diff --git a/OmniStudio-Components/main/default/AssessmentQuestionSets/MPS1246_Initial_Disease_State_QS.aqs-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestionSets/MPS1246_Initial_Disease_State_QS.aqs-meta.xml new file mode 100644 index 000000000..5c7da0de5 --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestionSets/MPS1246_Initial_Disease_State_QS.aqs-meta.xml @@ -0,0 +1,35 @@ + + + MPS1246_Initial_Disease_State_Q1 + MPS1246_Initial_Disease_State_Q2 + MPS1246_Initial_Disease_State_Q3 + MPS1246_Initial_Disease_State_Q4 + MPS1246_Initial_Disease_State_Q5 + MPS1246_Initial_Disease_State_Q9_R1 + MPS1246_Initial_Disease_State_Q5_R1 + MPS1246_Initial_Disease_State_Q6 + MPS1246_Initial_Disease_State_Q6_R1 + MPS1246_Initial_Disease_State_Q7 + MPS1246_Initial_Disease_State_Q7_R1 + MPS1246_Initial_Disease_State_Q8 + MPS1246_Initial_Disease_State_Q8_R1 + MPS1246_Initial_Disease_State_Q9 + MPS1246_Initial_Disease_State_Q10 + MPS1246_Initial_Disease_State_Q10_R1 + MPS1246_Initial_Disease_State_Q11 + MPS1246_Initial_Disease_State_Q11_R1 + MPS1246_Initial_Disease_State_Q12 + MPS1246_Initial_Disease_State_Q12_R1 + MPS1246_Initial_Disease_State_Q13 + MPS1246_Initial_Disease_State_Q13_R1 + MPS1246_Initial_Disease_State_Q14 + MPS1246_Initial_Disease_State_Q14_R1 + MPS1246_Initial_Disease_State_Q15 + MPS1246_Initial_Disease_State_Q15_R1 + MPS1246_Initial_Disease_State_Q16 + MPS1246_Initial_Disease_State_Q16_R1 + MPS1246_Initial_Disease_State_Q17 + MPS1246_Initial_Disease_State_Q17_R1 + MPS1246_Initial_Disease_State_QS + MPS1246 Initial Disease State QS + diff --git a/OmniStudio-Components/main/default/AssessmentQuestionSets/MPS1246_Initial_Initiation_QS.aqs-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestionSets/MPS1246_Initial_Initiation_QS.aqs-meta.xml new file mode 100644 index 000000000..f2fd08dc1 --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestionSets/MPS1246_Initial_Initiation_QS.aqs-meta.xml @@ -0,0 +1,6 @@ + + + MPS1_Initial_Diagnostic_Info_Submission_Q1 + MPS1246_Initial_Initiation_QS + MPS1246 Initial Initiation QS + diff --git a/OmniStudio-Components/main/default/AssessmentQuestionSets/MPS1246_Renewal_Disease_State_QS.aqs-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestionSets/MPS1246_Renewal_Disease_State_QS.aqs-meta.xml new file mode 100644 index 000000000..5b1b9709c --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestionSets/MPS1246_Renewal_Disease_State_QS.aqs-meta.xml @@ -0,0 +1,15 @@ + + + MPS1246_Renewal_Disease_State_Q1 + MPS1246_Renewal_Disease_State_Q2 + MPS1246_Renewal_Disease_State_Q3 + MPS1246_Renewal_Disease_State_Q3_R1 + MPS1246_Renewal_Disease_State_Q4 + MPS1246_Renewal_Disease_State_Q4_R1 + MPS1246_Renewal_Disease_State_Q5 + MPS1246_Renewal_Disease_State_Q5_R1 + MPS1246_Renewal_Disease_State_Q6 + MPS1246_Renewal_Disease_State_Q6_R1 + MPS1246_Renewal_Disease_State_QS + MPS1246 Renewal Disease State QS + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q1.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q1.aq-meta.xml new file mode 100644 index 000000000..84b3960a1 --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q1.aq-meta.xml @@ -0,0 +1,15 @@ + + + + true + MPS1246_Initial_Disease_State_Q1 + false + Diagnostic Information + Active + 1 + + TextBlock + MPS1246_Initial_Disease_State_Q1 + MPS1246_Initial_Disease_State_Q1 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q10.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q10.aq-meta.xml new file mode 100644 index 000000000..57e3c8b5b --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q10.aq-meta.xml @@ -0,0 +1,17 @@ + + + + true + MPS1246_Initial_Disease_State_Q10 + false + Is there or has there been any indication of progression of the disease manifestations leading to severe disability despite drug therapy? + Yes +No + Active + 1 + + Radio + MPS1246_Initial_Disease_State_Q10 + MPS1246_Initial_Disease_State_Q10 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q10_R1.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q10_R1.aq-meta.xml new file mode 100644 index 000000000..a63fd09c3 --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q10_R1.aq-meta.xml @@ -0,0 +1,15 @@ + + + + true + MPS1246_Initial_Disease_State_Q10_R1 + false + Comments + Active + 1 + + TextArea + MPS1246_Initial_Disease_State_Q10_R1 + MPS1246_Initial_Disease_State_Q10_R1 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q11.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q11.aq-meta.xml new file mode 100644 index 000000000..f33fb7d27 --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q11.aq-meta.xml @@ -0,0 +1,17 @@ + + + + true + MPS1246_Initial_Disease_State_Q11 + false + Have there been any indications that the patient has severe infusion related adverse reactions that are either life threatening, disproportionately diminish quality of life or are not preventable by pre-medication with anti-histaminic and glucocorticoids? + Yes +No + Active + 1 + + Radio + MPS1246_Initial_Disease_State_Q11 + MPS1246_Initial_Disease_State_Q11 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q11_R1.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q11_R1.aq-meta.xml new file mode 100644 index 000000000..5d7ba6afe --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q11_R1.aq-meta.xml @@ -0,0 +1,15 @@ + + + + true + MPS1246_Initial_Disease_State_Q11_R1 + false + Comments + Active + 1 + + TextArea + MPS1246_Initial_Disease_State_Q11_R1 + MPS1246_Initial_Disease_State_Q11_R1 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q12.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q12.aq-meta.xml new file mode 100644 index 000000000..d3d752536 --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q12.aq-meta.xml @@ -0,0 +1,17 @@ + + + + true + MPS1246_Initial_Disease_State_Q12 + false + Have there been progression of other disease manifestations such that quality of life is no longer improving? + Yes +No + Active + 1 + + Radio + MPS1246_Initial_Disease_State_Q12 + MPS1246_Initial_Disease_State_Q12 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q12_R1.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q12_R1.aq-meta.xml new file mode 100644 index 000000000..741428841 --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q12_R1.aq-meta.xml @@ -0,0 +1,15 @@ + + + + true + MPS1246_Initial_Disease_State_Q12_R1 + false + Comments + Active + 1 + + TextArea + MPS1246_Initial_Disease_State_Q12_R1 + MPS1246_Initial_Disease_State_Q12_R1 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q13.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q13.aq-meta.xml new file mode 100644 index 000000000..add0db19f --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q13.aq-meta.xml @@ -0,0 +1,17 @@ + + + + true + MPS1246_Initial_Disease_State_Q13 + false + Does the patient have a forced vital capacity less than 0.3 or require continuous respiratory support? + Yes +No + Active + 1 + + Radio + MPS1246_Initial_Disease_State_Q13 + MPS1246_Initial_Disease_State_Q13 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q13_R1.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q13_R1.aq-meta.xml new file mode 100644 index 000000000..dc9b237df --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q13_R1.aq-meta.xml @@ -0,0 +1,15 @@ + + + + true + MPS1246_Initial_Disease_State_Q13_R1 + false + Comments + Active + 1 + + TextArea + MPS1246_Initial_Disease_State_Q13_R1 + MPS1246_Initial_Disease_State_Q13_R1 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q14.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q14.aq-meta.xml new file mode 100644 index 000000000..605df1757 --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q14.aq-meta.xml @@ -0,0 +1,17 @@ + + + + true + MPS1246_Initial_Disease_State_Q14 + false + For patients with severe variants of disease, have there been discussions with the family regarding the lack of efficacy of enzyme replacement therapy on CNS disease and the potential for discontinuation upon development of significant CNS disease? + Yes +No + Active + 1 + + Radio + MPS1246_Initial_Disease_State_Q14 + MPS1246_Initial_Disease_State_Q14 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q14_R1.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q14_R1.aq-meta.xml new file mode 100644 index 000000000..56d5bf5e0 --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q14_R1.aq-meta.xml @@ -0,0 +1,15 @@ + + + + true + MPS1246_Initial_Disease_State_Q14_R1 + false + Comments + Active + 1 + + TextArea + MPS1246_Initial_Disease_State_Q14_R1 + MPS1246_Initial_Disease_State_Q14_R1 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q15.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q15.aq-meta.xml new file mode 100644 index 000000000..202bb0228 --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q15.aq-meta.xml @@ -0,0 +1,17 @@ + + + + true + MPS1246_Initial_Disease_State_Q15 + false + If the patient had HSCT, has 3 months passed? If patient is involved in clinical trial to assess ERT in post-HSCT patients, please specify. + Yes +No + Active + 1 + + Radio + MPS1246_Initial_Disease_State_Q15 + MPS1246_Initial_Disease_State_Q15 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q15_R1.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q15_R1.aq-meta.xml new file mode 100644 index 000000000..df1ae3184 --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q15_R1.aq-meta.xml @@ -0,0 +1,15 @@ + + + + true + MPS1246_Initial_Disease_State_Q15_R1 + false + Comments + Active + 1 + + TextArea + MPS1246_Initial_Disease_State_Q15_R1 + MPS1246_Initial_Disease_State_Q15_R1 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q16.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q16.aq-meta.xml new file mode 100644 index 000000000..cb49be285 --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q16.aq-meta.xml @@ -0,0 +1,17 @@ + + + + true + MPS1246_Initial_Disease_State_Q16 + false + Is the patient’s forced vital capacity less than 0.3 litres? + Yes +No + Active + 1 + + Radio + MPS1246_Initial_Disease_State_Q16 + MPS1246_Initial_Disease_State_Q16 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q16_R1.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q16_R1.aq-meta.xml new file mode 100644 index 000000000..82dc67c4c --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q16_R1.aq-meta.xml @@ -0,0 +1,15 @@ + + + + true + MPS1246_Initial_Disease_State_Q16_R1 + false + Comments + Active + 1 + + TextArea + MPS1246_Initial_Disease_State_Q16_R1 + MPS1246_Initial_Disease_State_Q16_R1 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q17.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q17.aq-meta.xml new file mode 100644 index 000000000..d0bf1765c --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q17.aq-meta.xml @@ -0,0 +1,17 @@ + + + + true + MPS1246_Initial_Disease_State_Q17 + false + Does the patient require continuous ventilator assistance? + Yes +No + Active + 1 + + Radio + MPS1246_Initial_Disease_State_Q17 + MPS1246_Initial_Disease_State_Q17 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q17_R1.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q17_R1.aq-meta.xml new file mode 100644 index 000000000..6e47b876b --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q17_R1.aq-meta.xml @@ -0,0 +1,15 @@ + + + + true + MPS1246_Initial_Disease_State_Q17_R1 + false + Comments + Active + 1 + + TextArea + MPS1246_Initial_Disease_State_Q17_R1 + MPS1246_Initial_Disease_State_Q17_R1 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q2.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q2.aq-meta.xml new file mode 100644 index 000000000..02f476eba --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q2.aq-meta.xml @@ -0,0 +1,15 @@ + + + + true + MPS1246_Initial_Disease_State_Q2 + false + Please describe biochemical and molecular confirmation of disease or attach any relevant documents at the end of this form. + Active + 1 + + TextArea + MPS1246_Initial_Disease_State_Q2 + MPS1246_Initial_Disease_State_Q2 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q3.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q3.aq-meta.xml new file mode 100644 index 000000000..d4c392a8d --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q3.aq-meta.xml @@ -0,0 +1,15 @@ + + + + true + MPS1246_Initial_Disease_State_Q3 + false + Describe all relevant clinical information regarding the patient or attach a consult note at the end of this form: + Active + 1 + + TextArea + MPS1246_Initial_Disease_State_Q3 + MPS1246_Initial_Disease_State_Q3 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q4.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q4.aq-meta.xml new file mode 100644 index 000000000..5e16769cd --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q4.aq-meta.xml @@ -0,0 +1,15 @@ + + + + true + MPS1246_Initial_Disease_State_Q4 + false + Please describe the patient’s current quality of life. Feel free to use any relevant age-appropriate quality of life tools. + Active + 1 + + TextArea + MPS1246_Initial_Disease_State_Q4 + MPS1246_Initial_Disease_State_Q4 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q5.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q5.aq-meta.xml new file mode 100644 index 000000000..4683738de --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q5.aq-meta.xml @@ -0,0 +1,17 @@ + + + + true + MPS1246_Initial_Disease_State_Q5 + false + Has there been a discussion with the patient and family which is documented in the patient’s medical record regarding the limitations of enzyme replacement therapy on disease manifestations? + Yes +No + Active + 1 + + Radio + MPS1246_Initial_Disease_State_Q5 + MPS1246_Initial_Disease_State_Q5 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q5_R1.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q5_R1.aq-meta.xml new file mode 100644 index 000000000..5d779a124 --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q5_R1.aq-meta.xml @@ -0,0 +1,15 @@ + + + + true + MPS1246_Initial_Disease_State_Q5_R1 + false + Comments + Active + 1 + + TextArea + MPS1246_Initial_Disease_State_Q5_R1 + MPS1246_Initial_Disease_State_Q5_R1 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q6.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q6.aq-meta.xml new file mode 100644 index 000000000..678b4f1c1 --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q6.aq-meta.xml @@ -0,0 +1,17 @@ + + + + true + MPS1246_Initial_Disease_State_Q6 + false + For patients with manifestations of disease which are not amenable to enzyme replacement therapy, have there been discussions with the patient and family and documented in the medical record regarding the lack of efficacy of enzyme replacement therapy on those disease manifestations? + Yes +No + Active + 1 + + Radio + MPS1246_Initial_Disease_State_Q6 + MPS1246_Initial_Disease_State_Q6 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q6_R1.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q6_R1.aq-meta.xml new file mode 100644 index 000000000..60f1ac3f2 --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q6_R1.aq-meta.xml @@ -0,0 +1,15 @@ + + + + true + MPS1246_Initial_Disease_State_Q6_R1 + false + Comments + Active + 1 + + TextArea + MPS1246_Initial_Disease_State_Q6_R1 + MPS1246_Initial_Disease_State_Q6_R1 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q7.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q7.aq-meta.xml new file mode 100644 index 000000000..817df0f67 --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q7.aq-meta.xml @@ -0,0 +1,17 @@ + + + + true + MPS1246_Initial_Disease_State_Q7 + false + Have clear and objective treatment outcomes to evaluate the effect of the treatment been established and discussed with the patient and family and documented in the patient’s medical record? + Yes +No + Active + 1 + + Radio + MPS1246_Initial_Disease_State_Q7 + MPS1246_Initial_Disease_State_Q7 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q7_R1.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q7_R1.aq-meta.xml new file mode 100644 index 000000000..4432148d0 --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q7_R1.aq-meta.xml @@ -0,0 +1,15 @@ + + + + true + MPS1246_Initial_Disease_State_Q7_R1 + false + Comments + Active + 1 + + TextArea + MPS1246_Initial_Disease_State_Q7_R1 + MPS1246_Initial_Disease_State_Q7_R1 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q8.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q8.aq-meta.xml new file mode 100644 index 000000000..668b89943 --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q8.aq-meta.xml @@ -0,0 +1,17 @@ + + + + true + MPS1246_Initial_Disease_State_Q8 + false + Have there been discussions with the patient and family which are documented in the patient’s medical record to ensure that the patient and family are aware that treatment may be discontinued if the defined objectives of treatment are not achieved? + Yes +No + Active + 1 + + Radio + MPS1246_Initial_Disease_State_Q8 + MPS1246_Initial_Disease_State_Q8 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q8_R1.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q8_R1.aq-meta.xml new file mode 100644 index 000000000..207cc41a0 --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q8_R1.aq-meta.xml @@ -0,0 +1,15 @@ + + + + true + MPS1246_Initial_Disease_State_Q8_R1 + false + Comments + Active + 1 + + TextArea + MPS1246_Initial_Disease_State_Q8_R1 + MPS1246_Initial_Disease_State_Q8_R1 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q9.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q9.aq-meta.xml new file mode 100644 index 000000000..f01b36f19 --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q9.aq-meta.xml @@ -0,0 +1,17 @@ + + + + true + MPS1246_Initial_Disease_State_Q9 + false + Has the patient been adhering to regularly scheduled infusions and assessments? + Yes +No + Active + 1 + + Radio + MPS1246_Initial_Disease_State_Q9 + MPS1246_Initial_Disease_State_Q9 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q9_R1.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q9_R1.aq-meta.xml new file mode 100644 index 000000000..79e6f541d --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Initial_Disease_State_Q9_R1.aq-meta.xml @@ -0,0 +1,15 @@ + + + + true + MPS1246_Initial_Disease_State_Q9_R1 + false + Comments + Active + 1 + + TextArea + MPS1246_Initial_Disease_State_Q9_R1 + MPS1246_Initial_Disease_State_Q9_R1 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q1.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q1.aq-meta.xml new file mode 100644 index 000000000..95b15c838 --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q1.aq-meta.xml @@ -0,0 +1,15 @@ + + + + true + MPS1246_Renewal_Disease_State_Q1 + false + Describe the patient’s clinical course since the last assessment or attach a consult note at the end of this form: + Active + 1 + + TextArea + MPS1246_Renewal_Disease_State_Q1 + MPS1246_Renewal_Disease_State_Q1 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q2.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q2.aq-meta.xml new file mode 100644 index 000000000..d51f8a59c --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q2.aq-meta.xml @@ -0,0 +1,15 @@ + + + + true + MPS1246_Renewal_Disease_State_Q2 + false + Please describe both positive and negative impacts this medication has had on the patient’s quality of life. Feel free to use any relevant age-appropriate quality of life tools. + Active + 1 + + TextArea + MPS1246_Renewal_Disease_State_Q2 + MPS1246_Renewal_Disease_State_Q2 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q3.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q3.aq-meta.xml new file mode 100644 index 000000000..a731e0dd5 --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q3.aq-meta.xml @@ -0,0 +1,17 @@ + + + + true + MPS1246_Renewal_Disease_State_Q3 + false + Has the patient’s 6-minute walk test or stair climb test stabilized or improved by at least 5% from baseline? + Yes +No + Active + 1 + + Radio + MPS1246_Renewal_Disease_State_Q3 + MPS1246_Renewal_Disease_State_Q3 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q3_R1.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q3_R1.aq-meta.xml new file mode 100644 index 000000000..42bb4a6ce --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q3_R1.aq-meta.xml @@ -0,0 +1,15 @@ + + + + true + MPS1246_Renewal_Disease_State_Q3_R1 + false + Comments: + Active + 1 + + TextArea + MPS1246_Renewal_Disease_State_Q3_R1 + MPS1246_Renewal_Disease_State_Q3_R1 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q4.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q4.aq-meta.xml new file mode 100644 index 000000000..90f5ece05 --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q4.aq-meta.xml @@ -0,0 +1,17 @@ + + + + true + MPS1246_Renewal_Disease_State_Q4 + false + Has forced vital capacity or forced expiratory volume in one second (FEV1) stabilized or improved by at least 5% from baseline or remained within 2 standard deviations of normal for the patient’s age? + Yes +No + Active + 1 + + Radio + MPS1246_Renewal_Disease_State_Q4 + MPS1246_Renewal_Disease_State_Q4 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q4_R1.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q4_R1.aq-meta.xml new file mode 100644 index 000000000..cb99d85cc --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q4_R1.aq-meta.xml @@ -0,0 +1,15 @@ + + + + true + MPS1246_Renewal_Disease_State_Q4_R1 + false + Comments: + Active + 1 + + TextArea + MPS1246_Renewal_Disease_State_Q4_R1 + MPS1246_Renewal_Disease_State_Q4_R1 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q5.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q5.aq-meta.xml new file mode 100644 index 000000000..df71b4b1b --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q5.aq-meta.xml @@ -0,0 +1,17 @@ + + + + true + MPS1246_Renewal_Disease_State_Q5 + false + Has there been a reduction in KS by 20%? + Yes +No + Active + 1 + + Radio + MPS1246_Renewal_Disease_State_Q5 + MPS1246_Renewal_Disease_State_Q5 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q5_R1.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q5_R1.aq-meta.xml new file mode 100644 index 000000000..d04d1db9d --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q5_R1.aq-meta.xml @@ -0,0 +1,15 @@ + + + + true + MPS1246_Renewal_Disease_State_Q5_R1 + false + Comments: + Active + 1 + + TextArea + MPS1246_Renewal_Disease_State_Q5_R1 + MPS1246_Renewal_Disease_State_Q5_R1 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q6.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q6.aq-meta.xml new file mode 100644 index 000000000..dd7d8045c --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q6.aq-meta.xml @@ -0,0 +1,17 @@ + + + + true + MPS1246_Renewal_Disease_State_Q6 + false + Has stability of cardiac ejection fraction been achieved? (Stability is defined as an ejection fraction within 5% of baseline) + Yes +No + Active + 1 + + Radio + MPS1246_Renewal_Disease_State_Q6 + MPS1246_Renewal_Disease_State_Q6 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q6_R1.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q6_R1.aq-meta.xml new file mode 100644 index 000000000..7c77034ed --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1246_Renewal_Disease_State_Q6_R1.aq-meta.xml @@ -0,0 +1,15 @@ + + + + true + MPS1246_Renewal_Disease_State_Q6_R1 + false + Comments: + Active + 1 + + TextArea + MPS1246_Renewal_Disease_State_Q6_R1 + MPS1246_Renewal_Disease_State_Q6_R1 + Demographic + diff --git a/OmniStudio-Components/main/default/AssessmentQuestions/MPS1_Initial_Diagnostic_Info_Submission_Q1.aq-meta.xml b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1_Initial_Diagnostic_Info_Submission_Q1.aq-meta.xml new file mode 100644 index 000000000..7bc470cfc --- /dev/null +++ b/OmniStudio-Components/main/default/AssessmentQuestions/MPS1_Initial_Diagnostic_Info_Submission_Q1.aq-meta.xml @@ -0,0 +1,15 @@ + + + + true + MPS1 Initial Diagnostic Info Submission Q1 + false + Please describe biochemical and molecular confirmation of disease or attach any relevant documents at the end of this form. + Active + 1 + + TextBlock + MPS1_Initial_Diagnostic_Info_Submission_Q1 + MPS1 Initial Diagnostic Info Submission Q1 + Demographic + diff --git a/OmniStudio-Components/main/default/omniScripts/ElapraseInitialSubmission_ElapraseInitialSubmission_English_1.os-meta.xml b/OmniStudio-Components/main/default/omniScripts/ElapraseInitialSubmission_ElapraseInitialSubmission_English_1.os-meta.xml new file mode 100644 index 000000000..50a7917d0 --- /dev/null +++ b/OmniStudio-Components/main/default/omniScripts/ElapraseInitialSubmission_ElapraseInitialSubmission_English_1.os-meta.xml @@ -0,0 +1,1071 @@ + + + Discovery Framework + 0 + {"ElementTypeToHTMLTemplateList":[]} + true + false + false + true + false + true + English + ELAPRASEINITIALSUBMISSION + + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q1 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Diagnostic Information", + "text" : "Diagnostic Information", + "show" : null, + "dataJSON" : false, + "HTMLTemplateId" : "", + "textKey" : "", + "sanitize" : false +} + 0.0 + Text Block + MPS1246_Initial_Disease_State_Q1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q10 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Is there or has there been any indication of progression of the disease manifestations leading to severe disability despite drug therapy?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 14.0 + Radio + MPS1246_Initial_Disease_State_Q10 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q10_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 15.0 + Text Area + MPS1246_Initial_Disease_State_Q10_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q11 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Have there been any indications that the patient has severe infusion related adverse reactions that are either life threatening, disproportionately diminish quality of life or are not preventable by pre-medication with anti-histaminic and glucocorticoids?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 16.0 + Radio + MPS1246_Initial_Disease_State_Q11 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q11_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 17.0 + Text Area + MPS1246_Initial_Disease_State_Q11_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q12 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Have there been progression of other disease manifestations such that quality of life is no longer improving?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 18.0 + Radio + MPS1246_Initial_Disease_State_Q12 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q12_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 19.0 + Text Area + MPS1246_Initial_Disease_State_Q12_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q14 + 0.0 + { + "controlWidth" : 12.0, + "label" : "For patients with severe variants of disease, have there been discussions with the family regarding the lack of efficacy of enzyme replacement therapy on CNS disease and the potential for discontinuation upon development of significant CNS disease?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 20.0 + Radio + MPS1246_Initial_Disease_State_Q14 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q14_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 21.0 + Text Area + MPS1246_Initial_Disease_State_Q14_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q2 + 0.0 + { + "controlWidth" : 12, + "label" : "Please describe biochemical and molecular confirmation of disease or attach any relevant documents at the end of this form.", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 1.0 + Text Area + MPS1246_Initial_Disease_State_Q2 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q3 + 0.0 + { + "controlWidth" : 12, + "label" : "Describe all relevant clinical information regarding the patient or attach a consult note at the end of this form:", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 2.0 + Text Area + MPS1246_Initial_Disease_State_Q3 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q4 + 0.0 + { + "controlWidth" : 12, + "label" : "Please describe the patient’s current quality of life. Feel free to use any relevant age-appropriate quality of life tools.", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 3.0 + Text Area + MPS1246_Initial_Disease_State_Q4 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q5 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Has there been a discussion with the patient and family which is documented in the patient’s medical record regarding the limitations of enzyme replacement therapy on disease manifestations?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 4.0 + Radio + MPS1246_Initial_Disease_State_Q5 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q5_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 5.0 + Text Area + MPS1246_Initial_Disease_State_Q5_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q6 + 0.0 + { + "controlWidth" : 12.0, + "label" : "For patients with manifestations of disease which are not amenable to enzyme replacement therapy, have there been discussions with the patient and family and documented in the medical record regarding the lack of efficacy of enzyme replacement therapy on those disease manifestations?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 6.0 + Radio + MPS1246_Initial_Disease_State_Q6 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q6_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 7.0 + Text Area + MPS1246_Initial_Disease_State_Q6_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q7 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Have clear and objective treatment outcomes to evaluate the effect of the treatment been established and discussed with the patient and family and documented in the patient’s medical record?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 8.0 + Radio + MPS1246_Initial_Disease_State_Q7 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q7_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 9.0 + Text Area + MPS1246_Initial_Disease_State_Q7_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q8 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Have there been discussions with the patient and family which are documented in the patient’s medical record to ensure that the patient and family are aware that treatment may be discontinued if the defined objectives of treatment are not achieved?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 10.0 + Radio + MPS1246_Initial_Disease_State_Q8 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q8_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 11.0 + Text Area + MPS1246_Initial_Disease_State_Q8_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q9 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Has the patient been adhering to regularly scheduled infusions and assessments?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 12.0 + Radio + MPS1246_Initial_Disease_State_Q9 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q9_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 13.0 + Text Area + MPS1246_Initial_Disease_State_Q9_R1 + + true + false + 1.0 + DISEASESTATEOVERVIEW + 0.0 + { + "controlWidth" : 12, + "label" : "DISEASE STATE OVERVIEW", + "collapse" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false +} + 0.0 + Block + + Discovery Framework + 0 + true + false + 0.0 + idursulfase-IntialSubmission + 0.0 + { + "label" : "idursulfase - Intial Submission", + "validationRequired" : true, + "previousLabel" : "Previous", + "previousWidth" : 3, + "nextLabel" : "Next", + "nextWidth" : 3, + "cancelLabel" : "Cancel", + "cancelMessage" : "Are you sure?", + "saveLabel" : "Save for later", + "saveMessage" : "Are you sure you want to save it for later?", + "completeLabel" : "Complete", + "completeMessage" : "Are you sure you want to complete the script?", + "instruction" : "", + "showPersistentComponent" : [ true, false ], + "remoteClass" : "", + "remoteMethod" : "", + "remoteTimeout" : 30000, + "remoteOptions" : { }, + "knowledgeOptions" : { + "language" : "English", + "publishStatus" : "Online", + "keyword" : "", + "dataCategoryCriteria" : "", + "remoteTimeout" : 30000, + "typeFilter" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "HTMLTemplateId" : "", + "instructionKey" : "", + "chartLabel" : null, + "allowSaveForLater" : true, + "errorMessage" : { + "custom" : [ ], + "default" : null + }, + "wpm" : false, + "ssm" : false, + "message" : { }, + "pubsub" : false, + "businessCategory" : "", + "businessEvent" : "" +} + 0.0 + Step + + OmniScript + {"persistentComponent":[{"render":false,"label":"","remoteClass":"","remoteMethod":"","remoteTimeout":30000,"remoteOptions":{"preTransformBundle":"","postTransformBundle":""},"preTransformBundle":"","postTransformBundle":"","sendJSONPath":"","sendJSONNode":"","responseJSONPath":"","responseJSONNode":"","id":"vlcCart","itemsKey":"cartItems","modalConfigurationSetting":{"modalHTMLTemplateId":"vlcProductConfig.html","modalController":"ModalProductCtrl","modalSize":"lg"}},{"render":false,"dispOutsideOmni":false,"label":"","remoteClass":"","remoteMethod":"","remoteTimeout":30000,"remoteOptions":{"preTransformBundle":"","postTransformBundle":""},"preTransformBundle":"","postTransformBundle":"","id":"vlcKnowledge","itemsKey":"knowledgeItems","modalConfigurationSetting":{"modalHTMLTemplateId":"","modalController":"","modalSize":"lg"}}],"allowSaveForLater":true,"saveNameTemplate":null,"saveExpireInDays":null,"saveForLaterRedirectPageName":"sflRedirect","saveForLaterRedirectTemplateUrl":"vlcSaveForLaterAcknowledge.html","saveContentEncoded":false,"saveObjectId":"%ContextId%","saveURLPatterns":{},"autoSaveOnStepNext":false,"elementTypeToHTMLTemplateMapping":{},"seedDataJSON":{},"trackingCustomData":{},"enableKnowledge":false,"bLK":false,"lkObjName":null,"knowledgeArticleTypeQueryFieldsMap":{},"timeTracking":false,"hideStepChart":true,"mergeSavedData":false,"visualforcePagesAvailableInPreview":{},"cancelType":"SObject","allowCancel":true,"cancelSource":"%ContextId%","cancelRedirectPageName":"OmniScriptCancelled","cancelRedirectTemplateUrl":"vlcCancelled.html","consoleTabLabel":"New","wpm":false,"ssm":false,"message":{},"pubsub":false,"autoFocus":false,"currencyCode":"","showInputWidth":false,"rtpSeed":false,"consoleTabTitle":null,"consoleTabIcon":"custom:custom18","errorMessage":{"custom":[]},"stylesheet":{"newport":"","lightning":"","newportRtl":"","lightningRtl":""},"stepChartPlacement":"right","disableUnloadWarn":true,"scrollBehavior":"auto"} + ElapraseInitialSubmission + ElapraseInitialSubmission + ElapraseInitialSubmission_ElapraseInitialSubmission_English_1 + 1.0 + 17ef7b80-1b10-ba39-c180-31461c03ce71 + diff --git a/OmniStudio-Components/main/default/omniScripts/ElapraseRenewalSubmission_ElapraseRenewalSubmission_English_1.os-meta.xml b/OmniStudio-Components/main/default/omniScripts/ElapraseRenewalSubmission_ElapraseRenewalSubmission_English_1.os-meta.xml index 1dfb5f3df..b3b97db47 100644 --- a/OmniStudio-Components/main/default/omniScripts/ElapraseRenewalSubmission_ElapraseRenewalSubmission_English_1.os-meta.xml +++ b/OmniStudio-Components/main/default/omniScripts/ElapraseRenewalSubmission_ElapraseRenewalSubmission_English_1.os-meta.xml @@ -20,11 +20,11 @@ true false 2.0 - ConfirmingRelevantExpertise + MPS1246_Initial_Disease_State_Q10 0.0 { "controlWidth" : 12.0, - "label" : "I am a specialist with experience in the diagnosis and management of this condition", + "label" : "Is there or has there been any indication of progression of the disease manifestations leading to severe disability despite drug therapy?", "required" : false, "repeat" : false, "repeatClone" : false, @@ -65,9 +65,9 @@ "enableCaption" : true, "disOnTplt" : false } - 8.0 + 10.0 Radio - ConfirmingRelevantExpertise + MPS1246_Initial_Disease_State_Q10 Discovery Framework @@ -75,54 +75,37 @@ true false 2.0 - Mucopolysachharidosis_type_2_Renew_Answer_The_Following_Q1 + MPS1246_Initial_Disease_State_Q10_R1 0.0 { - "controlWidth" : 12.0, - "label" : "Is there or has there been any indication of rapid progression of the disease manifestations leading to severe disability despite drug therapy?", + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, "required" : false, "repeat" : false, "repeatClone" : false, "repeatLimit" : null, "readOnly" : false, - "horizontalMode" : false, "defaultValue" : null, "help" : false, "helpText" : "", - "options" : [ { - "name" : "Yes", - "developerName" : "Yes", - "value" : "Yes", - "setAll" : false - }, { - "name" : "No", - "developerName" : "No", - "value" : "No", - "setAll" : false - } ], - "optionSource" : { - "type" : "", - "source" : "" - }, - "controllingField" : { - "element" : "", - "type" : "", - "source" : "" - }, + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, - "optionWidth" : 100.0, - "optionHeight" : 100.0, - "imageCountInRow" : 3.0, - "enableCaption" : true, "disOnTplt" : false } - 0.0 - Radio - Mucopolysachharidosis_type_2_Renew_Answer_The_Following_Q1 + 11.0 + Text Area + MPS1246_Initial_Disease_State_Q10_R1 Discovery Framework @@ -130,11 +113,11 @@ true false 2.0 - Mucopolysachharidosis_type_2_Renew_Answer_The_Following_Q2 + MPS1246_Initial_Disease_State_Q11 0.0 { "controlWidth" : 12.0, - "label" : "Is the estimated life span of the Patient expected to be less than two (2) years?", + "label" : "Have there been any indications that the patient has severe infusion related adverse reactions that are either life threatening, disproportionately diminish quality of life or are not preventable by pre-medication with anti-histaminic and glucocorticoids?", "required" : false, "repeat" : false, "repeatClone" : false, @@ -175,9 +158,47 @@ "enableCaption" : true, "disOnTplt" : false } - 1.0 + 12.0 Radio - Mucopolysachharidosis_type_2_Renew_Answer_The_Following_Q2 + MPS1246_Initial_Disease_State_Q11 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q11_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 13.0 + Text Area + MPS1246_Initial_Disease_State_Q11_R1 Discovery Framework @@ -185,11 +206,11 @@ true false 2.0 - Mucopolysachharidosis_type_2_Renew_Answer_The_Following_Q3 + MPS1246_Initial_Disease_State_Q12 0.0 { "controlWidth" : 12.0, - "label" : "Is there or has there been any indication the Patient has suffered a deterioration in quality of life related to the use of the drug leading to significant inability to attend work/school or requiring home care?", + "label" : "Have there been progression of other disease manifestations such that quality of life is no longer improving?", "required" : false, "repeat" : false, "repeatClone" : false, @@ -230,9 +251,47 @@ "enableCaption" : true, "disOnTplt" : false } - 2.0 + 14.0 Radio - Mucopolysachharidosis_type_2_Renew_Answer_The_Following_Q3 + MPS1246_Initial_Disease_State_Q12 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q12_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 15.0 + Text Area + MPS1246_Initial_Disease_State_Q12_R1 Discovery Framework @@ -240,11 +299,11 @@ true false 2.0 - Mucopolysachharidosis_type_2_Renew_Answer_The_Following_Q4 + MPS1246_Initial_Disease_State_Q14 0.0 { "controlWidth" : 12.0, - "label" : "Is there or has there been any indication the Patient has sever infusion related adverse reactions that are either life threatening or are not preventable by pre-medication with anti histaminic and glucocorticoids?", + "label" : "For patients with severe variants of disease, have there been discussions with the family regarding the lack of efficacy of enzyme replacement therapy on CNS disease and the potential for discontinuation upon development of significant CNS disease?", "required" : false, "repeat" : false, "repeatClone" : false, @@ -285,9 +344,47 @@ "enableCaption" : true, "disOnTplt" : false } - 3.0 + 16.0 Radio - Mucopolysachharidosis_type_2_Renew_Answer_The_Following_Q4 + MPS1246_Initial_Disease_State_Q14 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q14_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 17.0 + Text Area + MPS1246_Initial_Disease_State_Q14_R1 Discovery Framework @@ -295,11 +392,11 @@ true false 2.0 - Mucopolysachharidosis_type_2_Renew_Answer_The_Following_Q5 + MPS1246_Initial_Disease_State_Q5 0.0 { "controlWidth" : 12.0, - "label" : "Is there or has there been any indication the Patient cannot or will not comply with the product administration schedule and follow up protocol required for optimum management of the disease?", + "label" : "Has there been a discussion with the patient and family which is documented in the patient’s medical record regarding the limitations of enzyme replacement therapy on disease manifestations?", "required" : false, "repeat" : false, "repeatClone" : false, @@ -340,9 +437,47 @@ "enableCaption" : true, "disOnTplt" : false } - 4.0 + 0.0 Radio - Mucopolysachharidosis_type_2_Renew_Answer_The_Following_Q5 + MPS1246_Initial_Disease_State_Q5 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q5_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 1.0 + Text Area + MPS1246_Initial_Disease_State_Q5_R1 Discovery Framework @@ -350,11 +485,11 @@ true false 2.0 - Mucopolysachharidosis_type_2_Renew_Answer_The_Following_Q6 + MPS1246_Initial_Disease_State_Q6 0.0 { "controlWidth" : 12.0, - "label" : "Is there or has there been any indication the Patient has not or will not comply with measures to assess the effectiveness of the treatment?", + "label" : "For patients with manifestations of disease which are not amenable to enzyme replacement therapy, have there been discussions with the patient and family and documented in the medical record regarding the lack of efficacy of enzyme replacement therapy on those disease manifestations?", "required" : false, "repeat" : false, "repeatClone" : false, @@ -395,9 +530,47 @@ "enableCaption" : true, "disOnTplt" : false } - 5.0 + 2.0 Radio - Mucopolysachharidosis_type_2_Renew_Answer_The_Following_Q6 + MPS1246_Initial_Disease_State_Q6 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q6_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 3.0 + Text Area + MPS1246_Initial_Disease_State_Q6_R1 Discovery Framework @@ -405,11 +578,11 @@ true false 2.0 - Mucopolysachharidosis_type_2_Renew_Answer_The_Following_Q7 + MPS1246_Initial_Disease_State_Q7 0.0 { "controlWidth" : 12.0, - "label" : "Is there or has there been any indication the Patient will be leaving Canada or lose status as resident?", + "label" : "Have clear and objective treatment outcomes to evaluate the effect of the treatment been established and discussed with the patient and family and documented in the patient’s medical record?", "required" : false, "repeat" : false, "repeatClone" : false, @@ -450,9 +623,47 @@ "enableCaption" : true, "disOnTplt" : false } - 6.0 + 4.0 Radio - Mucopolysachharidosis_type_2_Renew_Answer_The_Following_Q7 + MPS1246_Initial_Disease_State_Q7 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q7_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 5.0 + Text Area + MPS1246_Initial_Disease_State_Q7_R1 Discovery Framework @@ -460,11 +671,11 @@ true false 2.0 - Mucopolysachharidosis_type_2_Renew_Answer_The_Following_Q8 + MPS1246_Initial_Disease_State_Q8 0.0 { "controlWidth" : 12.0, - "label" : "Is there or has there been any indication the Patient will develop a life threatening complication not treatable by other therapeutic measures and unlikely to benefit from further product therapy?", + "label" : "Have there been discussions with the patient and family which are documented in the patient’s medical record to ensure that the patient and family are aware that treatment may be discontinued if the defined objectives of treatment are not achieved?", "required" : false, "repeat" : false, "repeatClone" : false, @@ -505,45 +716,23 @@ "enableCaption" : true, "disOnTplt" : false } - 7.0 + 6.0 Radio - Mucopolysachharidosis_type_2_Renew_Answer_The_Following_Q8 + MPS1246_Initial_Disease_State_Q8 - true - false - 1.0 - Answer_the_following - 0.0 - { - "controlWidth" : 12, - "label" : "Answer the following:", - "collapse" : true, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false -} - 3.0 - Block - - Discovery Framework 0 true false 2.0 - Mucopolysachharidosis_type_2_Renew_Disease_Information_Q1 + MPS1246_Initial_Disease_State_Q8_R1 0.0 { - "controlWidth" : 11.0, - "label" : "Patient characteristics relevant to this review", + "controlWidth" : 12, + "label" : "Comments", "showInputWidth" : false, - "inputWidth" : 12.0, + "inputWidth" : 12, "required" : false, "repeat" : false, "repeatClone" : false, @@ -554,20 +743,20 @@ "helpText" : "", "pattern" : "", "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, "disOnTplt" : false } - 0.0 + 7.0 Text Area - Mucopolysachharidosis_type_2_Renew_Disease_Information_Q1 + MPS1246_Initial_Disease_State_Q8_R1 Discovery Framework @@ -575,2135 +764,54 @@ true false 2.0 - Mucopolysachharidosis_type_2_Renew_Disease_Information_Q2 + MPS1246_Initial_Disease_State_Q9 0.0 { - "controlWidth" : 11.0, - "label" : "Patient Quality of Life – has patient QOL improved with response? Provide most important specifics both positive and negative to this patient", - "showInputWidth" : false, - "inputWidth" : 12.0, + "controlWidth" : 12.0, + "label" : "Has the patient been adhering to regularly scheduled infusions and assessments?", "required" : false, "repeat" : false, "repeatClone" : false, "repeatLimit" : null, "readOnly" : false, + "horizontalMode" : false, "defaultValue" : null, "help" : false, "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 1.0 - Text Area - Mucopolysachharidosis_type_2_Renew_Disease_Information_Q2 - - true - false - 1.0 - Disease_Information - 0.0 - { - "controlWidth" : 12, - "label" : "Disease Information", - "collapse" : true, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false -} - 0.0 - Block - - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q1 - 0.0 - { - "controlWidth" : 12.0, - "label" : "Lysomal storage load systemic", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "mask" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 0.0 - Text - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q1 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q10 - 0.0 - { - "controlWidth" : 12.0, - "label" : "Brain MRI & Cervical MRI", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "mask" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 8.0 - Text - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q10 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q11 - 0.0 - { - "controlWidth" : 12.0, - "label" : "OT / PT /\nNeuropsychological tests", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "mask" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 10.0 - Text - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q11 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q12 - 0.0 - { - "controlWidth" : 12.0, - "label" : "Ophthalmology (corneal, retinal, visual)", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "mask" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 11.0 - Text - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q12 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q13 - 0.0 - { - "controlWidth" : 12.0, - "label" : "Audiological examinations", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "mask" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 12.0 - Text - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q13 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q14 - 0.0 - { - "controlWidth" : 12.0, - "label" : "Orthopaedic evaluation", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "mask" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 13.0 - Text - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q14 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q15 - 0.0 - { - "controlWidth" : 12.0, - "label" : "AEP and VEP/SEP/BAER NCV/EMG", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "mask" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 14.0 - Text - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q15 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q2 - 0.0 - { - "controlWidth" : 12.0, - "label" : "Lysomal storage load in visceral organs, RES", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "mask" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 1.0 - Text - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q2 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q3 - 0.0 - { - "controlWidth" : 12.0, - "label" : "Joint contractures", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "mask" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 2.0 - Text - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q3 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q4 - 0.0 - { - "controlWidth" : 12.0, - "label" : "Upper airway obstruction", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "mask" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 3.0 - Text - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q4 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q5 - 0.0 - { - "controlWidth" : 12.0, - "label" : "Urinary GAG excretion & \nelectrophoresis", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "mask" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 4.0 - Text - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q5 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q6 - 0.0 - { - "controlWidth" : 12.0, - "label" : "ECG, Echocardiography", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "mask" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 5.0 - Text - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q6 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q7 - 0.0 - { - "controlWidth" : 12.0, - "label" : "Skeletal survey", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "mask" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 6.0 - Text - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q7 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q8 - 0.0 - { - "controlWidth" : 12.0, - "label" : "Abdominal ultrasound", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "mask" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 7.0 - Text - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q8 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q9 - 0.0 - { - "controlWidth" : 12.0, - "label" : "Polysomnography, sleep study, apnea/hypopnea index", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "mask" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 9.0 - Text - Mucopolysachharidosis_Type_2_Renew_Patients_Actual_Outcomes_Q9 - - true - false - 1.0 - PatientsActualOutcomes - 0.0 - { - "controlWidth" : 12, - "label" : "Patient’s Actual Outcomes", - "collapse" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false -} - 2.0 - Block - - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q10_R1 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Polysomnography, sleep study, apnea/hypopnea index:\r\nBaseline value", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 27.0 - Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q10_R1 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q10_R2 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Date last tested/measured", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "dateType" : "string", - "modelDateFormat" : "yyyy-MM-dd", - "dateFormat" : "MM-dd-yyyy", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false, - "minDate" : "", - "maxDate" : "" -} - 28.0 - Date - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q10_R2 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q10_R3 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Expected outcomes", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 29.0 - Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q10_R3 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q11_R1 - 0.0 - { - "controlWidth" : 4.0, - "label" : "OT/PT/Neuropsychological tests:\r\nBaseline value", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 30.0 - Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q11_R1 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q11_R2 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Date last tested/measured", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "dateType" : "string", - "modelDateFormat" : "yyyy-MM-dd", - "dateFormat" : "MM-dd-yyyy", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false, - "minDate" : "", - "maxDate" : "" -} - 31.0 - Date - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q11_R2 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q11_R3 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Expected outcomes", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 32.0 - Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q11_R3 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q12_R1 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Ophthalmology (corneal, retinal, visual):\r\nBaseline value", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 33.0 - Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q12_R1 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q12_R2 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Date last tested/measured", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "dateType" : "string", - "modelDateFormat" : "yyyy-MM-dd", - "dateFormat" : "MM-dd-yyyy", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false, - "minDate" : "", - "maxDate" : "" -} - 34.0 - Date - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q12_R2 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q12_R3 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Expected outcomes", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 35.0 - Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q12_R3 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q13_R1 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Audiological examinations:\r\nBaseline value", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 36.0 - Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q13_R1 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q13_R2 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Date last tested/measured", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "dateType" : "string", - "modelDateFormat" : "yyyy-MM-dd", - "dateFormat" : "MM-dd-yyyy", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false, - "minDate" : "", - "maxDate" : "" -} - 37.0 - Date - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q13_R2 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q13_R3 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Expected outcomes", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 38.0 - Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q13_R3 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q14_R1 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Orthopaedic evaluation:\r\nBaseline value", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 39.0 - Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q14_R1 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q14_R2 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Date last tested/measured", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "dateType" : "string", - "modelDateFormat" : "yyyy-MM-dd", - "dateFormat" : "MM-dd-yyyy", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false, - "minDate" : "", - "maxDate" : "" -} - 40.0 - Date - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q14_R2 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q14_R3 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Expected outcomes", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 41.0 - Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q14_R3 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q15_R1 - 0.0 - { - "controlWidth" : 4.0, - "label" : "AEP and VEP/SEP/BAER NCV/EMG:\r\nBaseline value", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 42.0 - Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q15_R1 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q15_R2 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Date last tested/measured", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "dateType" : "string", - "modelDateFormat" : "yyyy-MM-dd", - "dateFormat" : "MM-dd-yyyy", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false, - "minDate" : "", - "maxDate" : "" -} - 43.0 - Date - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q15_R2 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q15_R3 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Expected outcomes", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 44.0 - Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q15_R3 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q1_R1 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Lysomal storage load systemic: Baseline value", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 0.0 - Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q1_R1 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q1_R2 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Date last tested/measured", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "dateType" : "string", - "modelDateFormat" : "yyyy-MM-dd", - "dateFormat" : "MM-dd-yyyy", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false, - "minDate" : "", - "maxDate" : "" -} - 1.0 - Date - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q1_R2 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q1_R3 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Expected outcomes", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 2.0 - Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q1_R3 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q2_R1 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Lysomal storage load in visceral organs, RES:\r\nBaseline value", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 3.0 - Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q2_R1 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q2_R2 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Date last tested/measured", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "dateType" : "string", - "modelDateFormat" : "yyyy-MM-dd", - "dateFormat" : "MM-dd-yyyy", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false, - "minDate" : "", - "maxDate" : "" -} - 4.0 - Date - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q2_R2 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q2_R3 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Expected outcomes", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 5.0 - Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q2_R3 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q3_R1 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Joint contractures:\r\nBaseline value", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 6.0 - Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q3_R1 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q3_R2 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Date last tested/measured", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "dateType" : "string", - "modelDateFormat" : "yyyy-MM-dd", - "dateFormat" : "MM-dd-yyyy", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false, - "minDate" : "", - "maxDate" : "" -} - 7.0 - Date - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q3_R2 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q3_R3 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Expected outcomes", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 8.0 - Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q3_R3 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q4_R1 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Upper airway obstruction:\r\nBaseline value", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 9.0 - Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q4_R1 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q4_R2 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Date last tested/measured", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "dateType" : "string", - "modelDateFormat" : "yyyy-MM-dd", - "dateFormat" : "MM-dd-yyyy", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false, - "minDate" : "", - "maxDate" : "" -} - 10.0 - Date - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q4_R2 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q4_R3 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Expected outcomes", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 11.0 - Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q4_R3 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q5_R1 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Urinary GAG excretion & electrophoresis:\r\nBaseline value", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 12.0 - Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q5_R1 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q5_R2 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Date last tested/measured", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "dateType" : "string", - "modelDateFormat" : "yyyy-MM-dd", - "dateFormat" : "MM-dd-yyyy", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false, - "minDate" : "", - "maxDate" : "" -} - 13.0 - Date - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q5_R2 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q5_R3 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Expected outcomes", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 14.0 - Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q5_R3 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q6_R1 - 0.0 - { - "controlWidth" : 4.0, - "label" : "ECG, Echocardiography:\r\nBaseline value", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 15.0 - Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q6_R1 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q6_R2 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Date last tested/measured", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "dateType" : "string", - "modelDateFormat" : "yyyy-MM-dd", - "dateFormat" : "MM-dd-yyyy", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false, - "minDate" : "", - "maxDate" : "" -} - 16.0 - Date - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q6_R2 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q6_R3 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Expected outcomes", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 17.0 - Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q6_R3 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q7_R1 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Skeletal survey:\r\nBaseline value", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 18.0 - Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q7_R1 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q7_R2 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Date last tested/measured", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "dateType" : "string", - "modelDateFormat" : "yyyy-MM-dd", - "dateFormat" : "MM-dd-yyyy", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false, - "minDate" : "", - "maxDate" : "" -} - 19.0 - Date - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q7_R2 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q7_R3 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Expected outcomes", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, "HTMLTemplateId" : "", "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, "disOnTplt" : false } - 20.0 - Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q7_R3 + 8.0 + Radio + MPS1246_Initial_Disease_State_Q9 Discovery Framework @@ -2711,13 +819,13 @@ true false 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q8_R1 + MPS1246_Initial_Disease_State_Q9_R1 0.0 { - "controlWidth" : 4.0, - "label" : "Abdominal ultrasound:\r\nBaseline value", + "controlWidth" : 12, + "label" : "Comments", "showInputWidth" : false, - "inputWidth" : 12.0, + "inputWidth" : 12, "required" : false, "repeat" : false, "repeatClone" : false, @@ -2728,109 +836,56 @@ "helpText" : "", "pattern" : "", "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, "disOnTplt" : false } - 21.0 + 9.0 Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q8_R1 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q8_R2 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Date last tested/measured", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "dateType" : "string", - "modelDateFormat" : "yyyy-MM-dd", - "dateFormat" : "MM-dd-yyyy", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false, - "minDate" : "", - "maxDate" : "" -} - 22.0 - Date - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q8_R2 + MPS1246_Initial_Disease_State_Q9_R1 - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q8_R3 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Expected outcomes", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, + true + false + 1.0 + DISCONTINUATIONCRITERIA + 0.0 + { + "controlWidth" : 12, + "label" : "DISCONTINUATION CRITERIA", + "collapse" : false, "repeat" : false, "repeatClone" : false, "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false + "hide" : false } - 23.0 - Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q8_R3 - + 1.0 + Block + + Discovery Framework 0 true false 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q9_R1 + MPS1246_Renewal_Disease_State_Q1 0.0 { - "controlWidth" : 4.0, - "label" : "Brain MRI & Cervical MRI:\r\nBaseline value", + "controlWidth" : 12, + "label" : "Describe the patient’s clinical course since the last assessment or attach a consult note at the end of this form:", "showInputWidth" : false, - "inputWidth" : 12.0, + "inputWidth" : 12, "required" : false, "repeat" : false, "repeatClone" : false, @@ -2841,57 +896,20 @@ "helpText" : "", "pattern" : "", "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, "disOnTplt" : false } - 24.0 + 0.0 Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q9_R1 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q9_R2 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Date last tested/measured", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "dateType" : "string", - "modelDateFormat" : "yyyy-MM-dd", - "dateFormat" : "MM-dd-yyyy", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false, - "minDate" : "", - "maxDate" : "" -} - 25.0 - Date - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q9_R2 + MPS1246_Renewal_Disease_State_Q1 Discovery Framework @@ -2899,13 +917,13 @@ true false 2.0 - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q9_R3 + MPS1246_Renewal_Disease_State_Q2 0.0 { - "controlWidth" : 4.0, - "label" : "Expected outcomes", + "controlWidth" : 12, + "label" : "Please describe both positive and negative impacts this medication has had on the patient’s quality of life. Feel free to use any relevant age-appropriate quality of life tools.", "showInputWidth" : false, - "inputWidth" : 12.0, + "inputWidth" : 12, "required" : false, "repeat" : false, "repeatClone" : false, @@ -2916,29 +934,29 @@ "helpText" : "", "pattern" : "", "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, "disOnTplt" : false } - 26.0 + 1.0 Text Area - Mucopolysachharidosis_Type_2_Renew_Primary_Outcomes_Q9_R3 + MPS1246_Renewal_Disease_State_Q2 true false 1.0 - PrimaryOutcome + DISEASESTATEOVERVIEW 0.0 { "controlWidth" : 12, - "label" : "Primary Outcome", + "label" : "DISEASE STATE OVERVIEW", "collapse" : false, "repeat" : false, "repeatClone" : false, @@ -2949,7 +967,7 @@ "HTMLTemplateId" : "", "hide" : false } - 1.0 + 0.0 Block Discovery Framework @@ -2963,9 +981,9 @@ "label" : "idursulfase - Renewal Submission", "validationRequired" : true, "previousLabel" : "Previous", - "previousWidth" : 3, + "previousWidth" : 3.0, "nextLabel" : "Next", - "nextWidth" : 3, + "nextWidth" : 3.0, "cancelLabel" : "Cancel", "cancelMessage" : "Are you sure?", "saveLabel" : "Save for later", @@ -2976,14 +994,14 @@ "showPersistentComponent" : [ true, false ], "remoteClass" : "", "remoteMethod" : "", - "remoteTimeout" : 30000, + "remoteTimeout" : 30000.0, "remoteOptions" : { }, "knowledgeOptions" : { "language" : "English", "publishStatus" : "Online", "keyword" : "", "dataCategoryCriteria" : "", - "remoteTimeout" : 30000, + "remoteTimeout" : 30000.0, "typeFilter" : "" }, "show" : null, @@ -3012,5 +1030,5 @@ ElapraseRenewalSubmission ElapraseRenewalSubmission_ElapraseRenewalSubmission_English_1 1.0 - 5129f381-0de3-5632-5147-7073adcfce20 + b63de8d3-b904-7624-adbf-b2e07aecd895 diff --git a/OmniStudio-Components/main/default/omniScripts/LaronidaseInitialSubmission_LaronidaseInitialSubmission_English_1.os-meta.xml b/OmniStudio-Components/main/default/omniScripts/LaronidaseInitialSubmission_LaronidaseInitialSubmission_English_1.os-meta.xml new file mode 100644 index 000000000..436062070 --- /dev/null +++ b/OmniStudio-Components/main/default/omniScripts/LaronidaseInitialSubmission_LaronidaseInitialSubmission_English_1.os-meta.xml @@ -0,0 +1,1071 @@ + + + Discovery Framework + 0 + {"ElementTypeToHTMLTemplateList":[]} + true + false + false + true + false + true + English + LARONIDASEINITIALSUBMISSION + + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q1 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Diagnostic Information", + "text" : "Diagnostic Information", + "show" : null, + "dataJSON" : false, + "HTMLTemplateId" : "", + "textKey" : "", + "sanitize" : false +} + 0.0 + Text Block + MPS1246_Initial_Disease_State_Q1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q10 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Is there or has there been any indication of progression of the disease manifestations leading to severe disability despite drug therapy?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 14.0 + Radio + MPS1246_Initial_Disease_State_Q10 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q10_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 15.0 + Text Area + MPS1246_Initial_Disease_State_Q10_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q11 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Have there been any indications that the patient has severe infusion related adverse reactions that are either life threatening, disproportionately diminish quality of life or are not preventable by pre-medication with anti-histaminic and glucocorticoids?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 16.0 + Radio + MPS1246_Initial_Disease_State_Q11 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q11_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 17.0 + Text Area + MPS1246_Initial_Disease_State_Q11_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q12 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Have there been progression of other disease manifestations such that quality of life is no longer improving?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 18.0 + Radio + MPS1246_Initial_Disease_State_Q12 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q12_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 19.0 + Text Area + MPS1246_Initial_Disease_State_Q12_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q15 + 0.0 + { + "controlWidth" : 12.0, + "label" : "If the patient had HSCT, has 3 months passed? If patient is involved in clinical trial to assess ERT in post-HSCT patients, please specify.", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 20.0 + Radio + MPS1246_Initial_Disease_State_Q15 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q15_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 21.0 + Text Area + MPS1246_Initial_Disease_State_Q15_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q2 + 0.0 + { + "controlWidth" : 12, + "label" : "Please describe biochemical and molecular confirmation of disease or attach any relevant documents at the end of this form.", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 1.0 + Text Area + MPS1246_Initial_Disease_State_Q2 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q3 + 0.0 + { + "controlWidth" : 12, + "label" : "Describe all relevant clinical information regarding the patient or attach a consult note at the end of this form:", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 2.0 + Text Area + MPS1246_Initial_Disease_State_Q3 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q4 + 0.0 + { + "controlWidth" : 12, + "label" : "Please describe the patient’s current quality of life. Feel free to use any relevant age-appropriate quality of life tools.", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 3.0 + Text Area + MPS1246_Initial_Disease_State_Q4 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q5 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Has there been a discussion with the patient and family which is documented in the patient’s medical record regarding the limitations of enzyme replacement therapy on disease manifestations?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 4.0 + Radio + MPS1246_Initial_Disease_State_Q5 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q5_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 5.0 + Text Area + MPS1246_Initial_Disease_State_Q5_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q6 + 0.0 + { + "controlWidth" : 12.0, + "label" : "For patients with manifestations of disease which are not amenable to enzyme replacement therapy, have there been discussions with the patient and family and documented in the medical record regarding the lack of efficacy of enzyme replacement therapy on those disease manifestations?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 6.0 + Radio + MPS1246_Initial_Disease_State_Q6 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q6_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 7.0 + Text Area + MPS1246_Initial_Disease_State_Q6_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q7 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Have clear and objective treatment outcomes to evaluate the effect of the treatment been established and discussed with the patient and family and documented in the patient’s medical record?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 8.0 + Radio + MPS1246_Initial_Disease_State_Q7 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q7_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 9.0 + Text Area + MPS1246_Initial_Disease_State_Q7_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q8 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Have there been discussions with the patient and family which are documented in the patient’s medical record to ensure that the patient and family are aware that treatment may be discontinued if the defined objectives of treatment are not achieved?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 10.0 + Radio + MPS1246_Initial_Disease_State_Q8 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q8_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 11.0 + Text Area + MPS1246_Initial_Disease_State_Q8_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q9 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Has the patient been adhering to regularly scheduled infusions and assessments?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 12.0 + Radio + MPS1246_Initial_Disease_State_Q9 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q9_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 13.0 + Text Area + MPS1246_Initial_Disease_State_Q9_R1 + + true + false + 1.0 + DISEASESTATEOVERVIEW + 0.0 + { + "controlWidth" : 12, + "label" : "DISEASE STATE OVERVIEW", + "collapse" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false +} + 0.0 + Block + + Discovery Framework + 0 + true + false + 0.0 + Aldurazyme-InitialSubmission + 0.0 + { + "label" : "Aldurazyme - Initial Submission", + "validationRequired" : true, + "previousLabel" : "Previous", + "previousWidth" : 3, + "nextLabel" : "Next", + "nextWidth" : 3, + "cancelLabel" : "Cancel", + "cancelMessage" : "Are you sure?", + "saveLabel" : "Save for later", + "saveMessage" : "Are you sure you want to save it for later?", + "completeLabel" : "Complete", + "completeMessage" : "Are you sure you want to complete the script?", + "instruction" : "", + "showPersistentComponent" : [ true, false ], + "remoteClass" : "", + "remoteMethod" : "", + "remoteTimeout" : 30000, + "remoteOptions" : { }, + "knowledgeOptions" : { + "language" : "English", + "publishStatus" : "Online", + "keyword" : "", + "dataCategoryCriteria" : "", + "remoteTimeout" : 30000, + "typeFilter" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "HTMLTemplateId" : "", + "instructionKey" : "", + "chartLabel" : null, + "allowSaveForLater" : true, + "errorMessage" : { + "custom" : [ ], + "default" : null + }, + "wpm" : false, + "ssm" : false, + "message" : { }, + "pubsub" : false, + "businessCategory" : "", + "businessEvent" : "" +} + 0.0 + Step + + OmniScript + {"persistentComponent":[{"render":false,"label":"","remoteClass":"","remoteMethod":"","remoteTimeout":30000,"remoteOptions":{"preTransformBundle":"","postTransformBundle":""},"preTransformBundle":"","postTransformBundle":"","sendJSONPath":"","sendJSONNode":"","responseJSONPath":"","responseJSONNode":"","id":"vlcCart","itemsKey":"cartItems","modalConfigurationSetting":{"modalHTMLTemplateId":"vlcProductConfig.html","modalController":"ModalProductCtrl","modalSize":"lg"}},{"render":false,"dispOutsideOmni":false,"label":"","remoteClass":"","remoteMethod":"","remoteTimeout":30000,"remoteOptions":{"preTransformBundle":"","postTransformBundle":""},"preTransformBundle":"","postTransformBundle":"","id":"vlcKnowledge","itemsKey":"knowledgeItems","modalConfigurationSetting":{"modalHTMLTemplateId":"","modalController":"","modalSize":"lg"}}],"allowSaveForLater":true,"saveNameTemplate":null,"saveExpireInDays":null,"saveForLaterRedirectPageName":"sflRedirect","saveForLaterRedirectTemplateUrl":"vlcSaveForLaterAcknowledge.html","saveContentEncoded":false,"saveObjectId":"%ContextId%","saveURLPatterns":{},"autoSaveOnStepNext":false,"elementTypeToHTMLTemplateMapping":{},"seedDataJSON":{},"trackingCustomData":{},"enableKnowledge":false,"bLK":false,"lkObjName":null,"knowledgeArticleTypeQueryFieldsMap":{},"timeTracking":false,"hideStepChart":true,"mergeSavedData":false,"visualforcePagesAvailableInPreview":{},"cancelType":"SObject","allowCancel":true,"cancelSource":"%ContextId%","cancelRedirectPageName":"OmniScriptCancelled","cancelRedirectTemplateUrl":"vlcCancelled.html","consoleTabLabel":"New","wpm":false,"ssm":false,"message":{},"pubsub":false,"autoFocus":false,"currencyCode":"","showInputWidth":false,"rtpSeed":false,"consoleTabTitle":null,"consoleTabIcon":"custom:custom18","errorMessage":{"custom":[]},"stylesheet":{"newport":"","lightning":"","newportRtl":"","lightningRtl":""},"stepChartPlacement":"right","disableUnloadWarn":true,"scrollBehavior":"auto"} + LaronidaseInitialSubmission + LaronidaseInitialSubmission + LaronidaseInitialSubmission_LaronidaseInitialSubmission_English_1 + 1.0 + 35d1a07d-0705-d853-b1dc-b91051473558 + diff --git a/OmniStudio-Components/main/default/omniScripts/LaronidaseRenewalSubmission_LaronidaseRenewalSubmission_English_1.os-meta.xml b/OmniStudio-Components/main/default/omniScripts/LaronidaseRenewalSubmission_LaronidaseRenewalSubmission_English_1.os-meta.xml new file mode 100644 index 000000000..467ebc433 --- /dev/null +++ b/OmniStudio-Components/main/default/omniScripts/LaronidaseRenewalSubmission_LaronidaseRenewalSubmission_English_1.os-meta.xml @@ -0,0 +1,1033 @@ + + + Discovery Framework + 0 + {"ElementTypeToHTMLTemplateList":[]} + true + false + false + true + false + true + English + LARONIDASERENEWALSUBMISSION + + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q10 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Is there or has there been any indication of progression of the disease manifestations leading to severe disability despite drug therapy?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 10.0 + Radio + MPS1246_Initial_Disease_State_Q10 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q10_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 11.0 + Text Area + MPS1246_Initial_Disease_State_Q10_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q11 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Have there been any indications that the patient has severe infusion related adverse reactions that are either life threatening, disproportionately diminish quality of life or are not preventable by pre-medication with anti-histaminic and glucocorticoids?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 12.0 + Radio + MPS1246_Initial_Disease_State_Q11 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q11_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 13.0 + Text Area + MPS1246_Initial_Disease_State_Q11_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q12 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Have there been progression of other disease manifestations such that quality of life is no longer improving?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 14.0 + Radio + MPS1246_Initial_Disease_State_Q12 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q12_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 15.0 + Text Area + MPS1246_Initial_Disease_State_Q12_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q15 + 0.0 + { + "controlWidth" : 12.0, + "label" : "If the patient had HSCT, has 3 months passed? If patient is involved in clinical trial to assess ERT in post-HSCT patients, please specify.", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 16.0 + Radio + MPS1246_Initial_Disease_State_Q15 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q15_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 17.0 + Text Area + MPS1246_Initial_Disease_State_Q15_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q5 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Has there been a discussion with the patient and family which is documented in the patient’s medical record regarding the limitations of enzyme replacement therapy on disease manifestations?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 0.0 + Radio + MPS1246_Initial_Disease_State_Q5 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q5_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 1.0 + Text Area + MPS1246_Initial_Disease_State_Q5_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q6 + 0.0 + { + "controlWidth" : 12.0, + "label" : "For patients with manifestations of disease which are not amenable to enzyme replacement therapy, have there been discussions with the patient and family and documented in the medical record regarding the lack of efficacy of enzyme replacement therapy on those disease manifestations?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 2.0 + Radio + MPS1246_Initial_Disease_State_Q6 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q6_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 3.0 + Text Area + MPS1246_Initial_Disease_State_Q6_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q7 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Have clear and objective treatment outcomes to evaluate the effect of the treatment been established and discussed with the patient and family and documented in the patient’s medical record?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 4.0 + Radio + MPS1246_Initial_Disease_State_Q7 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q7_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 5.0 + Text Area + MPS1246_Initial_Disease_State_Q7_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q8 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Have there been discussions with the patient and family which are documented in the patient’s medical record to ensure that the patient and family are aware that treatment may be discontinued if the defined objectives of treatment are not achieved?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 6.0 + Radio + MPS1246_Initial_Disease_State_Q8 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q8_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 7.0 + Text Area + MPS1246_Initial_Disease_State_Q8_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q9 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Has the patient been adhering to regularly scheduled infusions and assessments?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 8.0 + Radio + MPS1246_Initial_Disease_State_Q9 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q9_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 9.0 + Text Area + MPS1246_Initial_Disease_State_Q9_R1 + + true + false + 1.0 + DISCONTINUATIONCRITERIA + 0.0 + { + "controlWidth" : 12, + "label" : "DISCONTINUATION CRITERIA", + "collapse" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false +} + 1.0 + Block + + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Renewal_Disease_State_Q1 + 0.0 + { + "controlWidth" : 12, + "label" : "Describe the patient’s clinical course since the last assessment or attach a consult note at the end of this form:", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 0.0 + Text Area + MPS1246_Renewal_Disease_State_Q1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Renewal_Disease_State_Q2 + 0.0 + { + "controlWidth" : 12, + "label" : "Please describe both positive and negative impacts this medication has had on the patient’s quality of life. Feel free to use any relevant age-appropriate quality of life tools.", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 1.0 + Text Area + MPS1246_Renewal_Disease_State_Q2 + + true + false + 1.0 + DISEASESTATEOVERVIEW + 0.0 + { + "controlWidth" : 12, + "label" : "DISEASE STATE OVERVIEW", + "collapse" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false +} + 0.0 + Block + + Discovery Framework + 0 + true + false + 0.0 + Aldurazyme-InilSubmission + 0.0 + { + "label" : "Aldurazyme - Initial Submission", + "validationRequired" : true, + "previousLabel" : "Previous", + "previousWidth" : 3.0, + "nextLabel" : "Next", + "nextWidth" : 3.0, + "cancelLabel" : "Cancel", + "cancelMessage" : "Are you sure?", + "saveLabel" : "Save for later", + "saveMessage" : "Are you sure you want to save it for later?", + "completeLabel" : "Complete", + "completeMessage" : "Are you sure you want to complete the script?", + "instruction" : "", + "showPersistentComponent" : [ true, false ], + "remoteClass" : "", + "remoteMethod" : "", + "remoteTimeout" : 30000.0, + "remoteOptions" : { }, + "knowledgeOptions" : { + "language" : "English", + "publishStatus" : "Online", + "keyword" : "", + "dataCategoryCriteria" : "", + "remoteTimeout" : 30000.0, + "typeFilter" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "HTMLTemplateId" : "", + "instructionKey" : "", + "chartLabel" : null, + "allowSaveForLater" : true, + "errorMessage" : { + "custom" : [ ], + "default" : null + }, + "wpm" : false, + "ssm" : false, + "message" : { }, + "pubsub" : false, + "businessCategory" : "", + "businessEvent" : "" +} + 0.0 + Step + + OmniScript + {"persistentComponent":[{"render":false,"label":"","remoteClass":"","remoteMethod":"","remoteTimeout":30000,"remoteOptions":{"preTransformBundle":"","postTransformBundle":""},"preTransformBundle":"","postTransformBundle":"","sendJSONPath":"","sendJSONNode":"","responseJSONPath":"","responseJSONNode":"","id":"vlcCart","itemsKey":"cartItems","modalConfigurationSetting":{"modalHTMLTemplateId":"vlcProductConfig.html","modalController":"ModalProductCtrl","modalSize":"lg"}},{"render":false,"dispOutsideOmni":false,"label":"","remoteClass":"","remoteMethod":"","remoteTimeout":30000,"remoteOptions":{"preTransformBundle":"","postTransformBundle":""},"preTransformBundle":"","postTransformBundle":"","id":"vlcKnowledge","itemsKey":"knowledgeItems","modalConfigurationSetting":{"modalHTMLTemplateId":"","modalController":"","modalSize":"lg"}}],"allowSaveForLater":true,"saveNameTemplate":null,"saveExpireInDays":null,"saveForLaterRedirectPageName":"sflRedirect","saveForLaterRedirectTemplateUrl":"vlcSaveForLaterAcknowledge.html","saveContentEncoded":false,"saveObjectId":"%ContextId%","saveURLPatterns":{},"autoSaveOnStepNext":false,"elementTypeToHTMLTemplateMapping":{},"seedDataJSON":{},"trackingCustomData":{},"enableKnowledge":false,"bLK":false,"lkObjName":null,"knowledgeArticleTypeQueryFieldsMap":{},"timeTracking":false,"hideStepChart":true,"mergeSavedData":false,"visualforcePagesAvailableInPreview":{},"cancelType":"SObject","allowCancel":true,"cancelSource":"%ContextId%","cancelRedirectPageName":"OmniScriptCancelled","cancelRedirectTemplateUrl":"vlcCancelled.html","consoleTabLabel":"New","wpm":false,"ssm":false,"message":{},"pubsub":false,"autoFocus":false,"currencyCode":"","showInputWidth":false,"rtpSeed":false,"consoleTabTitle":null,"consoleTabIcon":"custom:custom18","errorMessage":{"custom":[]},"stylesheet":{"newport":"","lightning":"","newportRtl":"","lightningRtl":""},"stepChartPlacement":"right","disableUnloadWarn":true,"scrollBehavior":"auto","currentLanguage":"en_US"} + LaronidaseRenewalSubmission + LaronidaseRenewalSubmission + LaronidaseRenewalSubmission_LaronidaseRenewalSubmission_English_1 + 1.0 + 36dfaed6-d691-e91a-0ca0-b9110218a863 + diff --git a/OmniStudio-Components/main/default/omniScripts/NaglazymeInitialSubmission_NaglazymeInitialSubmission_English_1.os-meta.xml b/OmniStudio-Components/main/default/omniScripts/NaglazymeInitialSubmission_NaglazymeInitialSubmission_English_1.os-meta.xml new file mode 100644 index 000000000..dd4389d5a --- /dev/null +++ b/OmniStudio-Components/main/default/omniScripts/NaglazymeInitialSubmission_NaglazymeInitialSubmission_English_1.os-meta.xml @@ -0,0 +1,978 @@ + + + Discovery Framework + 0 + {"ElementTypeToHTMLTemplateList":[]} + true + false + false + true + false + true + English + NAGLAZYMEINITIALSUBMISSION + + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q1 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Diagnostic Information", + "text" : "Diagnostic Information", + "show" : null, + "dataJSON" : false, + "HTMLTemplateId" : "", + "textKey" : "", + "sanitize" : false +} + 0.0 + Text Block + MPS1246_Initial_Disease_State_Q1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q10 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Is there or has there been any indication of progression of the disease manifestations leading to severe disability despite drug therapy?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 14.0 + Radio + MPS1246_Initial_Disease_State_Q10 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q10_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 15.0 + Text Area + MPS1246_Initial_Disease_State_Q10_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q11 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Have there been any indications that the patient has severe infusion related adverse reactions that are either life threatening, disproportionately diminish quality of life or are not preventable by pre-medication with anti-histaminic and glucocorticoids?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 16.0 + Radio + MPS1246_Initial_Disease_State_Q11 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q11_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 17.0 + Text Area + MPS1246_Initial_Disease_State_Q11_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q12 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Have there been progression of other disease manifestations such that quality of life is no longer improving?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 18.0 + Radio + MPS1246_Initial_Disease_State_Q12 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q12_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 19.0 + Text Area + MPS1246_Initial_Disease_State_Q12_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q2 + 0.0 + { + "controlWidth" : 12, + "label" : "Please describe biochemical and molecular confirmation of disease or attach any relevant documents at the end of this form.", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 1.0 + Text Area + MPS1246_Initial_Disease_State_Q2 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q3 + 0.0 + { + "controlWidth" : 12, + "label" : "Describe all relevant clinical information regarding the patient or attach a consult note at the end of this form:", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 2.0 + Text Area + MPS1246_Initial_Disease_State_Q3 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q4 + 0.0 + { + "controlWidth" : 12, + "label" : "Please describe the patient’s current quality of life. Feel free to use any relevant age-appropriate quality of life tools.", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 3.0 + Text Area + MPS1246_Initial_Disease_State_Q4 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q5 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Has there been a discussion with the patient and family which is documented in the patient’s medical record regarding the limitations of enzyme replacement therapy on disease manifestations?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 4.0 + Radio + MPS1246_Initial_Disease_State_Q5 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q5_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 5.0 + Text Area + MPS1246_Initial_Disease_State_Q5_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q6 + 0.0 + { + "controlWidth" : 12.0, + "label" : "For patients with manifestations of disease which are not amenable to enzyme replacement therapy, have there been discussions with the patient and family and documented in the medical record regarding the lack of efficacy of enzyme replacement therapy on those disease manifestations?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 6.0 + Radio + MPS1246_Initial_Disease_State_Q6 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q6_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 7.0 + Text Area + MPS1246_Initial_Disease_State_Q6_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q7 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Have clear and objective treatment outcomes to evaluate the effect of the treatment been established and discussed with the patient and family and documented in the patient’s medical record?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 8.0 + Radio + MPS1246_Initial_Disease_State_Q7 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q7_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 9.0 + Text Area + MPS1246_Initial_Disease_State_Q7_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q8 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Have there been discussions with the patient and family which are documented in the patient’s medical record to ensure that the patient and family are aware that treatment may be discontinued if the defined objectives of treatment are not achieved?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 10.0 + Radio + MPS1246_Initial_Disease_State_Q8 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q8_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 11.0 + Text Area + MPS1246_Initial_Disease_State_Q8_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q9 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Has the patient been adhering to regularly scheduled infusions and assessments?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 12.0 + Radio + MPS1246_Initial_Disease_State_Q9 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q9_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 13.0 + Text Area + MPS1246_Initial_Disease_State_Q9_R1 + + true + false + 1.0 + DISEASESTATEOVERVIEW + 0.0 + { + "controlWidth" : 12, + "label" : "DISEASE STATE OVERVIEW", + "collapse" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false +} + 0.0 + Block + + Discovery Framework + 0 + true + false + 0.0 + galsulfase-InitialSubmission + 0.0 + { + "label" : "galsulfase - Initial Submission", + "validationRequired" : true, + "previousLabel" : "Previous", + "previousWidth" : 3, + "nextLabel" : "Next", + "nextWidth" : 3, + "cancelLabel" : "Cancel", + "cancelMessage" : "Are you sure?", + "saveLabel" : "Save for later", + "saveMessage" : "Are you sure you want to save it for later?", + "completeLabel" : "Complete", + "completeMessage" : "Are you sure you want to complete the script?", + "instruction" : "", + "showPersistentComponent" : [ true, false ], + "remoteClass" : "", + "remoteMethod" : "", + "remoteTimeout" : 30000, + "remoteOptions" : { }, + "knowledgeOptions" : { + "language" : "English", + "publishStatus" : "Online", + "keyword" : "", + "dataCategoryCriteria" : "", + "remoteTimeout" : 30000, + "typeFilter" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "HTMLTemplateId" : "", + "instructionKey" : "", + "chartLabel" : null, + "allowSaveForLater" : true, + "errorMessage" : { + "custom" : [ ], + "default" : null + }, + "wpm" : false, + "ssm" : false, + "message" : { }, + "pubsub" : false, + "businessCategory" : "", + "businessEvent" : "" +} + 0.0 + Step + + OmniScript + {"persistentComponent":[{"render":false,"label":"","remoteClass":"","remoteMethod":"","remoteTimeout":30000,"remoteOptions":{"preTransformBundle":"","postTransformBundle":""},"preTransformBundle":"","postTransformBundle":"","sendJSONPath":"","sendJSONNode":"","responseJSONPath":"","responseJSONNode":"","id":"vlcCart","itemsKey":"cartItems","modalConfigurationSetting":{"modalHTMLTemplateId":"vlcProductConfig.html","modalController":"ModalProductCtrl","modalSize":"lg"}},{"render":false,"dispOutsideOmni":false,"label":"","remoteClass":"","remoteMethod":"","remoteTimeout":30000,"remoteOptions":{"preTransformBundle":"","postTransformBundle":""},"preTransformBundle":"","postTransformBundle":"","id":"vlcKnowledge","itemsKey":"knowledgeItems","modalConfigurationSetting":{"modalHTMLTemplateId":"","modalController":"","modalSize":"lg"}}],"allowSaveForLater":true,"saveNameTemplate":null,"saveExpireInDays":null,"saveForLaterRedirectPageName":"sflRedirect","saveForLaterRedirectTemplateUrl":"vlcSaveForLaterAcknowledge.html","saveContentEncoded":false,"saveObjectId":"%ContextId%","saveURLPatterns":{},"autoSaveOnStepNext":false,"elementTypeToHTMLTemplateMapping":{},"seedDataJSON":{},"trackingCustomData":{},"enableKnowledge":false,"bLK":false,"lkObjName":null,"knowledgeArticleTypeQueryFieldsMap":{},"timeTracking":false,"hideStepChart":true,"mergeSavedData":false,"visualforcePagesAvailableInPreview":{},"cancelType":"SObject","allowCancel":true,"cancelSource":"%ContextId%","cancelRedirectPageName":"OmniScriptCancelled","cancelRedirectTemplateUrl":"vlcCancelled.html","consoleTabLabel":"New","wpm":false,"ssm":false,"message":{},"pubsub":false,"autoFocus":false,"currencyCode":"","showInputWidth":false,"rtpSeed":false,"consoleTabTitle":null,"consoleTabIcon":"custom:custom18","errorMessage":{"custom":[]},"stylesheet":{"newport":"","lightning":"","newportRtl":"","lightningRtl":""},"stepChartPlacement":"right","disableUnloadWarn":true,"scrollBehavior":"auto","currentLanguage":"en_US"} + NaglazymeInitialSubmission + NaglazymeInitialSubmission + NaglazymeInitialSubmission_NaglazymeInitialSubmission_English_1 + 1.0 + dd04a654-6ad1-151f-2a95-0471b5485b2e + diff --git a/OmniStudio-Components/main/default/omniScripts/NaglazymeRenewalSubmission_NaglazymeRenewalSubmission_English_1.os-meta.xml b/OmniStudio-Components/main/default/omniScripts/NaglazymeRenewalSubmission_NaglazymeRenewalSubmission_English_1.os-meta.xml index a4ee5e8f8..4aa7a2724 100644 --- a/OmniStudio-Components/main/default/omniScripts/NaglazymeRenewalSubmission_NaglazymeRenewalSubmission_English_1.os-meta.xml +++ b/OmniStudio-Components/main/default/omniScripts/NaglazymeRenewalSubmission_NaglazymeRenewalSubmission_English_1.os-meta.xml @@ -20,11 +20,11 @@ true false 2.0 - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q1 + MPS1246_Initial_Disease_State_Q10 0.0 { "controlWidth" : 12.0, - "label" : "Is there or has there been any indication of rapid progression of the disease manifestations leading to severe disability despite drug therapy?", + "label" : "Is there or has there been any indication of progression of the disease manifestations leading to severe disability despite drug therapy?", "required" : false, "repeat" : false, "repeatClone" : false, @@ -65,9 +65,9 @@ "enableCaption" : true, "disOnTplt" : false } - 0.0 + 10.0 Radio - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q1 + MPS1246_Initial_Disease_State_Q10 Discovery Framework @@ -75,13 +75,13 @@ true false 2.0 - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q1_R1 + MPS1246_Initial_Disease_State_Q10_R1 0.0 { - "controlWidth" : 12.0, + "controlWidth" : 12, "label" : "Comments", "showInputWidth" : false, - "inputWidth" : 12.0, + "inputWidth" : 12, "required" : false, "repeat" : false, "repeatClone" : false, @@ -92,20 +92,20 @@ "helpText" : "", "pattern" : "", "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, "disOnTplt" : false } - 1.0 + 11.0 Text Area - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q1_R1 + MPS1246_Initial_Disease_State_Q10_R1 Discovery Framework @@ -113,11 +113,11 @@ true false 2.0 - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q2 + MPS1246_Initial_Disease_State_Q11 0.0 { "controlWidth" : 12.0, - "label" : "Is the estimated life span of the Patient expected to be less than two (2) years?", + "label" : "Have there been any indications that the patient has severe infusion related adverse reactions that are either life threatening, disproportionately diminish quality of life or are not preventable by pre-medication with anti-histaminic and glucocorticoids?", "required" : false, "repeat" : false, "repeatClone" : false, @@ -158,9 +158,9 @@ "enableCaption" : true, "disOnTplt" : false } - 2.0 + 12.0 Radio - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q2 + MPS1246_Initial_Disease_State_Q11 Discovery Framework @@ -168,13 +168,13 @@ true false 2.0 - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q2_R1 + MPS1246_Initial_Disease_State_Q11_R1 0.0 { - "controlWidth" : 12.0, + "controlWidth" : 12, "label" : "Comments", "showInputWidth" : false, - "inputWidth" : 12.0, + "inputWidth" : 12, "required" : false, "repeat" : false, "repeatClone" : false, @@ -185,20 +185,20 @@ "helpText" : "", "pattern" : "", "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, "disOnTplt" : false } - 3.0 + 13.0 Text Area - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q2_R1 + MPS1246_Initial_Disease_State_Q11_R1 Discovery Framework @@ -206,11 +206,11 @@ true false 2.0 - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q3 + MPS1246_Initial_Disease_State_Q12 0.0 { "controlWidth" : 12.0, - "label" : "Is there or has there been any indication the Patient has suffered a deterioration in quality of life related to the use of the drug leading to significant inability to attend work/school or requiring home care?", + "label" : "Have there been progression of other disease manifestations such that quality of life is no longer improving?", "required" : false, "repeat" : false, "repeatClone" : false, @@ -251,9 +251,9 @@ "enableCaption" : true, "disOnTplt" : false } - 4.0 + 14.0 Radio - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q3 + MPS1246_Initial_Disease_State_Q12 Discovery Framework @@ -261,13 +261,13 @@ true false 2.0 - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q3_R1 + MPS1246_Initial_Disease_State_Q12_R1 0.0 { - "controlWidth" : 12.0, + "controlWidth" : 12, "label" : "Comments", "showInputWidth" : false, - "inputWidth" : 12.0, + "inputWidth" : 12, "required" : false, "repeat" : false, "repeatClone" : false, @@ -278,20 +278,20 @@ "helpText" : "", "pattern" : "", "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, "disOnTplt" : false } - 5.0 + 15.0 Text Area - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q3_R1 + MPS1246_Initial_Disease_State_Q12_R1 Discovery Framework @@ -299,11 +299,11 @@ true false 2.0 - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q4 + MPS1246_Initial_Disease_State_Q5 0.0 { "controlWidth" : 12.0, - "label" : "Is there or has there been any indication the Patient has sever infusion related adverse reactions that are either life threatening or are not preventable by pre-medication with anti-histaminic and glucocorticoids?", + "label" : "Has there been a discussion with the patient and family which is documented in the patient’s medical record regarding the limitations of enzyme replacement therapy on disease manifestations?", "required" : false, "repeat" : false, "repeatClone" : false, @@ -344,9 +344,9 @@ "enableCaption" : true, "disOnTplt" : false } - 6.0 + 0.0 Radio - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q4 + MPS1246_Initial_Disease_State_Q5 Discovery Framework @@ -354,13 +354,13 @@ true false 2.0 - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q4_R1 + MPS1246_Initial_Disease_State_Q5_R1 0.0 { - "controlWidth" : 12.0, + "controlWidth" : 12, "label" : "Comments", "showInputWidth" : false, - "inputWidth" : 12.0, + "inputWidth" : 12, "required" : false, "repeat" : false, "repeatClone" : false, @@ -371,20 +371,20 @@ "helpText" : "", "pattern" : "", "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, "disOnTplt" : false } - 7.0 + 1.0 Text Area - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q4_R1 + MPS1246_Initial_Disease_State_Q5_R1 Discovery Framework @@ -392,11 +392,11 @@ true false 2.0 - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q5 + MPS1246_Initial_Disease_State_Q6 0.0 { "controlWidth" : 12.0, - "label" : "Is there or has there been any indication the Patient cannot or will not comply with the product administration schedule and follow up protocol required for optimum management of the disease?", + "label" : "For patients with manifestations of disease which are not amenable to enzyme replacement therapy, have there been discussions with the patient and family and documented in the medical record regarding the lack of efficacy of enzyme replacement therapy on those disease manifestations?", "required" : false, "repeat" : false, "repeatClone" : false, @@ -437,9 +437,9 @@ "enableCaption" : true, "disOnTplt" : false } - 8.0 + 2.0 Radio - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q5 + MPS1246_Initial_Disease_State_Q6 Discovery Framework @@ -447,13 +447,13 @@ true false 2.0 - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q5_R1 + MPS1246_Initial_Disease_State_Q6_R1 0.0 { - "controlWidth" : 12.0, + "controlWidth" : 12, "label" : "Comments", "showInputWidth" : false, - "inputWidth" : 12.0, + "inputWidth" : 12, "required" : false, "repeat" : false, "repeatClone" : false, @@ -464,20 +464,20 @@ "helpText" : "", "pattern" : "", "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, "disOnTplt" : false } - 9.0 + 3.0 Text Area - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q5_R1 + MPS1246_Initial_Disease_State_Q6_R1 Discovery Framework @@ -485,11 +485,11 @@ true false 2.0 - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q6 + MPS1246_Initial_Disease_State_Q7 0.0 { "controlWidth" : 12.0, - "label" : "Is there or has there been any indication the Patient has not or will not comply with measures to assess the effectiveness of the treatment?", + "label" : "Have clear and objective treatment outcomes to evaluate the effect of the treatment been established and discussed with the patient and family and documented in the patient’s medical record?", "required" : false, "repeat" : false, "repeatClone" : false, @@ -530,9 +530,9 @@ "enableCaption" : true, "disOnTplt" : false } - 10.0 + 4.0 Radio - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q6 + MPS1246_Initial_Disease_State_Q7 Discovery Framework @@ -540,13 +540,13 @@ true false 2.0 - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q6_R1 + MPS1246_Initial_Disease_State_Q7_R1 0.0 { - "controlWidth" : 12.0, + "controlWidth" : 12, "label" : "Comments", "showInputWidth" : false, - "inputWidth" : 12.0, + "inputWidth" : 12, "required" : false, "repeat" : false, "repeatClone" : false, @@ -557,20 +557,20 @@ "helpText" : "", "pattern" : "", "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, "disOnTplt" : false } - 11.0 + 5.0 Text Area - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q6_R1 + MPS1246_Initial_Disease_State_Q7_R1 Discovery Framework @@ -578,11 +578,11 @@ true false 2.0 - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q7 + MPS1246_Initial_Disease_State_Q8 0.0 { "controlWidth" : 12.0, - "label" : "Is there or has there been any indication the Patient will be leaving Canada or lose status as resident?", + "label" : "Have there been discussions with the patient and family which are documented in the patient’s medical record to ensure that the patient and family are aware that treatment may be discontinued if the defined objectives of treatment are not achieved?", "required" : false, "repeat" : false, "repeatClone" : false, @@ -623,9 +623,9 @@ "enableCaption" : true, "disOnTplt" : false } - 12.0 + 6.0 Radio - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q7 + MPS1246_Initial_Disease_State_Q8 Discovery Framework @@ -633,13 +633,13 @@ true false 2.0 - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q7_R1 + MPS1246_Initial_Disease_State_Q8_R1 0.0 { - "controlWidth" : 12.0, + "controlWidth" : 12, "label" : "Comments", "showInputWidth" : false, - "inputWidth" : 12.0, + "inputWidth" : 12, "required" : false, "repeat" : false, "repeatClone" : false, @@ -650,20 +650,20 @@ "helpText" : "", "pattern" : "", "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, "disOnTplt" : false } - 13.0 + 7.0 Text Area - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q7_R1 + MPS1246_Initial_Disease_State_Q8_R1 Discovery Framework @@ -671,11 +671,11 @@ true false 2.0 - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q8 + MPS1246_Initial_Disease_State_Q9 0.0 { "controlWidth" : 12.0, - "label" : "Is there or has there been any indication the Patient will develop a life threatening complication not treatable by other therapeutic measures and unlikely to benefit from further drug, ERT, BMT or stem cell therapy??", + "label" : "Has the patient been adhering to regularly scheduled infusions and assessments?", "required" : false, "repeat" : false, "repeatClone" : false, @@ -716,9 +716,9 @@ "enableCaption" : true, "disOnTplt" : false } - 14.0 + 8.0 Radio - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q8 + MPS1246_Initial_Disease_State_Q9 Discovery Framework @@ -726,13 +726,13 @@ true false 2.0 - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q8_R1 + MPS1246_Initial_Disease_State_Q9_R1 0.0 { - "controlWidth" : 12.0, + "controlWidth" : 12, "label" : "Comments", "showInputWidth" : false, - "inputWidth" : 12.0, + "inputWidth" : 12, "required" : false, "repeat" : false, "repeatClone" : false, @@ -743,29 +743,29 @@ "helpText" : "", "pattern" : "", "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, "disOnTplt" : false } - 15.0 + 9.0 Text Area - Mucopolysaccharidosistype6_Renew_Answer_The_Following_Q8_R1 + MPS1246_Initial_Disease_State_Q9_R1 true false 1.0 - AnswerTheFollowing + DISCONTINUATIONCRITERIA 0.0 { "controlWidth" : 12, - "label" : "Answer The Following", + "label" : "DISCONTINUATION CRITERIA", "collapse" : false, "repeat" : false, "repeatClone" : false, @@ -776,7 +776,7 @@ "HTMLTemplateId" : "", "hide" : false } - 3.0 + 1.0 Block @@ -786,13 +786,13 @@ true false 2.0 - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q1_R1 + MPS1246_Renewal_Disease_State_Q1 0.0 { - "controlWidth" : 4.0, - "label" : "Urinary GAG - Baseline value", + "controlWidth" : 12, + "label" : "Describe the patient’s clinical course since the last assessment or attach a consult note at the end of this form:", "showInputWidth" : false, - "inputWidth" : 12.0, + "inputWidth" : 12, "required" : false, "repeat" : false, "repeatClone" : false, @@ -803,208 +803,20 @@ "helpText" : "", "pattern" : "", "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, "disOnTplt" : false } 0.0 Text Area - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q1_R1 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q1_R2 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Date tested/measured", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "dateType" : "string", - "modelDateFormat" : "yyyy-MM-dd", - "dateFormat" : "MM-dd-yyyy", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false, - "minDate" : "", - "maxDate" : "" -} - 1.0 - Date - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q1_R2 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q1_R3 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Expected outcomes", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 2.0 - Text Area - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q1_R3 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q2_R1 - 0.0 - { - "controlWidth" : 4.0, - "label" : "3-minute stair climb test - Baseline value", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 3.0 - Text Area - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q2_R1 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q2_R2 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Date tested/measured", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "dateType" : "string", - "modelDateFormat" : "yyyy-MM-dd", - "dateFormat" : "MM-dd-yyyy", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false, - "minDate" : "", - "maxDate" : "" -} - 4.0 - Date - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q2_R2 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q2_R3 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Expected outcomes", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 5.0 - Text Area - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q2_R3 + MPS1246_Renewal_Disease_State_Q1 Discovery Framework @@ -1012,13 +824,13 @@ true false 2.0 - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q3_R1 + MPS1246_Renewal_Disease_State_Q2 0.0 { - "controlWidth" : 4.0, - "label" : "Joint range of motion - Baseline value", + "controlWidth" : 12, + "label" : "Please describe both positive and negative impacts this medication has had on the patient’s quality of life. Feel free to use any relevant age-appropriate quality of life tools.", "showInputWidth" : false, - "inputWidth" : 12.0, + "inputWidth" : 12, "required" : false, "repeat" : false, "repeatClone" : false, @@ -1029,963 +841,42 @@ "helpText" : "", "pattern" : "", "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, "disOnTplt" : false } - 6.0 + 1.0 Text Area - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q3_R1 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q3_R2 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Date tested/measured", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "dateType" : "string", - "modelDateFormat" : "yyyy-MM-dd", - "dateFormat" : "MM-dd-yyyy", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false, - "minDate" : "", - "maxDate" : "" -} - 7.0 - Date - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q3_R2 + MPS1246_Renewal_Disease_State_Q2 - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q3_R3 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Expected outcomes", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, + true + false + 1.0 + DISEASESTATEOVERVIEW + 0.0 + { + "controlWidth" : 12, + "label" : "DISEASE STATE OVERVIEW", + "collapse" : false, "repeat" : false, "repeatClone" : false, "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 8.0 - Text Area - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q3_R3 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q4_R1 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Pulmonary function test - Baseline value", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 9.0 - Text Area - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q4_R1 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q4_R2 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Date tested/measured", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "dateType" : "string", - "modelDateFormat" : "yyyy-MM-dd", - "dateFormat" : "MM-dd-yyyy", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false, - "minDate" : "", - "maxDate" : "" -} - 10.0 - Date - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q4_R2 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q4_R3 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Expected outcomes", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 11.0 - Text Area - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q4_R3 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q5_R1 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Cardiac status test - Baseline value", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 12.0 - Text Area - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q5_R1 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q5_R2 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Date tested/measured", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "dateType" : "string", - "modelDateFormat" : "yyyy-MM-dd", - "dateFormat" : "MM-dd-yyyy", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false, - "minDate" : "", - "maxDate" : "" -} - 13.0 - Date - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q5_R2 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q5_R3 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Expected outcomes", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 14.0 - Text Area - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q5_R3 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q6_R1 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Ophthalmology exam - Baseline value", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 15.0 - Text Area - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q6_R1 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q6_R2 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Date tested/measured", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "dateType" : "string", - "modelDateFormat" : "yyyy-MM-dd", - "dateFormat" : "MM-dd-yyyy", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false, - "minDate" : "", - "maxDate" : "" -} - 16.0 - Date - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q6_R2 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q6_R3 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Expected outcomes", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 17.0 - Text Area - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q6_R3 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q7_R1 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Sleep study if baseline not normal - Baseline value", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 18.0 - Text Area - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q7_R1 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q7_R2 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Date tested/measured", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "dateType" : "string", - "modelDateFormat" : "yyyy-MM-dd", - "dateFormat" : "MM-dd-yyyy", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false, - "minDate" : "", - "maxDate" : "" -} - 19.0 - Date - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q7_R2 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q7_R3 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Expected outcomes", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 20.0 - Text Area - Mucopolysaccharidosistype6_Renew_Primary_Outcomes_Q7_R3 - - true - false - 1.0 - Block1 - 0.0 - { - "controlWidth" : 12, - "label" : "Primary Outcomes", - "collapse" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false -} - 1.0 - Block - - - - Discovery Framework - 0 - true - false - 2.0 - MucopolysaccharidosisT6_Renew_Patients_Actual_Disease_Q1 - 0.0 - { - "controlWidth" : 12.0, - "label" : "Patient characteristics relevant to this review", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "mask" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 0.0 - Text - MucopolysaccharidosisT6_Renew_Patients_Actual_Disease_Q1 - - - Discovery Framework - 0 - true - false - 2.0 - MucopolysaccharidosisT6_Renew_Patients_Actual_Disease_Q2 - 0.0 - { - "controlWidth" : 12.0, - "label" : "Patient Quality of Life – has patient QOL improved with response? Provide most important specifics both positive and\r\nnegative to this patient", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "mask" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 1.0 - Text - MucopolysaccharidosisT6_Renew_Patients_Actual_Disease_Q2 - - true - false - 1.0 - Block2 - 0.0 - { - "controlWidth" : 12, - "label" : "Disease Information", - "collapse" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false + "hide" : false } 0.0 Block - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysaccharidosistype6_Renew_Patients_Actual_Outcomes_Q1 - 0.0 - { - "controlWidth" : 12.0, - "label" : "Urinary GAG", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "mask" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 0.0 - Text - Mucopolysaccharidosistype6_Renew_Patients_Actual_Outcomes_Q1 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysaccharidosistype6_Renew_Patients_Actual_Outcomes_Q2 - 0.0 - { - "controlWidth" : 12.0, - "label" : "3-minute stair climb test", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "mask" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 1.0 - Text - Mucopolysaccharidosistype6_Renew_Patients_Actual_Outcomes_Q2 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysaccharidosistype6_Renew_Patients_Actual_Outcomes_Q3 - 0.0 - { - "controlWidth" : 12.0, - "label" : "Joint range of motion", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "mask" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 2.0 - Text - Mucopolysaccharidosistype6_Renew_Patients_Actual_Outcomes_Q3 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysaccharidosistype6_Renew_Patients_Actual_Outcomes_Q4 - 0.0 - { - "controlWidth" : 12.0, - "label" : "Pulmonary function test", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "mask" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 3.0 - Text - Mucopolysaccharidosistype6_Renew_Patients_Actual_Outcomes_Q4 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysaccharidosistype6_Renew_Patients_Actual_Outcomes_Q5 - 0.0 - { - "controlWidth" : 12.0, - "label" : "Cardiac status test", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "mask" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 4.0 - Text - Mucopolysaccharidosistype6_Renew_Patients_Actual_Outcomes_Q5 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysaccharidosistype6_Renew_Patients_Actual_Outcomes_Q6 - 0.0 - { - "controlWidth" : 12.0, - "label" : "Ophthalmology exam", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "mask" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 5.0 - Text - Mucopolysaccharidosistype6_Renew_Patients_Actual_Outcomes_Q6 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysaccharidosistype6_Renew_Patients_Actual_Outcomes_Q7 - 0.0 - { - "controlWidth" : 12.0, - "label" : "Sleep study if baseline not normal", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false, - "timeType" : "string", - "modelTimeFormat" : "HH:mm:ss.sss'Z'", - "timeFormat" : "hh:mm a", - "minTime" : "", - "maxTime" : "", - "timeInterval" : 30.0 -} - 6.0 - Time - Mucopolysaccharidosistype6_Renew_Patients_Actual_Outcomes_Q7 - - true - false - 1.0 - PatientActualOutcomes - 0.0 - { - "controlWidth" : 12, - "label" : "Patient’s Actual Outcomes", - "collapse" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false -} - 2.0 - Block - Discovery Framework 0 true @@ -1997,9 +888,9 @@ "label" : "galsulfase - Renewal Submission", "validationRequired" : true, "previousLabel" : "Previous", - "previousWidth" : 3, + "previousWidth" : 3.0, "nextLabel" : "Next", - "nextWidth" : 3, + "nextWidth" : 3.0, "cancelLabel" : "Cancel", "cancelMessage" : "Are you sure?", "saveLabel" : "Save for later", @@ -2010,14 +901,14 @@ "showPersistentComponent" : [ true, false ], "remoteClass" : "", "remoteMethod" : "", - "remoteTimeout" : 30000, + "remoteTimeout" : 30000.0, "remoteOptions" : { }, "knowledgeOptions" : { "language" : "English", "publishStatus" : "Online", "keyword" : "", "dataCategoryCriteria" : "", - "remoteTimeout" : 30000, + "remoteTimeout" : 30000.0, "typeFilter" : "" }, "show" : null, @@ -2041,10 +932,10 @@ Step OmniScript - {"persistentComponent":[{"render":false,"label":"","remoteClass":"","remoteMethod":"","remoteTimeout":30000,"remoteOptions":{"preTransformBundle":"","postTransformBundle":""},"preTransformBundle":"","postTransformBundle":"","sendJSONPath":"","sendJSONNode":"","responseJSONPath":"","responseJSONNode":"","id":"vlcCart","itemsKey":"cartItems","modalConfigurationSetting":{"modalHTMLTemplateId":"vlcProductConfig.html","modalController":"ModalProductCtrl","modalSize":"lg"}},{"render":false,"dispOutsideOmni":false,"label":"","remoteClass":"","remoteMethod":"","remoteTimeout":30000,"remoteOptions":{"preTransformBundle":"","postTransformBundle":""},"preTransformBundle":"","postTransformBundle":"","id":"vlcKnowledge","itemsKey":"knowledgeItems","modalConfigurationSetting":{"modalHTMLTemplateId":"","modalController":"","modalSize":"lg"}}],"allowSaveForLater":true,"saveNameTemplate":null,"saveExpireInDays":null,"saveForLaterRedirectPageName":"sflRedirect","saveForLaterRedirectTemplateUrl":"vlcSaveForLaterAcknowledge.html","saveContentEncoded":false,"saveObjectId":"%ContextId%","saveURLPatterns":{},"autoSaveOnStepNext":false,"elementTypeToHTMLTemplateMapping":{},"seedDataJSON":{},"trackingCustomData":{},"enableKnowledge":false,"bLK":false,"lkObjName":null,"knowledgeArticleTypeQueryFieldsMap":{},"timeTracking":false,"hideStepChart":false,"mergeSavedData":false,"visualforcePagesAvailableInPreview":{},"cancelType":"SObject","allowCancel":true,"cancelSource":"%ContextId%","cancelRedirectPageName":"OmniScriptCancelled","cancelRedirectTemplateUrl":"vlcCancelled.html","consoleTabLabel":"New","wpm":false,"ssm":false,"message":{},"pubsub":false,"autoFocus":false,"currencyCode":"","showInputWidth":false,"rtpSeed":false,"consoleTabTitle":null,"consoleTabIcon":"custom:custom18","errorMessage":{"custom":[]},"stylesheet":{"newport":"","lightning":"","newportRtl":"","lightningRtl":""},"stepChartPlacement":"right","disableUnloadWarn":true,"scrollBehavior":"auto","currentLanguage":"en_US","allowLongLabels":true} + {"persistentComponent":[{"render":false,"label":"","remoteClass":"","remoteMethod":"","remoteTimeout":30000,"remoteOptions":{"preTransformBundle":"","postTransformBundle":""},"preTransformBundle":"","postTransformBundle":"","sendJSONPath":"","sendJSONNode":"","responseJSONPath":"","responseJSONNode":"","id":"vlcCart","itemsKey":"cartItems","modalConfigurationSetting":{"modalHTMLTemplateId":"vlcProductConfig.html","modalController":"ModalProductCtrl","modalSize":"lg"}},{"render":false,"dispOutsideOmni":false,"label":"","remoteClass":"","remoteMethod":"","remoteTimeout":30000,"remoteOptions":{"preTransformBundle":"","postTransformBundle":""},"preTransformBundle":"","postTransformBundle":"","id":"vlcKnowledge","itemsKey":"knowledgeItems","modalConfigurationSetting":{"modalHTMLTemplateId":"","modalController":"","modalSize":"lg"}}],"allowSaveForLater":true,"saveNameTemplate":null,"saveExpireInDays":null,"saveForLaterRedirectPageName":"sflRedirect","saveForLaterRedirectTemplateUrl":"vlcSaveForLaterAcknowledge.html","saveContentEncoded":false,"saveObjectId":"%ContextId%","saveURLPatterns":{},"autoSaveOnStepNext":false,"elementTypeToHTMLTemplateMapping":{},"seedDataJSON":{},"trackingCustomData":{},"enableKnowledge":false,"bLK":false,"lkObjName":null,"knowledgeArticleTypeQueryFieldsMap":{},"timeTracking":false,"hideStepChart":true,"mergeSavedData":false,"visualforcePagesAvailableInPreview":{},"cancelType":"SObject","allowCancel":true,"cancelSource":"%ContextId%","cancelRedirectPageName":"OmniScriptCancelled","cancelRedirectTemplateUrl":"vlcCancelled.html","consoleTabLabel":"New","wpm":false,"ssm":false,"message":{},"pubsub":false,"autoFocus":false,"currencyCode":"","showInputWidth":false,"rtpSeed":false,"consoleTabTitle":null,"consoleTabIcon":"custom:custom18","errorMessage":{"custom":[]},"stylesheet":{"newport":"","lightning":"","newportRtl":"","lightningRtl":""},"stepChartPlacement":"right","disableUnloadWarn":true,"scrollBehavior":"auto","currentLanguage":"en_US","allowLongLabels":true} NaglazymeRenewalSubmission NaglazymeRenewalSubmission NaglazymeRenewalSubmission_NaglazymeRenewalSubmission_English_1 1.0 - ec4b5223-fa40-16dd-d924-5ac93ac6bfd0 + 78857ba2-fb2d-cbdf-7cdd-1579a39fce00 diff --git a/OmniStudio-Components/main/default/omniScripts/VimizimInitialSubmission_VimizimInitialSubmission_English_1.os-meta.xml b/OmniStudio-Components/main/default/omniScripts/VimizimInitialSubmission_VimizimInitialSubmission_English_1.os-meta.xml index d72974c66..26f5499e0 100644 --- a/OmniStudio-Components/main/default/omniScripts/VimizimInitialSubmission_VimizimInitialSubmission_English_1.os-meta.xml +++ b/OmniStudio-Components/main/default/omniScripts/VimizimInitialSubmission_VimizimInitialSubmission_English_1.os-meta.xml @@ -20,12 +20,12 @@ true false 2.0 - Mucopolysaccharidosis_Type_IVA_Initial_Initial_Criteria_Q1 + MPS1246_Initial_Disease_State_Q1 0.0 { "controlWidth" : 12.0, - "label" : "A) Treatment should be provided under the care of a specialist with experience in the diagnosis and management of MPS IVA; and Patients must meet the initiation criteria as listed below", - "text" : "A) Treatment should be provided under the care of a specialist with experience in the diagnosis and management of MPS IVA; and Patients must meet the initiation criteria as listed below", + "label" : "Diagnostic Information", + "text" : "Diagnostic Information", "show" : null, "dataJSON" : false, "HTMLTemplateId" : "", @@ -34,41 +34,19 @@ } 0.0 Text Block - Mucopolysaccharidosis_Type_IVA_Initial_Initial_Criteria_Q1 + MPS1246_Initial_Disease_State_Q1 - true - false - 1.0 - Block2 - 0.0 - { - "controlWidth" : 12, - "label" : "Initial criteria", - "collapse" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false -} - 2.0 - Block - - Discovery Framework 0 true false 2.0 - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q1 + MPS1246_Initial_Disease_State_Q10 0.0 { "controlWidth" : 12.0, - "label" : "Orthopedic Evaluation (appropriate to age and clinical disease) including", + "label" : "Is there or has there been any indication of progression of the disease manifestations leading to severe disability despite drug therapy?", "required" : false, "repeat" : false, "repeatClone" : false, @@ -79,13 +57,15 @@ "help" : false, "helpText" : "", "options" : [ { - "name" : "Spinal and Cranial MRI", - "developerName" : "Spinal and Cranial MRI", - "value" : "Spinal and Cranial MRI" + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false }, { - "name" : "Skeletal X-ray", - "developerName" : "Skeletal X-ray", - "value" : "Skeletal X-ray" + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false } ], "optionSource" : { "type" : "", @@ -107,9 +87,9 @@ "enableCaption" : true, "disOnTplt" : false } - 0.0 - Multi-select - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q1 + 14.0 + Radio + MPS1246_Initial_Disease_State_Q10 Discovery Framework @@ -117,29 +97,37 @@ true false 2.0 - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q2 + MPS1246_Initial_Disease_State_Q10_R1 0.0 { - "controlWidth" : 12.0, - "label" : "Mobility measure: 6-minutes walking test (6MWT) and stair climb (if age and disease appropriate)", + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, "repeat" : false, "repeatClone" : false, "repeatLimit" : null, "readOnly" : false, - "defaultValue" : false, + "defaultValue" : null, "help" : false, "helpText" : "", - "checkLabel" : "Mobility measure: 6-minutes walking test (6MWT) and stair climb (if age and disease appropriate)", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, "disOnTplt" : false } - 1.0 - Checkbox - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q2 + 15.0 + Text Area + MPS1246_Initial_Disease_State_Q10_R1 Discovery Framework @@ -147,38 +135,54 @@ true false 2.0 - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q2_R1 + MPS1246_Initial_Disease_State_Q11 0.0 { "controlWidth" : 12.0, - "label" : "Baseline measure", - "showInputWidth" : false, - "inputWidth" : 12.0, + "label" : "Have there been any indications that the patient has severe infusion related adverse reactions that are either life threatening, disproportionately diminish quality of life or are not preventable by pre-medication with anti-histaminic and glucocorticoids?", "required" : false, "repeat" : false, "repeatClone" : false, "repeatLimit" : null, "readOnly" : false, + "horizontalMode" : false, "defaultValue" : null, "help" : false, "helpText" : "", - "mask" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, "HTMLTemplateId" : "", "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, "disOnTplt" : false } - 2.0 - Text - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q2_R1 + 16.0 + Radio + MPS1246_Initial_Disease_State_Q11 Discovery Framework @@ -186,13 +190,13 @@ true false 2.0 - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q2_R2 + MPS1246_Initial_Disease_State_Q11_R1 0.0 { - "controlWidth" : 12.0, - "label" : "Baseline date", + "controlWidth" : 12, + "label" : "Comments", "showInputWidth" : false, - "inputWidth" : 12.0, + "inputWidth" : 12, "required" : false, "repeat" : false, "repeatClone" : false, @@ -201,21 +205,22 @@ "defaultValue" : null, "help" : false, "helpText" : "", - "dateType" : "string", - "modelDateFormat" : "yyyy-MM-dd", - "dateFormat" : "MM-dd-yyyy", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, - "disOnTplt" : false, - "minDate" : "", - "maxDate" : "" + "disOnTplt" : false } - 3.0 - Date - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q2_R2 + 17.0 + Text Area + MPS1246_Initial_Disease_State_Q11_R1 Discovery Framework @@ -223,11 +228,11 @@ true false 2.0 - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q3 + MPS1246_Initial_Disease_State_Q12 0.0 { "controlWidth" : 12.0, - "label" : "Respiratory function testing including sleep study (age appropriate)", + "label" : "Have there been progression of other disease manifestations such that quality of life is no longer improving?", "required" : false, "repeat" : false, "repeatClone" : false, @@ -238,13 +243,15 @@ "help" : false, "helpText" : "", "options" : [ { - "name" : "FVC", - "developerName" : "FVC", - "value" : "FVC" + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false }, { - "name" : "FEV-1", - "developerName" : "FEV-1", - "value" : "FEV-1" + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false } ], "optionSource" : { "type" : "", @@ -266,9 +273,9 @@ "enableCaption" : true, "disOnTplt" : false } - 4.0 - Multi-select - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q3 + 18.0 + Radio + MPS1246_Initial_Disease_State_Q12 Discovery Framework @@ -276,13 +283,13 @@ true false 2.0 - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q3_R1 + MPS1246_Initial_Disease_State_Q12_R1 0.0 { - "controlWidth" : 12.0, - "label" : "Measure score", + "controlWidth" : 12, + "label" : "Comments", "showInputWidth" : false, - "inputWidth" : 12.0, + "inputWidth" : 12, "required" : false, "repeat" : false, "repeatClone" : false, @@ -291,23 +298,22 @@ "defaultValue" : null, "help" : false, "helpText" : "", - "mask" : "", "pattern" : "", "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, "disOnTplt" : false } - 5.0 - Text - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q3_R1 + 19.0 + Text Area + MPS1246_Initial_Disease_State_Q12_R1 Discovery Framework @@ -315,13 +321,68 @@ true false 2.0 - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q3_R2 + MPS1246_Initial_Disease_State_Q16 0.0 { "controlWidth" : 12.0, - "label" : "Date of measure", + "label" : "Is the patient’s forced vital capacity less than 0.3 litres?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 20.0 + Radio + MPS1246_Initial_Disease_State_Q16 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q16_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", "showInputWidth" : false, - "inputWidth" : 12.0, + "inputWidth" : 12, "required" : false, "repeat" : false, "repeatClone" : false, @@ -330,21 +391,22 @@ "defaultValue" : null, "help" : false, "helpText" : "", - "dateType" : "string", - "modelDateFormat" : "yyyy-MM-dd", - "dateFormat" : "MM-dd-yyyy", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, - "disOnTplt" : false, - "minDate" : "", - "maxDate" : "" + "disOnTplt" : false } - 6.0 - Date - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q3_R2 + 21.0 + Text Area + MPS1246_Initial_Disease_State_Q16_R1 Discovery Framework @@ -352,29 +414,54 @@ true false 2.0 - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q4 + MPS1246_Initial_Disease_State_Q17 0.0 { "controlWidth" : 12.0, - "label" : "Documentation of mobility aide requirement", + "label" : "Does the patient require continuous ventilator assistance?", + "required" : false, "repeat" : false, "repeatClone" : false, "repeatLimit" : null, "readOnly" : false, - "defaultValue" : false, + "horizontalMode" : false, + "defaultValue" : null, "help" : false, "helpText" : "", - "checkLabel" : "Documentation of mobility aide requirement", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, "HTMLTemplateId" : "", "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, "disOnTplt" : false } - 10.0 - Checkbox - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q4 + 22.0 + Radio + MPS1246_Initial_Disease_State_Q17 Discovery Framework @@ -382,29 +469,37 @@ true false 2.0 - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q5 + MPS1246_Initial_Disease_State_Q17_R1 0.0 { - "controlWidth" : 12.0, - "label" : "Requirement for respiratory aides including ventilation status and changes in respiratory support requirements", + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, "repeat" : false, "repeatClone" : false, "repeatLimit" : null, "readOnly" : false, - "defaultValue" : false, + "defaultValue" : null, "help" : false, "helpText" : "", - "checkLabel" : "Requirement for respiratory aides including ventilation status and changes in respiratory support requirements", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, "disOnTplt" : false } - 11.0 - Checkbox - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q5 + 23.0 + Text Area + MPS1246_Initial_Disease_State_Q17_R1 Discovery Framework @@ -412,29 +507,37 @@ true false 2.0 - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q6 + MPS1246_Initial_Disease_State_Q2 0.0 { - "controlWidth" : 12.0, - "label" : "Ophthalmologic and ENT assessment", + "controlWidth" : 12, + "label" : "Please describe biochemical and molecular confirmation of disease or attach any relevant documents at the end of this form.", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, "repeat" : false, "repeatClone" : false, "repeatLimit" : null, "readOnly" : false, - "defaultValue" : false, + "defaultValue" : null, "help" : false, "helpText" : "", - "checkLabel" : "Ophthalmologic and ENT assessment", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, "disOnTplt" : false } - 12.0 - Checkbox - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q6 + 1.0 + Text Area + MPS1246_Initial_Disease_State_Q2 Discovery Framework @@ -442,29 +545,37 @@ true false 2.0 - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q7 + MPS1246_Initial_Disease_State_Q3 0.0 { - "controlWidth" : 12.0, - "label" : "Urine keratin sulfate (KS) determination (specific KS determination preferred over total glycosaminoglycans (GAGs))", + "controlWidth" : 12, + "label" : "Describe all relevant clinical information regarding the patient or attach a consult note at the end of this form:", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, "repeat" : false, "repeatClone" : false, "repeatLimit" : null, "readOnly" : false, - "defaultValue" : false, + "defaultValue" : null, "help" : false, "helpText" : "", - "checkLabel" : "Urine keratin sulfate (KS) determination (specific KS determination preferred over total glycosaminoglycans (GAGs))", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, "disOnTplt" : false } - 13.0 - Checkbox - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q7 + 2.0 + Text Area + MPS1246_Initial_Disease_State_Q3 Discovery Framework @@ -472,29 +583,37 @@ true false 2.0 - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q8 + MPS1246_Initial_Disease_State_Q4 0.0 { - "controlWidth" : 12.0, - "label" : "Cardiac echocardiogram", + "controlWidth" : 12, + "label" : "Please describe the patient’s current quality of life. Feel free to use any relevant age-appropriate quality of life tools.", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, "repeat" : false, "repeatClone" : false, "repeatLimit" : null, "readOnly" : false, - "defaultValue" : false, + "defaultValue" : null, "help" : false, "helpText" : "", - "checkLabel" : "Cardiac echocardiogram", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, "disOnTplt" : false } - 14.0 - Checkbox - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q8 + 3.0 + Text Area + MPS1246_Initial_Disease_State_Q4 Discovery Framework @@ -502,11 +621,11 @@ true false 2.0 - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q9 + MPS1246_Initial_Disease_State_Q5 0.0 { "controlWidth" : 12.0, - "label" : "Age appropriate quality of life measure", + "label" : "Has there been a discussion with the patient and family which is documented in the patient’s medical record regarding the limitations of enzyme replacement therapy on disease manifestations?", "required" : false, "repeat" : false, "repeatClone" : false, @@ -517,21 +636,15 @@ "help" : false, "helpText" : "", "options" : [ { - "name" : "HAQ", - "developerName" : "HAQ", - "value" : "HAQ" - }, { - "name" : "PODCI", - "developerName" : "PODCI", - "value" : "PODCI" - }, { - "name" : "EQ5D5L", - "developerName" : "EQ5D5L", - "value" : "EQ5D5L" + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false }, { - "name" : "SF36", - "developerName" : "SF36", - "value" : "SF36" + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false } ], "optionSource" : { "type" : "", @@ -553,9 +666,9 @@ "enableCaption" : true, "disOnTplt" : false } - 7.0 - Multi-select - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q9 + 4.0 + Radio + MPS1246_Initial_Disease_State_Q5 Discovery Framework @@ -563,13 +676,13 @@ true false 2.0 - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q9_R1 + MPS1246_Initial_Disease_State_Q5_R1 0.0 { - "controlWidth" : 12.0, - "label" : "Measure score", + "controlWidth" : 12, + "label" : "Comments", "showInputWidth" : false, - "inputWidth" : 12.0, + "inputWidth" : 12, "required" : false, "repeat" : false, "repeatClone" : false, @@ -580,20 +693,20 @@ "helpText" : "", "pattern" : "", "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, "disOnTplt" : false } - 8.0 + 5.0 Text Area - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q9_R1 + MPS1246_Initial_Disease_State_Q5_R1 Discovery Framework @@ -601,116 +714,68 @@ true false 2.0 - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q9_R2 + MPS1246_Initial_Disease_State_Q6 0.0 { "controlWidth" : 12.0, - "label" : "Date of measure", - "showInputWidth" : false, - "inputWidth" : 12.0, + "label" : "For patients with manifestations of disease which are not amenable to enzyme replacement therapy, have there been discussions with the patient and family and documented in the medical record regarding the lack of efficacy of enzyme replacement therapy on those disease manifestations?", "required" : false, "repeat" : false, "repeatClone" : false, "repeatLimit" : null, "readOnly" : false, + "horizontalMode" : false, "defaultValue" : null, "help" : false, "helpText" : "", - "dateType" : "string", - "modelDateFormat" : "yyyy-MM-dd", - "dateFormat" : "MM-dd-yyyy", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, "HTMLTemplateId" : "", "hide" : false, - "disOnTplt" : false, - "minDate" : "", - "maxDate" : "" + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false } - 9.0 - Date - Mucopolysaccharidosis_Type_IVA_Initial_Patient_Evaluation_Q9_R2 + 6.0 + Radio + MPS1246_Initial_Disease_State_Q6 - true - false - 1.0 - Block4 - 0.0 - { - "controlWidth" : 12, - "label" : "Patient Evaluation (Please check box where appropriate", - "collapse" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false -} - 4.0 - Block - - Discovery Framework 0 true false 2.0 - Mucopolysaccharidosis_Type_IVA_Initial_Confirmed_Diagnosis_Q1 + MPS1246_Initial_Disease_State_Q6_R1 0.0 { - "controlWidth" : 12.0, - "label" : "Attach evidence of confirmed diagnostic testing of N-acetylgalacosamine-6 sulfate sulfatase (GALNS) activity in peripheral blood leukocytes or fibroblasts (excluding multiple sulfatase deficiency) through enzymatic assay AND Morquio A gene mutation analysis.(Please attach diagnostic testing on the next screen)", - "text" : "Attach evidence of confirmed diagnostic testing of N-acetylgalacosamine-6 sulfate sulfatase (GALNS) activity in peripheral blood leukocytes or fibroblasts (excluding multiple sulfatase deficiency) through enzymatic assay AND Morquio A gene mutation analysis.(Please attach diagnostic testing on the next screen)", - "show" : null, - "dataJSON" : false, - "HTMLTemplateId" : "", - "textKey" : "", - "sanitize" : false -} - 0.0 - Text Block - Mucopolysaccharidosis_Type_IVA_Initial_Confirmed_Diagnosis_Q1 - - true - false - 1.0 - Confirmed_diagnosis - 0.0 - { "controlWidth" : 12, - "label" : "Confirmed diagnosis", - "collapse" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false -} - 3.0 - Block - - - - Discovery Framework - 0 - true - false - 2.0 - NCLBrineura_Submission_DiseaseInformation_Q1 - 0.0 - { - "controlWidth" : 4.0, - "label" : "Confirmed Diagnosis\r\nDate: DD-MM-YYYY", + "label" : "Comments", "showInputWidth" : false, - "inputWidth" : 12.0, + "inputWidth" : 12, "required" : false, "repeat" : false, "repeatClone" : false, @@ -719,55 +784,34 @@ "defaultValue" : null, "help" : false, "helpText" : "", - "dateType" : "string", - "modelDateFormat" : "yyyy-MM-dd", - "dateFormat" : "MM-dd-yyyy", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, - "disOnTplt" : false, - "minDate" : "", - "maxDate" : "" + "disOnTplt" : false } - 0.0 - Date - NCLBrineura_Submission_DiseaseInformation_Q1 + 7.0 + Text Area + MPS1246_Initial_Disease_State_Q6_R1 - true - false - 1.0 - DiseaseInformation - 0.0 - { - "controlWidth" : 12, - "label" : "Disease Information", - "collapse" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false -} - 0.0 - Block - - Discovery Framework 0 true false 2.0 - Mucopolysaccharidosis_Type_IVA_Initial_Exclusion_Criteria_Q1 + MPS1246_Initial_Disease_State_Q7 0.0 { "controlWidth" : 12.0, - "label" : "Has the patient been diagnosed with an additional progressive life-limiting condition where treatment would not provide long-term benefit (such as cancer or multiple sclerosis)?", + "label" : "Have clear and objective treatment outcomes to evaluate the effect of the treatment been established and discussed with the patient and family and documented in the patient’s medical record?", "required" : false, "repeat" : false, "repeatClone" : false, @@ -808,9 +852,9 @@ "enableCaption" : true, "disOnTplt" : false } - 0.0 + 8.0 Radio - Mucopolysaccharidosis_Type_IVA_Initial_Exclusion_Criteria_Q1 + MPS1246_Initial_Disease_State_Q7 Discovery Framework @@ -818,13 +862,13 @@ true false 2.0 - Mucopolysaccharidosis_Type_IVA_Initial_Exclusion_Criteria_Q1_R1 + MPS1246_Initial_Disease_State_Q7_R1 0.0 { - "controlWidth" : 12.0, - "label" : "Please identify diagnosis", + "controlWidth" : 12, + "label" : "Comments", "showInputWidth" : false, - "inputWidth" : 12.0, + "inputWidth" : 12, "required" : false, "repeat" : false, "repeatClone" : false, @@ -835,29 +879,20 @@ "helpText" : "", "pattern" : "", "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : { - "group" : { - "operator" : "AND", - "rules" : [ { - "data" : "Yes", - "condition" : "=", - "field" : "Mucopolysaccharidosis_Type_IVA_Initial_Exclusion_Criteria_Q1" - } ] - } - }, + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, "disOnTplt" : false } - 1.0 + 9.0 Text Area - Mucopolysaccharidosis_Type_IVA_Initial_Exclusion_Criteria_Q1_R1 + MPS1246_Initial_Disease_State_Q7_R1 Discovery Framework @@ -865,11 +900,11 @@ true false 2.0 - Mucopolysaccharidosis_Type_IVA_Initial_Exclusion_Criteria_Q2 + MPS1246_Initial_Disease_State_Q8 0.0 { "controlWidth" : 12.0, - "label" : "Is the patients forced vital capacity (FVC) less than 0.3 liters?", + "label" : "Have there been discussions with the patient and family which are documented in the patient’s medical record to ensure that the patient and family are aware that treatment may be discontinued if the defined objectives of treatment are not achieved?", "required" : false, "repeat" : false, "repeatClone" : false, @@ -910,9 +945,9 @@ "enableCaption" : true, "disOnTplt" : false } - 2.0 + 10.0 Radio - Mucopolysaccharidosis_Type_IVA_Initial_Exclusion_Criteria_Q2 + MPS1246_Initial_Disease_State_Q8 Discovery Framework @@ -920,54 +955,37 @@ true false 2.0 - Mucopolysaccharidosis_Type_IVA_Initial_Exclusion_Criteria_Q3 + MPS1246_Initial_Disease_State_Q8_R1 0.0 { - "controlWidth" : 12.0, - "label" : "Does the patient require continuous ventilator assistance?", + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, "required" : false, "repeat" : false, "repeatClone" : false, "repeatLimit" : null, "readOnly" : false, - "horizontalMode" : false, "defaultValue" : null, "help" : false, "helpText" : "", - "options" : [ { - "name" : "Yes", - "developerName" : "Yes", - "value" : "Yes", - "setAll" : false - }, { - "name" : "No", - "developerName" : "No", - "value" : "No", - "setAll" : false - } ], - "optionSource" : { - "type" : "", - "source" : "" - }, - "controllingField" : { - "element" : "", - "type" : "", - "source" : "" - }, + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, - "optionWidth" : 100.0, - "optionHeight" : 100.0, - "imageCountInRow" : 3.0, - "enableCaption" : true, "disOnTplt" : false } - 3.0 - Radio - Mucopolysaccharidosis_Type_IVA_Initial_Exclusion_Criteria_Q3 + 11.0 + Text Area + MPS1246_Initial_Disease_State_Q8_R1 Discovery Framework @@ -975,11 +993,11 @@ true false 2.0 - Mucopolysaccharidosis_Type_IVA_Initial_Exclusion_Criteria_Q4 + MPS1246_Initial_Disease_State_Q9 0.0 { "controlWidth" : 12.0, - "label" : "Is the patient/family unwilling to comply with the associated monitoring criteria?", + "label" : "Has the patient been adhering to regularly scheduled infusions and assessments?", "required" : false, "repeat" : false, "repeatClone" : false, @@ -1020,83 +1038,23 @@ "enableCaption" : true, "disOnTplt" : false } - 4.0 + 12.0 Radio - Mucopolysaccharidosis_Type_IVA_Initial_Exclusion_Criteria_Q4 + MPS1246_Initial_Disease_State_Q9 - true - false - 1.0 - Exclusion_Criteria - 0.0 - { - "controlWidth" : 12, - "label" : "Exclusion Criteria. (Patient will not be started on elosulfase alfa if any of the following apply.)", - "collapse" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "HTMLTemplateId" : "", - "hide" : false -} - 5.0 - Block - - Discovery Framework 0 true false 2.0 - Mucopolysaccharidosis_Type_IVA_Initial_Patient_History_Q1 + MPS1246_Initial_Disease_State_Q9_R1 0.0 { - "controlWidth" : 12.0, - "label" : "Please include disease progression, other treatments tried, surgeries, medical admissions, subspecialty assessments, & patient characteristics relevant to this review", - "showInputWidth" : false, - "inputWidth" : 12.0, - "required" : false, - "repeat" : false, - "repeatClone" : false, - "repeatLimit" : null, - "readOnly" : false, - "defaultValue" : null, - "help" : false, - "helpText" : "", - "pattern" : "", - "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", - "show" : null, - "conditionType" : "Hide if False", - "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, - "HTMLTemplateId" : "", - "hide" : false, - "disOnTplt" : false -} - 0.0 - Text Area - Mucopolysaccharidosis_Type_IVA_Initial_Patient_History_Q1 - - - Discovery Framework - 0 - true - false - 2.0 - Mucopolysaccharidosis_Type_IVA_Initial_Patient_History_Q2 - 0.0 - { - "controlWidth" : 12.0, - "label" : "Additional information to support submission", + "controlWidth" : 12, + "label" : "Comments", "showInputWidth" : false, - "inputWidth" : 12.0, + "inputWidth" : 12, "required" : false, "repeat" : false, "repeatClone" : false, @@ -1107,29 +1065,29 @@ "helpText" : "", "pattern" : "", "ptrnErrText" : "", - "minLength" : 0.0, - "maxLength" : 255.0, - "placeholder" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", "show" : null, "conditionType" : "Hide if False", "accessibleInFutureSteps" : false, - "debounceValue" : 0.0, + "debounceValue" : 0, "HTMLTemplateId" : "", "hide" : false, "disOnTplt" : false } - 1.0 + 13.0 Text Area - Mucopolysaccharidosis_Type_IVA_Initial_Patient_History_Q2 + MPS1246_Initial_Disease_State_Q9_R1 true false 1.0 - Patient_History + DISEASESTATEOVERVIEW 0.0 { "controlWidth" : 12, - "label" : "Patient History", + "label" : "DISEASE STATE OVERVIEW", "collapse" : false, "repeat" : false, "repeatClone" : false, @@ -1140,7 +1098,7 @@ "HTMLTemplateId" : "", "hide" : false } - 1.0 + 0.0 Block Discovery Framework @@ -1148,7 +1106,7 @@ true false 0.0 - elosulfasealfa-InitialSubmission + elosulfasealfa-Initial Submission 0.0 { "label" : "elosulfase alfa - Initial Submission", @@ -1203,5 +1161,5 @@ VimizimInitialSubmission VimizimInitialSubmission_VimizimInitialSubmission_English_1 1.0 - 90e1a747-ca48-100e-44cb-93d8fa1c0271 + 10d4d9a8-5dd4-8c35-7a2b-fa500860e633 diff --git a/OmniStudio-Components/main/default/omniScripts/VimzimRenewalSubmission_VimzimRenewalSubmission_English_1.os-meta.xml b/OmniStudio-Components/main/default/omniScripts/VimzimRenewalSubmission_VimzimRenewalSubmission_English_1.os-meta.xml new file mode 100644 index 000000000..b5b5a651d --- /dev/null +++ b/OmniStudio-Components/main/default/omniScripts/VimzimRenewalSubmission_VimzimRenewalSubmission_English_1.os-meta.xml @@ -0,0 +1,1405 @@ + + + Discovery Framework + 0 + {"ElementTypeToHTMLTemplateList":[]} + true + false + false + true + false + true + English + VIMIZIMRENEWALSUBMISSION + + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q10 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Is there or has there been any indication of progression of the disease manifestations leading to severe disability despite drug therapy?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 10.0 + Radio + MPS1246_Initial_Disease_State_Q10 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q10_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 11.0 + Text Area + MPS1246_Initial_Disease_State_Q10_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q11 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Have there been any indications that the patient has severe infusion related adverse reactions that are either life threatening, disproportionately diminish quality of life or are not preventable by pre-medication with anti-histaminic and glucocorticoids?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 12.0 + Radio + MPS1246_Initial_Disease_State_Q11 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q11_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 13.0 + Text Area + MPS1246_Initial_Disease_State_Q11_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q12 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Have there been progression of other disease manifestations such that quality of life is no longer improving?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 14.0 + Radio + MPS1246_Initial_Disease_State_Q12 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q12_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 15.0 + Text Area + MPS1246_Initial_Disease_State_Q12_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q13 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Does the patient have a forced vital capacity less than 0.3 or require continuous respiratory support?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 16.0 + Radio + MPS1246_Initial_Disease_State_Q13 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q13_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 17.0 + Text Area + MPS1246_Initial_Disease_State_Q13_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q5 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Has there been a discussion with the patient and family which is documented in the patient’s medical record regarding the limitations of enzyme replacement therapy on disease manifestations?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 0.0 + Radio + MPS1246_Initial_Disease_State_Q5 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q5_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 1.0 + Text Area + MPS1246_Initial_Disease_State_Q5_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q6 + 0.0 + { + "controlWidth" : 12.0, + "label" : "For patients with manifestations of disease which are not amenable to enzyme replacement therapy, have there been discussions with the patient and family and documented in the medical record regarding the lack of efficacy of enzyme replacement therapy on those disease manifestations?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 2.0 + Radio + MPS1246_Initial_Disease_State_Q6 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q6_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 3.0 + Text Area + MPS1246_Initial_Disease_State_Q6_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q7 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Have clear and objective treatment outcomes to evaluate the effect of the treatment been established and discussed with the patient and family and documented in the patient’s medical record?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 4.0 + Radio + MPS1246_Initial_Disease_State_Q7 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q7_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 5.0 + Text Area + MPS1246_Initial_Disease_State_Q7_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q8 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Have there been discussions with the patient and family which are documented in the patient’s medical record to ensure that the patient and family are aware that treatment may be discontinued if the defined objectives of treatment are not achieved?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 6.0 + Radio + MPS1246_Initial_Disease_State_Q8 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q8_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 7.0 + Text Area + MPS1246_Initial_Disease_State_Q8_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q9 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Has the patient been adhering to regularly scheduled infusions and assessments?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 8.0 + Radio + MPS1246_Initial_Disease_State_Q9 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Initial_Disease_State_Q9_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 9.0 + Text Area + MPS1246_Initial_Disease_State_Q9_R1 + + true + false + 1.0 + DISCONTINUATIONCRITERIA + 0.0 + { + "controlWidth" : 12, + "label" : "DISCONTINUATION CRITERIA", + "collapse" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false +} + 1.0 + Block + + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Renewal_Disease_State_Q1 + 0.0 + { + "controlWidth" : 12, + "label" : "Describe the patient’s clinical course since the last assessment or attach a consult note at the end of this form:", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 0.0 + Text Area + MPS1246_Renewal_Disease_State_Q1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Renewal_Disease_State_Q2 + 0.0 + { + "controlWidth" : 12, + "label" : "Please describe both positive and negative impacts this medication has had on the patient’s quality of life. Feel free to use any relevant age-appropriate quality of life tools.", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 1.0 + Text Area + MPS1246_Renewal_Disease_State_Q2 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Renewal_Disease_State_Q3 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Has the patient’s 6-minute walk test or stair climb test stabilized or improved by at least 5% from baseline?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 2.0 + Radio + MPS1246_Renewal_Disease_State_Q3 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Renewal_Disease_State_Q3_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments:", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 3.0 + Text Area + MPS1246_Renewal_Disease_State_Q3_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Renewal_Disease_State_Q4 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Has forced vital capacity or forced expiratory volume in one second (FEV1) stabilized or improved by at least 5% from baseline or remained within 2 standard deviations of normal for the patient’s age?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 4.0 + Radio + MPS1246_Renewal_Disease_State_Q4 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Renewal_Disease_State_Q4_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments:", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 5.0 + Text Area + MPS1246_Renewal_Disease_State_Q4_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Renewal_Disease_State_Q5 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Has there been a reduction in KS by 20%?", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 6.0 + Radio + MPS1246_Renewal_Disease_State_Q5 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Renewal_Disease_State_Q5_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments:", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 7.0 + Text Area + MPS1246_Renewal_Disease_State_Q5_R1 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Renewal_Disease_State_Q6 + 0.0 + { + "controlWidth" : 12.0, + "label" : "Has stability of cardiac ejection fraction been achieved? (Stability is defined as an ejection fraction within 5% of baseline)", + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "horizontalMode" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "options" : [ { + "name" : "Yes", + "developerName" : "Yes", + "value" : "Yes", + "setAll" : false + }, { + "name" : "No", + "developerName" : "No", + "value" : "No", + "setAll" : false + } ], + "optionSource" : { + "type" : "", + "source" : "" + }, + "controllingField" : { + "element" : "", + "type" : "", + "source" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false, + "optionWidth" : 100.0, + "optionHeight" : 100.0, + "imageCountInRow" : 3.0, + "enableCaption" : true, + "disOnTplt" : false +} + 8.0 + Radio + MPS1246_Renewal_Disease_State_Q6 + + + Discovery Framework + 0 + true + false + 2.0 + MPS1246_Renewal_Disease_State_Q6_R1 + 0.0 + { + "controlWidth" : 12, + "label" : "Comments:", + "showInputWidth" : false, + "inputWidth" : 12, + "required" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "readOnly" : false, + "defaultValue" : null, + "help" : false, + "helpText" : "", + "pattern" : "", + "ptrnErrText" : "", + "minLength" : 0, + "maxLength" : 32000, + "placeholder" : "Enter Details", + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "debounceValue" : 0, + "HTMLTemplateId" : "", + "hide" : false, + "disOnTplt" : false +} + 9.0 + Text Area + MPS1246_Renewal_Disease_State_Q6_R1 + + true + false + 1.0 + DISEASESTATEOVERVIEW + 0.0 + { + "controlWidth" : 12, + "label" : "DISEASE STATE OVERVIEW", + "collapse" : false, + "repeat" : false, + "repeatClone" : false, + "repeatLimit" : null, + "show" : null, + "conditionType" : "Hide if False", + "accessibleInFutureSteps" : false, + "HTMLTemplateId" : "", + "hide" : false +} + 0.0 + Block + + Discovery Framework + 0 + true + false + 0.0 + elosulfasealfa-RenewalSubmission + 0.0 + { + "label" : "elosulfase alfa - Renewal Submission", + "validationRequired" : true, + "previousLabel" : "Previous", + "previousWidth" : 3.0, + "nextLabel" : "Next", + "nextWidth" : 3.0, + "cancelLabel" : "Cancel", + "cancelMessage" : "Are you sure?", + "saveLabel" : "Save for later", + "saveMessage" : "Are you sure you want to save it for later?", + "completeLabel" : "Complete", + "completeMessage" : "Are you sure you want to complete the script?", + "instruction" : "", + "showPersistentComponent" : [ true, false ], + "remoteClass" : "", + "remoteMethod" : "", + "remoteTimeout" : 30000.0, + "remoteOptions" : { }, + "knowledgeOptions" : { + "language" : "English", + "publishStatus" : "Online", + "keyword" : "", + "dataCategoryCriteria" : "", + "remoteTimeout" : 30000.0, + "typeFilter" : "" + }, + "show" : null, + "conditionType" : "Hide if False", + "HTMLTemplateId" : "", + "instructionKey" : "", + "chartLabel" : null, + "allowSaveForLater" : true, + "errorMessage" : { + "custom" : [ ], + "default" : null + }, + "wpm" : false, + "ssm" : false, + "message" : { }, + "pubsub" : false, + "businessCategory" : "", + "businessEvent" : "" +} + 0.0 + Step + + OmniScript + {"persistentComponent":[{"render":false,"label":"","remoteClass":"","remoteMethod":"","remoteTimeout":30000,"remoteOptions":{"preTransformBundle":"","postTransformBundle":""},"preTransformBundle":"","postTransformBundle":"","sendJSONPath":"","sendJSONNode":"","responseJSONPath":"","responseJSONNode":"","id":"vlcCart","itemsKey":"cartItems","modalConfigurationSetting":{"modalHTMLTemplateId":"vlcProductConfig.html","modalController":"ModalProductCtrl","modalSize":"lg"}},{"render":false,"dispOutsideOmni":false,"label":"","remoteClass":"","remoteMethod":"","remoteTimeout":30000,"remoteOptions":{"preTransformBundle":"","postTransformBundle":""},"preTransformBundle":"","postTransformBundle":"","id":"vlcKnowledge","itemsKey":"knowledgeItems","modalConfigurationSetting":{"modalHTMLTemplateId":"","modalController":"","modalSize":"lg"}}],"allowSaveForLater":true,"saveNameTemplate":null,"saveExpireInDays":null,"saveForLaterRedirectPageName":"sflRedirect","saveForLaterRedirectTemplateUrl":"vlcSaveForLaterAcknowledge.html","saveContentEncoded":false,"saveObjectId":"%ContextId%","saveURLPatterns":{},"autoSaveOnStepNext":false,"elementTypeToHTMLTemplateMapping":{},"seedDataJSON":{},"trackingCustomData":{},"enableKnowledge":false,"bLK":false,"lkObjName":null,"knowledgeArticleTypeQueryFieldsMap":{},"timeTracking":false,"hideStepChart":true,"mergeSavedData":false,"visualforcePagesAvailableInPreview":{},"cancelType":"SObject","allowCancel":true,"cancelSource":"%ContextId%","cancelRedirectPageName":"OmniScriptCancelled","cancelRedirectTemplateUrl":"vlcCancelled.html","consoleTabLabel":"New","wpm":false,"ssm":false,"message":{},"pubsub":false,"autoFocus":false,"currencyCode":"","showInputWidth":false,"rtpSeed":false,"consoleTabTitle":null,"consoleTabIcon":"custom:custom18","errorMessage":{"custom":[]},"stylesheet":{"newport":"","lightning":"","newportRtl":"","lightningRtl":""},"stepChartPlacement":"right","disableUnloadWarn":true,"scrollBehavior":"auto"} + VimzimRenewalSubmission + VimzimRenewalSubmission + VimzimRenewalSubmission_VimzimRenewalSubmission_English_1 + 1.0 + 34ee2843-7ee7-ddf4-d79c-08b2b61d4c3f +