brotherton-erpnext/erpnext/healthcare/web_form/patient_registration/patient_registration.json

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{
"accept_payment": 0,
"allow_comments": 0,
"allow_delete": 0,
"allow_edit": 1,
"allow_incomplete": 0,
"allow_multiple": 0,
"allow_print": 0,
"amount": 0.0,
"amount_based_on_field": 0,
"button_label": "Register",
"creation": "2020-03-03 01:01:16.250607",
"currency": "INR",
"doc_type": "Patient",
"docstatus": 0,
"doctype": "Web Form",
"idx": 0,
"introduction_text": "",
"is_standard": 1,
"login_required": 0,
"max_attachment_size": 0,
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"modified": "2020-03-26 17:25:15.361918",
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"modified_by": "Administrator",
"module": "Healthcare",
"name": "patient-registration",
"owner": "Administrator",
"payment_button_label": "Buy Now",
"published": 1,
"route": "patient-registration",
"route_to_success_link": 0,
"show_attachments": 0,
"show_in_grid": 0,
"show_sidebar": 1,
"sidebar_items": [],
"success_message": "Registration Successfully. Thank You!",
"success_url": "/patient-registration",
"title": "Patient Registration",
"web_form_fields": [
{
"allow_read_on_all_link_options": 0,
"fieldname": "basic_info",
"fieldtype": "Section Break",
"hidden": 0,
"label": "Patient Demographics",
"max_length": 0,
"max_value": 0,
"options": "fa fa-user",
"read_only": 0,
"reqd": 0,
"show_in_filter": 0
},
{
"allow_read_on_all_link_options": 0,
"fieldname": "first_name",
"fieldtype": "Data",
"hidden": 0,
"label": "First Name",
"max_length": 0,
"max_value": 0,
"read_only": 0,
"reqd": 1,
"show_in_filter": 0
},
{
"allow_read_on_all_link_options": 0,
"fieldname": "middle_name",
"fieldtype": "Data",
"hidden": 0,
"label": "Middle Name (optional)",
"max_length": 0,
"max_value": 0,
"read_only": 0,
"reqd": 0,
"show_in_filter": 0
},
{
"allow_read_on_all_link_options": 0,
"fieldname": "last_name",
"fieldtype": "Data",
"hidden": 0,
"label": "Last Name",
"max_length": 0,
"max_value": 0,
"read_only": 0,
"reqd": 1,
"show_in_filter": 0
},
{
"allow_read_on_all_link_options": 0,
"fieldname": "sex",
"fieldtype": "Link",
"hidden": 0,
"label": "Gender",
"max_length": 0,
"max_value": 0,
"options": "Gender",
"read_only": 0,
"reqd": 1,
"show_in_filter": 0
},
{
"allow_read_on_all_link_options": 0,
"fieldname": "blood_group",
"fieldtype": "Select",
"hidden": 0,
"label": "Blood Group",
"max_length": 0,
"max_value": 0,
"options": "\nA Positive\nA Negative\nAB Positive\nAB Negative\nB Positive\nB Negative\nO Positive\nO Negative",
"read_only": 0,
"reqd": 0,
"show_in_filter": 0
},
{
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"fieldname": "",
"fieldtype": "Column Break",
"hidden": 0,
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"read_only": 0,
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"show_in_filter": 0
},
{
"allow_read_on_all_link_options": 0,
"fieldname": "dob",
"fieldtype": "Date",
"hidden": 0,
"label": "Date of birth",
"max_length": 0,
"max_value": 0,
"read_only": 0,
"reqd": 0,
"show_in_filter": 0
},
{
"allow_read_on_all_link_options": 0,
"fieldname": "mobile",
"fieldtype": "Data",
"hidden": 0,
"label": "Mobile",
"max_length": 0,
"max_value": 0,
"read_only": 0,
"reqd": 0,
"show_in_filter": 0
},
{
"allow_read_on_all_link_options": 0,
"fieldname": "email",
"fieldtype": "Data",
"hidden": 0,
"label": "Email",
"max_length": 0,
"max_value": 0,
"options": "Email",
"read_only": 0,
"reqd": 0,
"show_in_filter": 0
},
{
"allow_read_on_all_link_options": 0,
"fieldname": "phone",
"fieldtype": "Data",
"hidden": 0,
"label": "Phone",
"max_length": 0,
"max_value": 0,
"read_only": 0,
"reqd": 0,
"show_in_filter": 0
},
{
"allow_read_on_all_link_options": 0,
"fieldname": "",
"fieldtype": "Section Break",
"hidden": 0,
"label": "Personal Details",
"max_length": 0,
"max_value": 0,
"read_only": 0,
"reqd": 0,
"show_in_filter": 0
},
{
"allow_read_on_all_link_options": 0,
"fieldname": "occupation",
"fieldtype": "Data",
"hidden": 0,
"label": "Occupation",
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},
{
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"fieldname": "",
"fieldtype": "Column Break",
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},
{
"allow_read_on_all_link_options": 0,
"fieldname": "marital_status",
"fieldtype": "Select",
"hidden": 0,
"label": "Marital Status",
"max_length": 0,
"max_value": 0,
"options": "\nSingle\nMarried\nDivorced\nWidow",
"read_only": 0,
"reqd": 0,
"show_in_filter": 0
},
{
"allow_read_on_all_link_options": 0,
"fieldname": "allergy_medical_and_surgical_history",
"fieldtype": "Section Break",
"hidden": 0,
"label": "Allergies, Medical and Surgical History",
"max_length": 0,
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"read_only": 0,
"reqd": 0,
"show_in_filter": 0
},
{
"allow_read_on_all_link_options": 0,
"fieldname": "allergies",
"fieldtype": "Small Text",
"hidden": 0,
"label": "Allergies",
"max_length": 0,
"max_value": 0,
"read_only": 0,
"reqd": 0,
"show_in_filter": 0
},
{
"allow_read_on_all_link_options": 0,
"fieldname": "medication",
"fieldtype": "Small Text",
"hidden": 0,
"label": "Medication",
"max_length": 0,
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},
{
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"fieldname": "column_break_20",
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},
{
"allow_read_on_all_link_options": 0,
"fieldname": "medical_history",
"fieldtype": "Small Text",
"hidden": 0,
"label": "Medical History",
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"reqd": 0,
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},
{
"allow_read_on_all_link_options": 0,
"fieldname": "surgical_history",
"fieldtype": "Small Text",
"hidden": 0,
"label": "Surgical History",
"max_length": 0,
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"reqd": 0,
"show_in_filter": 0
},
{
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"fieldname": "risk_factors",
"fieldtype": "Section Break",
"hidden": 0,
"label": "Risk Factors",
"max_length": 0,
"max_value": 0,
"read_only": 0,
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},
{
"allow_read_on_all_link_options": 0,
"default": "0",
"fieldname": "tobacco_past_use",
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"fieldtype": "Check",
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"hidden": 0,
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"label": "Check if you have a history of Tobacco Consumption",
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"max_length": 0,
"max_value": 0,
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"options": "",
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"read_only": 0,
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},
{
"allow_read_on_all_link_options": 0,
"default": "0",
"fieldname": "tobacco_current_use",
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"fieldtype": "Check",
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"hidden": 0,
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"label": "Check if you consume Tobacco",
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"max_length": 0,
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"options": "",
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"read_only": 0,
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},
{
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"default": "0",
"fieldname": "alcohol_past_use",
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"fieldtype": "Check",
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"hidden": 0,
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"label": "Check if you have a history of Alcohol Consumption",
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"max_length": 0,
"max_value": 0,
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"options": "",
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"read_only": 0,
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},
{
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"default": "0",
"fieldname": "alcohol_current_use",
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"fieldtype": "Check",
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"hidden": 0,
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"label": "Check if you consume Alcohol",
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"max_length": 0,
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"options": "",
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"read_only": 0,
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},
{
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},
{
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"fieldname": "surrounding_factors",
"fieldtype": "Small Text",
"hidden": 0,
"label": "Occupational Hazards and Environmental Factors",
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},
{
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"fieldname": "other_risk_factors",
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"hidden": 0,
"label": "Other Risk Factors",
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}
]
}