{
  "fields": {
    "diagnosis": {
      "label": "Diagnosis",
      "type": "checkbox"
    },
    "leprosy_classification": {
      "label": "Leprosy classification",
      "type": "select"
    },
    "leprosy_status": {
      "label": "Leprosy status",
      "type": "select"
    },
    "leprosy_disability": {
      "label": "Leprosy disability",
      "type": "select"
    },
    "leprosy_result": {
      "label": "Leprosy end result",
      "type": "select"
    },
    "coritosteroid_treatment": {
      "label": "Treated with corticosteroids?",
      "type": "radio",
      "enum": [
        "Yes",
        "No"
      ],
      "removeDefaultNone": true
    },
    "tb_classification": {
      "label": "TB classification",
      "type": "radio"
    },
    "tb_regimen": {
      "label": "TB regimen",
      "type": "select"
    }
  }
}