From 3685b013ae08b0ed29a9054a828529422428cae9 Mon Sep 17 00:00:00 2001
From: Vineet Sharma <sharmava05@gmail.com>
Date: Mon, 11 Nov 2024 13:16:45 +0530
Subject: [PATCH] Add form for IPD admission

---
 .../ampathforms/ipd_admission_request.json    | 66 +++++++++++++++++++
 1 file changed, 66 insertions(+)
 create mode 100644 distro/configuration/ampathforms/ipd_admission_request.json

diff --git a/distro/configuration/ampathforms/ipd_admission_request.json b/distro/configuration/ampathforms/ipd_admission_request.json
new file mode 100644
index 000000000..312b70268
--- /dev/null
+++ b/distro/configuration/ampathforms/ipd_admission_request.json
@@ -0,0 +1,66 @@
+{
+  "name": "Admission request",
+  "pages": [
+    {
+      "label": "Admission request",
+      "sections": [
+        {
+          "label": "Patient Details",
+          "isExpanded": "true",
+          "questions": [
+            {
+              "type": "obsGroup",
+              "id": "inpatientDispositionConstruct",
+              "questionOptions": {
+                "concept": "CIEL:169405",
+                "rendering": "group"
+              },
+              "questions": [
+                {
+                  "id": "disposition",
+                  "type": "obs",
+                  "required": true,
+                  "questionOptions": {
+                    "rendering": "radio",
+                    "required": true,
+                    "concept": "CIEL:169402",
+                    "answers": [
+                      {
+                        "concept": "CIEL:168619"
+                      }
+                    ]
+                  },
+                  "validators": []
+                },
+                {
+                  "id": "admitToLocation",
+                  "type": "obs",
+                  "required": true,
+                  "questionOptions": {
+                    "rendering": "ui-select-extended",
+                    "required": true,
+                    "concept": "CIEL:169403",
+                    "datasource": {
+                      "name": "location_datasource",
+                      "config": {
+                        "tag": "Admission Location"
+                      }
+                    }
+                  }
+                }
+              ]
+            }
+          ]
+        }
+      ]
+    }
+  ],
+  "processor": "EncounterFormProcessor",
+  "encounterType": "b2c4d5e6-7f8a-4e9b-8c1d-2e3f8e4a3b8f",
+  "referencedForms": [],
+  "uuid": "",
+  "description": "Admission request",
+  "version": "1.0.0",
+  "published": true,
+  "retired": false
+}