{
  "fields": {
    "duration": {
      "label": "Duration of diarrhea (days)",
      "type": "number"
    },
    "water_sodium_imbalance": {
      "label": "Water shortage/sodium imbalance",
      "type": "select"
    },
    "given_ors": {
      "label": "ORS given",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "given_zinc": {
      "label": "Zinc given?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "blood_in_stool": {
      "label": "Blood in stool?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "admission": {
      "label": "Admission required?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "referral": {
      "label": "Referral required?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "diarrhea_mortality": {
      "label": "Death due to diarrhea?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    }
  }
}