09b-d067fd36a594",
"label": "Loss of support"
},
{
"concept": "0f27a4b6-5f19-4c44-9d6d-abcdd9fd8d30",
"label": "Stigma"
},
{
"concept": "8da00bae-4655-46ba-b442-e3ca50b8bf96",
"label": "Job loss"
},
{
"concept": "158835AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Social exclusion"
},
{
"concept": "a9cd93c0-fcd4-46d3-80aa-12d1a74fc8d4",
"label": "Verbal abuse"
},
{
"concept": "152292AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Physical abuse"
},
{
"concept": "807fa6a8-a2ff-45db-9b41-72949fd9401d",
"label": "Loneliness"
},
{
"concept": "159524AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Cessation of sexual intercourse"
},
{
"concept": "134660AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Marital discord"
},
{
"concept": "0ef9b5ba-8690-4c63-8b38-ed9a6a263a39",
"label": "Taking away access to children"
},
{
"concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Other"
}
]
}
},
{
"label": "Specify other type",
"type": "obs",
"questionOptions": {
"rendering": "text",
"concept": "37002efb-7044-47b4-bcbc-d900161fc7ee"
},
"hide": {
"hideWhenExpression": "!includes('adverseEventType','5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')"
},
"id": "otherType"
},
{
"label": " Linked to appropriate care",
"type": "obs",
"required": false,
"id": "linkedToApp",
"questionOptions": {
"rendering": "radio",
"concept": "f4817ca2-a67f-46e3-8c97-864612ccbb47",
"conceptMappings": [],
"answers": [
{
"concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "Yes"
},
{
"concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"label": "No"
}
]
},
"validators": []
}
]
}
]
}
],
"availableIntents": [
{
"intent": "*",
"display": "default_intent"
}
]
}