Address
{ "type": "AdaptiveCard", "$schema": "http://adaptivecards.io/schemas/adaptive-card.json", "version": "1.3", "body": [ { "type": "Input.Text", "placeholder": "", "id": "street_1", "isRequired": true, "errorMessage": "Enter a street address", "label": "Address line 1" }, { "type": "Input.Text", "placeholder": "", "label": "Address line 2 (optional)", "id": "street_2" }, { "type": "Input.Text", "placeholder": "", "label": "City/Town", "id": "city", "isRequired": true, "errorMessage": "Enter city or town" }, { "type": "Input.ChoiceSet", "choices": [ { "value": "AL", "title": "Alabama " }, { "value": "AK", "title": "Alaska " }, { "value": "AS", "title": "American Samoa " }, { "value": "AZ", "title": "Arizona " }, { "value": "AR", "title": "Arkansas " }, { "value": "CA", "title": "California " }, { "value": "CO", "title": "Colorado " }, { "value": "CT", "title": "Connecticut " }, { "value": "DE", "title": "Delaware " }, { "value": "DC", "title": "District of Columbia " }, { "value": "FM", "title": "Federated States of Micronesia " }, { "value": "FL", "title": "Florida " }, { "value": "GA", "title": "Georgia " }, { "value": "GU", "title": "Guam " }, { "value": "HI", "title": "Hawaii " }, { "value": "ID", "title": "Idaho " }, { "value": "IL", "title": "Illinois " }, { "value": "IN", "title": "Indiana " }, { "value": "IA", "title": "Iowa " }, { "value": "KS", "title": "Kansas " }, { "value": "KY", "title": "Kentucky " }, { "value": "LA", "title": "Louisiana " }, { "value": "ME", "title": "Maine " }, { "value": "MH", "title": "Marshall Islands " }, { "value": "MD", "title": "Maryland " }, { "value": "MA", "title": "Massachusetts " }, { "value": "MI", "title": "Michigan " }, { "value": "MN", "title": "Minnesota " }, { "value": "MS", "title": "Mississippi " }, { "value": "MO", "title": "Missouri " }, { "value": "MT", "title": "Montana " }, { "value": "NE", "title": "Nebraska " }, { "value": "NV", "title": "Nevada " }, { "value": "NH", "title": "New Hampshire " }, { "value": "NJ", "title": "New Jersey " }, { "value": "NM", "title": "New Mexico " }, { "value": "NY", "title": "New York " }, { "value": "NC", "title": "North Carolina " }, { "value": "ND", "title": "North Dakota " }, { "value": "MP", "title": "Northern Mariana Islands " }, { "value": "OH", "title": "Ohio " }, { "value": "OK", "title": "Oklahoma " }, { "value": "OR", "title": "Oregon " }, { "value": "PW", "title": "Palau " }, { "value": "PA", "title": "Pennsylvania " }, { "value": "PR", "title": "Puerto Rico " }, { "value": "RI", "title": "Rhode Island " }, { "value": "SC", "title": "South Carolina " }, { "value": "SD", "title": "South Dakota " }, { "value": "TN", "title": "Tennessee " }, { "value": "TX", "title": "Texas " }, { "value": "UT", "title": "Utah " }, { "value": "VT", "title": "Vermont " }, { "value": "VI", "title": "Virgin Islands (US) " }, { "value": "VA", "title": "Virginia " }, { "value": "WA", "title": "Washington " }, { "value": "WV", "title": "West Virginia " }, { "value": "WI", "title": "Wisconsin " }, { "value": "WY", "title": "Wyoming " }, { "value": "AE", "title": "Armed Forces Europe " }, { "value": "AP", "title": "Armed Forces Pacific " }, { "value": "AA", "title": "Armed Forces Americas " } ], "placeholder": "Choose a state or U.S. territory ", "id": "stateCode", "label": "State/U.S. Territory", "isRequired": true, "errorMessage": "Select a state" }, { "type": "Input.Text", "placeholder": "5-digit zip", "id": "zipCodeValue", "maxLength": 5, "label": "ZIP Code", "isRequired": true, "errorMessage": "Enter 5 digit zip" }, { "type": "ActionSet", "id": "submitButton", "actions": [ { "type": "Action.Submit", "title": "Submit", "style": "positive", "id": "submit" } ] } ] }
About You
{ "type": "AdaptiveCard", "$schema": "http://adaptivecards.io/schemas/adaptive-card.json", "version": "1.3", "body": [ { "type": "ColumnSet", "columns": [ { "type": "Column", "width": "stretch", "items": [ { "type": "TextBlock", "text": "Enter your name as it appears on your legal ID.", "wrap": true }, { "type": "ColumnSet", "columns": [ { "type": "Column", "width": "stretch", "items": [ { "type": "Input.Text", "placeholder": "First Name", "id": "firstName", "value": "", "isRequired": true, "label": "First Name", "errorMessage": "Enter first name" } ] }, { "type": "Column", "width": "stretch", "items": [ { "type": "Input.Text", "placeholder": "Last Name", "id": "lastName", "label": "Last Name", "isRequired": true, "errorMessage": "Enter Last Name" } ] } ] } ] } ] }, { "type": "ColumnSet", "columns": [ { "type": "Column", "width": "stretch", "items": [ { "type": "Input.Text", "placeholder": "123 345-7689", "id": "cellPhone", "value": "", "isRequired": true, "label": "Cell Phone Number", "errorMessage": "Enter a phone number", "regex": "^(\\+\\d{1,2}\\s?)?1?\\-?\\.?\\s?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}$" } ] }, { "type": "Column", "width": "stretch", "items": [ { "type": "Input.Text", "placeholder": "MM/DD/YYYY", "id": "dateOfBirth", "label": "Date Of Birth", "isRequired": true, "regex": "^(?:(1[0-2]|0?[1-9])/(3[01]|[12][0-9]|0?[1-9])|↵ (3[01]|[12][0-9]|0?[1-9])/(1[0-2]|0?[1-9]))/(?:[0-9]{2})?[0-9]{2}$", "errorMessage": "Not a valid a valid date" } ] } ] }, { "type": "Input.Text", "placeholder": "me@example.com", "value": "", "isRequired": true, "id": "email", "label": "Email Address", "regex": "^[\\w-\\.]+@([\\w-]+\\.)+[\\w-]{2,4}$", "errorMessage": "Enter valid email" }, { "type": "ActionSet", "id": "Submit", "actions": [ { "type": "Action.Submit", "title": "Submit", "id": "submit", "style": "positive" } ] } ] }
Age
{ "type": "AdaptiveCard", "$schema": "http://adaptivecards.io/schemas/adaptive-card.json", "version": "1.3", "body": [ { "type": "Input.ChoiceSet", "choices": [ { "title": "Younger than 2 years old", "value": "2" }, { "title": "2-4", "value": "4" }, { "title": "5-9", "value": "9" }, { "title": "10-12", "value": "12" }, { "title": "13-17", "value": "17" }, { "title": "18-29", "value": "29" }, { "title": "30-39", "value": "39" }, { "title": "40-49", "value": "49" }, { "title": "50-59", "value": "59" }, { "title": "60-64", "value": "64" }, { "title": "65-69", "value": "69" }, { "title": "70-79", "value": "79" }, { "title": "85+", "value": "85" } ], "placeholder": "Select Age", "id": "age", "isRequired": true, "errorMessage": "You need to select an age" }, { "type": "ActionSet", "actions": [ { "type": "Action.Submit", "title": "Submit", "id": "submitAge", "style": "positive" } ] }, { "type": "ColumnSet" }, { "type": "ColumnSet" } ] }
Get Patient
{ "type": "AdaptiveCard", "$schema": "http://adaptivecards.io/schemas/adaptive-card.json", "version": "1.3", "body": [ { "type": "Input.ChoiceSet", "choices": [ { "title": "Younger than 2 years old", "value": "2" }, { "title": "2-4", "value": "4" }, { "title": "5-9", "value": "9" }, { "title": "10-12", "value": "12" }, { "title": "13-17", "value": "17" }, { "title": "18-29", "value": "29" }, { "title": "30-39", "value": "39" }, { "title": "40-49", "value": "49" }, { "title": "50-59", "value": "59" }, { "title": "60-64", "value": "64" }, { "title": "65-69", "value": "69" }, { "title": "70-79", "value": "79" }, { "title": "85+", "value": "85" } ], "placeholder": "Select Age", "id": "age", "isRequired": true, "errorMessage": "You need to select an age" }, { "type": "ActionSet", "actions": [ { "type": "Action.Submit", "title": "Submit", "id": "submitAge", "style": "positive" } ] }, { "type": "ColumnSet" }, { "type": "ColumnSet" } ] }
Login Screen
{ "type": "AdaptiveCard", "$schema": "http://adaptivecards.io/schemas/adaptive-card.json", "version": "1.3", "body": [ { "type": "ColumnSet", "columns": [ { "type": "Column", "width": "80px", "items": [ { "type": "TextBlock", "text": "User ID:", "wrap": true, "horizontalAlignment": "Right" } ], "backgroundImage": {}, "verticalContentAlignment": "Center" }, { "type": "Column", "width": "stretch", "items": [ { "type": "Input.Text", "placeholder": "joe@example.com", "id": "userNameId", "style": "Email" } ] } ] }, { "type": "ColumnSet", "columns": [ { "type": "Column", "width": "80px", "items": [ { "type": "TextBlock", "text": "Password:", "wrap": true, "horizontalAlignment": "Right" } ], "verticalContentAlignment": "Center" }, { "type": "Column", "width": "stretch", "items": [ { "type": "Input.Text", "placeholder": "enter password", "id": "passwordId" } ] } ] }, { "type": "ColumnSet", "columns": [ { "type": "Column", "width": "stretch", "items": [ { "type": "ActionSet", "actions": [ { "type": "Action.Submit", "title": "Submit" } ] } ] } ] } ], "backgroundImage": { "horizontalAlignment": "Center" } }
Time Slot
{ "type": "AdaptiveCard", "$schema": "http://adaptivecards.io/schemas/adaptive-card.json", "version": "1.3", "body": [ { "type": "ColumnSet", "columns": [ { "type": "Column", "width": "stretch", "items": [ { "type": "ActionSet", "actions": [ { "type": "Action.Submit", "title": "5:00 PM", "id": "5_00", "data": { "message": "5:00 PM", "eventName": "A-Submit" } } ] } ] }, { "type": "Column", "width": "stretch", "items": [ { "type": "ActionSet", "actions": [ { "type": "Action.Submit", "title": "6:15 PM", "id": "6_15", "data": { "message": "6:15 PM", "eventName": "A-Submit" } } ] } ] }, { "type": "Column", "width": "stretch", "items": [ { "type": "ActionSet", "actions": [ { "type": "Action.Submit", "title": "6:45 PM", "id": "6_45", "data": { "message": "6:5 PM", "eventName": "A-Submit" } } ] } ] } ] }, { "type": "ColumnSet", "columns": [ { "type": "Column", "width": "stretch", "items": [ { "type": "ActionSet", "actions": [ { "type": "Action.Submit", "title": "7:45 PM", "id": "7_45", "data": { "message": "7:45 PM", "eventName": "A-Submit" } } ] } ] }, { "type": "Column", "width": "stretch", "items": [ { "type": "ActionSet", "actions": [ { "type": "Action.Submit", "title": "8:30 PM", "id": "8_30", "data": { "message": "8:30 PM", "eventName": "A-Submit" } } ] } ] }, { "type": "Column", "width": "stretch" } ] }, { "type": "ColumnSet", "columns": [ { "type": "Column", "width": "stretch", "items": [ { "type": "ActionSet", "actions": [ { "type": "Action.Submit", "title": "Tomorrow", "style": "positive", "id": "tomorrow" } ] } ] }, { "type": "Column", "width": "stretch", "items": [ { "type": "ActionSet", "actions": [ { "type": "Action.Submit", "title": "Back", "id": "backUp", "style": "positive", "data": { "message": "Thankyou for Selecting a Date Range", "eventName": "A-Back" } } ] } ] }, { "type": "Column", "width": "stretch" } ] } ] }