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@icap-ethiopia/esm-ethiohri-app

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{ "name": "Re-test", "version": "1.0", "published": true, "retired": false, "encounter": "Re-test", "pages": [ { "label": "HIV Re-Test Registration", "sections": [ { "label": "REFERRAL INFORMATION", "isExpanded": "true", "questions": [ { "label": "Referral type", "type": "obs", "questionOptions": { "rendering": "radio", "concept": "dd282c99-ea69-44e7-9252-aff0198cc1e8", "conceptMappings": [ { "type": "ETHIOHRI", "value": "entryPoint" } ], "answers": [ { "concept": "163266AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Within the facility", "conceptMappings": [ { "type": "CIEL", "value": "163266" }, { "type": "SNOMED-CT", "value": "257622000" } ] }, { "concept": "164407AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Outside the facility", "conceptMappings": [ { "type": "SNOMED-CT", "value": "4563007" }, { "type": "CIEL", "value": "164407" } ] } ] }, "id": "referralType" }, { "label": "Entry point", "type": "obs", "required": true, "id": "entryPoint", "questionOptions": { "rendering": "select", "concept": "d2b461e5-dd7f-4d16-968e-354ac68cbd38", "conceptMappings": [], "answers": [ { "concept": "af37cab4-73ad-49ff-b9d7-2a89d54d7118", "label": "TB Clinic" }, { "concept": "8c4138ca-84e0-48bf-aff6-6287f62bb208", "label": "OPD1" }, { "concept": "f2d606b8-6f46-4d84-aacd-f7deae4e65a3", "label": "OPD2" }, { "concept": "e832eb29-4dbc-443e-b385-f8a1ec69143b", "label": "OPD3" }, { "concept": "5f00bbb4-80ba-4201-a4f5-93d2e0a021ce", "label": "OPD4" }, { "concept": "160546AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "STI" }, { "concept": "160460AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Dermatology" }, { "concept": "2309a42c-1e6c-489e-927e-ba6738ce5683", "label": "Pedi OPD 1" }, { "concept": "3b221bcb-77d6-4868-bad5-fda94b37ab4b", "label": "Pedi OPD 2" }, { "concept": "115122AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Malnutrition" }, { "concept": "e7e85a1a-1e45-4043-99d7-216034965bc5", "label": "Other OPD" }, { "concept": "159940AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "VCT" }, { "concept": "2959b6f7-1f9b-49cd-9f3a-1e42e87b4ae5", "label": "ANC Client" }, { "concept": "7f56577d-b09b-43b9-be0c-78ef81470c83", "label": "ANC partner" }, { "concept": "d1e97037-c599-47c3-93cb-c256b9c27fbc", "label": "L&D Client" }, { "concept": "b939ea35-5e85-4d5b-9443-a823645b7446", "label": "L&D Partner" }, { "concept": "14497d04-ec43-4ac4-9cab-02007a0ff273", "label": "PNC Client" }, { "concept": "661a2141-4476-4ec9-b35b-3bceec16f044", "label": "PNC Partner" }, { "concept": "160538AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Children of PMTCT" }, { "concept": "9d6e28e2-dd0a-4b53-b45d-278ebc219d79", "label": "Medical Ward" }, { "concept": "838445f2-713d-49dc-b584-917457336218", "label": "Pedi Ward" }, { "concept": "46c6d199-e290-4dc8-bc48-e050392ebd18", "label": "Gyn Ward" }, { "concept": "f0152d8f-5dae-4598-ba92-000952a3f436", "label": "Index case testing children" }, { "concept": "974ef745-16f5-439f-a4e5-e78135eca5ed", "label": "Index case testing partners" }, { "concept": "160545AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "HF outreach testing" }, { "concept": "163488AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Referred from community testing" }, { "concept": "160479AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Private/NGO HFs" }, { "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Other" } ] } }, { "label": "Other entry point", "type": "obs", "questionOptions": { "rendering": "text", "concept": "a0285e3d-0ded-4dd2-9e4c-8588de3a052d" }, "hide": { "hideWhenExpression": "entryPoint !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" }, "validators": [ { "type": "js_expression", "failsWhenExpression": "myValue.length > 50", "message": "Please use a maximum of 50 characters" } ], "id": "otherEntryPoint" }, { "label": "Date of initial test", "type": "obs", "required": true, "questionOptions": { "rendering": "date", "concept": "9182520e-24e8-4e84-aba7-6b56bdeb76d5" }, "validators": [ { "type": "date", "allowFutureDates": "false" }, { "type": "js_expression", "failsWhenExpression": "myValue < new Date(dateOfRetesting)", "message": "Date of initial test should be earlier than date of re-test" } ], "id": "dateOfInitialTest" }, { "label": "Date of re-testing for verification", "type": "obs", "required": true, "questionOptions": { "rendering": "date", "concept": "3c588dc4-cd32-47e6-a919-806e254b66c7", "weeksList": "" }, "validators": [ { "type": "date", "allowFutureDates": "false" }, { "type": "js_expression", "failsWhenExpression": "myValue < new Date(dateOfInitialTest)", "message": "Date of retest should not be earlier than date of initial test" } ], "id": "dateOfRetesting" } ] }, { "label": "RETESTING FOR VERIFICATION RESULT", "isExpanded": "true", "questions": [ { "label": "Test1 Kit Name", "type": "obs", "questionOptions": { "rendering": "text", "concept": "2fac54af-0573-454d-988e-5dadabd5d6c6" }, "id": "kitName1" }, { "label": "Test1 Lot No.", "type": "obs", "questionOptions": { "rendering": "text", "concept": "60c2f1ed-0c88-4d2b-9067-f0a46e5d4d88" }, "validators": [ { "type": "js_expression", "failsWhenExpression": "myValue.length > 20", "message": "Please use a maximum of 20 characters" } ], "id": "lotNumber1" }, { "label": "Test1 Exp. Date", "type": "obs", "questionOptions": { "rendering": "date", "concept": "a9f3dbfc-b65d-4cd4-9c65-c52df1f9b65c", "weeksList": "" }, "validators": [ { "type": "js_expression", "failsWhenExpression": "myValue < new Date(dateOfRetesting)", "message": "Expiry date should not be earlier than Date of Retesting" } ], "id": "expiryDate1" }, { "label": "Test1 Result", "type": "obs", "questionOptions": { "rendering": "radio", "concept": "be4e10ae-f149-439e-904b-a02a264cbfdb", "answers": [ { "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Reactive", "conceptMappings": [ { "type": "PIH", "value": "703" }, { "type": "CIEL", "value": "703" }, { "type": "AMPATH", "value": "703" }, { "type": "AMPATH", "value": "704" }, { "type": "AMPATH", "value": "704" }, { "type": "SNOMED-CT", "value": "10828004" }, { "type": "SNOMED-CT", "value": "10828004" }, { "type": "org.openmrs.module.mdrtb", "value": "POSITIVE" }, { "type": "AMPATH", "value": "703" }, { "type": "org.openmrs.module.mdrtb", "value": "POSITIVE" }, { "type": "PIH", "value": "703" }, { "type": "CIEL", "value": "703" } ] }, { "concept": "1229AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Non-Reactive", "conceptMappings": [] } ] }, "id": "result1" }, { "label": "Test2 Kit Name", "type": "obs", "questionOptions": { "rendering": "text", "concept": "f6dea1b3-4d8c-438f-be0e-5e056f84946f" }, "validators": [ { "type": "js_expression", "failsWhenExpression": "myValue.length > 20", "message": "Please use a maximum of 20 characters" } ], "id": "kitName2" }, { "label": "Test2 Lot No.", "type": "obs", "questionOptions": { "rendering": "text", "concept": "cfdf3a11-7536-4ae3-9db1-7c23e0a35553" }, "id": "lotNumber2" }, { "label": "Test2 Exp. Date", "type": "obs", "questionOptions": { "rendering": "date", "concept": "06c4fcee-880f-40ce-89e2-b0958a8cea6d", "weeksList": "" }, "id": "expiryDate2" }, { "label": "Test2 Result", "type": "obs", "questionOptions": { "rendering": "radio", "concept": "6d5b24ab-8ea3-4aca-a9a3-2abc14db1b96", "answers": [ { "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Reactive", "conceptMappings": [ { "type": "PIH", "value": "703" }, { "type": "CIEL", "value": "703" }, { "type": "AMPATH", "value": "703" }, { "type": "AMPATH", "value": "704" }, { "type": "AMPATH", "value": "704" }, { "type": "SNOMED-CT", "value": "10828004" }, { "type": "SNOMED-CT", "value": "10828004" }, { "type": "org.openmrs.module.mdrtb", "value": "POSITIVE" }, { "type": "AMPATH", "value": "703" }, { "type": "org.openmrs.module.mdrtb", "value": "POSITIVE" }, { "type": "PIH", "value": "703" }, { "type": "CIEL", "value": "703" } ] }, { "concept": "1229AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Non-Reactive", "conceptMappings": [] } ] }, "id": "result2" }, { "label": "Test3 Kit Name", "type": "obs", "questionOptions": { "rendering": "text", "concept": "6c2c0bc0-88b5-43a3-a466-02b0df0667c4" }, "validators": [ { "type": "js_expression", "failsWhenExpression": "myValue.length > 20", "message": "Please use a maximum of 20 characters" } ], "id": "kitName3" }, { "label": "Test3 Lot No.", "type": "obs", "questionOptions": { "rendering": "text", "concept": "f91b92f8-441a-4706-a63f-8b1efbcaa3b7" }, "id": "lotNumber3" }, { "label": "Test3 Exp. Date", "type": "obs", "questionOptions": { "rendering": "date", "concept": "4e596473-d730-4535-875c-895d5f20b4c0", "weeksList": "" }, "id": "expiryDate3" }, { "label": "Test3 Result", "type": "obs", "questionOptions": { "rendering": "radio", "concept": "04e7081b-4a0d-4409-9cef-3623b29f8bd2", "answers": [ { "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Reactive", "conceptMappings": [ { "type": "PIH", "value": "703" }, { "type": "CIEL", "value": "703" }, { "type": "AMPATH", "value": "703" }, { "type": "AMPATH", "value": "704" }, { "type": "AMPATH", "value": "704" }, { "type": "SNOMED-CT", "value": "10828004" }, { "type": "SNOMED-CT", "value": "10828004" }, { "type": "org.openmrs.module.mdrtb", "value": "POSITIVE" }, { "type": "AMPATH", "value": "703" }, { "type": "org.openmrs.module.mdrtb", "value": "POSITIVE" }, { "type": "PIH", "value": "703" }, { "type": "CIEL", "value": "703" } ] }, { "concept": "1229AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Non-Reactive", "conceptMappings": [] } ] }, "id": "result3" }, { "label": "Final Result", "type": "obs", "required": true, "questionOptions": { "rendering": "radio", "concept": "2b1ea8df-3293-4964-9b44-9e31dff678a4", "answers": [ { "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Reactive", "conceptMappings": [ { "type": "PIH", "value": "703" }, { "type": "CIEL", "value": "703" }, { "type": "AMPATH", "value": "703" }, { "type": "AMPATH", "value": "704" }, { "type": "AMPATH", "value": "704" }, { "type": "SNOMED-CT", "value": "10828004" }, { "type": "SNOMED-CT", "value": "10828004" }, { "type": "org.openmrs.module.mdrtb", "value": "POSITIVE" }, { "type": "AMPATH", "value": "703" }, { "type": "org.openmrs.module.mdrtb", "value": "POSITIVE" }, { "type": "PIH", "value": "703" }, { "type": "CIEL", "value": "703" } ] }, { "concept": "1229AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Non-Reactive", "conceptMappings": [] }, { "concept": "165649AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Inconclusive", "conceptMappings": [ { "type": "CIEL", "value": "165649" } ] } ] }, "id": "finalResult" }, { "label": "Action taken for discrepant", "type": "obs", "questionOptions": { "rendering": "select", "concept": "0a05f565-a39b-41dd-9998-df15b4cce45c", "answers": [ { "concept": "72bf4af7-2c1d-4741-ba3f-f984bfc6d2c0", "label": "Sample referred", "conceptMappings": [] }, { "concept": "164165AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Referred to nearby facility/lab", "conceptMappings": [ { "type": "SNOMED-CT", "value": "310449005" }, { "type": "CIEL", "value": "164165" } ] }, { "concept": "1610AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Patient referred to ART", "conceptMappings": [ { "type": "SNOMED-CT", "value": "3457005" }, { "type": "SNOMED-MVP", "value": "16101000105009" }, { "type": "CIEL", "value": "1610" } ] }, { "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": "actionTakenForDiscrepant" }, { "label": "Other action taken", "type": "obs", "questionOptions": { "rendering": "text", "concept": "c2d82408-ab97-4b5f-82c0-3819c2d36a46" }, "hide": { "hideWhenExpression": "actionTakenForDiscrepant !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" }, "validators": [ { "type": "js_expression", "failsWhenExpression": "myValue.length > 50", "message": "Please use a maximum of 50 characters" } ], "id": "otherActionTaken" } ] }, { "label": "TEST RESULT FROM REFERENCE LABORATORIES", "isExpanded": "true", "questions": [ { "label": "Lab Name", "type": "obs", "questionOptions": { "rendering": "text", "concept": "164422AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "conceptMappings": [ { "type": "SNOMED-CT", "value": "416342005" }, { "type": "LOINC", "value": "42216-2" }, { "type": "CIEL", "value": "164422" } ] }, "validators": [ { "type": "js_expression", "failsWhenExpression": "myValue.length > 20", "message": "Please use a maximum of 20 characters" } ], "id": "labName" }, { "label": "Type of test done", "type": "obs", "questionOptions": { "rendering": "text", "concept": "17f915f1-b003-47c1-a512-5b3130e031b3" }, "validators": [], "id": "typeOfTest" }, { "label": "Lot No.", "type": "obs", "questionOptions": { "rendering": "text", "concept": "166455AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "conceptMappings": [ { "type": "LOINC", "value": "74714-7" }, { "type": "KenyaEMR", "value": "164964" }, { "type": "CIEL", "value": "166455" } ] }, "id": "lotNumberFinal" }, { "label": "Exp. Date", "type": "obs", "questionOptions": { "rendering": "date", "concept": "162502AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "weeksList": "", "conceptMappings": [ { "type": "CIEL", "value": "162502" }, { "type": "CIEL", "value": "162502" }, { "type": "SNOMED-CT", "value": "362981000" } ] }, "id": "expiryDateFinal" }, { "label": "Final result from lab", "type": "obs", "required": false, "id": "resultFinal", "questionOptions": { "rendering": "select", "concept": "2e770be1-7397-4684-bea6-6632c23b00d7", "conceptMappings": [], "answers": [ { "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Reactive" }, { "concept": "5e4fc757-0b14-49ae-b3b7-419666f41e15", "label": "Non-reactive" } ] } } ] }, { "label": "ACTION TAKEN AFTER RETESTING FOR VERIFICATION", "isExpanded": "true", "hide": { "hideWhenExpression": "resultFinal == '5e4fc757-0b14-49ae-b3b7-419666f41e15'" }, "questions": [ { "label": "Action taken/Final result", "type": "obs", "questionOptions": { "rendering": "select", "concept": "3e8686f9-694f-496b-8f5c-565833d035d1", "answers": [ { "concept": "164165AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Client referred to other facility to start ART", "conceptMappings": [ { "type": "SNOMED-CT", "value": "310449005" }, { "type": "CIEL", "value": "164165" } ] }, { "concept": "1149AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Client already attending ART in other facility but came", "conceptMappings": [ { "type": "PIH-Malawi", "value": "7010" }, { "type": "CIEL", "value": "1149" }, { "type": "PIH", "value": "1432" }, { "type": "AMPATH", "value": "1149" }, { "type": "PIH", "value": "1622" }, { "type": "PIH", "value": "2589" }, { "type": "PIH", "value": "1577" } ] }, { "concept": "162322AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Started ART previously in this facility but interrupted", "conceptMappings": [ { "type": "SNOMED-CT", "value": "416234007" }, { "type": "CIEL", "value": "162322" } ] }, { "concept": "1250AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Started ART in the facility", "conceptMappings": [ { "type": "AMPATH", "value": "1250" }, { "type": "CIEL", "value": "1250" } ] }, { "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": "actionTaken" }, { "label": "Other action taken for final result", "type": "obs", "questionOptions": { "rendering": "text", "concept": "c263bf7c-cdc0-4e35-8238-bfdc1d29b468" }, "hide": { "hideWhenExpression": "actionTaken !== '5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" }, "validators": [ { "type": "js_expression", "failsWhenExpression": "myValue.length > 50", "message": "Please use a maximum of 50 characters" } ], "id": "otherActionTaken" } ] } ] } ], "availableIntents": [ { "intent": "*", "display": "default_intent" } ], "processor": "EncounterFormProcessor", "uuid": "3319f156-e639-4cf0-a80b-e90bc4590e66", "referencedForms": [], "encounterType": "aedaa1d0-1c03-425b-a49d-864a4981cf2f", "allowUnspecifiedAll": true }