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MI | Add child edit form #6
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Signed-off-by: mib-iqbal <[email protected]>
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mib-iqbal committed Nov 20, 2017
1 parent 8aa37f4 commit e06b0b1
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354 changes: 354 additions & 0 deletions opensrp-gizi/src/main/assets/www/form/child_edit/form.json
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{
"name": "child_edit",
"title": "Child Edit",
"sms_keyword": "child_edit",
"default_language": "Bahasa",
"instance": {
"encounter_type": "Child Edit"
},
"relational_id": "",
"version": "201703131313",
"id_string": "child_edit",
"type": "survey",
"children": [
{
"instance": {
"openmrs_entity_id": "encounter_start",
"openmrs_entity": "encounter"
},
"type": "start",
"name": "start"
},
{
"instance": {
"openmrs_entity_id": "encounter_date",
"openmrs_entity": "encounter"
},
"type": "today",
"name": "today"
},
{
"type": "deviceid",
"name": "deviceid"
},
{
"type": "simserial",
"name": "simserial"
},
{
"type": "phonenumber",
"name": "phonenumber"
},
{
"type": "hidden",
"name": "Province"
},
{
"type": "hidden",
"name": "District",
"hint": {
"Bahasa": "Inject from app"
}
},
{
"type": "hidden",
"name": "Sub-district",
"hint": {
"Bahasa": "Inject from app"
}
},
{
"type": "hidden",
"name": "Village",
"hint": {
"Bahasa": "Inject from app"
}
},
{
"type": "hidden",
"name": "Sub-village",
"hint": {
"Bahasa": "Inject from app"
}
},
{
"instance": {
"openmrs_entity_id": "UniqueId",
"openmrs_entity": "person_attribute"
},
"type": "hidden",
"name": "unique_id",
"hint": {
"Bahasa": "Inject from app"
}
},
{
"type": "hidden",
"name": "ibuCaseId",
"hint": {
"Bahasa": "Inject from app"
}
},
{
"type": "note",
"name": "generated_note_name_14",
"label": {
"Bahasa": "Desa : ${Village}"
}
},
{
"type": "note",
"name": "generated_note_name_15",
"label": {
"Bahasa": "Dusun : ${Sub-village}"
}
},
{
"instance": {
"openmrs_entity_id": "Child Registration",
"openmrs_entity": "person"
},
"type": "repeat",
"children": [
{
"bind": {
"calculate": "${Village}"
},
"type": "calculate",
"name": "desa_anak",
"instance": {
"openmrs_entity_parent": "cityVillage",
"openmrs_entity_id": "160632AAAAAAAAAAAAAAAAAAAAAAAAAA",
"openmrs_entity": "Concept"
}
},
{
"type": "note",
"name": "generated_note_name_45",
"label": {
"Bahasa": "Desa : ${desa_anak}"
}
},
{
"type": "note",
"name": "generated_note_name_46",
"label": {
"Bahasa": "Unique ID: ${unique_id}",
"English": "Unique ID: ${unique_id}"
}
},
{
"name": "nama_bayi",
"hint": {
"Bahasa": "Nama Bayi yang diberikan Imunisasi",
"English": "Name of Baby Receiving Immunization"
},
"bind": {
"required": "yes"
},
"label": {
"Bahasa": "Nama Bayi",
"English": "Baby's Name"
},
"instance": {
"openmrs_entity_id": "1586AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"openmrs_entity": "Concept"
},
"type": "text"
},
{
"name": "jenis_kelamin",
"hint": {
"Bahasa": "Jenis Kelamin Bayi/Balita Yang diberikan Imunisasi",
"English": "Gender of Baby Receiving Immunization"
},
"bind": {
"required": "yes"
},
"label": {
"Bahasa": "Jenis Kelamin",
"English": "Gender"
},
"instance": {
"openmrs_entity_id": "gender",
"openmrs_entity": "person"
},
"type": "select one",
"children": [
{
"instance": {
"openmrs_code": "1534AAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
"name": "male",
"label": {
"Bahasa": "Laki-laki",
"English": "Male"
}
},
{
"instance": {
"openmrs_code": "1535AAAAAAAAAAAAAAAAAAAAAAAAAAAA"
},
"name": "female",
"label": {
"Bahasa": "Perempuan",
"English": "Female"
}
}
]
},
{
"name": "tanggal_lahir",
"hint": {
"Bahasa": "Tanggal lahir Bayi",
"English": "Baby's date of birth"
},
"bind": {
"required": "yes"
},
"label": {
"Bahasa": "Tanggal lahir",
"English": "DOB"
},
"instance": {
"openmrs_entity_id": "birthdate",
"openmrs_entity": "person"
},
"type": "date"
},
{
"instance": {
"openmrs_entity_id": "5916AAAAAAAAAAAAAAAAAAAAAAAAAAAA",
"openmrs_entity": "concept"
},
"label": {
"Bahasa": "Berat badan saat Lahir",
"English": "Baby's birth weight"
},
"type": "integer",
"name": "berat_badan_saat_lahir",
"hint": {
"Bahasa": "Berat badan lahir bayi",
"English": "Baby's birth weight"
}
}
],
"name": "child_edit"
},
{
"bind": {
"calculate": "${ibuCaseId}"
},
"instance": {
"openmrs_entity_id": "ibuCaseId",
"openmrs_entity": "person_relationship"
},
"type": "calculate",
"name": "relationalid"
},
{
"instance": {
"openmrs_entity_id": "ibuCaseId",
"openmrs_entity": "person_relationship"
},
"type": "hidden",
"name": "ibu_entity_id"
},
{
"bind": {
"calculate": "${Village}"
},
"type": "hidden",
"name": "existing_location",
"instance": {
"openmrs_entity_id": "location_id",
"openmrs_entity": "encounter"
}
},
{
"bind": {
"calculate": "${Province}"
},
"type": "calculate",
"name": "provinsi",
"instance": {
"openmrs_entity_parent": "usual_residence",
"openmrs_entity_id": "stateProvince",
"openmrs_entity": "person_address"
}
},
{
"bind": {
"calculate": "${District}"
},
"type": "calculate",
"name": "kabupaten",
"instance": {
"openmrs_entity_parent": "usual_residence",
"openmrs_entity_id": "countyDistrict",
"openmrs_entity": "person_address"
}
},
{
"bind": {
"calculate": "${Village}"
},
"type": "calculate",
"name": "desa",
"instance": {
"openmrs_entity_parent": "usual_residence",
"openmrs_entity_id": "cityVillage",
"openmrs_entity": "person_address"
}
},
{
"bind": {
"calculate": "${Sub-village}"
},
"type": "calculate",
"name": "dusun",
"instance": {
"openmrs_entity_parent": "usual_residence",
"openmrs_entity_id": "address1",
"openmrs_entity": "person_address"
}
},
{
"bind": {
"calculate": "${Sub-district}"
},
"type": "calculate",
"name": "kecamatan",
"instance": {
"openmrs_entity_parent": "usual_residence",
"openmrs_entity_id": "address2",
"openmrs_entity": "person_address"
}
},
{
"instance": {
"openmrs_entity_id": "encounter_end",
"openmrs_entity": "encounter"
},
"type": "end",
"name": "end"
},
{
"control": {
"bodyless": true
},
"type": "group",
"children": [
{
"bind": {
"readonly": "true()",
"calculate": "concat('uuid:', uuid())"
},
"type": "calculate",
"name": "instanceID"
}
],
"name": "meta"
}
]
}
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