@icap-ethiopia/esm-ethiohri-app

{ "name": "Exposed Person Information", "version": "1.0", "published": true, "retired": false, "encounter": "Exposed Person Information", "pages": [ { "label": "Post Exposure To HIV Prophylaxis (PEP) Registration", "sections": [ { "label": "GENERAL INFORMATION", "isExpanded": "true", "questions": [ { "label": "Reporting date", "type": "obs", "required": true, "questionOptions": { "rendering": "date", "concept": "4285d9e8-3ab4-4a94-bd4e-4dd92855795c", "weeksList": "" }, "validators": [ { "type": "date", "allowFutureDates": "false" } ], "id": "reportingDate" }, { "label": "Occupation", "type": "obs", "required": false, "id": "occupation", "questionOptions": { "rendering": "select", "concept": "6b28ccbd-3cea-4d7f-81a7-25c770e45c32", "conceptMappings": [], "answers": [ { "concept": "162591AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Physician" }, { "concept": "164969AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Health officer" }, { "concept": "1577AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Nurse" }, { "concept": "159905AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Health Assistant" }, { "concept": "165796AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Laboratory professional" }, { "concept": "164832AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Cleaner" }, { "concept": "164833AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Sanitarian" }, { "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Other" } ] }, "validators": [] }, { "label": "Other occupation", "type": "obs", "questionOptions": { "rendering": "text", "concept": "4e694dca-33b5-4694-b2b7-6b738198d217" }, "id": "otherOccupation", "hide": { "hideWhenExpression": "occupation !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" }, "validators": [ { "type": "js_expression", "failsWhenExpression": "myValue.length > 50", "message": "Please use a maximum of 50 characters" } ] }, { "label": "Department", "type": "obs", "required": false, "id": "department", "questionOptions": { "rendering": "select", "concept": "cdc0f46f-7cc4-490b-a32b-8088c67c884a", "answers": [ { "concept": "d1e97037-c599-47c3-93cb-c256b9c27fbc", "label": "Labor ward" }, { "concept": "7cab843b-ba81-475c-a9a1-ca6d06faed9e", "label": "Emergency" }, { "concept": "160542AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Regular OPD" }, { "concept": "167050AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Inpatient" }, { "concept": "e1ea3319-08e5-44f1-9408-edd664b5094e", "label": "Operation Room" }, { "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Other" } ] } }, { "label": "Other department", "type": "obs", "questionOptions": { "rendering": "text", "concept": "dfe7b0bf-6498-4d92-8f36-bb1a7cc68e50" }, "id": "otherDepartment", "hide": { "hideWhenExpression": "department !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" }, "validators": [ { "type": "js_expression", "failsWhenExpression": "myValue.length > 50", "message": "Please use a maximum of 50 characters" } ] } ] }, { "label": "EXPOSURE", "isExpanded": "true", "questions": [ { "label": "Duration (in hours)", "type": "obs", "questionOptions": { "rendering": "number", "concept": "162603AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "max": 99999999, "min": 0, "showDate": "", "conceptMappings": [ { "type": "CIEL", "value": "162603" } ] }, "id": "durationInHours" }, { "label": "Exposure type", "type": "obs", "required": true, "id": "exposureType", "questionOptions": { "rendering": "select", "concept": "916eebc3-1141-40e6-beaa-ad2b5685956b", "answers": [ { "concept": "453bf209-c408-4692-83e7-17d21282a8ae", "label": "Occupational" }, { "concept": "126582AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Sexual Assault (Rape)" }, { "concept": "164837AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Non-occupational" } ] } }, { "label": "Non-occupational exposure type", "type": "obs", "questionOptions": { "rendering": "text", "concept": "a58651ae-26ae-4e48-8931-2c37cbcf6850" }, "validators": [], "hide": { "hideWhenExpression": "exposureType !== '164837AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" }, "id": "nonoccupationalType" }, { "label": "Source of exposure", "type": "obs", "questionOptions": { "rendering": "select", "concept": "1c92b574-953a-458e-9fa7-82f5538d8aee", "answers": [ { "concept": "181AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Needle stick injury", "conceptMappings": [] }, { "concept": "164838AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Skin injury with sharps", "conceptMappings": [] }, { "concept": "c66806da-e333-41c6-b2c6-b95d2e43b07a", "label": "Blood and products splash", "conceptMappings": [] }, { "concept": "162631AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Potentially infectious body fluids", "conceptMappings": [] }, { "concept": "111505AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Rape", "conceptMappings": [] }, { "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Other", "conceptMappings": [ { "type": "AMPATH", "value": "5622" }, { "type": "org.openmrs.module.mdrtb", "value": "OTHER" }, { "type": "CIEL", "value": "5622" }, { "type": "CIEL", "value": "5622" }, { "type": "org.openmrs.module.mdrtb", "value": "OTHER" }, { "type": "SNOMED-MVP", "value": "56221000105001" }, { "type": "PIH", "value": "5622" }, { "type": "SNOMED-MVP", "value": "56221000105001" }, { "type": "PIH-Malawi", "value": "6408" }, { "type": "AMPATH", "value": "5622" }, { "type": "PIH", "value": "5622" }, { "type": "SNOMED-CT", "value": "74964007" } ] } ] }, "id": "sourceOfExposure" }, { "label": "Other source of exposure", "type": "obs", "questionOptions": { "rendering": "text", "concept": "5b703cff-eac5-4129-b1b3-9817790c8a09" }, "validators": [], "hide": { "hideWhenExpression": "sourceOfExposure !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" }, "id": "otherSource" }, { "label": "Exposure code", "type": "obs", "questionOptions": { "rendering": "select", "concept": "2d55e533-6670-45be-960a-99e8eeb31938", "answers": [ { "concept": "0686b090-479b-4df1-b717-f8ae4b21abc7", "label": "EC1", "conceptMappings": [] }, { "concept": "463e58f2-0625-4d6b-927d-2c6211d555b3", "label": "EC2", "conceptMappings": [] }, { "concept": "699c9452-92ea-4cbf-a148-deb3376b3189", "label": "EC3", "conceptMappings": [] } ] }, "id": "exposureCode" } ] }, { "label": "BASELINE HIV STATUS", "isExpanded": "true", "questions": [ { "label": "Source person", "type": "obs", "questionOptions": { "rendering": "select", "concept": "dc23b554-65b1-479a-aeeb-b47dc9fc2f7e", "answers": [ { "concept": "1228AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Reactive", "conceptMappings": [] }, { "concept": "1229AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Non-reactive", "conceptMappings": [] }, { "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Unknown status", "conceptMappings": [ { "type": "SNOMED CT", "value": "CT: 261665006" }, { "type": "ANC-DAK", "value": "ANC.B6.DE2" }, { "type": "CIEL", "value": "1067" }, { "type": "PIH", "value": "1067" }, { "type": "HL7-MedicationDispenseStatus", "value": "unknown" }, { "type": "org.openmrs.module.mdrtb", "value": "UNKNOWN" }, { "type": "AMPATH", "value": "1067" }, { "type": "AMPATH", "value": "1067" }, { "type": "PIH", "value": "1067" }, { "type": "SNOMED-CT", "value": "261665006" }, { "type": "CIEL", "value": "1067" }, { "type": "SNOMED-CT", "value": "261665006" }, { "type": "org.openmrs.module.mdrtb", "value": "UNKNOWN" } ] } ] }, "id": "sourcePerson" }, { "label": "Exposed person", "type": "obs", "questionOptions": { "rendering": "select", "concept": "ad4935e0-624a-4e01-8e51-02acd0b45f07", "answers": [ { "concept": "1228AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Reactive", "conceptMappings": [] }, { "concept": "1229AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Non-reactive", "conceptMappings": [] }, { "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Unknown status", "conceptMappings": [ { "type": "SNOMED CT", "value": "CT: 261665006" }, { "type": "ANC-DAK", "value": "ANC.B6.DE2" }, { "type": "CIEL", "value": "1067" }, { "type": "PIH", "value": "1067" }, { "type": "HL7-MedicationDispenseStatus", "value": "unknown" }, { "type": "org.openmrs.module.mdrtb", "value": "UNKNOWN" }, { "type": "AMPATH", "value": "1067" }, { "type": "AMPATH", "value": "1067" }, { "type": "PIH", "value": "1067" }, { "type": "SNOMED-CT", "value": "261665006" }, { "type": "CIEL", "value": "1067" }, { "type": "SNOMED-CT", "value": "261665006" }, { "type": "org.openmrs.module.mdrtb", "value": "UNKNOWN" } ] } ] }, "id": "exposedPerson" } ] }, { "label": "PEP PROVISION", "isExpanded": "true", "questions": [ { "label": "Eligible", "type": "obs", "questionOptions": { "rendering": "radio", "concept": "78dc1be4-4668-4170-b994-fc5e9a697e56", "answers": [ { "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Yes", "conceptMappings": [ { "type": "SNOMED-CT", "value": "373066001" }, { "type": "PIH", "value": "1065" }, { "type": "PIH", "value": "1065" }, { "type": "AMPATH", "value": "1065" }, { "type": "CIEL", "value": "1065" }, { "type": "CIEL", "value": "1065" }, { "type": "PIH-Malawi", "value": "1065" }, { "type": "CIEL", "value": "1065" }, { "type": "SNOMED-CT", "value": "373066001" }, { "type": "SNOMED CT", "value": "CT: 373066001" }, { "type": "PIH-Malawi", "value": "1065" }, { "type": "AMPATH", "value": "1065" } ] }, { "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "No", "conceptMappings": [ { "type": "PIH", "value": "1066" }, { "type": "SNOMED-CT", "value": "373067005" }, { "type": "PIH", "value": "1066" }, { "type": "PIH-Malawi", "value": "1066" }, { "type": "CIEL", "value": "1066" }, { "type": "AMPATH", "value": "1066" }, { "type": "SNOMED-CT", "value": "373067005" }, { "type": "PIH-Malawi", "value": "1066" }, { "type": "AMPATH", "value": "1066" } ] } ] }, "id": "eligible" }, { "label": "Time between exposure and PEP in hours", "type": "obs", "questionOptions": { "rendering": "number", "concept": "0885bb1e-6a2e-47d0-a597-8e8da07e4e59", "max": 99999999, "min": 0, "showDate": "" }, "hide": { "hideWhenExpression": "eligible !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" }, "id": "timeBetweenExposure" }, { "label": "PEP Regimen", "type": "obs", "required": true, "id": "pepRegimen", "hide": { "hideWhenExpression": "eligible !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" }, "questionOptions": { "rendering": "select", "concept": "17c0da08-509d-483f-905c-01c0c9ddd72a", "conceptMappings": [], "answers": [ { "concept": "76c43a1d-c393-49da-a518-a377551e201f", "label": "AZT +3TC" }, { "concept": "2539a997-cb0c-4cc4-9c10-e46f1fe69d12", "label": "AZT+3TC+ATV/r" }, { "concept": "d9e435b0-d436-4ff9-8a0c-8b6aeb9467d8", "label": "AZT+3TC+DTG" }, { "concept": "bb2410bf-fd9a-404d-90fd-e57e33881be7", "label": "AZT+3TC+EFV" }, { "concept": "8f9776c6-0cf5-4dd3-9e19-cf3cbb9a0571", "label": "AZT+3TC+LPV/r" }, { "concept": "caffc411-7641-4e3e-b9e2-9f25c3dc3b79", "label": "TDF +3TC" }, { "concept": "14ca5a47-b214-4d8d-88b4-b677faa3753c", "label": "TDF+3TC+ATV/r" }, { "concept": "9df31185-a0b2-4e92-b3e8-c373e2c66c29", "label": "TDF+3TC+DTG (TLD)" }, { "concept": "d0de9d87-b108-4e57-9917-fdc1006cbf1f", "label": "TDF+3TC+EFV (TLE)" }, { "concept": "f1315a7c-94da-4f53-a28d-2da32c56b6a2", "label": "TDF+3TC+LPV/r" } ] }, "validators": [] } ] } ] } ], "availableIntents": [ { "intent": "*", "display": "default_intent" } ], "processor": "EncounterFormProcessor", "uuid": "0937d863-6940-40d2-9c7f-779c427fd766", "referencedForms": [], "encounterType": "de4cef7c-0aca-4593-9b5f-64a51c841c9d", "allowUnspecifiedAll": true }