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Preg women adolescent #46

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226 changes: 226 additions & 0 deletions cpovc_forms/forms.py
Original file line number Diff line number Diff line change
Expand Up @@ -8180,3 +8180,229 @@ class DREAMS_FORM(forms.Form):
#'data-parsley-required': "true",
#'data-parsley-group': 'group0',
'rows': '3'}))


#Pregnant Women_Adolescent
class PREGNANT_WOMEN_ADOLESCENT(forms.Form):
org_units_list = get_facility_list()
# HIV_STATUS_CHOICES=(('1', 'Skilled'), ('0', 'Unskilled'))
PWA_WA1_01 = forms.ChoiceField(
choices=(('contact', '1st Contact'), ('tri', '1st Trimester'),('3rd', '3rd Trimester'),('4th', 'Labour/Delivery'),),
widget=forms.RadioSelect(
# renderer=RadioCustomRenderer,
attrs={
# 'data-parsley-errors-container': "#errorfield"
}))

PMTCT_PWA6q = forms.DateField(
required=False,
widget=forms.widgets.DateInput(
# format="%m/%d/%Y",
attrs={'placeholder': _('Date'),
'class': 'form-control',
'name': 'PMTCT_PWA6q',
'id': 'PMTCT_PWA6q',
'autocomplete': "off",
# 'data-parsley-required': "true",
# 'data-parsley-group': 'group0'
}))

PMTCT_PWA7q = forms.ChoiceField(
required=False,
choices=(('1', 'HIV_Positive'), ('0', 'HIV_Negative'),),
widget=forms.RadioSelect(
# renderer=RadioCustomRenderer,
attrs={
# 'data-parsley-required': 'true',
# 'data-parsley-errors-container': "#errorfield"
}))

PMTCT_PWA8q = forms.DateField(
required=False,
widget=forms.widgets.DateInput(
# format="%Y/%m/%d",
attrs={'placeholder': _('Date'),
'class': 'form-control',
'name': 'PMTCT_PWA8q',
'id': 'PMTCT_PWA8q',
'autocomplete': "off",
# 'data-parsley-required': "true",
# 'data-parsley-group': 'group0'
}))

PMTCT_PWA9q = forms.ChoiceField(
required=False,
choices=(('1', 'HIV_Positive'), ('0', 'HIV_Negative'),),
widget=forms.RadioSelect(
# renderer=RadioCustomRenderer,
attrs={
# 'data-parsley-required': 'true',
# 'data-parsley-errors-container': "#errorfield"
}))

PMTCT_PWA10q = forms.DateField(
required=False,
widget=forms.widgets.DateInput(
# format="%Y/%m/%d",
attrs={'placeholder': _('Date'),
'class': 'form-control',
'name': 'PMTCT_PWA10q',
'id': 'PMTCT_PWA10q',
'autocomplete': "off",
# 'data-parsley-required': "true",
# 'data-parsley-group': 'group0'
}))

PMTCT_PWA11q = forms.ChoiceField(
required=False,
choices=(('1', 'HIV_Positive'), ('0', 'HIV_Negative'),),
widget=forms.RadioSelect(
# renderer=RadioCustomRenderer,
attrs={
# 'data-parsley-required': 'true',
# 'data-parsley-errors-container': "#errorfield"
}))

PMTCT_PWA12q = forms.DateField(
required=False,
widget=forms.widgets.DateInput(
# format="%Y/%m/%d",
attrs={'placeholder': _('Date'),
'class': 'form-control',
'name': 'PMTCT_PWA12q',
'id': 'PMTCT_PWA12q',
'autocomplete': "off",
# 'data-parsley-required': "true",
# 'data-parsley-group': 'group0'
}))

PMTCT_PWA13q = forms.ChoiceField(
required=False,
choices=(('1', 'HIV_Positive'), ('0', 'HIV_Negative'),),
widget=forms.RadioSelect(
# renderer=RadioCustomRenderer,
attrs={
# 'data-parsley-required': 'true',
# 'data-parsley-errors-container': "#errorfield"
}))

PMTCT_PWA1q = forms.DateField(
widget=forms.widgets.DateInput(
# format="%Y/%m/%d",
attrs={'placeholder': _('Date'),
'class': 'form-control',
'name': 'PMTCT_PWA1q',
'id': 'PMTCT_PWA1q',
'autocomplete': "off",
# 'data-parsley-required': "true",
# 'data-parsley-group': 'group0'
}))

PMTCT_PWA2q = forms.DateField(
widget=forms.widgets.DateInput(
# format="%Y/%m/%d",
attrs={'placeholder': _('Date'),
'class': 'form-control',
'name': 'PMTCT_PWA2q',
'id': 'PMTCT_PWA2q',
'autocomplete': "off",
# 'data-parsley-required': "true",
# 'data-parsley-group': 'group0'
}))

PMTCT_PWA3q = forms.DateField(
widget=forms.widgets.DateInput(
# format="%Y/%m/%d",
attrs={'placeholder': _('Date'),
'class': 'form-control',
'name': 'PMTCT_PWA3q',
'id': 'PMTCT_PWA3q',
'autocomplete': "off",
# 'data-parsley-required': "true",
# 'data-parsley-group': 'group0'
}))

PMTCT_PWA4q = forms.DateField(
widget=forms.widgets.DateInput(
# format="%Y/%m/%d",
attrs={'placeholder': _('Date'),
'class': 'form-control',
'name': 'PMTCT_PWA4q',
'id': 'PMTCT_PWA4q',
'autocomplete': "off",
# 'data-parsley-required': "true",
# 'data-parsley-group': 'group0'
}))

PMTCT_PWA5q = forms.ChoiceField(
choices=(('1', 'Skilled'), ('0', 'Unskilled'),),
widget=forms.RadioSelect(
# renderer=RadioCustomRenderer,
attrs={
# 'data-parsley-errors-container': "#errorfield"
}))

PMTCT_PWA14q = forms.CharField(widget=forms.TextInput(
attrs={'placeholder': _('Facility Name'),
'class': 'form-control',
'id': 'PMTCT_PWA14q',
'readonly':'True',
# 'data-parsley-group': 'group0'
}))

PMTCT_PWA15q = forms.CharField(widget=forms.TextInput(
attrs={'placeholder': _('CCC NO'),
'class': 'form-control',
# 'data-parsley-required': "False",
'data-parsley-type': "number",
# 'data-parsley-required': "False"
}))

PMTCT_PWA16q = forms.CharField(widget=forms.TextInput(
attrs={'placeholder': _('VL result'),
'class': 'form-control',
# 'data-parsley-required': "False",
'data-parsley-type': "number",
# 'data-parsley-required': "False"
}))

PMTCT_PWA17q = forms.DateField(
widget=forms.widgets.DateInput(
# format="%Y/%m/%d",
attrs={'placeholder': _('Date'),
'class': 'form-control',
'name': 'PMTCT_PWA17q',
'id': 'PMTCT_PWA17q',
'autocomplete': "off",
# 'data-parsley-required': "true",
# 'data-parsley-group': 'group0'
}))

# PWA_WA1_15 = forms.ChoiceField(
# choices=YESNO_CHOICES,
# widget=forms.RadioSelect(
# # renderer=RadioCustomRenderer,
# attrs={
# # 'data-parsley-errors-container': "#errorfield"
# }))
PMTCT_PWA18q = forms.ChoiceField(
choices=(('1', 'YES'), ('0', 'NO')),
widget=forms.RadioSelect(
# renderer=RadioCustomRenderer,
attrs={
# 'data-parsley-required': 'true',
# 'data-parsley-errors-container': "#errorfield"
}))

PMTCT_PWA19q = forms.DateField(
widget=forms.widgets.DateInput(
attrs={'placeholder': _('Date'),
'class': 'form-control',
'name': 'PMTCT_PWA19q',
'id': 'PMTCT_PWA19q',
'autocomplete': "off",
# 'data-parsley-required': "true",
# 'data-parsley-group': 'group0'
}))


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