{
   "ui:hideItemTitle": true,
   "ui:row": true,
   "ui:order": [
      "rerequisition",
      "relationship_to_proband",
      "subject",
      "remote_mrn",
      "sample_request",
      "secondary_findings_opt_out",
      "request_genetic_counseling",
      "affliction_status",
      "indications",
      "*"
   ],
   "rerequisition": {
      "ui:readonly": true,
      "ui:widget": "hidden"
   },
   "relationship_to_proband": {
      "ui:column": "col-sm-4"
   },
   "subject": {
      "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
         },
         "ui:widget": "hidden"
      },
      "contact_info": {
         "items": {
            "ui:order": [
               "prefill_button",
               "address",
               "email",
               "phone",
               "fax",
               "*"
            ],
            "ui:row": true,
            "ui:orderable": false,
            "ui:copyable": false,
            "ui:addRemove": false,
            "ui:hideItemTitle": true,
            "ui:options": {
               "expandable": false
            },
            "prefill_button": {
               "ui:widget": "PrefillButton",
               "ui:hideItemTitle": true,
               "ui:options": {
                  "buttonText": "Apply proband's address",
                  "buttonClass": "usa-button usa-button--outline",
                  "sourceBaseKey": "root.subject.contact_info.0",
                  "listOfValues": [
                     "phone",
                     "address.street_address",
                     "address.street_address_2",
                     "address.city",
                     "address.region",
                     "address.postal_code",
                     "address.country"
                  ]
               }
            },
            "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"
            }
         }
      }
   },
   "sample_request": {
      "ui:hideItemTitle": true,
      "ui:row": true,
      "ui:order": [
         "type",
         "send_kit",
         "*"
      ],
      "send_kit": {
         "ui:widget": "select",
         "ui:title": "Send Kit to Patient",
         "ui:column": "col-sm-6"
      },
      "send_kit_address": {
         "ui:widget": "hidden"
      },
      "type": {
         "ui:widget": "select",
         "ui:column": "col-sm-6",
         "ui:enumDisabled": [
            "DNA",
            "DATA",
            "SALIVA",
            "WATER",
            "POSITIVE_CONTROL"
         ]
      }
   },
   "affliction_status": {
      "ui:widget": "select",
      "ui:column": "col-sm-6"
   },
   "secondary_findings_opt_out": {
      "ui:column": "col-sm-6",
      "ui:widget": "select"
   },
   "request_genetic_counseling": {
      "ui:widget": "hidden"
   }
}