{ "name": "POC Index Contact Followup", "version": "1.0", "published": true, "retired": false, "encounter": "Index Contact Followup", "processor": "EncounterFormProcessor", "referencedForms": [], "uuid": "8a75cc8f-d700-4b09-8ict-contact28d89", "encounterType": "8a75cc8f-d700-4b09-8b96-97d519728d89", "allowUnspecifiedAll": true, "pages": [ { "label": "POC ICT FOLLOWUP", "sections": [ { "label": "CONTACT'S INFORMATION", "isExpanded": "true", "questions": [ { "label": "Elicited date", "type": "obs", "required": false, "id": "elicitedDate", "validators": [ { "type": "date", "allowFutureDates": "false" } ], "questionOptions": { "rendering": "date", "concept": "58abd286-8f57-4717-aa41-efd8e93d5902", "conceptMappings": [], "answers": [] } }, { "label": "Contact's First Name", "type": "obs", "required": false, "id": "contactFirstName", "validators": [ { "type": "js_expression", "failsWhenExpression": "myValue.length > 20", "message": "Please use a maximum of 20 characters" } ], 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"concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "No" } ] } }, { "label": "Trial date 1st", "type": "obs", "required": false, "id": "trialDate1", "validators": [ { "type": "date", "allowFutureDates": "false" } ], "questionOptions": { "rendering": "date", "concept": "36fdf1b1-bb8e-4f6f-9a3c-dd1f224187c7", "conceptMappings": [], "answers": [] } }, { "label": "Trial outcome 1st", "type": "obs", "required": false, "id": "trialOutcome1", "questionOptions": { "rendering": "text", "concept": "735d0478-411a-430c-9cb4-1fe8b9c9dc3d", "conceptMappings": [], "answers": [] } }, { "label": "Trial date 2nd", "type": "obs", "required": false, "id": "trialDate2", "validators": [ { "type": "date", "allowFutureDates": "false" } ], "questionOptions": { "rendering": "date", "concept": "9160fae7-0a61-4be9-b38a-97db3c621c66", "conceptMappings": [], "answers": [] } }, { "label": "Trial outcome 2nd", "type": "obs", "required": false, "id": "trialOutcome2", "questionOptions": { "rendering": "text", "concept": "360ced7c-774e-440f-abe4-3100d3e30d1b", "conceptMappings": [], "answers": [] } }, { "label": "Trial date 3rd", "type": "obs", "required": false, "id": "trialDate3", "validators": [ { "type": "date", "allowFutureDates": "false" } ], "questionOptions": { "rendering": "date", "concept": "7ac249fc-4520-4581-a33c-7d5020a7f57b", "conceptMappings": [], "answers": [] } }, { "label": "Trial outcome 3rd", "type": "obs", "required": false, "id": "trialOutcome3", "questionOptions": { "rendering": "text", "concept": "da238ed9-14dc-4299-9752-7141fbe3cf43", "conceptMappings": [], "answers": [] } } ] }, { "label": "PRIOR TEST", "isExpanded": "true", "questions": [ { "label": "Prior HIV test result", "type": "obs", "required": false, "id": "priorHivTestResult", "questionOptions": { "rendering": "radio", "concept": "0f4be70c-f1dc-434b-acba-fc1421854bc4", "conceptMappings": [], "answers": [ { "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Positive" }, { "concept": 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"rendering": "text", "concept": "6218ab27-803f-4d2b-95ed-44725aaae77e", "conceptMappings": [], "answers": [] } }, { "label": "AE for IPV report date 3rd", "type": "obs", "required": false, "id": "aeDate3", "validators": [ { "type": "date", "allowFutureDates": "false" } ], "questionOptions": { "rendering": "date", "concept": "94b41a3e-7009-4ddf-84e1-7394f045b3b3", "conceptMappings": [], "answers": [] } } ] }, { "label": "CASE CLOSURE", "isExpanded": "true", "questions": [ { "label": "Case closure", "type": "obs", "questionOptions": { "rendering": "radio", "concept": "049cf42e-8d02-4030-87f9-6cf8493b8543", "answers": [ { "concept": "fbb90257-989b-4e14-952e-dec23acaa4ad", "label": "Successful intervention: Contact notified, HIV status known and linked for appropriate services" }, { "concept": "2f1dbb1c-74c5-40e7-9be2-b389b60faccc", "label": "Intervention complete: Contact notified, HIV status known but not linked to appropriate services" }, { "concept": 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