Commit 37692a4
committed
Added new fields from schema v0.1.0 and updated form accordingly
Signed-off-by: Natalia Luzuriaga <natalia.luzuriaga@cms.hhs.gov>1 parent e415316 commit 37692a4
2 files changed
Lines changed: 85 additions & 16 deletions
| Original file line number | Diff line number | Diff line change | |
|---|---|---|---|
| |||
49 | 49 | | |
50 | 50 | | |
51 | 51 | | |
| 52 | + | |
| 53 | + | |
| 54 | + | |
52 | 55 | | |
53 | 56 | | |
54 | 57 | | |
| |||
102 | 105 | | |
103 | 106 | | |
104 | 107 | | |
| 108 | + | |
| 109 | + | |
| 110 | + | |
| 111 | + | |
| 112 | + | |
| 113 | + | |
| 114 | + | |
| 115 | + | |
| 116 | + | |
| 117 | + | |
| 118 | + | |
| 119 | + | |
| 120 | + | |
| 121 | + | |
| 122 | + | |
| 123 | + | |
| 124 | + | |
| 125 | + | |
105 | 126 | | |
106 | 127 | | |
107 | 128 | | |
| |||
142 | 163 | | |
143 | 164 | | |
144 | 165 | | |
145 | | - | |
146 | | - | |
| 166 | + | |
147 | 167 | | |
148 | 168 | | |
149 | 169 | | |
| |||
155 | 175 | | |
156 | 176 | | |
157 | 177 | | |
158 | | - | |
159 | 178 | | |
160 | | - | |
161 | | - | |
162 | | - | |
163 | | - | |
164 | | - | |
| 179 | + | |
165 | 180 | | |
166 | 181 | | |
167 | | - | |
168 | 182 | | |
169 | 183 | | |
170 | 184 | | |
| |||
196 | 210 | | |
197 | 211 | | |
198 | 212 | | |
| 213 | + | |
199 | 214 | | |
200 | 215 | | |
201 | 216 | | |
202 | 217 | | |
203 | 218 | | |
204 | 219 | | |
| 220 | + | |
205 | 221 | | |
206 | 222 | | |
207 | 223 | | |
| |||
285 | 301 | | |
286 | 302 | | |
287 | 303 | | |
288 | | - | |
| 304 | + | |
289 | 305 | | |
290 | 306 | | |
291 | 307 | | |
| |||
| Original file line number | Diff line number | Diff line change | |
|---|---|---|---|
| |||
65 | 65 | | |
66 | 66 | | |
67 | 67 | | |
68 | | - | |
| 68 | + | |
69 | 69 | | |
70 | 70 | | |
71 | 71 | | |
| |||
128 | 128 | | |
129 | 129 | | |
130 | 130 | | |
131 | | - | |
| 131 | + | |
132 | 132 | | |
133 | 133 | | |
134 | 134 | | |
| |||
192 | 192 | | |
193 | 193 | | |
194 | 194 | | |
195 | | - | |
| 195 | + | |
196 | 196 | | |
197 | 197 | | |
198 | 198 | | |
| |||
252 | 252 | | |
253 | 253 | | |
254 | 254 | | |
255 | | - | |
| 255 | + | |
256 | 256 | | |
257 | 257 | | |
258 | 258 | | |
| |||
294 | 294 | | |
295 | 295 | | |
296 | 296 | | |
| 297 | + | |
297 | 298 | | |
298 | 299 | | |
299 | 300 | | |
| |||
306 | 307 | | |
307 | 308 | | |
308 | 309 | | |
309 | | - | |
| 310 | + | |
| 311 | + | |
| 312 | + | |
| 313 | + | |
| 314 | + | |
| 315 | + | |
| 316 | + | |
| 317 | + | |
| 318 | + | |
| 319 | + | |
| 320 | + | |
| 321 | + | |
| 322 | + | |
| 323 | + | |
| 324 | + | |
| 325 | + | |
| 326 | + | |
| 327 | + | |
| 328 | + | |
| 329 | + | |
| 330 | + | |
| 331 | + | |
| 332 | + | |
| 333 | + | |
| 334 | + | |
| 335 | + | |
| 336 | + | |
| 337 | + | |
| 338 | + | |
| 339 | + | |
| 340 | + | |
| 341 | + | |
| 342 | + | |
| 343 | + | |
| 344 | + | |
| 345 | + | |
| 346 | + | |
| 347 | + | |
| 348 | + | |
| 349 | + | |
| 350 | + | |
| 351 | + | |
| 352 | + | |
| 353 | + | |
| 354 | + | |
| 355 | + | |
| 356 | + | |
| 357 | + | |
310 | 358 | | |
311 | 359 | | |
312 | 360 | | |
| |||
336 | 384 | | |
337 | 385 | | |
338 | 386 | | |
339 | | - | |
| 387 | + | |
| 388 | + | |
| 389 | + | |
| 390 | + | |
| 391 | + | |
| 392 | + | |
340 | 393 | | |
341 | 394 | | |
342 | 395 | | |
0 commit comments