@icap-ethiopia/esm-ethiohri-app/src/forms/intake-b.json

A microfrontend ethiohri OpenMRS

{
	"name": "POC Intake-B",
	"version": "1.0",
	"published": true,
	"retired": false,
	"encounter": "Intake B",
	"pages": [
	  {
		"label": "HIV CARE/ART CLINIC INTAKE FORM-B",
		"sections": [
		  {
			"label": "PAST OPPORTUNISTIC ILLNESS(OI), PROPHYLAXIS AND TREATMENT",
			"isExpanded": "true",
			"questions": [
			  {
				"label": "Past Opportunistic Illnesses(OIs) present",
				"type": "obs",
				"questionOptions": {
				  "rendering": "radio",
				  "concept": "c52ecf45-bd6c-43ed-861b-9a2714878729",
				  "answers": [
					{
					  "concept": "131768AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Yes"
					  
					},
					{
					  "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "No"
					  
					}
				  ]
				},
				"id": "opportunisticInfectionPresent"
			  },
			  {
				"label": "Past Opportunistic Illnesses(OIs)",
				"type": "obs",
				"required": false,
				"id": "HIVRelatedOIs",
				"hide": {
				  "hideWhenExpression": "opportunisticInfectionPresent !== '131768AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
				},
				"questionOptions": {
				  "rendering": "checkbox",
				  "concept": "339d3209-c797-457f-afb8-8d19d99c63b7",
				  
				  "answers": [
					{
					  "concept": "154119AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "CMV"
					},
					{
					  "concept": "94d9ef82-2d3a-4414-951f-522612782b25",
					  "label": "Cryptococcal Infection"
					},
					{
					  "concept": "1294AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Cryptococcal Meningitis"
					},
					{
					  "concept": "143110AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Cryptosporidiosis"
					},
					{
					  "concept": "fd853cea-e306-4dd7-8731-b46dd87ddd4b",
					  "label": "Diarrhea (>1 month)"
					},
					{
					  "concept": "160745AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Disseminated Atypical mycobacteriosis"
					},
					{
					  "concept": "119288AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Encephalopathy"
					},
					{
					  "concept": "fadf2d65-cf3a-4bc1-aa83-9a938b7d205d",
					  "label": "Extra Pulmonary Tuberculosis"
					},
					{
					  "concept": "5aeec702-8a9e-4b1c-8003-6356f91b949a",
					  "label": "Fever (>1 month and unexplained)"
					},
					{
					  "concept": "7ad72b79-f35d-4d47-aec4-00ec6ca3d06d",
					  "label": "Herpes Simplex (>1 month)"
					},
					{
					  "concept": "644AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Kaposi sarcoma"
					},
					{
					  "concept": "5330AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Minor muco-cutaneous manifestations"
					},
					{
					  "concept": "6396014f-ac6f-4567-a0e3-4df49144f5a3",
					  "label": "Mycosis"
					},
					{
					  "concept": "5334AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Oral Candidiasis"
					},
					{
					  "concept": "b2ad0941-d3ef-43fa-8d3d-8a73c33eaaf4",
					  "label": "Persistent Generalized Lymphadenopathy (PGL)"
					},
					{
					  "concept": "159348AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Pharyngeal candidiasis"
					},
					{
					  "concept": "6fdd205f-d467-40c0-ab3d-62e73c22acf6",
					  "label": "Pneumocystis Carinii Pneumonia (PCP)"
					},
					{
					  "concept": "b8c78e6d-300a-48ab-99fa-7d13552550ae",
					  "label": "Pneumocystis jirovecii pneumonia"
					},
					{
					  "concept": "158647AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Pneumonia (recurrent)"
					},
					{
					  "concept": "80d19a31-a096-4cdd-9e91-7d5b9a0867f8",
					  "label": "Progressive multifocal leukocencephalopathy (PML)"
					},
					{
					  "concept": "988737cf-d3ae-4fa3-99f1-0929ccafeb9d",
					  "label": "Pulmonary TB"
					},
					{
					  "concept": "127784AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Recurrent URTIs"
					},
					{
					  "concept": "127198AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Salmonella Septicaemia"
					},
					{
					  "concept": "5355AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Toxoplasmosis of Brain"
					},
					{
						"concept": "feba334d-46af-4ea6-a82c-fc5cde1ec9bf",
						"label": "Wasting Syndrome"
					},
					{
					  "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Other"
					}
				  ]
				},
				"validators": []
			  },
			  {
				"label": "Other opportunistic illnesses",
				"type": "obs",
				"questionOptions": {
				  "rendering": "text",
				  "concept": "20841482-587f-4b4c-9562-ce3f481dd5a8"
				},
				"validators": [
					{
					  "type": "js_expression",
					  "failsWhenExpression": "myValue.length > 50",
					  "message": "Please use a maximum of 50 characters"
					}
				  ],
				"hide": {
				  "hideWhenExpression": "!includes('HIVRelatedOIs', '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')"
				},
				"id": "otherOpportunisticIllnesses"
			  }
			]
		  },
		  {
			"label": "PAST PROPHYLAXIS/TREATMENT",
			"isExpanded": "true",
			"questions": [
			  {
				"label": "Cotrimoxazole started date",
				"type": "obs",
				"questionOptions": {
				  "rendering": "date",
				  "concept": "164361AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
				  "weeksList": ""
				},
				"validators": [
					{
						"type": "date",
						"allowFutureDates": "false"
					}
				],
				"id": "cotrimoxazoleDateStarted"
			  },
			  {
				"label": "Cotrimoxazole stopped date",
				"type": "obs",
				"questionOptions": {
				  "rendering": "date",
				  "concept": "164362AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
				  "weeksList": ""
				},
				"validators": [
					{
						"type": "date",
						"allowFutureDates": "false"
					},
					{
						"type": "js_expression",
						"failsWhenExpression": "myValue < new Date(cotrimoxazoleDateStarted)",
						"message": "Cotrimoxazole stopped date should not be earlier than started date"
					}
				],
				"id": "cotrimoxazoleDateStopped"
			  },
			  {
				"label": "TB prophylaxis type",
				"type": "obs",
				"questionOptions": {
					"rendering": "radio",
					"concept": "54084c9e-bc87-4d95-89fc-eb9a2cffb592",
					"answers": [
						{
							"concept": "8ba598a1-9e8a-4499-bd7a-54c3d0c94f01",
							"label": "6H"
							
						},
						{
							"concept": "e8588507-635c-4e28-a1f8-3c493e30b2f5",
							"label": "3HP"
							
						}
					]
				},
				"id": "TBProphylaxisType"
			},
			  {
				"label": "TPT started date",
				"type": "obs",
				"questionOptions": {
				  "rendering": "date",
				  "concept": "d94d9408-837e-44bb-a7de-84007d08bd83",
				  "weeksList": ""
				},
				"validators": [
					{
						"type": "date",
						"allowFutureDates": "false"
					}
				],
				"id": "inhStartedDate"
			  },
			  {
				"label": "TPT completed date",
				"type": "obs",
				"questionOptions": {
				  "rendering": "date",
				  "concept": "e9048636-538a-4c73-9fd7-9e2e98a43281"
				},
				"validators": [
					{
						"type": "date",
						"allowFutureDates": "false"
					},
					{
						"type": "js_expression",
						"failsWhenExpression": "myValue < new Date(inhStartedDate)",
						"message": "TPT stopped date should not be earlier than started date"
					}
				],
				"id": "inhCompletedDate"
			  },
			  {
				"label": "Fluconazole Preventive Therapy (FPT) started date",
				"type": "obs",
				"questionOptions": {
				  "rendering": "date",
				  "concept": "5ac4300a-5e19-45c8-8692-31a57d6d5b8c"
				  
				},
				"validators": [
					{
						"type": "date",
						"allowFutureDates": "false"
					}
				],
				"id": "fluconazolePreventiveTherapyDateStarted"
			  },
			  {
				"label": "Fluconazole Preventive Therapy (FPT) completed date",
				"type": "obs",
				"questionOptions": {
				  "rendering": "date",
				  "concept": "c2d57bcb-02f2-457d-af05-8d759a1457a7"
				  
				},
				"validators": [
					{
						"type": "date",
						"allowFutureDates": "false"
					},
					{
						"type": "js_expression",
						"failsWhenExpression": "myValue < new Date(fluconazolePreventiveTherapyDateStarted)",
						"message": "Fluconazole stopped date should not be earlier than started date"
					}
				],
				"id": "fluconazolePreventiveTherapyDateCompleted"
			  },
			  {
				"label": "ARV For PMTCT",
				"type": "obs",
				"questionOptions": {
				  "rendering": "radio",
				  "concept": "163532AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
				  "answers": [
					{
					  "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Yes"
					  
					},
					{
					  "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "No"
					  
					}
				  ]
				  
				},
				"id": "ARVForPMTCT"
			  },
			  {
				"label": "Health Facility",
				"type": "obs",
				"questionOptions": {
				  "rendering": "text",
				  "concept": "162724AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
				},
				"hide": {
				  "hideWhenExpression": "ARVForPMTCT !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
				},
				"id": "healthFacility"
			  },
			  {
				"label": "Regimen for Mother",
				"type": "obs",
				"required": false,
				"id": "regimenForMother",
				"hide": {
				  "hideWhenExpression": "ARVForPMTCT !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
				},
				"questionOptions": {
				  "rendering": "select",
				  "concept": "d43c5ef9-3ff0-47d4-9573-ea0efa7e3fdd",
				  
				  "answers": [
					{
					  "concept": "2798d3bc-2e0a-459c-b249-9516b380a69e",
					  "label": "1a30 - D4T(30)+3TC+NVP",
					  "hide": {
									"hideWhenExpression": "true"
								}
					},
					{
					  "concept": "3495d89f-4d46-44d8-b1c9-d101bc9f15d4",
					  "label": "1a40 - D4T(40)+3TC+NVP",
					  "hide": {
									"hideWhenExpression": "true"
								}
					},
					{
					  "concept": "ae0dc59c-eb3d-421b-913b-ee5a06ec6182",
					  "label": "1b30 - D4T(30)+3TC+EFV",
					  "hide": {
									"hideWhenExpression": "true"
								}
					},
					{
					  "concept": "c5995b5c-19bb-42f6-895b-0b4627bc9dd1",
					  "label": "1b40 - D4T(40)+3TC+EFV",
					  "hide": {
									"hideWhenExpression": "true"
								}
					},
					{
					  "concept": "a9da3e97-3916-4834-854c-6bcbc5142aca",
					  "label": "1c - AZT+3TC+NVP",
					  "hide": {
									"hideWhenExpression": "true"
								}
					},
					{
					  "concept": "b5951dd9-6bb2-4b63-af20-0707500108ea",
					  "label": "1d - AZT+3TC+EFV"
					},
					{
					  "concept": "1f735bdd-4ccd-40ce-8746-28f031f38675",
					  "label": "1e - TDF+3TC+EFV"
					},
					{
					  "concept": "8b727274-4a3c-4a81-ae50-9f759a87358d",
					  "label": "1f - TDF+3TC+NVP",
					  "hide": {
									"hideWhenExpression": "true"
								}
					},
					{
					  "concept": "a664a63f-57f5-4cfc-80c0-4a8456725c2a",
					  "label": "1g - ABC+3TC+EFV"
					},
					{
					  "concept": "71ecf102-8d3d-4a2a-b799-30773ad5d447",
					  "label": "1h - ABC+3TC+NVP",
					  "hide": {
									"hideWhenExpression": "true"
								}
					},
					{
					  "concept": "eb171a2d-1b67-4adc-ae09-49b6d272810d",
					  "label": "1i - Other Adult 1st line regimen"
					},
					{
					  "concept": "2a811ceb-3c34-47ff-943a-425b41651784",
					  "label": "1j - TDF+3TC+DTG"
					},
					{
					  "concept": "c56be3a9-d678-4693-9566-84430239a2f5",
					  "label": "1k - AZT+3TC+DTG"
					},
					{
					  "concept": "a87d9674-11af-4440-afd0-d097d84d0393",
					  "label": "2a - ABC+DDL+LPV",
					  "hide": {
									"hideWhenExpression": "true"
								}
					},
					{
					  "concept": "82e23d8c-4c9d-4b18-a960-9f8890b86f2f",
					  "label": "2b - ABC+DDL+NFV",
					  "hide": {
									"hideWhenExpression": "true"
								}
					},
					{
					  "concept": "cf29c24b-b796-4536-aaa5-8303f45bb5f8",
					  "label": "2c - TDF+DDL+LPV",
					  "hide": {
									"hideWhenExpression": "true"
								}
					},
					{
					  "concept": "2e84a82a-8b93-40fc-a556-2028d39f5710",
					  "label": "2d - TDF+DDL+NFV",
					  "hide": {
									"hideWhenExpression": "true"
								}
					},
					{
					  "concept": "a1056dfb-c16d-4e5c-a56b-e33228d634f8",
					  "label": "2e - AZT+3TC+LPVr"
					},
					{
					  "concept": "891bf06e-298a-40ee-8970-2311d18fed48",
					  "label": "2f - AZT+3TC+ATVr"
					},
					{
					  "concept": "e2d1786e-4849-473e-b32a-2c82bd35e947",
					  "label": "2g - TDF+3TC+LPVr"
					},
					{
					  "concept": "a9ef6721-d2fb-4f47-bfe3-9f7902e107c7",
					  "label": "2h - TDF+3TC+ATVr"
					},
					{
					  "concept": "73c10f0d-0a24-411f-9c97-49ab9e7eb2ce",
					  "label": "2i - ABC+3TC+LPVr"
					},
					{
					  "concept": "2a17d96a-3457-4b93-b007-b540a7543618",
					  "label": "2j -TDF+3TC+DTG"
					},
					{
					  "concept": "707d6943-9ec0-4c6b-8c72-f64143663043",
					  "label": "2k - AZT+3TC+DTG"
					},
					{
					  "concept": "25758e89-bfb1-4b9f-ba6d-240d953c99e8",
					  "label": "2L - Other Adult 2nd line regimen"
					},
					{
					  "concept": "ab265c19-afab-4497-84a9-c8b44a202ca5",
					  "label": "3a -  DRV/r+DTG+AZT+3TC"
					},
					{
					  "concept": "7f9aed33-cc7e-4043-adc8-b947dd9638eb",
					  "label": "3b - DRV/r+DTG+TDF+3TC"
					},
					{
					  "concept": "664137bb-d538-4afc-bbd1-7538cf158882",
					  "label": "3c - DRV/r+ABC+3TC+DTG"
					},
					{
					  "concept": "dea28eb8-1f9b-455f-afcc-dc566898cb86",
					  "label": "3d - Other Adult 3rd line regimen"
					},
					{
					  "concept": "74f685e8-7ea1-40e1-adf1-651cdf30b272",
					  "label": "3e - DRV/r+TDF+3TC+EFV"
					},
					{
					  "concept": "e8cdf6eb-2b36-4cde-bb4b-f0fd1d6d748b",
					  "label": "3f - DRV/r+AZT+3TC+EFV"
					}
				  ]
				},
				"validators": []
			  },
			  {
				"label": "Regimen for Baby",
				"type": "obs",
				"required": false,
				"id": "regimenForBaby",
				"hide": {
				  "hideWhenExpression": "ARVForPMTCT !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
				},
				"questionOptions": {
				  "rendering": "select",
				  "concept": "5f979d21-5b8f-4f52-abfd-4d99cc828b91",
				  
				  "answers": [
					{
					  "concept": "c33efc4a-734f-4e89-92a4-71b259a5e547",
					  "label": "4a - D4T+3TC+NVP",
					  "hide": {
						"hideWhenExpression": "true"
					}
					},
					{
					  "concept": "7bbee32a-31a8-4199-a8a2-2d15c748d80a",
					  "label": "4b - D4T+3TC+EFV",
					  "hide": {
						"hideWhenExpression": "true"
					}
					},
					{
					  "concept": "756b4487-f358-4817-b248-9c05080bad67",
					  "label": "4c - AZT+3TC+NVP",
					  "hide": {
						"hideWhenExpression": "true"
					}
					},
					{
					  "concept": "ad169a6d-cf1a-4363-a2da-be85998612bd",
					  "label": "4d - AZT+3TC+EFV"
					},
					{
					  "concept": "d3eedcf3-9571-42a2-b8b0-189e93f72f47",
					  "label": "4e - TDF+3TC+EFV"
					},
					{
					  "concept": "0343175a-e931-4f6c-a0c2-99e55637bda9",
					  "label": "4f - AZT+3TC+LPVr"
					},
					{
					  "concept": "e4353cd1-5a0e-4870-8af4-f012ca0145fe",
					  "label": "4g - ABC+3TC+LPVr"
					},
					{
					  "concept": "582c6b67-2f0a-4cc0-b7c0-632b4b387a17",
					  "label": "4h - Other Child 1st line regimen"
					},
					{
					  "concept": "eae01634-65ec-4174-a95c-622456663727",
					  "label": "4j - ABC+3TC+DTG"
					},
					{
					  "concept": "0dbe6b49-7356-4cf0-b489-890e18c38465",
					  "label": "4i - TDF+3TC+DTG"
					},
					{
					  "concept": "dabcfa6d-56e5-4e5d-a2f2-faf4e18b9211",
					  "label": "4K - AZT+3TC+DTG"
					},
					{
					  "concept": "c94ca2da-8066-42f7-b4c9-582dae83e552",
					  "label": "4L - ABC+3TC+EFV"
					},
					{
					  "concept": "fcafc964-f018-41c8-9dc9-343a2f4a94b5",
					  "label": "5a - ABC+DDL+LPY",
					  "hide": {
									"hideWhenExpression": "true"
								}
					},
					{
					  "concept": "7c30ed1a-a770-4b74-8704-82077427128d",
					  "label": "5b - ABC+DDL+NFV",
					  "hide": {
									"hideWhenExpression": "true"
								}
					},
					{
					  "concept": "18c78c5f-082c-4acc-a121-62fa334f34d3",
					  "label": "5c - TDF+DDL+LPV",
					  "hide": {
									"hideWhenExpression": "true"
								}
					},
					{
					  "concept": "5c9424e6-4f18-44e1-a074-e561643a7d91",
					  "label": "5d - TDF+DDL+NFV",
					  "hide": {
									"hideWhenExpression": "true"
								}
					},
					{
					  "concept": "fbb4db0f-4cf4-4ca3-bde0-e20eb065e7da",
					  "label": "5e - ABC+3TC+LPVr"
					},
					{
					  "concept": "9ef4d67d-0e05-422a-aac5-80eaf71daadc",
					  "label": "5f - AZT+3TC+LPVr"
					},
					{
					  "concept": "ee5b1c56-1131-40a6-a880-5dd33a72a861",
					  "label": "5g - TDF+3TC+EFV"
					},
					{
					  "concept": "e341cf6c-4923-4eb1-8c47-e76eef19e8cf",
					  "label": "5h - ABC+3TC+EFV"
					},
					{
					  "concept": "1294646b-2c36-4169-a0aa-a0c7692003fc",
					  "label": "5i - TDF+3TC+LPVr"
					},
					{
					  "concept": "0cc9e467-c1ce-4eff-879d-8936a81b6ea3",
					  "label": "5j - Other Child 2nd line regimen"
					},
					{
					  "concept": "2e58ef33-d019-4bd9-97b8-553e39e12646",
					  "label": "5k - RAL+AZT+3TC",
					  "hide": {
									"hideWhenExpression": "true"
								}
					},
					{
					  "concept": "8feb33db-71db-4fd0-a0e7-c02f81fcc76f",
					  "label": "5l - RAL+ABC+3TC",
					  "hide": {
									"hideWhenExpression": "true"
								}
					},
					{
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					{
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					  "label": "5k - RAL+AZT+3TC",
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					  "label": "6a - DRVr+RAL+AZT+3TC",
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					  "concept": "e3eb6ae1-fd70-47b2-b1a6-702fae87b061",
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					  "label": "6h - DRV/r+AZT+3TC+EFV"
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				],
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				"id": "artStartDate"
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			  {
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				"id": "monthsOnART",
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	  {
		"label": "CLIENT STATUS AT ENROLLMENT",
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				  "concept": "5085AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
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				  "concept": "5086AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
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				"id": "diastolicBloodPressure"
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		  },
		  {
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					"failsWhenExpression": "!/^(0|[1-9]\\d*)(\\.\\d+)?$/.test(myValue)",
					"message": "Weight should be a numeric value"
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				],
				"id": "weight"
				},
			  {
				"label": "BMI (kg/m2)",
				"type": "obs",
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				  "concept": "e3c2efba-3ec9-4029-9bd9-716948995433",
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					"type": "js_expression",
					"failsWhenExpression": "!/^(0|[1-9]\\d*)(\\.\\d+)?$/.test(myValue)",
					"message": "BMI should be a numeric value"
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				"id": "bmi"
				},
			  {
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				"type": "obs",
				"required": false,
				"id": "patientFunctionalStatus",
				"questionOptions": {
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				  "concept": "2b7b8471-b19e-4d55-b2a4-4fe5b80f889a",
				  
				  "answers": [
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					  "label": "Working"
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					  "label": "Ambulatory"
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			  "hideWhenExpression": "age > 5"
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			"isExpanded": "true",
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			  "hideWhenExpression": "sex !== 'F'"
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				"label": "Client's Pregnancy at Enrollment",
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				"id": "pregnancyAtEnrollment"
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			  {
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				"type": "obs",
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				  "hideWhenExpression": "pregnancyAtEnrollment !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
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					},
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					},
					{
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					},
					{
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					},
					{
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					},
					{
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					{
					  "concept": "2423abaf-6cd5-4409-8b39-2d90ca584fba",
					  "label": "Persistent Headaches"
					  
					},
					{
					  "concept": "e0318c3d-2926-4958-8517-72f7b3c53eb1",
					  "label": "Hemoptysis"
					  
					},
					{
					  "concept": "140501AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
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					},
					{
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					},
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					},
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					  "concept": "132653AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
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					},
					{
					  "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
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					}
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				"id": "presentingComplaints"
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			  {
				"label": "Other presenting complaints",
				"type": "obs",
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				  "concept": "a6408b87-6146-4b20-839f-e0ed70c62e5a"
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				"validators": [
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					  "type": "js_expression",
					  "failsWhenExpression": "myValue.length > 50",
					  "message": "Please use a maximum of 50 characters"
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				"hide": {
				  "hideWhenExpression": "!includes('presentingComplaints', '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')"
				},
				"id": "otherPresentingComplaints"
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			  {
				"label": "Percent (%) of lost body weight",
				"type": "obs",
				"required": false,
				"hide": {
				  "hideWhenExpression": "!includes('presentingComplaints', '832AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA')"
				},
				"id": "percentOfLostBodyWeight",
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				  "concept": "91ee36b1-4018-4e4c-bf56-6394c752654f",
				  
				  "answers": []
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				"validators": []
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		  },
		  {
			"label": "GENERAL APPEARANCE AT ENROLLMENT",
			"isExpanded": "true",
			"questions": [
			  {
				"label": "General Appearance",
				"type": "obs",
				"questionOptions": {
				  "rendering": "text",
				  "concept": "163042AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
				  
				},
				"id": "generalAppearance"
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		  },
		  {
			"label": "PHYSICAL EXAMINATION BY SYSTEM",
			"isExpanded": "true",
			"questions": [
			  {
				"label": "Are all systems normal",
				"type": "obs",
				"required": false,
				"id": "areAllSystemsNormal",
				"questionOptions": {
				  "rendering": "radio",
				  "concept": "dd60b83d-2a86-4820-92f7-1228f2cf8220",
				  
				  "answers": [
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					{
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					  "label": "No"
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				"validators": []
			  },
			  {
				"label": "HEENT examination",
				"type": "obs",
				"questionOptions": {
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					"calculateExpression": "areAllSystemsNormal === '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' :  console.log()"
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				  "concept": "33b614d0-1953-4056-ac84-66b0492394e5",
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					{
					  "concept": "1116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Abnormal"
					  
					}
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				},
				"id": "heentExamination"
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			  {
				"label": "Specify Abnormal Finding of HEENT",
				"type": "obs",
				"questionOptions": {
				  "rendering": "text",
				  "concept": "163045AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
				  
				},
				"hide": {
				  "hideWhenExpression": "heentExamination !== '1116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
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				"id": "heentExaminationComment"
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			  {
				"label": "Lymph nodes examination",
				"type": "obs",
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					"calculateExpression": "areAllSystemsNormal === '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' :  console.log()"
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					  "concept": "1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
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					},
					{
					  "concept": "1116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Abnormal"
					  
					}
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				},
				"id": "lymphNodesExamination"
			  },
			  {
				"label": "Specify Abnormal Finding of Lymph nodes",
				"type": "obs",
				"questionOptions": {
				  "rendering": "text",
				  "concept": "166005AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
				  
				},
				"hide": {
				  "hideWhenExpression": "lymphNodesExamination !== '1116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
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				"id": "lymphNodesExaminationComment"
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				"label": "Chest examination",
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					  "concept": "1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
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					},
					{
					  "concept": "1116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Abnormal"
					  
					}
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				},
				"id": "chestExamination"
			  },
			  {
				"label": "Specify Abnormal Finding of Chest",
				"type": "obs",
				"questionOptions": {
				  "rendering": "text",
				  "concept": "160689AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
				  
				},
				"hide": {
				  "hideWhenExpression": "chestExamination !== '1116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
				},
				"id": "chestExaminationComment"
			  },
			  {
				"label": "Heart examination",
				"type": "obs",
				"questionOptions": {
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					"calculateExpression": "areAllSystemsNormal === '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' :  console.log()"
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				  "concept": "1d51e0df-9e50-432d-ae12-b5a044c8d6e6",
				  "answers": [
					{
					  "concept": "1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Normal"
					  
					},
					{
					  "concept": "1116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Abnormal"
					  
					}
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				},
				"id": "heartExamination"
			  },
			  {
				"label": "Specify Abnormal Finding of Heart",
				"type": "obs",
				"questionOptions": {
				  "rendering": "text",
				  "concept": "163046AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
				  
				},
				"hide": {
				  "hideWhenExpression": "heartExamination !== '1116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
				},
				"id": "heartExaminationComment"
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			  {
				"label": "Abdomen examination",
				"type": "obs",
				"questionOptions": {
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					"calculateExpression": "areAllSystemsNormal === '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' :  console.log()"
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				  "rendering": "radio",
				  "concept": "84fa6273-8798-4cca-941d-2d21f8698e22",
				  "answers": [
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					  "concept": "1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
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					},
					{
					  "concept": "1116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Abnormal"
					  
					}
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				},
				"id": "abdomenExamination"
			  },
			  {
				"label": "Specify Abnormal Finding of Abdomen",
				"type": "obs",
				"questionOptions": {
				  "rendering": "text",
				  "concept": "160947AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
				  
				},
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				  "hideWhenExpression": "abdomenExamination !== '1116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
				},
				"id": "abdomenExaminationComment"
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			  {
				"label": "Genitourinary system examination",
				"type": "obs",
				"questionOptions": {
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					"calculateExpression": "areAllSystemsNormal === '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' :  console.log()"
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					  "concept": "1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
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					},
					{
					  "concept": "1116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Abnormal"
					  
					}
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				},
				"id": "genitourinarySystemExamination"
			  },
			  {
				"label": "Specify Abnormal Finding of Genitourinary System",
				"type": "obs",
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				  "concept": "1854b210-5a4b-4c7f-a591-f3eddbbae649"
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				  "hideWhenExpression": "genitourinarySystemExamination !== '1116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
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				"id": "genitourinarySystemExaminationComment"
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			  {
				"label": "Musculoskeletal system examination",
				"type": "obs",
				"questionOptions": {
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					"calculateExpression": "areAllSystemsNormal === '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' :  console.log()"
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					  "concept": "1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Normal"
					  
					},
					{
					  "concept": "1116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Abnormal"
					  
					}
				  ]
				},
				"id": "musculoskeletalSystemExamination"
			  },
			  {
				"label": "Specify Abnormal Finding of Musculo-skeletal system",
				"type": "obs",
				"questionOptions": {
				  "rendering": "text",
				  "concept": "163048AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
				  
				},
				"hide": {
				  "hideWhenExpression": "musculoskeletalSystemExamination !== '1116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
				},
				"id": "musculoskeletalSystemExaminationComment"
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			  {
				"label": "Skin examination",
				"type": "obs",
				"questionOptions": {
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					"calculateExpression": "areAllSystemsNormal === '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' :  console.log()"
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				  "rendering": "radio",
				  "concept": "2c8381a2-167e-4ce6-a3e1-5d7427e87667",
				  "answers": [
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					  "concept": "1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Normal"
					  
					},
					{
					  "concept": "1116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Abnormal"
					  
					}
				  ]
				},
				"id": "skinExamination"
			  },
			  {
				"label": "Specify Abnormal Finding of Skin",
				"type": "obs",
				"questionOptions": {
				  "rendering": "text",
				  "concept": "160981AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
				  
				},
				"hide": {
				  "hideWhenExpression": "skinExamination !== '1116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
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				"id": "skinExaminationComment"
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			  {
				"label": "Nervous system examination",
				"type": "obs",
				"questionOptions": {
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					"calculateExpression": "areAllSystemsNormal === '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' ? '1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' :  console.log()"
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					  "concept": "1115AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Normal"
					  
					},
					{
					  "concept": "1116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
					  "label": "Abnormal"
					  
					}
				  ]
				},
				"id": "nervousSystemExamination"
			  },
			  {
				"label": "Specify Abnormal Finding of Nervous system",
				"type": "obs",
				"questionOptions": {
				  "rendering": "text",
				  "concept": "163109AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
				  
				},
				"hide": {
				  "hideWhenExpression": "nervousSystemExamination !== '1116AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
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				"id": "nervousSystemExaminationComment"
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			  {
				"label": "Other findings",
				"type": "obs",
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				  "concept": "0d3783f1-3790-4b7f-8213-2ff1358148ee"
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					  "type": "js_expression",
					  "failsWhenExpression": "myValue.length > 50",
					  "message": "Please