{"xsrfToken":"b7b2a8cc-50d8-46e1-b558-c2d3d10dc292_984a8f44037ee42349b27278c18f37e0c7ecf5e3_lout","branding":{"id":"1","key":"desk","name":"Austin Pathology IT and customer support","portalBaseUrl":"/servicedesk/customer/portal/1","logoUrl":"/rest/servicedesk/1/customer/viewport-resources/portal-logo/1/1","theme":{"headerBGColor":"#ffffff","headerLinkColor":"#292929","headerLinkHoverColor":"#321c59","headerLinkHoverBGColor":"#321c59","headerBadgeColor":"#321c59"}},"helpCenterBranding":{"logoUrl":"https://api.media.atlassian.com/file/2177df9a-3233-4fc0-90b1-db5605ff4e38/image?token=eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiJlNjc2OWRlNi0xOTE2LTQ5ZjEtOTkxZS02NmEwZWRmMDM2YjAiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTpmaWxlOjIxNzdkZjlhLTMyMzMtNGZjMC05MGIxLWRiNTYwNWZmNGUzOCI6WyJyZWFkIl19LCJleHAiOjE2ODYxMDU4NDAsIm5iZiI6MTY4NjEwNTI0MH0.G0RWpDInyCcRwEbq2tqLf93gRMp6kRsrVkZt6e_SQ7g&client=e6769de6-1916-49f1-991e-66a0edf036b0&mode=fit","logoId":"2177df9a-3233-4fc0-90b1-db5605ff4e38","isLogoAvailable":true,"helpCenterTitle":"Welcome to Austin Pathology IT support","sharedPortalName":"Austin Pathology IT support","userInitialAnnouncementHeader":" Service Desk Access","userInitialAnnouncementMessageWiki":"<p><a href=\"https://austinpath.atlassian.net/jira/servicedesk/projects/ISR/queues/custom/1\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">https://austinpath.atlassian.net/jira/servicedesk/projects/ISR/queues/custom/1</a></p>","translations":{"en-US":{"helpCenterTitle":"Welcome to Austin Pathology IT support","sharedPortalName":"Austin Pathology IT support","announcementHeader":" Service Desk Access","announcementMessage":"https://austinpath.atlassian.net/jira/servicedesk/projects/ISR/queues/custom/1","localeDisplayName":"English (United States)"}},"canEditAnnouncement":false,"siteDefaultLanguageTag":"en-US","userLanguageTag":"en-US","portalThemeColor":"#0074e0","helpCenterTitleColor":"#ffffff","bannerMediaApiUrl":"https://api.media.atlassian.com/file/f75d88b8-a143-44ea-80e2-6776968b39b2/image?token=eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiJlNjc2OWRlNi0xOTE2LTQ5ZjEtOTkxZS02NmEwZWRmMDM2YjAiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTpmaWxlOmY3NWQ4OGI4LWExNDMtNDRlYS04MGUyLTY3NzY5NjhiMzliMiI6WyJyZWFkIl19LCJleHAiOjE2ODYxMDU4NDAsIm5iZiI6MTY4NjEwNTI0MH0.O-z7Y2oQTLaoV08TqrvegIg6ms61jdWu-1Ql9f_Id-w&client=e6769de6-1916-49f1-991e-66a0edf036b0&height=300&mode=fit","bannerMediaApiFileId":"f75d88b8-a143-44ea-80e2-6776968b39b2","useDefaultBanner":false,"isBannerAvailable":true},"portal":{"id":"1","key":"desk","projectId":10001,"serviceDeskId":1,"name":"Austin Pathology IT and customer support","description":"","portalBaseUrl":"/servicedesk/customer/portal/1","onlyPortal":false,"reqTypes":[{"id":"32","name":"Admin testing only","descriptionHtml":"","callToAction":"Admin testing only","introHtml":"","icon":10469,"iconUrl":"https://austinpath.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10469","groups":[14],"key":""},{"id":"24","name":"AUSCARE password reset","descriptionHtml":"","callToAction":"AUSCARE password reset","introHtml":"<p>Forgotten Password</p>","icon":10520,"iconUrl":"https://austinpath.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10520","groups":[1,13],"key":""},{"id":"10","name":"AUSCARE results access","descriptionHtml":"","callToAction":"AUSCARE results access","introHtml":"<p>Request for access to Pathology results</p>","icon":10504,"iconUrl":"https://austinpath.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10504","groups":[1,13],"key":""},{"id":"12","name":"AUSLAB user access","descriptionHtml":"","callToAction":"AUSLAB user access","introHtml":"<p>AUSLAB user access for Pathology staff</p>","icon":10493,"iconUrl":"https://austinpath.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10493","groups":[1,13],"key":""},{"id":"13","name":"Citadel SR","descriptionHtml":"","callToAction":"Citadel SR","introHtml":"<p>RFI or SR</p>","icon":10485,"iconUrl":"https://austinpath.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10485","groups":[1],"key":""},{"id":"25","name":"Customer Service Support","descriptionHtml":"<p>Manager Client Services - Jess.delbridge@austin.org.au 9496-5219</p>","callToAction":"Customer Service Support","introHtml":"<p>Feedback / Problem / Compliment</p>","icon":10466,"iconUrl":"https://austinpath.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10466","groups":[1],"key":""},{"id":"9","name":"Electronic results download","descriptionHtml":"","callToAction":"Electronic results download","introHtml":"<p>Request to receive pathology results via electronic download</p>","icon":10468,"iconUrl":"https://austinpath.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10468","groups":[1],"key":""},{"id":"27","name":"Feedback Form","descriptionHtml":"","callToAction":"Feedback Form","introHtml":"","icon":10470,"iconUrl":"https://austinpath.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10470","groups":[5],"key":""},{"id":"14","name":"Improvement","descriptionHtml":"","callToAction":"Improvement","introHtml":"<p>Internal change request - Improvement</p>","icon":10498,"iconUrl":"https://austinpath.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10498","groups":[1],"key":""},{"id":"15","name":"Incident","descriptionHtml":"","callToAction":"Incident","introHtml":"<p>Internal change request - Incident</p>","icon":10508,"iconUrl":"https://austinpath.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10508","groups":[1],"key":""},{"id":"55","name":"ISTAT Reagent Dispatch Form","descriptionHtml":"","callToAction":"ISTAT Reagent Dispatch Form","introHtml":"<p>FOR-POC</p>","icon":10576,"iconUrl":"https://austinpath.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10576","groups":[15],"key":""},{"id":"54","name":"ISTAT Reagent Receiving Form","descriptionHtml":"","callToAction":"ISTAT Reagent Receiving Form","introHtml":"<p>FOR-POC-021</p>","icon":10576,"iconUrl":"https://austinpath.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10576","groups":[15],"key":""},{"id":"16","name":"New Test/ Panel","descriptionHtml":"","callToAction":"New Test/ Panel","introHtml":"<p>Test addition / change form FOR-IT-009 must be attached to this request</p>","icon":10467,"iconUrl":"https://austinpath.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10467","groups":[1],"key":""},{"id":"52","name":"New Test/Panel addition or changes","descriptionHtml":"","callToAction":"New Test/Panel addition or changes","introHtml":"<p>Test addition / change form FOR-IT-009 must be attached to this request</p>","icon":10520,"iconUrl":"https://austinpath.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10520","groups":[14],"key":""},{"id":"73","name":"Point of Care Consumables Order Form","descriptionHtml":"","callToAction":"Point of Care Consumables Order Form","introHtml":"","icon":10585,"iconUrl":"https://austinpath.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10585","groups":[15],"key":""},{"id":"74","name":"Q-Pulse Access Request","descriptionHtml":"","callToAction":"Q-Pulse Access Request","introHtml":"<p>Only for New Q-Pulse accounts</p>","icon":10550,"iconUrl":"https://austinpath.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10550","groups":[20],"key":""},{"id":"23","name":"Request Pad Order Form","descriptionHtml":"","callToAction":"Request Pad Order Form","introHtml":"<p>Request to create personalised request pads</p>","icon":10482,"iconUrl":"https://austinpath.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10482","groups":[5],"key":""},{"id":"50","name":"Auslab Release Feedback Form","descriptionHtml":"","callToAction":"Auslab Release Feedback Form","introHtml":"","icon":10550,"iconUrl":"https://austinpath.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10550","groups":[],"key":""},{"id":"28","name":"Covid Results Request","descriptionHtml":"","callToAction":"Covid Results Request","introHtml":"","icon":10566,"iconUrl":"https://austinpath.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10566","groups":[],"key":""},{"id":"49","name":"Oncall","descriptionHtml":"","callToAction":"Oncall","introHtml":"<p>Oncall Service Request</p>","icon":10488,"iconUrl":"https://austinpath.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10488","groups":[],"key":""},{"id":"30","name":"Test Directory","descriptionHtml":"","callToAction":"Test Directory","introHtml":"<p>Change and improvement requests</p>","icon":10550,"iconUrl":"https://austinpath.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10550","groups":[],"key":""}],"reqGroups":[{"id":1,"name":"AUSLAB improvements"},{"id":13,"name":"AUSLAB and AUSCARE access requests"},{"id":5,"name":"Customer Service support"},{"id":14,"name":"Do not use (Jira testing)"},{"id":15,"name":"POCT"},{"id":20,"name":"Quality Support Team"}],"orderMapping":{"6":[32],"19":[32],"13":[24,10,12],"14":[52,32],"15":[73,55,54],"20":[74],"1":[14,15,16,13,24,10,12,9,25],"5":[23,27]},"kbs":{"kbEnabled":false,"serviceDeskId":-1},"createPermission":true,"portalAnnouncement":{"portalId":1,"canEditAnnouncement":false,"canAdministerProject":false,"portalProjectKey":"ISR","userLanguageHeader":"","userLanguageMessageWiki":"","defaultLanguageHeader":"","defaultLanguageMessage":"","defaultLanguageDisplayName":"English (United States)","isUsingLanguageSupport":false,"translations":{}},"canViewCreateRequestForm":true,"isProjectSimplified":false},"reqCreate":{"id":23,"projectId":10001,"form":{"name":"Request Pad Order Form","descriptionHtml":"","callToAction":"Request Pad Order Form","intro":"<p>Request to create personalised request pads</p>","instructions":"","icon":10482,"iconUrl":"https://austinpath.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10482","key":""},"fields":[{"fieldType":"text","fieldId":"email","fieldConfigId":"","label":"Email confirmation to","description":"","descriptionHtml":"","required":true,"displayed":true,"presetValues":[]},{"fieldType":"attachment","fieldId":"attachment","fieldConfigId":"","label":"Attachment","description":"","descriptionHtml":"","required":false,"displayed":true,"presetValues":[]},{"fieldType":"text","fieldId":"summary","fieldConfigId":"","label":"Request Pad Order Form","description":"","descriptionHtml":"","required":true,"displayed":false,"presetValues":["Request Pad Order Form"]}],"userOrganisations":[],"canBrowseUsers":false,"requestCreateBaseUrl":"/servicedesk/customer/portal/1/create/23","requestValidateBaseUrl":"/servicedesk/customer/portal/1/validate/23","calendarParams":{"firstDay":0,"date":"2023-06-07T12:34:00+1000","useISO8601WeekNumbers":true,"dateIfFormat":"%e/%b/%y","dateTimeIfFormat":"%e/%b/%y %I:%M %p","timeFormat":"12"},"kbs":{"kbEnabled":false,"serviceDeskId":-1},"canRaiseOnBehalf":false,"canSignupCustomers":false,"canCreateAttachments":true,"attachmentRequiredField":false,"hasGroups":true,"canSubmitWithEmailAddress":true,"showRecaptcha":true,"siteKey":"6LePXLkdAAAAAF4gCNalrL1IvZcqbNbZf_Zakudd","mediaApiUploadInformation":{"token":"eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiJlNjc2OWRlNi0xOTE2LTQ5ZjEtOTkxZS02NmEwZWRmMDM2YjAiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTpjb2xsZWN0aW9uOnVwbG9hZC1wcm9qZWN0LTEwMDAxIjpbInJlYWQiLCJjcmVhdGUiLCJ1cGRhdGUiXSwidXJuOmZpbGVzdG9yZTp1cGxvYWQ6KiI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl0sInVybjpmaWxlc3RvcmU6Y2h1bms6KiI6WyJyZWFkIiwiY3JlYXRlIl19LCJleHAiOjE2ODYxMDY0NDAsIm5iZiI6MTY4NjEwNTI0MH0.qZGK6CkwJGeaTMKYHLIG482Gu3XAldhtkfW8AP1Z06Q","targetCollection":"upload-project-10001","endpointUrl":"https://api.media.atlassian.com","clientId":"e6769de6-1916-49f1-991e-66a0edf036b0","tokenDurationInMins":20},"hasProformaForm":true,"proformaTemplateForm":{"id":7,"updated":"2023-01-13T04:56:31.594619Z","publish":{"jira":{"newIssueIssueTypeIds":[],"newIssueRequestTypeIds":[23],"submitOnCreate":true,"validateOnCreate":true},"portal":{"portalRequestTypeIds":[23],"submitOnCreate":true,"validateOnCreate":true}},"design":{"settings":{"templateId":7,"name":"Request Pad Order Form","submit":{"lock":false,"pdf":true}},"layout":[{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":1},"localId":"42dc142f-5f18-487b-952f-a491310fec51"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":23},"localId":"7ab6688e-f17e-44c2-b84f-1a99067ceeea"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":50},"localId":"7f708466-20cd-4ae5-b0f2-a292b24d397a"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":21},"localId":"f6ebcbff-6d9e-46df-b3b0-9127585bb0c6"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":22},"localId":"6349f6f0-18e4-40e3-b621-11f6497c1b0a"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":86},"localId":"1bac2e56-7fb4-49bc-94a4-6fba77f06e09"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":102},"localId":"11061c0d-d242-40e4-bc30-e6a43987de7b"}}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":53},"localId":"48dc5a64-6a90-418b-befc-00d8137ab91a"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":88},"localId":"58ff9f5e-8219-4ed3-b2dc-0670ceb3cbbf"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":93},"localId":"f5ed8787-72c2-4129-9b82-129fc0f4ad26"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":90},"localId":"e3a4e4bc-4623-4b4d-8ed6-702baf21c8bd"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":28},"localId":"ec85d774-920c-4bd6-bc24-677884d549ee"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":96},"localId":"49d4794a-43d3-48ee-aeae-2fd083cbbe45"}}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":62},"localId":"ce602777-4d3b-4fda-bc5c-feabb43f1abb"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":98},"localId":"e63ca8e3-83dd-453d-afd9-d414b56a37fd"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":97},"localId":"f0a7437f-d3c5-4754-a367-169fb0625f3b"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":65},"localId":"21b368c1-2a8a-41f9-8347-1fc241e869ef"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":99},"localId":"bfb220e6-0418-4bb9-ab79-f597b1f7a43b"}}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":68},"localId":"863705d4-3a4a-4fe1-a3de-0b4a234ae3bd"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"note"},"content":[{"type":"paragraph","content":[{"type":"text","text":"“Please attach copy of current request form in the attachment field if available”"}]}]}]},{"version":1,"type":"doc","content":[{"type":"paragraph","content":[{"type":"text","text":"Form Details"}]},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":69},"localId":"530b8c70-946a-4be9-8517-834afb23d169"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":72},"localId":"40ae664b-2d20-4ee9-b5bc-94041467fcba"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":70},"localId":"03531c12-b464-42dc-99f1-c8536fd9f71b"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":71},"localId":"5193da48-3765-4824-a146-3be5d8fe625b"}}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":73},"localId":"4cb57533-a474-4c6c-b673-4472893e2809"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":38},"localId":"df941eae-20fa-4899-8477-71bf9ddb7690"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":40},"localId":"3a544524-8e05-43a8-a3e3-cd393b6eae76"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":42},"localId":"bf1d5c92-1245-4049-940c-129a6bafb160"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":41},"localId":"e6b2afa4-a5ef-4f8e-bde2-3c68f51edd7f"}},{"type":"paragraph","content":[]}]}]},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":44},"localId":"a72e8452-08fc-4e43-ab7f-f74137b2c79f"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":45},"localId":"63664285-0149-44ba-bf8f-93585ef33ef7"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":103},"localId":"f1739edb-5b69-47a3-9be4-0d5762e695bc"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":105},"localId":"6884a83b-2fc7-4ec4-8b84-981e1e6607bd"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":76},"localId":"7fd082fa-08b5-4476-9239-a499b556da73"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":104},"localId":"2fa4093b-e719-42d6-8154-e8a3e7494ac7"}}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":79},"localId":"aef263b1-4031-45a9-9084-31956d02e333"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":106},"localId":"a61a6047-535b-4af8-8039-876de88e7576"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":108},"localId":"ee760338-1c69-49e2-9afb-5252f0bb6bfb"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":82},"localId":"7bb2b144-3606-4036-919a-8dcc30230774"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":107},"localId":"f7bf2692-fe63-4114-803d-59d82afeec83"}}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":85},"localId":"56603b5c-5b1a-4c42-afd7-fd859bc04598"}},{"type":"paragraph","content":[]}]}],"conditions":{"100":{"t":"sh","i":{"co":{"cIds":{"68":["1"]}}},"o":{"sIds":["4"]}},"16":{"t":"sh","i":{"co":{"cIds":{"23":["5","3","6"]}}},"o":{"sIds":["1"]}},"80":{"t":"sh","i":{"co":{"cIds":{"23":["4"]}}},"o":{"sIds":["8"]}},"39":{"t":"sh","i":{"co":{"cIds":{"38":["1"]}}},"o":{"sIds":["6"]}},"25":{"t":"sh","i":{"co":{"cIds":{"23":["1"]}}},"o":{"sIds":["2"]}},"101":{"t":"sh","i":{"co":{"cIds":{"23":["2"]}}},"o":{"sIds":["5"]}},"63":{"t":"sh","i":{"co":{"cIds":{"23":["2"]}}},"o":{"sIds":["3"]}},"74":{"t":"sh","i":{"co":{"cIds":{"23":["7"]}}},"o":{"sIds":["7"]}}},"sections":{"8":{"name":"A4 Cervical","conditions":["80"]},"4":{"conditions":["100","63"]},"5":{"conditions":["101"]},"2":{"name":"A5 Blank","conditions":["25"]},"7":{"name":"A5 Blood Bank","conditions":["74"]},"3":{"name":"A5 Personalised","conditions":["63"]},"6":{"name":"A5 1","conditions":["39","101"]},"1":{"name":"A4 PS","conditions":["16"]}},"questions":{"73":{"type":"pg","label":"Special Instructions","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"44":{"type":"no","label":"Fax","description":"","validation":{"rq":false,"wh":false},"choices":[],"questionKey":""},"22":{"type":"ts","label":"Contact Number:","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"106":{"type":"no","label":"Number of pads required","description":"1 pad = 100 forms","validation":{"rq":true,"wh":false},"choices":[],"questionKey":""},"53":{"type":"cs","label":"Labels on forms","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Yes","other":false},{"id":"2","label":"No","other":false}],"questionKey":""},"42":{"type":"tl","label":"Location","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"70":{"type":"tl","label":"Provider Number(s)","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"97":{"type":"tl","label":"HCF/GP Practice","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"41":{"type":"tl","label":"Provider Number","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"105":{"type":"ts","label":"HCF/GP Practice","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"85":{"type":"pg","label":"Special Instructions","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"28":{"type":"ts","label":"Contact Number:","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"45":{"type":"ts","label":"Healthlink EDI","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"98":{"type":"no","label":"Number of pads required","description":"1 pad = 100 forms","validation":{"rq":true,"wh":false},"choices":[],"questionKey":""},"93":{"type":"no","label":"Number of pads required","description":"1 pad = 100 forms","validation":{"rq":true,"wh":false},"choices":[],"questionKey":""},"23":{"type":"cm","label":"Type of request pad","description":"","validation":{"rq":true,"mns":1,"mxs":1},"choices":[{"id":"3","label":"A4 Practice Software","other":false},{"id":"1","label":"A5 Blank","other":false},{"id":"2","label":"A5 Personalised","other":false},{"id":"7","label":"A5 Blood Bank","other":false},{"id":"4","label":"A4 Cervical","other":false}],"questionKey":""},"62":{"type":"pg","label":"Special Instructions","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"88":{"type":"pg","label":"Special Instructions","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"40":{"type":"tl","label":"Name","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"104":{"type":"tl","label":"Delivery Address","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"90":{"type":"ts","label":"HCF/GP Practice","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"50":{"type":"tl","label":"Practice Software","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"68":{"type":"cs","label":"Is this a reorder of an existing form?","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Yes","other":false},{"id":"2","label":"No","other":false}],"questionKey":""},"107":{"type":"tl","label":"Delivery Address","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"99":{"type":"tl","label":"Delivery Address","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"79":{"type":"pg","label":"Special Instructions","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"103":{"type":"no","label":"Number of pads required","description":"1 pad = 50 forms","validation":{"rq":true,"wh":false},"choices":[],"questionKey":""},"72":{"type":"ts","label":"HCF","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"21":{"type":"no","label":"Number of pads required","description":"1 pad - 100 forms","validation":{"rq":true,"mnn":1,"mxn":100,"wh":true},"choices":[],"questionKey":""},"76":{"type":"ts","label":"Contact Number:","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"65":{"type":"ts","label":"Contact Number:","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"71":{"type":"ts","label":"Ward","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"108":{"type":"ts","label":"HCF\\GP Practice","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"82":{"type":"ts","label":"Contact Number:","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"1":{"type":"tl","label":"Contact Name","description":"Please enter your full name","validation":{"rq":true},"choices":[],"questionKey":""},"102":{"type":"tl","label":"Delivery Address","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"96":{"type":"tl","label":"Delivery Address","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"69":{"type":"tl","label":"Doctor Name","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"86":{"type":"tl","label":"HCF/GP Practice","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"38":{"type":"cs","label":"Do you want to add a copy to?","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Yes","other":false},{"id":"2","label":"No","other":false}],"questionKey":""}}},"uuid":"2f4d8ffb-ea7f-43af-9620-8555613a0d0c"},"proforma":{"formExists":true,"formValid":true,"formTemplateData":{"id":7,"updated":"2023-01-13T04:56:31.594619Z","publish":{"jira":{"newIssueIssueTypeIds":[],"newIssueRequestTypeIds":[23],"submitOnCreate":true,"validateOnCreate":true},"portal":{"portalRequestTypeIds":[23],"submitOnCreate":true,"validateOnCreate":true}},"design":{"settings":{"templateId":7,"name":"Request Pad Order Form","submit":{"lock":false,"pdf":true}},"layout":[{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":1},"localId":"42dc142f-5f18-487b-952f-a491310fec51"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":23},"localId":"7ab6688e-f17e-44c2-b84f-1a99067ceeea"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":50},"localId":"7f708466-20cd-4ae5-b0f2-a292b24d397a"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":21},"localId":"f6ebcbff-6d9e-46df-b3b0-9127585bb0c6"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":22},"localId":"6349f6f0-18e4-40e3-b621-11f6497c1b0a"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":86},"localId":"1bac2e56-7fb4-49bc-94a4-6fba77f06e09"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":102},"localId":"11061c0d-d242-40e4-bc30-e6a43987de7b"}}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":53},"localId":"48dc5a64-6a90-418b-befc-00d8137ab91a"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":88},"localId":"58ff9f5e-8219-4ed3-b2dc-0670ceb3cbbf"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":93},"localId":"f5ed8787-72c2-4129-9b82-129fc0f4ad26"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":90},"localId":"e3a4e4bc-4623-4b4d-8ed6-702baf21c8bd"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":28},"localId":"ec85d774-920c-4bd6-bc24-677884d549ee"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":96},"localId":"49d4794a-43d3-48ee-aeae-2fd083cbbe45"}}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":62},"localId":"ce602777-4d3b-4fda-bc5c-feabb43f1abb"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":98},"localId":"e63ca8e3-83dd-453d-afd9-d414b56a37fd"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":97},"localId":"f0a7437f-d3c5-4754-a367-169fb0625f3b"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":65},"localId":"21b368c1-2a8a-41f9-8347-1fc241e869ef"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":99},"localId":"bfb220e6-0418-4bb9-ab79-f597b1f7a43b"}}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":68},"localId":"863705d4-3a4a-4fe1-a3de-0b4a234ae3bd"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"note"},"content":[{"type":"paragraph","content":[{"type":"text","text":"“Please attach copy of current request form in the attachment field if available”"}]}]}]},{"version":1,"type":"doc","content":[{"type":"paragraph","content":[{"type":"text","text":"Form Details"}]},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":69},"localId":"530b8c70-946a-4be9-8517-834afb23d169"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":72},"localId":"40ae664b-2d20-4ee9-b5bc-94041467fcba"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":70},"localId":"03531c12-b464-42dc-99f1-c8536fd9f71b"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":71},"localId":"5193da48-3765-4824-a146-3be5d8fe625b"}}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":73},"localId":"4cb57533-a474-4c6c-b673-4472893e2809"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":38},"localId":"df941eae-20fa-4899-8477-71bf9ddb7690"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":40},"localId":"3a544524-8e05-43a8-a3e3-cd393b6eae76"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":42},"localId":"bf1d5c92-1245-4049-940c-129a6bafb160"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":41},"localId":"e6b2afa4-a5ef-4f8e-bde2-3c68f51edd7f"}},{"type":"paragraph","content":[]}]}]},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":44},"localId":"a72e8452-08fc-4e43-ab7f-f74137b2c79f"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":45},"localId":"63664285-0149-44ba-bf8f-93585ef33ef7"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":103},"localId":"f1739edb-5b69-47a3-9be4-0d5762e695bc"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":105},"localId":"6884a83b-2fc7-4ec4-8b84-981e1e6607bd"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":76},"localId":"7fd082fa-08b5-4476-9239-a499b556da73"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":104},"localId":"2fa4093b-e719-42d6-8154-e8a3e7494ac7"}}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":79},"localId":"aef263b1-4031-45a9-9084-31956d02e333"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":106},"localId":"a61a6047-535b-4af8-8039-876de88e7576"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":108},"localId":"ee760338-1c69-49e2-9afb-5252f0bb6bfb"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":82},"localId":"7bb2b144-3606-4036-919a-8dcc30230774"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":107},"localId":"f7bf2692-fe63-4114-803d-59d82afeec83"}}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":85},"localId":"56603b5c-5b1a-4c42-afd7-fd859bc04598"}},{"type":"paragraph","content":[]}]}],"conditions":{"100":{"t":"sh","i":{"co":{"cIds":{"68":["1"]}}},"o":{"sIds":["4"]}},"16":{"t":"sh","i":{"co":{"cIds":{"23":["5","3","6"]}}},"o":{"sIds":["1"]}},"80":{"t":"sh","i":{"co":{"cIds":{"23":["4"]}}},"o":{"sIds":["8"]}},"39":{"t":"sh","i":{"co":{"cIds":{"38":["1"]}}},"o":{"sIds":["6"]}},"25":{"t":"sh","i":{"co":{"cIds":{"23":["1"]}}},"o":{"sIds":["2"]}},"101":{"t":"sh","i":{"co":{"cIds":{"23":["2"]}}},"o":{"sIds":["5"]}},"63":{"t":"sh","i":{"co":{"cIds":{"23":["2"]}}},"o":{"sIds":["3"]}},"74":{"t":"sh","i":{"co":{"cIds":{"23":["7"]}}},"o":{"sIds":["7"]}}},"sections":{"8":{"name":"A4 Cervical","conditions":["80"]},"4":{"conditions":["100","63"]},"5":{"conditions":["101"]},"2":{"name":"A5 Blank","conditions":["25"]},"7":{"name":"A5 Blood Bank","conditions":["74"]},"3":{"name":"A5 Personalised","conditions":["63"]},"6":{"name":"A5 1","conditions":["39","101"]},"1":{"name":"A4 PS","conditions":["16"]}},"questions":{"73":{"type":"pg","label":"Special Instructions","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"44":{"type":"no","label":"Fax","description":"","validation":{"rq":false,"wh":false},"choices":[],"questionKey":""},"22":{"type":"ts","label":"Contact Number:","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"106":{"type":"no","label":"Number of pads required","description":"1 pad = 100 forms","validation":{"rq":true,"wh":false},"choices":[],"questionKey":""},"53":{"type":"cs","label":"Labels on forms","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Yes","other":false},{"id":"2","label":"No","other":false}],"questionKey":""},"42":{"type":"tl","label":"Location","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"70":{"type":"tl","label":"Provider Number(s)","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"97":{"type":"tl","label":"HCF/GP Practice","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"41":{"type":"tl","label":"Provider Number","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"105":{"type":"ts","label":"HCF/GP Practice","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"85":{"type":"pg","label":"Special Instructions","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"28":{"type":"ts","label":"Contact Number:","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"45":{"type":"ts","label":"Healthlink EDI","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"98":{"type":"no","label":"Number of pads required","description":"1 pad = 100 forms","validation":{"rq":true,"wh":false},"choices":[],"questionKey":""},"93":{"type":"no","label":"Number of pads required","description":"1 pad = 100 forms","validation":{"rq":true,"wh":false},"choices":[],"questionKey":""},"23":{"type":"cm","label":"Type of request pad","description":"","validation":{"rq":true,"mns":1,"mxs":1},"choices":[{"id":"3","label":"A4 Practice Software","other":false},{"id":"1","label":"A5 Blank","other":false},{"id":"2","label":"A5 Personalised","other":false},{"id":"7","label":"A5 Blood Bank","other":false},{"id":"4","label":"A4 Cervical","other":false}],"questionKey":""},"62":{"type":"pg","label":"Special Instructions","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"88":{"type":"pg","label":"Special Instructions","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"40":{"type":"tl","label":"Name","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"104":{"type":"tl","label":"Delivery Address","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"90":{"type":"ts","label":"HCF/GP Practice","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"50":{"type":"tl","label":"Practice Software","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"68":{"type":"cs","label":"Is this a reorder of an existing form?","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Yes","other":false},{"id":"2","label":"No","other":false}],"questionKey":""},"107":{"type":"tl","label":"Delivery Address","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"99":{"type":"tl","label":"Delivery Address","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"79":{"type":"pg","label":"Special Instructions","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"103":{"type":"no","label":"Number of pads required","description":"1 pad = 50 forms","validation":{"rq":true,"wh":false},"choices":[],"questionKey":""},"72":{"type":"ts","label":"HCF","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"21":{"type":"no","label":"Number of pads required","description":"1 pad - 100 forms","validation":{"rq":true,"mnn":1,"mxn":100,"wh":true},"choices":[],"questionKey":""},"76":{"type":"ts","label":"Contact Number:","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"65":{"type":"ts","label":"Contact Number:","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"71":{"type":"ts","label":"Ward","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"108":{"type":"ts","label":"HCF\\GP Practice","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"82":{"type":"ts","label":"Contact Number:","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"1":{"type":"tl","label":"Contact Name","description":"Please enter your full name","validation":{"rq":true},"choices":[],"questionKey":""},"102":{"type":"tl","label":"Delivery Address","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"96":{"type":"tl","label":"Delivery Address","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"69":{"type":"tl","label":"Doctor Name","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"86":{"type":"tl","label":"HCF/GP Practice","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"38":{"type":"cs","label":"Do you want to add a copy to?","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Yes","other":false},{"id":"2","label":"No","other":false}],"questionKey":""}}},"uuid":"2f4d8ffb-ea7f-43af-9620-8555613a0d0c"},"linkedJiraFields":[]},"key":""},"portalWebFragments":{"headerPanels":[],"subheaderPanels":[],"footerPanels":[],"pagePanels":{"propertyPanels":[],"legacyPropertyPanels":[]}}}
{"headless":false,"tourEnabled":false,"wacLink":"https://www.atlassian.com/software/jira/service-desk/powered-by?utm_medium=jira-in-product&utm_source=jira_service_desk_portal_footer&utm_content=austinpath","contactLink":"/secure/ContactAdministrators!default.jspa","serviceDeskVersion":"3.3.0-OD","contextPath":"","xsrfToken":"b7b2a8cc-50d8-46e1-b558-c2d3d10dc292_984a8f44037ee42349b27278c18f37e0c7ecf5e3_lout","baseUrl":"https://austinpath.atlassian.net/servicedesk/customer","relativeBaseUrl":"/servicedesk/customer","customerLoginEnabled":true,"maxAttachmentSize":"1073741824","gravatarEnabled":false,"onDemand":true,"disabledFeatures":[],"enabledDarkFeatures":[],"calendarDateData":{"months":["January","February","March","April","May","June","July","August","September","October","November","December"],"monthsShort":["Jan","Feb","Mar","Apr","May","Jun","Jul","Aug","Sep","Oct","Nov","Dec"],"weekdaysShort":["Sun","Mon","Tue","Wed","Thu","Fri","Sat"],"weekdays":["Sunday","Monday","Tuesday","Wednesday","Thursday","Friday","Saturday"]},"mediaApiExternalUrl":"https://api.media.atlassian.com","mediaApiAppClientId":"e6769de6-1916-49f1-991e-66a0edf036b0","optedInFeatures":{},"fabricEmojiUrl":"/gateway/api","anonymousEnabled":true,"requestIntroEnabled":true}