{
  "name": "HEI Immunization",
	"version": "1.0",
	"published": true,
	"retired": false,
	"encounter": "HEI Immunization",
  "pages": [
    {
      "label": "Immunization",
      "sections": [
        {
          "label": "BCG & IPV",
          "isExpanded": "true",
          "questions": [
            {
              "label": "BCG",
              "type": "obs",
              "required": false,
              "id": "bcg",
              "questionOptions": {
                "rendering": "radio",
                "concept": "3d621104-4f93-4f68-8d59-407cd124cabb",
                "conceptMappings": [],
                "answers": [
                  {
                    "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "Yes"
                  },
                  {
                    "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "No"
                  }
                ]
              },
              "validators": []
            },
            {
              "label": "BCG taken date",
              "type": "obs",
              "required": false,
              "id": "bcgDate",
              "hide": {
                "hideWhenExpression": "bcg != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
              },
              "questionOptions": {
                "rendering": "date",
                "concept": "f056ec09-ef1a-4675-bbaa-4433f05550c1",
                "conceptMappings": [],
                "answers": []
              },
              "validators": [
                {
                  "type": "date",
                  "allowFutureDates": "false"
                }
              ]
            },
            {
              "label": "IPV",
              "type": "obs",
              "required": false,
              "id": "ipv",
              "questionOptions": {
                "rendering": "radio",
                "concept": "923b4623-ac8d-4e65-a55a-aa4715752a14",
                "conceptMappings": [],
                "answers": [
                  {
                    "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "Yes"
                  },
                  {
                    "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "No"
                  }
                ]
              },
              "validators": []
            },
            {
              "label": "IPV taken date",
              "type": "obs",
              "required": false,
              "id": "ipvDate",
              "hide": {
                "hideWhenExpression": "ipv != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
              },
              "questionOptions": {
                "rendering": "date",
                "concept": "237ae1a9-5009-44d5-9561-28c7e0ec8f00",
                "conceptMappings": [],
                "answers": []
              },
              "validators": [
                {
                  "type": "date",
                  "allowFutureDates": "false"
                }
              ]
            }
          ]
        },
        {
          "label": "OPV",
          "isExpanded": "true",
          "questions": [
            {
              "label": "OPV 0 taken",
              "type": "obs",
              "required": false,
              "id": "opv0",
              "questionOptions": {
                "rendering": "radio",
                "concept": "14369b36-910a-4996-813c-2312d234f5cf",
                "conceptMappings": [],
                "answers": [
                  {
                    "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "Yes"
                  },
                  {
                    "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "No"
                  }
                ]
              },
              "validators": []
            },
            {
              "label": "Date OPV 0 taken",
              "type": "obs",
              "required": false,
              "id": "opv0Date",
              "hide": {
                "hideWhenExpression": "opv0 != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
              },
              "questionOptions": {
                "rendering": "date",
                "concept": "34f667f5-f691-4f40-8f6c-00a686ed32a4",
                "conceptMappings": [],
                "answers": []
              },
              "validators": [
                {
                  "type": "date",
                  "allowFutureDates": "false"
                }
              ]
            },
            {
              "label": "OPV 1 taken",
              "type": "obs",
              "required": false,
              "id": "opv1",
              "questionOptions": {
                "rendering": "radio",
                "concept": "1c60218e-6285-460b-94ed-205cdf0afe20",
                "conceptMappings": [],
                "answers": [
                  {
                    "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "Yes"
                  },
                  {
                    "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "No"
                  }
                ]
              },
              "validators": []
            },
            {
              "label": "Date OPV 1 taken",
              "type": "obs",
              "required": false,
              "id": "opv1Date",
              "hide": {
                "hideWhenExpression": "opv1 != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
              },
              "questionOptions": {
                "rendering": "date",
                "concept": "01b023ae-c0b7-41aa-a742-4f6b8c4dd19c",
                "conceptMappings": [],
                "answers": []
              },
              "validators": [
                {
                  "type": "date",
                  "allowFutureDates": "false"
                }
              ]
            },
            {
              "label": "OPV 2 taken",
              "type": "obs",
              "required": false,
              "id": "opv2",
              "questionOptions": {
                "rendering": "radio",
                "concept": "1f25b4b6-bad6-4d39-b11a-6b76ea781958",
                "conceptMappings": [],
                "answers": [
                  {
                    "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "Yes"
                  },
                  {
                    "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "No"
                  }
                ]
              },
              "validators": []
            },
            {
              "label": "Date OPV 2 taken",
              "type": "obs",
              "required": false,
              "id": "opv2Date",
              "hide": {
                "hideWhenExpression": "opv2 != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
              },
              "questionOptions": {
                "rendering": "date",
                "concept": "14dc1720-d276-48ff-966a-35650328e753",
                "conceptMappings": [],
                "answers": []
              },
              "validators": [
                {
                  "type": "date",
                  "allowFutureDates": "false"
                }
              ]
            },
            {
              "label": "OPV 3 taken",
              "type": "obs",
              "required": false,
              "id": "opv3",
              "questionOptions": {
                "rendering": "radio",
                "concept": "50c23a47-40ae-469d-b7a2-0f88b8e2c915",
                "conceptMappings": [],
                "answers": [
                  {
                    "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "Yes"
                  },
                  {
                    "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "No"
                  }
                ]
              },
              "validators": []
            },
            {
              "label": "Date OPV 3 taken",
              "type": "obs",
              "required": false,
              "id": "opv3Date",
              "hide": {
                "hideWhenExpression": "opv3 != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
              },
              "questionOptions": {
                "rendering": "date",
                "concept": "f309eec5-1d37-4c68-a61e-5c8482b0e968",
                "conceptMappings": [],
                "answers": []
              },
              "validators": [
                {
                  "type": "date",
                  "allowFutureDates": "false"
                }
              ]
            }
          ]
        },
        {
          "label": "Penta",
          "isExpanded": "true",
          "questions": [
            {
              "label": "Penta 1 taken",
              "type": "obs",
              "required": false,
              "id": "penta1",
              "questionOptions": {
                "rendering": "radio",
                "concept": "816f85a6-ea0c-46c0-8757-4de4b77393c7",
                "conceptMappings": [],
                "answers": [
                  {
                    "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "Yes"
                  },
                  {
                    "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "No"
                  }
                ]
              },
              "validators": []
            },
            {
              "label": "Date Penta 1 taken",
              "type": "obs",
              "required": false,
              "id": "penta1Date",
              "hide": {
                "hideWhenExpression": "penta1 != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
              },
              "questionOptions": {
                "rendering": "date",
                "concept": "1d20ba5b-0ce6-4269-8a36-be3b9edd8657",
                "conceptMappings": [],
                "answers": []
              },
              "validators": [
                {
                  "type": "date",
                  "allowFutureDates": "false"
                }
              ]
            },
            {
              "label": "Penta 2 taken",
              "type": "obs",
              "required": false,
              "id": "penta2",
              "questionOptions": {
                "rendering": "radio",
                "concept": "60ec146f-946f-4ea0-8719-133e22aa108b",
                "conceptMappings": [],
                "answers": [
                  {
                    "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "Yes"
                  },
                  {
                    "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "No"
                  }
                ]
              },
              "validators": []
            },
            {
              "label": "Date Penta 2 taken",
              "type": "obs",
              "required": false,
              "id": "penta2Date",
              "hide": {
                "hideWhenExpression": "penta2 != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
              },
              "questionOptions": {
                "rendering": "date",
                "concept": "7a300cab-94c2-412b-bfc2-ae183b4a662b",
                "conceptMappings": [],
                "answers": []
              },
              "validators": [
                {
                  "type": "date",
                  "allowFutureDates": "false"
                }
              ]
            },
            {
              "label": "Penta 3 taken",
              "type": "obs",
              "required": false,
              "id": "penta3",
              "questionOptions": {
                "rendering": "radio",
                "concept": "698adfa3-2b38-4d83-83a0-0811d7d90bb5",
                "conceptMappings": [],
                "answers": [
                  {
                    "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "Yes"
                  },
                  {
                    "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "No"
                  }
                ]
              },
              "validators": []
            },
            {
              "label": "Date Penta 3 taken",
              "type": "obs",
              "required": false,
              "id": "penta3Date",
              "hide": {
                "hideWhenExpression": "penta3 != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
              },
              "questionOptions": {
                "rendering": "date",
                "concept": "1329fa59-c00c-4a0c-83ed-3ca470ab07f8",
                "conceptMappings": [],
                "answers": []
              },
              "validators": [
                {
                  "type": "date",
                  "allowFutureDates": "false"
                }
              ]
            }
          ]
        },
        {
          "label": "Rota",
          "isExpanded": "true",
          "questions": [
            {
              "label": "Rota 0 taken",
              "type": "obs",
              "required": false,
              "id": "rota0",
              "questionOptions": {
                "rendering": "radio",
                "concept": "350c872f-2614-4c7c-b164-ce0c2384cd94",
                "conceptMappings": [],
                "answers": [
                  {
                    "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "Yes"
                  },
                  {
                    "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "No"
                  }
                ]
              },
              "validators": []
            },
            {
              "label": "Date Rota 0 taken",
              "type": "obs",
              "required": false,
              "id": "rota0Date",
              "hide": {
                "hideWhenExpression": "rota0 != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
              },
              "questionOptions": {
                "rendering": "date",
                "concept": "31ec6e43-a240-4940-b915-6013850836b8",
                "conceptMappings": [],
                "answers": []
              },
              "validators": [
                {
                  "type": "date",
                  "allowFutureDates": "false"
                }
              ]
            },
            {
              "label": "Rota 1 taken",
              "type": "obs",
              "required": false,
              "id": "rota1",
              "questionOptions": {
                "rendering": "radio",
                "concept": "50891e28-ec90-405d-8368-339004f1dc08",
                "conceptMappings": [],
                "answers": [
                  {
                    "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "Yes"
                  },
                  {
                    "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "No"
                  }
                ]
              },
              "validators": []
            },
            {
              "label": "Date Rota 1 taken",
              "type": "obs",
              "required": false,
              "id": "rota1Date",
              "hide": {
                "hideWhenExpression": "rota1 != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
              },
              "questionOptions": {
                "rendering": "date",
                "concept": "f4a2918e-dc25-4b24-998a-8536b3ec1590",
                "conceptMappings": [],
                "answers": []
              },
              "validators": [
                {
                  "type": "date",
                  "allowFutureDates": "false"
                }
              ]
            },
            {
              "label": "Rota 2 taken",
              "type": "obs",
              "required": false,
              "id": "rota2",
              "questionOptions": {
                "rendering": "radio",
                "concept": "6236db83-5d44-4bb8-8032-472b4e6c24f0",
                "conceptMappings": [],
                "answers": [
                  {
                    "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "Yes"
                  },
                  {
                    "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "No"
                  }
                ]
              },
              "validators": []
            },
            {
              "label": "Date Rota 2 taken",
              "type": "obs",
              "required": false,
              "id": "rota2Date",
              "hide": {
                "hideWhenExpression": "rota2 != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
              },
              "questionOptions": {
                "rendering": "date",
                "concept": "d0dfb8f5-9762-4be1-a138-40828771540b",
                "conceptMappings": [],
                "answers": []
              },
              "validators": [
                {
                  "type": "date",
                  "allowFutureDates": "false"
                }
              ]
            }
          ]
        },
        {
          "label": "PCV",
          "isExpanded": "true",
          "questions": [
            {
              "label": "PCV 0 taken",
              "type": "obs",
              "required": false,
              "id": "pcv0",
              "questionOptions": {
                "rendering": "radio",
                "concept": "1e92a776-0dbf-4db0-8b08-2cc9fb62bbfc",
                "conceptMappings": [],
                "answers": [
                  {
                    "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "Yes"
                  },
                  {
                    "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "No"
                  }
                ]
              },
              "validators": []
            },
            {
              "label": "Date PCV 0 taken",
              "type": "obs",
              "required": false,
              "id": "pcv0Date",
              "hide": {
                "hideWhenExpression": "pcv0 != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
              },
              "questionOptions": {
                "rendering": "date",
                "concept": "7ac09edd-b001-4166-be6b-b698f66122cd",
                "conceptMappings": [],
                "answers": []
              },
              "validators": [
                {
                  "type": "date",
                  "allowFutureDates": "false"
                }
              ]
            },
            {
              "label": "PCV 1 taken",
              "type": "obs",
              "required": false,
              "id": "pcv1",
              "questionOptions": {
                "rendering": "radio",
                "concept": "028b0972-2aad-45e0-b31d-e622922d3d47",
                "conceptMappings": [],
                "answers": [
                  {
                    "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "Yes"
                  },
                  {
                    "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "No"
                  }
                ]
              },
              "validators": []
            },
            {
              "label": "Date PCV 1 taken",
              "type": "obs",
              "required": false,
              "id": "pcv1Date",
              "hide": {
                "hideWhenExpression": "pcv1 != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
              },
              "questionOptions": {
                "rendering": "date",
                "concept": "2046d321-cb6d-4e20-83c5-b4d675edc1fb",
                "conceptMappings": [],
                "answers": []
              },
              "validators": [
                {
                  "type": "date",
                  "allowFutureDates": "false"
                }
              ]
            },
            {
              "label": "PCV 2 taken",
              "type": "obs",
              "required": false,
              "id": "pcv2",
              "questionOptions": {
                "rendering": "radio",
                "concept": "1d7acfc4-29b9-4b42-a6b7-7ea8cbd5e883",
                "conceptMappings": [],
                "answers": [
                  {
                    "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "Yes"
                  },
                  {
                    "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "No"
                  }
                ]
              },
              "validators": []
            },
            {
              "label": "Date PCV 2 taken",
              "type": "obs",
              "required": false,
              "id": "pcv2Date",
              "hide": {
                "hideWhenExpression": "pcv2 != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
              },
              "questionOptions": {
                "rendering": "date",
                "concept": "c6db2ee8-b037-4ed2-bd88-c0c3d6b8569a",
                "conceptMappings": [],
                "answers": []
              },
              "validators": [
                {
                  "type": "date",
                  "allowFutureDates": "false"
                }
              ]
            },
            {
              "label": "PCV 3 taken",
              "type": "obs",
              "required": false,
              "id": "pcv3",
              "questionOptions": {
                "rendering": "radio",
                "concept": "e0287c59-984a-40ae-a449-446576a7ee27",
                "conceptMappings": [],
                "answers": [
                  {
                    "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "Yes"
                  },
                  {
                    "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "No"
                  }
                ]
              },
              "validators": []
            },
            {
              "label": "Date PCV 3 taken",
              "type": "obs",
              "required": false,
              "id": "pcv3Date",
              "hide": {
                "hideWhenExpression": "pcv3 != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
              },
              "questionOptions": {
                "rendering": "date",
                "concept": "fa204f55-f951-49e9-b8a4-36ddbef88b22",
                "conceptMappings": [],
                "answers": []
              },
              "validators": [
                {
                  "type": "date",
                  "allowFutureDates": "false"
                }
              ]
            }
          ]
        },
        {
          "label": "MCV",
          "isExpanded": "true",
          "questions": [
            {
              "label": "MCV 1 taken",
              "type": "obs",
              "required": false,
              "id": "mcv1",
              "questionOptions": {
                "rendering": "radio",
                "concept": "448e17a0-4f7e-40e4-9980-93ce52a6987c",
                "conceptMappings": [],
                "answers": [
                  {
                    "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "Yes"
                  },
                  {
                    "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "No"
                  }
                ]
              },
              "validators": []
            },
            {
              "label": "Date MCV 1 taken",
              "type": "obs",
              "required": false,
              "id": "mcv1Date",
              "hide": {
                "hideWhenExpression": "mcv1 != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
              },
              "questionOptions": {
                "rendering": "date",
                "concept": "dcaf501f-49bb-49cb-b8c2-12197fab1fd3",
                "conceptMappings": [],
                "answers": []
              },
              "validators": [
                {
                  "type": "date",
                  "allowFutureDates": "false"
                }
              ]
            },
            {
              "label": "MCV 2 taken",
              "type": "obs",
              "required": false,
              "id": "mcv2",
              "questionOptions": {
                "rendering": "radio",
                "concept": "025f8bb8-96ce-4e4a-b38c-4a27e77a2f4a",
                "conceptMappings": [],
                "answers": [
                  {
                    "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "Yes"
                  },
                  {
                    "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA",
                    "label": "No"
                  }
                ]
              },
              "validators": []
            },
            {
              "label": "Date MCV 2 taken",
              "type": "obs",
              "required": false,
              "id": "mcv2Date",
              "hide": {
                "hideWhenExpression": "mcv2 != '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'"
              },
              "questionOptions": {
                "rendering": "date",
                "concept": "4e3b05b4-24e6-4fd8-8926-94717507b65c",
                "conceptMappings": [],
                "answers": []
              },
              "validators": [
                {
                  "type": "date",
                  "allowFutureDates": "false"
                }
              ]
            }
          ]
        }
      ]
    }
  ],
  "availableIntents": [
		{
			"intent": "*",
			"display": "default_intent"
		}
	],
  "processor": "EncounterFormProcessor",
	"uuid": "54d8c12f-355d-3ad7-8261-2374480653bc",
	"referencedForms": [],
	"encounterType": "1a548c84-2170-47d5-9a23-56fcad902f63",
	"allowUnspecifiedAll": true
}