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  1. <?xml version="1.0" encoding="UTF-8"?>
  2. <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">
  3. <xf:model id="openmrs_model">
  4. <xf:instance id="openmrs_model_instance">
  5. <form id="1" name="Test" version="1" uuid="19a1a60a-bca9-46b8-8404-2dd1e25b1736" xmlns:openmrs="formentry.infopath_server_url cannot be empty/moduleServlet/formentry/forms/schema/1-1" xmlns:xd="http://schemas.microsoft.com/office/infopath/2003">
  6. <header>
  7. <enterer/>
  8. <date_entered/>
  9. <session/>
  10. <uid/>
  11. </header>
  12. <patient>
  13. <patient.birthdate openmrs_table="patient" openmrs_attribute="birthdate"/>
  14. <patient.family_name openmrs_table="patient_name" openmrs_attribute="family_name"/>
  15. <patient.given_name openmrs_table="patient_name" openmrs_attribute="given_name"/>
  16. <patient.medical_record_number openmrs_table="patient_identifier" openmrs_attribute="identifier"/>
  17. <patient.middle_name openmrs_table="patient_name" openmrs_attribute="middle_name"/>
  18. <patient.patient_id openmrs_table="patient" openmrs_attribute="patient_id"/>
  19. <patient.sex openmrs_table="patient" openmrs_attribute="gender"/>
  20. </patient>
  21. <encounter>
  22. <encounter.encounter_datetime openmrs_table="encounter" openmrs_attribute="encounter_datetime" xsi:nil="true">'today()'</encounter.encounter_datetime>
  23. <encounter.location_id openmrs_table="encounter" openmrs_attribute="location_id" xsi:nil="true">Unknown Location</encounter.location_id>
  24. <encounter.provider_id openmrs_table="encounter" openmrs_attribute="provider_id" xsi:nil="true" provider_id_type="PROVIDER.ID">TestProvider</encounter.provider_id>
  25. </encounter>
  26. <obs openmrs_concept="3^MEDICAL RECORD OBSERVATIONS^99DCT" openmrs_datatype="ZZ">
  27. <date xsi:nil="true"/>
  28. <time xsi:nil="true"/>
  29. <value xsi:nil="true"/>
  30. </obs>
  31. <other/></form>
  32. </xf:instance>
  33. <xf:bind id="patient.birthdate" nodeset="/form/patient/patient.birthdate" type="xsd:date" jr:preload="patient" jr:preloadParams="birthDate"/>
  34. <xf:bind id="patient.family_name" nodeset="/form/patient/patient.family_name" type="xsd:string" jr:preload="patient" jr:preloadParams="familyName"/>
  35. <xf:bind id="patient.given_name" nodeset="/form/patient/patient.given_name" type="xsd:string" jr:preload="patient" jr:preloadParams="givenName"/>
  36. <xf:bind id="patient.medical_record_number" nodeset="/form/patient/patient.medical_record_number" type="xsd:string" jr:preload="patient" jr:preloadParams="patientIdentifier"/>
  37. <xf:bind id="patient.middle_name" nodeset="/form/patient/patient.middle_name" type="xsd:string" jr:preload="patient" jr:preloadParams="middleName"/>
  38. <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"/>
  39. <xf:bind id="patient.sex" nodeset="/form/patient/patient.sex" type="xsd:string" jr:preload="patient" jr:preloadParams="sex"/>
  40. <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()"/>
  41. <xf:bind id="encounter.location_id" nodeset="/form/encounter/encounter.location_id" type="xsd:string" required="true()"/>
  42. <xf:bind id="encounter.provider_id" nodeset="/form/encounter/encounter.provider_id" type="xsd:string"/>
  43. </xf:model>
  44. <xf:group id="1">
  45. <xf:label>Page1</xf:label>
  46. <xf:input bind="patient.birthdate">
  47. <xf:label>BIRTHDATE</xf:label>
  48. </xf:input>
  49. <xf:input bind="patient.family_name">
  50. <xf:label>FAMILY NAME</xf:label>
  51. </xf:input>
  52. <xf:input bind="patient.given_name">
  53. <xf:label>GIVEN NAME</xf:label>
  54. </xf:input>
  55. <xf:input bind="patient.medical_record_number">
  56. <xf:label>MEDICAL RECORD NUMBER</xf:label>
  57. </xf:input>
  58. <xf:input bind="patient.middle_name">
  59. <xf:label>MIDDLE NAME</xf:label>
  60. </xf:input>
  61. <xf:input bind="patient.patient_id">
  62. <xf:label>PATIENT ID</xf:label>
  63. </xf:input>
  64. <xf:input bind="patient.sex">
  65. <xf:label>SEX</xf:label>
  66. </xf:input>
  67. <xf:input bind="encounter.encounter_datetime">
  68. <xf:label>ENCOUNTER DATETIME</xf:label>
  69. </xf:input>
  70. <xf:input bind="encounter.location_id">
  71. <xf:label>LOCATION ID</xf:label>
  72.  
  73. </xf:input>
  74. <xf:input bind="encounter.provider_id">
  75. <xf:label>PROVIDER ID</xf:label>
  76. </xf:input>
  77. </xf:group>
  78. </xf:xforms></Xform><Layout><Form id="1"><Page Text="Page1" fontWeight="normal" fontSize="16px" fontFamily="Verdana, 'Lucida Grande', 'Trebuchet MS', Arial, Sans-Serif" Binding="Page1" Width="500px" Height="551px" backgroundColor=""><Item WidgetType="Label" Text="BIRTHDATE" HelpText="BIRTHDATE" Binding="patient/patient.birthdate" Left="149px" Top="20px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="FAMILY NAME" HelpText="FAMILY NAME" Binding="patient/patient.family_name" Left="133px" Top="60px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="GIVEN NAME" HelpText="GIVEN NAME" Binding="patient/patient.given_name" Left="138px" Top="100px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="TextBox" HelpText="GIVEN NAME" Binding="patient/patient.given_name" Left="247px" Top="100px" Width="200px" Height="25px" TabIndex="3" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="MEDICAL RECORD NUMBER" HelpText="MEDICAL RECORD NUMBER" Binding="patient/patient.medical_record_number" Left="20px" Top="140px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="TextBox" HelpText="MEDICAL RECORD NUMBER" Binding="patient/patient.medical_record_number" Left="247px" Top="140px" Width="200px" Height="25px" TabIndex="4" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="MIDDLE NAME" HelpText="MIDDLE NAME" Binding="patient/patient.middle_name" Left="127px" Top="180px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="TextBox" HelpText="MIDDLE NAME" Binding="patient/patient.middle_name" Left="247px" Top="180px" Width="200px" Height="25px" TabIndex="5" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="SEX" HelpText="SEX" Binding="patient/patient.sex" Left="210px" Top="220px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="TextBox" HelpText="SEX" Binding="patient/patient.sex" Left="247px" Top="220px" Width="200px" Height="25px" TabIndex="6" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="ENCOUNTER DATETIME" HelpText="ENCOUNTER DATETIME" Binding="encounter/encounter.encounter_datetime" Left="53px" Top="260px" 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="247px" Top="260px" Width="200px" Height="25px" TabIndex="7" 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="132px" Top="300px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="TextBox" Binding="encounter/encounter.location_id" Left="247px" Top="300px" 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="132px" Top="340px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="TextBox" Binding="encounter/encounter.provider_id" Left="247px" Top="340px" Width="200px" Height="25px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Button" Text="Submit" HelpText="submit" Binding="submit" Left="20px" Top="390px" Width="70px" Height="30px" TabIndex="10" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Button" Text="Cancel" HelpText="cancel" Binding="cancel" Left="220px" Top="390px" Width="70px" Height="30px" TabIndex="11" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="TextBox" HelpText="FAMILY NAME" Binding="patient/patient.family_name" Left="247px" Top="60px" Width="200px" Height="25px" TabIndex="2" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="DatePicker" HelpText="BIRTHDATE" Binding="patient/patient.birthdate" Left="249px" Top="16px" Width="200px" Height="25px" TabIndex="1" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/></Page></Form></Layout><CSS><![CDATA[ .gwt-TabPanelBottom {
  79. border-color: #92C1F0;
  80. border-style: none;
  81. border-width: 3px 2px 2px;
  82. overflow: hidden;
  83. padding: 6px;
  84. }
  85.  
  86. ]]></CSS><Language><LanguageText lang="en"><xform id="1"><text xpath="xforms/model[@id='openmrs_model']/instance[@id='openmrs_model_instance']/form[@name]" value="Test"/><text xpath="xforms/group[@id='1']/label" value="Page1"/><text xpath="xforms/group[@id='1']/input[@bind='patient.birthdate']/label" value="BIRTHDATE"/><text xpath="xforms/group[@id='1']/input[@bind='patient.family_name']/label" value="FAMILY NAME"/><text xpath="xforms/group[@id='1']/input[@bind='patient.given_name']/label" value="GIVEN 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.middle_name']/label" value="MIDDLE NAME"/><text xpath="xforms/group[@id='1']/input[@bind='patient.patient_id']/label" value="PATIENT ID"/><text xpath="xforms/group[@id='1']/input[@bind='patient.sex']/label" value="SEX"/><text xpath="xforms/group[@id='1']/input[@bind='encounter.encounter_datetime']/label" value="ENCOUNTER DATETIME"/><text xpath="xforms/group[@id='1']/input[@bind='encounter.location_id']/label" value="LOCATION ID"/><text xpath="xforms/group[@id='1']/input[@bind='encounter.provider_id']/label" value="PROVIDER ID"/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='encounter.encounter_datetime'][@message]" value="Encounter date cannot be after today"/></xform><Form id="1"><text xpath="Form/Page[@Binding='Page1'][@Text]" value="Page1"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.birthdate' and @WidgetType='Label'][@Text]" value="BIRTHDATE"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.birthdate' and @WidgetType='Label'][@HelpText]" value="BIRTHDATE"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.birthdate' and @WidgetType='Label'][@Top]" value="20px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.birthdate' and @WidgetType='Label'][@Left]" value="149px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.family_name' and @WidgetType='Label'][@Text]" value="FAMILY NAME"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.family_name' and @WidgetType='Label'][@HelpText]" value="FAMILY NAME"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.family_name' and @WidgetType='Label'][@Top]" value="60px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.family_name' and @WidgetType='Label'][@Left]" value="133px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.given_name' and @WidgetType='Label'][@Text]" value="GIVEN NAME"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.given_name' and @WidgetType='Label'][@HelpText]" value="GIVEN NAME"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.given_name' and @WidgetType='Label'][@Top]" value="100px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.given_name' and @WidgetType='Label'][@Left]" value="138px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.given_name' and @WidgetType='TextBox'][@HelpText]" value="GIVEN NAME"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.given_name' and @WidgetType='TextBox'][@Top]" value="100px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.given_name' and @WidgetType='TextBox'][@Left]" value="247px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.given_name' and @WidgetType='TextBox'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.medical_record_number' and @WidgetType='Label'][@Text]" value="MEDICAL RECORD NUMBER"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.medical_record_number' and @WidgetType='Label'][@HelpText]" value="MEDICAL RECORD NUMBER"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.medical_record_number' and @WidgetType='Label'][@Top]" value="140px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.medical_record_number' and @WidgetType='Label'][@Left]" value="20px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.medical_record_number' and @WidgetType='TextBox'][@HelpText]" value="MEDICAL RECORD NUMBER"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.medical_record_number' and @WidgetType='TextBox'][@Top]" value="140px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.medical_record_number' and @WidgetType='TextBox'][@Left]" value="247px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.medical_record_number' and @WidgetType='TextBox'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.middle_name' and @WidgetType='Label'][@Text]" value="MIDDLE NAME"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.middle_name' and @WidgetType='Label'][@HelpText]" value="MIDDLE NAME"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.middle_name' and @WidgetType='Label'][@Top]" value="180px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.middle_name' and @WidgetType='Label'][@Left]" value="127px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.middle_name' and @WidgetType='TextBox'][@HelpText]" value="MIDDLE NAME"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.middle_name' and @WidgetType='TextBox'][@Top]" value="180px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.middle_name' and @WidgetType='TextBox'][@Left]" value="247px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.middle_name' and @WidgetType='TextBox'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.sex' and @WidgetType='Label'][@Text]" value="SEX"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.sex' and @WidgetType='Label'][@HelpText]" value="SEX"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.sex' and @WidgetType='Label'][@Top]" value="220px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.sex' and @WidgetType='Label'][@Left]" value="210px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.sex' and @WidgetType='TextBox'][@HelpText]" value="SEX"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.sex' and @WidgetType='TextBox'][@Top]" value="220px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.sex' and @WidgetType='TextBox'][@Left]" value="247px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.sex' and @WidgetType='TextBox'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.encounter_datetime' and @WidgetType='Label'][@Text]" value="ENCOUNTER DATETIME"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.encounter_datetime' and @WidgetType='Label'][@HelpText]" value="ENCOUNTER DATETIME"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.encounter_datetime' and @WidgetType='Label'][@Top]" value="260px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.encounter_datetime' and @WidgetType='Label'][@Left]" value="53px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.encounter_datetime' and @WidgetType='DatePicker'][@HelpText]" value="ENCOUNTER DATETIME"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.encounter_datetime' and @WidgetType='DatePicker'][@Top]" value="260px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.encounter_datetime' and @WidgetType='DatePicker'][@Left]" value="247px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.encounter_datetime' and @WidgetType='DatePicker'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.location_id' and @WidgetType='Label'][@Text]" value="LOCATION ID"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.location_id' and @WidgetType='Label'][@HelpText]" value="LOCATION ID"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.location_id' and @WidgetType='Label'][@Top]" value="300px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.location_id' and @WidgetType='Label'][@Left]" value="132px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.location_id' and @WidgetType='TextBox'][@Top]" value="300px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.location_id' and @WidgetType='TextBox'][@Left]" value="247px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.location_id' and @WidgetType='TextBox'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.provider_id' and @WidgetType='Label'][@Text]" value="PROVIDER ID"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.provider_id' and @WidgetType='Label'][@HelpText]" value="PROVIDER ID"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.provider_id' and @WidgetType='Label'][@Top]" value="340px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.provider_id' and @WidgetType='Label'][@Left]" value="132px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.provider_id' and @WidgetType='TextBox'][@Top]" value="340px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.provider_id' and @WidgetType='TextBox'][@Left]" value="247px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.provider_id' and @WidgetType='TextBox'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='submit' and @WidgetType='Button'][@Text]" value="Submit"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='submit' and @WidgetType='Button'][@HelpText]" value="submit"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='submit' and @WidgetType='Button'][@Top]" value="390px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='submit' and @WidgetType='Button'][@Left]" value="20px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='submit' and @WidgetType='Button'][@Width]" value="70px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='cancel' and @WidgetType='Button'][@Text]" value="Cancel"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='cancel' and @WidgetType='Button'][@HelpText]" value="cancel"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='cancel' and @WidgetType='Button'][@Top]" value="390px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='cancel' and @WidgetType='Button'][@Left]" value="220px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='cancel' and @WidgetType='Button'][@Width]" value="70px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.family_name' and @WidgetType='TextBox'][@HelpText]" value="FAMILY NAME"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.family_name' and @WidgetType='TextBox'][@Top]" value="60px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.family_name' and @WidgetType='TextBox'][@Left]" value="247px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.family_name' and @WidgetType='TextBox'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.birthdate' and @WidgetType='DatePicker'][@HelpText]" value="BIRTHDATE"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.birthdate' and @WidgetType='DatePicker'][@Top]" value="16px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.birthdate' and @WidgetType='DatePicker'][@Left]" value="249px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.birthdate' and @WidgetType='DatePicker'][@Width]" value="200px"/></Form></LanguageText></Language></PurcForm>
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