{
"name": "test poc form",
"uuid": "xxxx",
"processor": "postEncounterForm",
"pages": [
  {
    "label": "page 1",
    "sections": [
      {
        "label": "Encounter Details",
        "questions": [
          {
            "label": "Visit Date",
            "type": "encounterDate",
            "required": "true"
          },
          {
            "type": "encounterProvider",
            "label": "Provider",
            "required": "true"
          },
          {
            "type": "encounterLocation",
            "label": "Facility Name",
            "required": "true"
          }
        ]
      },
      {
        "label": "Visit Type",
        "questions": [
          {
            "concept": "AMRS:1839",
            "label": "7a. Visit Type",
            "type": "select",
            "validators": [],
            "answers":[
              {"concept": "AMRS:1246", "label": "Scheduled visit"},
              {"concept": "AMRS:1837", "label": "Unscheduled Visit Early"},
              {"concept": "AMRS:1838", "label": "Unscheduled Visit Late"}
            ]
          },
          {
            "concept_uuid": "AMRS:7029",
            "type": "date",
            "validators": [ {"type": "date", "allowFutureDates": "true"} ],
            "label": "7b. If Unscheduled, actual scheduled date",
          }
        ]
      },
      {
        "label": "Current Tuberculosis",
        "questions": [
          {
            "concept": "AMRS:8069",
            "type": "group",
            "questions": [
              {
                "concept": "AMRS:8068",
                "label": "c. Site of TB meds pick-up",
                "type": "select",
                "answers":[
                  {"concept": "AMRS:1286", "label": "This Ampath site"},
                  {"concept": "AMRS:5622", "label": "Other" }
                ]
              },
              {
                "concept": "AMRS:1915",
                "label": "Other Site (Specify)"
                "type": "text"
              }
            ]
          },
          {
            "concept": "AMRS:6196",
            "type": "group_repeating",
            "questions": [
              {
                "concept": "AMRS:1111",
                "label": "d. Current TB Regimen",
                "type": "select",
                "validators": []
                "answers":[
                  {"concept": "AMRS:1131", "label": "RHZE"},
                  {"concept": "AMRS:768", "label": "RHZ"}
                  {"concept": "AMRS:2231", "label": "RHE"},
                  {"concept": "AMRS:1108", "label": "EH"},
                  {"concept": "AMRS:745", "label": "Ethambutol"},
                  {"concept": "AMRS:2161", "label": "MDR drugs"},
                  {"concept": "AMRS:656", "label": "INH"},
                  {"concept": "AMRS:5829", "label": "Pyrazinamide"},
                  {"concept": "AMRS:438", "label": "Streptomycin"},
                  {"concept": "AMRS:5622", "label": "Other"},
                  {"concept": "AMRS:6983", "label": "Rifabutin"}
                ]
              },
              {
                "concept": "AMRS:1920", "label": "tabs/day", "type": "number"
              },
              {
                "concept": "AMRS:1899", "label": "mg", "type": "number"
              },
              {
                "concept": "AMRS:1921", "label": "mg/day", "type": "number"
              },
              {
                "concept": "AMRS:1898", "label": "tabs", "type": "number"
              }
            ]
          }
        ]
      }
    ]
  }
]
}