{
  "fields": {
    "days_post_partum": {
      "label": "Days post-partum",
      "type": "number"
    },
    "completed_4_visits": {
      "label": "Completed all 4 visits?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "maternal_diagnoses": {
      "label": "Maternal diagnoses, check all that apply",
      "type": "checkbox"
    },
    "delivered_outside": {
      "label": "Delivered outside the health center?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "anemia_severe": {
      "label": "Severe Anemia (>8.5g/dl)",
      "type": "select"
    },
    "family_planning_counseling": {
      "label": "Counseling regarding family planning given?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "given_vitamina": {
      "label": "Given Vitamin A?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "family_planning_method_after_delivery": {
      "label": "Received a family planning method after delivery?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "contraception_within_40_days": {
      "label": "Contraception within 40 days of delivery?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "family_planning_method_after_miscarriage": {
      "label": "Received a family planning method after miscarriage?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "postnatal_hiv_test": {
      "label": "Tested HIV postnatally?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "postnatal_hiv_positive": {
      "label": "Tested positive for HIV postnatally?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "milk_type": {
      "label": "How is the child fed?",
      "type": "select"
    },
    "bcg_opv": {
      "label": "Please check if given to the child",
      "type": "checkbox"
    },
    "less_than_2_5kg": {
      "label": "Child born less than 2.5kg?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "kangaroo_care": {
      "label": "Kangaroo care given at home?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "child_diagnoses": {
      "label": "Child diagnoses",
      "type": "checkbox"
    }
  }
}