{
    "id": "referenceapplication.registerPatient.myregisterPat",
    "instanceOf": "registrationapp.registerPatient",
    "label": "Create a new patient",
    "description": "Create a new Patient Record",
    "extensions": [
        {
            "id": "referenceapplication.registerPatient.myregisterPat.homepageLink",
            "extensionPointId": "org.openmrs.referenceapplication.homepageLink",
            "type": "link",
            "label": "referenceapplication.app.registerPatient.label",
            "url": "registrationapp/registerPatient.page?appId=referenceapplication.registrationapp.registerPat",
            "icon": "icon-user",
            "order": 1,
            "requiredPrivilege": "App: registrationapp.registerPatient"
        },
        {
            "id": "application.registrationapp.summary.editPatientLink",
            "extensionPointId": "patientDashboard.overallActions",
            "type": "link",
            "label": "referenceapplication.app.editRegistrationInfo.label",
            "url": "registrationapp/registrationSummary.page?patientId={{patient.uuid}}&appId=referenceapplication.registerPatient.myregisterPat",
            "icon": "icon-pencil",
            "order": 25,
            "requiredPrivilege": "App: registrationapp.registerPatient"
        }
    ],
    "config": {
        "afterCreatedUrl": "/coreapps/clinicianfacing/patient.page?patientId={{patientId}}",
        "sections": [
{
    "id" : "registrationapp.Patient.personnalnfo.label",
     "label": "personnalInfo",
    "questions" : [
             {
                  "id" : "Carnet ID",
                   "legend" : "Carnet ID",
                  "fields":[
                     {
                        "type":"patientIdentifier",
                        "label":"Carnet ID",
                        "formFieldName":"identificationNumber",
                        "uuid":"f3aab6a6-e9ae-4dc3-a1a1-6332fbb2499a",
                        "widget":{
                           "providerName":"uicommons",
                           "fragmentId":"field/text"
                        }
                     }
                  ]
               },{
                  "legend":"Nationalité",
                  "fields":[
                     {
                        "type":"personAttribute",
                        "label":"Nationalité",
                        "formFieldName":"Nationalité",
                        "uuid":"26dea378-bcaa-45c6-83b9-7432f47be836",
                        "widget":{
                           "providerName":"uicommons",
                           "fragmentId":"field/text"
                        }
                     }
                  ]
               },
{
    "id": "Civil Status",
    "legend": "Civil Status",
    "fields": [{
        "label": "Civil Status",
        "type": "personAttribute",
        "formFieldName": "Civil Status",
        "uuid": "94441b15-a850-4613-864c-63c88a1c9217",
        "widget": {
            "providerName": "registrationapp",
            "fragmentId": "field/dropDown",
            "config": {
                "formFieldName": "Civil Status",
                 "conceptSet": "94441b15-a850-4613-864c-63c88a1c9217",
                "options": [{
                    "label": "",
                    "value": ""
                }],

                "initialValue": "",
                "hideEmptyLabel": true,
                "expanded": false
            }
        }
    }]
},
        {
                            "id" : "CNAMGS",
                            "legend" : "CNAMGS",
                            "fields" : [
                                {
                                    "type" : "patientIdentifier",
                                    "label" : "CNAMGS",
                                    "formFieldName" : "identificationNumber",
                                    "uuid" : "18a42ced-8a94-4f80-a27a-a151164b5f19",
                                    "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"
                                }
                            }
                        ]
                    }
                ]
            }
        ]
    }
}