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The requirements for registration form templates must include:

  • "json-registration" type for Form Discriminator
  • tag of "registration"

Failure of doing the above will cause problems for processing registration payload and record creation. 

mUzima Registration Form Template allows users to create a new client record on the mobile device. 

The sample registration form template for AMPATH include the following fields.

  • Patient's Name
    • Family Name
    • Given Name
    • Middle Name
  • Person
    • Sex
    • Record Date of Birth by (birthdate or age)
    • Date of Birth
    • Age in years
    • Estimated birthdate
  • Address
    • County
    • Location
    • Sub-location
    • Village
  • Person Attribute Types
    • Phone Number
    • Mother's Name
  • Patient Identifiers
    • AMRS Universal ID
    • AMRS Medical Record Number
    • CCC Number
    • HCT ID
    • Kenyan National ID Number
    • MTCT Plus ID
    • MTRH Hospital Number
    • Old AMPATH Medical Record Number
    • PMTCT ID
  • Encounter
    • Location
    • Provider
    • Date
  • No labels