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This form is used to design questions that will be built in the question library. Each question must be in its own group. Consider items, layout and integrations. Choose which pages to display by selecting from the list.
Library Question Section
⛔️ Needs fixing
HEADER: Registrant Information
Name
Pronouns
Gender
Language
Phone
Birth date
Email
Address
Display this if "Core Demographics" EXISTS
Health card number
Primary care provider
Marital status
Custody status
Living arrangements
SECTION: Alternate Contact
Relationship to registrant
Legal relationship
HEADER: Health Information
Referral urgency
Diagnosis
Reason for referral
Relevant medical history
Weight
Height
Allergies
Medications
Risk factors
HEADER: Appointments
Conduct appointment with
Preferred contact time
Home visit information
HEADER: Additional Information
Attachments
Comments
Contact information
name, phone, employer, job title
First name
Last name
Extension
Organization / Employer
Job title
Standardized consent
Need the "type" field for all these library items to map to the correct field (registrant, contact 1, etc...)
