22 lines
27 KiB
SQL
Executable File
22 lines
27 KiB
SQL
Executable File
-- Genitourinary Form in GI/GU/REPRODUCTIVE tab
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UPDATE `forms` SET `form_data` = '{\"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\":\"gi-form\",\"layout\":\"horizontal\",\"plugins\":[],\"aftervalidation\":\"\",\"redirectUrl\":\"\",\"senderEmail\":\"\",\"recipientEmail\":\"\",\"subject\":\"\",\"senderName\":\"\",\"replyToEmail\":\"\",\"sentMessage\":\"\",\"dbTable\":\"\",\"dbPrimary\":\"\",\"dbFilter\":\"\"}},{\"id\":\"kuizso1sax95jqfjrfd71q\",\"componentType\":\"checkbox\",\"component\":{\"componentType\":\"checkbox\",\"helper\":\"\",\"plugins\":[],\"checkboxes\":[{\"index\":1,\"text\":\"WNL\",\"value\":\"WNL\"},{\"index\":2,\"text\":\"Nausea\",\"value\":\"Nausea\"},{\"index\":3,\"text\":\"Vomiting\",\"value\":\"Vomiting\"},{\"index\":4,\"text\":\"Constipation\",\"value\":\"Constipation\"},{\"index\":5,\"text\":\"Diarrhea\",\"value\":\"Diarrhea\"},{\"index\":6,\"text\":\"GRD\",\"value\":\"GRD\"},{\"index\":7,\"text\":\"Abdominal Distention\",\"value\":\"Abdominal Distention\"},{\"index\":8,\"text\":\"Ascites\",\"value\":\"Ascites\"},{\"index\":9,\"text\":\"Cramping\",\"value\":\"Cramping\"},{\"index\":10,\"text\":\"Flatulence\",\"value\":\"Flatulence\"},{\"index\":11,\"text\":\"Gastritis\",\"value\":\"Gastritis\"},{\"index\":12,\"text\":\"Heatburn\",\"value\":\"Heatburn\"},{\"index\":13,\"text\":\"Indigestion\",\"value\":\"Indigestion\"},{\"index\":14,\"text\":\"Jaundice\",\"value\":\"Jaundice\"},{\"index\":15,\"text\":\"Malaise\",\"value\":\"Malaise\"},{\"index\":16,\"text\":\"Melena\",\"value\":\"Melena\"},{\"index\":17,\"text\":\"Impaction\",\"value\":\"Impaction\"},{\"index\":18,\"text\":\"Incontinence\",\"value\":\"Incontinence\"},{\"index\":19,\"text\":\"Other\",\"value\":\"Other\"}],\"attr\":[],\"clazz\":\"\",\"index\":1,\"inline\":\"true\",\"label\":\"Signs & Symptoms\",\"name\":\"Signs_Symptoms\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"iyw4tn0nnjpfgr9favxx0a\",\"componentType\":\"radio\",\"component\":{\"componentType\":\"radio\",\"helper\":\"\",\"plugins\":[],\"radioButtons\":[{\"index\":1,\"text\":\"WNL\",\"value\":\"WNL\"},{\"index\":2,\"text\":\"Frequency\",\"value\":\"Frequency\"},{\"index\":3,\"text\":\"Urgency\",\"value\":\"Urgency\"},{\"index\":4,\"text\":\"Nocturia\",\"value\":\"Nocturia\"},{\"index\":5,\"text\":\"Burning\",\"value\":\"Burning\"},{\"index\":6,\"text\":\"Hematurla\",\"value\":\"Hematurla\"},{\"index\":7,\"text\":\"Retention\",\"value\":\"Retention\"},{\"index\":8,\"text\":\"Hesitancy\",\"value\":\"Hesitancy\"},{\"index\":9,\"text\":\"Incontinence\",\"value\":\"Incontinence\"},{\"index\":10,\"text\":\"Stress\",\"value\":\"Stress\"},{\"index\":11,\"text\":\"Urge\",\"value\":\"Urge\"},{\"index\":12,\"text\":\"Mixed\",\"value\":\"Mixed\"}],\"attr\":[],\"clazz\":\"\",\"index\":3,\"inline\":\"true\",\"label\":\"Elimination\",\"name\":\"elimination\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"dqngp1msc257plwh934\",\"componentType\":\"radio\",\"component\":{\"componentType\":\"radio\",\"helper\":\"\",\"plugins\":[],\"radioButtons\":[{\"index\":1,\"text\":\"No\",\"value\":\"No\"},{\"index\":2,\"text\":\"Hemodialysis\",\"value\":\"Hemodialysis\"},{\"index\":3,\"text\":\"Peritoneal Dialysis\",\"value\":\"Peritoneal Dialysis\"}],\"attr\":[],\"clazz\":\"\",\"index\":1,\"inline\":\"true\",\"label\":\"Dialysis\",\"name\":\"dialysis\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"64mvfdoo08s2h5c5cgtch\",\"componentType\":\"input\",\"component\":{\"componentType\":\"input\",\"helper\":\"\",\"icon\":\"\",\"iconPosition\":\"before\",\"plugins\":[],\"attr\":[],\"clazz\":\"\",\"index\":5,\"label\":\"Dialysis Day/Time\",\"name\":\"dialysis_day_time\",\"placeholder\":\"\",\"type\":\"text\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"25uizs9op7kuz8inb0docg\",\"componentType\":\"checkbox\",\"component\":{\"componentType\":\"checkbox\",\"helper\":\"\",\"plugins\":[],\"checkboxes\":[{\"index\":1,\"text\":\"Yes\",\"value\":\"yes\"},{\"index\":2,\"text\":\"No\",\"value\":\"no\"}],\"attr\":[],\"clazz\":\"\",\"index\":2,\"inline\":\"true\",\"label\":\"Urinary Catheter\",\"name\":\"Urinary_Catheter\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"0a1v9c5d3hur0rm4g5sowxx\",\"componentType\":\"input\",\"component\":{\"componentType\":\"input\",\"helper\":\"\",\"icon\":\"\",\"iconPosition\":\"before\",\"plugins\":[],\"attr\":[],\"clazz\":\"\",\"index\":2,\"label\":\"Catheter Type\",\"name\":\"catheter_type\",\"placeholder\":\"\",\"type\":\"text\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"jdnigywa93hz47469qg2d\",\"componentType\":\"input\",\"component\":{\"componentType\":\"input\",\"helper\":\"\",\"icon\":\"\",\"iconPosition\":\"before\",\"plugins\":[],\"attr\":[],\"clazz\":\"\",\"index\":3,\"label\":\"Catheter Who Changes\",\"name\":\"catheter_who_changes\",\"placeholder\":\"\",\"type\":\"text\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"pg2alzezg5cs626z1hpi\",\"componentType\":\"input\",\"component\":{\"componentType\":\"input\",\"helper\":\"\",\"icon\":\"\",\"iconPosition\":\"before\",\"plugins\":[],\"attr\":[],\"clazz\":\"\",\"index\":4,\"label\":\"Urine Bag Color\",\"name\":\"urine_bag_color\",\"placeholder\":\"\",\"type\":\"text\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"bzl13caqpa4wfffvh7gjfm\",\"componentType\":\"input\",\"component\":{\"componentType\":\"input\",\"helper\":\"\",\"icon\":\"\",\"iconPosition\":\"before\",\"plugins\":[],\"attr\":[],\"clazz\":\"\",\"index\":5,\"label\":\"Urine Bag Amount\",\"name\":\"urine_bag_amount\",\"placeholder\":\"\",\"type\":\"text\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"we3abijdiof10cw6j4mks\",\"componentType\":\"input\",\"component\":{\"componentType\":\"input\",\"helper\":\"\",\"icon\":\"\",\"iconPosition\":\"before\",\"plugins\":[],\"attr\":[],\"clazz\":\"\",\"index\":6,\"label\":\"Urine Bag Last Changed\",\"name\":\"urine_bag_last_changed\",\"placeholder\":\"\",\"type\":\"text\",\"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\":\"\"}}' WHERE `forms`.`id` = 31
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-- Gastrointestinal & Nutrition Form in GI/GU/REPRODUCTIVE tab
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INSERT INTO `forms` (`id`, `form_name`, `form_data`) VALUES (70, 'Gu-form-3', '{\"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\":\"Gu-form-3\",\"layout\":\"horizontal\",\"plugins\":[],\"aftervalidation\":\"\",\"redirectUrl\":\"\",\"senderEmail\":\"\",\"recipientEmail\":\"\",\"subject\":\"\",\"senderName\":\"\",\"replyToEmail\":\"\",\"sentMessage\":\"\",\"dbTable\":\"\",\"dbPrimary\":\"\",\"dbFilter\":\"\"}},{\"id\":\"nppsmc33ul4fol6suj0a9\",\"componentType\":\"input\",\"component\":{\"componentType\":\"input\",\"helper\":\"\",\"icon\":\"\",\"iconPosition\":\"before\",\"plugins\":[],\"attr\":[],\"clazz\":\"\",\"index\":7,\"label\":\"Frequency of Bowel Movement\",\"name\":\"frequency_bowel_movement\",\"placeholder\":\"\",\"type\":\"text\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"n6z0yyp5y1ekm8jcw0dg\",\"componentType\":\"radio\",\"component\":{\"componentType\":\"radio\",\"helper\":\"\",\"plugins\":[],\"radioButtons\":[{\"index\":1,\"text\":\"Soft\",\"value\":\"Soft\"},{\"index\":2,\"text\":\"Firm\",\"value\":\"Firm\"},{\"index\":3,\"text\":\"Label 3\",\"value\":\"Hard\"},{\"index\":4,\"text\":\"Tender\",\"value\":\"Tender\"},{\"index\":5,\"text\":\"Distender\",\"value\":\"Distender\"},{\"index\":6,\"text\":\"Hernia\",\"value\":\"Hernia\"},{\"index\":7,\"text\":\"Ascites\",\"value\":\"Ascites\"}],\"attr\":[{\"name\":\"class\",\"value\":\"fstfdt6tsrt\"}],\"clazz\":\"fstfdt6tsrt\",\"index\":1,\"inline\":\"true\",\"label\":\"Abdomen\",\"name\":\"abdomen\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"7nquz30oyu6yzmvmajp4b9\",\"componentType\":\"radio\",\"component\":{\"componentType\":\"radio\",\"helper\":\"\",\"plugins\":[],\"radioButtons\":[{\"index\":1,\"text\":\"Yes\",\"value\":\"Yes\"},{\"index\":2,\"text\":\"No\",\"value\":\"No\"}],\"attr\":[{\"name\":\"class\",\"value\":\"fstfdt6tsrt\"}],\"clazz\":\"fstfdt6tsrt\",\"index\":2,\"inline\":\"true\",\"label\":\"Tube Feeding\",\"name\":\"tube_feeding\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"mmm89xzwxjvcdq061ugck\",\"componentType\":\"input\",\"component\":{\"componentType\":\"input\",\"helper\":\"\",\"icon\":\"\",\"iconPosition\":\"before\",\"plugins\":[],\"attr\":[],\"clazz\":\"\",\"index\":1,\"label\":\"Tube Feeding Type\",\"name\":\"fube_feeding_type\",\"placeholder\":\"\",\"type\":\"text\",\"value\":\"\",\"width\":\"50%\"}},{\"id\":\"ns4x88kbl69ggom8n3u8rj\",\"componentType\":\"input\",\"component\":{\"componentType\":\"input\",\"helper\":\"\",\"icon\":\"\",\"iconPosition\":\"before\",\"plugins\":[],\"attr\":[],\"clazz\":\"\",\"index\":2,\"label\":\"Tube Feeding Formula\",\"name\":\"tube_feeding_formula\",\"placeholder\":\"\",\"type\":\"text\",\"value\":\"\",\"width\":\"50%\"}},{\"id\":\"yalq4y3t9fvecx6dvliha\",\"componentType\":\"input\",\"component\":{\"componentType\":\"input\",\"helper\":\"\",\"icon\":\"\",\"iconPosition\":\"before\",\"plugins\":[],\"attr\":[],\"clazz\":\"\",\"index\":3,\"label\":\"Tube Feeding Who Manages?\",\"name\":\"tube_feeding_who_manages\",\"placeholder\":\"\",\"type\":\"text\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"co73c2griwsxls1r3m6a1\",\"componentType\":\"radio\",\"component\":{\"componentType\":\"radio\",\"helper\":\"\",\"plugins\":[],\"radioButtons\":[{\"index\":1,\"text\":\"Yes\",\"value\":\"Yes\"},{\"index\":2,\"text\":\"No\",\"value\":\"No\"}],\"attr\":[{\"name\":\"class\",\"value\":\"fstfdt6tsrt\"}],\"clazz\":\"fstfdt6tsrt\",\"index\":4,\"inline\":\"true\",\"label\":\"Difficulties Swallowing?\",\"name\":\"difficulties_swallowing\",\"value\":\"\",\"width\":\"50%\"}},{\"id\":\"imdpioj40pkwshyj96ijq\",\"componentType\":\"input\",\"component\":{\"componentType\":\"input\",\"helper\":\"\",\"icon\":\"\",\"iconPosition\":\"before\",\"plugins\":[],\"attr\":[],\"clazz\":\"\",\"index\":4,\"label\":\"Food Texture\",\"name\":\"food_texture\",\"placeholder\":\"\",\"type\":\"text\",\"value\":\"\",\"width\":\"50%\"}},{\"id\":\"8ms1os7bbbl89oh3f4i6b6\",\"componentType\":\"input\",\"component\":{\"componentType\":\"input\",\"helper\":\"\",\"icon\":\"\",\"iconPosition\":\"before\",\"plugins\":[],\"attr\":[],\"clazz\":\"\",\"index\":5,\"label\":\"Patient Height\",\"name\":\"patient_height\",\"placeholder\":\"\",\"type\":\"text\",\"value\":\"\",\"width\":\"50%\"}},{\"id\":\"6zprc4ajn9eyiduo6ebcn\",\"componentType\":\"input\",\"component\":{\"componentType\":\"input\",\"helper\":\"\",\"icon\":\"\",\"iconPosition\":\"before\",\"plugins\":[],\"attr\":[],\"clazz\":\"\",\"index\":6,\"label\":\"Patient Weight\",\"name\":\"patient_weight\",\"placeholder\":\"\",\"type\":\"text\",\"value\":\"\",\"width\":\"50%\"}},{\"id\":\"mlvk1j8itkgd1zgbucfn8\",\"componentType\":\"radio\",\"component\":{\"componentType\":\"radio\",\"helper\":\"\",\"plugins\":[],\"radioButtons\":[{\"index\":1,\"text\":\"None\",\"value\":\"None\"},{\"index\":2,\"text\":\"Yes\",\"value\":\"Yes\"}],\"attr\":[{\"name\":\"class\",\"value\":\"fstfdt6tsrt\"}],\"clazz\":\"fstfdt6tsrt\",\"index\":7,\"inline\":\"true\",\"label\":\"Nutritional supplements\",\"name\":\"nutritional_supplements\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"pz6vgbbmiw0r1ksgmd8cfh\",\"componentType\":\"textarea\",\"component\":{\"componentType\":\"textarea\",\"helper\":\"\",\"plugins\":[],\"attr\":[],\"clazz\":\"\",\"index\":1,\"label\":\"Nutritional Supplements List\",\"name\":\"nutritional_supplements_list\",\"placeholder\":\"\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"h4g71hzm7uv8x6ww9bvvpi\",\"componentType\":\"radio\",\"component\":{\"componentType\":\"radio\",\"helper\":\"\",\"plugins\":[],\"radioButtons\":[{\"index\":1,\"text\":\"Continent\",\"value\":\"Continent\"},{\"index\":2,\"text\":\"Occasionally incontinent\",\"value\":\"Occasionally incontinent\"},{\"index\":3,\"text\":\"Incontinent\",\"value\":\"Incontinent\"}],\"attr\":[{\"name\":\"class\",\"value\":\"fstfdt6tsrt\"}],\"clazz\":\"fstfdt6tsrt\",\"index\":8,\"inline\":\"true\",\"label\":\"Continence\",\"name\":\"continence\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"xf7cl1pzkjgviuxs606qu\",\"componentType\":\"checkbox\",\"component\":{\"componentType\":\"checkbox\",\"helper\":\"\",\"plugins\":[],\"checkboxes\":[{\"index\":1,\"text\":\"None\",\"value\":\"None\"},{\"index\":2,\"text\":\"Nausea\",\"value\":\"Nausea\"},{\"index\":3,\"text\":\"Vomiting\",\"value\":\"Vomiting\"},{\"index\":4,\"text\":\"Hemorrhoids\",\"value\":\"Hemorrhoids\"},{\"index\":5,\"text\":\"Tarry stool\",\"value\":\"Tarry stool\"},{\"index\":6,\"text\":\"Blood In stool\",\"value\":\"Blood In stool\"}],\"attr\":[{\"name\":\"class\",\"value\":\"fstfdt6tsrt\"}],\"clazz\":\"fstfdt6tsrt\",\"index\":1,\"inline\":\"true\",\"label\":\"Problems reported\",\"name\":\"problems_reported\",\"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\":\"\"}}');
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INSERT INTO `form_template_mapping` (`id`, `form_name`, `template_id`) VALUES (NULL, 'Gu-form-3', '70');
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-- Gastrointestinal & Nutrition Form in NUTRITION tab update
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UPDATE `forms` SET `form_data` = '{\"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\":\"fg-form\",\"layout\":\"horizontal\",\"plugins\":[],\"aftervalidation\":\"\",\"redirectUrl\":\"\",\"senderEmail\":\"\",\"recipientEmail\":\"\",\"subject\":\"\",\"senderName\":\"\",\"replyToEmail\":\"\",\"sentMessage\":\"\",\"dbTable\":\"\",\"dbPrimary\":\"\",\"dbFilter\":\"\",\"clazz\":\"nutrition-form\"}},{\"id\":\"rkf6zre7vcpmy2j1ffpc7p\",\"componentType\":\"checkbox\",\"component\":{\"componentType\":\"checkbox\",\"helper\":\"\",\"plugins\":[],\"checkboxes\":[{\"index\":1,\"text\":\"Regular\",\"value\":\"Regular\"},{\"index\":2,\"text\":\"No Oral Intake\",\"value\":\"No Oral Intake\"},{\"index\":3,\"text\":\"Low Fat\",\"value\":\"Low Fat\"},{\"index\":4,\"text\":\"Low Cholesterol\",\"value\":\"Low Cholesterol\"},{\"index\":5,\"text\":\"Gluten Free\",\"value\":\"Gluten Free\"},{\"index\":6,\"text\":\"Soft\",\"value\":\"Soft\"},{\"index\":7,\"text\":\"Puree\",\"value\":\"Puree\"},{\"index\":8,\"text\":\"Liquid\",\"value\":\"Liquid\"},{\"index\":9,\"text\":\"Low Sodium\",\"value\":\"Low Sodium\"},{\"index\":10,\"text\":\"Diabetic\",\"value\":\"Diabetic\"},{\"index\":11,\"text\":\"Other\",\"value\":\"Other\"},{\"index\":12,\"text\":\"Compliant\",\"value\":\"Compliant\"},{\"index\":13,\"text\":\"Non-Compliant\",\"value\":\"Non-Compliant\"}],\"attr\":[{\"name\":\"class\",\"value\":\"fstfdt6tsrt\"}],\"clazz\":\"fstfdt6tsrt\",\"index\":1,\"inline\":\"true\",\"label\":\"Pescribed Diet\",\"name\":\"Pescribed_Diet\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"fzyfqdri7cmyt71v25kvxo\",\"componentType\":\"checkbox\",\"component\":{\"componentType\":\"checkbox\",\"helper\":\"\",\"plugins\":[],\"checkboxes\":[{\"index\":1,\"text\":\"GM of Sodium\",\"value\":\"GM of Sodium\"},{\"index\":2,\"text\":\"GM of Carbohydrates\",\"value\":\"GM of Carbohydrates\"},{\"index\":3,\"text\":\"GM of Protein\",\"value\":\"GM of Protein\"},{\"index\":4,\"text\":\"GM of Potassium\",\"value\":\"GM of Potassium\"},{\"index\":5,\"text\":\"GM of Fiber\",\"value\":\"GM of Fiber\"},{\"index\":6,\"text\":\"Amt of Calories\",\"value\":\"Amt of Calories\"}],\"attr\":[{\"name\":\"class\",\"value\":\"fstfdt6tsrt\"}],\"clazz\":\"fstfdt6tsrt\",\"index\":2,\"inline\":\"true\",\"label\":\"With Guidance\",\"name\":\"With_Guidance\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"mvwiw8jz1739npipsir4f\",\"componentType\":\"checkbox\",\"component\":{\"componentType\":\"checkbox\",\"helper\":\"\",\"plugins\":[],\"checkboxes\":[{\"index\":1,\"text\":\"NKA\",\"value\":\"NKA\"},{\"index\":2,\"text\":\"Peanut\",\"value\":\"Peanut\"},{\"index\":3,\"text\":\"Milk\",\"value\":\"Milk\"},{\"index\":4,\"text\":\"Eggs\",\"value\":\"Eggs\"},{\"index\":5,\"text\":\"Crustacean Shellfish\",\"value\":\"Crustacean Shellfish\"},{\"index\":6,\"text\":\"Fish\",\"value\":\"Fish\"},{\"index\":7,\"text\":\"Tree Nuts\",\"value\":\"Tree Nuts\"},{\"index\":8,\"text\":\"Wheat\",\"value\":\"Wheat\"},{\"index\":9,\"text\":\"Soy\",\"value\":\"Soy\"},{\"index\":10,\"text\":\"Other\",\"value\":\"Other\"}],\"attr\":[],\"clazz\":\"\",\"index\":3,\"inline\":\"true\",\"label\":\"Food Allergies\",\"name\":\"Food_Allergies\",\"value\":\"\",\"width\":\"100%\"}},{\"id\":\"gi5w3bo7gvgeslgw1xatnq\",\"componentType\":\"checkbox\",\"component\":{\"componentType\":\"checkbox\",\"helper\":\"\",\"plugins\":[],\"checkboxes\":[{\"index\":1,\"text\":\"Unknown\",\"value\":\"Unknown\"},{\"index\":2,\"text\":\"Dairy\",\"value\":\"Dairy\"},{\"index\":3,\"text\":\"Gluten\",\"value\":\"Gluten\"},{\"index\":4,\"text\":\"Caffeine\",\"value\":\"Caffeine\"},{\"index\":5,\"text\":\"Salicylates\",\"value\":\"Salicylates\"},{\"index\":6,\"text\":\"Amines\",\"value\":\"Amines\"},{\"index\":7,\"text\":\"FODMAPs\",\"value\":\"FODMAPs\"},{\"index\":8,\"text\":\"Food Colorings\",\"value\":\"Food Colorings\"},{\"index\":9,\"text\":\"MSG\",\"value\":\"MSG\"},{\"index\":10,\"text\":\"Yeast\",\"value\":\"Yeast\"},{\"index\":11,\"text\":\"Sulfites\",\"value\":\"Sulfites\"},{\"index\":12,\"text\":\"Fructose\",\"value\":\"Fructose\"},{\"index\":13,\"text\":\"Other\",\"value\":\"Other\"}],\"attr\":[],\"clazz\":\"\",\"index\":4,\"inline\":\"true\",\"label\":\"Food Intolerance\",\"name\":\"Food 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