-- Respiratory Form in CARDIOVASCULAR/PULMONARY Tab



INSERT INTO `forms` (`id`, `form_name`, `form_data`) VALUES
(67, 'respiratory-form', '{\"formSections\":[{\"id\":\"user-form-settings\",\"componentType\":\"form\",\"component\":{\"ajax\":\"false\",\"attr\":\"novalidate\",\"framework\":\"bs4\",\"iconFont\":\"fontawesome5\",\"iconFontUrl\":\"//cdnjs.cloudflare.com/ajax/libs/font-awesome/5.3.1/css/all.min.css\",\"id\":\"respiratory-form\",\"layout\":\"horizontal\",\"plugins\":[],\"aftervalidation\":\"\",\"redirectUrl\":\"\",\"senderEmail\":\"\",\"recipientEmail\":\"\",\"subject\":\"\",\"senderName\":\"\",\"replyToEmail\":\"\",\"sentMessage\":\"\",\"dbTable\":\"\",\"dbPrimary\":\"\",\"dbFilter\":\"\"}},{\"id\":\"1ouck4btsm2dsye4jeixw4\",\"componentType\":\"checkbox\",\"component\":{\"componentType\":\"checkbox\",\"helper\":\"\",\"plugins\":[],\"checkboxes\":[{\"index\":1,\"text\":\"WNL\",\"value\":\"WNL\"},{\"index\":2,\"text\":\"Orthopnea\",\"value\":\"Orthopnea\"},{\"index\":3,\"text\":\"Nasal Flaring\",\"value\":\"Nasal Flaring\"},{\"index\":4,\"text\":\"Dyspnea(SOB)\",\"value\":\"Dyspnea(SOB)\"},{\"index\":5,\"text\":\"Present on exertion\",\"value\":\"Present on exertion\"},{\"index\":6,\"text\":\"Present at rest\",\"value\":\"Present at rest\"}],\"attr\":[{\"name\":\"class\",\"value\":\"fstfdt6tsrt\"}],\"clazz\":\"fstfdt6tsrt\",\"index\":1,\"inline\":\"true\",\"label\":\"Breathing\",\"name\":\"breathing\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"jte2pu6cgwq34qf53ny7xt\",\"componentType\":\"checkbox\",\"component\":{\"componentType\":\"checkbox\",\"helper\":\"\",\"plugins\":[],\"checkboxes\":[{\"index\":1,\"text\":\"Clear in all lobes bilaterally\",\"value\":\"Clear in all lobes bilaterally\"},{\"index\":2,\"text\":\"Diminished\",\"value\":\"Diminished\"},{\"index\":3,\"text\":\"Wheezes\",\"value\":\"Wheezes\"},{\"index\":4,\"text\":\"Rales\",\"value\":\"Rales\"},{\"index\":5,\"text\":\"Rhonchi\",\"value\":\"Rhonchi\"}],\"attr\":[{\"name\":\"class\",\"value\":\"fstfdt6tsrt\"}],\"clazz\":\"fstfdt6tsrt\",\"index\":2,\"inline\":\"true\",\"label\":\"Lung Sounds\",\"name\":\"lung_sounds\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"61mioh9ligys7nq49c4m5a\",\"componentType\":\"title\",\"component\":{\"componentType\":\"title\",\"clazz\":\"\",\"index\":1,\"type\":\"h5\",\"value\":\"If abnormal Indicate where Heard:\"}},{\"id\":\"og400u1czyamcu4cbgwejb\",\"componentType\":\"radio\",\"component\":{\"componentType\":\"radio\",\"helper\":\"\",\"plugins\":[],\"radioButtons\":[{\"index\":1,\"text\":\"RUL\",\"value\":\"RUL\"},{\"index\":2,\"text\":\"LUL\",\"value\":\"LUL\"},{\"index\":3,\"text\":\"RLL\",\"value\":\"RLL\"},{\"index\":4,\"text\":\"LLL\",\"value\":\"LLL\"}],\"attr\":[{\"name\":\"class\",\"value\":\"fstfdt6tsrt\"}],\"clazz\":\"fstfdt6tsrt\",\"index\":1,\"inline\":\"true\",\"label\":\"Anterior\",\"name\":\"Anterior\",\"value\":\"\",\"width\":\"50%\"}},{\"id\":\"x805rjhtsxrph3fgqic6l\",\"componentType\":\"radio\",\"component\":{\"componentType\":\"radio\",\"helper\":\"\",\"plugins\":[],\"radioButtons\":[{\"index\":1,\"text\":\"RUL\",\"value\":\"RUL\"},{\"index\":2,\"text\":\"LUL\",\"value\":\"LUL\"},{\"index\":3,\"text\":\"RLL\",\"value\":\"RLL\"},{\"index\":4,\"text\":\"LLL\",\"value\":\"LLL\"}],\"attr\":[{\"name\":\"class\",\"value\":\"fstfdt6tsrt\"}],\"clazz\":\"fstfdt6tsrt\",\"index\":2,\"inline\":\"true\",\"label\":\"Posterior\",\"name\":\"Posterior\",\"value\":\"\",\"width\":\"50%\"}},{\"id\":\"pj7gycr2lvorehoegdb3m\",\"componentType\":\"radio\",\"component\":{\"componentType\":\"radio\",\"helper\":\"\",\"plugins\":[],\"radioButtons\":[{\"index\":1,\"text\":\"None\",\"value\":\"None\"},{\"index\":2,\"text\":\"Dry\",\"value\":\"Dry\"},{\"index\":3,\"text\":\"Productive\",\"value\":\"Productive\"}],\"attr\":[{\"name\":\"class\",\"value\":\"fstfdt6tsrt\"}],\"clazz\":\"fstfdt6tsrt\",\"index\":3,\"inline\":\"true\",\"label\":\"Cough\",\"name\":\"cough\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"az0impz2gbl2mqenac2by9\",\"componentType\":\"input\",\"component\":{\"componentType\":\"input\",\"helper\":\"\",\"icon\":\"\",\"iconPosition\":\"before\",\"plugins\":[],\"attr\":[],\"clazz\":\"\",\"index\":1,\"label\":\"Sputum\",\"name\":\"sputum\",\"placeholder\":\"\",\"type\":\"text\",\"value\":\"\",\"width\":\"50%\"}},{\"id\":\"p7jsvo6neahkbzdvyhgdhm\",\"componentType\":\"input\",\"component\":{\"componentType\":\"input\",\"helper\":\"\",\"icon\":\"\",\"iconPosition\":\"before\",\"plugins\":[],\"attr\":[],\"clazz\":\"\",\"index\":2,\"label\":\"Amount/Type\",\"name\":\"amount_type\",\"placeholder\":\"\",\"type\":\"text\",\"value\":\"\",\"width\":\"50%\"}},{\"id\":\"ckpcetxv1i9d1pguugs4\",\"componentType\":\"checkbox\",\"component\":{\"componentType\":\"checkbox\",\"helper\":\"\",\"plugins\":[],\"checkboxes\":[{\"index\":1,\"text\":\"None\",\"value\":\"None\"},{\"index\":2,\"text\":\"Nebulizer\",\"value\":\"Nebulizer\"},{\"index\":3,\"text\":\"Inhaler\",\"value\":\"Inhaler\"},{\"index\":4,\"text\":\"Home Oxygen\",\"value\":\"Home Oxygen\"},{\"index\":5,\"text\":\"Other\",\"value\":\"Other\"}],\"attr\":[{\"name\":\"class\",\"value\":\"fstfdt6tsrt\"}],\"clazz\":\"fstfdt6tsrt\",\"index\":3,\"inline\":\"true\",\"label\":\"Devices used\",\"name\":\"devices_used\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"ecsiwpf0mwdjd2rhpwrbl\",\"componentType\":\"radio\",\"component\":{\"componentType\":\"radio\",\"helper\":\"\",\"plugins\":[],\"radioButtons\":[{\"index\":1,\"text\":\"N/A\",\"value\":\"N/A\"},{\"index\":2,\"text\":\"Nasal cannula\",\"value\":\"Nasal cannula\"},{\"index\":3,\"text\":\"Mask\",\"value\":\"Mask\"},{\"index\":4,\"text\":\"Trach\",\"value\":\"Trach\"}],\"attr\":[{\"name\":\"class\",\"value\":\"fstfdt6tsrt\"}],\"clazz\":\"fstfdt6tsrt\",\"index\":4,\"inline\":\"true\",\"label\":\"Oxygen\",\"name\":\"oxygen\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"7gz3rz1k5pnbcodlc245nw\",\"componentType\":\"input\",\"component\":{\"componentType\":\"input\",\"helper\":\"\",\"icon\":\"\",\"iconPosition\":\"before\",\"plugins\":[],\"attr\":[],\"clazz\":\"\",\"index\":3,\"label\":\"Oxygen(L/min)\",\"name\":\"oxygen_l_per_min\",\"placeholder\":\"\",\"type\":\"text\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"moq0yydjzx9g2pbr9z68t\",\"componentType\":\"radio\",\"component\":{\"componentType\":\"radio\",\"helper\":\"\",\"plugins\":[],\"radioButtons\":[{\"index\":1,\"text\":\"Continuous\",\"value\":\"Continuous\"},{\"index\":2,\"text\":\"PRN\",\"value\":\"PRN\"},{\"index\":3,\"text\":\"At Night\",\"value\":\"At Night\"}],\"attr\":[{\"name\":\"class\",\"value\":\"fstfdt6tsrt\"}],\"clazz\":\"fstfdt6tsrt\",\"index\":5,\"inline\":\"true\",\"label\":\"Oxygen Frequency\",\"name\":\"oxygen_frequency\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"q7hhnmw4hjd634i4n07k6\",\"componentType\":\"radio\",\"component\":{\"componentType\":\"radio\",\"helper\":\"\",\"plugins\":[],\"radioButtons\":[{\"index\":1,\"text\":\"Room Air\",\"value\":\"Room Air\"},{\"index\":2,\"text\":\"Nasal cannula\",\"value\":\"Nasal cannula\"},{\"index\":3,\"text\":\"Mask\",\"value\":\"Mask\"},{\"index\":4,\"text\":\"Trach\",\"value\":\"Trach\"}],\"attr\":[{\"name\":\"class\",\"value\":\"fstfdt6tsrt\"}],\"clazz\":\"fstfdt6tsrt\",\"index\":6,\"inline\":\"true\",\"label\":\"O2 Saturation\",\"name\":\"o2_saturation\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"user-form-settings\",\"componentType\":\"form\",\"component\":{\"ajax\":\"false\",\"attr\":\"novalidate\",\"framework\":\"bs4\",\"iconFont\":\"fontawesome5\",\"iconFontUrl\":\"//cdnjs.cloudflare.com/ajax/libs/font-awesome/5.3.1/css/all.min.css\",\"id\":\"fg-form\",\"layout\":\"horizontal\",\"plugins\":[],\"aftervalidation\":\"\",\"redirectUrl\":\"\",\"senderEmail\":\"\",\"recipientEmail\":\"\",\"subject\":\"\",\"senderName\":\"\",\"replyToEmail\":\"\",\"sentMessage\":\"\",\"dbTable\":\"\",\"dbPrimary\":\"\",\"dbFilter\":\"\"}}],\"uiForm\":{\"attr\":\"novalidate\",\"id\":\"fg-form\",\"layout\":\"horizontal\"},\"userForm\":{\"ajax\":\"false\",\"attr\":\"novalidate\",\"framework\":\"bs4\",\"iconFont\":\"fontawesome5\",\"iconFontUrl\":\"//cdnjs.cloudflare.com/ajax/libs/font-awesome/5.3.1/css/all.min.css\",\"id\":\"fg-form\",\"layout\":\"horizontal\",\"plugins\":[],\"aftervalidation\":\"\",\"redirectUrl\":\"\",\"senderEmail\":\"\",\"recipientEmail\":\"\",\"subject\":\"\",\"senderName\":\"\",\"replyToEmail\":\"\",\"sentMessage\":\"\",\"dbTable\":\"\",\"dbPrimary\":\"\",\"dbFilter\":\"\"}}');








INSERT INTO `form_template_mapping` (`id`, `form_name`, `template_id`) VALUES (NULL, 'respiratory-form', '67');

