{
    "id": "referenceapplication.registrationapp.myRegisterPat",
    "instanceOf": "registrationapp.registerPatient",
    "label": "My Register Patient",
    "description": "Create MY new Patient Record",
    "extensions": [
        {
            "id": "referenceapplication.registrationapp.myRegisterPat.homepageLink",
            "extensionPointId": "org.openmrs.referenceapplication.homepageLink",
            "type": "link",
            "label": "My Register Patient",
            "url": "registrationapp/registerPatient.page?appId=referenceapplication.registrationapp.myRegisterPat",
            "icon": "icon-user",
            "order": 1,
            "requiredPrivilege": "App: registrationapp.registerPatient"
        }
    ],
    "config": {
        "afterCreatedUrl": "/coreapps/clinicianfacing/patient.page?patientId={{patientId}}",
        "sections": [
            {
                "id": "demographics",
                "questions": [
                    {
                    "legend": "Pre-existing conditions",
                    "fields": [
                        {
                            "type": "personAttribute",
                            "label": "registrationapp.patient.preConditions.question",
                            "formFieldName": "preExixtingConditions",
                            "uuid": "8d871d18-c2cc-11de-8d13-0010c6dffd0f",
                            "widget": {
                                "providerName": "uicommons",
                                "fragmentId": "field/text"
                            }
                        }
                    ]
                    },

		    {
                    "legend": "Blood Group",
                    "fields": [
                        {
                            "type": "personAttribute",
                            "label": "registrationapp.patient.preConditions.question",
                            "formFieldName": "bloodGroup",
                            "uuid": "02793cdb-7fde-461a-a4f4-21dd56e159f6",
                            "widget": {
                                "providerName": "uicommons",
                                "fragmentId": "field/text"
                            }
                        }
                    ]
                    },

		    {
                    "legend": "Rh typing",
                    "fields": [
                        {
                            "type": "personAttribute",
                            "label": "registrationapp.patient.preConditions.question",
                            "formFieldName": "rhTyping",
                            "uuid": "146b69ae-8203-41ea-9b87-435b245199ee",
                            "widget": {
                                "providerName": "uicommons",
                                "fragmentId": "field/text"
                            }
                        }
                    ]
                    },

		    {
                    "legend": "Patient Habits",
                    "fields": [
                        {
                            "type": "personAttribute",
                            "label": "registrationapp.patient.preConditions.question",
                            "formFieldName": "patientHabits",
                            "uuid": "91366b64-2a7c-4f8b-b28f-5fe3fa83ee2a",
                            "widget": {
                                "providerName": "uicommons",
                                "fragmentId": "field/text"
                            }
                        }
                    ]
                    },

	 	   {
                    "legend": "Ethnicity",
                    "fields": [
                        {
                            "type": "personAttribute",
                            "label": "registrationapp.patient.preConditions.question",
                            "formFieldName": "ethnicity",
                            "uuid": "fcd90109-6c55-4f07-a9af-beb58d2e6d8e",
                            "widget": {
                                "providerName": "uicommons",
                                "fragmentId": "field/text"
                            }
                        }
                    ]
                    }
		]
               },
           	 {
                "id": "contactInfo",
                "label": "registrationapp.patient.contactInfo.label",
                "questions": [
                    {
                        "legend": "Person.address",
                        "fields": [
                            {
                                "type": "personAddress",
                                "label": "registrationapp.patient.address.question",
                              "widget": {
                                                 "providerName": "uicommons",
                                                 "fragmentId": "field/personAddress"
                                               }
                            }
                        ]
                    },
                    {
                        "legend": "registrationapp.patient.phone.label",
                        "id": "phoneNumberLabel",
                        "fields": [
                           		{
		                        "type": "personAttribute",
		                        "label": "registrationapp.patient.phone.question",
		                        "formFieldName": "phoneNumber",
		                        "uuid": "14d4f066-15f5-102d-96e4-000c29c2a5d7",
		                        "widget": {
				                    "providerName": "uicommons",
				                    "fragmentId": "field/text"
		                    		  },
		                        "cssClasses": ["phone"]
                           	 	}
                       		  ]
                    }
                ]
            }
        ]
    }
}