alpaca/tests/big2/options/disease_diagnosis.json

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

{
  "fields": {
    "complaint": {
      "label": "Chief Complaint:",
      "type": "checkbox"
    },
    "complaint_other": {
      "label": "Other Complaint:",
      "helper": "If Chief Complaint not listed above, please write in."
    },
    "symptom": {
      "label": "Symptoms:",
      "type": "checkbox"
    },
    "symptom_other": {
      "label": "Other Symptoms:",
      "type": "textarea"
    },
    "history": {
      "label": "History:",
      "type": "checkbox"
    },
    "history_other": {
      "label": "Other Past History:",
      "type": "textarea"
    },
    "note": {
      "label": "Examination Notes:",
      "type": "textarea"
    },
    "testing_method": {
      "label": "Tested By Following Method:",
      "type": "textarea"
    },
    "diagnosis": {
      "label": "Disease Diagnosis:",
      "type": "select"
    },
    "diagnosis_other": {
      "label": "Other Disease Diagnosis:"
    },
    "treatment": {
      "label": "Treatment:",
      "type": "textarea"
    },
    "admission": {
      "label": "Admission Required?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "disease_mortality": {
      "label": "Did Disease Lead To Death?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "referral": {
      "label": "Referral?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "referral_location": {
      "label": "If Yes, Referral Location:",
      "type": "select"
    }
  }
}