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clinical/app.json

"config" : {
    "allowConsultationWhenNoOpenVisit": falsetrue,
    "defaultVisitType": "OPD"

}

The allowConsultationWhenNoOpenVisit parameter controls whether the consultation link will be visible on the patient dashboard if the selected patient doesn't have an open visit. By default it is false. If the value is true the defaultVisitType parameter must also be set. It's value may be any of the valid visit types. The encounter will be created with this configured visit type.