alpaca
Version:
Alpaca provides the easiest and fastest way to generate interactive forms for the web and mobile devices. It runs simply as HTML5 or more elaborately using Bootstrap, jQuery Mobile or jQuery UI. Alpaca uses Handlebars to process JSON schema and provide
342 lines • 9.15 kB
JSON
{
"fields": {
"due_date": {
"label": "Expected Due Date:",
"type": "date",
"dateFormat": "yy-mm-dd",
"datepicker": {
"hideIfNoPrevNextType": true,
"yearRange": "2010:+10",
"changeMonth": true,
"changeYear": true
}
},
"number_pregnancy": {
"label": "Pregnancy Number:",
"type": "select"
},
"current_gestationalage_weeks": {
"label": "Approximate Estimated Gestational Age (weeks):",
"type": "select"
},
"date_gestationalage": {
"type": "hidden"
},
"symptom": {
"label": "Symptoms:",
"type": "checkbox"
},
"other_symptom": {
"label": "If Other Symptoms, Please Describe:"
},
"patient_weight": {
"label": "Patient Weight in Kg:",
"type": "number"
},
"fundal_height": {
"label": "Fundal Height (cm):",
"type": "select"
},
"cervical_dilation": {
"label": "Cervical Dilation (cm):",
"type": "select"
},
"fetal_station": {
"label": "Fetal Station:",
"type": "select"
},
"hemoglobin": {
"label": "Hemoglobin (g/dl):",
"type": "number"
},
"fetal_movement": {
"label": "Fetal Movement:",
"type": "select"
},
"fetal_heart_rate": {
"label": "Fetal Heart Rate:",
"type": "select"
},
"hiv_status": {
"label": "Result if tested for HIV on first visit",
"type": "select"
},
"treatment_given": {
"label": "If any treatment given, please describe:",
"type": "textarea"
},
"notes": {
"label": "Other Application Notes:",
"type": "textarea"
},
"admission": {
"label": "Admission required today?",
"type": "radio",
"enum": [
"Yes",
"No"
],
"removeDefaultNone": true
},
"in_labor": {
"label": "Laboring Now?",
"type": "radio",
"enum": [
"Yes",
"No"
],
"removeDefaultNone": true
},
"hiv_status_prior_firstvisit": {
"label": "HIV Status prior to first visit",
"type": "select"
},
"tested_hiv_firstvisit": {
"label": "Tested for HIV on first visit?",
"type": "radio",
"enum": [
"Yes",
"No"
],
"removeDefaultNone": true
},
"second_hiv_test": {
"label": "Tested positive by second HIV test?",
"type": "radio",
"enum": [
"Yes",
"No"
],
"removeDefaultNone": true
},
"refer_ctc": {
"label": "Referred to CTC?",
"type": "radio",
"enum": [
"Yes",
"No"
],
"removeDefaultNone": true
},
"partner_hiv": {
"label": "Partner tested for HIV in clinic?",
"type": "radio",
"enum": [
"Yes",
"No"
],
"removeDefaultNone": true
},
"partner_positive": {
"label": "Partner tested positive for HIV?",
"type": "radio",
"enum": [
"Yes",
"No"
],
"removeDefaultNone": true
},
"discordant_couple": {
"label": "Discordant couple?",
"type": "radio",
"enum": [
"Yes",
"No"
],
"removeDefaultNone": true
},
"combo_drugs": {
"label": "Patient recieved PMCTC combo drugs?",
"type": "radio",
"enum": [
"Yes",
"No"
],
"removeDefaultNone": true
},
"art_drugs": {
"label": "Patient using ART?",
"type": "radio",
"enum": [
"Yes",
"No"
],
"removeDefaultNone": true
},
"ctx_given": {
"label": "Patient given CTX?",
"type": "radio",
"enum": [
"Yes",
"No"
],
"removeDefaultNone": true
},
"counsel_feeding": {
"label": "Counseled on how to feed the baby?",
"type": "radio",
"enum": [
"Yes",
"No"
],
"removeDefaultNone": true
},
"syphillus_test": {
"label": "Tested for Syphillus",
"type": "radio",
"enum": [
"Yes",
"No"
],
"removeDefaultNone": true
},
"syphillus_status": {
"label": "Infected with Syphillus",
"type": "radio",
"enum": [
"Yes",
"No"
],
"removeDefaultNone": true
},
"syphillus_treatment": {
"label": "Being treated for Syphillus",
"type": "radio",
"enum": [
"Yes",
"No"
],
"removeDefaultNone": true
},
"partner_std": {
"label": "Partner infected with STD",
"type": "radio",
"enum": [
"Yes",
"No"
],
"removeDefaultNone": true
},
"partner_std_treatment": {
"label": "Partner being treated for STD",
"type": "radio",
"enum": [
"Yes",
"No"
],
"removeDefaultNone": true
},
"partner_syphillus_test": {
"label": "Partner infected with Syphillus",
"type": "radio",
"enum": [
"Yes",
"No"
],
"removeDefaultNone": true
},
"partner_syphillus_status": {
"label": "Partner infected with Syphillus",
"type": "radio",
"enum": [
"Yes",
"No"
],
"removeDefaultNone": true
},
"partner_syphillus_treatment": {
"label": "Partner being treated for Syphillus",
"type": "radio",
"enum": [
"Yes",
"No"
],
"removeDefaultNone": true
},
"malaria_test": {
"label": "Tested for malaria?",
"type": "radio",
"enum": [
"Yes",
"No"
],
"removeDefaultNone": true
},
"malar_pos": {
"label": "Tested positive for malaria?",
"type": "radio",
"enum": [
"Yes",
"No"
],
"removeDefaultNone": true
},
"bednet_voucher": {
"label": "Given voucher for free bednet?",
"type": "radio",
"enum": [
"Yes",
"No"
],
"removeDefaultNone": true
},
"ipt1": {
"label": "Given IPT1?",
"type": "radio",
"enum": [
"Yes",
"No"
],
"removeDefaultNone": true
},
"ipt2": {
"label": "Given IPT2?",
"type": "radio",
"enum": [
"Yes",
"No"
],
"removeDefaultNone": true
},
"bp_systolic": {
"label": "BP Systolic",
"type": "number"
},
"bp_diastolic": {
"label": "BP Diastolic",
"type": "number"
},
"anemia_severe": {
"label": "Severe Anemia (>8.5g/dl)",
"type": "select"
},
"tt2plus_vaccine": {
"label": "Received vaccination of TT2+",
"type": "radio",
"enum": [
"Yes",
"No"
],
"removeDefaultNone": true
},
"referral": {
"label": "Referral?",
"type": "radio",
"enum": [
"Yes",
"No"
],
"removeDefaultNone": true
},
"referred_ctc": {
"label": "Mother Referred To CTC?",
"type": "radio",
"enum": [
"Yes",
"No",
"Unknown"
],
"removeDefaultNone": true
}
}
}