openmrs form

<htmlform>
	<!-- Autogenerated example form  (template from 01-Nov-2010 -->
	<macros>
		paperFormId = (Fill this in)
		headerColor =#009d8e
		fontOnHeaderColor = white
	</macros>

	<style>
		.section {
			border: 1px solid $headerColor;
			padding: 2px;
			text-align: left;
			margin-bottom: 1em;
		}
		.sectionHeader {
			background-color: $headerColor;
			color: $fontOnHeaderColor;
			display: block;
			padding: 2px;
			font-weight: bold;
		}
		table.baseline-aligned td {
			vertical-align: baseline;
		}
	</style>

	<span style="float:right">Paper Form ID: $paperFormId</span>
	<h2>ani2 (v1.0)</h2>

	<section headerLabel="1. Encounter Details">
		<table class="baseline-aligned">
			<tr>
				<td>Date:</td>
				<td><encounterDate default="today"/></td>
			</tr>
			<tr>
				<td>Location:</td>
				<td><encounterLocation/></td>
			</tr>
			<tr>
				<td>Provider:</td>
				<td><encounterProvider/></td>
			</tr>
		</table>
	</section>

	<section headerLabel="2. Demographic Information">
		<table class="baseline-aligned">
			<tr>
				<td>Name:</td>
				<td><lookup class="value" expression="patient.personName"/></td>
			</tr>
			<tr>
				<td>Old Identification Number:</td>
				<td><lookup class="value" complexExpression="#foreach( $patId in $patientIdentifiers.get('Old Identification Number') ) $patId #end "/></td>
			</tr>
			<tr>
				<td>OpenMRS Identification Number:</td>
				<td><lookup class="value" complexExpression="#foreach( $patId in $patientIdentifiers.get('OpenMRS Identification Number') ) $patId #end "/></td>
			</tr>
			<tr>
				<td>Gender:</td>
				<td><lookup class="value" expression="patient.gender"/></td>
			</tr>
			<tr>
				<td>Birthdate:</td>
				<td>
					<lookup class="value" complexExpression="#if( \$patient.birthdateEstimated ) ~#end"/> <lookup class="value" expression="patient.birthdate"/>
					(Age: <lookup class="value" expression="patient.age"/>)
				</td>
			</tr>
			<tr>
				<td>Birthplace:</td>
				<td><lookup class="value" expression="personAttributes.get('Birthplace')"/></td>
			</tr>
			<tr>
				<td>Citizenship:</td>
				<td><lookup class="value" expression="personAttributes.get('Citizenship')"/></td>
			</tr>
			<tr>
				<td>Civil Status:</td>
				<td><lookup class="value" expression="personAttributes.get('Civil Status').name.name"/></td>
			</tr>
			<tr>
				<td>Health Center:</td>
				<td><lookup class="value" expression="personAttributes.get('Health Center')"/></td>
			</tr>
			<tr>
				<td>Health District:</td>
				<td><lookup class="value" expression="personAttributes.get('Health District')"/></td>
			</tr>
			<tr>
				<td>Mother's Name:</td>
				<td><lookup class="value" expression="personAttributes.get('Mothers Name')"/></td>
			</tr>
			<tr>
				<td>Race:</td>
				<td><lookup class="value" expression="personAttributes.get('Race')"/></td>
			</tr>
		</table>
	</section>

	<submit/>

<!-- END OF FORM

Simple examples to copy-and-paste. Full reference at http://wiki.openmrs.org/x/kg8z

SECTION
	<section headerLabel="\#. Title">
		Content
	</section>

NUMERIC OBSERVATION
	<obs conceptId="id-of-numeric-concept" labelText="Label before"/>

DATE OBSERVATION
	<obs conceptId="id-of-date-concept" labelText="Label before"/>

CODED OBSERVATION
(as a dropdown)
	<obs conceptId="id-of-coded-concept" labelText="Label before"/>
(as radio buttons)
	<obs conceptId="id-of-coded-concept" labelText="Label before" style="radio"/>
(as an autocomplete)
	<obs conceptId="id-of-coded-concept" labelText="Label before" style="autocomplete" answerClasses="Diagnosis"/>
(as a checkbox for a specific answer)
	<obs conceptId="id-of-coded-concept" labelText="Label before" answerConceptId="id-of-answer-concept" answerLabel="label for answer"/>
(as a dropdown with specific choices)
	<obs conceptId="id-of-coded-concept" labelText="Label before" answerConceptIds="concept-id-1,concept-id-2,concept-id-3" answerLabels="Label 1,Label 2, Label 3"/>


FREE TEXT OBSERVATION
(as a normal text field)
	<obs conceptId="id-of-text-concept" labelText="Label before"/>
(as a textarea)
	<obs conceptId="id-of-text-concept" labelText="Label before" rows="4" cols="80"/>
-->
</htmlform>