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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Form Renderer with AngularJS</title>
<style>
textarea {
width: 100%;
height: 100px;
}
</style>
<script src="https://ajax.googleapis.com/ajax/libs/angularjs/1.8.2/angular.min.js"></script>
<script src="https://cdn.tailwindcss.com"></script>
<script src="https://form-builder.aidbox.app/static/aidbox-forms-renderer-webcomponent.js"></script>
</head>
<body ng-app="formRendererApp" ng-controller="FormRendererController">
<div class="flex flex-col h-screen w-full">
<header
class="sticky top-0 z-20 flex flex-shrink-0 h-16 w-full items-center justify-between bg-white px-4 shadow-sm md:px-6">
<nav class="flex items-center gap-6">
<button class="md:hidden text-2xl h-8 w-8 grid place-items-center leading-none rounded-full"
ng-click="toggleSidebar()"
ng-class="{'bg-gray-200': sidebarOpen}">
<div class="-mt-1.5">
☰
</div>
</button>
<a href="#" class="flex items-center gap-2 text-lg font-semibold md:text-base">
<svg
xmlns="http://www.w3.org/2000/svg"
width="24"
height="24"
viewBox="0 0 24 24"
fill="none"
stroke="currentColor"
stroke-width="2"
stroke-linecap="round"
stroke-linejoin="round"
class="h-6 w-6"
>
<path d="M12 6v4"></path>
<path d="M14 14h-4"></path>
<path d="M14 18h-4"></path>
<path d="M14 8h-4"></path>
<path d="M18 12h2a2 2 0 0 1 2 2v6a2 2 0 0 1-2 2H4a2 2 0 0 1-2-2v-9a2 2 0 0 1 2-2h2"></path>
<path d="M18 22V4a2 2 0 0 0-2-2H8a2 2 0 0 0-2 2v18"></path>
</svg>
<span class="sr-only">Medical Care System</span>
</a>
<div class="hidden gap-6 text-sm font-medium md:flex">
<a class="font-bold" href="#">
Questionnaires
</a>
<a class="text-gray-500" href="#">
Clients
</a>
<a class="text-gray-500" href="#">
Questionnaire Responses
</a>
</div>
</nav>
<div class="flex items-center gap-2">
<button
class="inline-flex items-center justify-center whitespace-nowrap text-sm font-medium ring-offset-background transition-colors focus-visible:outline-none focus-visible:ring-2 focus-visible:ring-ring focus-visible:ring-offset-2 disabled:pointer-events-none disabled:opacity-50 hover:bg-accent hover:text-accent-foreground h-10 w-10 rounded-full">
<img
src="https://generated.vusercontent.net/placeholder.svg"
width="32"
height="32"
class="rounded-full"
alt="Avatar"
style="aspect-ratio: 32 / 32; object-fit: cover;"
/>
<span class="sr-only">Toggle user menu</span>
</button>
</div>
</header>
<div class="flex flex-1 relative">
<div class="flex flex-col bg-gray-100 p-4 w-[260px] z-10 max-w-full transition-all duration-100 top-0 bottom-0 absolute md:relative -left-full md:left-0"
ng-class="{'left-0 shadow-lg': sidebarOpen}">
<div class="mb-4 flex items-center justify-between">
<h3 class="text-lg font-semibold">Questionnaires</h3>
</div>
<div class="overflow-auto mb-4">
<nav class="grid gap-2">
<button
ng-repeat="questionnaire in questionnaires"
class="rounded-md bg-white p-2 text-sm font-medium transition-colors hover:bg-gray-200 text-left pr-4 relative"
ng-on-click="selectQuestionnaire($index)"
>
{{ questionnaire.title }}
<span
ng-if="ready && $index === currentQuestionnaireIndex"
class="bg-red-500 outline outline-2 outline-red-200 w-2 h-2 rounded-full absolute right-3 top-1/2 -translate-y-1/2"
>
<span class="sr-only">Currently viewing</span>
</span>
</button>
</nav>
</div>
<button
class="mt-auto border rounded text-sm text-orange-600 hover:text-orange-500 hover:border-orange-500 active:bg-orange-600 active:text-white border-orange-600 p-2 pr-4"
ng-on-click="changeTheme()"
>
Apply custom theme
</button>
</div>
<main class="flex-1 flex"
ng-class="{'brightness-50': sidebarOpen}">
<aidbox-form-renderer
style="width: 100%; border: none; align-self: stretch; display: flex"
questionnaire="{{ questionnaire }}"
ng-on-change="handleChange($event)"
ng-on-ready="handleReady($event)"
config='{{ config }}'
>
</aidbox-form-renderer>
</main>
</div>
</div>
<script>
const template = {
"title": "New Form",
"status": "draft",
"url": "http://forms.aidbox.io/questionnaire/hello",
"resourceType": "Questionnaire",
"item": [
{
"type": "text",
"text": "Your name",
"linkId": "WZumQFoB"
}
]
}
angular.module('formRendererApp', [])
.controller('FormRendererController', ['$scope', function ($scope) {
$scope.ready = false;
$scope.currentQuestionnaireIndex = 0;
$scope.questionnaires = [
{
"title": "ROS",
"id": "9d0aed9e-0e56-4d2d-afc4-6b291cbc98e1",
"status": "draft",
"url": "http://forms.aidbox.io/questionnaire/ros",
"version": "0.1.0",
"resourceType": "Questionnaire",
"item": [
{
"text": "Information pre-populated from a popup such as an HPI must be changed on that popup to prevent conflicting documentation.",
"type": "display",
"linkId": "c0452f9f-bc18-444c-99ab-74b3ec7f0459"
},
{
"text": "ROS Defaults",
"type": "string",
"linkId": "1",
"extension": [
{
"url": "http://aidbox.io/questionnaire-itemColumnSize",
"valueInteger": 12
}
]
},
{
"item": [
{
"text": "All negative",
"type": "boolean",
"linkId": "2.1"
},
{
"item": [
{
"text": "Chills",
"type": "choice",
"linkId": "2.2.1",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"code": "radio-button"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%resource.repeat(item).where(linkId='2.1').answer.value= true, %qitem.answerOption.valueCoding.where(code='option-1'))"
}
}
],
"answerOption": [
{
"valueCoding": {
"code": "option-1",
"system": "urn:oid:my-code-system",
"display": "Neg"
}
},
{
"valueCoding": {
"code": "option-2",
"system": "urn:oid:my-code-system",
"display": "Pos"
}
}
]
},
{
"text": "Fatigue",
"type": "choice",
"linkId": "2.2.2",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"code": "radio-button"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%resource.repeat(item).where(linkId='2.1').answer.value= true, %qitem.answerOption.valueCoding.where(code='option-1'))"
}
}
],
"answerOption": [
{
"valueCoding": {
"code": "option-1",
"system": "urn:oid:my-code-system",
"display": "Neg"
}
},
{
"valueCoding": {
"code": "option-2",
"system": "urn:oid:my-code-system",
"display": "Pos"
}
}
]
},
{
"text": "Fever",
"type": "choice",
"linkId": "2.2.3",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"code": "radio-button"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%resource.repeat(item).where(linkId='2.1').answer.value= true, %qitem.answerOption.valueCoding.where(code='option-1'))"
}
}
],
"answerOption": [
{
"valueCoding": {
"code": "option-1",
"system": "urn:oid:my-code-system",
"display": "Neg"
}
},
{
"valueCoding": {
"code": "option-2",
"system": "urn:oid:my-code-system",
"display": "Pos"
}
}
]
},
{
"text": "Malaise",
"type": "choice",
"linkId": "2.2.4",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"code": "radio-button"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%resource.repeat(item).where(linkId='2.1').answer.value= true, %qitem.answerOption.valueCoding.where(code='option-1'))"
}
}
],
"answerOption": [
{
"valueCoding": {
"code": "option-1",
"system": "urn:oid:my-code-system",
"display": "Neg"
}
},
{
"valueCoding": {
"code": "option-2",
"system": "urn:oid:my-code-system",
"display": "Pos"
}
}
]
},
{
"text": "Night sweats",
"type": "choice",
"linkId": "2.2.5",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"code": "radio-button"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%resource.repeat(item).where(linkId='2.1').answer.value= true, %qitem.answerOption.valueCoding.where(code='option-1'))"
}
}
],
"answerOption": [
{
"valueCoding": {
"code": "option-1",
"system": "urn:oid:my-code-system",
"display": "Neg"
}
},
{
"valueCoding": {
"code": "option-2",
"system": "urn:oid:my-code-system",
"display": "Pos"
}
}
]
},
{
"text": "Weight gain",
"type": "choice",
"linkId": "2.2.6",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"code": "radio-button"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%resource.repeat(item).where(linkId='2.1').answer.value= true, %qitem.answerOption.valueCoding.where(code='option-1'))"
}
}
],
"answerOption": [
{
"valueCoding": {
"code": "option-1",
"system": "urn:oid:my-code-system",
"display": "Neg"
}
},
{
"valueCoding": {
"code": "option-2",
"system": "urn:oid:my-code-system",
"display": "Pos"
}
}
]
},
{
"text": "Weight loss",
"type": "choice",
"linkId": "2.2.7",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"code": "radio-button"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%resource.repeat(item).where(linkId='2.1').answer.value= true, %qitem.answerOption.valueCoding.where(code='option-1'))"
}
}
],
"answerOption": [
{
"valueCoding": {
"code": "option-1",
"system": "urn:oid:my-code-system",
"display": "Neg"
}
},
{
"valueCoding": {
"code": "option-2",
"system": "urn:oid:my-code-system",
"display": "Pos"
}
}
]
},
{
"text": "Other",
"type": "choice",
"linkId": "2.2.8",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"code": "radio-button"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://aidbox.io/questionnaire-itemColumnSize",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%resource.repeat(item).where(linkId='2.1').answer.value= true, %qitem.answerOption.valueCoding.where(code='option-1'))"
}
}
],
"answerOption": [
{
"valueCoding": {
"code": "option-1",
"system": "urn:oid:my-code-system",
"display": "Neg"
}
},
{
"valueCoding": {
"code": "option-2",
"system": "urn:oid:my-code-system",
"display": "Pos"
}
}
]
}
],
"type": "group",
"linkId": "2.2.0",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"code": "table"
}
]
}
}
]
},
{
"text": "Comment",
"type": "string",
"linkId": "2.2",
"enableWhen": [
{
"operator": "=",
"question": "2.2.8",
"answerCoding": {
"code": "option-2",
"system": "urn:oid:my-code-system",
"display": "Pos"
}
}
],
"enableBehavior": "any"
}
],
"text": "Constitutional ",
"type": "group",
"linkId": "2",
"extension": [
{
"url": "http://aidbox.io/questionnaire-itemColumnSize",
"valueInteger": 6
}
]
},
{
"item": [
{
"text": "All negative",
"type": "boolean",
"linkId": "3.1"
},
{
"item": [
{
"text": "Chest pain",
"type": "choice",
"linkId": "3.2.1",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"code": "radio-button"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%resource.repeat(item).where(linkId='3.1').answer.value= true, %qitem.answerOption.valueCoding.where(code='option-1'))"
}
}
],
"answerOption": [
{
"valueCoding": {
"code": "option-1",
"system": "urn:oid:my-code-system",
"display": "Neg"
}
},
{
"valueCoding": {
"code": "option-2",
"system": "urn:oid:my-code-system",
"display": "Pos"
}
}
]
},
{
"text": "Claudication",
"type": "choice",
"linkId": "3.2.2",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"code": "radio-button"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%resource.repeat(item).where(linkId='3.1').answer.value= true, %qitem.answerOption.valueCoding.where(code='option-1'))"
}
}
],
"answerOption": [
{
"valueCoding": {
"code": "option-1",
"system": "urn:oid:my-code-system",
"display": "Neg"
}
},
{
"valueCoding": {
"code": "option-2",
"system": "urn:oid:my-code-system",
"display": "Pos"
}
}
]
},
{
"text": "Edema",
"type": "choice",
"linkId": "3.2.3",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"code": "radio-button"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%resource.repeat(item).where(linkId='3.1').answer.value= true, %qitem.answerOption.valueCoding.where(code='option-1'))"
}
}
],
"answerOption": [
{
"valueCoding": {
"code": "option-1",
"system": "urn:oid:my-code-system",
"display": "Neg"
}
},
{
"valueCoding": {
"code": "option-2",
"system": "urn:oid:my-code-system",
"display": "Pos"
}
}
]
},
{
"text": "Palpitations",
"type": "choice",
"linkId": "3.2.4",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"code": "radio-button"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%resource.repeat(item).where(linkId='3.1').answer.value= true, %qitem.answerOption.valueCoding.where(code='option-1'))"
}
}
],
"answerOption": [
{
"valueCoding": {
"code": "option-1",
"system": "urn:oid:my-code-system",
"display": "Neg"
}
},
{
"valueCoding": {
"code": "option-2",
"system": "urn:oid:my-code-system",
"display": "Pos"
}
}
]
},
{
"text": "Other",
"type": "choice",
"linkId": "3.2.5",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"code": "radio-button"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://aidbox.io/questionnaire-itemColumnSize",
"valueInteger": 6
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%resource.repeat(item).where(linkId='3.1').answer.value= true, %qitem.answerOption.valueCoding.where(code='option-1'))"
}
}
],
"answerOption": [
{
"valueCoding": {
"code": "option-1",
"system": "urn:oid:my-code-system",
"display": "Neg"
}
},
{
"valueCoding": {
"code": "option-2",
"system": "urn:oid:my-code-system",
"display": "Pos"
}
}
]
}
],
"type": "group",
"linkId": "3.2",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"code": "table"
}
]
}
}
]
},
{
"text": "Comment",
"type": "string",
"linkId": "3.3",
"extension": [
{
"url": "http://aidbox.io/questionnaire-itemColumnSize",
"valueInteger": 12
}
],
"enableWhen": [
{
"operator": "=",
"question": "3.2.5",
"answerCoding": {
"code": "option-2",
"system": "urn:oid:my-code-system",
"display": "Pos"
}
}
],
"enableBehavior": "any"
}
],
"text": "Cardiovascular",
"type": "group",
"linkId": "3",
"extension": [
{
"url": "http://aidbox.io/questionnaire-itemColumnSize",
"valueInteger": 6
}
]
},
{
"item": [
{
"text": "All negative",
"type": "boolean",
"linkId": "4.1"
},
{
"item": [
{
"text": "Abnormal Pap",
"type": "choice",
"linkId": "4.2.1",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"code": "radio-button"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%resource.repeat(item).where(linkId='4.1').answer.value= true, %qitem.answerOption.valueCoding.where(code='option-1'))"
}
}
],
"answerOption": [
{
"valueCoding": {
"code": "option-1",
"system": "urn:oid:my-code-system",
"display": "Neg"
}
},
{
"valueCoding": {
"code": "option-2",
"system": "urn:oid:my-code-system",
"display": "Pos"
}
}
]
},
{
"text": "Dysmenorrhea",
"type": "choice",
"linkId": "4.2.2",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"code": "radio-button"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%resource.repeat(item).where(linkId='4.1').answer.value= true, %qitem.answerOption.valueCoding.where(code='option-1'))"
}
}
],
"answerOption": [
{
"valueCoding": {
"code": "option-1",
"system": "urn:oid:my-code-system",
"display": "Neg"
}
},
{
"valueCoding": {
"code": "option-2",
"system": "urn:oid:my-code-system",
"display": "Pos"
}
}
]
},
{
"text": "Dyspareunia",
"type": "choice",
"linkId": "4.2.3",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"code": "radio-button"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%resource.repeat(item).where(linkId='4.1').answer.value= true, %qitem.answerOption.valueCoding.where(code='option-1'))"
}
}
],
"answerOption": [
{
"valueCoding": {
"code": "option-1",
"system": "urn:oid:my-code-system",
"display": "Neg"
}
},
{
"valueCoding": {
"code": "option-2",
"system": "urn:oid:my-code-system",
"display": "Pos"
}
}
]
},
{