{
  "fields": {
    "hiv_status_prior_firstvisit": {
      "label": "HIV Status prior to first visit",
      "type": "select"
    },
    "tested_hiv_firstvisit": {
      "label": "Tested for HIV on first visit?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "counseled_hiv_prior_test": {
      "label": "Counseled before tested for HIV?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "first_hiv_status": {
      "label": "Result if tested for HIV on first visit",
      "type": "select"
    },
    "second_hiv_test": {
      "label": "Tested positive by second HIV test?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "partner_hiv": {
      "label": "Partner tested for HIV in clinic?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "partner_positive": {
      "label": "Partner tested positive for HIV?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "discordant_couple": {
      "label": "Discordant couple?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "combo_drugs": {
      "label": "Patient recieved PMCTC combo drugs?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "art_drugs": {
      "label": "Patient using ART?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "ctx_given": {
      "label": "Patient given CTX?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "counsel_feeding": {
      "label": "Counseled on how to feed the baby?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "referred_ctc": {
      "label": "Mother Referred To CTC?",
      "type": "radio",
      "enum": [
        "Yes",
        "No",
        "Unknown"
      ],
      "removeDefaultNone": true
    }
  }
}