{
   "id":"referenceapplication.registrationapp.myRegisterPat",
   "instanceOf":"registrationapp.registerPatient",
   "label":"Register Patient",
   "description":"Create a new Patient Record",
   "extensions":[
      {
         "id":"referenceapplication.registrationapp.myRegisterPat.homepageLink",
         "extensionPointId":"org.openmrs.referenceapplication.homepageLink",
         "type":"link",
         "label":"referenceapplication.app.registerPatient.label",
         "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":[
         {

            "label":"personalinfo",
            "id":"personalInfo",

            "questions":[
               {
                  "legend":"Nationalité",
                  "fields":[
                     {
                        "type":"personAttribute",
                        "label":"Nationalité",
                        "formFieldName":"Nationalité",
                        "uuid":"28638143-2db2-4e8a-ab4c-623fb16dbd68",
                        "widget":{
                           "providerName":"uicommons",
                           "fragmentId":"field/text"
                        }
                     }
                  ]
               },
               {
                  "legend":"Assurance Medicale",
                  "fields":[
                     {
                        "type":"personAttribute",
                        "label":"Assurance Medicale",
                        "formFieldName":"Assurance Medicale",
                        "uuid":"7fb4325d-6fdd-4faa-8a88-c69304e5472b",
                        "widget":{
                           "providerName":"uicommons",
                           "fragmentId":"field/text",
                           "config":{
                              "size":60
                           }
                        }
                     }
                  ]
               }
            ]
         },
         {
            "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"
                        }
                     }
                  ]
               }
            ]
         }
      ]
   }
}