isaaccladandCursor
7989ab9184
Deploy Ladill Care / deploy (push) Successful in 34s
Add ED visit stages, triage-driven routing, vitals, observation, disposition, reports, and print summary so Emergency matches Dentistry’s operational depth without a parallel EHR. Co-authored-by: Cursor <cursoragent@cursor.com>
519 lines
35 KiB
PHP
519 lines
35 KiB
PHP
<?php
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/**
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* Specialty clinical form schemas (workspace tab → record type → fields).
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* Consumed by SpecialtyClinicalRecordService.
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*
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* @return array{
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* record_types: array<string, array<string, string>>,
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* fields: array<string, array<string, list<array<string, mixed>>>>
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* }
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*/
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return [
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'record_types' => [
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'emergency' => [
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'triage' => 'triage',
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'clinical_notes' => 'clinical_note',
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'observation' => 'observation',
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'disposition' => 'disposition',
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],
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'blood_bank' => [
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'requests' => 'blood_request',
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'inventory' => 'inventory_note',
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],
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'dentistry' => [
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],
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'ophthalmology' => [
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'exam' => 'eye_exam',
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'refraction' => 'refraction',
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'clinical_notes' => 'clinical_note',
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],
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'physiotherapy' => [
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'assessment' => 'pt_assessment',
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'session' => 'pt_session',
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],
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'maternity' => [
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'antenatal' => 'antenatal',
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'clinical_notes' => 'clinical_note',
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],
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'radiology' => [
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'request' => 'imaging_request',
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'report' => 'imaging_report',
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],
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'cardiology' => [
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'exam' => 'cardiac_exam',
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'clinical_notes' => 'clinical_note',
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],
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'psychiatry' => [
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'assessment' => 'mental_status',
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'clinical_notes' => 'clinical_note',
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],
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'pediatrics' => [
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'exam' => 'pediatric_exam',
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'clinical_notes' => 'clinical_note',
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],
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'orthopedics' => [
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'exam' => 'ortho_exam',
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'clinical_notes' => 'clinical_note',
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],
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'ent' => [
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'exam' => 'ent_exam',
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'clinical_notes' => 'clinical_note',
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],
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'oncology' => [
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'review' => 'oncology_review',
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'clinical_notes' => 'clinical_note',
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],
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'renal' => [
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'session' => 'renal_session',
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'clinical_notes' => 'clinical_note',
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],
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'surgery' => [
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'preop' => 'preop',
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'clinical_notes' => 'clinical_note',
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],
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'vaccination' => [
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'screening' => 'vax_screening',
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'administration' => 'vax_admin',
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],
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'pathology' => [
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'request' => 'path_request',
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'report' => 'path_report',
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],
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'infusion' => [
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'session' => 'infusion_session',
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'clinical_notes' => 'clinical_note',
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],
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'dermatology' => [
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'exam' => 'skin_exam',
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'clinical_notes' => 'clinical_note',
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],
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'podiatry' => [
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'exam' => 'foot_exam',
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'clinical_notes' => 'clinical_note',
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],
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'fertility' => [
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'consult' => 'fertility_consult',
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'clinical_notes' => 'clinical_note',
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],
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'child_welfare' => [
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'growth' => 'growth',
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'clinical_notes' => 'clinical_note',
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],
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],
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'fields' => [
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'emergency' => [
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'triage' => [
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['name' => 'acuity', 'label' => 'Triage acuity', 'type' => 'select', 'required' => true, 'options' => ['1 - Resuscitation', '2 - Emergency', '3 - Urgent', '4 - Semi-urgent', '5 - Non-urgent']],
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['name' => 'chief_complaint', 'label' => 'Chief complaint', 'type' => 'text', 'required' => true],
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['name' => 'onset', 'label' => 'Onset', 'type' => 'text'],
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['name' => 'airway_ok', 'label' => 'Airway patent', 'type' => 'boolean'],
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['name' => 'breathing_ok', 'label' => 'Breathing adequate', 'type' => 'boolean'],
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['name' => 'circulation_ok', 'label' => 'Circulation stable', 'type' => 'boolean'],
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['name' => 'gcs', 'label' => 'GCS', 'type' => 'number'],
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['name' => 'pain_score', 'label' => 'Pain score (0–10)', 'type' => 'number'],
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['name' => 'mode_of_arrival', 'label' => 'Mode of arrival', 'type' => 'select', 'options' => ['Walk-in', 'Ambulance', 'Police', 'Referral', 'Other']],
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['name' => 'disposition_intent', 'label' => 'Disposition intent', 'type' => 'select', 'options' => ['Resus', 'Treatment bay', 'Observation', 'Discharge', 'Admit', 'Transfer']],
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['name' => 'notes', 'label' => 'Triage notes', 'type' => 'textarea', 'rows' => 3],
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],
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'clinical_note' => [
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['name' => 'history', 'label' => 'History of present illness', 'type' => 'textarea', 'required' => true, 'rows' => 4],
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['name' => 'examination', 'label' => 'Examination', 'type' => 'textarea', 'rows' => 3],
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['name' => 'working_diagnosis', 'label' => 'Working diagnosis', 'type' => 'text'],
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['name' => 'plan', 'label' => 'Plan', 'type' => 'textarea', 'rows' => 3],
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['name' => 'procedures', 'label' => 'Procedures performed', 'type' => 'textarea', 'rows' => 2],
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],
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'observation' => [
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['name' => 'bed_label', 'label' => 'Bed / bay label', 'type' => 'text'],
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['name' => 'started_at', 'label' => 'Observation started', 'type' => 'text'],
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['name' => 'hours', 'label' => 'Hours observed', 'type' => 'number'],
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['name' => 'monitoring_plan', 'label' => 'Monitoring plan', 'type' => 'textarea', 'rows' => 2],
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['name' => 'progress', 'label' => 'Progress notes', 'type' => 'textarea', 'required' => true, 'rows' => 3],
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['name' => 'ready_for_disposition', 'label' => 'Ready for disposition', 'type' => 'boolean'],
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],
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'disposition' => [
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['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']],
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['name' => 'condition', 'label' => 'Condition at disposition', 'type' => 'select', 'options' => ['Stable', 'Improving', 'Unstable', 'Critical', 'Deceased']],
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['name' => 'destination', 'label' => 'Destination (ward / facility)', 'type' => 'text'],
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['name' => 'diagnosis', 'label' => 'Discharge / transfer diagnosis', 'type' => 'text', 'required' => true],
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['name' => 'advice', 'label' => 'Advice / follow-up', 'type' => 'textarea', 'rows' => 3],
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['name' => 'medications', 'label' => 'Medications on discharge', 'type' => 'textarea', 'rows' => 2],
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['name' => 'time', 'label' => 'Disposition time', 'type' => 'text'],
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['name' => 'notes', 'label' => 'Notes', 'type' => 'textarea', 'rows' => 2],
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],
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],
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'blood_bank' => [
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'blood_request' => [
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['name' => 'product', 'label' => 'Product', 'type' => 'select', 'required' => true, 'options' => ['Whole blood', 'Packed RBC', 'Platelets', 'FFP', 'Cryoprecipitate']],
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['name' => 'units', 'label' => 'Units requested', 'type' => 'number', 'required' => true],
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['name' => 'urgency', 'label' => 'Urgency', 'type' => 'select', 'required' => true, 'options' => ['Routine', 'Urgent', 'Emergency / massive']],
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['name' => 'patient_blood_group', 'label' => 'Patient blood group', 'type' => 'select', 'options' => ['A+', 'A-', 'B+', 'B-', 'AB+', 'AB-', 'O+', 'O-', 'Unknown']],
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['name' => 'indication', 'label' => 'Clinical indication', 'type' => 'textarea', 'required' => true, 'rows' => 2],
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['name' => 'crossmatch_status', 'label' => 'Cross-match status', 'type' => 'select', 'options' => ['Not started', 'In progress', 'Compatible', 'Incompatible', 'Issued']],
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['name' => 'issued_units', 'label' => 'Units issued', 'type' => 'number'],
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['name' => 'notes', 'label' => 'Notes', 'type' => 'textarea', 'rows' => 2],
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],
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'inventory_note' => [
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['name' => 'whole_blood_units', 'label' => 'Whole blood on hand', 'type' => 'number'],
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['name' => 'packed_rbc_units', 'label' => 'Packed RBC on hand', 'type' => 'number'],
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['name' => 'platelet_units', 'label' => 'Platelets on hand', 'type' => 'number'],
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['name' => 'ffp_units', 'label' => 'FFP on hand', 'type' => 'number'],
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['name' => 'low_stock_alert', 'label' => 'Flag low stock', 'type' => 'boolean'],
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['name' => 'notes', 'label' => 'Inventory notes', 'type' => 'textarea', 'rows' => 3],
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],
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],
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'dentistry' => [
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],
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'ophthalmology' => [
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'eye_exam' => [
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['name' => 'chief_complaint', 'label' => 'Chief complaint', 'type' => 'text', 'required' => true],
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['name' => 'va_od', 'label' => 'Visual acuity OD', 'type' => 'text', 'required' => true],
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['name' => 'va_os', 'label' => 'Visual acuity OS', 'type' => 'text', 'required' => true],
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['name' => 'iop_od', 'label' => 'IOP OD (mmHg)', 'type' => 'number'],
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['name' => 'iop_os', 'label' => 'IOP OS (mmHg)', 'type' => 'number'],
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['name' => 'pupils', 'label' => 'Pupils', 'type' => 'text'],
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['name' => 'anterior_segment', 'label' => 'Anterior segment', 'type' => 'textarea', 'rows' => 2],
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['name' => 'fundus', 'label' => 'Fundus / posterior segment', 'type' => 'textarea', 'rows' => 2],
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['name' => 'findings', 'label' => 'Key findings', 'type' => 'textarea', 'required' => true, 'rows' => 3],
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],
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'refraction' => [
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['name' => 'sphere_od', 'label' => 'Sphere OD', 'type' => 'text'],
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['name' => 'cylinder_od', 'label' => 'Cylinder OD', 'type' => 'text'],
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['name' => 'axis_od', 'label' => 'Axis OD', 'type' => 'text'],
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['name' => 'sphere_os', 'label' => 'Sphere OS', 'type' => 'text'],
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['name' => 'cylinder_os', 'label' => 'Cylinder OS', 'type' => 'text'],
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['name' => 'axis_os', 'label' => 'Axis OS', 'type' => 'text'],
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['name' => 'add', 'label' => 'Near add', 'type' => 'text'],
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['name' => 'pd', 'label' => 'Pupillary distance (mm)', 'type' => 'number'],
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['name' => 'notes', 'label' => 'Refraction notes', 'type' => 'textarea', 'rows' => 2],
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],
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'clinical_note' => [
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['name' => 'history', 'label' => 'History of present illness', 'type' => 'textarea', 'required' => true, 'rows' => 4],
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['name' => 'examination', 'label' => 'Examination', 'type' => 'textarea', 'rows' => 3],
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['name' => 'working_diagnosis', 'label' => 'Working diagnosis', 'type' => 'text'],
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['name' => 'plan', 'label' => 'Plan', 'type' => 'textarea', 'rows' => 3],
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],
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],
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'physiotherapy' => [
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'pt_assessment' => [
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['name' => 'chief_complaint', 'label' => 'Presenting complaint', 'type' => 'text', 'required' => true],
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['name' => 'onset', 'label' => 'Onset / mechanism', 'type' => 'text'],
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['name' => 'pain_score', 'label' => 'Pain score (0–10)', 'type' => 'number'],
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['name' => 'rom', 'label' => 'Range of motion', 'type' => 'textarea', 'rows' => 2],
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['name' => 'strength', 'label' => 'Strength / function', 'type' => 'textarea', 'rows' => 2],
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['name' => 'goals', 'label' => 'Treatment goals', 'type' => 'textarea', 'required' => true, 'rows' => 2],
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],
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'pt_session' => [
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['name' => 'modalities', 'label' => 'Modalities used', 'type' => 'textarea', 'required' => true, 'rows' => 2],
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['name' => 'exercises', 'label' => 'Exercises prescribed', 'type' => 'textarea', 'rows' => 2],
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['name' => 'response', 'label' => 'Patient response', 'type' => 'textarea', 'rows' => 2],
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['name' => 'home_program', 'label' => 'Home program', 'type' => 'textarea', 'rows' => 2],
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['name' => 'next_review', 'label' => 'Next review', 'type' => 'text'],
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],
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],
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'maternity' => [
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'antenatal' => [
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['name' => 'gravida', 'label' => 'Gravida', 'type' => 'number', 'required' => true],
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['name' => 'para', 'label' => 'Para', 'type' => 'number'],
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['name' => 'gestational_age_weeks', 'label' => 'Gestational age (weeks)', 'type' => 'number', 'required' => true],
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['name' => 'bp', 'label' => 'Blood pressure', 'type' => 'text'],
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['name' => 'fundal_height', 'label' => 'Fundal height (cm)', 'type' => 'number'],
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['name' => 'fetal_heart_rate', 'label' => 'Fetal heart rate', 'type' => 'number'],
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['name' => 'presentation', 'label' => 'Presentation', 'type' => 'select', 'options' => ['Cephalic', 'Breech', 'Transverse', 'Unknown']],
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['name' => 'urine', 'label' => 'Urine dipstick', 'type' => 'text'],
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['name' => 'danger_signs', 'label' => 'Danger signs', 'type' => 'textarea', 'rows' => 2],
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['name' => 'plan', 'label' => 'Plan', 'type' => 'textarea', 'required' => true, 'rows' => 2],
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],
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'clinical_note' => [
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['name' => 'history', 'label' => 'History of present illness', 'type' => 'textarea', 'required' => true, 'rows' => 4],
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['name' => 'examination', 'label' => 'Examination', 'type' => 'textarea', 'rows' => 3],
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['name' => 'working_diagnosis', 'label' => 'Working diagnosis', 'type' => 'text'],
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['name' => 'plan', 'label' => 'Plan', 'type' => 'textarea', 'rows' => 3],
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],
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],
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'radiology' => [
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'imaging_request' => [
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['name' => 'modality', 'label' => 'Modality', 'type' => 'select', 'required' => true, 'options' => ['X-ray', 'Ultrasound', 'CT', 'MRI', 'Fluoroscopy', 'Other']],
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['name' => 'body_part', 'label' => 'Body part / region', 'type' => 'text', 'required' => true],
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['name' => 'clinical_info', 'label' => 'Clinical information', 'type' => 'textarea', 'required' => true, 'rows' => 3],
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['name' => 'urgency', 'label' => 'Urgency', 'type' => 'select', 'options' => ['Routine', 'Urgent', 'STAT']],
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['name' => 'contrast', 'label' => 'Contrast', 'type' => 'select', 'options' => ['None', 'IV', 'Oral', 'Both']],
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],
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'imaging_report' => [
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['name' => 'technique', 'label' => 'Technique', 'type' => 'textarea', 'rows' => 2],
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['name' => 'findings', 'label' => 'Findings', 'type' => 'textarea', 'required' => true, 'rows' => 4],
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['name' => 'impression', 'label' => 'Impression', 'type' => 'textarea', 'required' => true, 'rows' => 3],
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['name' => 'recommendations', 'label' => 'Recommendations', 'type' => 'textarea', 'rows' => 2],
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],
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],
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'cardiology' => [
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'cardiac_exam' => [
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['name' => 'chief_complaint', 'label' => 'Chief complaint', 'type' => 'text', 'required' => true],
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['name' => 'nyha_class', 'label' => 'NYHA class', 'type' => 'select', 'options' => ['I', 'II', 'III', 'IV', 'N/A']],
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['name' => 'bp', 'label' => 'Blood pressure', 'type' => 'text'],
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['name' => 'hr', 'label' => 'Heart rate', 'type' => 'number'],
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['name' => 'heart_sounds', 'label' => 'Heart sounds / murmurs', 'type' => 'textarea', 'rows' => 2],
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['name' => 'ecg_findings', 'label' => 'ECG findings', 'type' => 'textarea', 'rows' => 2],
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['name' => 'echo_summary', 'label' => 'Echo summary', 'type' => 'textarea', 'rows' => 2],
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['name' => 'risk_factors', 'label' => 'Cardiac risk factors', 'type' => 'textarea', 'rows' => 2],
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],
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'clinical_note' => [
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['name' => 'history', 'label' => 'History of present illness', 'type' => 'textarea', 'required' => true, 'rows' => 4],
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['name' => 'examination', 'label' => 'Examination', 'type' => 'textarea', 'rows' => 3],
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['name' => 'working_diagnosis', 'label' => 'Working diagnosis', 'type' => 'text'],
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['name' => 'plan', 'label' => 'Plan', 'type' => 'textarea', 'rows' => 3],
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],
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],
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'psychiatry' => [
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'mental_status' => [
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['name' => 'chief_complaint', 'label' => 'Presenting complaint', 'type' => 'text', 'required' => true],
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['name' => 'appearance', 'label' => 'Appearance / behaviour', 'type' => 'textarea', 'rows' => 2],
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['name' => 'mood_affect', 'label' => 'Mood / affect', 'type' => 'text'],
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['name' => 'thought', 'label' => 'Thought content / process', 'type' => 'textarea', 'rows' => 2],
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['name' => 'perception', 'label' => 'Perception', 'type' => 'text'],
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['name' => 'insight', 'label' => 'Insight / judgment', 'type' => 'text'],
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['name' => 'risk', 'label' => 'Risk assessment', 'type' => 'textarea', 'required' => true, 'rows' => 2],
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['name' => 'mse_summary', 'label' => 'MSE summary', 'type' => 'textarea', 'required' => true, 'rows' => 3],
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],
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'clinical_note' => [
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['name' => 'history', 'label' => 'History of present illness', 'type' => 'textarea', 'required' => true, 'rows' => 4],
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['name' => 'examination', 'label' => 'Examination', 'type' => 'textarea', 'rows' => 3],
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['name' => 'working_diagnosis', 'label' => 'Working diagnosis', 'type' => 'text'],
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['name' => 'plan', 'label' => 'Plan', 'type' => 'textarea', 'rows' => 3],
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],
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],
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'pediatrics' => [
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'pediatric_exam' => [
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['name' => 'chief_complaint', 'label' => 'Chief complaint', 'type' => 'text', 'required' => true],
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['name' => 'age_months', 'label' => 'Age (months)', 'type' => 'number'],
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['name' => 'weight_kg', 'label' => 'Weight (kg)', 'type' => 'number'],
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['name' => 'height_cm', 'label' => 'Height / length (cm)', 'type' => 'number'],
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['name' => 'head_circumference_cm', 'label' => 'Head circumference (cm)', 'type' => 'number'],
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['name' => 'developmental', 'label' => 'Developmental notes', 'type' => 'textarea', 'rows' => 2],
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['name' => 'immunization_status', 'label' => 'Immunization status', 'type' => 'text'],
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['name' => 'examination', 'label' => 'Examination', 'type' => 'textarea', 'required' => true, 'rows' => 3],
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],
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'clinical_note' => [
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['name' => 'history', 'label' => 'History of present illness', 'type' => 'textarea', 'required' => true, 'rows' => 4],
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['name' => 'examination', 'label' => 'Examination', 'type' => 'textarea', 'rows' => 3],
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['name' => 'working_diagnosis', 'label' => 'Working diagnosis', 'type' => 'text'],
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['name' => 'plan', 'label' => 'Plan', 'type' => 'textarea', 'rows' => 3],
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],
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],
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'orthopedics' => [
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'ortho_exam' => [
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['name' => 'chief_complaint', 'label' => 'Chief complaint', 'type' => 'text', 'required' => true],
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['name' => 'side', 'label' => 'Side', 'type' => 'select', 'options' => ['Left', 'Right', 'Bilateral', 'N/A']],
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['name' => 'region', 'label' => 'Region / joint', 'type' => 'text', 'required' => true],
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['name' => 'mechanism', 'label' => 'Mechanism of injury', 'type' => 'textarea', 'rows' => 2],
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['name' => 'rom', 'label' => 'Range of motion', 'type' => 'textarea', 'rows' => 2],
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['name' => 'neurovascular', 'label' => 'Neurovascular status', 'type' => 'text'],
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['name' => 'imaging', 'label' => 'Imaging findings', 'type' => 'textarea', 'rows' => 2],
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['name' => 'fracture_classification', 'label' => 'Fracture / injury classification', 'type' => 'text'],
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],
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'clinical_note' => [
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['name' => 'history', 'label' => 'History of present illness', 'type' => 'textarea', 'required' => true, 'rows' => 4],
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||
['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],
|
||
],
|
||
],
|
||
],
|
||
];
|