alpaca/tests/big2/options/hiv_counseling_child.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": {
    "child_given_npv_during_labor": {
      "label": "Child Given NPV Syrup in Labor and Delivery Ward?",
      "type": "radio",
      "enum": [
        "Yes",
        "No",
        "Unknown"
      ],
      "removeDefaultNone": true
    },
    "milk_source": {
      "label": "Child Milk Source:",
      "type": "select"
    },
    "hiv_diagnosis_dna_pcr": {
      "label": "Was Child Diagnosed With HIV Using DNA-PCR(DBS)?",
      "type": "radio",
      "enum": [
        "Yes",
        "No",
        "Unknown"
      ],
      "removeDefaultNone": true
    },
    "hiv_diagnosis_antibody": {
      "label": "Was Child Diagnosed With HIV Antibody or PCR As A Second Test?",
      "type": "radio",
      "enum": [
        "Yes",
        "No",
        "Unknown"
      ],
      "removeDefaultNone": true
    },
    "hiv_diagnosis_date": {
      "label": "When Did Diagnosis Take Place?",
      "type": "select"
    },
    "child_taking_ctx": {
      "label": "Is Child Taking CTX?",
      "type": "radio",
      "enum": [
        "Yes",
        "No",
        "Unknown"
      ],
      "removeDefaultNone": true
    },
    "child_start_ctx": {
      "label": "Did Child Start On CTX Between 4 Weeks and 2 Months of Age?",
      "type": "radio",
      "enum": [
        "Yes",
        "No",
        "Unknown"
      ],
      "removeDefaultNone": true
    },
    "other_treatment": {
      "label": "If Any Treatment Given, Please Describe:",
      "type": "textarea"
    },
    "note": {
      "label": "Other Notes For This Visit:",
      "type": "textarea"
    }
  }
}