{ "dataModel": { "patient": "patient", "tbcase": "tbcase" }, "title": "${cases.newnotifof} ${CaseClassification.TB.suspect}", "controls": [ { "type": "date", "label": "${TbCase.registrationDate}", "property": "tbcase.registrationDate", "required": true, "size": { "md": 6 } }, { "property": "tbcase.registrationNumber", "label": "${TbCase.registrationNumber}", "type": "string", "required": true, "size": { "md": 6 } }, { "type": "subtitle", "label": "${cases.patientdata}", "size": { "sm": 12 } }, { "property": "patient.name", "type": "personName", "label": "${Patient.name}", "required": true, "size": { "md": 10 } }, { "property": "patient.motherName", "type": "string", "size": { "md": 10 } }, { "property": "patient.gender", "type": "select", "newRow": true, "size": { "md": 4 } }, { "property": "tbcase.age", "type": "int", "size": { "md": 4 }, "label": "${TbCase.age}" }, { "property": "patient.birthDate", "type": "date", "size": { "md": 4 } }, { "type": "select", "property": "tbcase.nationality", "label": "${Nationality}", "defaultValue": "NATIVE", "size": { "md": 4 } }, { "property": "tbcase.phoneNumber", "type": "string", "label": "${TbCase.phoneNumber}", "size": { "md": 4 } }, { "property": "tbcase.mobileNumber", "type": "string", "label": "${global.mobile}", "size": { "md": 4 } }, { "property": "tbcase.notifAddress", "label": "${cases.details.addressnotif}", "type": "address", "size": { "md": 8 }, "newRow": true } ] }