opensrp-anc/src/main/assets/json.form/anc_physical_exam.json
{
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"display_scroll_bars": true,
"count": "4",
"encounter_type": "Physical Exam",
"entity_id": "",
"relational_id": "",
"form_version": "0.0.1",
"default_values": [
"height",
"pregest_weight",
"pregest_weight_unknown",
"first_weight",
"no_of_fetuses_unknown",
"no_of_fetuses",
"ipv_physical_signs_symptoms"
],
"global_previous": [
"current_weight"
],
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"height",
"pregest_weight",
"pregest_weight_unknown",
"first_weight",
"no_of_fetuses_unknown",
"no_of_fetuses"
],
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},
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},
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"openmrs_entity": "encounter",
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},
"deviceid": {
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},
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},
"simserial": {
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},
"phonenumber": {
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"openmrs_entity": "concept",
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"openmrs_entity_id": "163152AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
"encounter_location": "",
"look_up": {
"entity_id": "",
"value": ""
}
},
"step1": {
"title": "{{anc_physical_exam.step1.title}}",
"next": "step2",
"fields": [
{
"key": "height_label",
"type": "label",
"label_text_style": "bold",
"text": "{{anc_physical_exam.step1.height_label.text}}",
"text_color": "#000000",
"v_required": {
"value": true
}
},
{
"key": "height",
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"edit_text_style": "bordered",
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"v_required": {
"value": "true",
"err": "{{anc_physical_exam.step1.height.v_required.err}}"
},
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"value": "true",
"err": ""
},
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"value": "100",
"err": "Height must be equal or greater than 100"
},
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"value": "200",
"err": "Height must be equal or less than 200"
}
},
{
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"openmrs_entity_id": "spacer",
"type": "spacer",
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},
{
"key": "pregest_weight_label",
"type": "label",
"label_text_style": "bold",
"text": "{{anc_physical_exam.step1.pregest_weight_label.text}}",
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"v_required": {
"value": "true",
"err": "{{anc_physical_exam.step1.pregest_weight_label.v_required.err}}"
},
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"step1:pregest_weight_unknown": {
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{
"not": [
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]
}
]
}
}
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{
"key": "pregest_weight",
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"openmrs_entity": "concept",
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"type": "normal_edit_text",
"edit_text_style": "bordered",
"edit_type": "number",
"relevance": {
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{
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]
}
]
}
},
"v_numeric": {
"value": "true",
"err": ""
},
"v_min": {
"value": "30",
"err": "Weight must be equal or greater than 30"
},
"v_max": {
"value": "180",
"err": "Weight must be equal or less than 180"
},
"v_required": {
"value": "true",
"err": "{{anc_physical_exam.step1.pregest_weight.v_required.err}}"
}
},
{
"key": "pregest_weight_unknown",
"openmrs_entity_parent": "165277AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
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"type": "check_box",
"options": [
{
"key": "pregest_weight_unknown",
"text": "{{anc_physical_exam.step1.pregest_weight_unknown.options.pregest_weight_unknown.text}}",
"value": "false",
"openmrs_entity_parent": "165277AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"openmrs_entity": "concept",
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}
]
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{
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"type": "spacer",
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},
{
"key": "current_weight_label",
"type": "label",
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"text": "{{anc_physical_exam.step1.current_weight_label.text}}",
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"v_required": {
"value": true
}
},
{
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"err": ""
},
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"err": "Weight must be equal or greater than 30"
},
"v_max": {
"value": "180",
"err": "Weight must be equal or less than 180"
},
"v_required": {
"value": "true",
"err": "{{anc_physical_exam.step1.current_weight.v_required.err}}"
}
},
{
"key": "first_weight",
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}
}
}
},
{
"key": "bmi",
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}
}
}
},
{
"key": "gdm_risk",
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}
}
}
},
{
"key": "weight_cat",
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}
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},
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},
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}
}
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}
}
}
},
{
"key": "tot_weight_gain",
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}
}
}
},
{
"key": "toaster1",
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"type": "toaster_notes",
"text": "{{anc_physical_exam.step1.toaster1.text}}",
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}
}
}
},
{
"key": "toaster2",
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"type": "toaster_notes",
"text": "{{anc_physical_exam.step1.toaster2.text}}",
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}
}
}
},
{
"key": "toaster3",
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"openmrs_entity": "",
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"type": "toaster_notes",
"text": "{{anc_physical_exam.step1.toaster3.text}}",
"text_color": "#D56900",
"toaster_info_text": "{{anc_physical_exam.step1.toaster3.toaster_info_text}}",
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}
}
}
},
{
"key": "toaster4",
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"openmrs_entity": "",
"openmrs_entity_id": "",
"type": "toaster_notes",
"text": "{{anc_physical_exam.step1.toaster4.text}}",
"text_color": "#1199F9",
"toaster_type": "info",
"toaster_info_text": "{{anc_physical_exam.step1.toaster4.toaster_info_text}}",
"toaster_info_title": "{{anc_physical_exam.step1.toaster4.toaster_info_title}}"
},
{
"key": "toaster5",
"openmrs_entity_parent": "",
"openmrs_entity": "Weight gain finding",
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"type": "toaster_notes",
"text": "{{anc_physical_exam.step1.toaster5.text}}",
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"toaster_type": "info",
"toaster_info_text": "{{anc_physical_exam.step1.toaster5.toaster_info_text}}",
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}
}
}
},
{
"key": "toaster6",
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"openmrs_entity": "Weight gain finding",
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"type": "toaster_notes",
"text": "{{anc_physical_exam.step1.toaster6.text}}",
"text_color": "#1199F9",
"toaster_type": "info",
"toaster_info_text": "{{anc_physical_exam.step1.toaster6.toaster_info_text}}",
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}
}
}
}
]
},
"step2": {
"title": "{{anc_physical_exam.step2.title}}",
"next": "step3",
"fields": [
{
"key": "bp_systolic_label",
"type": "label",
"label_text_style": "bold",
"text": "{{anc_physical_exam.step2.bp_systolic_label.text}}",
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"v_required": {
"value": true
},
"relevance": {
"step2:cant_record_bp": {
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{
"not": [
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]
}
]
}
}
},
{
"key": "bp_systolic",
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"edit_type": "number",
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"err": ""
},
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},
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"err": "SBP must be equal or less than 260"
},
"v_required": {
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"err": "{{anc_physical_exam.step2.bp_systolic.v_required.err}}"
},
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{
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]
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},
{
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"type": "spacer",
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{
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]
}
]
}
}
},
{
"key": "bp_diastolic_label",
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},
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{
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}
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{
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},
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},
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"value": "260",
"err": "DBP must be equal to or less than 260"
},
"v_required": {
"value": "true",
"err": "{{anc_physical_exam.step2.bp_diastolic.v_required.err}}"
},
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{
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]
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{
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{
"key": "cant_record_bp",
"text": "{{anc_physical_exam.step2.cant_record_bp.options.cant_record_bp.text}}",
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"openmrs_entity": "",
"openmrs_entity_id": ""
}
]
},
{
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"type": "check_box",
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{
"key": "bp_cuff_unavailable",
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},
{
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},
{
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"openmrs_entity_id": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
],
"v_required": {
"value": "true",
"err": "{{anc_physical_exam.step2.cant_record_bp_reason.v_required.err}}"
},
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{
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},
{
"key": "toaster7",
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"type": "toaster_notes",
"text": "{{anc_physical_exam.step2.toaster7.text}}",
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}
}
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{
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},
{
"key": "bp_systolic_repeat_label",
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},
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}
}
},
{
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},
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},
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},
"v_required": {
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"err": "{{anc_physical_exam.step2.bp_systolic_repeat.v_required.err}}"
},
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}
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},
{
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},
{
"key": "bp_diastolic_repeat_label",
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"text": "{{anc_physical_exam.step2.bp_diastolic_repeat_label.text}}",
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},
"relevance": {
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}
}
},
{
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},
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},
"v_max": {
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},
"v_required": {
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"err": "{{anc_physical_exam.step2.bp_diastolic_repeat.v_required.err}}"
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{
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},
{
"key": "symp_sev_preeclampsia",
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"type": "check_box",
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],
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{
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"openmrs_entity": "concept",
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},
{
"key": "severe_headache",
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},
{
"key": "visual_disturbance",
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},
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"openmrs_entity": "concept",
"openmrs_entity_id": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"openmrs_entity_parent": "165377AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
{
"key": "no",
"text": "{{anc_physical_exam.step4.fetal_heartbeat.options.no.text}}",
"value": false,
"openmrs_entity": "concept",
"openmrs_entity_id": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"openmrs_entity_parent": "165377AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
],
"v_required": {
"value": "true",
"err": "{{anc_physical_exam.step4.fetal_heartbeat.v_required.err}}"
}
},
{
"key": "fetal_heart_rate_label",
"type": "label",
"label_text_style": "bold",
"text": "{{anc_physical_exam.step4.fetal_heart_rate_label.text}}",
"text_color": "#000000",
"v_required": {
"value": "true",
"err": "{{anc_physical_exam.step4.fetal_heart_rate_label.v_required.err}}"
},
"relevance": {
"step4:fetal_heartbeat": {
"type": "string",
"ex": "equalTo(., \"yes\")"
}
}
},
{
"key": "fetal_heart_rate",
"openmrs_entity_parent": "",
"openmrs_entity": "concept",
"openmrs_entity_id": "1440AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"type": "normal_edit_text",
"edit_text_style": "bordered",
"edit_type": "number",
"v_min": {
"value": "80",
"err": "Fetal heartbeat must be equal or greater than 80"
},
"v_max": {
"value": "200",
"err": "Fetal heartbeat must be less than or equal to 200"
},
"v_numeric_integer": {
"value": "true",
"err": "Enter a valid number"
},
"relevance": {
"step4:fetal_heartbeat": {
"type": "string",
"ex": "equalTo(., \"yes\")"
}
},
"v_required": {
"value": "true",
"err": "{{anc_physical_exam.step4.fetal_heart_rate.v_required.err}}"
}
},
{
"key": "toaster27",
"openmrs_entity_parent": "",
"openmrs_entity": "",
"openmrs_entity_id": "",
"type": "toaster_notes",
"text": "{{anc_physical_exam.step4.toaster27.text}}",
"toaster_info_text": "{{anc_physical_exam.step4.toaster27.toaster_info_text}}",
"text_color": "#E20000",
"toaster_type": "problem",
"relevance": {
"rules-engine": {
"ex-rules": {
"rules-file": "physical-exam-relevance-rules.yml"
}
}
}
},
{
"key": "toaster28",
"openmrs_entity_parent": "",
"openmrs_entity": "",
"openmrs_entity_id": "",
"type": "toaster_notes",
"text": "{{anc_physical_exam.step4.toaster28.text}}",
"text_color": "#D56900",
"toaster_type": "warning",
"relevance": {
"rules-engine": {
"ex-rules": {
"rules-file": "physical-exam-relevance-rules.yml"
}
}
}
},
{
"key": "spacer",
"openmrs_entity_parent": "",
"openmrs_entity": "",
"openmrs_entity_id": "spacer",
"type": "spacer",
"spacer_height": "10sp"
},
{
"key": "fetal_heart_rate_repeat_label",
"type": "label",
"label_text_style": "bold",
"text": "{{anc_physical_exam.step4.fetal_heart_rate_repeat_label.text}}",
"text_color": "#000000",
"v_required": {
"value": true
},
"relevance": {
"rules-engine": {
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"rules-file": "physical-exam-relevance-rules.yml"
}
}
}
},
{
"key": "fetal_heart_rate_repeat",
"openmrs_entity_parent": "",
"openmrs_entity": "concept",
"openmrs_entity_id": "1440AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"type": "normal_edit_text",
"edit_text_style": "bordered",
"edit_type": "number",
"v_required": {
"value": "true",
"err": "{{anc_physical_exam.step4.fetal_heart_rate_repeat.v_required.err}}"
},
"relevance": {
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"ex-rules": {
"rules-file": "physical-exam-relevance-rules.yml"
}
}
}
},
{
"key": "toaster29",
"openmrs_entity_parent": "",
"openmrs_entity": "",
"openmrs_entity_id": "",
"type": "toaster_notes",
"text": "{{anc_physical_exam.step4.toaster29.text}}",
"text_color": "#E20000",
"toaster_type": "problem",
"relevance": {
"rules-engine": {
"ex-rules": {
"rules-file": "physical-exam-relevance-rules.yml"
}
}
}
},
{
"key": "spacer",
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"openmrs_entity_id": "spacer",
"type": "spacer",
"spacer_height": "10sp"
},
{
"key": "no_of_fetuses_label",
"type": "label",
"label_text_style": "bold",
"text": "{{anc_physical_exam.step4.no_of_fetuses_label.text}}",
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"v_required": {
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},
"relevance": {
"step4:no_of_fetuses_unknown": {
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{
"not": [
"no_of_fetuses_unknown"
]
}
]
}
}
},
{
"key": "no_of_fetuses",
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"openmrs_entity": "concept",
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"type": "numbers_selector",
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"start_number": "1",
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"text_size": "16px",
"text_color": "#000000",
"selected_text_color": "#ffffff",
"v_required": {
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},
"relevance": {
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{
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]
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}
}
},
{
"key": "spacer",
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"type": "spacer",
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"relevance": {
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{
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}
},
{
"key": "spacer",
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"spacer_height": "10sp"
},
{
"key": "no_of_fetuses_unknown",
"openmrs_entity_parent": "",
"openmrs_entity": "concept",
"openmrs_entity_id": "165294AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"type": "check_box",
"options": [
{
"key": "no_of_fetuses_unknown",
"text": "{{anc_physical_exam.step4.no_of_fetuses_unknown.options.no_of_fetuses_unknown.text}}",
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"openmrs_entity_parent": "",
"openmrs_entity": "concept",
"openmrs_entity_id": "165294AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA"
}
]
},
{
"key": "preeclampsia_risk",
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"openmrs_entity": "concept",
"openmrs_entity_id": "165260AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
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"calculation": {
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"ex-rules": {
"rules-file": "physical-exam-calculations-rules.yml"
}
}
}
},
{
"key": "toaster30",
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"openmrs_entity": "",
"openmrs_entity_id": "",
"type": "toaster_notes",
"text": "{{anc_physical_exam.step4.toaster30.text}}",
"text_color": "#D56900",
"toaster_info_text": "{{anc_physical_exam.step4.toaster30.toaster_info_text}}",
"toaster_type": "warning",
"relevance": {
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"rules-file": "physical-exam-relevance-rules.yml"
}
}
}
},
{
"key": "fetal_presentation",
"openmrs_entity_parent": "",
"openmrs_entity": "concept",
"openmrs_entity_id": "160090AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"type": "native_radio",
"label": "{{anc_physical_exam.step4.fetal_presentation.label}}",
"label_text_style": "bold",
"label_info_text": "{{anc_physical_exam.step4.fetal_presentation.label_info_text}}",
"options": [
{
"key": "unknown",
"text": "{{anc_physical_exam.step4.fetal_presentation.options.unknown.text}}",
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"openmrs_entity": "concept",
"openmrs_entity_id": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"openmrs_entity_parent": ""
},
{
"key": "cephalic",
"text": "{{anc_physical_exam.step4.fetal_presentation.options.cephalic.text}}",
"value": "false",
"openmrs_entity": "concept",
"openmrs_entity_id": "160091AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"openmrs_entity_parent": ""
},
{
"key": "pelvic",
"text": "{{anc_physical_exam.step4.fetal_presentation.options.pelvic.text}}",
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"openmrs_entity": "concept",
"openmrs_entity_id": "146922AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"openmrs_entity_parent": ""
},
{
"key": "transverse",
"text": "{{anc_physical_exam.step4.fetal_presentation.options.transverse.text}}",
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"openmrs_entity": "concept",
"openmrs_entity_id": "112259AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"openmrs_entity_parent": ""
},
{
"key": "other",
"text": "{{anc_physical_exam.step4.fetal_presentation.options.other.text}}",
"value": "false",
"openmrs_entity": "concept",
"openmrs_entity_id": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"openmrs_entity_parent": ""
}
],
"v_required": {
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"err": "{{anc_physical_exam.step4.fetal_presentation.v_required.err}}"
},
"relevance": {
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"rules-file": "physical-exam-relevance-rules.yml"
}
}
}
}
]
},
"properties_file_name": "anc_physical_exam"
}