{
  "name": "PMTCT Enrollment",
  "version": "1.0",
  "published": true,
  "retired": false,
  "encounter": "PMTCT Enrollment",
  "pages": [
    {
      "label": "PMTCT Referral",
      "sections": [
        {
          "label": "Referral",
          "isExpanded": "true",
          "questions": [
            {
              "label": "Status at enrollment",
              "type": "obs",
              "required": true,
              "id": "referredFrom",
              "questionOptions": {
                "rendering": "radio",
                "concept": "ab192dd0-bb1c-4417-b8f9-4c35dc991b55",
                "conceptMappings": [],
                "answers": [
                  {
                    "concept": "90f138a5-9a94-488a-b5c9-6daf8b2400d1",
                    "label": "Known +ve – On ART at entry"
                  },
                  {
                    "concept": "1726AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "New from ANC"
                  },
                  {
										"concept": "d1e97037-c599-47c3-93cb-c256b9c27fbc",
										"label": "New from L&D",
										"conceptMappings": []
									},
                  {
                    "concept": "541f72cb-b3e1-43ad-9086-24d32467dfa5",
                    "label": "New from PNC"
                  }
                ]
              }
            },
            {
              "label": "Place of delivery",
              "type": "obs",
              "questionOptions": {
                "rendering": "radio",
                "concept": "1572AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                "answers": [
                  {
                    "concept": "1536AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "Home Delivery",
                    "conceptMappings": []
                  },
                  {
                    "concept": "1588AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "Same Facility",
                    "conceptMappings": []
                  },
                  {
                    "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "Another Health Facility",
                    "conceptMappings": []
                  }
                ]
              },
              "id": "placeOfDelivery"
            },
            {
              "label": "Date of enrollment / booking",
              "type": "obs",
              "required": true,
              "id": "dateOfEnrollment",
              "questionOptions": {
                "rendering": "date",
                "concept": "0fe4faee-0717-4dc0-be3d-1cd52923804a",
                "conceptMappings": [],
                "answers": []
              },
              "validators": [
                {
                  "type": "date",
                  "allowFutureDates": "false"
              },
              {
                "type": "js_expression",
                "failsWhenExpression": "myValue < new Date(patient.birthDate)",
                "message": "Date of enrollment / booking date should not be earlier than patient's date of birth"
              }
              ]
            }
          ]
        }
      ]
    }
  ],
  "availableIntents": [
		{
			"intent": "*",
			"display": "default_intent"
		}
	],
  "processor": "EncounterFormProcessor",
  "encounterType": "1914ed4a-86fe-43d2-8338-2be2937ff11e",
  "referencedForms": [],
  "uuid": "4b93795c-928a-313e-ab2d-a6b758850f20",
  "description": "PMTCT Inital Registration"
}