{
  "fields": {
    "child_given_npv_during_labor": {
      "label": "Child Given NPV Syrup in Labor and Delivery Ward?",
      "type": "radio",
      "enum": [
        "Yes",
        "No",
        "Unknown"
      ],
      "removeDefaultNone": true
    },
    "milk_source": {
      "label": "Child Milk Source:",
      "type": "select"
    },
    "hiv_diagnosis_dna_pcr": {
      "label": "Was Child Diagnosed With HIV Using DNA-PCR(DBS)?",
      "type": "radio",
      "enum": [
        "Yes",
        "No",
        "Unknown"
      ],
      "removeDefaultNone": true
    },
    "hiv_diagnosis_antibody": {
      "label": "Was Child Diagnosed With HIV Antibody or PCR As A Second Test?",
      "type": "radio",
      "enum": [
        "Yes",
        "No",
        "Unknown"
      ],
      "removeDefaultNone": true
    },
    "hiv_diagnosis_date": {
      "label": "When Did Diagnosis Take Place?",
      "type": "select"
    },
    "child_taking_ctx": {
      "label": "Is Child Taking CTX?",
      "type": "radio",
      "enum": [
        "Yes",
        "No",
        "Unknown"
      ],
      "removeDefaultNone": true
    },
    "child_start_ctx": {
      "label": "Did Child Start On CTX Between 4 Weeks and 2 Months of Age?",
      "type": "radio",
      "enum": [
        "Yes",
        "No",
        "Unknown"
      ],
      "removeDefaultNone": true
    },
    "other_treatment": {
      "label": "If Any Treatment Given, Please Describe:",
      "type": "textarea"
    },
    "note": {
      "label": "Other Notes For This Visit:",
      "type": "textarea"
    }
  }
}