>, * fields: array>>> * } */ return [ 'record_types' => [ 'emergency' => [ 'triage' => 'triage', 'clinical_notes' => 'clinical_note', 'observation' => 'observation', 'disposition' => 'disposition', ], 'blood_bank' => [ 'requests' => 'blood_request', 'inventory' => 'inventory_note', ], 'dentistry' => [ ], 'ophthalmology' => [ 'exam' => 'eye_exam', 'refraction' => 'refraction', 'clinical_notes' => 'clinical_note', ], 'physiotherapy' => [ 'assessment' => 'pt_assessment', 'session' => 'pt_session', ], 'maternity' => [ 'antenatal' => 'antenatal', 'clinical_notes' => 'clinical_note', ], 'radiology' => [ 'request' => 'imaging_request', 'report' => 'imaging_report', ], 'cardiology' => [ 'exam' => 'cardiac_exam', 'clinical_notes' => 'clinical_note', ], 'psychiatry' => [ 'assessment' => 'mental_status', 'clinical_notes' => 'clinical_note', ], 'pediatrics' => [ 'exam' => 'pediatric_exam', 'clinical_notes' => 'clinical_note', ], 'orthopedics' => [ 'exam' => 'ortho_exam', 'clinical_notes' => 'clinical_note', ], 'ent' => [ 'exam' => 'ent_exam', 'clinical_notes' => 'clinical_note', ], 'oncology' => [ 'review' => 'oncology_review', 'clinical_notes' => 'clinical_note', ], 'renal' => [ 'session' => 'renal_session', 'clinical_notes' => 'clinical_note', ], 'surgery' => [ 'preop' => 'preop', 'clinical_notes' => 'clinical_note', ], 'vaccination' => [ 'screening' => 'vax_screening', 'administration' => 'vax_admin', ], 'pathology' => [ 'request' => 'path_request', 'report' => 'path_report', ], 'infusion' => [ 'session' => 'infusion_session', 'clinical_notes' => 'clinical_note', ], 'dermatology' => [ 'exam' => 'skin_exam', 'clinical_notes' => 'clinical_note', ], 'podiatry' => [ 'exam' => 'foot_exam', 'clinical_notes' => 'clinical_note', ], 'fertility' => [ 'consult' => 'fertility_consult', 'clinical_notes' => 'clinical_note', ], 'child_welfare' => [ 'growth' => 'growth', 'clinical_notes' => 'clinical_note', ], ], 'fields' => [ 'emergency' => [ 'triage' => [ ['name' => 'acuity', 'label' => 'Triage acuity', 'type' => 'select', 'required' => true, 'options' => ['1 - Resuscitation', '2 - Emergency', '3 - Urgent', '4 - Semi-urgent', '5 - Non-urgent']], ['name' => 'chief_complaint', 'label' => 'Chief complaint', 'type' => 'text', 'required' => true], ['name' => 'onset', 'label' => 'Onset', 'type' => 'text'], ['name' => 'airway_ok', 'label' => 'Airway patent', 'type' => 'boolean'], ['name' => 'breathing_ok', 'label' => 'Breathing adequate', 'type' => 'boolean'], ['name' => 'circulation_ok', 'label' => 'Circulation stable', 'type' => 'boolean'], ['name' => 'gcs', 'label' => 'GCS', 'type' => 'number'], ['name' => 'pain_score', 'label' => 'Pain score (0–10)', 'type' => 'number'], ['name' => 'mode_of_arrival', 'label' => 'Mode of arrival', 'type' => 'select', 'options' => ['Walk-in', 'Ambulance', 'Police', 'Referral', 'Other']], ['name' => 'disposition_intent', 'label' => 'Disposition intent', 'type' => 'select', 'options' => ['Resus', 'Treatment bay', 'Observation', 'Discharge', 'Admit', 'Transfer']], ['name' => 'notes', 'label' => 'Triage notes', 'type' => 'textarea', 'rows' => 3], ], 'clinical_note' => [ ['name' => 'history', 'label' => 'History of present illness', 'type' => 'textarea', 'required' => true, 'rows' => 4], ['name' => 'examination', 'label' => 'Examination', 'type' => 'textarea', 'rows' => 3], ['name' => 'working_diagnosis', 'label' => 'Working diagnosis', 'type' => 'text'], ['name' => 'plan', 'label' => 'Plan', 'type' => 'textarea', 'rows' => 3], ['name' => 'procedures', 'label' => 'Procedures performed', 'type' => 'textarea', 'rows' => 2], ], 'observation' => [ ['name' => 'bed_label', 'label' => 'Bed / bay label', 'type' => 'text'], ['name' => 'started_at', 'label' => 'Observation started', 'type' => 'text'], ['name' => 'hours', 'label' => 'Hours observed', 'type' => 'number'], ['name' => 'monitoring_plan', 'label' => 'Monitoring plan', 'type' => 'textarea', 'rows' => 2], ['name' => 'progress', 'label' => 'Progress notes', 'type' => 'textarea', 'required' => true, 'rows' => 3], ['name' => 'ready_for_disposition', 'label' => 'Ready for disposition', 'type' => 'boolean'], ], 'disposition' => [ ['name' => 'disposition', 'label' => 'Final disposition', 'type' => 'select', 'required' => true, 'options' => ['Discharge home', 'Admit to ward', 'Admit to ICU', 'Transfer to facility', 'Left against advice', 'Died', 'Absconded']], ['name' => 'condition', 'label' => 'Condition at disposition', 'type' => 'select', 'options' => ['Stable', 'Improving', 'Unstable', 'Critical', 'Deceased']], ['name' => 'destination', 'label' => 'Destination (ward / facility)', 'type' => 'text'], ['name' => 'diagnosis', 'label' => 'Discharge / transfer diagnosis', 'type' => 'text', 'required' => true], ['name' => 'advice', 'label' => 'Advice / follow-up', 'type' => 'textarea', 'rows' => 3], ['name' => 'medications', 'label' => 'Medications on discharge', 'type' => 'textarea', 'rows' => 2], ['name' => 'time', 'label' => 'Disposition time', 'type' => 'text'], ['name' => 'notes', 'label' => 'Notes', 'type' => 'textarea', 'rows' => 2], ], ], 'blood_bank' => [ 'blood_request' => [ ['name' => 'product', 'label' => 'Product', 'type' => 'select', 'required' => true, 'options' => ['Whole blood', 'Packed RBC', 'Platelets', 'FFP', 'Cryoprecipitate']], ['name' => 'units', 'label' => 'Units requested', 'type' => 'number', 'required' => true], ['name' => 'urgency', 'label' => 'Urgency', 'type' => 'select', 'required' => true, 'options' => ['Routine', 'Urgent', 'Emergency / massive']], ['name' => 'patient_blood_group', 'label' => 'Patient blood group', 'type' => 'select', 'options' => ['A+', 'A-', 'B+', 'B-', 'AB+', 'AB-', 'O+', 'O-', 'Unknown']], ['name' => 'indication', 'label' => 'Clinical indication', 'type' => 'textarea', 'required' => true, 'rows' => 2], ['name' => 'crossmatch_status', 'label' => 'Cross-match status', 'type' => 'select', 'options' => ['Not started', 'In progress', 'Compatible', 'Incompatible', 'Issued']], ['name' => 'issued_units', 'label' => 'Units issued', 'type' => 'number'], ['name' => 'notes', 'label' => 'Notes', 'type' => 'textarea', 'rows' => 2], ], 'inventory_note' => [ ['name' => 'whole_blood_units', 'label' => 'Whole blood on hand', 'type' => 'number'], ['name' => 'packed_rbc_units', 'label' => 'Packed RBC on hand', 'type' => 'number'], ['name' => 'platelet_units', 'label' => 'Platelets on hand', 'type' => 'number'], ['name' => 'ffp_units', 'label' => 'FFP on hand', 'type' => 'number'], ['name' => 'low_stock_alert', 'label' => 'Flag low stock', 'type' => 'boolean'], ['name' => 'notes', 'label' => 'Inventory notes', 'type' => 'textarea', 'rows' => 3], ], ], 'dentistry' => [ ], 'ophthalmology' => [ 'eye_exam' => [ ['name' => 'chief_complaint', 'label' => 'Chief complaint', 'type' => 'text', 'required' => true], ['name' => 'va_od', 'label' => 'Visual acuity OD', 'type' => 'text', 'required' => true], ['name' => 'va_os', 'label' => 'Visual acuity OS', 'type' => 'text', 'required' => true], ['name' => 'iop_od', 'label' => 'IOP OD (mmHg)', 'type' => 'number'], ['name' => 'iop_os', 'label' => 'IOP OS (mmHg)', 'type' => 'number'], ['name' => 'pupils', 'label' => 'Pupils', 'type' => 'text'], ['name' => 'anterior_segment', 'label' => 'Anterior segment', 'type' => 'textarea', 'rows' => 2], ['name' => 'fundus', 'label' => 'Fundus / posterior segment', 'type' => 'textarea', 'rows' => 2], ['name' => 'findings', 'label' => 'Key findings', 'type' => 'textarea', 'required' => true, 'rows' => 3], ], 'refraction' => [ ['name' => 'sphere_od', 'label' => 'Sphere OD', 'type' => 'text'], ['name' => 'cylinder_od', 'label' => 'Cylinder OD', 'type' => 'text'], ['name' => 'axis_od', 'label' => 'Axis OD', 'type' => 'text'], ['name' => 'sphere_os', 'label' => 'Sphere OS', 'type' => 'text'], ['name' => 'cylinder_os', 'label' => 'Cylinder OS', 'type' => 'text'], ['name' => 'axis_os', 'label' => 'Axis OS', 'type' => 'text'], ['name' => 'add', 'label' => 'Near add', 'type' => 'text'], ['name' => 'pd', 'label' => 'Pupillary distance (mm)', 'type' => 'number'], ['name' => 'notes', 'label' => 'Refraction notes', 'type' => 'textarea', 'rows' => 2], ], 'clinical_note' => [ ['name' => 'history', 'label' => 'History of present illness', 'type' => 'textarea', 'required' => true, 'rows' => 4], ['name' => 'examination', 'label' => 'Examination', 'type' => 'textarea', 'rows' => 3], ['name' => 'working_diagnosis', 'label' => 'Working diagnosis', 'type' => 'text'], ['name' => 'plan', 'label' => 'Plan', 'type' => 'textarea', 'rows' => 3], ], ], 'physiotherapy' => [ 'pt_assessment' => [ ['name' => 'chief_complaint', 'label' => 'Presenting complaint', 'type' => 'text', 'required' => true], ['name' => 'onset', 'label' => 'Onset / mechanism', 'type' => 'text'], ['name' => 'pain_score', 'label' => 'Pain score (0–10)', 'type' => 'number'], ['name' => 'rom', 'label' => 'Range of motion', 'type' => 'textarea', 'rows' => 2], ['name' => 'strength', 'label' => 'Strength / function', 'type' => 'textarea', 'rows' => 2], ['name' => 'goals', 'label' => 'Treatment goals', 'type' => 'textarea', 'required' => true, 'rows' => 2], ], 'pt_session' => [ ['name' => 'modalities', 'label' => 'Modalities used', 'type' => 'textarea', 'required' => true, 'rows' => 2], ['name' => 'exercises', 'label' => 'Exercises prescribed', 'type' => 'textarea', 'rows' => 2], ['name' => 'response', 'label' => 'Patient response', 'type' => 'textarea', 'rows' => 2], ['name' => 'home_program', 'label' => 'Home program', 'type' => 'textarea', 'rows' => 2], ['name' => 'next_review', 'label' => 'Next review', 'type' => 'text'], ], ], 'maternity' => [ 'antenatal' => [ ['name' => 'gravida', 'label' => 'Gravida', 'type' => 'number', 'required' => true], ['name' => 'para', 'label' => 'Para', 'type' => 'number'], ['name' => 'gestational_age_weeks', 'label' => 'Gestational age (weeks)', 'type' => 'number', 'required' => true], ['name' => 'bp', 'label' => 'Blood pressure', 'type' => 'text'], ['name' => 'fundal_height', 'label' => 'Fundal height (cm)', 'type' => 'number'], ['name' => 'fetal_heart_rate', 'label' => 'Fetal heart rate', 'type' => 'number'], ['name' => 'presentation', 'label' => 'Presentation', 'type' => 'select', 'options' => ['Cephalic', 'Breech', 'Transverse', 'Unknown']], ['name' => 'urine', 'label' => 'Urine dipstick', 'type' => 'text'], ['name' => 'danger_signs', 'label' => 'Danger signs', 'type' => 'textarea', 'rows' => 2], ['name' => 'plan', 'label' => 'Plan', 'type' => 'textarea', 'required' => true, 'rows' => 2], ], 'clinical_note' => [ ['name' => 'history', 'label' => 'History of present illness', 'type' => 'textarea', 'required' => true, 'rows' => 4], ['name' => 'examination', 'label' => 'Examination', 'type' => 'textarea', 'rows' => 3], ['name' => 'working_diagnosis', 'label' => 'Working diagnosis', 'type' => 'text'], ['name' => 'plan', 'label' => 'Plan', 'type' => 'textarea', 'rows' => 3], ], ], 'radiology' => [ 'imaging_request' => [ ['name' => 'modality', 'label' => 'Modality', 'type' => 'select', 'required' => true, 'options' => ['X-ray', 'Ultrasound', 'CT', 'MRI', 'Fluoroscopy', 'Other']], ['name' => 'body_part', 'label' => 'Body part / region', 'type' => 'text', 'required' => true], ['name' => 'clinical_info', 'label' => 'Clinical information', 'type' => 'textarea', 'required' => true, 'rows' => 3], ['name' => 'urgency', 'label' => 'Urgency', 'type' => 'select', 'options' => ['Routine', 'Urgent', 'STAT']], ['name' => 'contrast', 'label' => 'Contrast', 'type' => 'select', 'options' => ['None', 'IV', 'Oral', 'Both']], ], 'imaging_report' => [ ['name' => 'technique', 'label' => 'Technique', 'type' => 'textarea', 'rows' => 2], ['name' => 'findings', 'label' => 'Findings', 'type' => 'textarea', 'required' => true, 'rows' => 4], ['name' => 'impression', 'label' => 'Impression', 'type' => 'textarea', 'required' => true, 'rows' => 3], ['name' => 'recommendations', 'label' => 'Recommendations', 'type' => 'textarea', 'rows' => 2], ], ], 'cardiology' => [ 'cardiac_exam' => [ ['name' => 'chief_complaint', 'label' => 'Chief complaint', 'type' => 'text', 'required' => true], ['name' => 'nyha_class', 'label' => 'NYHA class', 'type' => 'select', 'options' => ['I', 'II', 'III', 'IV', 'N/A']], ['name' => 'bp', 'label' => 'Blood pressure', 'type' => 'text'], ['name' => 'hr', 'label' => 'Heart rate', 'type' => 'number'], ['name' => 'heart_sounds', 'label' => 'Heart sounds / murmurs', 'type' => 'textarea', 'rows' => 2], ['name' => 'ecg_findings', 'label' => 'ECG findings', 'type' => 'textarea', 'rows' => 2], ['name' => 'echo_summary', 'label' => 'Echo summary', 'type' => 'textarea', 'rows' => 2], ['name' => 'risk_factors', 'label' => 'Cardiac risk factors', 'type' => 'textarea', 'rows' => 2], ], 'clinical_note' => [ ['name' => 'history', 'label' => 'History of present illness', 'type' => 'textarea', 'required' => true, 'rows' => 4], ['name' => 'examination', 'label' => 'Examination', 'type' => 'textarea', 'rows' => 3], ['name' => 'working_diagnosis', 'label' => 'Working diagnosis', 'type' => 'text'], ['name' => 'plan', 'label' => 'Plan', 'type' => 'textarea', 'rows' => 3], ], ], 'psychiatry' => [ 'mental_status' => [ ['name' => 'chief_complaint', 'label' => 'Presenting complaint', 'type' => 'text', 'required' => true], ['name' => 'appearance', 'label' => 'Appearance / behaviour', 'type' => 'textarea', 'rows' => 2], ['name' => 'mood_affect', 'label' => 'Mood / affect', 'type' => 'text'], ['name' => 'thought', 'label' => 'Thought content / process', 'type' => 'textarea', 'rows' => 2], ['name' => 'perception', 'label' => 'Perception', 'type' => 'text'], ['name' => 'insight', 'label' => 'Insight / judgment', 'type' => 'text'], ['name' => 'risk', 'label' => 'Risk assessment', 'type' => 'textarea', 'required' => true, 'rows' => 2], ['name' => 'mse_summary', 'label' => 'MSE summary', 'type' => 'textarea', 'required' => true, 'rows' => 3], ], 'clinical_note' => [ ['name' => 'history', 'label' => 'History of present illness', 'type' => 'textarea', 'required' => true, 'rows' => 4], ['name' => 'examination', 'label' => 'Examination', 'type' => 'textarea', 'rows' => 3], ['name' => 'working_diagnosis', 'label' => 'Working diagnosis', 'type' => 'text'], ['name' => 'plan', 'label' => 'Plan', 'type' => 'textarea', 'rows' => 3], ], ], 'pediatrics' => [ 'pediatric_exam' => [ ['name' => 'chief_complaint', 'label' => 'Chief complaint', 'type' => 'text', 'required' => true], ['name' => 'age_months', 'label' => 'Age (months)', 'type' => 'number'], ['name' => 'weight_kg', 'label' => 'Weight (kg)', 'type' => 'number'], ['name' => 'height_cm', 'label' => 'Height / length (cm)', 'type' => 'number'], ['name' => 'head_circumference_cm', 'label' => 'Head circumference (cm)', 'type' => 'number'], ['name' => 'developmental', 'label' => 'Developmental notes', 'type' => 'textarea', 'rows' => 2], ['name' => 'immunization_status', 'label' => 'Immunization status', 'type' => 'text'], ['name' => 'examination', 'label' => 'Examination', 'type' => 'textarea', 'required' => true, 'rows' => 3], ], 'clinical_note' => [ ['name' => 'history', 'label' => 'History of present illness', 'type' => 'textarea', 'required' => true, 'rows' => 4], ['name' => 'examination', 'label' => 'Examination', 'type' => 'textarea', 'rows' => 3], ['name' => 'working_diagnosis', 'label' => 'Working diagnosis', 'type' => 'text'], ['name' => 'plan', 'label' => 'Plan', 'type' => 'textarea', 'rows' => 3], ], ], 'orthopedics' => [ 'ortho_exam' => [ ['name' => 'chief_complaint', 'label' => 'Chief complaint', 'type' => 'text', 'required' => true], ['name' => 'side', 'label' => 'Side', 'type' => 'select', 'options' => ['Left', 'Right', 'Bilateral', 'N/A']], ['name' => 'region', 'label' => 'Region / joint', 'type' => 'text', 'required' => true], ['name' => 'mechanism', 'label' => 'Mechanism of injury', 'type' => 'textarea', 'rows' => 2], ['name' => 'rom', 'label' => 'Range of motion', 'type' => 'textarea', 'rows' => 2], ['name' => 'neurovascular', 'label' => 'Neurovascular status', 'type' => 'text'], ['name' => 'imaging', 'label' => 'Imaging findings', 'type' => 'textarea', 'rows' => 2], ['name' => 'fracture_classification', 'label' => 'Fracture / injury classification', 'type' => 'text'], ], 'clinical_note' => [ ['name' => 'history', 'label' => 'History of present illness', 'type' => 'textarea', 'required' => true, 'rows' => 4], ['name' => 'examination', 'label' => 'Examination', 'type' => 'textarea', 'rows' => 3], ['name' => 'working_diagnosis', 'label' => 'Working diagnosis', 'type' => 'text'], ['name' => 'plan', 'label' => 'Plan', 'type' => 'textarea', 'rows' => 3], ], ], 'ent' => [ 'ent_exam' => [ ['name' => 'chief_complaint', 'label' => 'Chief complaint', 'type' => 'text', 'required' => true], ['name' => 'ear_findings', 'label' => 'Ear findings', 'type' => 'textarea', 'rows' => 2], ['name' => 'nose_findings', 'label' => 'Nose / sinus findings', 'type' => 'textarea', 'rows' => 2], ['name' => 'throat_findings', 'label' => 'Throat / larynx findings', 'type' => 'textarea', 'rows' => 2], ['name' => 'hearing', 'label' => 'Hearing assessment', 'type' => 'text'], ['name' => 'neck', 'label' => 'Neck examination', 'type' => 'text'], ], 'clinical_note' => [ ['name' => 'history', 'label' => 'History of present illness', 'type' => 'textarea', 'required' => true, 'rows' => 4], ['name' => 'examination', 'label' => 'Examination', 'type' => 'textarea', 'rows' => 3], ['name' => 'working_diagnosis', 'label' => 'Working diagnosis', 'type' => 'text'], ['name' => 'plan', 'label' => 'Plan', 'type' => 'textarea', 'rows' => 3], ], ], 'oncology' => [ 'oncology_review' => [ ['name' => 'diagnosis', 'label' => 'Oncology diagnosis', 'type' => 'text', 'required' => true], ['name' => 'stage', 'label' => 'Stage', 'type' => 'text'], ['name' => 'performance_status', 'label' => 'Performance status (ECOG)', 'type' => 'select', 'options' => ['0', '1', '2', '3', '4']], ['name' => 'current_regimen', 'label' => 'Current regimen', 'type' => 'textarea', 'rows' => 2], ['name' => 'cycle', 'label' => 'Cycle / day', 'type' => 'text'], ['name' => 'toxicity', 'label' => 'Toxicity / side effects', 'type' => 'textarea', 'rows' => 2], ['name' => 'response', 'label' => 'Treatment response', 'type' => 'textarea', 'rows' => 2], ['name' => 'plan', 'label' => 'Plan', 'type' => 'textarea', 'required' => true, 'rows' => 2], ], 'clinical_note' => [ ['name' => 'history', 'label' => 'History of present illness', 'type' => 'textarea', 'required' => true, 'rows' => 4], ['name' => 'examination', 'label' => 'Examination', 'type' => 'textarea', 'rows' => 3], ['name' => 'working_diagnosis', 'label' => 'Working diagnosis', 'type' => 'text'], ['name' => 'plan', 'label' => 'Plan', 'type' => 'textarea', 'rows' => 3], ], ], 'renal' => [ 'renal_session' => [ ['name' => 'session_type', 'label' => 'Session type', 'type' => 'select', 'required' => true, 'options' => ['Hemodialysis', 'Peritoneal dialysis', 'Clinic review', 'Other']], ['name' => 'pre_weight_kg', 'label' => 'Pre-weight (kg)', 'type' => 'number'], ['name' => 'post_weight_kg', 'label' => 'Post-weight (kg)', 'type' => 'number'], ['name' => 'uf_goal_l', 'label' => 'UF goal (L)', 'type' => 'number'], ['name' => 'access', 'label' => 'Access', 'type' => 'text'], ['name' => 'bp_pre', 'label' => 'BP pre', 'type' => 'text'], ['name' => 'bp_post', 'label' => 'BP post', 'type' => 'text'], ['name' => 'complications', 'label' => 'Complications', 'type' => 'textarea', 'rows' => 2], ['name' => 'notes', 'label' => 'Session notes', 'type' => 'textarea', 'required' => true, 'rows' => 3], ], 'clinical_note' => [ ['name' => 'history', 'label' => 'History of present illness', 'type' => 'textarea', 'required' => true, 'rows' => 4], ['name' => 'examination', 'label' => 'Examination', 'type' => 'textarea', 'rows' => 3], ['name' => 'working_diagnosis', 'label' => 'Working diagnosis', 'type' => 'text'], ['name' => 'plan', 'label' => 'Plan', 'type' => 'textarea', 'rows' => 3], ], ], 'surgery' => [ 'preop' => [ ['name' => 'proposed_procedure', 'label' => 'Proposed procedure', 'type' => 'text', 'required' => true], ['name' => 'indication', 'label' => 'Indication', 'type' => 'textarea', 'required' => true, 'rows' => 2], ['name' => 'asa_class', 'label' => 'ASA class', 'type' => 'select', 'options' => ['I', 'II', 'III', 'IV', 'V', 'E']], ['name' => 'allergies_reviewed', 'label' => 'Allergies reviewed', 'type' => 'boolean'], ['name' => 'consent_obtained', 'label' => 'Consent obtained', 'type' => 'boolean'], ['name' => 'fitness', 'label' => 'Fitness for anaesthesia', 'type' => 'textarea', 'rows' => 2], ['name' => 'investigations', 'label' => 'Relevant investigations', 'type' => 'textarea', 'rows' => 2], ['name' => 'plan', 'label' => 'Peri-op plan', 'type' => 'textarea', 'required' => true, 'rows' => 2], ], 'clinical_note' => [ ['name' => 'history', 'label' => 'History of present illness', 'type' => 'textarea', 'required' => true, 'rows' => 4], ['name' => 'examination', 'label' => 'Examination', 'type' => 'textarea', 'rows' => 3], ['name' => 'working_diagnosis', 'label' => 'Working diagnosis', 'type' => 'text'], ['name' => 'plan', 'label' => 'Plan', 'type' => 'textarea', 'rows' => 3], ], ], 'vaccination' => [ 'vax_screening' => [ ['name' => 'vaccine', 'label' => 'Vaccine', 'type' => 'text', 'required' => true], ['name' => 'indications', 'label' => 'Indications', 'type' => 'textarea', 'rows' => 2], ['name' => 'contraindications', 'label' => 'Contraindications checked', 'type' => 'boolean', 'required' => true], ['name' => 'allergy_history', 'label' => 'Allergy / prior reaction', 'type' => 'textarea', 'rows' => 2], ['name' => 'fever_today', 'label' => 'Fever today', 'type' => 'boolean'], ['name' => 'cleared', 'label' => 'Cleared to vaccinate', 'type' => 'boolean', 'required' => true], ], 'vax_admin' => [ ['name' => 'vaccine', 'label' => 'Vaccine administered', 'type' => 'text', 'required' => true], ['name' => 'dose', 'label' => 'Dose / antigen', 'type' => 'text'], ['name' => 'site', 'label' => 'Injection site', 'type' => 'select', 'options' => ['Left arm', 'Right arm', 'Left thigh', 'Right thigh', 'Oral', 'Other']], ['name' => 'batch', 'label' => 'Batch / lot number', 'type' => 'text', 'required' => true], ['name' => 'expiry', 'label' => 'Expiry date', 'type' => 'text'], ['name' => 'route', 'label' => 'Route', 'type' => 'select', 'options' => ['IM', 'SC', 'ID', 'Oral', 'Nasal']], ['name' => 'adverse_events', 'label' => 'Immediate adverse events', 'type' => 'textarea', 'rows' => 2], ['name' => 'next_due', 'label' => 'Next dose due', 'type' => 'text'], ], ], 'pathology' => [ 'path_request' => [ ['name' => 'specimen_type', 'label' => 'Specimen type', 'type' => 'text', 'required' => true], ['name' => 'site', 'label' => 'Anatomic site', 'type' => 'text', 'required' => true], ['name' => 'clinical_history', 'label' => 'Clinical history', 'type' => 'textarea', 'required' => true, 'rows' => 3], ['name' => 'urgency', 'label' => 'Urgency', 'type' => 'select', 'options' => ['Routine', 'Urgent', 'Intra-op']], ['name' => 'tests_requested', 'label' => 'Tests requested', 'type' => 'textarea', 'rows' => 2], ], 'path_report' => [ ['name' => 'gross', 'label' => 'Gross description', 'type' => 'textarea', 'rows' => 3], ['name' => 'microscopy', 'label' => 'Microscopy', 'type' => 'textarea', 'required' => true, 'rows' => 4], ['name' => 'diagnosis', 'label' => 'Diagnosis', 'type' => 'textarea', 'required' => true, 'rows' => 3], ['name' => 'comment', 'label' => 'Comment', 'type' => 'textarea', 'rows' => 2], ], ], 'infusion' => [ 'infusion_session' => [ ['name' => 'medication', 'label' => 'Medication / regimen', 'type' => 'text', 'required' => true], ['name' => 'dose', 'label' => 'Dose', 'type' => 'text'], ['name' => 'rate', 'label' => 'Infusion rate', 'type' => 'text'], ['name' => 'access', 'label' => 'IV access', 'type' => 'text'], ['name' => 'start_time', 'label' => 'Start time', 'type' => 'text'], ['name' => 'end_time', 'label' => 'End time', 'type' => 'text'], ['name' => 'vitals', 'label' => 'Vitals during infusion', 'type' => 'textarea', 'rows' => 2], ['name' => 'reactions', 'label' => 'Reactions / interventions', 'type' => 'textarea', 'rows' => 2], ['name' => 'notes', 'label' => 'Session notes', 'type' => 'textarea', 'required' => true, 'rows' => 2], ], 'clinical_note' => [ ['name' => 'history', 'label' => 'History of present illness', 'type' => 'textarea', 'required' => true, 'rows' => 4], ['name' => 'examination', 'label' => 'Examination', 'type' => 'textarea', 'rows' => 3], ['name' => 'working_diagnosis', 'label' => 'Working diagnosis', 'type' => 'text'], ['name' => 'plan', 'label' => 'Plan', 'type' => 'textarea', 'rows' => 3], ], ], 'dermatology' => [ 'skin_exam' => [ ['name' => 'chief_complaint', 'label' => 'Chief complaint', 'type' => 'text', 'required' => true], ['name' => 'duration', 'label' => 'Duration', 'type' => 'text'], ['name' => 'distribution', 'label' => 'Distribution', 'type' => 'text'], ['name' => 'morphology', 'label' => 'Lesion morphology', 'type' => 'textarea', 'required' => true, 'rows' => 2], ['name' => 'itch_pain', 'label' => 'Itch / pain', 'type' => 'text'], ['name' => 'dermoscopy', 'label' => 'Dermoscopy notes', 'type' => 'textarea', 'rows' => 2], ['name' => 'differential', 'label' => 'Differential diagnosis', 'type' => 'textarea', 'rows' => 2], ], 'clinical_note' => [ ['name' => 'history', 'label' => 'History of present illness', 'type' => 'textarea', 'required' => true, 'rows' => 4], ['name' => 'examination', 'label' => 'Examination', 'type' => 'textarea', 'rows' => 3], ['name' => 'working_diagnosis', 'label' => 'Working diagnosis', 'type' => 'text'], ['name' => 'plan', 'label' => 'Plan', 'type' => 'textarea', 'rows' => 3], ], ], 'podiatry' => [ 'foot_exam' => [ ['name' => 'chief_complaint', 'label' => 'Chief complaint', 'type' => 'text', 'required' => true], ['name' => 'side', 'label' => 'Side', 'type' => 'select', 'options' => ['Left', 'Right', 'Bilateral']], ['name' => 'diabetes', 'label' => 'Diabetic foot risk', 'type' => 'select', 'options' => ['Low', 'Moderate', 'High', 'Active ulcer', 'N/A']], ['name' => 'pulses', 'label' => 'Pulses', 'type' => 'text'], ['name' => 'sensation', 'label' => 'Sensation / neuropathy', 'type' => 'text'], ['name' => 'skin_nails', 'label' => 'Skin / nails', 'type' => 'textarea', 'rows' => 2], ['name' => 'ulcer', 'label' => 'Ulcer description', 'type' => 'textarea', 'rows' => 2], ['name' => 'offloading', 'label' => 'Offloading / footwear', 'type' => 'text'], ], 'clinical_note' => [ ['name' => 'history', 'label' => 'History of present illness', 'type' => 'textarea', 'required' => true, 'rows' => 4], ['name' => 'examination', 'label' => 'Examination', 'type' => 'textarea', 'rows' => 3], ['name' => 'working_diagnosis', 'label' => 'Working diagnosis', 'type' => 'text'], ['name' => 'plan', 'label' => 'Plan', 'type' => 'textarea', 'rows' => 3], ], ], 'fertility' => [ 'fertility_consult' => [ ['name' => 'partner_present', 'label' => 'Partner present', 'type' => 'boolean'], ['name' => 'trying_months', 'label' => 'Trying to conceive (months)', 'type' => 'number'], ['name' => 'cycle_day', 'label' => 'Cycle day', 'type' => 'number'], ['name' => 'amh', 'label' => 'AMH / ovarian reserve notes', 'type' => 'text'], ['name' => 'semen_summary', 'label' => 'Semen analysis summary', 'type' => 'textarea', 'rows' => 2], ['name' => 'tubal_uterine', 'label' => 'Tubal / uterine assessment', 'type' => 'textarea', 'rows' => 2], ['name' => 'plan', 'label' => 'Fertility plan', 'type' => 'textarea', 'required' => true, 'rows' => 3], ], 'clinical_note' => [ ['name' => 'history', 'label' => 'History of present illness', 'type' => 'textarea', 'required' => true, 'rows' => 4], ['name' => 'examination', 'label' => 'Examination', 'type' => 'textarea', 'rows' => 3], ['name' => 'working_diagnosis', 'label' => 'Working diagnosis', 'type' => 'text'], ['name' => 'plan', 'label' => 'Plan', 'type' => 'textarea', 'rows' => 3], ], ], 'child_welfare' => [ 'growth' => [ ['name' => 'age_months', 'label' => 'Age (months)', 'type' => 'number', 'required' => true], ['name' => 'weight_kg', 'label' => 'Weight (kg)', 'type' => 'number', 'required' => true], ['name' => 'height_cm', 'label' => 'Height / length (cm)', 'type' => 'number'], ['name' => 'head_circumference_cm', 'label' => 'Head circumference (cm)', 'type' => 'number'], ['name' => 'muac_cm', 'label' => 'MUAC (cm)', 'type' => 'number'], ['name' => 'growth_status', 'label' => 'Growth status', 'type' => 'select', 'options' => ['Normal', 'Underweight', 'Stunted', 'Wasted', 'Overweight']], ['name' => 'feeding', 'label' => 'Feeding / nutrition', 'type' => 'textarea', 'rows' => 2], ['name' => 'milestones', 'label' => 'Developmental milestones', 'type' => 'textarea', 'rows' => 2], ['name' => 'counseling', 'label' => 'Counseling given', 'type' => 'textarea', 'rows' => 2], ], 'clinical_note' => [ ['name' => 'history', 'label' => 'History of present illness', 'type' => 'textarea', 'required' => true, 'rows' => 4], ['name' => 'examination', 'label' => 'Examination', 'type' => 'textarea', 'rows' => 3], ['name' => 'working_diagnosis', 'label' => 'Working diagnosis', 'type' => 'text'], ['name' => 'plan', 'label' => 'Plan', 'type' => 'textarea', 'rows' => 3], ], ], ], ];