AMPATH JSON Schema

{
    "name": "AMPATH POC Adult Return",
    "uuid": "xxxx",
    "processor": "EncounterFormProcessor",
    "referencedForms": [
        {
            "ref": {
              "uuid": "36dabf20-89a7-41ba-a358-246ba7cf120a",
              "display": "Pre Clinic Review Component"
            },
            "alias": "pcr"
        },
        {
            "ref": {
              "uuid": "0e048527-7b32-4807-9876-ce827120f1ee",
              "display": "Hospitalization Component"
            },
            "alias": "hosp"
        },
        {
            "ref": {
              "uuid": "992cc76c-5a6f-4065-9e30-665f91f2a454",
              "display": "ART Component"
            },
            "alias": "art"
        },
        {
            "ref": {
              "uuid": "d3e4ad24-1188-4426-b855-ee658993ec03",
              "display": "PCP Prophylaxis Component"
            },
            "alias": "pcp"
        },
        {
            "ref": {
              "uuid": "0602aacc-e797-4d26-a9e9-1556f012d46f",
              "display": "TB Prophylaxis Component"
            },
            "alias": "tbp"
        },
        {
            "ref": {
              "uuid": "19b6f27b-66b0-4900-9ade-b2288284e5ed",
              "display": "TB Treatment Component"
            },
            "alias": "tbt"
        },
        {
            "ref": {
              "uuid": "f5f5e3a8-3932-409a-b004-1327e85b3aeb",
              "display": "Other Medication Component"
            },
            "alias": "omed"
        },
        {
            "ref": {
              "uuid": "8dac57da-c361-4b25-8b7d-e9d15f0de3a6",
              "display": "Crypto Component"
            },
            "alias": "cryp"
        },
        {
            "ref": {
              "uuid": "a789ac5f-4193-4134-8aa5-51674f4b40be",
              "display": "Side Effect Component"
            },
            "alias": "se"
        },
        {
            "ref": {
              "uuid": "8f741de0-6dba-4994-86d5-ddc7a41cfb74",
              "display": "Vitals Component"
            },
            "alias": "vt"
        },
        {
            "ref": {
              "uuid": "86b7dbdb-8cd3-4f9d-a153-d39e3e05717e",
              "display": "HPI Component"
            },
            "alias": "hpi"
        },
        {
            "ref": {
              "uuid": "fc2231a7-ede6-42e2-9330-0bc7ed687d46",
              "display": "Problem List Component"
            },
            "alias": "pl"
        },
        {
            "ref": {
              "uuid": "0ca17b59-e0e6-4280-9b50-d75847ecac9e",
              "display": "Who Staging Component"
            },
            "alias": "who"
        },
        {
            "ref": {
              "uuid": "bbf06310-1023-4768-a7f7-8b4a9d69ab9e",
              "display": "Lab Results Component"
            },
            "alias": "tr"
        },
        {
            "ref": {
              "uuid": "c02a1e45-eb1a-4890-b3f9-3f29697176ce",
              "display": "Assessment Component"
            },
            "alias": "ass"
        },
        {
            "ref": {
              "uuid": "812a7e5e-4e3d-4f57-b2db-1ee60b6d4e68",
              "display": "OB History Component"
            },
            "alias": "gynhist"
        },
        {
            "ref": {
              "uuid": "7372d1e2-eb4b-4b67-801b-a8b88832529b",
              "display": "Lab Orders Component"
            },
            "alias": "to"
        },
        {
            "ref": {
              "uuid": "0319de01-75ea-4b23-b8f6-eb6265a110c1",
              "display": "Referral Component"
            },
            "alias": "ref"
        },
        {
            "ref": {
              "uuid": "c3f4236c-dbb5-4f8e-87eb-5c7b73f5cf94",
              "display": "VL Justification Component"
            },
            "alias": "vljust"
        }
    ],
    "pages": [
        {
            "label": "Encounter Details",
            "sections": [
                {
                    "label": "Encounter Details",
                    "isExpanded": "True",
                    "questions": [
                        {
                            "label": "Visit date",
                            "type": "encounterDatetime",
                            "required": "true",
                            "default": "",
                            "id": "encDate",
                            "questionOptions": {
                                "rendering": "date"
                            },
                            "validators": [
                                {
                                    "type": "date"
                                }
                            ]
                        },
                        {
                            "type": "encounterProvider",
                            "label": "Provider",
                            "id": "provider",
                            "required": "true",
                            "default": "",
                            "questionOptions": {
                                "rendering": "ui-select-extended"
                            }
                        },
                        {
                            "type": "encounterLocation",
                            "label": "Facility name (site/satellite clinic required):",
                            "id": "location",
                            "required": "true",
                            "questionOptions": {
                                "rendering": "ui-select-extended"
                            }
                        }
                    ]
                }
            ]
        },
        {
            "label": "Pre-Clinic Review",
            "sections": [
                {
                    "reference": {
                        "form": "pcr",
                        "page": "Pre-clinic Review",
                        "section": "Pre-clinic Review"
                    }
                }
            ]
        },
        {
            "label": "Medical History",
            "sections": [
                {
                    "reference": {
                        "form": "pcr",
                        "page": "Pre-clinic Review",
                        "section": "Social History"
                    }
                },
                {
                    "reference": {
                        "form": "pcr",
                        "page": "Pre-clinic Review",
                        "section": "Prevention With Positives"
                    }
                },
                {
                    "reference": {
                        "form": "hosp",
                        "page": "Hospitalization",
                        "section": "Hospitalization History"
                    }
                },
                {
                    "reference": {
                        "form": "gynhist",
                        "page": "OB/Gyn History",
                        "section": "OB/Gyn History",
                        "excludeQuestions": [
                            "deliveryDate"
                        ]
                    }
                }
            ]
        },
        {
            "label": "ART History",
            "sections": [
                {
                    "reference": {
                        "form": "art",
                        "page": "ART ",
                        "section": "ART History",
                        "excludeQuestions": [
                            "current_art_regimen_ped"
                        ]
                    }
                }
            ]
        },
        {
            "label": "PCP & TB Prophylaxis History",
            "sections": [
                {
                    "reference": {
                        "form": "pcp",
                        "page": "PCP Prophylaxis",
                        "section": "PCP Prophylaxis Current"
                    }
                },
                {
                    "reference": {
                        "form": "tbp",
                        "page": "TB Prophylaxis",
                        "section": "TB Prophylaxis Current"
                    }
                }
            ]
        },
        {
            "label": "TB History",
            "sections": [
                {
                    "reference": {
                        "form": "tbt",
                        "page": "TB Treatment",
                        "section": "Tuberculosis History"
                    }
                }
            ]
        },
        {
            "label": "Other Medications History",
            "sections": [
                {
                    "reference": {
                        "form": "cryp",
                        "page": "Cryptococcal prevention",
                        "section": "Cryptococcal Secondary Prevention"
                    }
                },
                {
                    "reference": {
                        "form": "omed",
                        "page": "Other medication",
                        "section": "Other Medications"
                    }
                }
            ]
        },
        {
            "label": "Med Side Effects",
            "sections": [
                {
                    "reference": {
                        "form": "se",
                        "page": "Side Effects/Toxicity",
                        "section": "Side Effects/Toxicity"
                    }
                }
            ]
        },
        {
            "label": "Vitals",
            "sections": [
                {
                    "reference": {
                        "form": "vt",
                        "page": "Vitals",
                        "section": "Vital Signs"
                    }
                }
            ]
        },
        {
            "label": "CC/HPI",
            "sections": [
                {
                    "reference": {
                        "form": "hpi",
                        "page": "History presenting illness",
                        "section": "History Presenting Illness, Notes"
                    }
                }
            ]
        },
        {
            "label": "Current Symptoms",
            "sections": [
                {
                    "reference": {
                        "form": "pl",
                        "page": "Problem list",
                        "section": "Problem List"
                    }
                },
                {
                    "reference": {
                        "form": "tbt",
                        "page": "TB Treatment",
                        "section": "TB Screening Questions"
                    }
                },
                {
                    "reference": {
                        "form": "gynhist",
                        "page": "OB/Gyn History",
                        "section": "STI"
                    }
                },
                {
                    "reference": {
                        "form": "who",
                        "page": "WHO staging",
                        "section": "Adult WHO Staging"
                    }
                }
            ]
        },
        {
            "label": "Test Results",
            "sections": [
                {
                    "reference": {
                        "form": "tr",
                        "page": "Test Results",
                        "section": "Chemistry Lab Tests"
                    }
                },
                {
                    "reference": {
                        "form": "tr",
                        "page": "Test Results",
                        "section": "CBC"
                    }
                },
                {
                    "reference": {
                        "form": "tr",
                        "page": "Test Results",
                        "section": "CD4"
                    }
                },
                {
                    "reference": {
                        "form": "tr",
                        "page": "Test Results",
                        "section": "Viral Load"
                    }
                },
                {
                    "reference": {
                        "form": "tr",
                        "page": "Test Results",
                        "section": "TB Test"
                    }
                },
                {
                    "reference": {
                        "form": "tr",
                        "page": "Test Results",
                        "section": "Chest Xray"
                    }
                }
            ]
        },
        {
            "label": "Assessment",
            "sections": [
                {
                    "reference": {
                        "form": "ass",
                        "page": "Assessment",
                        "section": "Assessment Notes"
                    }
                }
            ]
        },
        {
            "label": "Medication Plan",
            "sections": [
                {
                    "reference": {
                        "form": "art",
                        "page": "ART ",
                        "section": "ART Plan",
                        "excludeQuestions": [
                            "artStartedPed"
                        ]
                    }
                },
                {
                    "reference": {
                        "form": "pcp",
                        "page": "PCP Prophylaxis",
                        "section": "PCP Prophylaxis Plan"
                    }
                },
                {
                    "reference": {
                        "form": "tbp",
                        "page": "TB Prophylaxis",
                        "section": "TB Prophylaxis Plan"
                    }
                },
                {
                    "reference": {
                        "form": "tbt",
                        "page": "TB Treatment",
                        "section": "TB Treatment Plan"
                    }
                },
                {
                    "reference": {
                        "form": "cryp",
                        "page": "Cryptococcal prevention",
                        "section": "Cryptococcal Treatment Plan"
                    }
                },
                {
                    "reference": {
                        "form": "omed",
                        "page": "Other medication",
                        "section": "Additional Medication Orders"
                    }
                }
            ]
        },
        {
            "label": "Plan",
            "sections": [
                {
                    "reference": {
                        "form": "to",
                        "page": "Test orders",
                        "section": "Test Orders"
                    }
                },
                {
                    "reference": {
                        "form": "ref",
                        "page": "Referrals",
                        "section": "Referrals"
                    }
                },
                {
                    "label": "Next appointment",
                    "isExpanded": "true",
                    "questions": [
                        {
                            "label": "Return to clinic Date:",
                            "type": "obs",
                            "required": "true",
                            "questionOptions": {
                                "concept": "a8a666ba-1350-11df-a1f1-0026b9348838",
                                "rendering": "date",
                                "weeksList": [
                                    2,
                                    4,
                                    8,
                                    12,
                                    16
                                ]
                            },
                            "validators": [
                                {
                                    "type": "date",
                                    "allowFutureDates": "true"
                                }
                            ]
                        }
                    ]
                }
            ]
        }
    ]
}