{
   "ui:options": {
      "title": "Requisition"
   },
   "ui:submitButtonOptions": {
      "norender": true
   },
   "ui:hideItemTitle": true,
   "ui:tabbed": true,
   "ui:tabs": [
      "testing-information",
      "patient-information",
      "billing-information",
      "specimen-information",
      "product-information"
   ],
   "ui:order": [
      "rerequisition",
      "campaign_code",
      "clinicians",
      "preferred_report_delivery",
      "product_type",
      "product_subtype",
      "product_ids",
      "relative",
      "fvt_variants",
      "*"
   ],
   "rerequisition": {
      "ui:tab": "testing-information",
      "ui:readonly": true,
      "ui:widget": "hidden"
   },
   "campaign_code": {
      "ui:tab": "testing-information",
      "ui:widget": "hidden"
   },
   "clinicians": {
      "ui:tab": "testing-information",
      "ui:field": "typeAheadField",
      "ui:typeahead": {
         "choices": [
            {
               "label": "NOT A CLINICIAN-CLINIC 1-123456789",
               "id": "123456789-CLdev1"
            },
            {
               "label": "ALSO NOT A CLINICIAN-CLINIC 2-012345678",
               "id": "012345678-CLdev2"
            }
         ]
      }
   },
   "preferred_report_delivery": {
      "ui:tab": "testing-information",
      "ui:column": "col-sm-4",
      "ui:widget": "hidden"
   },
   "product_type": {
      "ui:widget": "radio",
      "ui:tab": "testing-information"
   },
   "product_subtype": {
      "ui:widget": "radio",
      "ui:tab": "testing-information"
   },
   "product_ids": {
      "ui:widget": "checkboxes",
      "ui:tab": "testing-information"
   },
   "relative": {
      "ui:tab": "testing-information",
      "ui:row": true,
      "relationship": {
         "ui:tab": "testing-information",
         "ui:column": "col-sm-12"
      },
      "requisition": {
         "ui:tab": "testing-information",
         "ui:column": "col-sm-6"
      },
      "dob": {
         "ui:tab": "testing-information",
         "ui:column": "col-sm-6"
      }
   },
   "fvt_variants": {
      "ui:widget": "checkboxes",
      "ui:tab": "testing-information"
   },
   "pre_test_counseling": {
      "ui:tab": "testing-information",
      "ui:column": "col-sm-6",
      "ui:widget": "hidden"
   },
   "post_test_counseling": {
      "ui:tab": "testing-information",
      "ui:column": "col-sm-6",
      "ui:widget": "radio",
      "ui:enumDisabled": [
         "VUS_OR_POSITIVE_RESULT"
      ]
   },
   "indications": {
      "ui:tab": "testing-information"
   },
   "additional_files": {
      "ui:tab": "testing-information"
   },
   "consents_granted": {
      "ui:hideItemTitle": true,
      "ui:widget": "CheckboxesDetailedWidget",
      "ui:checkboxLabel": "I acknowledge my consent",
      "ui:tab": "testing-information"
   },
   "subject": {
      "ui:tab": "patient-information",
      "ui:order": [
         "name",
         "demographics",
         "ancestry",
         "contact_info",
         "*"
      ],
      "name": {
         "ui:order": [
            "first",
            "middle",
            "last",
            "*"
         ],
         "ui:row": true,
         "first": {
            "ui:column": "col-sm-5"
         },
         "middle": {
            "ui:column": "col-sm-2"
         },
         "last": {
            "ui:column": "col-sm-5"
         },
         "credentials": {
            "ui:widget": "hidden"
         }
      },
      "demographics": {
         "ui:row": true,
         "dob": {
            "ui:column": "col-sm-6"
         },
         "sex": {
            "ui:column": "col-sm-6",
            "ui:enumDisabled": [
               "OTHER"
            ]
         },
         "gender": {
            "ui:widget": "hidden"
         }
      },
      "ancestry": {
         "ui:field": "typeAheadField",
         "ui:typeahead": {
            "choices": [
               {
                  "id": "WHITE",
                  "label": "White"
               },
               {
                  "id": "HISPANIC",
                  "label": "Hispanic"
               },
               {
                  "id": "BLACK_AFRICAN_AMERICAN",
                  "label": "Black/African American"
               },
               {
                  "id": "EAST_ASIAN",
                  "label": "East Asian"
               },
               {
                  "id": "SOUTH_ASIAN",
                  "label": "South Asian"
               },
               {
                  "id": "ASHKENAZI_JEWISH",
                  "label": "Ashkenazi Jewish"
               },
               {
                  "id": "OTHER",
                  "label": "Other"
               }
            ],
            "allowNew": false
         }
      },
      "contact_info": {
         "items": {
            "ui:row": true,
            "ui:orderable": false,
            "ui:copyable": false,
            "ui:addRemove": false,
            "ui:hideItemTitle": true,
            "address": {
               "ui:row": true,
               "street_address": {
                  "ui:column": "col-12",
                  "ui:widget": "AddressWidget"
               },
               "city": {
                  "ui:column": "col-sm-6"
               },
               "region": {
                  "ui:column": "col-sm-6",
                  "ui:description": "State, province, or other country-specific region. New York is not available at this time."
               },
               "postal_code": {
                  "ui:column": "col-sm-6"
               },
               "country": {
                  "ui:widget": "hidden"
               }
            },
            "email": {
               "ui:column": "col-sm-6",
               "ui:options": {
                  "inputType": "email"
               }
            },
            "phone": {
               "ui:column": "col-sm-6",
               "ui:widget": "PhoneNumberWidget"
            },
            "fax": {
               "ui:widget": "hidden"
            }
         }
      }
   },
   "remote_mrn": {
      "ui:tab": "patient-information"
   },
   "guardian": {
      "ui:tab": "patient-information",
      "ui:hideItemTitle": true,
      "ui:widget": "hidden",
      "name": {
         "ui:hideItemTitle": true,
         "ui:order": [
            "first",
            "middle",
            "last",
            "*"
         ],
         "ui:row": true,
         "first": {
            "ui:column": "col-sm-5",
            "ui:widget": "hidden"
         },
         "middle": {
            "ui:column": "col-sm-2",
            "ui:widget": "hidden"
         },
         "last": {
            "ui:column": "col-sm-5",
            "ui:widget": "hidden"
         },
         "credentials": {
            "ui:widget": "hidden"
         }
      },
      "relationship_to_patient": {
         "ui:widget": "hidden"
      }
   },
   "billing": {
      "ui:tab": "billing-information",
      "ui:hideItemTitle": true,
      "billing_type": {
         "ui:readonly": true,
         "ui:description": "MyOme Sponsored Test"
      },
      "billing_code": {
         "ui:widget": "hidden"
      },
      "stripe_paymentintent_id": {
         "ui:widget": "hidden"
      },
      "promo_code": {
         "ui:widget": "hidden"
      },
      "self_pay": {
         "ui:widget": "hidden"
      }
   },
   "sample_request": {
      "ui:tab": "specimen-information",
      "ui:hideItemTitle": true,
      "ui:row": true,
      "ui:order": [
         "type",
         "send_kit",
         "*"
      ],
      "send_kit": {
         "ui:widget": "radio",
         "ui:title": "Send Kit to Patient",
         "ui:column": "col-12",
         "ui:readonly": true
      },
      "send_kit_address": {
         "ui:widget": "hidden"
      },
      "type": {
         "ui:widget": "select",
         "ui:readonly": true,
         "ui:column": "col-sm-4",
         "ui:enumDisabled": [
            "DNA",
            "DATA",
            "SALIVA",
            "WATER",
            "POSITIVE_CONTROL"
         ]
      }
   },
   "product_information": {
      "ui:tab": "product-information",
      "ui:hideItemTitle": true
   }
}