docs.healthesignature.com

JSON Forms

Allowed Elements

• dateField
• text - read only text
• textField - user editable single line text input field
• textArea - multi-line user editable text input field
• dropDown - a select list of possible values allowing the user to select only one option
• list - a read only list of values
• group - a two column grouping of checkboxes
• toggle

dateField

{
  "type":"dateField"
  ,"title":"Previous Pregnancy"
  ,"name":"Previous Pregnancy"
  ,"value":""
}

text

{
  "type":"text"
  ,"value":"RISK RACTORS: Please select the appropriate values below that reflect your risk factors"
}

textField

{
  "type":"textField"
  ,"title":"Alcohol drinks/day"
  ,"name":"Alcohol drinks/day"
  ,"value":"<1"
}

textArea

{
  "type":"textArea"
  ,"title":"Simple Text Area"
  ,"name":"userFreeText"
  ,"value":"some very long winded text that can span multiple lines"
}

dropDown

{
  "type":"dropDown"
 ,"title":"Does Patient Exercise"
 ,"name":"Does Patient Exercise"
 ,"placeHolder":"Choose one..."
 ,"value":""
 ,"options":[
    {"display":"no","value":"no"}
   ,{"display":"yes","value":"yes"}
  ]
}

list

{
  "type":"list",
  "title":"Patient Medical History",
  "options":[
    "Atrial Fibrillation",
    "Congestive Heart Failure",
    "Hyperlipidemia",
    "Hypertension"
  ]
}

group

{
    "name": "Sexual History",
    "title": "Sexual History",
    "type": "group",
    "elements": [
        {
            "highlight": "true",
            "name": "Reviewed - No Changes Required",
            "title": "Reviewed - No Changes Required",
            "type": "checkBox",
            "value": "false"
        },
        {
            "name": "currently monogamous",
            "title": "currently monogamous",
            "type": "checkBox",
            "value": "false"
        },
        {
            "name": "multiple partners currently",
            "title": "multiple partners currently",
            "type": "checkBox",
            "value": "false"
        },
        {
            "name": "multiple partners in the past",
            "title": "multiple partners in the past",
            "type": "checkBox",
            "value": "false"
        },
        {
            "name": "sex for money",
            "title": "sex for money",
            "type": "checkBox",
            "value": "false"
        },
        {
            "name": "sex for drugs",
            "title": "sex for drugs",
            "type": "checkBox",
            "value": "false"
        },
        {
            "name": "same sex encounters",
            "title": "same sex encounters",
            "type": "checkBox",
            "value": "false"
        },
        {
            "name": "HIV + partner",
            "title": "HIV + partner",
            "type": "checkBox",
            "value": "false"
        }
    ]
}

toggle

{
  "type":"toggle"
 ,"title":"Does Patient Exercise"
 ,"name":"Does Patient Exercise"
 ,"value":""
 ,"options":[
    {"display":"no","value":"no"}
   ,{"display":"yes","value":"yes"}
  ]
}

How to build a form

Elements:

• name - is the text that will be shown at the top of the iPad
• id - is what will be sent back to CCC when the form is fulfilled as the name of the form

{
  "name":"Review of Systems",
  "id": "ROS",
  "description":"",
  "fields":[]
}

How to send a set of forms for a patient

Patient Elements:

• id - the id of the patient from the EMR
• dateOfBirth - the date of birth from the EMR
• lastName - the last name of the patient from the EMR

{
  "patient": {
    "dateOfBirth": "10/31/1980"
   ,"id": "808"
   ,"lastName": "Jones"
  }
  ,"metaData":{}
  ,"forms": []
}

Known metadata

{
  "id": "CS1",
  "name": "New Patient Questionnaire",
  "metaData":{
    "clinicalSummary" : "New Patient Questionnaire",
    "destination" : "EMR",
    "signed" : "true",
    "privacy" : "true",
    "release" : "true",
    "benefits" : "true",
    "importAsSigned" : "AO"
}