export default{ steps: { page0: { elements: [ 'h4', 'lumps_under_skin1', ], }, page1: { elements: [ 'h4_1', 'jaundice', ], }, page2: { elements: [ 'h4_2', 'phlegm', ], }, page3: { elements: [ 'h4_3', 'balance_problem', ], }, page4: { elements: [ 'h4_4', 'pain_now', 'container', ], }, page5: { elements: [ 'h4_10', 'hospice_visit_at_home', ], }, page6: { elements: [ 'h4_11', 'normal_activities', ], }, page7: { elements: [ 'h4_12', 'weight_los_gain', ], }, page8: { elements: [ 'h4_13', 'blurry_double_vision', ], }, }, schema: { h4: { type: 'static', tag: 'h4', content: 'Lumps under the skin?', }, lumps_under_skin1: { type: 'radiogroup', items: [ { value: 'yes', label: 'Yes', }, { value: 'no', label: 'No', }, ], }, h4_1: { type: 'static', tag: 'h4', content: 'Yellowing of eyes or skin (jaundice)?', }, jaundice: { type: 'radiogroup', items: [ { value: 'yes', label: 'Yes', }, { value: 'no', label: 'No', }, ], }, h4_2: { type: 'static', tag: 'h4', content: 'Serious cough that brings up a lot of mucus or phlegm?', }, phlegm: { type: 'radiogroup', items: [ { value: 'yes', label: 'Yes', }, { value: 'no', label: 'No', }, ], }, h4_3: { type: 'static', tag: 'h4', content: 'Problems with balance?', }, balance_problem: { type: 'radiogroup', items: [ { value: 'yes', label: 'Yes', }, { value: 'no', label: 'No', }, ], }, h4_4: { type: 'static', tag: 'h4', content: 'Are you having pain now?', }, pain_now: { type: 'radiogroup', items: [ { value: 'yes', label: 'Yes', }, { value: 'no', label: 'No', }, ], }, container: { type: 'group', schema: { h4_5: { type: 'static', tag: 'h4', content: 'Where is your pain?', }, where_pain: { type: 'text', }, h4_6: { type: 'static', tag: 'h4', content: 'How often are you in pain?', }, how_often_pain: { type: 'text', }, h4_7: { type: 'static', tag: 'h4', content: 'When did your pain start?', }, when_did_pain_start: { type: 'text', }, h4_8: { type: 'static', tag: 'h4', content: 'How would you describe your pain on a scale from 0 to 10, with 0 being no pain and 10 being worst pain ever?', }, pain_scale: { type: 'radiogroup', items: [ { value: '0', label: '0', }, { value: '1', label: '1', }, { value: '2', label: '2', }, { value: '3', label: '3', }, { value: '4', label: '4', }, { value: '5', label: '5', }, { value: '6', label: '6', }, { value: '7', label: '7', }, { value: '8', label: '8', }, { value: '9', label: '9', }, { value: '10', label: '10', }, { value: null, label: null, }, ], }, h4_9: { type: 'static', tag: 'h4', content: 'Are you controlling your pain with medicine?', }, controling_pain: { type: 'radiogroup', items: [ { value: 'yes', label: 'Yes', }, { value: 'no', label: 'No', }, ], }, h4_10_1: { type: 'static', tag: 'h4', content: 'What pain medicine do you take?', }, container_1: { type: 'group', schema: { what_medicine_take_pain: { type: 'text', }, h4_10_1_copy: { type: 'static', tag: 'h4', content: 'How often do you take this pain medicine?', }, how_often_take_med_pain: { type: 'text', }, }, conditions: [ [ 'container.controling_pain', 'in', [ 'yes', ], ], ], }, }, conditions: [ [ 'pain_now', 'in', [ 'yes', ], ], ], }, h4_10: { type: 'static', tag: 'h4', content: 'Does anyone from Home Health or Hospice visit you at home?', }, hospice_visit_at_home: { type: 'radiogroup', items: [ { value: 'yes', label: 'Yes', }, { value: 'no', label: 'No', }, ], }, h4_11: { type: 'static', tag: 'h4', content: 'Have you been able to continue most of your normal activities?', }, normal_activities: { type: 'radiogroup', items: [ { value: 'yes', label: 'Yes', }, { value: 'no', label: 'No', }, ], }, h4_12: { type: 'static', tag: 'h4', content: 'Unexplained weight loss/Gain', }, weight_los_gain: { type: 'radiogroup', items: [ { value: 'loss', label: 'Loss', }, { value: 'gain', label: 'Gain', }, ], }, h4_13: { type: 'static', tag: 'h4', content: 'Blurry vision/Double vision', }, blurry_double_vision: { type: 'radiogroup', items: [ { value: 'blury_vision', label: 'Blurry Vision', }, { value: 'double_vision', label: 'Double Vision', }, ], }, }, }