{ "version": 1, "title": "Vaccination Campaign Record", "fields": [ { "id": "location", "type": "geopoint", "label": "Vaccination Point Location", "required": true }, { "id": "vial_id", "type": "barcode", "label": "Vial ID / Batch Number", "hint": "Scan the vaccine vial barcode" }, { "id": "vaccine_type", "type": "select_one", "label": "Vaccine Type", "required": true, "options": [ {"value": "measles", "label": "Measles"}, {"value": "polio", "label": "Polio"}, {"value": "dtp", "label": "DTP (Diphtheria, Tetanus, Pertussis)"}, {"value": "hepatitis_b", "label": "Hepatitis B"}, {"value": "covid19", "label": "COVID-19"}, {"value": "influenza", "label": "Influenza"}, {"value": "other", "label": "Other"} ] }, { "id": "doses_administered", "type": "number", "label": "Doses Administered", "required": true }, { "id": "age_group", "type": "select_one", "label": "Primary Age Group", "required": true, "options": [ {"value": "infant", "label": "Infant (0–12 months)"}, {"value": "toddler", "label": "Toddler (1–5 years)"}, {"value": "child", "label": "Child (6–12 years)"}, {"value": "adolescent", "label": "Adolescent (13–17 years)"}, {"value": "adult", "label": "Adult (18–59 years)"}, {"value": "elderly", "label": "Elderly (60+ years)"}, {"value": "mixed", "label": "Mixed"} ] }, { "id": "adverse_events", "type": "select_one", "label": "Adverse Events Observed", "options": [ {"value": "none", "label": "None"}, {"value": "minor", "label": "Minor (redness, mild fever)"}, {"value": "moderate", "label": "Moderate"}, {"value": "severe", "label": "Severe — referred to clinic"} ] }, { "id": "vials_wasted", "type": "number", "label": "Vials Wasted / Discarded" }, { "id": "notes", "type": "textarea", "label": "Notes" } ] }