PeerScribe/formstr/sample.json

{
  "name": "X Pharmacy ",
  "schemaVersion": "v1",
  "settings": {
    "titleImageUrl": "https://www.studentdoctor.net/wp-content/uploads/2018/08/20180815_prescription.png",
    "description": "Testing formstr for getting prescriptions",
    "thankYouPage": true
  },
  "fields": [
    {
      "question": "Location",
      "answerType": "dropdown",
      "answerSettings": {
        "choices": [
          {
            "label": "Narnia",
            "choiceId": "ae9DZi"
          },
          {
            "label": "Hogwarts",
            "choiceId": "Dx4gyn"
          },
          {
            "label": "Mordor",
            "choiceId": "oWygzo"
          },
          {
            "label": "Tattooine",
            "choiceId": "dLgxns"
          }
        ],
        "required": true
      },
      "questionId": "V7yEc2"
    },
    {
      "question": "Patient",
      "answerType": "label",
      "answerSettings": {},
      "questionId": "BPfwxq"
    },
    {
      "question": "Name",
      "answerType": "shortText",
      "answerSettings": {},
      "questionId": "HLydbI"
    },
    {
      "question": "Date Of Birth ",
      "answerType": "date",
      "answerSettings": {},
      "questionId": "lzpBhA"
    },
    {
      "question": "Address",
      "answerType": "paragraph",
      "answerSettings": {},
      "questionId": "Mvajrv"
    },
    {
      "question": "Phone",
      "answerType": "shortText",
      "answerSettings": {},
      "questionId": "PjTnfM"
    },
    {
      "question": "Allergies",
      "answerType": "shortText",
      "answerSettings": {},
      "questionId": "UMfscG"
    },
    {
      "question": "Current Meds ",
      "answerType": "shortText",
      "answerSettings": {},
      "questionId": "Cc8lih"
    },
    {
      "question": "Medications",
      "answerType": "label",
      "answerSettings": {},
      "questionId": "0R7uhf"
    },
    {
      "question": "Name",
      "answerType": "shortText",
      "answerSettings": {},
      "questionId": "WXJScB"
    },
    {
      "question": "Dosage Form",
      "answerType": "shortText",
      "answerSettings": {},
      "questionId": "BxEwHQ"
    },
    {
      "question": "Strength",
      "answerType": "shortText",
      "answerSettings": {},
      "questionId": "q2nC6e"
    },
    {
      "question": "Quantiy ",
      "answerType": "number",
      "answerSettings": {},
      "questionId": "fz68UV"
    },
    {
      "question": "Re-fills",
      "answerType": "shortText",
      "answerSettings": {},
      "questionId": "9SdbyN"
    },
    {
      "question": "Directions",
      "answerType": "paragraph",
      "answerSettings": {},
      "questionId": "6FrcPv"
    }
  ]
}