B.Y IS NULL - XML File Cotents

<?xml version="1.0" encoding="UTF-8"?>

<PurcForm><Xform><xf:xforms xmlns:xf="http://www.w3.org/2002/xforms" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:jr="http://openrosa.org/javarosa">

  <xf:model id="openmrs_model">

    <xf:instance id="openmrs_model_instance">

      <form id="38" name="Patient Medical History" version="3.0" uuid="65a283d3-5f4e-46e7-917a-085ee19e94cf" xmlns:openmrs="formentry.infopath_server_url cannot be empty/moduleServlet/formentry/forms/schema/38-1" xmlns:xd="http://schemas.microsoft.com/office/infopath/2003">

  <header>

    <enterer/>

    <date_entered/>

    <session/>

    <uid/>

  </header>

  <patient>

    <patient.last_name openmrs_table="patient_name" openmrs_attribute="family_name"/>

    <patient.first_name openmrs_table="patient_name" openmrs_attribute="given_name"/>

    <patient.medical_record_number openmrs_table="patient_identifier" openmrs_attribute="identifier"/>

    <patient.patient_id openmrs_table="patient" openmrs_attribute="patient_id"/>

  </patient>

  <encounter>

    <encounter.encounter_datetime openmrs_table="encounter" openmrs_attribute="encounter_datetime">2013-04-02</encounter.encounter_datetime>

    <encounter.location_id openmrs_table="encounter" openmrs_attribute="location_id"/>

    <encounter.provider_id openmrs_table="encounter" openmrs_attribute="provider_id" provider_id_type="PROVIDER.ID"/>

  </encounter>

  <obs openmrs_concept="1238^MEDICAL RECORD OBSERVATIONS^99DCT" openmrs_datatype="ZZ">

    <family_history_of_diabetes_mellitus openmrs_concept="140228^Family History of Diabetes Mellitus^99DCT" openmrs_datatype="CWE" multiple="0">

        <date xsi:nil="true"/>

        <time xsi:nil="true"/>

        <value xsi:nil="true"/>

    </family_history_of_diabetes_mellitus>

    <diabetes_mellitus openmrs_concept="119481^Diabetes Mellitus^99DCT" openmrs_datatype="CWE">

      <diagnosis_date openmrs_concept="159948^Diagnosis date^99DCT" openmrs_datatype="DT">

            <date xsi:nil="true"/>

            <time xsi:nil="true"/>

            <value xsi:nil="true"/>

      </diagnosis_date>

    </diabetes_mellitus>

    <myocardial_infarction openmrs_concept="115432^Myocardial Infarction^99DCT" openmrs_datatype="ZZ">

      <diagnosis_date openmrs_concept="159948^Diagnosis date^99DCT" openmrs_datatype="DT">

            <date xsi:nil="true"/>

            <time xsi:nil="true"/>

            <value xsi:nil="true"/>

      </diagnosis_date>

    </myocardial_infarction>

    <cerebrovascular_accident openmrs_concept="111103^Cerebrovascular Accident^99DCT" openmrs_datatype="ZZ">

      <diagnosis_date openmrs_concept="159948^Diagnosis date^99DCT" openmrs_datatype="DT">

            <date xsi:nil="true"/>

            <time xsi:nil="true"/>

            <value xsi:nil="true"/>

      </diagnosis_date>

    </cerebrovascular_accident>

    <htn_hypertension openmrs_concept="117399^High blood pressure^99DCT" openmrs_datatype="ZZ">

      <diagnosis_date openmrs_concept="159948^Diagnosis date^99DCT" openmrs_datatype="DT">

            <date xsi:nil="true"/>

            <time xsi:nil="true"/>

            <value xsi:nil="true"/>

      </diagnosis_date>

    </htn_hypertension>

    <amputation openmrs_concept="161573^AMPUTATION^99DCT" openmrs_datatype="CWE" multiple="0">

        <date xsi:nil="true"/>

        <time xsi:nil="true"/>

        <value xsi:nil="true"/>

    </amputation>

    <smoker openmrs_concept="152722^Smoker^99DCT" openmrs_datatype="CWE" multiple="0">

        <date xsi:nil="true"/>

        <time xsi:nil="true"/>

        <value xsi:nil="true"/>

    </smoker>

    <glucose_monitoring_at_home openmrs_concept="161580^GLUCOSE MONITORING AT HOME^99DCT" openmrs_datatype="CWE" multiple="0">

        <date xsi:nil="true"/>

        <time xsi:nil="true"/>

        <value xsi:nil="true"/>

    </glucose_monitoring_at_home>

    <number_of_minutes_of_exercise_per_day openmrs_concept="161262^Number of minutes of exercise per day^99DCT" openmrs_datatype="NM">

        <date xsi:nil="true"/>

        <time xsi:nil="true"/>

        <value xsi:nil="true"/>

    </number_of_minutes_of_exercise_per_day>

    <free_text_comment openmrs_concept="161011^Free text comment^99DCT" openmrs_datatype="ST">

        <date xsi:nil="true"/>

        <time xsi:nil="true"/>

        <value xsi:nil="true"/>

    </free_text_comment>

    <hypoglycemics openmrs_concept="161608^HYPOGLYCEMICS^99DCT" openmrs_datatype="CWE"/>

    <antihypersensitives openmrs_concept="161609^ANTIHYPERSENSITIVES^99DCT" openmrs_datatype="CWE"/>

    <side_effects openmrs_concept="161591^SIDE EFFECTS^99DCT" openmrs_datatype="ST">

        <date xsi:nil="true"/>

        <time xsi:nil="true"/>

        <value xsi:nil="true"/>

    </side_effects>

    <adherence openmrs_concept="161581^ADHERENCE TO DRUGS^99DCT" openmrs_datatype="CWE" multiple="0">

        <date xsi:nil="true"/>

        <time xsi:nil="true"/>

        <value xsi:nil="true"/>

    </adherence>

  </obs>

  <problem_list openmrs_concept="1284^PROBLEM LIST^99DCT" openmrs_datatype="CWE">

    <problem_added openmrs_concept="6042^PROBLEM ADDED^99DCT" openmrs_datatype="CWE" multiple="0">

        <date xsi:nil="true"/>

        <time xsi:nil="true"/>

        <value xsi:nil="true"/>

    </problem_added>

    <problem_resolved openmrs_concept="6097^PROBLEM RESOLVED^99DCT" openmrs_datatype="CWE" multiple="0">

        <date xsi:nil="true"/>

        <time xsi:nil="true"/>

        <value xsi:nil="true"/>

    </problem_resolved>

  </problem_list>

  <other/></form>

    </xf:instance>

    <xf:bind id="patient.last_name" nodeset="/form/patient/patient.last_name" type="xsd:string" locked="true()"/>

    <xf:bind id="patient.first_name" nodeset="/form/patient/patient.first_name" type="xsd:string" locked="true()"/>

    <xf:bind id="patient.medical_record_number" nodeset="/form/patient/patient.medical_record_number" type="xsd:string" locked="true()" jr:preload="patient" jr:preloadParams="patientIdentifier"/>

    <xf:bind id="patient.patient_id" nodeset="/form/patient/patient.patient_id" type="xsd:int" required="true()" visible="false()" jr:preload="patient" jr:preloadParams="patientId"/>

    <xf:bind id="encounter.encounter_datetime" nodeset="/form/encounter/encounter.encounter_datetime" type="xsd:date" constraint=". &lt;= today()" message="Encounter date cannot be after today" required="true()"/>

    <xf:bind id="encounter.location_id" nodeset="/form/encounter/encounter.location_id" type="xsd:string" required="true()"/>

    <xf:bind id="encounter.provider_id" nodeset="/form/encounter/encounter.provider_id" type="xsd:string" required="true()"/>

    <xf:bind id="amputation" nodeset="/form/obs/amputation/value" type="xsd:string"/><xf:bind id="side_effects" nodeset="/form/obs/side_effects/value" type="xsd:string"/><xf:bind id="adherence" nodeset="/form/obs/adherence/value" type="xsd:string"/><xf:bind id="problem_added" nodeset="/form/problem_list/problem_added"/><xf:bind id="problem_resolved" nodeset="/form/problem_list/problem_resolved"/><xf:bind id="family_history_of_diabetes_mellitus" nodeset="/form/obs/family_history_of_diabetes_mellitus/value" type="xsd:string"/>

    <xf:bind id="diabetes_mellitus" nodeset="/form/obs/diabetes_mellitus" type="xsd:string"/>

    <xf:bind id="diagnosis_date" nodeset="/form/obs/diabetes_mellitus/diagnosis_date/value" type="xsd:string"/>

    <xf:bind id="myocardial_infarction" nodeset="/form/obs/myocardial_infarction"/>

    <xf:bind id="myocardial_infarction_diagnosis_date" nodeset="/form/obs/myocardial_infarction/diagnosis_date/value" type="xsd:string"/>

    <xf:bind id="cerebrovascular_accident" nodeset="/form/obs/cerebrovascular_accident"/>

    <xf:bind id="cerebrovascular_accident_diagnosis_date" nodeset="/form/obs/cerebrovascular_accident/diagnosis_date/value" type="xsd:string"/>

    <xf:bind id="htn_hypertension" nodeset="/form/obs/htn_hypertension"/>

    <xf:bind id="htn_hypertension_diagnosis_date" nodeset="/form/obs/htn_hypertension/diagnosis_date/value" type="xsd:string"/>



    <xf:bind id="smoker" nodeset="/form/obs/smoker/value" type="xsd:string"/>

    <xf:bind id="number_of_minutes_of_exercise_per_day" nodeset="/form/obs/number_of_minutes_of_exercise_per_day/value" type="xsd:decimal"/><xf:bind id="free_text_comment" nodeset="/form/obs/free_text_comment/value" type="xsd:string"/><xf:bind id="hypoglycemics" nodeset="/form/obs/hypoglycemics" type="xsd:string"/><xf:bind id="antihypersensitives" nodeset="/form/obs/antihypersensitives" type="xsd:string"/><xf:bind id="glucose_monitoring_at_home" nodeset="/form/obs/glucose_monitoring_at_home/value" type="xsd:string"/>







    <xf:bind id="insulin_70_slash_30" nodeset="/form/obs/hypoglycemics/insulin_70_slash_30/value"/>

    <xf:bind id="metformin" nodeset="/form/obs/hypoglycemics/metformin/value"/>

    <xf:bind id="insulin_isophane_beef-pork" nodeset="/form/obs/hypoglycemics/insulin_isophane_beef-pork/value"/>

    <xf:bind id="insulin_lente" nodeset="/form/obs/hypoglycemics/insulin_lente/value"/>

    <xf:bind id="glyburide" nodeset="/form/obs/hypoglycemics/glyburide/value"/>



    <xf:bind id="enalapril" nodeset="/form/obs/antihypersensitives/enalapril/value"/>

    <xf:bind id="losartan" nodeset="/form/obs/antihypersensitives/losartan/value"/>

    <xf:bind id="atenolol" nodeset="/form/obs/antihypersensitives/atenolol/value"/>

    <xf:bind id="furosemide" nodeset="/form/obs/antihypersensitives/furosemide/value"/>

    <xf:bind id="nifedipine" nodeset="/form/obs/antihypersensitives/nifedipine/value"/>









    <xf:bind id="problem_list_problem_added_value" nodeset="/form/problem_list/problem_added/value" type="xsd:string"/>

    <xf:bind id="problem_list_problem_resolved_value" nodeset="/form/problem_list/problem_resolved/value" type="xsd:string"/>

  </xf:model>

  <xf:group id="1">

    <xf:label>Page1</xf:label>

    <xf:input bind="patient.last_name">

      <xf:label>LAST NAME</xf:label>

    </xf:input>

    <xf:input bind="patient.first_name">

      <xf:label>FIRST NAME</xf:label>

    </xf:input>

    <xf:input bind="patient.medical_record_number">

      <xf:label>MEDICAL RECORD NUMBER</xf:label>

    </xf:input>

    <xf:input bind="patient.patient_id">

      <xf:label>PATIENT ID</xf:label>

    </xf:input>

    <xf:input bind="encounter.encounter_datetime">

      <xf:label>ENCOUNTER DATETIME</xf:label>

    </xf:input>

    <xf:select1 bind="encounter.location_id">

      <xf:label>LOCATION ID</xf:label>

      <xf:item id="4">

        <xf:label>Chulaimbo [4]</xf:label>

        <xf:value>4</xf:value>

      </xf:item>

      <xf:item id="3">

        <xf:label>Mosoriot Hospital [3]</xf:label>

        <xf:value>3</xf:value>

      </xf:item>

      <xf:item id="1">

        <xf:label>Unknown Location [1]</xf:label>

        <xf:value>1</xf:value>

      </xf:item>

      <xf:item id="11">

        <xf:label>Unknown Location 10 [11]</xf:label>

        <xf:value>11</xf:value>

      </xf:item>

      <xf:item id="12">

        <xf:label>Unknown Location 11 [12]</xf:label>

        <xf:value>12</xf:value>

      </xf:item>

      <xf:item id="13">

        <xf:label>Unknown Location 12 [13]</xf:label>

        <xf:value>13</xf:value>

      </xf:item>

      <xf:item id="14">

        <xf:label>Unknown Location 13 [14]</xf:label>

        <xf:value>14</xf:value>

      </xf:item>

      <xf:item id="15">

        <xf:label>Unknown Location 14 [15]</xf:label>

        <xf:value>15</xf:value>

      </xf:item>

      <xf:item id="16">

        <xf:label>Unknown Location 15 [16]</xf:label>

        <xf:value>16</xf:value>

      </xf:item>

      <xf:item id="17">

        <xf:label>Unknown Location 16 [17]</xf:label>

        <xf:value>17</xf:value>

      </xf:item>

      <xf:item id="18">

        <xf:label>Unknown Location 17 [18]</xf:label>

        <xf:value>18</xf:value>

      </xf:item>

      <xf:item id="19">

        <xf:label>Unknown Location 18 [19]</xf:label>

        <xf:value>19</xf:value>

      </xf:item>

      <xf:item id="5">

        <xf:label>Unknown Location 4 [5]</xf:label>

        <xf:value>5</xf:value>

      </xf:item>

      <xf:item id="6">

        <xf:label>Unknown Location 5 [6]</xf:label>

        <xf:value>6</xf:value>

      </xf:item>

      <xf:item id="7">

        <xf:label>Unknown Location 6 [7]</xf:label>

        <xf:value>7</xf:value>

      </xf:item>

      <xf:item id="8">

        <xf:label>Unknown Location 7 [8]</xf:label>

        <xf:value>8</xf:value>

      </xf:item>

      <xf:item id="9">

        <xf:label>Unknown Location 8 [9]</xf:label>

        <xf:value>9</xf:value>

      </xf:item>

      <xf:item id="10">

        <xf:label>Unknown Location 9  [10]</xf:label>

        <xf:value>10</xf:value>

      </xf:item>

      <xf:item id="2">

        <xf:label>Wishard Hospital [2]</xf:label>

        <xf:value>2</xf:value>

      </xf:item>

    </xf:select1>

    <xf:select1 bind="encounter.provider_id">

      <xf:label>PROVIDER ID</xf:label>

      <xf:item id="1">

        <xf:label>Super User [admin]</xf:label>

        <xf:value>1</xf:value>

      </xf:item>

    </xf:select1>

    <xf:select1 bind="amputation">

      <xf:label>AMPUTATION</xf:label>

      <xf:hint>Has the patient ever had an AMPUTATION</xf:hint>

      <xf:item concept_id="161573" id="161571^YES - DM RELATED^99DCT">

        <xf:label>YES - DM RELATED</xf:label>

        <xf:value>161571^YES - DM RELATED^99DCT</xf:value>

      </xf:item>

      <xf:item concept_id="161573" id="161572^YES - DM NOT RELATED^99DCT">

        <xf:label>YES - DM NOT RELATED</xf:label>

        <xf:value>161572^YES - DM NOT RELATED^99DCT</xf:value>

      </xf:item>

      <xf:item concept_id="161573" id="1066^NO^99DCT">

        <xf:label>NO</xf:label>

        <xf:value>1066^NO^99DCT</xf:value>

      </xf:item>

    </xf:select1><xf:input bind="side_effects">

      <xf:label>SIDE EFFECTS</xf:label>

      <xf:hint>Does the patient suffer from any side effects after using the drugs?</xf:hint>

    </xf:input><xf:select1 bind="adherence">

      <xf:label>ADHERENCE TO DRUGS</xf:label>

      <xf:hint>Adherence to medication</xf:hint>

      <xf:item concept_id="161581" id="159405^Good^99DCT">

        <xf:label>Good</xf:label>

        <xf:value>159405^Good^99DCT</xf:value>

      </xf:item>

      <xf:item concept_id="161581" id="159406^Fair^99DCT">

        <xf:label>Fair</xf:label>

        <xf:value>159406^Fair^99DCT</xf:value>

      </xf:item>

      <xf:item concept_id="161581" id="159407^Poor^99DCT">

        <xf:label>Poor</xf:label>

        <xf:value>159407^Poor^99DCT</xf:value>

      </xf:item>

      <xf:item concept_id="161581" id="1107^NONE^99DCT">

        <xf:label>NONE</xf:label>

        <xf:value>1107^NONE^99DCT</xf:value>

      </xf:item>

    </xf:select1><xf:group id="problem_list/problem_added">

      <xf:label>PROBLEM ADDED</xf:label>

      <xf:hint>Diagnosis or problem noted on a patient encounter. This corresponds to the list of "new" problems which are being added to the patient's list of problems. It refers to a health problem or diagnosis. Terms are added to this list typically by pressing a button which says New Problem or Add Problem.</xf:hint>

      <xf:repeat bind="problem_added">

        <xf:input bind="problem_list_problem_added_value">

          <xf:label>problem_added value</xf:label>

          <xf:hint>Diagnosis or problem noted on a patient encounter. This corresponds to the list of "new" problems which are being added to the patient's list of problems. It refers to a health problem or diagnosis. Terms are added to this list typically by pressing a button which says New Problem or Add Problem.</xf:hint>

        </xf:input>

      </xf:repeat>

    </xf:group><xf:group id="problem_list/problem_resolved">

      <xf:label>PROBLEM RESOLVED</xf:label>

      <xf:hint>Diagnosis or problem noted on a patient encounter as being resolved.</xf:hint>

      <xf:repeat bind="problem_resolved">

        <xf:input bind="problem_list_problem_resolved_value">

          <xf:label>problem_resolved value</xf:label>

          <xf:hint>Diagnosis or problem noted on a patient encounter as being resolved.</xf:hint>

        </xf:input>

      </xf:repeat>

    </xf:group><xf:select1 bind="family_history_of_diabetes_mellitus">

      <xf:label>Family History of Diabetes Mellitus</xf:label>

      <xf:item concept_id="140228" id="1066^NO^99DCT">

        <xf:label>NO</xf:label>

        <xf:value>1066^NO^99DCT</xf:value>

      </xf:item>

      <xf:item concept_id="140228" id="1065^YES^99DCT">

        <xf:label>YES</xf:label>

        <xf:value>1065^YES^99DCT</xf:value>

      </xf:item>

      <xf:item concept_id="140228" id="1067^UNKNOWN^99DCT">

        <xf:label>UNKNOWN</xf:label>

        <xf:value>1067^UNKNOWN^99DCT</xf:value>

      </xf:item>

    </xf:select1>

    <xf:select1 bind="diabetes_mellitus">

      <xf:label>Diabetes Mellitus</xf:label>

      <xf:hint>A heterogeneous group of disorders that share glucose intolerance in common.</xf:hint>

      <xf:item concept_id="119481" id="1066^NO^99DCT">

        <xf:label>NO</xf:label>

        <xf:value>1066^NO^99DCT</xf:value>

      </xf:item>

      <xf:item concept_id="119481" id="1065^YES^99DCT">

        <xf:label>YES</xf:label>

        <xf:value>1065^YES^99DCT</xf:value>

      </xf:item>

      <xf:item concept_id="119481" id="1067^UNKNOWN^99DCT">

        <xf:label>UNKNOWN</xf:label>

        <xf:value>1067^UNKNOWN^99DCT</xf:value>

      </xf:item>

    </xf:select1>



    <xf:select1 bind="smoker">

      <xf:label>Smoker</xf:label>

      <xf:item concept_id="152722" id="1065^YES^99DCT">

        <xf:label>YES</xf:label>

        <xf:value>1065^YES^99DCT</xf:value>

      </xf:item>

      <xf:item concept_id="152722" id="1066^NO^99DCT">

        <xf:label>NO</xf:label>

        <xf:value>1066^NO^99DCT</xf:value>

      </xf:item>

      <xf:item concept_id="152722" id="1067^UNKNOWN^99DCT">

        <xf:label>UNKNOWN</xf:label>

        <xf:value>1067^UNKNOWN^99DCT</xf:value>

      </xf:item>

    </xf:select1>

    <xf:input bind="number_of_minutes_of_exercise_per_day">

      <xf:label>Number of minutes of exercise per day</xf:label>

    </xf:input><xf:input bind="free_text_comment">

      <xf:label>Free text comment</xf:label>

    </xf:input><xf:select bind="hypoglycemics">

      <xf:label>HYPOGLYCEMICS</xf:label>

      <xf:item concept_id="161608" id="insulin_70_slash_30">

        <xf:label>INSULIN 70/30</xf:label>

        <xf:value>insulin_70_slash_30</xf:value>

      </xf:item>

      <xf:item concept_id="161608" id="metformin">

        <xf:label>METFORMIN</xf:label>

        <xf:value>metformin</xf:value>

      </xf:item>

      <xf:item concept_id="161608" id="insulin_isophane_beef-pork">

        <xf:label>INSULIN, ISOPHANE, BEEF-PORK</xf:label>

        <xf:value>insulin_isophane_beef-pork</xf:value>

      </xf:item>

      <xf:item concept_id="161608" id="insulin_lente">

        <xf:label>INSULIN, LENTE</xf:label>

        <xf:value>insulin_lente</xf:value>

      </xf:item>

      <xf:item concept_id="161608" id="glyburide">

        <xf:label>GLYBURIDE</xf:label>

        <xf:value>glyburide</xf:value>

      </xf:item>

    </xf:select><xf:select bind="antihypersensitives">

      <xf:label>ANTIHYPERSENSITIVES</xf:label>

      <xf:item concept_id="161609" id="enalapril">

        <xf:label>ENALAPRIL</xf:label>

        <xf:value>enalapril</xf:value>

      </xf:item>

      <xf:item concept_id="161609" id="losartan">

        <xf:label>LOSARTAN</xf:label>

        <xf:value>losartan</xf:value>

      </xf:item>

      <xf:item concept_id="161609" id="atenolol">

        <xf:label>ATENOLOL</xf:label>

        <xf:value>atenolol</xf:value>

      </xf:item>

      <xf:item concept_id="161609" id="furosemide">

        <xf:label>FUROSEMIDE</xf:label>

        <xf:value>furosemide</xf:value>

      </xf:item>

      <xf:item concept_id="161609" id="nifedipine">

        <xf:label>NIFEDIPINE</xf:label>

        <xf:value>nifedipine</xf:value>

      </xf:item>

    </xf:select><xf:select1 bind="glucose_monitoring_at_home">

      <xf:label>GLUCOSE MONITORING AT HOME</xf:label>

      <xf:item concept_id="161580" id="1065^YES^99DCT">

        <xf:label>YES</xf:label>

        <xf:value>1065^YES^99DCT</xf:value>

      </xf:item>

      <xf:item concept_id="161580" id="1066^NO^99DCT">

        <xf:label>NO</xf:label>

        <xf:value>1066^NO^99DCT</xf:value>

      </xf:item>

    </xf:select1>

















    <xf:group id="diabetes_mellitus">

      <xf:label>Diabetes Mellitus</xf:label>

      <xf:hint>A heterogeneous group of disorders that share glucose intolerance in common.</xf:hint>

      <xf:input bind="diagnosis_date">

        <xf:label>Diagnosis date</xf:label>

        <xf:hint>The date the diagnosis was first made for the patient.</xf:hint>

      </xf:input>

    </xf:group>

    <xf:group id="myocardial_infarction">

      <xf:label>Myocardial Infarction</xf:label>

      <xf:hint>Gross necrosis of the myocardium, as a result of interruption of the blood supply to the area. (Dorland, 27th ed)</xf:hint>

      <xf:input bind="myocardial_infarction_diagnosis_date">

        <xf:label>Diagnosis date</xf:label>

        <xf:hint>The date the diagnosis was first made for the patient.</xf:hint>

      </xf:input>

    </xf:group>

    <xf:group id="cerebrovascular_accident">

      <xf:label>Cerebrovascular Accident</xf:label>

      <xf:hint>A sudden, nonconvulsive loss of neurologic function due to an ischemic or hemorrhagic intracranial vascular event. In general, cerebrovascular accidents are classified by anatomic location in the brain, vascular distribution, etiology, age of the affected individual, and hemorrhagic vs. nonhemorrhagic nature. (From Adams et al., Principles of Neurology, 6th ed, pp777-810)</xf:hint>

      <xf:input bind="cerebrovascular_accident_diagnosis_date">

        <xf:label>Diagnosis date</xf:label>

        <xf:hint>The date the diagnosis was first made for the patient.</xf:hint>

      </xf:input>

    </xf:group>

    <xf:group id="htn_hypertension">

      <xf:label>High blood pressure</xf:label>

      <xf:hint>Persistently high arterial blood pressure. Currently accepted threshold levels are 140 mm Hg systolic and 90 mm Hg diastolic pressure.</xf:hint>

      <xf:input bind="htn_hypertension_diagnosis_date">

        <xf:label>Diagnosis date</xf:label>

        <xf:hint>The date the diagnosis was first made for the patient.</xf:hint>

      </xf:input>

    </xf:group>

  </xf:group>

</xf:xforms></Xform><Layout><Form id="38"><Page Text="Page1" fontWeight="normal" fontSize="16px" fontFamily="Verdana, 'Lucida Grande', 'Trebuchet MS', Arial, Sans-Serif" Binding="Page1" Width="900px" Height="2808px" backgroundColor=""><Item WidgetType="GroupBox" Binding="LEFT188pxTOP26px-null" Left="188px" Top="26px" Width="709px" Height="161px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" borderStyle="dashed" borderColor="rgb(143, 171, 199)"><Item WidgetType="Label" Text="PERSONAL INFORMATION" Binding="LEFT188pxTOP26px-null" Left="0px" Top="0px" Width="100%" Height="20px" TabIndex="0" color="white" fontWeight="bold" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" backgroundColor="rgb(143, 171, 199)" textAlign="center" HeaderLabel="true"/><Item WidgetType="Label" Text="MEDICAL RECORD NUMBER" HelpText="MEDICAL RECORD NUMBER" Binding="patient/patient.medical_record_number" Left="57px" Top="108px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="LAST NAME" HelpText="LAST NAME" Binding="patient/patient.last_name" Left="10px" Top="35px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="FIRST NAME" HelpText="FIRST NAME" Binding="patient/patient.first_name" Left="338px" Top="36px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="TextBox" HelpText="LAST NAME" Binding="patient/patient.last_name" Left="107px" Top="35px" Width="200px" Height="25px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" Id="last_name"/><Item WidgetType="TextBox" HelpText="FIRST NAME" Binding="patient/patient.first_name" Left="440px" Top="36px" Width="200px" Height="25px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" Id="first_name"/><Item WidgetType="TextBox" HelpText="MEDICAL RECORD NUMBER" Binding="patient/patient.medical_record_number" Left="280px" Top="108px" Width="200px" Height="25px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" Id="mrn"/></Item><Item WidgetType="Label" Text="PROBLEM ADDED" HelpText="Diagnosis or problem noted on a patient encounter. This corresponds to the list of &quot;new&quot; problems which are being added to the patient's list of problems. It refers to a health problem or diagnosis. Terms are added to this list typically by pressing a button which says New Problem or Add Problem." Binding="problem_list/problem_added" Left="50px" Top="2175px" TabIndex="0" fontWeight="bold" fontStyle="italic" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="problem_added value" HelpText="Diagnosis or problem noted on a patient encounter. This corresponds to the list of &quot;new&quot; problems which are being added to the patient's list of problems. It refers to a health problem or diagnosis. Terms are added to this list typically by pressing a button which says New Problem or Add Problem." Binding="problem_list/problem_added/value" Left="65px" Top="2200px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" textDecoration="underline"/><Item WidgetType="GroupBox" HelpText="Diagnosis or problem noted on a patient encounter. This corresponds to the list of &quot;new&quot; problems which are being added to the patient's list of problems. It refers to a health problem or diagnosis. Terms are added to this list typically by pressing a button which says New Problem or Add Problem." Binding="problem_list/problem_added" Left="50px" Top="2225px" Width="265px" Height="100px" TabIndex="30" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" borderColor="rgb(143, 171, 199)" Repeated="1"><Item WidgetType="Button" Text="Add New" HelpText="addnew" Binding="addnew" Left="10px" Top="55px" Width="70px" Height="30px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="TextBox" HelpText="Diagnosis or problem noted on a patient encounter. This corresponds to the list of &quot;new&quot; problems which are being added to the patient's list of problems. It refers to a health problem or diagnosis. Terms are added to this list typically by pressing a button which says New Problem or Add Problem." Binding="problem_list/problem_added/value" Left="10px" Top="10px" Width="200px" Height="25px" TabIndex="1" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/></Item><Item WidgetType="Label" Text="PROBLEM RESOLVED" HelpText="Diagnosis or problem noted on a patient encounter as being resolved." Binding="problem_list/problem_resolved" Left="50px" Top="2355px" TabIndex="0" fontWeight="bold" fontStyle="italic" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="problem_resolved value" HelpText="Diagnosis or problem noted on a patient encounter as being resolved." Binding="problem_list/problem_resolved/value" Left="65px" Top="2380px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" textDecoration="underline"/><Item WidgetType="GroupBox" HelpText="Diagnosis or problem noted on a patient encounter as being resolved." Binding="problem_list/problem_resolved" Left="50px" Top="2405px" Width="265px" Height="100px" TabIndex="31" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" borderColor="rgb(143, 171, 199)" Repeated="1"><Item WidgetType="Button" Text="Add New" HelpText="addnew" Binding="addnew" Left="10px" Top="55px" Width="70px" Height="30px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="TextBox" HelpText="Diagnosis or problem noted on a patient encounter as being resolved." Binding="problem_list/problem_resolved/value" Left="10px" Top="10px" Width="200px" Height="25px" TabIndex="1" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/></Item><Item WidgetType="Button" Text="Submit" HelpText="submit" Binding="submit" Left="50px" Top="2543px" Width="70px" Height="30px" TabIndex="32" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Button" Text="Cancel" HelpText="cancel" Binding="cancel" Left="250px" Top="2543px" Width="70px" Height="30px" TabIndex="33" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="GroupBox" HelpText="A heterogeneous group of disorders that share glucose intolerance in common." Binding="obs/diabetes_mellitus" Left="316px" Top="628px" Width="500px" Height="65px" TabIndex="16" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" borderStyle="dashed" borderColor="rgb(143, 171, 199)"><Item WidgetType="Label" Text="Diabetes Mellitus" HelpText="A heterogeneous group of disorders that share glucose intolerance in common." Binding="obs/diabetes_mellitus" Left="0px" Top="1px" Width="100%" Height="20px" TabIndex="0" color="white" fontWeight="bold" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" backgroundColor="rgb(143, 171, 199)" textAlign="center" HeaderLabel="true"/><Item WidgetType="Label" Text="Diagnosis date" HelpText="The date the diagnosis was first made for the patient." Binding="obs/diabetes_mellitus/diagnosis_date/value" Left="10px" Top="30px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="DatePicker" HelpText="The date the diagnosis was first made for the patient." Binding="obs/diabetes_mellitus/diagnosis_date/value" Left="130px" Top="31px" Width="200px" Height="25px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/></Item><Item WidgetType="GroupBox" HelpText="Gross necrosis of the myocardium, as a result of interruption of the blood supply to the area. (Dorland, 27th ed)" Binding="obs/myocardial_infarction" Left="316px" Top="713px" Width="500px" Height="65px" TabIndex="17" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" borderStyle="dashed" borderColor="rgb(143, 171, 199)"><Item WidgetType="Label" Text="Myocardial Infarction" HelpText="Gross necrosis of the myocardium, as a result of interruption of the blood supply to the area. (Dorland, 27th ed)" Binding="obs/myocardial_infarction" Left="0px" Top="1px" Width="100%" Height="20px" TabIndex="0" color="white" fontWeight="bold" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" backgroundColor="rgb(143, 171, 199)" textAlign="center" HeaderLabel="true"/><Item WidgetType="Label" Text="Diagnosis date" HelpText="The date the diagnosis was first made for the patient." Binding="obs/myocardial_infarction/diagnosis_date/value" Left="10px" Top="30px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="DatePicker" HelpText="The date the diagnosis was first made for the patient." Binding="obs/diabetes_mellitus/diagnosis_date/value" Left="133px" Top="30px" Width="200px" Height="25px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/></Item><Item WidgetType="GroupBox" HelpText="A sudden, nonconvulsive loss of neurologic function due to an ischemic or hemorrhagic intracranial vascular event. In general, cerebrovascular accidents are classified by anatomic location in the brain, vascular distribution, etiology, age of the affected individual, and hemorrhagic vs. nonhemorrhagic nature. (From Adams et al., Principles of Neurology, 6th ed, pp777-810)" Binding="obs/cerebrovascular_accident" Left="317px" Top="800px" Width="500px" Height="65px" TabIndex="18" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" borderStyle="dashed" borderColor="rgb(143, 171, 199)"><Item WidgetType="Label" Text="Cerebrovascular Accident" HelpText="A sudden, nonconvulsive loss of neurologic function due to an ischemic or hemorrhagic intracranial vascular event. In general, cerebrovascular accidents are classified by anatomic location in the brain, vascular distribution, etiology, age of the affected individual, and hemorrhagic vs. nonhemorrhagic nature. (From Adams et al., Principles of Neurology, 6th ed, pp777-810)" Binding="obs/cerebrovascular_accident" Left="0px" Top="1px" Width="100%" Height="20px" TabIndex="0" color="white" fontWeight="bold" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" backgroundColor="rgb(143, 171, 199)" textAlign="center" HeaderLabel="true"/><Item WidgetType="Label" Text="Diagnosis date" HelpText="The date the diagnosis was first made for the patient." Binding="obs/cerebrovascular_accident/diagnosis_date/value" Left="10px" Top="30px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="DatePicker" HelpText="The date the diagnosis was first made for the patient." Binding="obs/diabetes_mellitus/diagnosis_date/value" Left="132px" Top="31px" Width="200px" Height="25px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/></Item><Item WidgetType="GroupBox" HelpText="Persistently high arterial blood pressure. Currently accepted threshold levels are 140 mm Hg systolic and 90 mm Hg diastolic pressure." Binding="obs/htn_hypertension" Left="318px" Top="889px" Width="500px" Height="65px" TabIndex="19" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" borderStyle="dashed" borderColor="rgb(143, 171, 199)"><Item WidgetType="Label" Text="High blood pressure" HelpText="Persistently high arterial blood pressure. Currently accepted threshold levels are 140 mm Hg systolic and 90 mm Hg diastolic pressure." Binding="obs/htn_hypertension" Left="0px" Top="1px" Width="100%" Height="20px" TabIndex="0" color="white" fontWeight="bold" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" backgroundColor="rgb(143, 171, 199)" textAlign="center" HeaderLabel="true"/><Item WidgetType="DatePicker" HelpText="The date the diagnosis was first made for the patient." Binding="obs/diabetes_mellitus/diagnosis_date/value" Left="133px" Top="32px" Width="200px" Height="25px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="Diagnosis date" HelpText="The date the diagnosis was first made for the patient." Binding="obs/htn_hypertension/diagnosis_date/value" Left="10px" Top="32px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/></Item><Item WidgetType="GroupBox" Binding="LEFT264pxTOP414px-null" Left="249px" Top="474px" Width="634px" Height="105px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" borderStyle="dashed" borderColor="rgb(143, 171, 199)"><Item WidgetType="Label" Text="FAMILY HISTORY" HelpText="FAMILY HISTORY" Binding="LEFT264pxTOP414px-null" Left="0px" Top="1px" Width="100%" Height="20px" TabIndex="0" color="white" fontWeight="bold" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" backgroundColor="rgb(143, 171, 199)" textAlign="center" HeaderLabel="true"/><Item WidgetType="RadioButton" Text="NO" HelpText="NO" Binding="1066^NO^99DCT" ParentBinding="obs/family_history_of_diabetes_mellitus/value" Left="347px" Top="52px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="RadioButton" Text="YES" HelpText="YES" Binding="1065^YES^99DCT" ParentBinding="obs/family_history_of_diabetes_mellitus/value" Left="401px" Top="52px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="RadioButton" Text="UNKNOWN" HelpText="UNKNOWN" Binding="1067^UNKNOWN^99DCT" ParentBinding="obs/family_history_of_diabetes_mellitus/value" Left="468px" Top="52px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="FAMILY HISTORY OF DIABETES MELLITUS" HelpText="Family History of Diabetes Mellitus" Binding="obs/family_history_of_diabetes_mellitus/value" Left="10px" Top="52px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/></Item><Item WidgetType="GroupBox" Binding="LEFT279pxTOP241px-null" Left="277px" Top="259px" Width="564px" Height="150px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" borderStyle="dashed" borderColor="rgb(143, 171, 199)"><Item WidgetType="Label" Text="ENCOUNTER DETAILS" HelpText="ENCOUNTER DETAILS" Binding="LEFT279pxTOP241px-null" Left="0px" Top="0px" Width="100%" Height="20px" TabIndex="0" color="white" fontWeight="bold" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" backgroundColor="rgb(143, 171, 199)" textAlign="center" HeaderLabel="true"/><Item WidgetType="Label" Text="ENCOUNTER DATETIME" HelpText="ENCOUNTER DATETIME" Binding="encounter/encounter.encounter_datetime" Left="10px" Top="35px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="DatePicker" HelpText="ENCOUNTER DATETIME" Binding="encounter/encounter.encounter_datetime" Left="200px" Top="35px" Width="200px" Height="25px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="LOCATION ID" HelpText="LOCATION ID" Binding="encounter/encounter.location_id" Left="89px" Top="75px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="ListBox" HelpText="LOCATION ID" Binding="encounter/encounter.location_id" Left="200px" Top="75px" Width="200px" Height="25px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="PROVIDER ID" HelpText="PROVIDER ID" Binding="encounter/encounter.provider_id" Left="89px" Top="115px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="ListBox" HelpText="PROVIDER ID" Binding="encounter/encounter.provider_id" Left="200px" Top="115px" Width="200px" Height="25px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/></Item><Item WidgetType="GroupBox" Binding="LEFT258pxTOP870px-null" Left="278px" Top="993px" Width="576px" Height="274px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" borderStyle="dashed" borderColor="rgb(143, 171, 199)"><Item WidgetType="Label" Text="ADDITIONAL DETAILS" HelpText="Header Label" Binding="LEFT258pxTOP870px-null" Left="0px" Top="1px" Width="100%" Height="20px" TabIndex="0" color="white" fontWeight="bold" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" backgroundColor="rgb(143, 171, 199)" textAlign="center" HeaderLabel="true"/><Item WidgetType="Label" Text="AMPUTATION" HelpText="Has the patient ever had an AMPUTATION" Binding="obs/amputation/value" Left="10px" Top="40px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="RadioButton" Text="YES - DM RELATED" HelpText="YES - DM RELATED" Binding="161571^YES - DM RELATED^99DCT" ParentBinding="obs/amputation/value" Left="152px" Top="36px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="RadioButton" Text="YES - DM NOT RELATED" HelpText="YES - DM NOT RELATED" Binding="161572^YES - DM NOT RELATED^99DCT" ParentBinding="obs/amputation/value" Left="152px" Top="76px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="RadioButton" Text="NO" HelpText="NO" Binding="1066^NO^99DCT" ParentBinding="obs/amputation/value" Left="152px" Top="116px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="RadioButton" Text="UNKNOWN" HelpText="UNKNOWN" Binding="1067^UNKNOWN^99DCT" ParentBinding="obs/smoker/value" Left="308px" Top="156px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="RadioButton" Text="NO" HelpText="NO" Binding="1066^NO^99DCT" ParentBinding="obs/smoker/value" Left="231px" Top="155px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="RadioButton" Text="YES" HelpText="YES" Binding="1065^YES^99DCT" ParentBinding="obs/smoker/value" Left="153px" Top="155px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="SMOKER" HelpText="Smoker" Binding="obs/smoker/value" Left="10px" Top="157px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="GLUCOSE MONITORING AT HOME" HelpText="GLUCOSE MONITORING AT HOME" Binding="obs/glucose_monitoring_at_home/value" Left="13px" Top="241px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="ListBox" HelpText="GLUCOSE MONITORING AT HOME" Binding="obs/glucose_monitoring_at_home/value" Left="292px" Top="239px" Width="200px" Height="25px" TabIndex="24" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="TextBox" HelpText="Number of minutes of exercise per day" Binding="obs/number_of_minutes_of_exercise_per_day/value" Left="291px" Top="202px" Width="136px" Height="25px" TabIndex="21" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="EXERCISE TIME (IN MINUTES)" HelpText="Number of minutes of exercise per day" Binding="obs/number_of_minutes_of_exercise_per_day/value" Left="14px" Top="201px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/></Item><Item WidgetType="GroupBox" Binding="LEFT229pxTOP1085px-null" Left="276px" Top="1308px" Width="582px" Height="517px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" borderStyle="dashed" borderColor="rgb(143, 171, 199)"><Item WidgetType="Label" Text="MEDICATION" HelpText="Drugs" Binding="LEFT229pxTOP1085px-null" Left="0px" Top="1px" Width="100%" Height="20px" TabIndex="0" color="white" fontWeight="bold" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" backgroundColor="rgb(143, 171, 199)" textAlign="center" HeaderLabel="true"/><Item WidgetType="Label" Text="ADHERENCE TO DRUGS" HelpText="Adherence to medication" Binding="obs/adherence/value" Left="38px" Top="458px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="RadioButton" Text="Good" HelpText="Good" Binding="159405^Good^99DCT" ParentBinding="obs/adherence/value" Left="247px" Top="458px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="RadioButton" Text="Fair" HelpText="Fair" Binding="159406^Fair^99DCT" ParentBinding="obs/adherence/value" Left="333px" Top="459px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="RadioButton" Text="NONE" HelpText="NONE" Binding="1107^NONE^99DCT" ParentBinding="obs/adherence/value" Left="477px" Top="462px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="RadioButton" Text="Poor" HelpText="Poor" Binding="159407^Poor^99DCT" ParentBinding="obs/adherence/value" Left="405px" Top="461px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="HYPOGLYCEMICS" HelpText="HYPOGLYCEMICS" Binding="obs/hypoglycemics" Left="106px" Top="45px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="CheckBox" Text="INSULIN 70/30" HelpText="INSULIN 70/30" Binding="insulin_70_slash_30" ParentBinding="obs/hypoglycemics" Left="259px" Top="41px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="CheckBox" Text="METFORMIN" HelpText="METFORMIN" Binding="metformin" ParentBinding="obs/hypoglycemics" Left="259px" Top="81px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="CheckBox" Text="GLYBURIDE" HelpText="GLYBURIDE" Binding="glyburide" ParentBinding="obs/hypoglycemics" Left="262px" Top="199px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="ANTIHYPERSENSITIVES" HelpText="ANTIHYPERSENSITIVES" Binding="obs/antihypersensitives" Left="75px" Top="242px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="CheckBox" Text="ENALAPRIL" HelpText="ENALAPRIL" Binding="enalapril" ParentBinding="obs/antihypersensitives" Left="265px" Top="242px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="CheckBox" Text="LOSARTAN" HelpText="LOSARTAN" Binding="losartan" ParentBinding="obs/antihypersensitives" Left="265px" Top="282px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="CheckBox" Text="ATENOLOL" HelpText="ATENOLOL" Binding="atenolol" ParentBinding="obs/antihypersensitives" Left="265px" Top="322px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="CheckBox" Text="FUROSEMIDE" HelpText="FUROSEMIDE" Binding="furosemide" ParentBinding="obs/antihypersensitives" Left="265px" Top="362px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="CheckBox" Text="NIFEDIPINE" HelpText="NIFEDIPINE" Binding="nifedipine" ParentBinding="obs/antihypersensitives" Left="265px" Top="402px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="CheckBox" Text="NPH INSULIN" HelpText="INSULIN, ISOPHANE, BEEF-PORK" Binding="insulin_isophane_beef-pork" ParentBinding="obs/hypoglycemics" Left="261px" Top="121px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="CheckBox" Text="REGULAR INSULIN" HelpText="INSULIN, LENTE" Binding="insulin_lente" ParentBinding="obs/hypoglycemics" Left="262px" Top="161px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/></Item><Item WidgetType="Label" Text="NOTES" HelpText="Free text comment" Binding="obs/free_text_comment/value" Left="280px" Top="1973px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="SIDE EFFECTS" HelpText="Does the patient suffer from any side effects after using the drugs?" Binding="obs/side_effects/value" Left="279px" Top="1888px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="TextArea" HelpText="Does the patient suffer from any side effects after using the drugs?" Binding="obs/side_effects/value" Left="465px" Top="1880px" Width="392px" Height="60px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="TextArea" HelpText="OTHER MEDICATIONS etc." Binding="obs/free_text_comment/value" Left="466px" Top="1970px" Width="394px" Height="161px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/></Page></Form></Layout><Language><LanguageText lang="en"><xform id="38"><text xpath="xforms/model[@id='openmrs_model']/instance[@id='openmrs_model_instance']/form[@name]" value="Patient Medical History"/><text xpath="xforms/group[@id='1']/label" value="Page1"/><text xpath="xforms/group[@id='1']/input[@bind='patient.last_name']/label" value="LAST NAME"/><text xpath="xforms/group[@id='1']/input[@bind='patient.first_name']/label" value="FIRST NAME"/><text xpath="xforms/group[@id='1']/input[@bind='patient.medical_record_number']/label" value="MEDICAL RECORD NUMBER"/><text xpath="xforms/group[@id='1']/input[@bind='patient.patient_id']/label" value="PATIENT ID"/><text xpath="xforms/group[@id='1']/input[@bind='encounter.encounter_datetime']/label" value="ENCOUNTER DATETIME"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.location_id']/label" value="LOCATION ID"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.location_id']/item[@id='4']/label" value="Chulaimbo [4]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.location_id']/item[@id='3']/label" value="Mosoriot Hospital [3]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.location_id']/item[@id='1']/label" value="Unknown Location [1]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.location_id']/item[@id='11']/label" value="Unknown Location 10 [11]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.location_id']/item[@id='12']/label" value="Unknown Location 11 [12]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.location_id']/item[@id='13']/label" value="Unknown Location 12 [13]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.location_id']/item[@id='14']/label" value="Unknown Location 13 [14]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.location_id']/item[@id='15']/label" value="Unknown Location 14 [15]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.location_id']/item[@id='16']/label" value="Unknown Location 15 [16]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.location_id']/item[@id='17']/label" value="Unknown Location 16 [17]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.location_id']/item[@id='18']/label" value="Unknown Location 17 [18]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.location_id']/item[@id='19']/label" value="Unknown Location 18 [19]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.location_id']/item[@id='5']/label" value="Unknown Location 4 [5]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.location_id']/item[@id='6']/label" value="Unknown Location 5 [6]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.location_id']/item[@id='7']/label" value="Unknown Location 6 [7]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.location_id']/item[@id='8']/label" value="Unknown Location 7 [8]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.location_id']/item[@id='9']/label" value="Unknown Location 8 [9]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.location_id']/item[@id='10']/label" value="Unknown Location 9  [10]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.location_id']/item[@id='2']/label" value="Wishard Hospital [2]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/label" value="PROVIDER ID"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='1']/label" value="Super User [admin]"/><text xpath="xforms/group[@id='1']/select1[@bind='amputation']/label" value="AMPUTATION"/><text xpath="xforms/group[@id='1']/select1[@bind='amputation']/hint" value="Has the patient ever had an AMPUTATION"/><text xpath="xforms/group[@id='1']/select1[@bind='amputation']/item[@id='161571^YES - DM RELATED^99DCT']/label" value="YES - DM RELATED"/><text xpath="xforms/group[@id='1']/select1[@bind='amputation']/item[@id='161572^YES - DM NOT RELATED^99DCT']/label" value="YES - DM NOT RELATED"/><text xpath="xforms/group[@id='1']/select1[@bind='amputation']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/group[@id='1']/input[@bind='side_effects']/label" value="SIDE EFFECTS"/><text xpath="xforms/group[@id='1']/input[@bind='side_effects']/hint" value="Does the patient suffer from any side effects after using the drugs?"/><text xpath="xforms/group[@id='1']/select1[@bind='adherence']/label" value="ADHERENCE TO DRUGS"/><text xpath="xforms/group[@id='1']/select1[@bind='adherence']/hint" value="Adherence to medication"/><text xpath="xforms/group[@id='1']/select1[@bind='adherence']/item[@id='159405^Good^99DCT']/label" value="Good"/><text xpath="xforms/group[@id='1']/select1[@bind='adherence']/item[@id='159406^Fair^99DCT']/label" value="Fair"/><text xpath="xforms/group[@id='1']/select1[@bind='adherence']/item[@id='159407^Poor^99DCT']/label" value="Poor"/><text xpath="xforms/group[@id='1']/select1[@bind='adherence']/item[@id='1107^NONE^99DCT']/label" value="NONE"/><text xpath="xforms/group[@id='1']/group[@id='problem_list/problem_added']/label" value="PROBLEM ADDED"/><text xpath="xforms/group[@id='1']/group[@id='problem_list/problem_added']/hint" value="Diagnosis or problem noted on a patient encounter. This corresponds to the list of &quot;new&quot; problems which are being added to the patient's list of problems. It refers to a health problem or diagnosis. Terms are added to this list typically by pressing a button which says New Problem or Add Problem."/><text xpath="xforms/group[@id='1']/group[@id='problem_list/problem_added']/repeat/input[@bind='problem_list_problem_added_value']/label" value="problem_added value"/><text xpath="xforms/group[@id='1']/group[@id='problem_list/problem_added']/repeat/input[@bind='problem_list_problem_added_value']/hint" value="Diagnosis or problem noted on a patient encounter. This corresponds to the list of &quot;new&quot; problems which are being added to the patient's list of problems. It refers to a health problem or diagnosis. Terms are added to this list typically by pressing a button which says New Problem or Add Problem."/><text xpath="xforms/group[@id='1']/group[@id='problem_list/problem_resolved']/label" value="PROBLEM RESOLVED"/><text xpath="xforms/group[@id='1']/group[@id='problem_list/problem_resolved']/hint" value="Diagnosis or problem noted on a patient encounter as being resolved."/><text xpath="xforms/group[@id='1']/group[@id='problem_list/problem_resolved']/repeat/input[@bind='problem_list_problem_resolved_value']/label" value="problem_resolved value"/><text xpath="xforms/group[@id='1']/group[@id='problem_list/problem_resolved']/repeat/input[@bind='problem_list_problem_resolved_value']/hint" value="Diagnosis or problem noted on a patient encounter as being resolved."/><text xpath="xforms/group[@id='1']/select1[@bind='family_history_of_diabetes_mellitus']/label" value="Family History of Diabetes Mellitus"/><text xpath="xforms/group[@id='1']/select1[@bind='family_history_of_diabetes_mellitus']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/group[@id='1']/select1[@bind='family_history_of_diabetes_mellitus']/item[@id='1065^YES^99DCT']/label" value="YES"/><text xpath="xforms/group[@id='1']/select1[@bind='family_history_of_diabetes_mellitus']/item[@id='1067^UNKNOWN^99DCT']/label" value="UNKNOWN"/><text xpath="xforms/group[@id='1']/xforms/group[@id='1']/label" value="Diabetes Mellitus"/><text xpath="xforms/group[@id='1']/xforms/group[@id='1']/hint" value="A heterogeneous group of disorders that share glucose intolerance in common."/><text xpath="xforms/group[@id='1']/group[@id='diabetes_mellitus']/input[@bind='diagnosis_date']/label" value="Diagnosis date"/><text xpath="xforms/group[@id='1']/group[@id='diabetes_mellitus']/input[@bind='diagnosis_date']/hint" value="The date the diagnosis was first made for the patient."/><text xpath="xforms/group[@id='1']/xforms/group[@id='1']/label" value="Myocardial Infarction"/><text xpath="xforms/group[@id='1']/xforms/group[@id='1']/hint" value="Gross necrosis of the myocardium, as a result of interruption of the blood supply to the area. (Dorland, 27th ed)"/><text xpath="xforms/group[@id='1']/group[@id='myocardial_infarction']/input[@bind='myocardial_infarction_diagnosis_date']/label" value="Diagnosis date"/><text xpath="xforms/group[@id='1']/group[@id='myocardial_infarction']/input[@bind='myocardial_infarction_diagnosis_date']/hint" value="The date the diagnosis was first made for the patient."/><text xpath="xforms/group[@id='1']/xforms/group[@id='1']/label" value="Cerebrovascular Accident"/><text xpath="xforms/group[@id='1']/xforms/group[@id='1']/hint" value="A sudden, nonconvulsive loss of neurologic function due to an ischemic or hemorrhagic intracranial vascular event. In general, cerebrovascular accidents are classified by anatomic location in the brain, vascular distribution, etiology, age of the affected individual, and hemorrhagic vs. nonhemorrhagic nature. (From Adams et al., Principles of Neurology, 6th ed, pp777-810)"/><text xpath="xforms/group[@id='1']/group[@id='cerebrovascular_accident']/input[@bind='cerebrovascular_accident_diagnosis_date']/label" value="Diagnosis date"/><text xpath="xforms/group[@id='1']/group[@id='cerebrovascular_accident']/input[@bind='cerebrovascular_accident_diagnosis_date']/hint" value="The date the diagnosis was first made for the patient."/><text xpath="xforms/group[@id='1']/xforms/group[@id='1']/label" value="High blood pressure"/><text xpath="xforms/group[@id='1']/xforms/group[@id='1']/hint" value="Persistently high arterial blood pressure. Currently accepted threshold levels are 140 mm Hg systolic and 90 mm Hg diastolic pressure."/><text xpath="xforms/group[@id='1']/group[@id='htn_hypertension']/input[@bind='htn_hypertension_diagnosis_date']/label" value="Diagnosis date"/><text xpath="xforms/group[@id='1']/group[@id='htn_hypertension']/input[@bind='htn_hypertension_diagnosis_date']/hint" value="The date the diagnosis was first made for the patient."/><text xpath="xforms/group[@id='1']/select1[@bind='smoker']/label" value="Smoker"/><text xpath="xforms/group[@id='1']/select1[@bind='smoker']/item[@id='1065^YES^99DCT']/label" value="YES"/><text xpath="xforms/group[@id='1']/select1[@bind='smoker']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/group[@id='1']/select1[@bind='smoker']/item[@id='1067^UNKNOWN^99DCT']/label" value="UNKNOWN"/><text xpath="xforms/group[@id='1']/input[@bind='number_of_minutes_of_exercise_per_day']/label" value="Number of minutes of exercise per day"/><text xpath="xforms/group[@id='1']/input[@bind='free_text_comment']/label" value="Free text comment"/><text xpath="xforms/group[@id='1']/select[@bind='hypoglycemics']/label" value="HYPOGLYCEMICS"/><text xpath="xforms/group[@id='1']/select[@bind='hypoglycemics']/item[@id='insulin_70_slash_30']/label" value="INSULIN 70/30"/><text xpath="xforms/group[@id='1']/select[@bind='hypoglycemics']/item[@id='metformin']/label" value="METFORMIN"/><text xpath="xforms/group[@id='1']/select[@bind='hypoglycemics']/item[@id='insulin_isophane_beef-pork']/label" value="INSULIN, ISOPHANE, BEEF-PORK"/><text xpath="xforms/group[@id='1']/select[@bind='hypoglycemics']/item[@id='insulin_lente']/label" value="INSULIN, LENTE"/><text xpath="xforms/group[@id='1']/select[@bind='hypoglycemics']/item[@id='glyburide']/label" value="GLYBURIDE"/><text xpath="xforms/group[@id='1']/select[@bind='antihypersensitives']/label" value="ANTIHYPERSENSITIVES"/><text xpath="xforms/group[@id='1']/select[@bind='antihypersensitives']/item[@id='enalapril']/label" value="ENALAPRIL"/><text xpath="xforms/group[@id='1']/select[@bind='antihypersensitives']/item[@id='losartan']/label" value="LOSARTAN"/><text xpath="xforms/group[@id='1']/select[@bind='antihypersensitives']/item[@id='atenolol']/label" value="ATENOLOL"/><text xpath="xforms/group[@id='1']/select[@bind='antihypersensitives']/item[@id='furosemide']/label" value="FUROSEMIDE"/><text xpath="xforms/group[@id='1']/select[@bind='antihypersensitives']/item[@id='nifedipine']/label" value="NIFEDIPINE"/><text xpath="xforms/group[@id='1']/select1[@bind='glucose_monitoring_at_home']/label" value="GLUCOSE MONITORING AT HOME"/><text xpath="xforms/group[@id='1']/select1[@bind='glucose_monitoring_at_home']/item[@id='1065^YES^99DCT']/label" value="YES"/><text xpath="xforms/group[@id='1']/select1[@bind='glucose_monitoring_at_home']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='encounter.encounter_datetime'][@message]" value="Encounter date cannot be after today"/></xform><Form id="38"><text xpath="Form/Page[@Binding='Page1'][@Text]" value="Page1"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='GroupBox'][@Top]" value="26px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='GroupBox'][@Left]" value="188px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='GroupBox'][@Width]" value="709px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='GroupBox']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='Label'][@Text]" value="PERSONAL INFORMATION"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='GroupBox']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='Label'][@Top]" value="0px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='GroupBox']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='Label'][@Left]" value="0px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='GroupBox']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='Label'][@Width]" value="100%"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.medical_record_number' and @WidgetType='Label'][@Text]" value="MEDICAL RECORD NUMBER"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.medical_record_number' and @WidgetType='Label'][@HelpText]" value="MEDICAL RECORD NUMBER"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.medical_record_number' and @WidgetType='Label'][@Top]" value="108px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.medical_record_number' and @WidgetType='Label'][@Left]" value="57px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.last_name' and @WidgetType='Label'][@Text]" value="LAST NAME"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.last_name' and @WidgetType='Label'][@HelpText]" value="LAST NAME"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.last_name' and @WidgetType='Label'][@Top]" value="35px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.last_name' and @WidgetType='Label'][@Left]" value="10px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.first_name' and @WidgetType='Label'][@Text]" value="FIRST NAME"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.first_name' and @WidgetType='Label'][@HelpText]" value="FIRST NAME"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.first_name' and @WidgetType='Label'][@Top]" value="36px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.first_name' and @WidgetType='Label'][@Left]" value="338px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.last_name' and @WidgetType='TextBox'][@HelpText]" value="LAST NAME"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.last_name' and @WidgetType='TextBox'][@Top]" value="35px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.last_name' and @WidgetType='TextBox'][@Left]" value="107px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.last_name' and @WidgetType='TextBox'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT188pxTOP26px-null' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.first_name' and @WidgetType='TextBox'][@HelpText]" value="FIRST 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@WidgetType='DatePicker'][@Left]" value="130px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/diabetes_mellitus' and @WidgetType='GroupBox']/Item[@Binding='obs/diabetes_mellitus/diagnosis_date/value' and @WidgetType='DatePicker'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/myocardial_infarction' and @WidgetType='GroupBox'][@HelpText]" value="Gross necrosis of the myocardium, as a result of interruption of the blood supply to the area. (Dorland, 27th ed)"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/myocardial_infarction' and @WidgetType='GroupBox'][@Top]" value="713px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/myocardial_infarction' and @WidgetType='GroupBox'][@Left]" value="316px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/myocardial_infarction' and @WidgetType='GroupBox'][@Width]" value="500px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/myocardial_infarction' and @WidgetType='GroupBox']/Item[@Binding='obs/myocardial_infarction' and @WidgetType='Label'][@Text]" value="Myocardial Infarction"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/myocardial_infarction' and @WidgetType='GroupBox']/Item[@Binding='obs/myocardial_infarction' and @WidgetType='Label'][@HelpText]" value="Gross necrosis of the myocardium, as a result of interruption of the blood supply to the area. (Dorland, 27th ed)"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/myocardial_infarction' and @WidgetType='GroupBox']/Item[@Binding='obs/myocardial_infarction' and @WidgetType='Label'][@Top]" value="1px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/myocardial_infarction' and @WidgetType='GroupBox']/Item[@Binding='obs/myocardial_infarction' and @WidgetType='Label'][@Left]" value="0px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/myocardial_infarction' and @WidgetType='GroupBox']/Item[@Binding='obs/myocardial_infarction' and @WidgetType='Label'][@Width]" value="100%"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/myocardial_infarction' and @WidgetType='GroupBox']/Item[@Binding='obs/myocardial_infarction/diagnosis_date/value' and @WidgetType='Label'][@Text]" value="Diagnosis date"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/myocardial_infarction' and @WidgetType='GroupBox']/Item[@Binding='obs/myocardial_infarction/diagnosis_date/value' and @WidgetType='Label'][@HelpText]" value="The date the diagnosis was first made for the patient."/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/myocardial_infarction' and @WidgetType='GroupBox']/Item[@Binding='obs/myocardial_infarction/diagnosis_date/value' and @WidgetType='Label'][@Top]" value="30px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/myocardial_infarction' and @WidgetType='GroupBox']/Item[@Binding='obs/myocardial_infarction/diagnosis_date/value' and @WidgetType='Label'][@Left]" value="10px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/myocardial_infarction' and @WidgetType='GroupBox']/Item[@Binding='obs/diabetes_mellitus/diagnosis_date/value' and @WidgetType='DatePicker'][@HelpText]" value="The date the diagnosis was first made for the patient."/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/myocardial_infarction' and @WidgetType='GroupBox']/Item[@Binding='obs/diabetes_mellitus/diagnosis_date/value' and @WidgetType='DatePicker'][@Top]" value="30px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/myocardial_infarction' and @WidgetType='GroupBox']/Item[@Binding='obs/diabetes_mellitus/diagnosis_date/value' and @WidgetType='DatePicker'][@Left]" value="133px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/myocardial_infarction' and @WidgetType='GroupBox']/Item[@Binding='obs/diabetes_mellitus/diagnosis_date/value' and @WidgetType='DatePicker'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/cerebrovascular_accident' and @WidgetType='GroupBox'][@HelpText]" value="A sudden, nonconvulsive loss of neurologic function due to an ischemic or hemorrhagic intracranial vascular event. In general, cerebrovascular accidents are classified by anatomic location in the brain, vascular distribution, etiology, age of the affected individual, and hemorrhagic vs. nonhemorrhagic nature. (From Adams et al., Principles of Neurology, 6th ed, pp777-810)"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/cerebrovascular_accident' and @WidgetType='GroupBox'][@Top]" value="800px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/cerebrovascular_accident' and @WidgetType='GroupBox'][@Left]" value="317px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/cerebrovascular_accident' and @WidgetType='GroupBox'][@Width]" value="500px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/cerebrovascular_accident' and @WidgetType='GroupBox']/Item[@Binding='obs/cerebrovascular_accident' and @WidgetType='Label'][@Text]" value="Cerebrovascular Accident"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/cerebrovascular_accident' and @WidgetType='GroupBox']/Item[@Binding='obs/cerebrovascular_accident' and @WidgetType='Label'][@HelpText]" value="A sudden, nonconvulsive loss of neurologic function due to an ischemic or hemorrhagic intracranial vascular event. In general, cerebrovascular accidents are classified by anatomic location in the brain, vascular distribution, etiology, age of the affected individual, and hemorrhagic vs. nonhemorrhagic nature. (From Adams et al., Principles of Neurology, 6th ed, pp777-810)"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/cerebrovascular_accident' and @WidgetType='GroupBox']/Item[@Binding='obs/cerebrovascular_accident' and @WidgetType='Label'][@Top]" value="1px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/cerebrovascular_accident' and @WidgetType='GroupBox']/Item[@Binding='obs/cerebrovascular_accident' and @WidgetType='Label'][@Left]" value="0px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/cerebrovascular_accident' and @WidgetType='GroupBox']/Item[@Binding='obs/cerebrovascular_accident' and @WidgetType='Label'][@Width]" value="100%"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/cerebrovascular_accident' and @WidgetType='GroupBox']/Item[@Binding='obs/cerebrovascular_accident/diagnosis_date/value' and @WidgetType='Label'][@Text]" value="Diagnosis date"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/cerebrovascular_accident' and @WidgetType='GroupBox']/Item[@Binding='obs/cerebrovascular_accident/diagnosis_date/value' and @WidgetType='Label'][@HelpText]" value="The date the diagnosis was first made for the patient."/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/cerebrovascular_accident' and @WidgetType='GroupBox']/Item[@Binding='obs/cerebrovascular_accident/diagnosis_date/value' and @WidgetType='Label'][@Top]" value="30px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/cerebrovascular_accident' and @WidgetType='GroupBox']/Item[@Binding='obs/cerebrovascular_accident/diagnosis_date/value' and @WidgetType='Label'][@Left]" value="10px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/cerebrovascular_accident' and @WidgetType='GroupBox']/Item[@Binding='obs/diabetes_mellitus/diagnosis_date/value' and @WidgetType='DatePicker'][@HelpText]" value="The date the diagnosis was first made for the patient."/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/cerebrovascular_accident' and @WidgetType='GroupBox']/Item[@Binding='obs/diabetes_mellitus/diagnosis_date/value' and @WidgetType='DatePicker'][@Top]" value="31px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/cerebrovascular_accident' and @WidgetType='GroupBox']/Item[@Binding='obs/diabetes_mellitus/diagnosis_date/value' and @WidgetType='DatePicker'][@Left]" value="132px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/cerebrovascular_accident' and @WidgetType='GroupBox']/Item[@Binding='obs/diabetes_mellitus/diagnosis_date/value' and @WidgetType='DatePicker'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/htn_hypertension' and @WidgetType='GroupBox'][@HelpText]" value="Persistently high arterial blood pressure. Currently accepted threshold levels are 140 mm Hg systolic and 90 mm Hg diastolic pressure."/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/htn_hypertension' and @WidgetType='GroupBox'][@Top]" value="889px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/htn_hypertension' and @WidgetType='GroupBox'][@Left]" value="318px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/htn_hypertension' and @WidgetType='GroupBox'][@Width]" value="500px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/htn_hypertension' and @WidgetType='GroupBox']/Item[@Binding='obs/htn_hypertension' and @WidgetType='Label'][@Text]" value="High blood pressure"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/htn_hypertension' and @WidgetType='GroupBox']/Item[@Binding='obs/htn_hypertension' and @WidgetType='Label'][@HelpText]" value="Persistently high arterial blood pressure. Currently accepted threshold levels are 140 mm Hg systolic and 90 mm Hg diastolic pressure."/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/htn_hypertension' and @WidgetType='GroupBox']/Item[@Binding='obs/htn_hypertension' and @WidgetType='Label'][@Top]" value="1px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/htn_hypertension' and @WidgetType='GroupBox']/Item[@Binding='obs/htn_hypertension' and @WidgetType='Label'][@Left]" value="0px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/htn_hypertension' and @WidgetType='GroupBox']/Item[@Binding='obs/htn_hypertension' and @WidgetType='Label'][@Width]" value="100%"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/htn_hypertension' and @WidgetType='GroupBox']/Item[@Binding='obs/diabetes_mellitus/diagnosis_date/value' and @WidgetType='DatePicker'][@HelpText]" value="The date the diagnosis was first made for the patient."/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/htn_hypertension' and @WidgetType='GroupBox']/Item[@Binding='obs/diabetes_mellitus/diagnosis_date/value' and @WidgetType='DatePicker'][@Top]" value="32px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/htn_hypertension' and @WidgetType='GroupBox']/Item[@Binding='obs/diabetes_mellitus/diagnosis_date/value' and @WidgetType='DatePicker'][@Left]" value="133px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/htn_hypertension' and @WidgetType='GroupBox']/Item[@Binding='obs/diabetes_mellitus/diagnosis_date/value' and @WidgetType='DatePicker'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/htn_hypertension' and @WidgetType='GroupBox']/Item[@Binding='obs/htn_hypertension/diagnosis_date/value' and @WidgetType='Label'][@Text]" value="Diagnosis date"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/htn_hypertension' and @WidgetType='GroupBox']/Item[@Binding='obs/htn_hypertension/diagnosis_date/value' and @WidgetType='Label'][@HelpText]" value="The date the diagnosis was first made for the patient."/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/htn_hypertension' and @WidgetType='GroupBox']/Item[@Binding='obs/htn_hypertension/diagnosis_date/value' and @WidgetType='Label'][@Top]" value="32px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/htn_hypertension' and @WidgetType='GroupBox']/Item[@Binding='obs/htn_hypertension/diagnosis_date/value' and @WidgetType='Label'][@Left]" value="10px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT264pxTOP414px-null' and @WidgetType='GroupBox'][@Top]" value="474px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT264pxTOP414px-null' and @WidgetType='GroupBox'][@Left]" value="249px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT264pxTOP414px-null' and @WidgetType='GroupBox'][@Width]" value="634px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT264pxTOP414px-null' and @WidgetType='GroupBox']/Item[@Binding='LEFT264pxTOP414px-null' and @WidgetType='Label'][@Text]" value="FAMILY HISTORY"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT264pxTOP414px-null' and @WidgetType='GroupBox']/Item[@Binding='LEFT264pxTOP414px-null' and @WidgetType='Label'][@HelpText]" value="FAMILY HISTORY"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT264pxTOP414px-null' and @WidgetType='GroupBox']/Item[@Binding='LEFT264pxTOP414px-null' and @WidgetType='Label'][@Top]" value="1px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT264pxTOP414px-null' and @WidgetType='GroupBox']/Item[@Binding='LEFT264pxTOP414px-null' and @WidgetType='Label'][@Left]" value="0px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT264pxTOP414px-null' and @WidgetType='GroupBox']/Item[@Binding='LEFT264pxTOP414px-null' and @WidgetType='Label'][@Width]" 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